44th Parl. 1st Sess.
May 18, 2023 10:00AM
- May/18/23 12:46:49 p.m.
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Madam Speaker, I will be splitting my time with the member for Winnipeg North.
I am grateful for this opportunity to speak today to discuss the ongoing toxic drug overdose crisis. While I do that, my thoughts are on the many people we have lost in London, Ontario, a lot of friends and family, to this overdose crisis, which continues to exact a heartbreaking toll on individuals, families and communities across the country.
As the representative for London West and the former municipal representative for the downtown core of London, I have had the opportunity to see first-hand the hard work and dedication that our frontline workers have put into saving lives and improving outcomes for Londoners experiencing addiction.
I want to take this opportunity to thank them and to thank the Middlesex-London Health Unit, the Regional HIV/AIDS, the London InterCommunity Health Centre and anyone else who has dedicated their time, our volunteers, to helping the most vulnerable people experiencing this disease that has put them through unimaginable situations.
This dual pandemic has impacted people from all walks of life, ages, education levels and party lines, including many of us in the House today. We can no longer say that it is a stranger or that it is happening over there, because it is happening in all our communities. We are talking about our children, our friends, our parents and our neighbours, which is why I cannot understate the importance of a compassionate, collaborative and integrated response to reducing substance harms and saving lives.
Since 2016, Dr. Andrea Sereda of the London InterCommunity Health Centre has been running a safer supply program that has saved countless lives. Thank God, she is doing this work as an experienced doctor. We are not taking opinions from op-eds or online news; we are actually looking at studies that have been conducted by experts in the field. However, the program received federal funding in March of 2020.
Between April 1, 2020 and March 31, 2021, overdoses in the area dropped from 59% to 23%, 44% of the clients had not committed a crime to pay for drugs since beginning the program and one third of clients stopped using IV drugs. This is only one small piece of the empirical evidence that a safer supply actually works.
Prevention, harm reduction, treatment and enforcement make up the four internationally-recognized pillars of drug policy. Sadly, the Conservative Party does not understand the importance of the harm reduction pillar, preferring instead to ignore hard evidence and research, and is taking us back to the failed ideology of the Harper-era drug policy, which was costly, ineffective and deadly.
We are hearing from experts themselves, especially in communities like London, Ontario, where we know that a safer supply is working, that we need to continue to explore all avenues to address this ongoing crisis.
Our government, on the other hand, is committed to responding to this crisis from a whole-of-system and evidence-based approach. To date, we have launched many actions and investments to address the overdose crisis, including increased naloxone access, increased options for opioid agonist treatment, supervised consumption sites, which we have in the community of London, Ontario, and safer supply programs, whose importance, sadly, continues to be negated by the opposition.
An integral part of our response is ensuring that we have the best research evidence to inform our health policies and practices, and ultimately lead to better health and safety outcomes for all Canadians. This is where the incredible work of the Canadian Institutes of Health Research, or CIHR, comes in.
Over the last five years, CIHR has invested more than $179 million in research related to substance use, including $75 million in research related to opioid use alone. With its help, our government is supporting priority research initiatives that are now helping policy-makers and health care providers identify effective solutions for addressing the overdose crisis.
I want to begin by highlighting a pan-Canadian research network that is focused on substance use, the Canadian Research Initiative in Substance Misuse, or CRISM, which connects researchers, service providers, decision-makers and people with lived experience of substance use from across Canada.
CRISM's overall objective is to translate evidence-based interventions for substance use into clinical practice, community-based prevention, harm reduction and health system changes. The network is now recognized as a critical network that responds to the policy and evidence needs of decision-makers.
With ongoing support from the federal government, CRISM is able to conduct clinical trials, develop national treatment guidelines, promote the effective implementation of evidence-based interventions into clinical and community settings, and provide key evidence for decision-makers, like ourselves.
In June 2022, our government announced that it would be renewing CRISM with an investment of $17 million over six years to build and expand on the success of the initiative’s first phase, including by increasing the number of regional nodes from four to five to enhance geographic coverage.
This renewed investment also includes $5 million over four years for CRISM to undertake a national controlled trial in the management of methamphetamine-use disorder. The expertise and guidance that CRISM provides is integral to improving the quality of care and quality of life for people in Canada who use substances.
