Downtown Eastside

Four Pillars drug strategy

Since 2001, we have used the Four Pillars approach to address substance use.

The 4 pillars are:

  • Prevention – reduces harmful substance use before it begins through education, community initiatives, and regulation
  • Treatment – supports people with substance dependence through accessible, evidence-based services
  • Harm reduction – reduces the health and social harms of substance use without requiring abstinence
  • Enforcement – focuses on public safety and reducing harms related to the illegal drug trade

These pillars guide our work and partnerships. Priorities shift as needs change, and many initiatives support more than 1 pillar.

How we apply the Four Pillars today

We work with Vancouver Coastal Health, the Vancouver Police Department, and community partners to deliver programs and services across all 4 pillars.

Examples include:

Find the help you need

BC211

BC211's "Redbook" is a complete online directory of programs and services in Vancouver for residents with alcohol or drug misuse issues.

Redbook online