ID required at drug use sites as Alberta’s top court dismisses challenge

Click to play video: 'Alberta’s court of appeal dismisses challenge of ID requirement at supervised drug-use sites'
Alberta’s court of appeal dismisses challenge of ID requirement at supervised drug-use sites
Beginning Tuesday, supervised consumption site users in Alberta will have to provide their personal health numbers after an emergency application to stop the requirement was dismissed by the courts. Kim Smith explains. – Jan 31, 2022

EDITOR’S NOTE: This article has been updated with the correct date for when the new rules come into effect, which is on Tuesday.

Alberta’s top court has dismissed an appeal from harm reduction advocates who tried to stop a provincial policy that requires people who want to use a supervised drug-injection site to provide their health-card number to get inside.

The rule will come into effect Tuesday.

The Alberta Court of Appeal heard the emergency request on Friday after a judge denied an application in early January that would have immediately suspended the requirement.

The Appeal Court said in its decision that the chambers judge, Justice Paul Belzil, accepted that there is “an opioid epidemic in Alberta,” but the solutions are not obvious.

“Public health authorities in Alberta are struggling to respond to this epidemic, as are public health authorities in every other province or territory in Canada,” the three Appeal Court judges wrote in their decision.

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“The challenged regulation is part of an overall strategy to respond to the opioid overdose epidemic within the broader framework of the health-care system.”

Read more: Supervised consumption site user says ID policy could be harmful to Albertans

Moms Stop the Harm and the Lethbridge Overdose Prevention Society, the two groups that challenging the Alberta government, argued that the requirement to provide a health-care number could increase barriers to the sites along with the risk of overdoses.

The health number requirement is part of the United Conservative government’s new regulations for existing and future supervised drug-injection sites.

It also obliges service providers to develop “good neighbour agreements” to support community integration and to maintain robust records on clients, adverse reactions to substance use and referrals to treatment. If operators do not meet the standards, they won’t get provincial funding.

Lawyers representing the government said the rule will help service providers guide people to recovery-focused supports and that guidelines afford discretion to operators.

The Appeal Court panel said the central issue is whether the two advocacy groups met the test for an injunction.

“The decision to grant an interlocutory injunction is a discretionary exercise, with which an appellate court must not interfere solely because it would have exercised the discretion differently,” the decision reads.

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“Appellate intervention is justified only for an error of law or principle, where there are palpable and overriding errors of fact, or where the exercise of the discretion is so aberrant that no reasonable judge could have reached the decision.”

The panel also noted that while the lower-court judge was satisfied that the advocacy groups met the burden of establishing that irreparable harm would occur to some users of illicit drugs, it would be “extremely challenging” to estimate how many users might possibly be deterred by the requirement.

“(Government lawyers) have confirmed that Alberta Health has directed that while requesting a personal health number is mandatory at intake, no person will be denied service if they refuse to comply,” the decision says.

Read more: Outreach groups in Calgary, Edmonton take to the streets to monitor for drug overdoses

“It appears the ‘soft practice’ of the Lethbridge Overdose Prevention Site in making ‘reasonable attempts’ to collect Personal Health Numbers during intake or as clients access service, and in using discretion when deciding when to broach the subject… has not resulted in any client walking away without receiving service.”

Edmonton-based lawyer Avnish Nanda, who is representing the plaintiffs, called the ruling a diminishment of the lives of people with substance use issues.

“It’s basically finding that their lives don’t matter or matter enough as part of this equation of whether we can stop government action for a temporary period of time in order to stop irreparable harm that consists of the deaths of substances users,” Nanda said.

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Mike Ellis, associate minister of mental health and addictions, said the regulations are aimed to implement quality standards for supervised consumption services.

“Every Albertan with addiction who accesses the health-care system should have the opportunity to pursue recovery and improve their lives,” Ellis said in a statement.

“These quality standards were introduced to ensure that clients are better connected to the health-care system, to improve the quality of services that are being offered to people with addiction and to improve community safety in the areas surrounding supervised consumption sites.”

Almost 1,400 people in Alberta died from substance-related overdoses between January and October 2021, which is a 26 per cent increase from the period the year before.

Click to play video: 'Alberta will not provide ‘free illegal drugs’ as First Nations grapple with opioid crisis: Kenney'
Alberta will not provide ‘free illegal drugs’ as First Nations grapple with opioid crisis: Kenney

If you or someone you know is using substances, do not use alone. If you are using alone, you can contact the National Overdose Response Service at 1-888-688-NORS for support, or download the Digital Overdose Response System (DORS) or BRAVE app.

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