To help support the response to the overdose crisis and address harms related to substance use and the toxic illegal drug supply, the Government of Canada has announced more than $21 million in funding for 55 community-led projects across Canada.

October 2023 

To help support the response to the overdose crisis and address harms related to substance use and the toxic illegal drug supply, the Government of Canada has announced more than $21 million in funding for 52 community-led projects across Canada.

With this funding, these projects will help improve health outcomes for people who are at risk of experiencing substance-related harms and overdose across a comprehensive continuum of care by scaling up prevention, harm reduction and treatment efforts.

Funding is provided through Health Canada's Substance Use and Addictions Program (SUAP), which supports innovative initiatives across the continuum of care for a broad range of substances.

The backgrounder below provides a description for all projects receiving funding today through SUAP.

Alberta (total of $420,012)

Bearspaw First Nation Substance and Addiction Response and Care
Stoney Trail Wellness Center – Eden Valley, AB
$420,012 added to the existing $980,028 to support a mobile crisis response team trained to attend to emergencies in Bearspaw First Nation on the Eden Valley reserve. The team will conduct non-crisis interventions, respond to overdoses, and teach harm-reduction techniques. The project will also provide aftercare to those who have experienced the trauma of an overdose and to the crisis response team.
Theme: Harm reduction
Funding Envelope: Amendments 2023

British Colombia (total of $1,315,656)

Food for Thought
Houston Link to Learning Society – Houston, BC
$212,303 added to the existing $423,003 to explore the role food plays in reducing harm and connecting people who use substances to supports by running a twice-weekly soup kitchen. This soup kitchen will serve meals and provide a means to connect with people who use substances that are underserved, who are at increased risk and who are harder to reach. This project will also offer harm reduction education and will direct people who use substances to health and social services. The kitchen staff will include people with lived and living experience of substance use who will be equipped with life skills training and gain meaningful work experience in the process.
Theme: Harm reduction
Funding Envelope: Amendments 2023

Northern Network of Peers for Equality (NOPE)
Northern Network of Peers for Equality – Quesnel, BC
$157,421 added to the existing $419,790 to create a team of peer system navigators to provide wraparound harm reduction services for and by people with lived and living experience. The Northern Network of Peers for Equality will engage with hard-to-reach minority populations including BIPOC, 2SLGBTQI+, people experiencing homelessness, and people who use substances to provide guidance in a range of social and health-related services.
Theme: Harm reduction
Funding Envelope: Amendments 2023

PACK - Parents Advocating Collectively for Kin
BC Yukon Association of Drug War Survivors – New Westminster, BC
$108,676 added to the existing $271,689 to support a peer-led project, using an existing toolkit to train peer support workers in British Columbia, building their capacity to serve mothers with lived and/or living experience of substance use who are at risk of having their child taken from their care. Certified peer workers will form a network to support and advocate for mothers to remain the primary care providers for their children. Primarily, participants will include Indigenous mothers and mothers who experience violence and stigma.
Theme: Harm Reduction
Funding Envelope: Amendments 2023

Digital health innovation adaptation for prevention of overdose deaths in supportive housing
PHS Community Services Society – Vancouver, BC
$30,000 added to the existing $1,119,012 to utilize the Lifeguard app to monitor the status of people who use illegal drugs living in PHS supportive housing in Vancouver, home to a wide demographic of marginalized groups, including Indigenous peoples and 2SLGBTQIA+. These groups include some of the most vulnerable people using opiate and polydrug and regularly using substances alone.
Theme: Harm reduction
Funding Envelope: Amendments 2023

SAFER KTE
AVI Health and Community Services Society – Victoria, BC
$105,307 added to the existing $351,024 to build on the experiences of the Victoria SAFER Initiative (VSI). VSI is an existing comprehensive and flexible safer supply model with health care provider oversight which provides pharmaceutical alternatives for people at increased risk of overdose. The SAFER KTE project will offer to support the development, implementation, and evaluation of safe supply projects to communities or programs in Canada requesting it.
Theme: Prevention
Funding Envelope: Amendments 2023

