B.C. is rising to new challenges to make sure people get the care they need, where and when they need it, no matter how many tries it takes.
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People have been dealing with a lot over the last few years. We’re all still recovering from the stress and challenges of the pandemic. More people are suffering from depression and anxiety, and the toxic drug supply has become more poisonous, more unpredictable and more deadly – hurting loved ones and communities.
There is no one-size-fits-all solution for people experiencing mental health or addiction challenges. That’s why we’re taking action on all fronts to keep people and communities safe and well by intervening early, reducing risk of toxic drugs to save lives, connecting people to treatment and care, creating pathways to recovery and wellness, and providing support to get at root causes.
We’re seeing results that it’s making a difference, but there’s more work to do.
By addressing mental health and addiction challenges early, we can prevent them from becoming more severe down the road.
290,000 free or low-cost counselling sessions provided to individuals, couples and families since 2019
35 Foundry Centres are now open or in development to provide health and social services to youth 12-24
39 Urgent and Primary Care Centres now provide mental health and addiction services, with more to come
Quality counselling for free or low cost
When people decide to reach out for help, support needs to be available.
That’s why we’re working to make sure people across B.C. can access counselling services for free or at low cost, when and where they need it.
Counselling services:
To find a counselling service in your area:
290,000+ counselling sessions have been provided since 2019.
Foundry Centres for young people 12-24
The last few years have not been easy on young people. Studies have shown that youth were disproportionately impacted by the pandemic.
To help young people get the health and wellness care, connection and support they need, we are expanding Foundry youth centres across the province.
Foundry youth wellness centres:
To access care:
All 35 Foundry Centres are expected to be open by 2028. More than 16,000 young people accessed Foundry services last year.
Integrated Child and Youth Teams
It is estimated that 75% of serious mental-health issues emerge before the age of 25. Drug toxicity and suicide are the leading causes of death for people ages 15 to 18.
To fill gaps in mental health and addiction care for young people up to age 19, we’re expanding Integrated Child and Youth Teams to 20 school districts across the province.
Integrated Child and Youth Teams:
To access care:
Integrated Child and Youth Teams may serve as many as 5,800 children and youth every month once fully operational in all 20 school districts.
Confident Parents, Thriving Kids program
Raising a child doesn’t come with a manual or playbook. There are times when parents need help to guide a child through a difficult time in their life.
To access support:
We Are Indigenous: Big Worries, Strong Spirit parent and caregiver support program
Building off the success of the Confident Parents, Thriving Kids anxiety program, the We Are Indigenous: Big Worries, Strong Spirit Program:
To access support:
Early Psychosis Intervention
Psychosis is a serious mental illness that often emerges between the ages of 18-24, affecting nearly 1 in 30 people. Early intervention can help reduce the negative impact it can have on a person’s life.
We’re expanding Early Psychosis Intervention programs across the province to help more young people and their families get the support and treatment they need.
Early Psychosis Intervention programs:
To access care:
Fighting the toxic drug crisis is much harder than it used to be. Drugs are more poisonous, more unpredictable and more deadly than a few years ago. As the crisis changes, we’re seeing more people develop extremely complex needs. By reducing risk, we can help people stay alive so they get the care and treatment they need.
30,000 overdoses reversed at supervised consumption sites between 2017 and April 2024
8,637 deaths avoided thanks to harm reduction measures between 2015 and 2022
150,000 uses of the Lifeguard Connect overdose alert app between 2020 and April 2024
Toxic drug crisis
The toxic drug crisis continues to devastate families and communities across North America, and B.C. is no exception.
The pandemic dramatically worsened the toxic drug crisis. Illicit drugs became more poisonous, more unpredictable and more deadly, and more people are developing extremely complex needs.
There is no one solution that will end this crisis. That is why we’re urgently expanding access to all forms of mental health and addictions care so more people can stay alive and find the care that works for them. This includes:
Learn more about B.C. Escalated drug-poisoning response actions
According to the BC Coroners Service, the number of toxic-drug deaths in the first 6 months of 2024 is 9% lower compared to the same period in 2023, and the rate of death is at its lowest point in 4 years. Data on deaths is subject to change as investigations close.
