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February 2026 Newsletter


Upcoming Webinars


February 26th, 2026


"It helps me do things that are meaningful to me ... like my work"

Prescribed Alternatives for Harm Reduction Workers


Thursday February 26th

9 am PT / 10 am MT / 11 am CT / 12 pm ET / 1 pm AT / 1:30 NT


Speakers: Laura Cartwright and Emily Clayton from AVI’s KTE team



Our February webinar turns the spotlight on the experiences of harm reduction workers in Victoria BC who participate in AVI's Prescribed Alternatives (PA) Workforce program.


The Workforce Program provides access to PA (e.g., various formulations of prescribed fentanyl, opioid agonist treatment) to individuals employed in harm reduction roles. An interdisciplinary healthcare team provides wrap-around psychosocial support to participants.


This webinar will share evaluation findings of the Workforce Program, including participant outcomes and experiences, as well as recommendations.


AVI’s PA Workforce program was featured in CATIE’s Programming Spotlight this month. Read it here.



March 26, 2026


MySafe Final Evaluation Report:

Impacts of Program Closure


Thursday March 26th

9 am PT / 10 am MT / 11 am CT / 12 pm ET / 1 pm AT / 1:30 NT


Speakers: Tara Taylor (SpencerCreo Foundation), Isabelle Boisvert (Changemark) and Kaitlin Calligari

Join us for a conversation on the independent evaluation of the MySafe biometric medication dispensing program. MySafe was designed as a low-barrier, person-centred model providing secure access to prescribed alternatives through biometric dispensing machines paired with wraparound supports. In 2024, funding was abruptly discontinued amid shifting political and regulatory pressures. The closure left many participants navigating sudden transitions in care.


Based on in-depth interviews with former clients and service providers, this evaluation examines how the program shaped autonomy, access to care, stability, and daily functioning, and what changed when it ended. It also surfaces critical questions about sustainability, policy responsibility, and the ethics of implementing high-impact pilot programs without continuity safeguards.


In this webinar, we will:

- Share key findings from the evaluation

- Explore the human impacts of abrupt program closure

- Examine the policy and funding context that shaped the program’s trajectory

- Share calls to action


For healthcare and social service providers, researchers, policy-makers, and people with lived and living experience, this session offers space to look at what worked, what was disrupted, and what accountability and sustainability should look like going forward.

Missed a SUHN webinar?

Recordings are available on our website and YouTube channel


Have an idea for a webinar?

Want to present your research, resource, or program?

Contact us!

Other upcoming events


HIV Legal Network. Perspectives on Prison Programs. 

When: Tuesday, February 24th, 2026 - 1-2:30 pm ET

Registration


CDPC. Critical conversations: connecting with Chinese-speaking communities about drug policy

When: Tuesday February 24th, 10 a.m. PT / 11 am MT / 12 pm CT / 1 pm ET / 2 pm AT / 2:30 NL

Registration



Toronto Opioid Overdose Action Network (TO2AN) ACS Community of Practice: ACS considerations for medetomidine 

Drs. Brendan Hart and Nicole Desai, Temple University Hospital, Philadelphia

When:  Friday February 27, 11:30am-12:30pm

Please email Jen Ko (jennifer.ko@unityhealth.to) for meeting invite.



Drug Checking and TO2AN: Frontline perspectives and responses to medetomidine in the fentanyl supply

Brad Meck, Prevention Point, Philadelphia and Dr. Serge-Emile Simpson, Jefferson-Einstein Hospital, Philadelphia

When: Wednesday March 4, 10:00-11:30am

Registration



Moms Stop the Harm Connects Session. Involuntary Treatment: What are we really being asked to accept? 

When: Sunday March 8th, 12 pm ET

Registration



MetaPhi. Working with Youth who Use Substances

When: March 18th, 7-8:30 pm ET

Registration



Health Data Research Network. Big IDEAS About Health Data Speaker Series: Social Contexts of Administrative Data About Substance Use Disorder 

When: Thurs. March 26th, 1pm ET

Registration


Hosted by Tonya Evans and Andrzej Celinski from Reclaim Collective.

