Victoria – The BC Government is investing more than $16 million to increase addictions treatment services in the short term as part of the battle against the epidemic of illicit drug overdoses. However, in their media release, they were not specific about WHERE these beds would be. Here is their release:
Substance-use treatment services in B.C.
British Columbia has a range of substance-use and addictions treatment services available throughout the province. The pathway to recovery is different for everyone, as the risk and severity of addictions issues vary depending on the frequency, quantity and variability of substance use.
The first step begins with an assessment from a health-care professional. Following an assessment, patients are referred to treatment options depending on a variety of factors, such as their age, social connections (e.g., pregnant or parent of young children), health condition, substance of addiction and previous treatment history. Services range from less intensive treatment options accessed while living at home in the community, such as outpatient counselling and supportive recovery services to intensive residential treatment. Detox and residential treatment beds are two of many treatment options and may not be the most appropriate type of service for an individual’s specific needs and circumstances. Patients may be referred to one or a combination of treatment options as part of their journey.
Government committed in 2013 to open 500 new addiction treatment beds by 2017. More than 300 new substance-use beds have already been opened in the past three years, and the remainder will be online by March 31, 2017. The 60 additional intensive residential treatment beds announced Jan. 18, 2017 will augment the bed supply even further. There are currently more than 1,300 substance use treatment beds across the province.
Types of Publicly Funded Substance Use Treatment in B.C.
- Residential Treatment
Time-limited, live-in intensive treatment (typically 60-90 days) for individuals who are experiencing substance use problems. Treatment includes group and one-on-one counselling, medical consultations, as well as life skills training, family support programs and art therapy.
- Supportive Recovery Residences
Low to moderate, time-limited supports and services in a safe, supportive environment for individuals experiencing substance-use problems. People may go into supportive recovery to prepare to enter residential treatment or as a transitional step after leaving intensive residential treatment because they require additional support to reintegrate in to the community or a longer-term structured environment, while preparing to transition into a more stable lifestyle. No treatment is provided in supportive recovery – that what distinguishes it from residential treatment.
- Transitional Services
A temporary residential, substance-free setting to provide a safe, supportive environment for individuals who are experiencing substance-use problems and requiring short- to medium-term supports. Clinical services, such as primary care, medication management, as well as diabetes, Hepatitis C and HIV care, are available in supported housing or shelters to support individuals with the most complex health needs.
- Withdrawal Management – Facility or Residential BasedA short-term service (up to seven days) that provides clinical support to individuals withdrawing from substances. Withdrawal management takes place in different settings, including community, hospital (required for alcohol and barbiturates) and home (with clinical team support).
- Opioid Substitution Therapy
Also called opioid agonist therapy. Opioid substitution medication (such as Suboxone or methadone) is provided to individuals to manage their opioid use disorder. This therapy may be offered as part of residential or outpatient treatment programs.
- Substance-Use Sobering and Assessment Beds
A short-term (less than 24 hours), safe place for people under the influence of substances. When possible, individuals are connected to other health-care services, such as detox, group therapy and one-on-one outpatient counselling.
- Addictions outpatient services Counselling services provided on an outpatient basis. These may include one-on-one or group counselling.
All of these treatment types are available for adults and youth.
Find region-specific information about substance use recovery services and treatment, visit your local health authority:
Interior Health Authority: Mental Health and Substance Use Services
Vancouver Coastal Health Authority: Substance Use Services
First Nations Health Authority: Substance Use Prevention and Treatment
Fraser Health Authority: Mental Health and Substance Use
Island Health Authority: Mental Health and Substance Use Services and Resources
Northern Health Authority: Mental Health and Addictions
This will include additional residential treatment beds, intensive outpatient services and the removal of financial barriers for opioid addiction treatment medication.
