Harm Reduction Fund: Funded projects
The new Harm Reduction Fund is investing $30 million over five years (2017-2022) to support projects across Canada that will help reduce HIV and hepatitis C among people who share injection and inhalation drug use equipment. HIV and hepatitis C can be spread through the sharing of drug use equipment, such as needles and pipes.
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Provincial Harm Reduction Education Program: AIDS Committee of Newfoundland and Labrador
In the initial phase of this project, an assessment of existing harm reduction services in Newfoundland and Labrador will be conducted, and gaps identified. Train the trainer programs will assist people who use drugs by engaging individuals as harm reduction outreach and support providers. Training will be delivered to service providers to increase the knowledge of STBBI prevention, harm reduction and stigma and discrimination. The project also includes developing a proposal and plan for the establishment of safe supply/harm reduction education sites throughout the province.
Location: St John’s, Newfoundland and Labrador
Community Based Harm Reduction Program: AIDS Committee of York region
This project will build a harm reduction program for the nine municipalities located in the York Region of Ontario. Through engaging people who use drugs, the program will develop training for health service providers to increase access to community health and social services, reduce stigma and discrimination, and enhance health outcomes for people who use drugs. The project will support peer outreach workers (people who have a current or previous experience of using drugs) to work alongside service providers in developing interventions that can reduce the harms associated with sharing drug-use. In addition, additional peers will be hired to undertake outreach among homeless and street involved people who use drugs in an effort to provide greater access to harm reduction supplies, testing and care.
Location: Richmond Hill, Ontario
STBBIs, Stigma, and Drug Use: AIDS New Brunswick/SIDA Nouveau-Brunswick
The goal of this project is to build the capacity of service providers to address health issues affecting people who use drugs. Service providers will be educated on the factors that can lead to addictions, the increased risk of STBBI, and the influence that stigma can have on the health and well-being of people who use drugs. The project will train 100 service providers by adapting existing resources developed by the Canadian Public Health Association.
Location: Fredericton, New Brunswick
Harm Reduction Capacity Building: AIDS Saskatoon
The project will provide capacity building sessions for health and social service providers in three Saskatchewan communities: Prince Albert, La Ronge and Meadow Lake. Training will focus on harm reduction, trauma-informed care, community engagement, crisis intervention and self-care. In addition, a Peer Outreach worker will be placed in Prince Albert through the offices of the Prince Albert Metis Women's Association to reach out to people who inject drugs. This peer outreach worker will provide drug education resources, support service navigation, and the administration of an annual survey of people who use injection drugs.
Location: Saskatoon, Saskatchewan
Warriors of Indigenous Navigation: All Nations Hope AIDS Network
The project will support and develop the capacity of two Indigenous peer navigators who will work with people who inject drugs. The navigators will support clients by helping them navigate health and social services that are culturally appropriate. The peer navigators will work with clients to develop individual Visionary Plans which are designed to set out a plan for health and well-being, including the adoption of harm reduction behaviours to reduce harms associated with injection drug use, and connecting with culturally appropriate teachings and ceremonies.
Location: Regina, Saskatchewan
Peers Educating and Promoting Harm Reduction: Ally Centre of Cape Breton
This project will support a peer educator to increase knowledge and capacity among people who use drugs. The peer educator will connect with people who use drugs to help reduce harms related to drug use and prevent the spread of STBBI. This project will also support a peer navigator who, through the establishment of a stakeholder engagement group, will work with the Ally Centre to reduce barriers to care and increase the availability of harm reduction services throughout Cape Breton. People with current or previous experience using drugs will be trained to expand used needle searches, distribute safer sex and drug-use information, drug warnings, and links to harm reduction services.
Location: Cape Breton, Nova Scotia
Harm Reduction Education, Community Engagement and Peer Health Navigation Project: ANKORS
Harm reduction training programs will be offered for people who use drugs to support underserved areas of the Interior Health region of British Columbia. An existing program for street-involved individuals will be adapted to increase knowledge on STBBI testing and treatment, health care navigation, overdose prevention, harm reduction, basic first aid for the street, drug checking, and making a harm reduction plan. Training will be provided around stigma related to people who use drugs using resources currently available from the Canadian Public Health Association. The project will engage existing networks of people with current or previous experience of using drugs in the development of all project activities including conferences, community forums, training, and task groups.