All welcome!


Thursdays - 9 am PT, 10 am MT, 11 am CT, 12 pm ET, 1 pm AT, 1:30 NL

Join us on Zoom (same link every week)


Each week’s topic is posted in our Google Group a couple of days before the meeting. Have a topic you want to discuss? Let us know!


*No meeting on webinar days

Hot Off the Press

Peer-reviewed articles



Research Spotlight


Michaud, L., Guta, A., Perri, M., Schaff, A., King, K., Strike, C. & Kolla G. 2026. “With this you’re not chained down to something”: contrasting experiences of opioid agonist treatment and safer supply program participation among people receiving prescribed safer supply. Harm Reduction Journal. 

Background  Prescribed safer supply provides pharmaceutical alternatives to reduce reliance on the toxic unregulated drug supply and mitigate overdose risk. While safer supply programs (SSP) have expanded in several Canadian jurisdictions and demonstrated individual- and population-level benefits, little is known about how participants’ experiences compare with prior opioid agonist therapy (OAT), or how SSP models differ from existing OAT approaches.

Methods  We conducted qualitative interviews (n=22) with participants enrolled in a safer supply program in Kitchener–Waterloo, Ontario. Using thematic analysis, we examined participants’ contrasting experiences of safer supply and OAT.

Results  Participants identified key differences between SSP and OAT across program design and clinical practice, particularly in the management of withdrawal, tolerance, and medication side effects. Differences in care philosophy and service delivery shaped therapeutic relationships and afforded greater autonomy within SSP. This autonomy aligned with participants’ goals and supported retention - an essential component of overdose prevention.

Conclusion  Findings highlight the importance of collaborative decision-making and flexible, individualized dosing across both OAT and safer supply models. Participants’ experiences suggest opportunities to strengthen substance use care by addressing longstanding limitations within traditional OAT models that may undermine retention and therapeutic benefit.


Other publications


Leis, B. et al. 2026.  Management of infective endocarditis secondary to injection drug use: practical recommendations for clinicians from a Canadian working group 


Norton, A., et al. 2025. View of Implementation Barriers and Outcomes of a Provincial Prescribed Safer Supply Initiative among Indigenous People who use Substances amid COVID-19 and a Toxic Drug Crisis in British Columbia, Canada


Hogan, K., et al. 2026.  The characteristics and experiences of parents accessing prescribed safer supply in BC, 2020-2021


Christmas-Krumreich, C. and McNulty, C. Power and Politics in the Provision of Anti-oppressive Harm Reduction and Low Barrier Services to People Experiencing Multiple Mental Health Diagnoses, Active Addiction, and Homelessness in Kingston, Ontario, Canada: A Case Study of Sisyphus and His Rock 


Asher Blackdeer, A. and Benedict, M. 2026. Decolonizing Trauma-Informed Care: Pathways to Healing Racial Trauma 


Barkus, A. et al. 2026. Adapting opioid therapy: real-world analysis of switching from methadone to slow-release morphine and back amid COVID-19 supply chain disruptions | Addiction Science & Clinical Practice


Koranda, NW., et al. 2026. Program personnel perspectives and outcomes of the Minnesota Addiction Recovery Initiative (MARI) Safe Station program: A fire station-based substance use deflection program


Sharpe, C. et al. 2026. Pipes as an engagement tool: qualitative findings from a crack equipment and harm reduction training intervention in England  


Bowring, et al. 2026.  A cost–benefit analysis of the implementation and scale‐up of harm reduction interventions in the Australian Capital Territory 


Ball, A. et al. 2026.  Naloxone and Buprenorphine Treatment for Adolescent Opioid Overdose and Opioid Use Disorder: A Review JAMA Pediatrics 