The Provincial Mental Health and Substance Use (MHSU) Network - Building system capacity to better address the needs of British Columbians with complex MHSU issues or concurrent disorders
Provincial Health Services Authority – Vancouver, BC
$567,098 added to the existing $1,167,746 to expand and evaluate the virtual British Columbia Provincial Mental Health and Substance Use (MHSU) Network and support key network activities to build the MHSU workforce capacity to address the needs of people in BC with both mental health and substance use disorders. A series of Network Dialogue and Action meetings will identify and prioritize unmet health needs of the target population. The focus will be on system change at the provincial level to remove existing barriers to coordinated, consistent MHSU services.
Theme: Multiple
Funding Envelope: Amendments 2023

Youth Substance Use Prevention and Intervention Project
Alberni Valley Drug and Alcohol Prevention Services Society – Port Alberni, BC
$134,851 added to the existing $292,178 to deliver prevention programming and intervention services for 450 youth aged 10 to 22, their parents and local community service providers in Port Alberni and on the west coast of Vancouver Island, including Tofino and Ucluelet. Services will include social and recreational programming such as resiliency and overdose prevention workshops for youth, schools, service providers, parents, and caregivers.
Theme: Multiple
Funding Envelope: Amendments 2023

Manitoba (total of $625,051)

Manitoba Mobile Addiction Team to Increase Community Capacity and Access (MMATICCA)
Four Arrows Regional Health Authority Inc. – Winnipeg, MB
$478,748 added to the existing $1,106,284 to pilot enhanced mobile community treatment services in rural and remote Indigenous communities near Winnipeg, building local capacity to work with people who use substances. The ultimate goal of the project is to provide direct services to community members, and to build local capacity for working with people who use substances such that at the conclusion of the pilot project communities will have access to ongoing care.
Theme: Multiple
Funding Envelope: Amendments 2023

OASIS - Outreach and Supportive Interventions for Substance use
St. Boniface Street Links – Winnipeg, MB
$76,158 added to the existing $323,670 to provide wraparound supports and individualized care planning to individuals who are at a heightened risk of substance-related overdoses and who face multiple barriers to accessing care in the Winnipeg area. Participants will include people with underlying or co-occurring mental health disorders such as bipolar disorder, schizophrenia, post-traumatic stress disorder, and personality disorders.
Theme: Harm reduction
Funding Envelope: Amendments 2023

The SERC Brandon Peer Leadership Outreach Project
Sexuality Education Resource Centre Manitoba Inc. – Brandon, MB
$70,145 added to the existing $204,880 to conduct outreach skills training and organize kitchen table talks, which involve informal peer discussions and the distribution of peer-informed kits containing harm reduction and safer sex supplies. The project will support people who use drugs experiencing homelessness, Indigenous people, youth, and recently incarcerated individuals.
Theme: Harm reduction
Funding Envelope: Amendments 2023

New Brunswick (total of $195,202)

Addressing Health Equity in Vulnerable Populations through Flexible Primary Health Care, Outreach, and Peer Support
Salvus Clinic Inc. – Moncton, NB
$195,202 added to the existing $597,961 to enhance outreach, engagement, and treatment of vulnerable populations experiencing substance use disorder and/or concurrent disorders. Wrap around services including primary health care, addiction and mental health care, education on harm reduction, community navigation, and peer support will be delivered on a mobile health unit via peer support specialists and health care professionals.
Theme: Multiple
Funding Envelope: Amendments 2023

Newfoundland and Labrador (total of $1,951,217)

Expanding Newfoundland and Labrador's (NL) Hub and Spoke Model to Service All Substance Use Disorders in a Specialized, Primary Health Care Setting
Government of Newfoundland and Labrador – Department of Health and Community Services – St. John's, NL
$1,287,605 over 24 months to expand the provincial Opioid Dependence Treatment (ODT) Hub and Spoke model to a model that provides treatment for a range of substance use disorders in specialized, primary health care settings in Newfoundland and Labrador (NL). Specifically, the additional funding will help improve peer support and increase expertise of addiction medicine available via the Hubs and Spokes throughout the province while improving access to comprehensive, wrap around services for people with substance use disorders, including alcohol and those with chronic pain. The current ODT model has been successful in providing same or next day assessment and treatment to people with opioid use disorder.
Theme: Multiple
Funding Envelope: B2022