Overdose prevention and supervised consumption sites
Overdose prevention and supervised consumption sites save lives. They reduce the risk of toxic drug poisonings and connect people to lifesaving supports and treatment.
We’ve rapidly expanded access to these services in communities hardest hit by the toxic drug crisis – growing from one site in 2017 to over 50 sites in 2024.
Overdose prevention and supervised consumption sites:
To access care:
There have been more than 4.8 million visits and 29,641 overdoses responded to and survived between 2017 and May 2024.
Take Home Naloxone kits
Naloxone is a medication that can quickly reverse an opioid overdose.
Since 2012, people in B.C. have been able to get naloxone kits to keep and use in case of emergency. We are currently working to ensure consistent access to kits in more locations, including post-secondary institutions.
Take Home Naloxone kits are:
To get your kit:
Demand for Take-Home Naloxone kits remain high. Since the program started, more than 2.4 million kits have been shipped and research estimates 43% of them were used to reverse an overdose.
Drug checking services
Today’s drug supply is poisoned. Street drugs often contain fentanyl or other synthetic opioids that are so strong even a tiny bit can be deadly. You can’t tell by looking at it.
To help keep people safe, we’re expanding drug checking services across the province to reduce the risk of overdose and connect people to care and support.
Drug checking services are available at 120 sites across B.C.
To access care:
We’ve invested in a cutting-edge enhanced drug-checking technology, HarmCheck, developed by Vancouver Island University that more accurately identifies substances in drugs.
Lifeguard Digital Health App for overdose alerts
Toxic drug overdose is a leading cause of death in B.C. Most people die at home, using alone.
The Lifeguard app is a life-saving tool that alerts 9-1-1 if an overdose occurs. It can be used on a phone or computer.
How the Lifeguard app works:
The Lifeguard app also:
Learn more and download the Lifeguard app
As of June 2024, there have been 144,000 uses of the app from 19,000 users. 200 calls were made to 9-1-1, leading to 114 “confirmed ok” callbacks and 92 overdose reversals. No deaths have been reported through the app.
Toxic drug alerts
It’s impossible to know if a drug is toxic by looking at, but it helps to know if toxic drugs are circulating in your community so people can take steps to be safer.
Toxic Drug and Health Alerts is a free, real-time text message service that is now available in all B.C. health authorities. People can sign up to:
To sign up:
Learn more about Toxic Drug and Health Alerts
Prescribed alternatives to save lives
B.C.’s illegal opioid supply is poisoned and deadly.
Prescribed Alternatives is a health care strategy to save lives. It separates people most at risk of dying from the toxic drug supply by providing a safer form of opioid to help stabilize their health and life. It is a step toward treatment.
Under the Prescribed Alternatives program, people at risk are:
Prescribed alternatives reduced the risk of death by 91%, according to a recent study in the British Medical Journal. B.C. is the first jurisdiction in Canada to offer this proven approach. We will continue:
To access care:
4,029 people received prescribed alternatives from 723 doctors in July 2024.
Tailgate Toolkit - Support for people in trades
Men working in trades are overrepresented in the number of deaths from the toxic drug crisis.
We’ve worked to help people stay safer by expanding the Tailgate Toolkit harm reduction program to reach construction, trades and transport workers across B.C. following a successful pilot with Vancouver Island Construction Association.
The Tailgate Toolkit program:
Learn more about Tailgate Toolkit – You Deserve the Right Tools
A BC Coroner's Report from 2022 found of the 35% of people who were employed at the time of their death, 52% of them worked in construction, trades or transport industry.
Community Action Teams
Every community responding to the toxic drug crisis has different needs.
We’ve expanded Community Action Teams to help 35 communities hardest hit by the overdose crisis. These Teams work with regional responders to identify overdose prevention interventions that will most effectively meet local needs.
