Example of small scale supervised injection service at the Dr Peter Centre

Example of small scale supervised injection service at the Dr Peter Centre


Registered nurse Sammy Mullally holds a tray of supplies to be used by a drug addict at the Insite safe injection clinic in Vancouver on May 11, 2011. A new report says Toronto and Ottawa would both benefit from having supervised drug injection facilities.The report, by researchers from the University of Toronto, recommends three safe injection sites for Toronto and two for Ottawa. THE CANADIAN PRESS/Darryl Dyck

Transformative Change Awards 2017: Parkdale Queen West CHC, South Riverdale CHC & Sandy Hill CHC  share honours for Supervised Injection Services

The Transformative Change Award recognizes leaders, innovators, collaborators and health champions who have been working at the forefront of transformative change helping us achieve our vision of the best possible health and wellbeing for everyone living in Ontario. On June 7, Parkdale Queen West Community Health Centre, Sandy Hill Community Health Centre, and South Riverdale Community Health Centre were recognized for our work in expanding harm reduction programs to included Supervised Injection Services.

Video – Transformative Change Award 2017- Supervised Injection Services

AOHC Transformative Change Award 2017

Health Canada Grants the Necessary Exemptions from the Controlled Drugs and Substances Act for the Opening of Three New Supervised Injection Service locations in Toronto (June 2, 2017)

Today marks a huge milestone, as long-time advocates and providers of harm reduction services: South Riverdale Community Health Centre (SRCHC) and Parkdale Queen West Community Health Centre – Queen West site, celebrate the approval of our federal exemption application approvals to allow supervised injection services as part of our health service programming. A third agency in Toronto also received approval today to offer supervised injection services: The Works – Toronto Public Health. This is an important next step in our ability to expand our harm reduction programming and one that will help to address the current overdose epidemic in Ontario.  National statistics of death caused by overdoses in Canada was estimate at 2300 people in 2016 and in Ontario it has been estimated that at least 2 people die of overdoses every day.

Evidence from injection sites around the world has demonstrated that these life-saving services will not only prevent the transmission of communicable diseases but will also decrease avoidable trips to emergency rooms and decrease overdose deaths. Supervised injection is a health services that provides a hygienic environment and supplies for people to inject pre-obtained drugs under the supervision of a nurse. Community Health Centre’s such as SRCHC and Queen West are well equipped to address the needs of people who are at risk or face barriers to accessing health care services and supports.  Both Health Centres have a long history of providing programs and services to people who use drugs and see this as an expansion of the work we are already doing.  Current programs and services include health care and social supports including: needle and stem kit distribution, safer drug use education, naloxone distribution, outreach, Hep C treatment and support, group programs (cooking, art), practical supports (legal clinics, income assistance), primary health care, health promotion and community initiatives.

“SRCHC has provided user driven harm reduction services for 20 years. We have listened to, worked with and struggled with people who use drugs to provide every possible opportunity for health, fairness, and equity. The ability to offer SIS is one more step in this journey and we know that this is one small part of a response to the current overdose crisis and an acknowledgement that the war on drugs must end.”

-Jason Altenberg, South Riverdale Community Health Centre, Program Director

“This is an important achievement for harm reduction advocates. Integrated supervised injection services at Queen West will be a life-saving addition to our harm reduction services.  We see SIS as a much needed public health response to an individual and public health concern. We look forward to working with the clients and our communities in the implementation of this valuable service.”

-Angela Robertson, Parkdale Queen West Community Health Centre, Executive Director

Document: Exemption announcement

Statement from the Minister of Health


Toronto Star article

CBC article

The Globe and Mail article

Vice News Canada article

Toronto moves forward to operate supervised injection services

Today, in recognition of World AIDS Day, Queen West Central Toronto Community Health Centre submitted an exemption application to Health Canada to operate a supervised injection service in Toronto. South Riverdale Community Health Centre and Toronto Public Health also submitted their applications to operate supervised injection services as part of their existing harm reduction services for people who inject drugs. 

“Intesupervised injection service exemption application 2016rnational research shows that supervised injection services reduce drug overdoses, save lives and limit the spread of HIV and Hepatitis C related to unsafe injection practices,” said Dr. Barbara Yaffe, Toronto’s Acting Medical Officer of Health. “This submission demonstrates our commitment to these essential health services and is an important collaboration between public health and our community health centres.”

Supervised injection services are health services that provide a safer and hygienic environment for people to inject pre-obtained drugs under the supervision of qualified staff.
Community consultations were held in Toronto last spring to provide information to the public about supervised injection services and to provide an opportunity for the community to share their input about benefits, concerns and strategies related to these health services.   

 “Torontonians are dying in increasing numbers due to overdose. These deaths are preventable,” said Councillor Joe Cressy (Ward 20 Trinity-Spadina), Chair of the Toronto Drug Strategy Implementation Panel. “Supervised injection services will save lives and improve the health of people who inject drugs.”

In July 2016, Toronto City Council approved these proposed sites, which expand on existing harm reduction services at the three locations. In addition to supervised injection, individuals using these important health services will be provided with sterile injection supplies, education on overdose prevention and intervention, health counselling services and referrals to drug treatment, housing, income support and other services. In August 2016, all three health care organizations submitted a proposal to the Ministry of Health and Long-Term Care to fund the implementation of this service in Toronto.

