Commentary: Responding to the Opioid Crisis in Congregate Encampments

Abstract

The frequency of opioid overdoses is increasing, and the use of fentanyl and fentanyl analogues in illicit substances has increased toxicity. In British Columbia, the opioid crisis has worsened since it was declared a public health emergency in 2016. Meanwhile, impermanent tent communities of people experiencing homelessness are being dislocated over concerns about illicit substance use. Recognizing the inaccessibility of naloxone for congregate encampment residents, this discussion piece builds upon current public health knowledge and urban forest management strategies to suggest key opportunities for increasing the accessibility of naloxone. These opportunities include recognizing peer-based care and the role of grassroots organizations in promoting naloxone accessibility.

Keywords

• take home naloxone
• public parks
• homelessness
• substance use
• fentanyl
• fentanyl analogues
• tent cities