Harm Reduction Project for Women Who Use Alcohol and Drugs
St. John's Women's Centre Inc – St. John's, NL
$286,765 added to the existing $575,930 to pilot a community-led harm reduction project in a supportive housing site that will address the current lack of managed alcohol programs (MAP) in Newfoundland and Labrador. MAP is a treatment option for people living with severe alcohol use disorder, which can help stabilize and prevent health and social harms by providing controlled amounts of alcohol at specific times to help manage alcohol withdrawal symptoms. The project will create awareness by offering community-wide training on the benefits of harm reduction strategies, their application in MAPs, and the lessons learned through the pilot. This would prepare the community at large for the implementation of other MAPs.
Theme: Harm reduction
Funding Envelope: Amendments 2023

Multidisciplinary Transitional Pain and Opioid Stewardship Program to Minimize Opioid Use and Improve Outcomes for Lower Limb Arthroplasty
Newfoundland and Labrador Health Services – St. John's, NL
$335,422 over 18 months to help deliver a transitional pain program for people before and after lower limb joint replacement surgery in Newfoundland and Labrador. The Program will specifically be providing education and guidelines for patients at risk of developing post-surgery chronic pain or excessive and long-term opioid use following surgery. By focusing on psychological support, medication optimization, education, and interventional pain techniques, the Program relies on a multimodal approach to help post-surgery patients recover healthy and with the least pharmacologic interventions as possible.
Theme: Prevention
Funding Envelope: B2022

Safer Works Access Program (SWAP) Clarenville / Bonavista
Aids Committee of Newfoundland & Labrador (ACNL) – Clarenville and Bonavista, NL
$41,425 added to the existing $176,055 to provide a mobile outreach service to increase access to harm reduction-based services and wraparound care supports in the rural areas of Clarenville and Bonavista. Services will include providing opioid response training and distributing safe injection and inhalation supplies, naloxone, fentanyl test strips, condoms, and resources on Sexually Transmitted Blood Borne Infections and harm reduction strategies.
Theme: Harm reduction
Funding Envelope: Amendments 2023

Nova Scotia (total of $1,292,363)

Community Outreach: Expanding Mainline's Reach and Client base through Targeted Urban and Rural Outreach
Mi'kmaw Native Friendship (Mainline Distribution & Disposal) – Halifax, NS
$173,476 added to the existing $207,502 to scale up harm reduction outreach efforts and supports extended to people who use substances in areas of Nova Scotia served by Mainline, a health promotion organization dedicated to supporting people who use substances through harm reduction programs. Funding will support a new community outreach service to fill identified gaps and connect with new individuals and organizations.
Theme: Harm reduction
Funding Envelope: Amendments 2023

Substance Users Network of the Atlantic Region "SUNAR"
Mi'kmaw Native Friendship Society – Halifax, NS
$286,220 added to the existing $768,974 to establish a Substance Users Network of the Atlantic region (SUMAR). This additional funding will further help increase access to evidence-informed overdose prevention efforts, and uniting, informing, and opening a dialogue between people who use substances (PWUS) in the Atlantic region. This peer driven project will help healthcare providers and other related stakeholders, as well as local/provincial policy makers, increase awareness about harm reduction practices and the stigma that PWUS too often experience in accessing them.
Theme: Harm reduction
Funding Envelope: Amendments 2023

Mobile Supportive Spaces
Ally Centre of Cape Breton (The) – Sydney, NS
$60,580 added to the existing $257,466 to support a mobile harm reduction van that will operate in five Cape Breton communities to deliver harm reduction resources, safe consumption supplies, and naloxone training, as well as provide access to a public health nurse and housing support worker.
Theme: Harm reduction
Funding Envelope: Amendments 2023

QE II Health Sciences Centre Inpatient Addiction Medicine Consult Service Model
Nova Scotia Health Authority – Kentville, NS
$683,675 over 25 months to support the development, implementation and evaluation of an Inpatient Addiction medicine Consult Service Model (IAMCS) at the Queen Elizabeth II Health Sciences Centre in Halifax. With this funding this program will expand the current pilot and create a sustainable, integrated, patient and family-centered addiction medicine consult services at the hospital. 
Theme: Treatment and community-based
Funding Envelope: B2022