Location: Nelson, British Columbia
Peer Health Navigator Project: Avenue B Harm Reduction Inc.
This project will recruit 10 people with current or previous experience using drugs, from among the organization's current 200 peer helpers, to undergo Peer Health Navigation training based on the Peer Health Navigator Project operated by the Mainline Needle Exchange in Nova Scotia. In addition to their current role of providing harm reduction information and supplies to their peers, the Health Navigators will aim to reach 300 people who use drugs to provide support in accessing health care, and encouraging the uptake of STBBI testing services.
Location: St John’s, New Brunswick
Peer Support in Primary Health: Battlefords Family Health Centre
This project will recruit and train people with current or previous experience using drugs to assist people who use drugs who are living with HIV and/or HCV by increasing their knowledge of capacity to adopt harm reduction practices, and encourage them to continue appropriate medical care. This project will improve adherence to treatment programs, connecting peers with groups of people who use drugs together to provide them the option of receiving HIV/HCV treatment together as a group. Peers will also assist individuals who are participants of the Opioid Addictions Recovery Services, particularly those who continue to use substances, and who are in need of additional harm reduction supports and services.
Location: North Battleford, Saskatchewan
New Beginnings: Cote First Nation Health
This project will support peer mentoring services for First Nations people who share injection/inhalation equipment in the off-reserve setting of Kamsack, Saskatchewan. The peers will work out of the New Beginnings Outreach Centre and link people who use drugs to health and social services and programs, including harm reduction supplies, testing, and linkages to care. In addition, peer mentors will provide culturally safe support to Indigenous people who use drugs on issues such as positive social and relationship strategies, improved self-image, linkages to detoxification and treatment, return to school and family reunification supports. The project will also work with local service providers to increase their capacity to support their clientele in reducing harms associated with the sharing of drug-use equipment.
Location: Kamsack, Saskatchewan
Building capacity of community-based organizations across Canada to provide supervised injection services for people who use drugs: Dr. Peter AIDS Foundation
Through this project, training and support will be offered to community-based organizations (CBOs) and public health service providers across Canada to build their capacity at an organizational level in order to operationalize supervised injection services. The Dr. Peter Centre has a specific model of care that emphasizes STBBI prevention activities that are accessible, culturally sensitive and relevant to different priority populations including people who use drugs and people living with HIV and/or hepatitis C. The project will establish a forum and other processes to gather and distribute knowledge to allow for sharing of evidence and lessons learned on supervised injection and related health services across the country.
Location: Vancouver, British Columbia
13 Moons Project - Culturally Grounded Peer to Peer Harm Reduction support for Indigenous Young People who Use Drugs: Ka Ni Kanichihk Inc.
An Indigenous harm reduction model will be developed and implemented in this project. The model includes training youth who currently or formerly use drugs to engage to provide peer outreach to other Indigenous youth who use drugs. The project will work in North End and downtown Winnipeg in areas of high drug use coinciding with high rates of infectious disease transmission, and will offer community events to promote culturally safe spaces to engage youth in harm reduction practices and broader health care services. This project will be led by Aboriginal Youth Opportunities in partnership with Ka Ni Kanichihk.
Location: Winnipeg, Manitoba
PART II: Improving access to services for priority populations affected by STBBI, through capacity building and collaboration: Manitoba Harm Reduction Network
This project will establish two harm reduction networks located in Selkirk and Swan River, Manitoba, based on the successful "Play It Safer Network" model developed in the Northern Region Health Authority of the province. Each network will include public health workers, health care providers, non-governmental organizations, community members and people who use/used drugs. The networks will work to increase knowledge among people who use drugs to reduce their risk of STBBI, prevent onward transmission, and increase access to services for people who use drugs.
