Consumption and Treatment Services

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Within the Harm Reduction pillar of the Waterloo Region Opioid Response Plan, one of the strategies being pursued is Consumption and Treatment Services (previously called Supervised Consumption Services). Consumption and Treatment Services are one service within a continuum of evidence-based services that support people living with problematic substance use. They provide a place where people can use drugs in a monitored, hygienic environment to prevent fatal overdose and other harms from substance use, while also providing a gateway to additional services such as counselling, primary care, and treatment.

What are Consumption and Treatment Services?

Consumption and Treatment Services are part of a range of evidence-based services that support prevention, harm reduction, and treatment for people living with substance use challenges.

Consumption and Treatment Services are a place where people can use drugs in a monitored, hygienic environment to reduce harm from substance use while offering additional services such as counselling, primary care, and opioid-dependency treatment.

Do we need Consumption and Treatment Services?

In 2017, 86 people died of opioid related drug overdoses in Waterloo Region.

Overdose death is a serious concern and with our partners we are working hard to reduce the harm from substance use.

Problematic substance use is a complex issue faced by many people, and requires a multifaceted approach that includes prevention, treatment, harm reduction, and justice and enforcement.

Consumption and Treatment Services, along with needle syringe programming, naloxone, and opioid dependency treatment, help reduce harms from substance use, including HIV, Hepatitis C, bacterial infections, and overdose death.

What has been the process in Waterloo Region so far?

In 2017, the need for Consumption and Treatment Services in Waterloo Region was established through Phase 1 of the Supervised Injection Services Feasibility study reported to Regional Council in February 2018. The findings of the study indicated that Consumption and Treatment Services are needed in Waterloo Region to reduce overdose related death, reduce the spread of infectious diseases, connect people with health and social services, and create a safer community.

Check here to see the full report, or the infographic.

In 2018, the focus has been on finding viable locations to house Consumption and Treatment Services in Central Kitchener and South Galt.

For detailed information about our process to date, please see our Community Services Committee Council reports below.

Date	Key decisions by Regional Council (Board of Health)
June 6, 2017	Endorsement to move forward with Supervised Injection Services Feasibility Study
October 24, 2017	Endorsement of methodology for Supervised Injection Services Feasibility Study In person interviews with people who inject drugs Key informant interviews with harm reduction service providers Information and consultation sessions with interest groups Online public survey
February 28, 2018	Endorsement of Receipt of Supervised Injection Services Feasibility Study Phase 1 report for information Scheduling special council meetings for public input on recommendations from Phase 1 Arrangement of Supervised Injection Services tours for Regional Councillors
April 10, 2018	Endorsement to move forward with Phase 2a of the Supervised Consumption Services Feasibility Study - identification of candidate locations
June 19, 2018	Endorsement of the following identified candidate locations 150 Main Street, Cambridge 149 Ainslie Street North, Cambridge 115 Water Street North, Kitchener Endorsement to move forward with Phase 2b of the Supervised Consumption Services Feasibility Study Decision to direct staff to provide community members the oportunity to suggest additional candidate location options for consideration
August 14, 2018	Endorsement of additional candidate locations 150 Duke Street West, Kitchener 105 Victoria Street North, Kitchener (vacant lot at corner of Weber and Victoria) Decision to put community consultations for candidate locations of Consumption and Treatment Services (Phase 2b of the study) on hold until further direction is received from provincial government

Why provide Consumption and Treatment Services?

Consumption and Treatment Services provide a safe environment for people who use drugs, and reduce:

Overdose deaths
Transmission of diseases and infections
Public substance use and discarded needles

Consumption and Treatment Services are a compassionate, comprehensive, and collaborative form of evidence-based care and provide options when clients are ready for change.

Consumption and Treatment Services (referred to as CTS) will provide integrated, wrap-around services that connect clients who use drugs to primary care, treatment, and other health and social services. The program also includes requirements to address community concerns, and ensure ongoing community engagement and liaison where Consumption and Treatment Services are established.

Where will Consumption and Treatment Services be located in Waterloo Region?

According to the Ministry of Health and Long-term Care (MOHLTC), Consumption and Treatment services will be located in communities in need based on ministry-defined criteria. These criteria include the following:

Number of opioid-related deaths
Rate of opioid-related deaths
Rate of opioid-related emergency department visits
Rate of opioid-related hospitalizations
Proxy measures for drug use:
- Needle distribution
- Naloxone and oxygen use to respond to an overdose

It is well established in Waterloo Region that Consumption and Treatment Services are needed in Central Kitchener and South Galt based on these criteria.

The candidate locations for Consumption and Treatment Services in Kitchener are:

115 Water Street North, Kitchener
150 Duke Street West, Kitchener
105 Victoria Street North, Kitchener (vacant lot at corner of Weber and Victoria)

The candidate locations for Consumption and Treatment Services in Cambridge are:

149 Ainslie Street North, Cambridge
150 Main Street, Cambridge

How can I be involved?

Please note that all community consultations regarding Consumption and Treatment Services are cancelled until further notice. Should consultations be rescheduled, written notifications will be sent out to all occupants within 250m of a candidate location. Additional consultation sessions will be advertised on this website. Please check back for updates over the coming weeks.

Questions?

If you want to learn more about supervised consumption services, please check the Frequently Asked Questions document.

Contact

To contact us regarding Consumption and Treatment Services, please email cts@regionofwaterloo.ca or leave a message at 519-575-4400 ext.5613.