Liz Evans (born August 30, 1965) is a Canadian nurse and harm reduction advocate. She is the founder of the nonprofit Portland Hotel Society and a cofounder of North America's first sanctioned supervised-injection facility, Insite. [1]
Evans established the Portland Hotel Society in August 1993 in Vancouver, Canada, to provide shelter to people living in the city's Downtown Eastside who were addicted to drugs or who struggled with disruptive mental-health issues. [2] Usually, these individuals had been evicted from several supportive-housing projects before Evans found them and gave them a room at the organization's first housing project, the Portland Hotel. Evans refused to evict "hard-to-house" tenants, many of whom openly used injection drugs or otherwise exhibited difficult behaviors as a result of an untreated mental illness. To accommodate these individuals, Evans developed a practice which would later come to be known as housing first, a collection of social policies that prioritize shelter before requiring a tenant to stop using illegal drugs or stabilizing their mental-health condition. [3] [4]
In September 2003, Evans, her husband Mark Townsend, and colleagues with the Portland Hotel Society partnered with the regional health authority, Vancouver Coastal Health, to establish Insite, North America's first sanctioned supervised-injection facility, at 139 East Hastings Street. [5] At the time, Vancouver's Downtown Eastside was experiencing a sharp increase in drug-overdose deaths, and Evans and Townsend opened Insite as part of the solution. The facility was the result of a long advocacy campaign that the Portland Hotel Society fought in cooperation the Vancouver Area Network of Drug Users. The two groups argued for the Canadian government to allow supervised injection by granting the building an exemption from the country's Controlled Drugs and Substances Act, which it eventually did in 2003. [6]
In 2007, a Conservative government was elected that was hostile to the facility. Evans and Townsend mounted a constitutional challenge that argued Insite's closure would deny life-saving health-care services to people who used drugs. Led by lawyer Joseph Arvay, the case was eventually heard by the Supreme Court of Canada and, on September 29, 2011, the court ruled unanimously that it would be unconstitutional for the federal government to refuse to continuing granting Insite an exemption from the Controlled Drugs and Substances Act. [7] Evans received the verdict by phone at Insite, where a large crowd of Downtown Eastside residents had gathered in support. [8]
Evans and Townsend left the Portland Hotel Society in 2014. [9]
Harm reduction, or harm minimization, refers to a range of intentional practices and public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. Harm reduction is used to decrease negative consequences of recreational drug use and sexual activity without requiring abstinence, recognizing that those unable or unwilling to stop can still make positive change to protect themselves and others.
A skid row, also called skid road, is an impoverished area, typically urban, in English-speaking North America whose inhabitants are mostly poor people "on the skids". This specifically refers to people who are poor or homeless, considered disreputable, downtrodden or forgotten by society. A skid row may be anything from an impoverished urban district to a red-light district to a gathering area for people experiencing homelessness or drug addiction. In general, skid row areas are inhabited or frequented by impoverished individuals and also people who are addicted to drugs. Urban areas considered skid rows are marked by high vagrancy, dilapidated buildings, and drug dens, as well as other features of urban blight. Used figuratively, the phrase may indicate the state of a poor person's life.
Philip Walter Owen was the 36th mayor of Vancouver, British Columbia from 1993 to 2002, making him one of Vancouver's longest serving mayors. His father was Walter S. Owen, who was Lieutenant Governor of British Columbia from 1973 to 1978.
Supervised injection sites (SIS) or drug consumption rooms (DCRs) are a health and social response to drug-related problems. They are fixed or mobile spaces where people who use drugs are provided with sterile drug use equipment and can use illicit drugs under the supervision of trained staff. They are usually located in areas where there is an open drug scene and where injecting in public places is common. The primary target group for DCR services are people who engage in risky drug use.
The Downtown Eastside (DTES) is a neighbourhood in Vancouver, British Columbia, Canada. One of the city's oldest neighbourhoods, the DTES is the site of a complex set of social issues, including disproportionately high levels of drug use, homelessness, poverty, crime, mental illness and sex work. It is also known for its strong community resilience, history of social activism, and artistic contributions.