Supporting Harm Reduction through Peer Support (SHARPS)
Mi'kmaw Native Friendship Centre – Halifax, NS
$88,412 added to the existing $204,028 to provide education and training for community-based peer navigators from the Halifax Substance User Network so they may have access to give individuals at a heightened risk for accidental drug poisoning referrals to health and social services, treatment, and follow-up care.
Theme: Harm reduction
Funding Envelope: Amendments 2023

Ontario (total of $14,143,505)

A Proposal to Sustain and Scale Toronto's Drug Checking Service
Unity Health Toronto
$2,000,000 over 24 months to expand Toronto's Drug Checking Service to provide tools, resources, and expertise to aid those across the province to design, execute, and evaluate drug checking programs locally. Toronto's Drug Checking will act as a central repository for data generated from checking samples by programs participating in the network and will incorporate these data into its public-facing monitoring and surveillance tools. Performing analyses on these data will paint a fuller picture of unregulated drug supply trends across Ontario, enabling comparisons across jurisdictions within the province and nationally.
Theme: Harm reduction
Funding envelope: B2022

An online/in-person program utilizing Acceptance-Commitment Therapy (ACT) Matrix plus contingency management (CM) for methamphetamine use disorder (MUD) 
Centre for Addiction and Mental Health (CAMH) – Toronto, ON 
$841,212 over 24 months to conduct a group-based treatment program which combines acceptance-commitment therapy and matrix plus contingency management to help treat people with methamphetamine use disorder. Acceptance-commitment therapy is a form of behavioural therapy focused on acceptance, rather than avoidance, of challenging situations, and contingency management is a behavioural therapy using motivational incentives to reinforce behaviour change. The program will use both in-person and online/telehealth services to help overcome barriers to accessing care.
Theme: Prevention
Funding envelope: B2022

Assertive Community Treatment (ACT) and Rapid Access Addiction Medicine (RAAM) 
Grey Bruce Health Services – Owen Sound, ON 
$616,044 added to the existing $1,334,762 already provided by SUAP to provide substance use and mental health services in Indigenous Health Centres in two Ontario First Nation communities (Saugeen First Nation and Chippewas of Nawash Unceded First nation) experiencing high rates of substance use. The project will provide a suite of mental health and addictions services directly located at the health and wellness centres in both communities. The program "ACTT for RAAM" will include a 7-day per week outreach team consisting of a registered practical nurse, a mental health counsellor or social worker and a peer outreach worker at each community. Services included are opioid agonist therapy deliveries, Rapid-Access Addiction Medicine, at home or medically-assisted withdrawal management services, and counselling or other outpatient or inpatient mental health programming. 
Theme: Indigenous and harm reduction
Funding Envelope: Amendment

Black Coalition for AIDS Prevention ACB Harm Reduction Support TeamBlack Coalition for AIDS Prevention of Metropolitan Toronto (The) – Toronto, ON 
$45,931 added to the existing $275,585 to connect the communities, which have a large African caribbean and Back (ACB) population, with the information and supplies needed for safer drug use and overdose prevention/response, and increase awareness in these communities by providing education around the effects of opioids, identifying signs of opioid overdose, and distributing naloxone. This will be achieved by providing community outreach, workshops, and trainings through establishing relationships with residents and service providers. This work will be led by individuals, including ACB People With Lived and Living Experience (PWLLE) of drug use.
Theme: Prevention
Funding envelope: Amendment

Brantford Brant Safer Opioid Supply (BBSOS)
Grand River Community Health Centre – Brantford ON
$103,500 in addition to the $688,648 already provided by SUAP to provide an evidence-informed hydromorphone tablet safe supply pilot project rooted in harm reduction principles and guided by leadership from people with lived and living experience of substance use, with a low-barrier approach to service-delivery. The project provides assessment, monitoring, and prescriptions for oral hydromorphone to 40 people who are at high-risk of death or harm due to overdose. BSSP clients can connect with a variety of services and wrap-around supports to address their personal goals and improve their overall quality of life.
Theme: Harm reduction and Safer Supply
Funding Envelope: Amendment