Community Action Teams:
Learn more about Community Action Teams
Community Action Teams now support 35 communities across B.C., up from 18 in 2018.
Decriminalizing people who use drugs
Addiction is a health issue, not a criminal one. Decriminalization aims to shift people who use drugs away from the criminal justice system and towards health and social supports.
Decriminalizing people who use drugs is one of the many actions we’re taking to respond to the toxic drug crisis that is killing our loved ones, so people live to get the care they need.
The goal of decriminalizing people who use drugs is to reduce stigma and fear of criminal prosecution that prevents people from reaching out for help or medical assistance.
Currently in B.C.:
Learn more about decriminalizing people who use drugs
In a 2022 survey, 47% of people who use drugs reported at least one barrier, including fear of criminalization, that made them hesitate to access the services they needed to be healthy.
When people take the brave step to ask for help, they must be able to get the care they need, when and where they need it. There is no one solution that works for everyone. People need options to find the one that works for them.
Since 2017, we’ve been urgently expanding treatment and recovery services across B.C. so more people can start a new path, no matter how many times it takes.
659 new publicly funded treatment and recovery beds opened since 2017, bringing total to 3,645
5,300 adults received inpatient treatment and recovery support in 2023-24, up 1,100 from the year before
1 day median wait time for detox beds for people prioritized urgent in the new Road to Recovery pilot project
Improving and expanding treatment and recovery services
Every person’s path to treatment and recovery is different and the journey is not always linear.
That’s why we’re working to make it faster and easier for people to get the care they need, where and when they need it, by:
Treatment and recovery care
A person’s treatment and recovery journey usually includes one or all of the following:
To access care:
We’ve made a historic $1-billion investment to expand mental health and addictions care and strengthen the continuum of care through new approaches, like Road to Recovery, that provides more seamless and same-day access to care across services.
Road to Recovery – same day access to care
Every moment counts when people want help with their addiction. That is why we’re taking action to make it faster and easier for people to get on a new path.
Road to Recovery is a new model of addictions care that seamlessly moves people through detox, treatment and recovery services.
The Road to Recovery model was first launched in Vancouver in 2023. We’re now expanding it to all health regions across the province. Once fully launched, people seeking help can call the Access Central phone line in their region to:
To access care now:
1,537 people accessed detox beds through Vancouver Access Central between October 1, 2023 and June 30, 2024. People prioritized as urgent were able to access a bed within 1 day.
Rapid access to opioid addiction treatment
Opioid addiction is a chronic medical condition that makes it hard to stop using, but there are treatments that can help.
Opioid agonist treatment uses medications (methadone, Suboxone, Kadian or Sublocade) prescribed by a trained doctor or nurse that act slowly in the body to prevent withdrawals, cut cravings and reduce the risk of overdose.
This helps people stabilize their health and has been shown to help people stay in treatment and away from illicit opioid use.
We’re making it faster and easier for people to access this lifesaving treatment over the phone and in person.
In 2021, B.C. became the first in Canada to train nurses to prescribe opioid agonist medications. Nearly 200 nurses across the province are already helping people access this lifesaving treatment.
Increasing mental health and addiction services in health clinics and hospitals
Mental health and addiction care is health care. That’s why we’re working to make it easier for people with mild to moderate challenges to get the care they need at the health clinics and hospitals they already visit by:
To access non-emergency care:
39 UPCCs are now open across B.C., with plans to open about 50 by end of 2025.
Helping people with concurrent disorders (Red Fish Healing Centre)
When a person has severe addiction and mental health disorders at the same time, they need specialized care for both because each affects the other.
Red Fish is a model of care that provides specialized mental health and addictions treatment together.
This proven approach better meets the needs of people with serious and persistent challenges who have not been successfully treated by other programs. It also fills an important service gap for people who often end up in custody or emergency departments instead of getting the help they need.
Initially launched at the Red Fish Healing Centre in Coquitlam, we’re working to expand the Red Fish model to other locations so more people can access care closer to home.
