ACOMMUNITYLEVEL,CROSS-ORGANIZATIONRESPONSETOTHEOVERDOSEEMERGENCY

Associa'onofVancouverIslandandCoastalCommuni'es

April14,2018

SECTION1:CRISISOVERVIEWDr.RichardStanwickChiefMedicalHealthOfficerTaraFitzgeraldDirector,SpecialProjectsinMentalHealth&SubstanceUse

•  Ihavenorelevantfinancialrela'onshipswiththemanufacturer(s)ofanycommercialproduct(s)and/orprovider(s)ofcommercialservicesreferencedinthispublicpresenta'on.

•  Iwillnotpresentanunapprovedorinves'ga'veuseofacommercialproductordeviceinthispresenta'on.

DISCLOSURES

3

TheParadoxofProhibi'onHe

althand

SocialProblem

s

MarketRegulaOon

IllegalMarketGangsterism

CorporateProfit

HeroinCocaine

TobaccoAlcohol

ProhibiOon DefactoDecriminalizaOon

DecriminalizaOon PrescripOon LegalizewithMany

RestricOons

LegalizewithFewRestricOons

PublicHealth

CannabisMethamphetamine

TheParadoxofProhibi'onHe

althand

SocialProblem

s

MarketRegulaOon

PublicHealth

IllegalMarketGangsterism

CorporateProfit

HeroinCocaine

ProhibiOon DefactoDepenalizaOon

DecriminalizaOon PrescripOon LegalizewithMany

RestricOons

LegalizewithFewRestricOons

CannabisMethamphetamine

MedicalCannabis

TobaccoAlcohol

TheParadoxofProhibi'on

LeadingCauseofUnnaturalDeaths

Leading Cause of Unnatural Deaths

*2017datatoDecember31,2017*Source:BCCoroner’sService

OpioidCrisis–Why?ImpactofFentanyl

*2017datauptoOctober31,2017*Source:BCCoroner’sService

VancouverIslandStats

Totaldeathssince2015:

BriOshColumbia: 3,187IslandHealth: 508

Source:BCCoroner’sService

WhoIsOverdosing•  2/3aredailyusersandhavehistoryofuse•  Mostarebetweentheagesof30to59yearsofage•  81%aremale•  10%areIndigenous•  Majorityareusingaloneandinaprivateresidence•  15%thoughtbuyingasOmulant

Ryan

NineOverdosePrevenOonServices

Stats(asofMarch31)•  TotalVisits:101,273•  UniqueUsers:1,909•  Overdoses:827•  Deaths:0

Cross-Sector,CrossConOnuumResponse

LocalOverdoseResponse

(CommunityAcOonTeams)

RegionalOverdoseResponse

ProvincialOverdoseResponse

OverdoseEmergencyResponseCentre

IslandHealthOpioid

ResponseSteering

Commibee

Duncan

Nanaimo

CampbellRiver

PortAlberni

Victoria

OERCFrameworkofCoreIntervenOons

• OverdosePrevenOonServices

• Nalaxone

• TreatmentandRecovery

• AcuteOverdoseRiskCaseManagement

PeerEmpowerment&Employment

CulturalSafety&Humility

AddressingSOgma,

DiscriminaOon&HumanRights

SocialStabilizaOon

SECTION2–LOCALGOVERNMENTROLECouncillorAlto,VictoriaMayorRuban,PortAlberni

WorkinginPartnership

CreatingSupervisedConsumptionServicesinVictoria

20AVICC2018maltoIHCoV

PeopleareDyingCommunity&SocialObligations*  Equality,Dignity&PrivacyforallresidentsFinancial&ManagementObligations*  Costsavings&efficiency–cheapertohelpdeliver

preventativev.reactiveservicesHumanRightsObligations*  Weareonefamily*  Nooneneedstodiefromunsafedruguse

Citydoesn’tdeliverhealthservices–soWhyBother?

21AVICC2018maltoIHCoV

Broadcommunityisready–business,residents,churches,serviceproviders,serviceusers,alliesCouncilhas‘caughtup’–2018StrategicPlan‘FacilitateSocialInclusion&CommunityWellness’Measureabletargets*  Supervisedconsumptionservicesinmorethan1location.*  AccessiblehealthservicesforVictoria’smostmarginalized

people=enhancedqualityoflife.

TimingisEverything

22AVICC2018maltoIHCoV

InvitationfromtheMayor*  PoliceChief*  IslandHealth’sCEO*  Yes2SCS

NimbleProcess*  Designedincollaborationwithpartners*  Learned&appliedlessonsCleargoal*  Embeddedservicesinwraparoundcareinmorethanonelocation

CityasFacilitator

23AVICC2018maltoIHCoV

*  IslandHealth*  VictoriaPoliceDepartment*  Peers*  CommunityActivists*  LocalBusinesses*  CommunityAssociations*  InterestedResidents

Manymovingparts&interestsneedequalnumberofalliesCityasshieldinthefaceofopposition

PartnersKey

24AVICC2018maltoIHCoV

PandoraHealth&WellnessCentreopensJuneSupervisedconsumptionwrappedincomplementaryhealthserviceslikementalhealthservices,nursingcare,addictionstreatment&counsellingOverdosePreventionUnitsRemainasNeededJohnsonStreetFacility–embeddedinsupportivehousing

Outcome

25AVICC2018maltoIHCoV

PortAlberniMayorRuban

SECTION3–SERVICEPROVIDERSWesHewebPortAlberniShelterSocietyRussMaynardPHSCommunityServices

PORTALBERNIOVERDOSEPREVENTIONSERVICE

WesHeweb,PortAlberniShelterSociety

WhatmakesasuccessfulSite?

Fromadifferentperspec've.

AVOPIOIDDIALOGUE.COM

•  GotoNews

•  Jon’sStory

PHSCOMMUNITYSERVICESRussMaynard

DouglasStCommunity

DiscussionQuesOons1.  Howcanweinfluencethewaymediaand

ci'zenstalkaboutdruguseandpeoplewhousedrugsinourcommuni'es?

2.  Howwelldopeopleinyourcommunityunderstandtheissuesrelatedtosubstanceuseandoverdose?Howcouldyoupromotedialoguetoenhanceunderstanding?

Thankyou•  Closingremarks•  www.viha.ca/mho/overdose.htm•  www.stopoverdose.gov.bc.ca/