Brantford Downtown Outreach Team 
St. Leonard's Community Services Inc. – Brantford, ON 
$390,000 added to the existing $926,198 already provided by SUAP, building on a one-year pilot initiative funded by the City of Brantford, this project will support a team (Peer Support Worker, Concurrent Disorders Clinician, Nurse Practitioner) to provide mobile on-the-spot peer support, harm reduction supply distribution, primary care services, and substance use and mental health counselling. The outreach team will target street-involved people and those using alone or disconnected from services in downtown Brantford. In addition to direct service delivery, the team will also provide referrals to other community supports and services and work with local groups to reduce the stigma and enhance the capacity of local stakeholders.
Theme: Service Delivery and harm reduction
Funding Envelope: Amendment

Building Resilience through Harm Reduction (BRHR) 
Heritage Skills Development Centre – Scarborough, ON 
$194,399 added to the existing $591,467 already provided by SUAP to respond to the overdose crisis and to substance harms issues in the Scarborough East community through a peer-driven harm reduction program that provides services to vulnerable populations. The additional funding will be used for the addition of workshops, counselling and navigation services for people who use drugs (and their families).
Theme: Harm Reduction 
Funding envelope: B2021

Canadian Best Practices for the Development of Effective Clinical Decision Support Systems for the Management of Chronic Pain 
Centre for Effective Practice – Toronto, ON 
$426,131 added to the existing $469,157 to develop or adapt a tool for the management of acute and chronic non-cancer pain (CNCP) that can be integrated into providers' electronic medical records. The goal is to set standards and help guide the development of future clinical decision support systems, as well as provide actionable next steps on adapting existing tools to ensure consistent, efficient and compassionate care to patients living with chronic pain, or those with acute pain at risk of becoming chronic. 
Theme: Prevention and Chronic pain 
Funding envelope: Amendment

Collaborative Multi-Sector Response, Outreach and Support Team for People At Risk for and Experiencing Opioid Related Overdose 
Peterborough Police Services Board – Peterborough, ON 
$785,563 added to the existing $1,894,512 already provided by SUAP to engage local partners to create a community-based outreach team to increase the capacity for front-line community services. This project will help divert people who use drugs, referred by police, from the criminal justice system, by connecting them to appropriate health and social services. 
Theme: Community-based outreach and harm reduction
Funding Envelope: Amendment

DoseCheck: Final validation and field pilot testing of a consumer-priced, networked, and analytically sophisticated drug checking technology 
Unity Health Toronto (Centre on Drug Policy Evaluation) – Toronto, ON 
$416,401 added to the existing $438,038 already provided by SUAP to finalize the analytic calibration of and pilot-test an emerging frontline drug checking technology called DoseCheck, with the goal of expanding access to overdose prevention technology in underserved settings and among structurally vulnerable populations who use drugs. The recipient will build a cloud-based platform to host data from the DoseCheck device, to be sent to a free smartphone app, and will be accessible to those using it, amplifying the impact of drug checking across entire communities at increased risk of overdose. 
Theme: Harm reduction 
Funding Envelope: Amendment

E-wiijkiwe'endijig Naadmaadwaad (Friends Helping Each Other) 
M'Chigeeng First Nation – M'Chigeeng, ON 
$400,000 added to the existing $1,499,156 already provided by SUAP to train local persons with lived and living experience of substance use as peer support advocates. Training will include a mix of indigenous and western concepts including trauma-informed care practices, motivational interviewing, the stages of change model, harm reduction practices, and evidence-based peer support practices.
Theme: Indigenous and harm reduction
Funding Envelope: Amendment

Expanding Opioid Agonist Therapy (OAT) Services to Include Injectable Opioid Agonist Therapy (iOAT) for Safer Supply at The Works
City of Toronto, Toronto Public Health (The Works) – Toronto, Ontario
$983,696 added to the existing $2,938,987 to continue to operate their safer supply project in Toronto which offers injectable hydromorphone for people with opioid use disorder. Operating out of "The Works", the project will continue to help people with opioid use disorder who do not respond to currently available safer supply and treatment services and who remain at high risk of overdose. The project will also continue to help clients access and remain connected with health, housing, income and community programs that meet their specific needs.
Theme: Harm reduction and safer Supply
Funding Envelope: Amendment

