Harm Reduction for Substance Use

Harm reduction services help people stay safer when using unregulated substances. Harm reduction is part of a wider approach that also includes prevention, treatment, and recovery.

Stay safer when using unregulated substances

Drug checking

Get your drugs tested, confidentially and for free. 
Find a drug checking service near you.

Overdose information

Learn how to recognize and respond to an overdose.

Naloxone kits and harm reduction supplies

Get free Take Home Naloxone Kits and harm reduction supplies.

Toxic drug alerts

Get alerts about increases in toxic drug poisonings in your community.

  • Text JOIN to 253787 to subscribe.
  • Text OD to 253787 to anonymously submit information about unregulated drug poisonings.

If you use alone

LifeguardConnect

A mobile app that helps people stay safer when using substances. It includes a “use alone” timer, drug alerts, and quick access to emergency and support services if help is needed.

National Overdose Response Service

A free, confidential phone line you can call when using substances alone. An operator stays with you on the call and can contact emergency services if you become unresponsive.

Call 1-888-688-NORS (6677)

Overdose Prevention Sites

Supervised locations where people can use substances with trained staff nearby. Staff can respond quickly in the event of an overdose and provide harm reduction supplies and support.

Find an overdose prevention site near you.


Get support with substance use

Access Central

Call to talk with a health care team about your drug or alcohol use. You don’t need to know what service you need before you call.

Call 1-888-885-8824

Alcohol and Drug Information and Referral Service

If you want to understand your options, this line can help. They can explain services and help you find supports that fit your situation.

Call 1-800-663-1441

Vancouver Island Crisis Line

If things feel overwhelming or you just need someone to talk to, support is available any time. You don’t have to be in crisis to reach out.

Call 1-888-494-3888 or text 250-800-3806

Kuu-us Indigenous Crisis Line

A 24/7 support line for Indigenous people. You can talk with someone who understands and can offer support in a safe and respectful way.

Call 1-800-588-8717

First Nations Health Authority

Information and resources to support safer substance use and wellness, grounded in cultural safety and community strengths.

More mental health and substance use support

A place to explore more supports, including treatment options and community services across Island Health.

General Information on Harm Reduction for Substance Use

Referral Required?
Not required

News & Events

From left to right: Suman (LPN), Carolyn (RN), Ashley (CNL), Sam (recreation therapist), Brenda (LPN), Marina (RN), Sukhi (LPN)

New substance use service at Royal Jubilee Hospital helps patients in crisis

Adults experiencing significant substance use challenges now have access to a new, dedicated inpatient service at Royal Jubilee Hospital (RJH).

Read more

holding-hands

Island Health researcher and survivor partner develop CPTSD resource

A new online resource is now available to help health‑care providers and trauma survivors across British Columbia deepen their understanding of complex post‑traumatic stress disorder (CPTSD) and enhance trauma‑informed care.

Read more

people laughing at the dinner table

Holiday Health Guide for a joyful season

The holiday season brings joy and celebration, but it can also bring about challenges—from changes in health care schedules to added emotional stress.

Read more