According to British Columbia’s coroner service, at least 2,224 people died from toxic drugs in the province last year, killing more people than homicides, suicides, motor vehicle accidents, drownings and fire-related deaths combined. Since a public health emergency was declared in 2016, nearly 9,000 lives have been lost. In response, British Columbia will become the first province in Canada to decriminalize possession of small amounts of illicit substances, specifically pertaining to opioids, cocaine and amphetamines. It will be in effect from January 31, 2023 until January 31, 2026.
It is important to note that decriminalization does not mean legalization. The substances themselves are still illegal, however, individuals caught with 2.5 grams cumulative or less of illicit substances for personal use will no longer be arrested, charged, or have their drugs seized. Instead of putting someone in jail, police will provide information on resources, and assist with referrals when requested. The aim is that by eliminating criminal penalties, stigma around addiction and substance use will be reduced.
One of the most prevalent issues with addressing substance use is stigma. Stigma can be internal, external, societal, or familial, and can represent a formidable barrier in people reaching out for support. On a provincial level, this policy surrounding decriminalization works to abate stigma and remove these barriers. At RASS, we believe a holistic lens, focusing on the needs of the person and helping individuals develop skills around the physical, emotional, social, and spiritual life areas can help shed this sense of stigma. Individuals who feel more connected to their community are more likely to be resilient and have the capacity to meet their needs without using.
Although we believe decriminalization is one of the tools needed to combat the toxic drug crisis, we recognize that addiction care is complex and requires a multifaceted approach. Providing expanded, affordable, evidence-based prevention and treatment is crucial. This includes counseling services, crisis lines, detox centers, residential substance use facilities and social housing. Furthermore, to lessen the load on acute healthcare services and costs, we need to reach individuals before concerns develop. This involves more health promotion and early intervention, through collaboration, conversation and education. The province must also continue to ensure communities have access to harm reduction tools, such as Naloxone and safe/supervised injection sites. Currently, a neglect in these areas has left our province with service delivery defined by waitlists, crises and gaps in our system. However, we are hopeful for the future when we put the right resources in de-stigmatization, prevention & early intervention, harm reduction, and affordable & easily accessible treatment.
On an individual level, we encourage you to be part of the change towards becoming a progressive and supportive province. Compassion and empathy go a long way in supporting the vulnerable in our community. Addiction should be viewed as a healthcare issue and not as a moral failing. If you or anyone you know needs help, do not hesitate to reach out, 604-270-9220, our team will be glad to be of assistance.
Alvin Li and Sandra Karac are prevention specialists at RASS (Richmond Addiction Services Society).
