Vancouver's approach to the Overdose Crisis

How we're responding

Vancouver has long led the way in trying new approaches to substance use. While health services are delivered by Vancouver Coastal Health (VCH), our role primarily relates to zoning, permitting, and licensing. We support VCH in delivering harm reduction and recovery services through our municipal regulatory processes.

To prevent overdoses and save lives, we work with all levels of government, community partners, Indigenous health leaders, and people with lived experience. Efforts focus on reducing stigma around mental health and substance use, supporting community-led programs, and addressing root causes like housing, food security, employment, and access to basic services.

We continue to invest up to $8 million annually in crisis response services delivered through VCH. These include programs like the Mobile Crisis De-escalation Team, Car 87/88, and the Indigenous Crisis Response Team. These services provide culturally safe, non-police mental health support for people in complex or acute situations.

Indigenous peoples in the Downtown Eastside are especially affected due to the ongoing impacts of systemic racism, colonization, and health inequities. Indigenous-led programs, cultural practices, and the involvement of Elders and peers are critical in saving lives. We are committed to investing in and working alongside these initiatives.