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

Where to get help : Addiction Treatment, Safe Supply, Harm Reduction, Counselling

In our Nation, each person is important.
Tl'l to'mukw' Mustimuhw. We care about you and we are here to support you. 


Most people struggle with mental health challenges or addiction at some point in our lives. By getting help, you are taking care of yourself, but you are also taking care of your family, your friends, your community, and your Nation.

This section shows where you can find:

  • Addiction treatment and recovery support
  • Counseling and mental wellness support
  • Safe supply of opioids
  • Harm reduction and overdose prevention support


If you have questions or you’re not sure where to start, call Ts’ewulhtun Health Centre and talk to a nurse. Our support is free, confidential, and culturally safe.


Ts’ewulhtun Health Centre
250-746-6184 | 5768 Allenby Rd, Duncan, B.C.
Monday – Friday, 8:30 am – 4:30 pm (closed 12-1pm) 

We provide culturally safe healthcare, and we can refer you to addiction treatment and recovery services. We also provide Naloxone kits and training.

Safe Supply &
Harm Reduction

Addictions Medicine Support at Slhexun Sun'ts'a Clinic

Tues-Fri, 9:00am to 4:30pm | Slhexun Sun'ts'a Clinic|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. We also provide: nursing, outreach, and social determinants of health supports; harm reduction supplies; naloxone ("Narcan") kits. 

 

Ts'ets'uwut Tth'ele' Mustimuhw (Helping Hearts Outreach Team)

Mon-Fri, 8:30am to 4:30pm | 5768 Allenby Road |Call us at 250-732-4326

·       Ts'ewulhtun Health Centre’s harm reduction and outreach team is available for naloxone (“Narcan”) training, harm reduction supplies, outreach, peer support, and connection to other services. Private, confidential, at-home visits for Narcan training and delivery are available.

 

Cowichan Overdose Prevention Site (OPS) 

5878 York Rd., Duncan  - Open 7 days a week, 8:00am to 8:00pm | 250-597-7779

A safe space with friedly staff and zero judgement. All services are free and confidential. You don’t have to give your name. No questions asked. 

The OPS provides harm reduction services including:

  • safe consumption, including injection and smoking
  • drug testing (takes 5 minutes)
  • needle exchange services
  • harm reduction supplies & education
  • safe supply of opioids

Also provides referrals to addictions treatment services, health services, and other social supports.


Ts’ewulhtun Health Centre 
250-746-6184 | 5768 Allenby Rd, Duncan, B.C. 
Monday – Friday, 8:30 am – 4:30 pm (closed 12-1pm) 
We provide culturally safe healthcare, and we can refer you to addiction treatment and recovery services. We also provide Naloxone kits and training.

 

Used Needles Pickup 

For pickup of used needles, a team can come to your location to collect them.

Call CMHA Sharps Line: 250-732-7736  |  7 days per week, 7:30am to 10:30am

(You may need to leave a voice message with a location and your phone number.)

 

Stop Overdose BC 
An excellent website with detailed information on overdose prevention, harm reduction, and where to get help.


Toward The Heart – BCCDC Harm Reduction Services 
Great information and videos on overdose prevention, Naloxone, and harm reduction.

Addiction Treatment & Recovery 


Kwun’atsustul Treatment Coordinator

Monday to Friday, 8:30am—4:30pm| 250-732-6055 or message on 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, 11:00 am-3:00 pm | Call 250-732-3487 or email Deanna.Thompson@cowichantribes.com

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

Tues-Fri, 9:00am to 4:30pm | Slhexun Sun'ts'a Clinic|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. We also provide: nursing, outreach, and social determinants of health supports; harm reduction supplies; naloxone ("Narcan") kits. 

 

Rapid Access Clinic at Duncan Mental Health and Substance Use

Drop-In Only | Monday—Friday, 10:00am—2:00pm, arrive before 1:30pm | 3088 Gibbins Rd. |250-709-3040

A walk-in clinic for adults with addiction and mental health challenges. Drop-in service, no appointment necessary. Open to ALL Cowichan Tribes members. 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 resources.