Location: Selkirk and Swan River, Manitoba
Tracks-PWID (Phase Four) - Newfoundland and Labrador: Memorial University of Newfoundland
The primary objective of this project is to gain a better understanding of risk behaviors among people who inject drugs in Newfoundland and Labrador to inform future programming for the prevention of sexually transmitted and blood-borne infections. The Tracks: People Who Inject Drugs, Phase Four surveillance system will be implemented in St. John’s and Corner Brook, and two data collection sites will be established in Labrador. Funding will be provided to hire a survey coordinator and interviewers to work with participants in completing surveys and providing biological samples.
Location: St-John’s, Newfoundland and Labrador
Peers Extend, Education and Resources: Mi'kmaw Native Friendship Society
This project will expand the "foot patrol" outreach of the existing peer navigation program provided by Mainline Needle Exchange, operated by the Friendship Society. Additional peer outreach workers will support the expansion into additional communities within the Halifax Regional Municipality that are currently underserved. Peer outreach workers will also travel to targeted areas of mainland Nova Scotia. This project will also support education on safer drug use, and providing people who use drugs with links to health and social services. Expanding peer outreach will support needle distribution, collection of contaminated supplies, peer support, safer drug use education, and links to health and social service for people who inject drugs.
Location: Halifax, Nova Scotia
Well Equipped: Nine Circles Community Health Centre
This project will increase knowledge among people who use drugs on safer drug use and safer sex practices by reaching clients who access harm reduction services through the Health Centre. The project will facilitate same-day referrals to the Health Centre's STI Clinic that will provide STBBI testing services for interested participants. Best practice workshops will be delivered to increase STBBI prevention knowledge through other community-based settings. The training will be also be used to link participants to harm reduction supply distribution, as well as STI testing services.
Location: Winnipeg, Manitoba
Community Connector Program: Northern Healthy Connections Society
This project will help connect people with current or previous experience using drugs to share prevention and harm reduction information with peers, and help increase the uptake of care, throughout three counties in the region of northern Nova Scotia. Peers will be trained on safer sex and drug use, harm reduction, cultural sensitivity, naloxone distribution and use, and storytelling. In year two of the project, these same peers will in turn train additional peer outreach workers. The project will distribute harm reduction supplies on the street, in homes, and where people who use drugs might gather to inject. Additionally, the project will also directly support peers to link people who use drugs to mobile and fixed-site needles distribution programs.
Location: Truro, Nova Scotia
Hub Community Program: Positive Living Fraser Valley
This project will train peer outreach workers who will provide education through community outreach programs to at least 500 individuals in the Fraser Valley Region. Training will be provided to service providers and people with current or previous experience using drugs who will, in turn, provide harm reduction and STBBI prevention to people who use drugs in Abbotsford, Chilliwack, Mission and Hope. Training will include trauma-informed practice, basic communication, non-violent crisis intervention, gentle teaching, basic first aid, and conflict resolution. In addition, this project will complement the Community Hub that will house wrap around services aimed at stabilizing the priority population with Harm Reduction Supplies, Overdose Prevention training and supplies, access to daily nutrition and monthly food hampers, access to infectious disease specialists, assistance with housing placement and retention, and access to the inter-agency care team. It is a joint partnership between PHAC, the City of Abbotsford, Fraser Health Authority, and Infectious Disease Physicians.
Location: Abbotsford, British Columbia
Harm Reduction Outreach Program: Positive Living Niagara
This project expands existing outreach services to more clients and facilitates in-home visits. A peer support network will be developed to engage people who use drugs in project planning and delivery, and to help them build their knowledge and skills to engage with hard-to-reach peers. The project will also provide training and support to family and friends of people who use drugs to improve their ability to influence the behaviours of those at risk of infection and overdose.
Location: St. Catharines, Ontario
Awakening our Strength: A Harm reduction Outreach Program: Positive Living North: No kheyoh t'sih'en t'sehena society
This project will help increase peer outreach services in the Prince George area to increase knowledge among people who use drugs to reduce harmful behaviours and increase awareness of, and access to, health and social services. A network of people who use drugs will be established and opportunities provided for people with current or previous lived experience of drug use to be engaged in community and policy development. The project will also work with service providers to increase their knowledge of the factors that contribute to drug use and addictions, provide overdose treatment training, and develop a comprehensive care model that will help reduce stigma and discrimination experienced by people who use drugs.