Giinoondaago - You Are Heard 
Georgian Bay Native Women's Association – Midland, ON 
$374,827 over 25 months to hire an Indigenous counsellor, Knowledge Keepers/Elders, and peer support employees to expand their existing "Giinoondaago -You are Heard" holistic Indigenous wellness counselling program. This project will target urban and rural Indigenous women and their families at all stages of life in other rural communities within the North Simcoe Muskoka region of Ontario. This counselling program will help address the deep-rooted issues (e.g., trauma and intergenerational impacts of colonization, residential schools, the Sixties scoop, stigma and racism) that contribute to substance use. The Indigenous Counsellor will use a combined clinical and traditional approach to care including assistance from Elders, Knowledge Keepers and Peer Support workers. 
Theme: Indigenous and Wraparound Services
Funding Envelope: B2022

Implementation of a Managed Alcohol Program (MAP) at St. Michael's Hospital; MAP-EDIT
Unity Health Toronto (St. Michael's Hospital) – Toronto, ON
$257,452 over 25 months to develop, implement and evaluate a formal hospital-based Managed Alcohol Program (MAP) at St. Michael's Hospital (SMH) in Toronto. This program will serve both inpatients and patients seen in the emergency department who have severe alcohol use disorder and who have not responded to traditional treatment options. The project will develop protocols and provide training to hospital staff and health care providers across disciplines and medical sub-specialties. With this project, the hospital hopes to engage patients who experience significant barriers to receiving care. 
Theme: Community-based, alcohol and harm reduction
Funding Envelope: B2022

Mapping A Plan (MAP) 
John Howard Society of Kawartha Lakes and Haliburton – Lindsay, ON 
$359,450 added to the existing $505,687 already provided by SUAP to deliver peer and addictions counsellor-led harm reduction support groups and a drop-in program for adult substance users in conflict with the law or at risk of entering the justice system who are seeking addiction and harm reduction supports in the City of Kawartha Lakes and in Haliburton County. The project will create a group curriculum and resources focusing on harm reduction, stages of change, mindfulness and urge surfing, risk need responsivity, goal setting, overdose prevention, violence reduction, and safety planning. Group activities will build relationships between peers and participants that promote safer substance use and provide opportunities to promote connection with other community services and supports.
Theme: Harm reduction
Funding Envelope: Amendment

PARN Harm Reduction Peer Project 
Peterborough AIDS Resource Network (PARN) - Peterborough, ON 
$147,366 added to the existing $392,976 already provided by SUAP to formally mobilize existing peers into supported service delivery positions, in Peterborough, ON. Peer workers will provide street-based outreach, participate in anti-stigma campaigns, fixed-sites services and online outreach. They will also participate in community development activities in collaboration with partners, and provide education to other service providers.
Theme: Peer support
Funding Envelope: Amendment

Reducing risk of overdose through a Peer Led Outreach Program focused on individuals who have been Criminalized
Elizabeth Fry Society of Peterborough – Peterborough, ON 
$156,380 added to the existing $276,440 already provided by SUAP to provide peer led outreach and service delivery to individuals who have been criminalized to reduce the risk of overdose by providing 1) one-to-one peer support, 2) system navigation and advocacy and 3) drop-in and outreach overdose prevention education services (this includes naloxone training and kit distribution and safe supply distribution). 
Theme: Harm reduction 
Funding envelope: Amendment

Supportive Housing Overdose Prevention Project II (SHOPP2)
Neighbourhood Group Community Services (The) – Toronto, ON 
$1,236,700 over 25 months to implement a low barrier, peer-training program at multiple locations, including shelters and supportive housing, in Toronto. Peer-tenants will be trained to provide overdose prevention and response services. Peer-tenants will be paid a fair wage and be trained on CPR, oxygen and naloxone administration, safer injection techniques, crisis de-escalation and supportive listening skills. They will also be trained to call emergency services if needed. 
Theme: Harm-reduction, community-based
Funding Envelope: B2022