“We are experiencing one of the most tragic health crises of our time,” said Health Minister Terry Lake. “But in this tragedy is a chance for us to turn a new page on how we help people with addictions. It’s crucial that people working to rebuild their lives have a range of affordable, easy-to-access services to support their journey every step of the way.”
Over the next year, up to 240 people with opioid addiction will receive intensive residential treatment in 60 additional new beds, including 20 for youth and 40 for adults. Another 200 people will have access to 50 intensive outpatient treatment spaces. These beds and outpatient spaces will target those who are most vulnerable and ready to seek treatment. Both treatment options will be 90-day programs, followed by a year of crucial follow-up care in the community, including weekly group counselling and access to counsellors when issues arise.
The Province has allocated $10 million for the new services, which will start opening in spring 2017. They are expected to be delivered by a combination of both private and health authority providers, depending on the outcome of the request for expressions of interest process. Contracts and service agreements will provide for a consistent model of care, aligned with health authorities’ guidelines and clinical requirements.
The 60 new beds are in addition to government’s commitment to open 500 new addiction treatment beds. More than 300 new substance-use beds have already been opened in the past three years, with 100 more on track to open by the end of January and the remainder online by March 31, 2017.
“Because residential treatment beds may not be the most appropriate treatment option for some people suffering from opioid addiction, it’s important that the Province has a range of options to support people, whatever their path to recovery,” said provincial health officer Dr. Perry Kendall, who is also co-chair of the Joint Task Force on Overdose Response. “Opioid substitution treatment is one of the most effective treatment options, and making it available to more people at no cost will be a critical tool in the Province’s overdose response strategy – because we know cost has been a barrier for some people.”
Additionally, the Province will provide 100% coverage for opioid substitution therapies to eligible British Columbians as of Feb. 1, 2017 under PharmaCare’s Plan G psychiatric medications program, which provides no-cost coverage to those with lower incomes. Individuals who qualify for MSP premium assistance (those with an annual income under about $42,000, or slightly higher if they have a dependent) would be considered eligible for no-cost buprenorphine/naloxone or methadone under Plan G. The Ministry of Health anticipates the initial cost of this expanded coverage to exceed $6 million a year. The cost is projected to grow as more physicians are trained to prescribe buprenorphine/naloxone and once anticipated treatment guidelines recommending buprenorphine/naloxone as the preferred treatment option for opioid addiction are issued in the coming months. More information on Plan G is available at: http://www2.gov.bc.ca/gov/content/health/health-drug-coverage/pharmacare-for-bc-residents/who-we-cover#plan-g
Health authorities have been working to expand access to opioid substitution treatment in response to the overdose emergency and have increased substance use supports, extended clinic hours and hosted education sessions to support physicians’ knowledge on prescribing opioid substitution treatments. Since Nov. 1, 2016, the BC Centre on Substance Use (BCCSU) has hosted five training sessions around the province with more than 500 health-care providers on how to treat patients who are addicted to opioids with Suboxone (or its generic version buprenorphine/naloxone). The BCCSU is working with addictions experts around the province on research, education and training, and treatment guidelines to make sure substance-use treatment is effective and evidence-based no matter where British Columbians access it in B.C.
Updated statistics released today from the BC Coroners Service show the number of illicit drug overdose deaths in December 2016 remained exceptionally high. Since the public health emergency was declared in April 2016, government and its partners have enacted many measures to combat the crisis.
Newly announced actions since the last provincial update on Dec. 19, 2016 include:
- Since December 2016, more than 20 overdose prevention sites have been established in some of B.C.’s hardest hit communities. The sites have had more than 5,000 visits, with staff reversing almost 100 overdoses. Island Health opened the province’s most recent site on January 16, 2017 – the third in Victoria – at 713 Johnson Street.
- The Province’s Mobile Medical Unit, which is currently stationed in the Downtown Eastside, has treated more than 600 overdose patients since it opened there on Dec. 13, 2016, to help relieve pressure on local emergency departments and paramedics.