 

Cowichan Wellness and Recovery Centre

250-597-7779 | 5878 York Rd. Duncan

Offers a holistic approahc to mental health and substance use through prevention, treatment, and recovery services.

 

Island Health - Duncan Mental Health and Substance Use
250-709-3040 | 3088 Gibbins Rd., Duncan
Open to ALL Cowichan Tribes members. Provides a timely, single point of entry for all adult Mental Health and Addiction Services in the Cowichan Valley. Intake staff will connect individuals with the most appropriate service.

 

FNHA Virtual Substance Use and Psychiatry Service

1-855-344-3800 for referral | 7 days a week, 8:30am-4:30pm.
Open to ALL Cowichan Tribes members. Provides access to specialists in addictions medicine and psychiatry as well as mental health and wellness care coordinators.

 

Phoenix Wellness Clinic
Mon-Fri, 9am to 4pm | 604-260-7252 | 5873 York Rd., Duncan
Provides treatment and recovery support for opioid addiction. The clinic also offers a family physician for patients who do not have one. 
Email: outreach@phoenixclinic.ca


Warmland Shelter & Sobering Centre 
250-715-1132 | 2579 Lewis St., Duncan
Offers supported, transitional, and emergency housing and shelter (for adults only), as well as for those coping with addiction and mental health challenges


Narcotics Anonymous - BC Region
12-step recovery program for people with substance use disorders.

Counseling & Mental Health Support

Kwun’atsustul Counselling   
250-746-6184 |Monday-Friday 8:30 am – 4:30 pm

We provide counselling and treatment referrals. Our services are free, confidential, and culturally safe.  

We have on-call counselling available if you are experiencing a crisis or just want to talk.  Contact Ts’ewulhtun Health Centre at 250-746-6184 to talk with an on-call counsellor.  

For more info and resources, visit their Facebook page 

Youth Substance Use Supports & Counseling (Island Health)

·       YSTAR Youth Short-Term Assessment and Response| 250-739-5790 | 7 days a week, 9:00am to 11:00pm. Serves youth in crisis, primarily with substance use concerns. Outreach, harm reduction, assessment & support. For youth aged 12 to 19.

·       Youth & Family Substance Use Counseling |250-739-5790 | Mon.-Fri., 9am to 5pm. Youth aged 12 to 19.


Canadian Mental Health Association
Counselling and other supports for youth, adults and other services (including Warmland Shelter): 250- 746-5521 

Help Lines (Open 24 hours)

Ku-uus Crisis Response:  1-800-588-8717 
Child/Youth: 1-250-723-2040 
Adult/Elder: 1-250-723-4050
24-hour support for Indigenous people by Indigenous people.

Vancouver Island Crisis Line: 1-888-494-3888  
The Vancouver Island Crisis Line provides a supportive listening ear for people in emotional distress and connection to emergency mental health services when needed.  

Victim Link BC: 1-800-563-0808

Children’s Helpline: 310-1234

Suicide Helpline:  1-800-784-2433


Embracing Life - Cowichan Tribes
250-715-1160
Provides prevention and follow-up activities for children, youth and families to prevent and respond to the risk of crisis or suicide. Contact Michelle Louie: 250-715-1160.


Cedar Wellness
250-748-1592 | Email | 112 Station St., Duncan
Provides culturally safe counselling and mental wellness support.


First Nations Health Authority - Mental Health
1-885-550-5454
Provides information on how to access counseling and mental wellness supports that are covered by Heath Benefits, including Mental Wellness and Counselling, Indian Residential School Resolution Health Support Program, Missing and Murdered Indigenous Women and Girls Health Support Services.

Hwial'asmut ch tun' s-ye'lh   Take Care of Your Health