The Crystal Meth Project (CMP) 
Neighbourhood Group Community Services (The) (St. Stephen's Community House) – Toronto, ON 
$284,782 added to the existing $348,636 already provided by SUAP to provide a drop-in program and group services, as well as wrap-around health and social supports, including workshops, outreach and a peer program, which is available to people who use crystal methamphetamine in the Kensington Market area and surrounding communities in downtown Toronto. The program is operated by people with lived experience and support staff. Available services include food, health services, crisis services, housing help, HIV and Hepatitis C testing and counselling, harm reduction education, and access to safe inhalation and safe injection supplies. 
Theme: Harm reduction 
Funding Envelope: Amendment

Thunder Bay Safer Supply Program ("TBSSP")
NorWest Community Health Centres – Thunder Bay, ON
$520,764 added to the existing $1,501,486 to implement a pilot safer supply program within the Norwest Community Health Centre. The program's prescribers will provide assessment, monitoring, and prescriptions for daily-dispensed, take-home oral hydromorphone to eligible clients. Clients will have access to a range of health and psychosocial supports and wraparound services that address the social determinants of health.
Theme: Harm Reduction 
Funding Envelope: Amendment

Transitional Pain and Opioid Safety Program: Improving Pain and Opioid Practices for Complex Chronic Pain Patients Following Surgery 
University Health Network – Toronto, ON 
$470,007 added to the existing $682,648 to enable targeted multidisciplinary treatment for patients who are at risk of chronic pain, disability, and/or escalating opioid use following surgery. Specialized care will be provided to patients in-person, by telephone, or via video before surgery and after hospital discharge. This initiative will also engage Indigenous people in pain/opioid research and increase research capacity in Indigenous communities.
Theme: chronic pain and harm reduction 
Funding envelope: Amendment

True Self Outreach Peer Support Project
Nipissing First Nation
$80,803 added to the existing $305,803 to add an outreach peer support component to their existing "True Self Employment and Training" program. This program will provide individuals and their families with community outreach, peer support and access to services that promote safety, self-sufficiency and wellbeing to participants and their families. This program will support people experiencing mental illness, addiction, abuse, housing insecurity, homelessness, economic insecurity, people on probation or parole, as well as those living with a concurrent illness. It will facilitate safe community outreach by providing personal protective equipment and drug testing kits, workshops, employment and training supports, holistic healing and talking circles, referrals and peer support.
Theme: Multiple
Funding Envelope: Amendments 2023

Virtual Integrated Collaborative Care (VICC) using the Technology Enabled Collaborative Care (TECC) platform 
Centre for Addiction and Mental Health (CAMH) – Toronto, ON 
$2,251,794 over 25 months to develop and test a technology treatment model of care for adults with severe opioid use disorder at CAMH in Toronto. This project will provide an innovative care delivery design that reorganizes existing resources through a collaborative care model using an online platform. This is expected to lead to a more effective delivery and retention of treatment in high-risk individuals with severe opioid use disorder. The online tool will include a virtual care team consisting of health professionals such as a registered nurse, an addiction medicine physician, an addiction psychiatrist, a social worker as well as a pharmacist. 
Theme: Treatment
Funding Envelope: B2022

Wellington County Community Health Van 
Sanguen Health Centre Foundation – Waterloo, ON 
$534,550 added to the existing $984,409 already provided by SUAP to operate a mobile community health van in Wellington County that provides curb-side access to health and social services to people who have been marginalized due to drug use, mental health, poverty and/or HIV or Hep C. Services provided from the van will include overdose prevention training, Naloxone distribution, needle exchange, basic wound care, nursing care, COVID-19 support, sexually transmitted or blood borne infection testing and treatment, immunization, basic needs enhancement, mental health crisis support and access to emergency psychiatric consultations as well as referrals for health and social supports
Theme: Harm reduction 
Funding envelope: Amendment 

