× Quick Exit (ESC)

Supervised Consumption Services

 

Click on the photo for a quick video tour! Thank you to HIV Community Link and Chris Tomicic at Akira Creative.

Hours of Operation : 10 AM – 10 PM, 7 Days a Week

Location : Rotary House, Grande Prairie

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Supervised Consumption Services At Northreach:

 

  • A hygienic health service facility where a person can consume illicit, pre-obtained* substances.
  • A medically supervised consumption area including 2 injection booths.
  • Access to sterile harm reduction supplies and education.
  • Medical staff trained in harm reduction and overdose response.
  • A post-consumption space where staff monitor for adverse reactions.
  • Referrals connecting people to health and social services within the community.

*Selling, buying, sharing or trading substances is prohibited at the site.

 

The following data has been collected at the Northreach SCS from March 11, 2019 to October 31, 2019:

  • 6200 visits by 191 individuals;
  • 507 referrals to external health and social services including 32 referrals to detox, 10 referrals to treatment, and 38 referrals to Opioid Dependency Programs;
  • 112 overdoses responded to by staff with no fatalities.

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Why Are Supervised Consumption Services Needed?

Since January 2016, there have been 2183 opioid-related overdose deaths in Alberta (Alberta Health, 2019). In 2018, there were 789 of these deaths, equivalent to more than 2 per day. Approximately 85% of which were related to fentanyl. More recently, Alberta Health has reported 137 deaths within the first quarter of 2019.

Grande Prairie has had 72 fentanyl-related deaths since January 2016. In the first quarter of 2019, Grande Prairie has experienced 11 deaths. This is the highest rate for fentanyl-related deaths in Alberta, at 59 per 100, 000 population; previously, Grande Prairie had the highest rate in 2017, at 36.4 per 100, 000.

Supervised Consumption Services:

  • Save lives by responding to overdoses;
  • Increase referrals to detoxification and treatment;
  • Increase access to Naloxone;
  • Decrease needles and debris discarded in public areas, Biohazards are taken to waste management facilities;
  • Decrease public substance consumption;
  • Decease health care spending by: Decreasing risks of skin infections, blood clots, and heart infections related to reusing needles;
  • Decrease needle sharing thus decreasing HIV and Hepatitis C rates.

 

 

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Northreach’s Role

 

Northreach is Grande Prairie’s primary harm reduction agency, focusing on the prevention of sexually transmitted and blood borne infections (STBBIs) through the distribution of sterile injection equipment and safer sex supplies. Programs and services address the Social Determinants of Health through the provision of wrap-around supports focusing on increasing the health and well-being of Northern Alberta residents. Harm reduction remains the foundation of our services.

Northreach acknowledges Supervised Consumption Services (SCS) to be a complementary and necessary support, saving lives while increasing the health and well-being of service participants.

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The Need in Grande Prairie

 

According to Opioids and Substances of Misuse, Alberta Report, Grande Prairie had the highest fentanyl and non-fentanyl opioid-related overdose deaths in the province in 2017. During this time, Northreach (previously known as HIV North) conducted 200 research surveys with individuals who consume substances in Grande Prairie. The results of the survey indicated:

  • 75% of individuals reported injecting in public;
  • 52% reported witnessing needle sharing;
  • 34% reported having difficulty obtaining new needles;
  • 19% reported the operation hours of needle distribution programs as a key barrier;
  • 75% of those consuming substances by injection and 61% of those consuming by nasal routes would use SCS;
  • Respondents reported unsafely discarding needles about 34% of the time;
  • 61.5% of individuals consume substances 4 or more times a week.

 

Through the needs assessment, and consultations with local stakeholders, Northreach determined Supervised Consumption Services are needed in Grande Prairie.  Northreach proposed a mobile model to meet the immediate needs of those who consume substances. Following the fabrication of the vehicle, an application was submitted to Health Canada for an exemption under the Controlled Drug and Substance Act. This exemption allows for the possession and consumption of controlled substances within an SCS. However, selling, buying, trading, or sharing substances is prohibited. The Mobile Supervised Consumption Service opened March 11, 2019, and is located at Rotary House.

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More Information About SCS

 

In 2003, Vancouver’s Insite became Canada’s first legally approved SCS, known then as a Safe Injection Site. One study revealed, if Vancouver’s SCS were closed, the number of annual HIV infections among intravenous substance consumers in Vancouver would be expected to rise from 179.3 to 262.8. The increase of 83.5 preventable infections has a cost association of $17.6 million in life-time HIV-related medical care costs. Other studies on Insite show:

  • 30% of individuals accessing Insite report entering a detoxification program;
  • 57% start a substance treatment program;
  • 23% stop injecting substances.

There are now more than 45 approved sites in Canada, 7 of these sites are currently operating in Alberta. To find out which cities are offering SCS, click here.

For more information on Supervised Consumption Services please see Health Canada’s webpage.

For information on more than 100 sites world wide, click here.