Ontario government to end funding for Peterborough’s supervised consumption and treatment services site

Closure of Fourcast-operated CTS at former bus terminal in the next 90 days follows province's 2024 shift to treatment-focused HART Hub model

Two of the three consumption booths at the Consumption and Treatment Services (CTS) site located at the Opioid Response Hub at 220 Simcoe Street in downtown Peterborough. With medical assistance available on site, substance users at the CTS are monitored in case they suffer an adverse reaction when using. (Photo: Bruce Head / kawarthaNOW)
Two of the three consumption booths at the Consumption and Treatment Services (CTS) site located at the Opioid Response Hub at 220 Simcoe Street in downtown Peterborough. With medical assistance available on site, substance users at the CTS are monitored in case they suffer an adverse reaction when using. (Photo: Bruce Head / kawarthaNOW)

The Ontario government has announced it will end funding for Peterborough’s Consumption and Treatment Services (CTS) site, which has been in operation for almost four years.

The Peterborough CTS site is one of seven CTS sites the Ontario government is closing in communities that now have a Homelessness and Addiction Recovery Treatment (HART) Hub funded by the province.

“Our government is focused on treatment, recovery, and safer communities,” said Ontario health minister Sylvia Jones in a media release on Monday (March 16). “Through our almost $550 million investment to establish HART Hubs across the province, we are ensuring people struggling with addiction can access the care and supports they need to break the tragic cycle of addiction and rebuild their lives while protecting Ontario communities.”

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Located in the former bus terminal at 220 Simcoe Street in downtown Peterborough, the CTS opened in June 2022 to provide a safe and medically supported space for people to consume pre-obtained drugs under the supervision of health professionals. People using the CTS are provided with sterile injection supplies, education on safer consumption practices, drug checking, basic medical services, and referrals to addiction treatment services, housing, and other social services.

The CTS is operated by Four Counties Addictions Services (Fourcast), which is also leading Peterborough’s HART Hub, one of 28 approved across Ontario.

The creation of HART Hubs resulted from the province’s August 2024 “safer communities” announcement that banned supervised drug consumption sites within 200 metres of schools and child care centres. It resulted in the closure of nine existing provincially funded supervised drug consumption sites, including four in Toronto as well as sites in Guelph, Hamilton, Thunder Bay, Ottawa, and Kitchener-Waterloo. CTS sites that were not located within 200 metres of schools and child care centres continued to receive funding.

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Along with Peterborough, the other six sites that will no longer receive provincial funding as a result of Monday’s announcement include two sites in Toronto, two sites in Ottawa, one site in Niagara, and one site in London.

“This latest step responds directly to local concerns over public safety associated with these sites and furthers the government’s plan to fund treatment and lasting recovery from addiction, rather than continued public funding of drug injection sites,” reads the province’s media release.

The Ontario government states it will initiate a 90-day wind-down period “to give clients time to transition to the support provided by their local HART Hub.”

“During this period the government will work directly with the municipalities and community partners to ensure a safe, coordinated wind-down of provincial funding for the drug injection sites and successful transition into the new model of recovery,” the media release states.

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In January 2025, the Ontario government announced $6.2 million for Peterborough’s HART Hub for local service delivery partners to provide a continuum of services for people with complex service needs on their recovery journey from addictions and homelessness.

It delivers primary and psychiatric care, mental health and addictions services (including case management, Rapid Access Addiction Medicine (RAAM), withdrawal management, bed-based addictions treatment, and aftercare), peer recovery coaches, mental health and addictions supportive housing (both transitional and permanent) and dual diagnosis supportive housing with 24/7 community wrap-around services, occupational therapy, and vocational services.

Like all of the HART Hubs funded by the province, the Peterborough hub will not offer safer supply, supervised drug consumption, or needle exchange programs — leaving a gap in services for people living with addiction who are not in treatment.

Harm reduction advocates and healthcare professionals have objected to the provincial government’s decision to shut down CTS sites, stating they decrease public drug use and save lives and reduce pressure on the healthcare system by preventing overdoses.

A report released in September 2022 by Fourcast indicated that, in the first three months since the Peterborough CTS opened, there were a total of 1,584 visits. In July 2022, there were nine overdose incidents at the CTS, with no deaths. Along with a decline in drug-related emergencies in the downtown, the report also found a reduction in public drug use and discarded needles in the community.

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The Canadian Civil Liberties Association (CCLA) has issued a statement that “strongly condemns” the province’s move.

“Safe consumption sites are proven harm-reduction measures that support people who use drugs and people living with addiction. This decision will make it harder to access essential, life-saving health services.”

“Communities across Ontario and throughout Canada are facing an unprecedented toxic drug crisis, alongside escalating homelessness and mental health challenges. This is a moment that demands expanded, evidence-based supports — not reduced access to critical, lifesaving health care services.”

“This misguided decision will put vulnerable and marginalized people at greater risk and will cost lives. The loss of funding for these services will disproportionately harm already marginalized communities, including Indigenous and racialized people, as well as those experiencing poverty and homelessness, who face systemic barriers to accessing health care and other supports.”

The HIV Legal Network and the HIV & AIDS Legal Clinic Ontario (HALCO) has also issued a statement to “unequivocally denounce” the province’s decision, calling consumption and treatment services sites “hubs of community care and support that reduce the risk of overdose and HIV infection, backed by decades of empirical evidence proving their effectiveness.”

“Despite this, the Government of Ontario has tried to systematically dismantle these services since it came into power,” the statement reads. “In 2018, it arbitrarily limited the number of sites that Ontario would fund. In the years that followed, Ontario continued to defund sites or refused to fund new ones.”

According to the HIV Legal Network and HALCO, overdose rates in Toronto alone increased by 50 per cent in January 2026 compared to January 2025 when the province closed the majority of CTS sites in Toronto, “despite warnings from the government’s own experts that overdoses would increase.”

“What we know right now is that more people will die without access to the lifesaving care they receive at supervised consumption sites. These sites exist within our communities and make them better and safer for everyone. We will continue to support the fight to keep them open and keep our community members alive and well.”

 

The original version of this story has been updated with a statement from the HIV Legal Network and the HIV & AIDS Legal Clinic Ontario (HALCO).