Youth For Change (YFC)
Midaynta Community Services – North York, ON
$92,289 added to the existing $392,229 to help increase the participation of Black youth and community members in promoting conversations about substance use and mental health issues existing with the North West Toronto Region. The goal of YFC is to reduce barriers faced by Black youth and families to addiction services and increase availability of culturally appropriate services. This will be done through an evidence-based workshop series on substance use and addiction, local exhibitions highlighting youth in the community, a peer-led safe therapeutic environment for youth to share concerns, culturally appropriate holistic/wrap around services and social media highlighting youth voices.
Theme: Harm Reduction 
Funding Envelope: Amendment

Youth Opioids Awareness Program 
YMCA OF GREATER TORONTO – Toronto, ON
$147,239 added to the existing $1,177,915 already provided by SUAP to create and build awareness about opioid use through information sessions about the short-term and long-term effects of opioid use, address stigma, and promote well-being healthy lifestyle choices. This project would educate, protect, connect, and support youth aged 15 to 24 to help them better understand and make educated choices about opioids. It would be provided in French and English and would also be available outside of Toronto, in Vancouver and rural communities in Newfoundland, where youth are at higher risk of opioid use. 
Theme: Youth, stigma, and prevention
Funding Envelope: Amendment

Prince Edward Island (total of $267,390)

Mobile Harm Reduction Team 
Native Council of Prince Edward Island – Charlottetown, PEI
$267,390 added to the existing $421,758 already provided by SUAP to extend their Mobile Harm Reduction Team (MHRT) project This project aims to reduce the harm associated with drug and substance use within the off-reserve Indigenous community in PEI. The MHRT provides culturally sensitive, trauma-informed mobile harm reduction care, addresses the immediate needs of those who use drugs and connects them to a range of services in PEI to provide wrap-around care.
Theme: Harm reduction
Funding Envelope: Amendment

Saskatchewan (total of $964,435) 

Integrated Justice Program - Harm Reduction Project
Saskatchewan Fetal Alcohol Support Network Inc. – Saskatoon, SK
$275,921 added to the existing $597,829 to provide wraparound services to people with Fetal Alcohol Spectrum Disorder (FASD) who use substances and have had prior contact with the Saskatchewan justice system. These services include harm reduction services in a location easy to access. This project will also provide training to workers in health and social services organizations on trauma-informed approaches to better support people with FASD.
Theme: Harm reduction and alcohol
Funding Envelope: Amendment 

The Niiyanaan Pimatishihk Miyooayaan Pilot Project
Persons Living With AIDS Network of Saskatchewan Inc. – Saskatoon, SK
$6,631 added to the existing $119,360 to launch a pilot project to support Indigenous people living with HIV or at risk of contracting HIV, who are also living with an addiction and struggling with their mental health. The project will help address an existing gap between the time an individual identifies the need for treatment and the time the individual receives support. Housing services and support will be available to ensure the transition from a care facility does not result in individuals having to experience homelessness.
Theme: Harm reduction
Funding Envelope: Amendment 

We-sit-u-win (Coming Together)
Saskatoon Tribal Council Health and Family Services Inc. – Saskatoon (Saskatchewan)
$681,883 added to the existing $2,557,060 to create an Indigenous-focused urban healing program aimed at helping participants transition through a harm reduction continuum from outreach to detox, and then to treatment and recovery services. The program will hire an Indigenous-led care team, and will include land-based cultural knowledge, Elder support, healing circles, ceremonies and use of traditional medicine. This project supports Indigenous people living in the urban core area of Saskatoon who experience homelessness, are at risk of homelessness, and/or who are living with mental health issues and substance use harms. This project will also train outreach staff in crisis response, mental health first aid, compassionate communications, and addiction awareness, including harm reduction and home detox principles.
Theme: Multiple
Funding Envelope: Amendment

Yukon (total of $73,534) 

Community Harm Reduction Programs: Expanding Community-based Harm Reduction Education in the Yukon
Blood Ties Four Directions Centre Society – Whitehorse, YK
$73,534 added to the existing $183,834 to conduct qualitative in-depth interviews with health care and social service providers, decision-makers, and people with lived and living experience of substance use; deliver harm reduction training for social service providers and decision-makers; host public education events on substance use; and offer a Street College training program.
Theme: Harm reduction
Funding Envelope: Amendment