- Progress for additional supervised consumption services continues:
- On Jan. 3, 2017, Island Health submitted the first of three planned applications for supervised consumption service locations in Victoria.
- On Jan. 13, 2017, Interior Health announced it will submit applications for mobile supervised consumption services for Kamloops and Kelowna.
- On Dec. 20, 2016, the provincial health officer met with Prime Minister Justin Trudeau to discuss the opioid crisis and stress the importance of supervised consumption services and a co-ordinated national strategy.
- At a training workshop hosted by the Ministry of Education on Jan. 5-6, 2017, the provincial health officer led a presentation on the overdose crisis with 85 members of the education sector including superintendents and safe school coordinators from most school districts. The session included a discussion on naloxone kits in schools and resources for schools and teachers.
- Police continue to conduct investigations on fentanyl and other illicit drugs. Recent progress includes:
- Following several months’ investigation by New Westminster Police Department, several RCMP detachments and the Canada Border Services Agency, on Jan. 6, 2017, charges were approved against an individual for multiple counts of drug related offences. Fentanyl was amongst the drugs seized: http://www.nwpolice.org/blog/2017/01/12/alleged-drug-trafficker-charged/
- Nineteen individuals charged and fentanyl seized in an undercover Vernon-North Okanagan RCMP drug bust: http://vernon-northokanagan.bc.rcmp-grc.gc.ca/ViewPage.action?siteNodeId=2130&languageId=1&contentId=49604
- West Shore RCMP seized drugs, cash and 600 pills, potentially containing fentanyl: http://westshore.rcmp-grc.gc.ca/ViewPage.action?siteNodeId=2127&languageId=1&contentId=49597
- Canadian Border Services Agency announce the seizure of 31 kilograms of meth: http://news.gc.ca/web/article-en.do?nid=1174989&tp=1
- Kelowna RCMP stop a large drug operation, seizing guns, drugs including fentanyl-laced heroin and cash: http://kelowna.bc.rcmp-grc.gc.ca/ViewPage.action?siteNodeId=2087&languageId=1&contentId=49207
- The Vancouver Police Department announce made a large drug seizure worth approx. $4.5 million: http://mediareleases.vpd.ca/2016/12/07/vpd-makes-large-drug-seizure/
- BC Centre for Disease Control and regional health authorities continue to expand the Take Home Naloxone program:
- Naloxone is now available at no cost for people who are most likely to witness and respond to an opioid overdose.
- All RCMP detachments and municipal police departments are expected to be trained and carrying naloxone by early 2017.
- More than 22,000 no-charge naloxone kits have been distributed to date, with 417 locations providing kits in B.C., including 57 emergency departments, 10 corrections facilities and 61 First Nations sites serving 96 communities.
- An updated support resource that outlines best practices for pain management and treatment has been distributed to physician offices throughout the province through Doctors of BC.
- On Jan. 18, 2017, the Ministry of Health released the third progress report on B.C.’s response to the overdose crisis. http://www2.gov.bc.ca/gov/content/health/about-bc-s-health-care-system/office-of-the-provincial-health-officer/current-health-topics
For resources on the overdose crisis, please visit: gov.bc.ca/overdose
For more detail on government actions to reduce overdoses: news.gov.bc.ca/factsheets/actions-to-prevent-overdoses-in-bc
BC Coroners Service statistics on illicit drug overdose deaths: www2.gov.bc.ca/assets/gov/public-safety-and-emergency-services/death-investigation/statistical/illicit-drug.pdf
BC Coroners Service statistics on fentanyl-detected illicit drug overdose deaths: www2.gov.bc.ca/assets/gov/public-safety-and-emergency-services/death-investigation/statistical/fentanyl-detected-overdose.pdf
For data being collected by the BC Centre for Disease Control to support the response to the public health emergency, see: http://www.bccdc.ca/health-professionals/clinical-resources/harm-reduction/overdose-data-reports