Red Fish Healing Centre:
To access care:
To find other treatment and recovery options near you:
89% of Red Fish clients reported improved mental health between admission and discharge.
Supporting people with brain injuries from toxic drugs
Another side of the toxic drug crisis that is rarely talked about is the long-term effects of poisonous opioids and repeated overdoses on the brain.
During an overdose, the brain is deprived of oxygen. If not reversed quickly or occurs repeatedly, it can lead to an acquired brain injury that can:
This growing population of vulnerable people requires a cohesive system of support that addresses their unique health, housing, cultural and social needs:
Other ways we’re helping
To access care:
Secure care for people with severe, long-term concurrent disorders
Today’s drug supply is extremely poisonous. As the toxic drug crisis has changed, a growing number of people are now facing severe mental health and addictions issues, coupled with brain injuries from repeated overdoses. Many of these people are a risk to themselves or others and can’t make decisions about their own care.
That is why we’re taking steps to ensure severely ill people get the compassionate, secure care they need to keep them safe, while keeping our communities safe too.
Learn more about B.C.’s actions to provide secure care
Assertive Community Treatment Teams
Assertive Community Treatment Teams provide additional care and support to people living with a concurrent disorder or complex mental health challenge.
The Teams:
To access care:
As of February 2024, there are 30 Teams providing care to nearly 1,800 people per month.
Indigenous led initiatives
In B.C., First Nations people are almost 6 times more likely to die from a toxic drug overdose. This is in part due to the ongoing and intergenerational trauma from colonialism and racism.
Indigenous communities need programs and services that meet their specific needs and are in the best position to determine what services are right for them.
We are working with the First Nations Health Authority and Métis Nation BC to support the delivery of Indigenous-led services and increase access to culturally appropriate resources:
To access care:
Hope to Health Clinic expansion
Many people who have complex mental health and addiction challenges struggle to access the care they need to stabilize their lives and find a pathway to hope and healing.
We’re expanding the Hope to Health Clinic in Vancouver’s Downtown Eastside so it can reach 1,000 more people with complex needs, and potentially expand this proven model of care to other communities across the province.
The Hope to Health clinic:
Learn more about the Hope to Health Clinic and approach
2,800 people will be able to get the care and wraparound support they need following the Hope to Health Clinic expansion.
The pathway to recovery and ongoing wellness does not end at treatment. Aftercare services are critical to help people get the ongoing support they need to live healthy lives. That’s why we’re expanding services so people in recovery can build connections, resiliency and wellness through peer support, life-skill programs, and relapse prevention.
500 people are now receiving Complex Care Housing supports, one year ahead of schedule
855+ people signed up for Recovery Community Centre services in Vancouver since 2022
220,000+ views of the careforcaregivers.ca website between April 2020 and July 2023
Complex Care Housing
Some people with complex mental health and addiction challenges need extra support to keep their housing, or risk facing eviction or homelessness.
Complex Care Housing helps people with overlapping challenges by providing stable housing with onsite support and wraparound health services right in their own home.
We are determined to make sure everyone in B.C. has access to a home – a place to feel safe and live with dignity.
We began creating complex care housing in 2022, with a goal of providing services for 500 people by 2025. We expanded the program in 2023, announcing 240 new purpose-built complex care housing units as part of the Homes for People plan.
To access care:
As of July 2024, 500 people are being supported through Complex Care Housing services, reaching our goal one year ahead of schedule.
Recovery community centres
Many people leaving treatment need ongoing support in the community when they return home.
Since 2022, we’ve funded Recovery Community Centres in 3 Vancouver locations. We’re now expanding this model to communities in the Fraser, Interior, Island and Northern Health regions.
Recovery Community Centres provide community-based recovery supports from dedicated workers to help people achieve sustained recovery through:
To access care:
855+ people have received support through the Vancouver Recovery Community Centres since November 2022.
Care for caregivers and Care to Speak
Healthcare workers have been on the frontlines of helping people through the pandemic and toxic drug crisis.
Now healthcare workers have a safe place to turn to when they need help.