Guillaume Dumont and Felix. 2026. ‘Frightening Yet Fulfilling’: Vulnerability, Precarity and the Labour of Harm Reduction 


Mortenson, HL, et al. 2026. Beyond Overdose: How People Who Use Drugs Navigate Competing Risks in the Polydrug Era 


Domingoes, T. 2026. Toronto's drug policy paradox: Harm reduction sites and drug police occurrences in Toronto neighborhoods (1992–2020)


Tobias, S., et al. 2026. Temporal and regional associations between fentanyl concentrations in the unregulated drug supply and drug-related mortality in British Columbia, Canada 


Lynch, Pizon, and Yealy. 2026. Emergence of Medetomidine in the Illicit Drug Supply: Implications for Emergency Care and Withdrawal Management


Messmer, Kaufman, and Peress. 2026. Integrating Drug Checking Services Into Substance Use Treatment—A Call to Action 


Fernando, H., et al. 2026. Quantitative mass spectrometric analysis of residual drugs from used lateral flow immunoassay test strips and syringe


Barra, BFC, et al. 2026. Collaborative harm reduction efforts lead to the first detection of 5-cyano isotodesnitazene in illicit street drugs 


Gibbons, JB. et al. 2026. Estimating Racial and Ethnic Disparities in Substance Use Disorder Treatment and Harm Reduction Services: Findings From a Survey of People Who Use Drugs


Barrett, D. Petersson, F, and Turner, R. 2026.  Access to Services for Under 18s Who Inject Drugs: Age Barriers, Fear of Discovery, Harm reduction Strategies and the Transition to Adulthood 


Snyder, S., Voronka, J., Guta, A., Pilling, MD. 2026. Policing harm reduction: A case study of who counts as human


Barker, KK, et al. 2026. The neuro-fiction of addiction immunizations 


Shubel, C., et al. 2026. Barriers and facilitators to methadone dispensing for opioid use disorder in community pharmacies: A scoping review


Herink, M., et al. 2026.  Peer-assisted telemedicine for hepatitis C intervention in people experiencing housing instability 


Ghafouri, M. et al. 2026. Outreach Models for Substance Use Disorder in Homeless Populations: A Systematic Review and Network Meta-Analysis


Martinez, K., et al. 2026. Methamphetamine use and HIV prevention: a qualitative study on challenges and opportunities for PrEP utilization



In the News

Highlights




In the News - highlights

BC warns of increase in drug poisonings, shifts in unregulated supply

How Many People Are Overdosing at BC’s Hospitals? 

Vancouver's downtown core left without overdose prevention site following closure  

Abbotsford overdose prevention site's lease won’t be renewed

Overdose alert issued for Regina area after 46 reported in 8 days 

Sask. coroner reports fewer overdose deaths in 2025, spike in deaths last month 

Winnipeg Fire Paramedic Service data shows opioid use calls sky-rocketing, as alcohol declines 

Animal tranquilizer being mixed with fentanyl in Toronto's illicit drug supply, experts warn 

Severe pain, blood pressure swings and more: Vicious cases of drug withdrawal are turning up in Toronto. Here’s what may be behind it 

Hamilton sets new record for opioid overdose calls — again 

Sipekne'katik First Nation to declare state of emergency due to illicit drugs  

No outreach from N.S. minister of addictions, mental health to First Nation in crisis 

From harm reduction to harm production: A frontline physician on the closure of safe consumption sites 

Quebec launches remote service to prevent drug overdoses 

Inside the Quebec YMCA offering transitional housing to homeless people after hospital stay 

NL ‘Far Ahead of the Curve’ in Rural Safe Drug Supply, Says Researcher  

‘Very Little Value’: Judge Frustrated by Health Canada at DULF Trial  

How Mental Health and Addiction Grads Are Tackling the Opioid Epidemic  

Global drug use reaches record levels: UN report - DATAC 

CDC seeks to block ‘never use alone’ messaging used by overdose prevention groups