Outside of this investment, in 2019, CIHR also invested $1.5 million to support the evaluation of interventions implemented across Canada in response to the opioid crisis. This included evaluation of overdose prevention sites, rapid access addiction medicine models of care and naloxone programs, just to name a few. It also included research to evaluate non-pharmacological interventions for pain management.
Research to address the toxic drug and overdose crisis became even more critical during COVID-19, which exacerbated the existing crisis to a devastating extent. As part of the pandemic response, our government committed to, through CIHR, launching a funding opportunity in 2019 to support the evaluation research into harm-reduction approaches and to address the opioid crisis in the context of COVID-19. We know that this has grown since COVID-19.
This funding opportunity provided $2.2 million to support five research projects to assess the implementation and impact of safer supply interventions and supervised consumption sites, thereby addressing pressing evidence needs of decision-makers and knowledge-users in the area of harm reduction.
Additionally, CIHR mobilized CRISM to rapidly develop six national guidance documents to support people who used drugs, decision-makers and care providers during COVID-19, for example, guidance on telemedicine support for addiction services. We are also prioritizing bold policy changes to help people who use substances on their journey.
Last year, our government announced a time-limited exemption from the Controlled Drugs and Substances Act to the province of British Columbia, allowing for the personal possession of small amounts of certain illegal substances. Through this exemption, we will be able to reduce the stigma, the fear and the shame that keeps people who use drugs silent about their use, or using alone, and help more people access life-saving support and treatment.
Notably, the exemption included requirements related to comprehensive monitoring and evaluation. In addition to efforts led by B.C., our government is supporting an arms-length evaluation of this exemption.
This five-year evaluation project, led by CRISM, will study the impacts of the exemption and help us understand the full impacts of decriminalization in B.C., including the health and socio-economic impacts. This scientific evidence will be critical to ongoing decision-making as it relates to the overdose crisis.
We are also supporting critical research through CIHR’s investigator-led programs, which supports world-class research submitted by scientists at universities and research institutions across the country.
In addition to supporting the translation of research into improved programs and policies related to substance-use treatment and prevention, we will also be supporting research focused on improving health human resources related to substance use.
For example, CIHR is currently funding a project led by Dr. Kathleen Leslie and Dr. Mary Bartram at Athabasca University that will provide better information about policy options and stakeholder priorities to help create a pan-Canadian mental health and substance-use workforce strategy. This strategy will support the development of a high-quality, sustainable, diverse and culturally competent workforce that will have the capacity to provide equitable access to mental health and substance-use services for all Canadians.
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- May/18/23 12:58:01 p.m.
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Madam Speaker, I would like to start by saying that, as I stand in the House to speak on behalf of people in London, Ontario who have lost their lives to this crisis, it is tone-deaf for the member opposite to say that we are speaking in rhetoric. It is the Conservatives who are making this a very partisan issue, when we have people from across the country. This is an issue that has no party lines, and the Conservatives have chosen to make it a partisan issue.
Unfortunately for this member, we are sent here to make sure we can speak on behalf of those who can no longer speak on their own behalf. It is important that we continue to talk about how safe supply has saved lives in London, Ontario.
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- May/18/23 1:00:00 p.m.
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Madam Speaker, I am sorry to have annoyed my colleague opposite for mentioning all the work we are doing to ensure that we deal with this very important crisis affecting the entire country, a crisis that is affecting everyone with children and families.
That said, there are always opportunities to do more and to ensure that we do so in areas that have not yet received funding.
If earlier I mentioned the list of things we have done, it was not to annoy my colleagues, it was to reiterate that we are ready to continue making these investments so that Canadians find themselves in a healthier situation.
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- May/18/23 1:02:03 p.m.
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Madam Speaker, when I talk about how this is an issue that has no party lines, I think my colleague from London—Fanshawe and I can agree that we have worked together to respond to this crisis when I was a city councillor and even now, as members of Parliament.
Not too long ago, my colleague from London—Fanshawe and I were at a wraparound service housing initiative that had been invested in by the government. We invested in Indwell, and she and I just recently made an announcement together at Indwell. This is to show that we continue not only to care about investing in response to this crisis but also to respond to the entire system, the ecosystem that—
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