More information about Queen West – CTCHC’s harm reduction programs and service is available at http://bit.ly/2fQv41 More information about Toronto’s harm reduction programs and services is available at http://bit.ly/2fUPBmA

Media contact: Angela Robertson (Executive Director), Queen West – Central Toronto Community Health centre, 416-703-8482 or Keisha Mair, Toronto Public Health, 416-338-8020, kmair2@toronto.ca

Click here to view Toronto Star news article


On July 14, 2016 Toronto city council gave its resounding support to the opening of three supervised injection sites. Council voted 36-3 to support Board of Health recommendations to move forward with the proposed supervised injection services at Queen West-Central Toronto Community Health Centre, South Riverdale Community Health Centre and Toronto Public Health (The Works).

On July 4th the Board of Health unanimously approved the three proposed Toronto Sites making an application to Health Canada for their approval to open three supervised injection sites.  Final approval of the Board’s recommendation will be discussed at City Council on July 14th where we hope for a similar affirmation of this important service. Today’s decision was made in honour of a “youth mentor Brooklyn McNeil, a 22-year-old Thunder Bay native who after becoming addicted to opioids at a young age advocated for safe injection services as a life-saving measure.”  Brooklyn died of an overdose June 22 in a Toronto alleyway. She was the last person to speak when the issue was previously before the board of health in March. She had planned to speak again today in support of SIS.  This decision and supportive conversation about advancing SIS over the past few months signals a new approach to harm reduction that has yet to be implemented in Ontario, a move needed to stem preventable overdose deaths.

Click here – Board of Health Report (June 16, 2016)

Toronto’s Medical Officer of Health, Dr. David McKeown held a press conference on March 14, 2016 to announce the release of a Board of Health (BOH) report that informs the Board that Toronto Public Health — The Works, Queen West – Central Toronto Community Health Centre and South Riverdale Community Health Centre are planning to add supervised injection services to their existing clinical health services for people who inject drugs. The report recommends to the BOH that Toronto Public Health participate in a coordinated community consultation with Queen West and South Riverdale on integration of supervised injection services into existing services. For more details visit the Board of Health website.

Queen West – Central Toronto Community Health Centre and Toronto Public Health through The Works program and South Riverdale Community Health Centre are planning to add a small scale nurse led integrated supervised injection service (SIS) to their existing health services to improve health outcomes for people who inject drugs. Together we will provide access to SIS for the areas of the city with the highest concentration of people who inject drugs and associated high risk behaviours (e.g. frequent injectors, incidence of overdose, public injection). In partnership we are coordinating program and policy development to ensure consistent and effective service delivery.

The Queen West and other Toronto integrated SIS will be a different model than Vancouver’s InSite. The service will be located within the agency’s existing program space with no change to the exterior of the building. The service hours will be aligned with need and other programs and services offered at the Centre, and will be staffed at all times by a nurse, a coordinator/health promotor and harm reduction workers. Most of the people who will use this service will be existing clients of our Centre.

Queen West has been delivering harm reduction services to people who inject drugs for over 20 years and is one of the busiest needle distribution programs in Toronto. In 2015, we had over 15,000 client visits and distributed almost 300,000 needles.

Overdoses in Toronto are on the rise. In 2013, 206 people died from drug overdose. A 2012 study of Queen West harm reduction clients found that 11% had overdosed (in the previous 6 months), over a third reported public injecting, 15% said that they inject in public most often, almost a third reported injecting every day, and 29% reported regularly (from one to three or more times a week), 42.5% had evidence of a current/past infection with hepatitis C and 51% did not having stable housing. Compared to the City overall, there are disproportionately high numbers of people who inject drugs within our catchment area, as well as higher rates of emergency department visits due to drug use in Toronto. Queen West clients who participated in studies told researchers and us that they wanted and would use an integrated supervised injection service.

For more details regarding the proposed Queen West integrated supervised injection service please check out our SIS FAQ sheet.

Click here: Press Statement by Queen West Executive Director.

Click here – Toronto Public Health — Supervised Injection Service Q & As

Click here – Board of Health Report (June 16, 2016)

Click here – Board of Health report (March 7, 2016)

Click here – Toronto Public Health backgrounder report to Board of Health (2013)

Click here – Councillor Joe Cressy’s statement: Supervised Injection Services in Toronto (June 24, 2016)

Click here – Councillor Mike Layton on the proposed supervised injection service and upcoming June 20th public meeting

Click here – Councillor Mike Layton on the proposed supervised injection service and April 14th public meeting

Click here – Councillor Joe Cressy on the proposed supervised injection service and and April 14th public meeting

The Ontario Association of Community Health Centres votes unanimously to support implementation of supervised injection services across Ontario. Click here to view statement of support

Former Toronto mayors urge support of supervised injection sites. More than 50 community leaders have signed a statement calling for the city to establish supervised injection services within existing community health sites. Click here to view Statement of Support and and the complete list of signatories

Please add your name to this petition to urge Toronto City Council that it’s time that we bring these life-saving services to Toronto – send a message that you support supervised injection services in our City. Share widely!

Community Consultation:

To date, consultation activities have included the following: an online survey, public events (two Town Hall meetings and four open houses), focus groups and stakeholder information sessions. The consultation was promoted through a variety of methods — including posters, emails, social media/web postings, communications initiated by Queen West, local city councillors, and direct outreach to local organizations and associations.

If you have any questions or concerns, please get in touch with Angela Robertson, Executive Director, or Lorraine Barnaby, Health Promoter at 416-703-8482. They would be happy to speak to with you, give you a tour or to come meet with your group.

Click on the links below for more relevant research about SIS services:

Province commits to funding supervised injection sites in Toronto

Recent News articles on supervised injection services: