January 2024 Board of Health Meeting - November 2023 - Monthly SafePoint Site Operations Update Information Report

Meeting Document Type
Information Report
November 2023 - Monthly SafePoint Site Operations Update

BACKGROUND

Overview

  • SafePoint has been open since April 26th, 2023, serving clients 7 days per week between the hours of 10:00 a.m.  6:00 p.m.
  • In order to ensure transparency related to SafePoint operations, the Board of Health is provided with regular updates.

Application Status

  • As of December 2023, the WECHU’s pending application to the province to fund SafePoint as a Consumption and Treatment Services (CTS) site remains on-hold.
  • As no timeline has been provided for the removal of the hold on the WECHU’s application, operations at SafePoint will be paused effective January 1st of 2024.

CURRENT INITIATIVES

Operational Data

It has been seven months since SafePoint opened on April 26th and there has been a total of 1042 client visits and 217 unique clients to date, with 3 overdoses reported and treated on-site. Additional details about the services provided at SafePoint during the month of November are presented in Tables 1-4. 

Table 1.   
Brief overview of unique clients at SafePoint over the period of November 1st to November 30th.

Total Unique Clients: 35

Demographic

Number of Unique Clients

Age

Under 25

5

 

25-64

30

 

65+

0

Gender

Male

21

 

Female

14

  Gender not listed 0

Race

White

29

  Indigenous 2

 

Black, African, or Caribbean

3

  Race not listed 1

Table 2.   
Brief overview of client visits at SafePoint over the period of November 1st to November 30th.

Total Number of Client Visits: 183

Indicator

Number of Visits

Visit by Time of Day

10:00 – 11:59 a.m.

54

 

12:00 – 2:59 p.m.

55

 

3:00 – 6:00 p.m.

74

Type of Visit

Consumption

93

  Other 90

Consumption Visits Reported

Crystal methamphetamine

30

  Morphine 3
  Dilaudid 3
  Fentanyl 32
  Ritalin 18
  Speedball Crystal/Fentanyl 7

Consumption Visits by Method of Consumption

Injection

92

  Intranasal 2
  Oral 0
Table 3. 
Brief overview of other services provided at SafePoint over the period of November 1st to November 30th, 2023.

Total Number of Client Visits: 183

Indicator

Number of Times Service Offered

Drug Checking

On-site fentanyl drug checking

3

Basic Care

First aid

17

  Wound/abscess 40
  Foot care 2

Wraparound Services

 

On-site

Referral

 

Addictions treatment

0

3

 

Mental health

0

6

 

Primary care

33

17

  Social services 163 7

Table 4. Brief overview of on-site overdoses reported over the period of November 1st to November 30th, 2023.

Total Number of Overdoses: 3

Indicator 

Number of Overdoses 

Overdoses Treated On-Site 

3

Overdose Treatments Used 

Naloxone Only

0

Oxygen Stimulation Only 2
Naloxone and Oxygen/Stimulation 1

Overdoses Resulting in a Death at Safepoint

0

Overdoses Where 9-1-1 Was Called

1

Overdoses That Resulted in a Transport to the Emergency Department for Treatment 

0


Client Experience Narrative

Beyond the number of client visits recorded in the month of November, SafePoint continues to demonstrate that the services being offered are having a positive impact on clients, as highlighted through the following client experience narrative:

Anonymous Client

A client was dropped off at SafePoint by their friends for wound care services. The client did not want to use other health services because of percieved poor treatment in the past. The friend did not return to pick up the client, so staff arranged for a taxi to bring the client back to a local shelter.

NEXT STEPS AND FUTURE INITIATIVES

  • The WECHU is collaborating with its community partners to prepare for the service disruption, aiming to minimize impacts on clients as effectively as possible.
  • SafePoint services will continue to be available daily from 10:00 a.m. – 6:00 p.m., up until December 31st  at 6:00 p.m. During this period, SafePoint staff will be meeting with clients to create plans for their care while services are paused and to support connections to other community agencies as needed.
  • The SafePoint Advisory Committee has also prepared a mitigation plan for the pause in services, which identifies several strategies that will be implemented to support clients during this period of transition. The mitigation plans will be shared with the community to ensure that clients, partners, and other affected stakeholders are aware of the strategies and supports in place.
  • While services are paused, the WECHU will continue to communicate updates about SafePoint to the community as new information becomes available. To stay informed, community members can subscribe to receive email updates at www.wecoss.ca/cts. The SafePoint website will remain up-to- date with current information and the online feedback form and SafePoint email (CTSQuestions@wechu.org) will continue to be monitored by the WECHU to address questions and concerns from the community.