American cities look to Vancouver for overdose crisis response model

American cities look to Vancouver for overdose crisis response model

The BC Coroners Service recorded 369 overdose deaths in Vancouver last year

As an overdose crisis began taking shape in Denver, Colo., one of the places the city’s leaders looked for answers was north of the border.

Coun. Albus Brooks says he hopped on a plane to Vancouver last year before putting together a recent proposal to open what could become the first legal supervised consumption site in the United States.

“I went out there personally to meet with council members, the chief of police, community members, business folks — I interviewed them all,” he said.

Last month, Denver council approved a proposal for a two-year pilot project allowing a safe consumption site, which lets people use drugs under the supervision of staff who are trained in overdose response.

The program must win approval from the state legislature, which is now under Democratic control after the November election. Earlier this year, the Republican-controlled state Senate killed similar legislation.

Other U.S. cities, including San Francisco, Seattle, New York and Philadelphia, have also expressed interest in opening supervised injection sites. California lawmakers passed a measure that would have protected workers and participants in a San Francisco pilot program from state prosecution, but Gov. Jerry Brown vetoed it in September.

Brooks said Denver council reviewed models in hundreds of other jurisdictions and also visited Barcelona. But it took several lessons from Vancouver, including the effectiveness of free drug testing and the importance of working across sectors and with many stakeholders.

He said he was struck by the high number of overdose deaths in Vancouver, which has been the epicentre of the crisis in Canada, but also the general consensus on the importance of harm reduction as part of a continuum of care that has been harder to achieve in the United States.

READ MORE: New in-depth report sheds light on who in BC is dying of drug overdoses

The BC Coroners Service recorded 369 overdose deaths in Vancouver last year, while Denver recorded 163 drug-related deaths, according to Colorado’s vital statistics program.

“Everyone seemed to say that harm reduction models were effective and an important part of an overall strategy,” Brooks said. “That’s not understood in the United States.”

Support hasn’t been universal in Canada either. When Insite opened in Vancouver in 2003, making it the first safe consumption site in North America, some argued it would just enable addicts. And as recently as August, the Progressive Conservative government in Ontario under Premier Doug Ford announced it was halting the opening of new overdose prevention sites pending a review.

But data suggests they have been effective. According to the BC Centre on Substance Use, a systematic review of 75 peer-reviewed journal articles on safe consumption sites found that no overdose-related death was ever reported within a site involved in the studies.

A 2011 study in Vancouver also found a 35 per cent decline in overdose deaths in the area around Insite, the centre said.

While the BC Coroners Service does not collect data on “life-saving” measures, spokesman Andy Watson said he believes significantly more people would have died in the crisis if not for harm reduction services.

“We understand the death toll probably would have tripled, based on information we’ve received from other agencies,” he said.

Insite has been a popular destination for both Canadian and American politicians considering the model, with visitors also coming from nearby Seattle, said Carrie Stefanson, spokeswoman for Vancouver Coastal Health, which co-manages the site with non-profit PHS Community Services Society.

“They come on kind of a fact-finding mission or a tour. We have people coming all the time,” she said.

READ MORE: 2,000 Canadians died of an overdose in first 6 months of the year

Sarah Blyth, who runs the Overdose Prevention Society on the city’s Downtown Eastside, said it can be overwhelming to host so many visitors. There are visits almost every other day from politicians, grassroots organizers, nurses, students and others curious about the model — from as far away as Belgium and France and as close as other B.C. cities.

“It’s a bit too much, to be honest, but at the same time it’s so important because they get to bring back education and what we’re doing to other places,” Blyth said.

“And we get to discuss how it’s helpful and answer questions about how you can do it — how it’s easy and affordable and not hard to do.”

Amy Smart, The Canadian Press


Like us on Facebook and follow us on Twitter.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Union Bay voters chose a new direction Saturday. Photo by Mike Chouinard
Union Bay voters opt for governance change

More than seventy per cent support dissolving UBID to roll services into regional district

A small crash in the water south of Courtenay Saturday afternoon. Two men had to be rescued, but reports indicate there were no serious injuries. Photo by Mike Chouinard
Small plane crash south of Courtenay Saturday afternoon

Two rescued from plane that had flipped in water; no serious injuries reported

Rogan is a three-year-old border collie who has an 'incredible bond' between him and a family member. Photo by Erin Haluschak
‘Incredible bond’ credited for dog who assisted in emergency

Three-year-old dog Rogan came to the rescue of a family member who fell

Environment Canada has issued a special weather statement forecasting windy weather Sunday and Monday. (News Bulletin file photo)
More windy weather on the way for Vancouver Island

Environment Canada issues special weather statement for Victoria, east coast of Island, north Island

A map of Comox Valley schools. Screenshot, Fraser Institute
Comox Valley schools near mid-pack in Fraser Institute rankings

A few schools went up or down a few points, but most came in with similar marks

Mary Cox and Jack Plant dance in their pyjamas and slippers at the morning pyjama dance during the Rhythm Reelers’ 25 Annual Rally in the Valley Square Dance Festival in Chilliwack on June 4, 2011. Sunday, Nov. 29, 2020 is Square Dancing Day. (Jenna Hauck/ Chilliwack Progress file)
Unofficial holidays: Here’s what people are celebrating for the week of Nov. 29 to Dec. 5

Square Dancing Day, Disability Day and International Ninja Day are all coming up this week

Black Press Media and BraveFace have come together to support children facing life-threatening conditions. Net proceeds from these washable, reusable, three-layer masks go to Make-A-Wish Foundation BC & Yukon.
Put on a BraveFace: Help make children’s wishes come true

Black Press Media, BraveFace host mask fundraiser for Make-A-Wish Foundation

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Kevin Bieksa during his days playing with the Vancouver Canucks. (Photo: commons.wikimedia.org)
Bieksa to guest on free Canucks Alumni ‘Hot Stove’ on Zoom app

Former NHL player has become a game analyst on Sportsnet

A photo from 2017, of Nuchatlaht First Nation members outside court after filing a land title case in B.C. ( Submitted photo/Nuchatlaht First Nation).
Vancouver Island First Nation calls on B.C. to honour UNDRIP in historic title case

Nuchatlaht First Nation says Crown counsel continues to stall the case using the ‘distasteful’ argument that the Nation ‘abandoned’ their land

West Vancouver Island’s Ehattesaht First Nation continues lock down after 9 active cases were reported today after a visitor tested positive last week. (Ehattesaht First Nation/Facebook)
Ehattesaht First Nation’s COVID-19 nightmare: nine active cases, a storm and a power outage

The Vancouver Island First Nation in a lockdown since the first case was reported last week

The Blackberry Lane Children’s Centre outgrown its space in the back of the Denman Island Community Hall. Photo supplied
Denman Island to have new preschool with metal roof

Thanks to a local government grant and community support, the Denman Island… Continue reading

114 Canadians were appointed Nov. 27 to the Order of Canada. (Governor General of Canada photo)
Indigenous actor, author, elder, leaders appointed to Order of Canada

Outstanding achievement, community dedication and service recognized

The Ahousaht First Nation confirmed its first case of COVID-19 on Nov. 26, 2020. (Westerly file photo)
Ahousaht First Nation on lockdown over COVID-19

“Emotions are high. The anxiety is high. We want our community to pull through.”

Most Read