Ni tsun hwule'lum'ut ch'   I take notice of you (I care)
Opioid Response

Important Information About Drug Use & Opioids


  1. Don't use drugs alone! Buddy up if you can. Most deaths happen when people use alone, and no one can call for help. Use the buddy system, and make sure someone is sober to watch you. If you have to use alone, download and use the LifeGuard App on your phone.
  2. Have Narcan and know how to use it. Call the Outreach Team for free Narcan and training: 250-732-4326. Private, confidential, at-home training available. Or visit a local pharmacy. Online training is available at​
  3. Start with a small dose, go slow. Even if you have used a substance before, each batch can have different strengths. Try a small amount first, and go slow with your use in case it has a delayed affect.​​​​
  4. If there is an overdose: CALL 9-1-1, GIVE NARCAN, GIVE BREATHS.     CALL 911 RIGHT AWAY when there is an overdose. Police can NOT arrest you or anyone at the scene for simple drug possession or breach of conditions.
  5. Use at the Overdose Prevention Site (OPS). 5878 York Road. Open 7 days a week, 8am to 8pm. A safe and welcoming space. Confidential drug testing available. You don't have to give your name.​​​​​
  6. Help is available. For help accessing treatment, call Lex, Kwun'atsustul Counseling's Treatment Coordinator: 250-732-6055 or message on Facebook (Kwun'atsustul Treatment). For medical support, including medical support for opioid addiction, call 250-715-3322 to book an appointment with our Addictions Medicine Physician, Dr. Elizabeth Plant. ​​Read more below and on our where to get help page.

Where to get Help with Addiction

For help with addiction, ALL Cowichan Tribes members can access helpful services and supports from Ts’ewulhtun Health Centre, Island Health, and the First Nations Health Authority.


Kwun’atsustul Treatment Coordinator

Monday to Friday, 8:30am—4:30pm| Call: 250-732-6055 or message via Facebook.

·         Kwun’atsustul Treatment Coordinator Alexis Cage helps Cowichan members with support, detox, and treatment for substance misuse and addictions.


Sa'qw'thut Culturally-Grounded Treatment Program

Tues—Fri, 11:00am—3:00pm|Call: 250-732-3487 email:

·         Cowichan Tribes’ culturally-grounded treatment program based on the Quw’utsun Snuw’uy’ulh (Teachings).  Open to Cowichan Tribes members and their families.


Addictions Medicine Support at Slhexun Sun'ts'a Clinic

Mon-Fri, 9am to 4:30pm |121 Ingram St   Call 250-715-3322 for appointment

·       Dr. Elizabeth Plant can provide medical support for substance misuse, and help members who are using opioids or need support for withdrawal. Drop-ins with Dr. Plant are 1:00pm-3:30pm, Mondays & Thursdays

·       Nursing, outreach, and social determinants of health supports. Harm reduction supplies. Naloxone kits. 

Rapid Access Clinic at Duncan Mental Health and Substance Use

Drop-In Only | Mon-Fri, 10am to 2:00pm, arrive before 1:30pm | 3088 Gibbins Rd. |250-709-3040

·         A walk-in clinic for adults with addiction and mental health challenges.

·         Open to ALL Cowichan Tribes members.

·         Drop-in service, no appointment necessary. Please arrive before 1:30pm. Adults drop in for a 40 to 60 minute conversation with a supportive healthcare professional.  Options are given for next steps such as referrals to detox, treatment, or other helpful support resources.


Cowichan Overdose Prevention Site

Open 7 days a week, 8am to 8pm | 5878 York Road | 250-597-7779

·         A safe space with friendly staff and zero judgment. You don’t need to give your name.

·         Supervised consumption including injection and smoking. Provides supports and referrals to detox, treatment, and safe supply of substances. ​​​

Download the How to Respond to an Overdose Poster, and please share on your social media:
How to respond to an opioid overdose-sml.png

Reports & Documents

About the Working Group

Cowichan Tribes' Opioid Crisis Response Working Group is a cross-departmental, standing working group of Cowichan Tribes managers and staff.

Our Vision: A strong, safe, healthy Nation, free from addiction and drug poisonings, wheremembers are firmly grounded in Quw’utsun culture and get the services and supports they need, delivered by Cowichan Tribes.

Our Purpose: Lead and coordinate Cowichan Tribes’ ongoing response to the crisis of addiction and tosic drug deaths.

Our service delivery work includes: overdose prevention and harm reduction; direct outreach and support for at-risk members and youth; addiction treatment and recovery support; detox referrals; counselling, mental health, and cultural support; and, data collection and monitoring to inform situation reports & updates.

Tl'i' to' mukw' mustimuhw   Each person is important