Ontario to close 10 safe consumption sites and open 19 recovery hubs
Ontario to close 10 safe consumption sites and open 19 recovery hubs
Ontario’s decision to close safe consumption sites near schools and daycares comes in the wake of a bystander’s death and class-action lawsuit
By Alexandra Keeler
In a dramatic shift in policy, Ontario is closing 10 safe consumption sites located near schools and daycares, citing public safety concerns.
“Our first priority must always be protecting our communities, especially when it comes to our most innocent and vulnerable — our children,” said Ontario Health Minister Sylvia Jones at an Association of Municipalities of Ontario conference in Ottawa on Tuesday.
Safe consumption sites, which enable people to use illicit drugs with sterile equipment under staff supervision, will be prohibited from operating within 200 metres of schools and child-care centres after March 31, 2025.
The province also plans to introduce legislation to prevent municipalities from establishing new consumption sites, requesting the decriminalization of illegal drugs or participating in federal safe supply initiatives, a health ministry press release says.
Safe consumption sites have faced mounting scrutiny in the wake of community feedback highlighting their effect on public safety.
“We’ve noticed a real change from 2021 onwards,” Andrea Nickel, a parent who lives near a safe consumption site at Toronto’s South Riverdale Community Health Centre, told Canadian Affairs in May.
“At the beginning of last year it just escalated out of control.”
Unacceptable danger
Ontario opened its first safe consumption site in 2017 with the aim of reducing overdose deaths and providing users with a gateway to treatment. Today, there are 23 safe consumption sites across the province, 17 of which are provincially funded.
KeepSIX, the safe consumption site in South Riverdale, is among the sites facing closure. Last July, Karolina Huebner-Makurat, a local resident and mother of two, was fatally shot during a gunfight outside the site. Her death prompted Ontario to conduct two reviews of the centre and to also review the 16 other provincially funded sites.
A review of keepSIX conducted by the hospital network Unity Health Toronto and released in February recommended improvements in security, community relations, law enforcement communication and staff training. It did not recommend closure.
The second review, released in April and conducted by former health-care executive Jill Campbell, also opposed closure. It advocated instead for expanded harm reduction and treatment, enhanced security and increased mental health support.
In March 2024, two South Riverdale residents launched a class-action lawsuit against the operator of keepSIX and all levels of government, Canadian Affairs reported in May. The lawsuit alleges the site has exposed the community to unacceptable danger.
The site’s proximity to daycares and schools and its role in exposing children to illicit drugs and used needles are at the heart of that case.
Reacting to this week’s announcement, South Riverdale parent Andrea Nickel said she is supportive of the site’s services. “[But] it is not unreasonable to ask that they are balanced with community safety, specifically kids’ safety.”
South Riverdale’s response cited the centre’s role in reversing 74 overdoses in 2023.
“Every overdose reversed is a life saved,” Anne Marie Aikins, a public affairs consultant at AMA Communications, said on behalf of the centre.
‘Devil’s in the details’
In Tuesday’s address, Ontario’s health minister also announced a $378-million investment to establish 19 new Homelessness and Addiction Recovery Treatment Hubs (HART hubs) across the province. These recovery-focused hubs will offer social support services and employment assistance to individuals struggling with addiction.
They will not provide supervised drug consumption, needle exchange programs or the “safe supply” of prescribed controlled substances.
“The devil’s in the details with these things,” said John-Paul Michael, an addictions case manager in Toronto who has extensive experience in harm reduction and lived experience with substance use.
“Everyone I know in the harm-reduction community is very much in favour of having better access to treatment, better access to detox, better wraparound care,” he said. “The problem becomes when it is at the expense of other evidence-based care.”
Michael says safe consumption sites are often the only form of health care available to individuals struggling with addiction. Eliminating them would leave these individuals without support, he says.
“Safe consumption sites are essential for saving lives, particularly for those who may never seek formal treatment,” he said. “Eliminating these supports disregards the value of human life.”
Michael is also concerned about the reduction of needle exchange services, which are crucial for managing HIV and Hepatitis C rates and lessening the burden on emergency rooms.
“Community-based nurses at [safe consumption sites] provide basic care that can prevent emergency department visits and potentially severe outcomes, such as [intensive care unit] stays,” Michael said.
The province will soon seek proposals to establish up to 10 HART hubs. Priority will be given to proposals that aim to transition existing safe consumption sites — especially those facing closure — into HART hubs.
“[T]he likelihood is that [these transitions] would happen very quickly,” Health Minister Jones told reporters on Tuesday. “The other applications — it will depend on what they bring forward.”
This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.
I’m not sure when the “ helping community” is going to get it through their heads that helping people stay addicted is not helping them. When addicts have their substance of choice freely available and someone to make sure they don’t die, what possible reason would they have for doing the hard work of getting clean? Users are interested in one thing above health, family, even food: the next dose.