Proposed Changes by the Government of Ontario to Supervised Consumption and Consumption and Treatment Services Sites in Toronto On August 20, 2024, the Ontario government announced changes to supervised consumption and harm reduction services in Ontario. These changes will result in the closure of five supervised consumption sites and consumption and treatment services in Toronto by March 31, 2025, including the supervised consumption sites at The Works, which is operated by Toronto Public Health and currently located at 277 Victoria Street. While the province also announced a $378 million investment for 19 new Homelessness and Addiction Recovery Treatment Hubs across Ontario, these hubs will not be permitted to offer safer supply, supervised consumption or needle exchange programs. These changes can be expected to have a detrimental impact on the health and well-being of all Torontonians, including: - Increased deaths from overdose – Last year alone, Toronto Public Health’s supervised consumption services supported over 19,000 client visits and responded to approximately 500 overdoses. - Fewer pathways to treatment – While increased investment in treatment are welcome, the closure of supervised consumption sites will eliminate a key “front door” for people who use drugs to access treatment services. - Decreased community safety and well-being – supervised consumption site services, including needle-exchange are vital to ensuring the safety and well-being of the broader public, as well as people who use drugs. The recently announced changes can be expected to increase public use of drugs. - Increased strain on first responders and hospital emergency departments – supervised consumption sites provide a controlled setting where highly trained staff provide emergency first aid in the event of an overdose. The closure of these essential medical services will increase the pressures on hospital emergency departments and already over-burdened first responders, including paramedics and law enforcement. In light of these concerns, it is critical that the Government of Ontario continue to fund and support supervised consumption sites/consumption and treatment services as a key pillar in the response to the drug toxicity crisis, alongside prevention, treatment, and community safety and well-being.
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