Single-room occupancy (SRO) is a type of low-cost housing typically aimed at residents with low or minimal incomes, or single adults who like a minimalist lifestyle, who rent small, furnished single rooms with a bed, chair, and sometimes a small desk. SRO units are rented out as permanent residence and/or primary residence to individuals, within a multi-tenant building where tenants share a kitchen, toilets or bathrooms. SRO units range from 7 to 13 square metres. In some instances, contemporary units may have a small refrigerator, microwave, or sink.
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Insite is a supervised drug injection site in the Downtown Eastside (DTES) neighbourhood of Vancouver, British Columbia, Canada The DTES had 4,700 chronic drug users in 2000 and has been considered to be the centre of an "injection drug epidemic". The site provides a supervised and health-focused location for injection drug use, primarily heroin. The clinic does not supply any drugs. Medical staff are present to provide addiction treatment, mental health assistance, and first aid in the event of an overdose or wound. In 2017, the site recorded 175,464 visits by 7,301 unique users; 2,151 overdoses occurred with no fatalities, due to intervention by medical staff. The site also offers a free checking service so clients can check their substances for fentanyl and carfentanil. Health Canada has provided $500,000 per year to operate the site, and the BC Ministry of Health contributed $1,200,000 to renovate the site and cover operating costs. Insite also serves as a resource for those seeking to use a harm reduction approach for people who inject drugs around the world. In recent months and years, delegations from a number of countries are on record touring the facility, including various U.S. states, Colombia and Brazil. 95% of drug users who use Insite also inject on the street according to a British Columbia health official.
Jim Chu, COM is a former-Chief Constable of the Vancouver Police Department (VPD). On June 21, 2007, Chu was named as the successor of Chief Constable Jamie Graham. On January 23, 2015, it was announced Chu was planning to retire after a 36-year career with Vancouver Police and he did officially do so on May 6, 2015, upon the swearing-in of his successor, Adam Palmer.
The Vancouver Agreement was an initiative undertaken jointly by the governments of Canada, British Columbia, and the City of Vancouver, to develop and revitalize Vancouver, and in particular its Downtown Eastside, through collaboration between projects and ministries at all three levels of government, as well as community and business groups. While other parts of the city are also targeted by the initiative, its Downtown Eastside area is notorious across Canada for its deep problems with poverty, substance abuse, prostitution, violent crime and homelessness, and the agreement’s stated goals include promoting the health, safety and economic and social well being of the neighbourhood. The initial five-year agreement began in March, 2000 and expired in March, 2010.
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The Vancouver Area Network of Drug Users or VANDU is a not-for-profit organization and advocacy group based in Vancouver, British Columbia, Canada. The group believes that all drug users should have their own rights and freedoms. The group's members have been actively involved in lobbying for support of Insite, North America's first safe injection site, located in the Downtown Eastside of Vancouver.
Responsible drug use seeks to maximize the benefits and minimize the risks associated with psychoactive drug use. For illegal psychoactive drugs that are not diverted prescription controlled substances, some critics believe that illegal recreational drug use is inherently irresponsible, due to the unpredictable and unmonitored strength and purity of the drugs and the risks of addiction, infection, and other side effects.
Portland Hotel Society (PHS) is a Canadian non-profit society created in 1993 to provide advocacy, housing, services, and opportunities, for Vancouver's Downtown Eastside. Its staff support thousands of supportive housing rooms and operate North America's first legal supervised-injection site, Insite, a Downtown Eastside credit union branch, a food service that feeds people in single-room occupancy residences, and other social services and enterprises.
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Fix: The Story of an Addicted City is a Canadian documentary film, directed by Nettie Wild and released in 2003. The film centres on Vancouver's campaign to launch Insite, North America's first legal supervised injection site for injection drug users.
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