Toronto, Ontario

Casey House

Delivering Expanded Harm Reduction, Overdose Prevention and Response
Requested amount: $58,635

This project has been fully funded – thank you for your support!

The Challenge

The increasingly toxic and unpredictable drug supply is driving overdose risk for people who use drugs, many of whom also live with HIV and other complex health conditions. Reductions in harm reduction supports and Supervised Consumption Services (SCS) across Toronto are creating significant gaps in care: more people using alone, higher overdose mortality, more strain on emergency response services and greater risk of preventable deaths and infectious disease transmission, including HIV and hepatitis C.

Casey House isn’t closing, but they’re helping many more people as a result of the closures, with a 100% increase in SCS visits. Additional support to meet people “where they are” is most urgently needed. Expanded support and hours of available harm reduction aimed at addressing the needs of the most marginalized communities will help mitigate the impact of closures, reduce health inequities and reduce burdens on emergency and acute care settings.

The Approach

In response to rising demand, Casey House is seeking funding to expand SCS hours, harm reduction supply distribution, peer support, and on-site safety measures. Building on this foundation, they propose to implement and evaluate an expansion of their trauma-informed care model. This initiative will extend nursing care and harm reduction services beyond the hospital through increased hours of SCS care, including evenings and weekends and extended capacity during Toronto’s Pride Week.

What Success Looks Like

By meeting people where they are – particularly during Pride season and peak summer activity – Casey House expects that this model will increase access to care, reduce overdose risk, and connect marginalized individuals to essential health and social supports. Success will be defined by increased access to timely, low-barrier services and improved health and safety outcomes in the community.

Key metrics include:

  • Number of client interactions: Total visits to the  SCS and number of encounters through the expanded care team
  • Overdose response activity: Number of  overdoses managed on-site and in the community,  including outcomes where reversal was achieved
  • Harm reduction distribution: Volume of harm reduction supplies provided, including naloxone  kits distributed and used
  • Service linkages: Number of individuals connected to Casey House services (SCS, drug  checking, HIV care, wound care, meals, mental  health supports)
  • Engagement of priority populations: Proportion of care to new individuals impacted by SCS closures or otherwise underserved
  • Repeat engagement: Number of individuals returning for ongoing care or follow-up
Project Timeline

Casey House is positioned to rapidly implement this model, with the ability to recruit and onboard the required staff within 2–4 weeks of funding approval. Once in place, the expanded services will operate according to periods of heightened risk and need.

They will collect and monitor program data over a 4-month period to assess effectiveness, with a focus on understanding how the model addresses critical gaps in care created by the decline in harm reduction and SCS capacity across Toronto. This timeline will enable real-time learning and early insights into service reach, uptake and health outcomes, informing any necessary adjustments and supporting future scale or sustainability.

Funding Need

$58,635 over four months. Note: Casey House relies on private funding for the ongoing operations of its supervised consumption site, and can put any additional money raised towards core site funding.

Budget available upon request.

If you’d like to support or reach out with any questions about this project, please contact:

Alanna Scott (she/her), MM, MHA, CFRE
Chief Development and Marketing Officer
Casey House
119 Isabella Street, Toronto, ON M4Y 1P2
416.324.5105 cell: 647.296.6233
ascott@caseyhouse.ca

If you’d like to contribute directly online, please do so here.