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.
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.
Homelessness in Canada was not a social problem until the 1980s. The Canadian government housing policies and programs in place throughout the 1970s were based on a concept of shelter as a basic need or requirement for survival and of the obligation of government and society to provide adequate housing for everyone. Public policies shifted away from rehousing in the 1980s in wealthy Western countries like Canada, which led to a de-housing of households that had previously been housed. By 1987, when the United Nations established the International Year of Shelter for the Homeless (IYSH), homelessness had become a serious social problem in Canada. The report of the major 1987 IYSH conference held in Ottawa said that housing was not a high priority for government, and this was a significant contributor to the homelessness problem. While there was a demand for adequate and affordable housing for low income Canadian families, government funding was not available. In the 1980s a "wider segment of the population" began to experience homelessness for the first time – evident through their use of emergency shelters and soup kitchens. Shelters began to experience overcrowding, and demand for services for the homeless was constantly increasing. A series of cuts were made to national housing programs by the federal government through the mid-1980s and in the 1990s. While Canada's economy was robust, the cuts continued and in some cases accelerated in the 1990s, including cuts to the 1973 national affordable housing program. The government solution for homelessness was to create more homeless shelters and to increase emergency services. In the larger metropolitan areas like Toronto the use of homeless shelters increased by 75% from 1988 to 1998. Urban centres such as Montreal, Laval, Vancouver, Edmonton, and Calgary all experienced increasing homelessness.
Foothills Medical Centre (FMC) is the largest hospital in the province of Alberta and is located in the city of Calgary. It is one of Canada's most recognized medical facilities and one of the leading research and teaching hospitals. Foothills Medical Centre provides advanced healthcare services to over two million people from Calgary, and surrounding regions including southern Alberta, southeastern British Columbia, and southern Saskatchewan. Formerly operated by the Calgary Health Region, it is now under the authority of Alberta Health Services and part of the University of Calgary Medical Centre.
The University of CalgaryFaculty of Law, at the University of Calgary. is a law school in Calgary, Alberta.
Calgary currently has four major adult acute care hospitals; the Foothills Medical Centre, the Peter Lougheed Centre, the Rockyview General Hospital and the South Health Campus and a children's acute care hospital; Alberta Children's Hospital, all running under the auspices of Alberta Health Services, the single provincial health authority for the province, that delivers medical care on behalf of the Ministry of Health. The medical helicopters operate under the auspices of the Shock Trauma Air Rescue Society. The Sheldon M. Chumir Centre, the Richmond Road Diagnostic and Treatment Centre, Libin Cardiovascular Institute of Alberta, Tom Baker Cancer Centre, Grace Women's Health Centre, Carewest, and the Glenmore Auxiliary Hospital are other medical facilities operating in the city, each providing a variety of care. The University of Calgary Medical Clinic also operates in partnership with the Calgary Health Region, and is located at the Foothills Medical Centre. The four largest Calgary hospitals have a combined total of more than 2,164 beds, and employ over 11,500 people.
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.
Calgary Health Region was formerly the governing body for healthcare regulation in an area of the Canadian province of Alberta. It was amalgamated with other regional health authorities in 2008 to become part of Alberta Health Services. The region administered facilities in the communities of:
Sheldon Mervin Chumir was a lawyer and politician from Alberta, Canada.
Alberta Children's Hospital (ACH) is a children's hospital located in Calgary, Alberta, Canada and operated by the Calgary Health Region of Alberta Health Services.
The Royal Alexandra Hospital (RAH) is a large and long serving hospital in the Canadian province of Alberta. Operated by Alberta Health Services and located north of Edmonton's downtown core, the Royal Alexandra serves a diverse community stretching from Downtown Edmonton to western and northern Canada. The total catchment area for the RAH is equivalent to 1/3 of Canada's land mass, stretching north from Downtown Edmonton to enpass both the Northwest Territories and Yukon territory, and stretching as far west as British Columbia's pacific coast.
Burns Manor was the Calgary residence of Senator Pat Burns, a successful businessman who founded Burns Meat. It was located at 510 13th Avenue S.W. in the Beltline District of Calgary, Alberta. Construction started in July 1900 and was completed in January 1903. The property was torn down in May 1956 to make room for an expansion of the Colonel Belcher Hospital..
Alberta Health Services (AHS) is the single health authority for the Canadian province of Alberta and the "largest integrated provincial health care system" in Canada. Headquartered in Edmonton, AHS delivers medical care on behalf of the Government of Alberta's Ministry of Health. It operates 850 facilities throughout the province, including hospitals, clinics, continuing care facilities, mental health facilities and community health sites, that provide a variety of programs and services. AHS is the largest employer in the province of Alberta. In 2019, AHS served 4.3 million Albertans with a staff of 125,000 staff and 10,000 physicians, and an annual budget of $15.365 billion. Sean Chilton is the Acting President and CEO of AHS and reports to Dr. John Cowell, the AHS Official Administrator. The Official Administrator is accountable to the Minister of Health and the Premier.
The Alberta Sheriffs Branch is a provincial law enforcement agency overseen by the Ministry of Public Safety and Emergency Services of the province of Alberta, Canada. Under the authority of the Peace Officer Act, Alberta Sheriffs are provincial peace officers with jurisdiction over the province of Alberta. The premier of Alberta has the authority to grant emergency police powers to all Alberta sheriffs during major emergencies within the province. The Alberta Sheriffs Branch is the largest sheriff service in Canada.
South Health Campus (SHC) is a large hospital in Calgary, in Alberta, Canada. It is administered by Alberta Health Services.
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.
The Uniting Medically Supervised Injecting Centre Kings Cross is a state government-supported facility in Kings Cross, New South Wales that provides safe injecting rooms, sterile equipment and medical supervision for individuals who wish to administer an illicit drug intravenously.
ARCHES is a non-profit organization based in Lethbridge, Alberta, that works to reduce the harm associated with HIV/AIDS and Hepatitis C, known for operating the province-funded Lethbridge Supervised Consumption Site from February 2018 until closing in August 2020. ARCHES started in 1986, specifically focused on helping the gay community. Over time, ARCHES became a community-based organization. The SCS it operated was the busiest drug consumption site in North America. It decided to close the site following the withdrawal of government funding after an initial audit found evidence of various misappropriation of funds and lack of accounting for more than a million dollars of its funding. The concerns around unaccounted funds were investigated by Lethbridge Police Service Economics Crimes Unit, which located the missing financial records, resulting in no criminal charges. While criminally not charged, funding to the organization remains withheld as some of their spending did not comply with grant agreement.
Centre Street S station is a planned and approved CTrain light rail station in Calgary, Alberta, part of the Green Line. Construction was slated to begin in 2024 and finish in 2030 as part of construction phase 1, segment 2A. However the station was deferred as part of a alignment change on July 30, 2024. The station is located in the Beltline, immediately south of downtown Calgary.
