Inside Toronto's new drug withdrawal centre

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Inside Toronto's new drug withdrawal centre
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Peer support specialist Joshua Orson poses in a room at Unity Health’s new Withdrawal Management Services site in Toronto on Tuesday, Oct. 29, 2024.

The new 36-bed downtown centre is 1 of 4 operated by Unity Health Toronto, and is part of the province's shift to an abstinence-based approach to the toxic drug crisis. Joshua Orson sits on the edge of a bed in a bright, clean room, thinking about his journey from addict to health-care worker.

It is a vastly different space from its previous iteration, where Orson got clean — a dorm-style room inside a homeless shelter without private beds. It sat in an ancient building with an old heating system and poor ventilation. But spots open up frequently as the program is designed for short-term residential stays, he said, and day programs are also available.Unity also operates two other withdrawal centres in the city with 51 beds. They are also full.Illicit fentanyl emerged in Ontario about a decade ago as the opioid crisis spread slowly eastward from British Columbia. Opioid overdose deaths spiked soon after.

The province will instead launch 19 new "homelessness and addiction recovery treatment" — or HART — hubs, plus 375 highly supportive housing units at a planned cost of $378 million.Through gangs and organized crime, opioids have found their way into virtually every nook and cranny in Ontario, from big cities such as Toronto and Ottawa to remote, fly-in First Nations in the north and everything in between.

Patients can return for the day program to help maintain their recovery. The benefits of the new space aren't just limited to patients, Dhalla said.'What people really need is hope'

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