Care to Speak is an initiative for healthcare and community social services workers:
To access care, visit CareforCaregivers.ca
Most users report an increase in their ability to cope and that they will access the service again.
Workplace mental health
Workplaces play a crucial role in maintaining and promoting positive mental health.
We are working with partners like the Canadian Mental Health Association BC Division, WorkSafeBC, Health and Safety Associations, and labour groups to improve the culture of workplaces in BC.
“We haven't seen something like this before, and I think just the fact that it's available and a place to turn to is really impressive and helpful.” -- Hub client
Addiction is a health issue. When people are in crisis, they need care from trained mental health professionals and support to address the root causes of their challenges – mental health, trauma, poverty and homelessness.
That’s why we’re helping people get the support they need, so they can break the cycle and live full, healthy lives.
3,500 mental health crisis calls were responded to by Peer Assisted Care Teams
70% people involved in Situation Table discussions reduced risk of overdose, victimization or harm in 2023
6,000 people and families are now living in new supportive and complex care homes across B.C.
Peer Assisted Care Teams
When people are in crisis because of mental health or addiction challenges, we know that police-only involvement is not always the most appropriate response and can deter people from seeking help.
That's why we're expanding civilian-led care teams in more communities.
Peer Assisted Care Teams pair a trained peer who has lived experience with a mental health professional to provide compassionate trauma-informed care to people in crisis, while freeing up police to focus on crime and law enforcement.
Peer Assisted Care Teams:
Teams are available in:
To access care:
Peer Assisted Care Teams responded to nearly 3,500 calls to date. Only 1% required a police response.
Mobile Integrated Crisis Response Teams
Mobile Integrated Crisis Response Teams pair a police officer with a healthcare worker to respond to mental health or substance use crisis where there may be a safety risk, so people can be safely connected to the care they need.
Teams are available in:
To access care:
Ending encampments and housing insecurity
Housing insecurity increased in the aftermath of the pandemic.
Some of the most vulnerable people have been pushed out of the bottom of the housing market, leading some to seek shelter in encampments. This is a problem playing out across North America.
That is why we’re taking action to deliver more shelters, homes and supports people need so everyone can have a safe place to live.
Find more housing services and learn about the Homes for People plan
Overcoming barriers to employment
People say they feel better, and are better off, when they have a job. But some people facing mental health, addiction and housing challenges struggle to get and keep a job.
That’s why we’re reducing barriers for people who can work, while continuing to support those who cannot.
Community-based Employment Services is a new pilot program for people facing complex barriers to employment that:
The pilot program is available in September 2024 in:
Other ways to access support:
Reducing poverty in B.C.
To help people get through tough times, we’re making it easier for people to access support and setting new targets to reduce poverty.
B.C.’s new Poverty Reduction Strategy lays out work needed to create a province where every person has access to everyday necessities they can afford and opportunities to get and keep a good job.
By 2034, B.C. intends to reduce:
To access support:
B.C.’s overall poverty rate by was 27.5% lower and the child poverty rate 36.8% lower in 2022 than 2016. This means that there were 163,000 fewer people living in poverty, including 50,000 children.
Community Safety Situation Tables
To help break the cycle, we need to intervene early and address the root causes.
That’s why we are funding 45 Community Safety Situation Tables across B.C., including an Intervention Circle in Esk’etemc First Nation. Thirty-six of these are operational and the other 9 are being implemented.
Community Safety Situation Tables is a proven model used across the country. It brings together front-line public safety, health and social services staff to:
36 out of 45 tables are currently active while the rest are under implementation.
In 2023, Community Safety Situation Table discussions reduced the risk of overdose, victimization, crime or harm to self or others by 70%.
People are worried about the toxic drugs that are killing our loved ones and hurting our communities. Organized crime networks are mixing them with new poisons to make them cheaper, stronger and deadlier.
That’s why we’re cracking down on the gangs and organized criminals who are preying on vulnerable people and bringing violence and deadly drugs into our communities:
Learn how we’re keeping people and communities safe