Location: Prince George, British Columbia
Tracks: PWID (Phase Four): New Brunswick: SIDA/AIDS Moncton Inc.
This project will be led by AIDS Moncton and rolled out in partnership with AIDS NB, Avenue B, and the Province of NB in Greater Moncton, Greater Fredericton, the Miramichi, and Greater Saint John municipalities. The primary objective of this project is to gain a better understanding of risk behaviors among people who inject drugs to inform future programming for the prevention of sexually transmitted and blood-borne infections. The Tracks: People Who Inject Drugs, Phase Four surveillance system will be implemented and will involve the administration of a surveillance questionnaire and dried blood sample testing for HIV/Hep C.
Location: Moncton, New Brunswick
Tell it to me in Plain Language: SIDA/AIDS Moncton Inc.
This project will work to develop and/or adapt harm reduction educational resources for people who use drugs, specifically those who are functionally illiterate. Input from people who use drugs will be considered in adapting educational resources currently available, using a pictorial approach. In year two of the project, people with current or previous experience using drugs will be trained on the content of the materials, and how to deliver the information to other people who use drugs. Training will also be provided to service providers so that they can share accessible information on harm reduction among their client base.
Location: Moncton, New Brunswick
Peer Outreach Capacity Building: The Alberta Addicts who Educate and Advocate Responsibly
Funding for this project will help increase the capacity of peer outreach staff to, for example, apply promising practices in prevention, decrease stigma, and increase their ability to manage their well-being and that of other people with a current or previous experience of using drugs. Peer outreach will be expanded in suburban communities in Calgary, Edmonton, and Lethbridge.
Location: Calgary, Alberta
Applying Best Practice Recommendations for Canadian Harm Reduction Programs: Kingston Community Health Centres/Centres de santé communautaire de Kingston
This project will update the 2013 Best Practice Recommendations for Canadian Harm Reduction Programs that provide services to people who use drugs and are at risk for HIV, hepatitis C virus, and other harms. The project will also help develop resources and supports to build capacity of front line staff working at harm reduction agencies.
Location: Kingston, Ontario
Primary Care Capacity Improvement: Tx as Prevention: Saskatchewan Infectious Disease Care Network Inc.
In collaboration with the B.C. Centre for Excellence in HIV/AIDS, this project will support the creation of a trained network of HIV and HCV care providers as Saskatchewan’s primary means of providing expert quality care to those living with these infections. Training will be provided to a core group of primary care physicians to increase their capacity to engage and retain people in care. This same core group will then establish a series of on-line and in-person training opportunities for physicians across the province, and provide ongoing mentorship, in order to increase HIV and HCV capacity among providers, and improve health outcomes for people living with these infections.
Location: Saskatoon, Saskatchewan
AIDS 2018, 22nd International AIDS Conference: International AIDS Society
Support for the International AIDS Conference allowed for the delivery of a program focused on issues affecting people who use drugs, implications of drug policies on HIV infection rates, and innovative approaches to harm reduction.
Location: Amsterdam, Netherlands
Partage de matériel de consommation de drogues et transmission du VIH et de l’hépatite C: vers des approches « par et pour » focalisées sur les besoins : Association Québécoise pour la Promotion de la Santé des personnes Utilisatrices de Drogues (AQPSUD)
This project developed a provincial framework for the Harm Reduction Fund in Quebec. This framework identifies communities in Quebec where sharing of drug-use equipment and infectious disease rates coincide. It also identifies where and how peer support interventions may have the greatest impact. This framework was made available to Quebec organizations who applied under phase 2 of the Harm Reduction Fund.
Location: Montreal, Quebec
Establishment of Canadian HIV Phylogenetic Monitoring Platform: The St. Paul’s Hospital Foundation of Vancouver (for British Columbia Centre for Excellence in HIV/AIDS)
This project will support the establishment of a real-time phylogenetic platform to support the analysis of new HIV infection clusters. The data will be provided to provincial and territorial health departments to inform local prevention and testing efforts to limit the spread of these infection clusters among priority populations, including people who use drugs.
Location: Vancouver, British Columbia
For more information regarding the Harm Reduction Fund, please contact the Centre for Grants and Contributions, Public Health Agency of Canada: email@example.com
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