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

Vandals burned a hole in the platform at the top of the Somenos Marsh Open Air Classroom early on the morning of Thursday, April 22. (Kevin Rothbauer/Citizen)
Arson closes Somenos Marsh viewing platform

Fletcher estimates the damage at more than $5,000.

Pharmacist Barbara Violo arranges empty vials of the Oxford-AstraZeneca COVID-19 vaccine that she has provided to customers at the Junction Chemist, an independent pharmacy in Toronto, Monday, April 19, 2021. Younger Canadians in several provinces are now able to get the AstraZeneca vaccine. THE CANADIAN PRESS/Nathan Denette
AstraZeneca vaccine appointments fill up fast on Vancouver Island

More pharmacies expected to be added as supply increases

A B.C. Centre for Disease Control map shows new COVID-19 cases by local health area for the week of April 11-17. (BCCDC image)
BCCDC says fresh COVID-19 cases down in most Island Health areas

Nanaimo sees its fewest new COVID-19 cases since mid January

More sleeping cabins for the homeless in the Cowichan Valley could soon be put in place if a $2.5-million grant application to the UBCM Strengthening Communities’ Services funding program is successful. (File photo)
Funding sought to expand homeless initiatives in Cowichan Valley

$2.5-million grant would see more sleeping cabins and outreach projects

The old Stanley Gordon school in Lake Cowichan. (Lexi Bainas/Gazette file)
Editorial: Old school properties represent potential for our areas

There are opportunities, often sitting right in the middle of our small communities.

Canadian Prime Minister Justin Trudeau and United States President Joe Biden smile as they say farewell following a virtual joint statement in Ottawa, Tuesday, February 23, 2021. THE CANADIAN PRESS/Adrian Wyld
Trudeau pledges to cut emissions by 40% to 45% by 2030, short of U.S. goal

Trudeau announced target during a virtual climate summit convened by U.S. President Joe Biden

MLA Shirley Bond, right, answers questions during a press conference at Legislature in Victoria, B.C., on February 19, 2019. THE CANADIAN PRESS/Chad Hipolito
Former B.C. gaming minister says she wasn’t told directly about dirty cash flowing to casinos

Shirley Bond said Thursday civil forfeiture, gang violence and gambling addiction were also major concerns in 2011

RCMP Constable Etsell speaks to tourists leaving the area at a police roadblock on Westside Road south of Fintry, B.C., Thursday, July 23, 2009. THE CANADIAN PRESS/ Yvonne Berg
B.C. police say they take ‘exception’ to conducting roadblocks limiting travel

Asking the police to enforce roadblocks exposes officers to further risk and possible COVID-19 infections, says federation president Brian Sauve

As part of the province’s strategy to combat the opioid overdose crisis, take-home naloxone kits have been distributed throughout the province. (Courtesy of Gaëlle Nicolussi)
Vancouver Island could be at its worst point of overdose crises yet: medical health officer

Island Health issued overdose advisories for Victoria, various communities in the last two weeks

The conservation service confirmed they do not relocate cougars from settled areas but that euthanasia is not necessarily the fate for an animal in the Fanny Bay area. The hope is that the animal will move on to wild areas. (File photo)
Woman hopes cat-stalking Fanny Bay cougar can avoid euthanization

Conservation officers do not relocate the animals from Vancouver Island

Tofino residents expressed frustration over a recent post by Long Beach Lodge owner Tim Hackett that falsely claimed all residents have been vaccinated. (Westerly file photo)
Resort owner apologizes for suggesting Tofino is safe to travel to

Long Beach Lodge owner Tim Hackett apologizes to community and visitors

BC Hydro released a survey Thursday, April 22. It found that many British Columbians are unintentionally contributing to climate change with their yard maintenance choices. (Pixabay)
Spend a lot of time doing yard work? It might be contributing to climate change

Recent BC Hydro survey finds 60% of homeowners still use gas-powered lawnmowers and yard equipment

Journal de Montreal is seen in Montreal, on Thursday, April 22, 2021. The daily newspaper uses a file picture of Prime Minister Justin Trudeau dressed in traditional Indian clothing during his trip to India to illustrate a story on the Indian variant of the coronavirus. Paul Chiasson/The Canadian Press
Montreal newspaper blasted for front-page photo of Trudeau in India

Trudeau is wearing traditional Indian clothes and holding his hands together in prayer beside a caption that reads, ‘The Indian variant has arrived’

Police executed a search warrant at the Devils Army Clubhouse on Petersen road in Campbell River on August 10, 2017.
Murder trial: Victim left to conclude out-of-court settlement on the day he disappeared

Trial of Richard Alexander in death of John Dillon Brown continues in B.C. Supreme Court in Victoria

Most Read