Prescription pills containing oxycodone and acetaminophen are shown on June 20, 2012. How governments fund the country’s fight against the opioid crisis may contribute to “a lack of progress” on the issue, says newly disclosed documents that probe an alternative financing model eyed by Health Canada. THE CANADIAN PRESS/Graeme Roy

Report tells Health Canada to rethink funding in opioids fight

Report says feds should focus funding where service providers are helping people with opioid-use disorder

How governments fund the country’s fight against the opioid crisis might explain ”a lack of progress” on the issue, say newly disclosed documents on an alternative Health Canada is considering.

The paper obtained by The Canadian Press suggests federal officials should focus funding where service providers can prove they are helping people with opioid-use disorder.

“It can be argued that the focus on inputs and outputs using grants and contributions funding, rather than on outcomes, has not proven optimal for addressing many pressing social challenges and may be contributing to a lack of progress in addressing the major challenges of the opioid crisis,” the report says.

Funding programs based on a tight focus on successful results is something Health Canada has reviewed for months as part of a wider federal effort to find new ways to finance and test social services in a way that limits risk to government coffers.

How that works is a service provider, usually a non-profit, partners with a private financier to front the money for a project — and the government pays out if it succeeds.

The paper suggests governments focus on projects for high-risk populations, with clearly definable goals, or “evidence to suggest that they can achieve the target outcomes.”

Health Canada says it is reviewing the report, but hasn’t set timelines for any decisions.

“Health Canada will continue to explore innovative approaches to funding interventions, in order to identify new and more effective ways of supporting Canadians with opioid-use disorder,” spokeswoman Maryse Durette wrote in an email.

The paper was a final report from Toronto-based Centre for Addiction and Mental Health — Canada’s biggest mental-health teaching hospital — and the MaRS Centre for Impact Investing, which were helping Health Canada study social-impact bonds, as the financing model is known.

These kinds of arrangements have helped fund about 20 health-related projects worldwide.

One section of the report notes the political implications for governments.

The paper says paying for certain outcomes “may be more difficult to defend from public scrutiny than paying for others.” And paying returns to investors could go over poorly, even if they have funded projects that met their goals.

The proposed bond to address the opioid crisis has caught the attention of the Ontario government as well as Addictions and Mental Health Ontario, which represents about 200 organizations in the province.

The report says both have “high interest” in becoming partners.

“Perhaps by considering other kinds of financing options you may be able to get access to other kinds of players, or other kinds of models, or other innovative means of financing to develop some of these interventions and get them going,” said Dr. Abhimanyu Sud, director of the group Safer Opioid Prescribing, and an assistant professor at the University of Toronto.

“They’re not going to happen without government involvement. You do need government to back them in some way, either to provide the return or to provide the base payments depending on what the model may be.”

In mid-January, federal Health Minister Patty Hajdu talked about moving beyond measuring the success of federal funding by counting how many needles a clinic bought or how many information posters it put up, or the number of encounters with patients a group had.

“What we want to know really is, what are the outcomes,” she said on a visit to Vancouver’s Downtown Eastside.

“So we work with our partners on those evaluations and try to get to a more tangible outcome evaluation so that we can answer those questions.”

READ MORE: Opioid crisis to blame for shorter life expectancy in B.C. men, says Stats Can

— With files from Hina Alam in Vancouver

Jordan Press, The Canadian Press


Like us on Facebook and follow us on Twitter.

opioids

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

No bucks for Ellison park expansion, ministry tells Vernon chamber

Vernon Chamber of Commerce vows to help government connect with potential funding partners to see Chelsea Estate purchased

COVID-19: Vernon fields and courts ready for booking

Local sport organizations will soon be able to get back out on the field for limited activities

$500 fine for Vernon man caught near Coldstream playground

Richard Slobodian, 58, served one night in jail and ordered to pay for breaching probation

House arrest for Vernon physiotherapist guilty of sexual assault

Stephen Witvoet to serve 18-month conditional sentencing following July 8 hearing

Kelowna woman fights off nighttime intruder

Kelowna RCMP are investigating a break-and-enter on Richter Street

B.C. identifies 20 new COVID-19 cases, travellers specified in count

Pandemic total 3,028 cases, 51 people from outside Canada

Kelowna taxpayers could pay $90K for losses caused by cancelled Memorial Cup

$135,000 would be put aside for a potential bid for a future opportunity to host the tournament

Canadian policing organization calls for decriminalization of simple illicit drug possession

Canadian Association of Chiefs of Police want policing focus of opioid crisis to be replaced with a health one

Motorcycle rider seriously injured in collision with vehicle on Highway 97 west of Pritchard

Chase RCMP report that motorcycle was attempting to pass when crash occurred

Predator mutilated cats in Kelowna: BC SPCA

The BC SPCA confirmed a mutilated cat was killed by a predator

LETTER: Former Summerland mayors speak out on solar project

Five former Summerland mayors sign name to short letter

Emergency crews conduct CPR on unresponsive person in Okanagan Lake

West Kelowna emergency crews are on scene at the shores of Jubilee Mobile Home Park

Filing deadline in RCMP sexual-harassment class-action extended due to COVID-19

Plaintiffs now have until January 2021 to submit claims for up to $222,000

Jamie Bacon pleads guilty to charge in Surrey Six case

The plea brings an end to a complex legal case that has spanned more than a decade

Most Read