A CBC News article reported that the majority of drug users in Canada who are dying from overdose are inhaling their drugs as opposed to injection. They quote advocates who claim that safe injection sites have worked, and who suggest that model should be expanded to include users who inhale. Opponents instead insist that there should be a focus on getting drug users access to treatment.
There is a lot of evidence that safe injection sites work to prevent drug use harm. Safe injection sites have been implemented in Europe, Canada, and Australia with significant results in reducing mortality. It is reasonable to suggest expanding the safe injection site model to accommodate users who inhale their drugs could prevent further deaths, especially since the majority of drug users in several Canadian provinces now primarily smoke their drugs.
Alberta Premier Danielle Smith has mandated Dan Williams, the minister of mental health and addiction to implement a future “compassionate intervention” legislation, which would allow family members or social workers to petition a Judge to send a user to treatment without their consent. She also instructed him to help deliver platform commitments including: “Building and operationalizing at least 11 new recovery communities in key locations throughout the province…”
In the above article, Dan Williams is quoted as saying that he has no plans to focus on safe injection sites or to consider safe inhalation sites but instead on access to treatment and what he called “recovery communities”. According to the Albertan government, recovery or therapeutic communities are “a form of long-term residential addiction treatment that focuses on the whole person and overall lifestyle changes.” This strategy is focused on access to recovery programs of sobriety and does not consider mitigating overdose deaths directly.
The UCP government has also been closing safe injection sites around the province of Alberta. Alberta Premier Danielle Smith has suggested in the past that safe injection sites promote drug use and increase crime, and so work against efforts to get people into treatment.
However, there has been no relationship to increased crime found when safe injection sites are implemented in communities. There is also no evidence from studies that have shown an increase in drug use after implementing safe injection sites. There is also no evidence that they discourage drug use, although that’s not their intent. Harm reduction methods including safe injection sites aim not to address the issue of addiction per se, but to mitigate risks associated with drug use such as the risk of death from overdose, leaving strategies for treatment and prevention as separate issues. However, there is also evidence that providing safe injection sites leads to increased engagement with existing treatment programs.