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Middlesex-London Health Unit

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Carepoint Consumption and Treatment Service

Regional HIV/AIDS Connection's Carepoint Consumption and Treatment Service is a life-saving support and service to respond to the growing opioid crisis in Middlesex-London.

446 York Street
London, Ontario

Open 7 days a week, including statutory holidays from 9:30AM to 9:00PM (*last intake is at 8:00PM).


The site is intended to:

  • prevent overdose deaths,
  • reduce the spread of infectious disease,
  • reduce unsafe consumption practices, and
  • increase access to health and social services.

What services and supports are offered?

The site offers a low-barrier, hygienic, stigma-free environment for people to use pre-obtained drugs under the supervision of harm reduction workers and medical staff. Individuals are provided with a range of sterile harm reduction supplies, education on safer consumption practices, overdose prevention and intervention (i.e. use of oxygen and naloxone), and medical and counselling services. “Wrap-around” supports such as referrals to drug treatment, mental health services, housing, primary care, indigenous support, income support and other services are also offered at the site.


Evaluation of London's Temporary Overdose Prevention Site

Saving Lives. Changing Lives. Findings from an Evaluation of London's Temporary Overdose Prevention Site

Comprehensive Report (PDF)

Summary Report (PDF)


Virtual Tour

Please note: Carepoint Consumption and Treatment Service is now located 446 York Street. The virtual tour below showcases the previous location at 186 King Street.

Check out the Virtual Tour of the Temporary Overdose Prevention Site below. Details of each of the main rooms and how people access the services at the site are provided below.

What is the layout of the site?

TOPS Floor Plan

Floor Plan (Room Pictures)

To view pictures from inside the rooms, please click the links below. Note: The pictures below match the numbers inside the floor plan.

1. North Entrance 6. Aftercare Room
2. Vestibule 7. Counterpoint and Needle and Syringe Program
3. Waiting Room 8. Community Partner Engagement Room
4. Intake Space 9. Regional HIV/AIDS Connection – Main Reception
5. Injection Room  

Entry to the Site:

Individuals can enter the waiting room directly through the north entrance of 186 King Street. While a person can access the site through the south entrance to Regional HIV/AIDS Connection (RHAC), they are strongly encouraged to use the north entrance as a direct customer service experience. However, if they do access through the south entrance, the receptionist lets the staff know there has been a request for customer service. A staff member greets the individual and goes with them to the waiting room.

Entry to the Site

Pictures: North Entrance, Regional HIV-AIDS Connection Main Reception


Waiting Room:

In the waiting room, staff greet individuals and find out the individual’s service needs which may include the Temporary Overdose Prevention Site and/or Counterpoint Needle and Syringe Program.

Waiting Room

Pictures: Waiting Room


Intake Space:

In the intake space, staff gather information from individuals before they can access the overdose prevention site (e.g. release forms, rights and responsibilities, drug consumption information, health considerations, etc.). A code of conduct is reviewed with each individual and also posted in the waiting room, intake space and injection room.

Intake Space

Pictures: Intake Space


Injection Room:

In the injection room, people are greeted by a harm reduction worker and asked to provide a code unique to each individual. This code provides an anonymous way to track individual visits and log substances used at each visit. Individuals are also greeted by medical staff who are able to provide support in the injection room, if needed.

There are two tables with four spaces for people to sit and use their pre-obtained drugs with the supervision of both harm reduction workers and medical staff. Sterile harm reduction equipment and supplies are available in the injection room to help people use safely, including syringes, alcohol swabs, sterile water, sterile filters, a tie and a cooker. Lighters are also available for individuals to heat their drugs before injecting them. Vitamin C is also available for dissolving certain drugs. All supplies are provided in sterile packaging, with the exception of ties (i.e. tourniquets). All items are one-time use and are discarded afterwards into disposal bins located at each table.

The nursing station is staffed by one medical professional (e.g. nurse or paramedic). The nursing station includes supplies for first aid and wound care assessment. Oxygen tanks and Naloxone (Narcan) are available to respond to any potential overdoses. Both injectable and nasal Naloxone are available.

There is a zero tolerance policy for any dealing or sharing of drugs between clients at the site. To help with flow, individuals are asked to limit time in the injection room to 20 minutes although this is flexible based on individuals needs (e.g. if someone is having difficulty finding a vein).

Injection Room

Pictures: Injection Room, Injection Supplies, Supply Kit


Aftercare Room:

In the aftercare room, individuals are greeted by staff from one or more of the community organizations providing services at the TOPS including:

  • Addiction Services of Thames Valley (ADSTV)
  • Canadian Mental Health Association Middlesex (CMHA – Middlesex)
  • London InterCommunity Health Centre (LIHC)
  • Regional HIV/AIDS Connection (RHAC)
  • Southwest Ontario Aboriginal Health Access Centre (SOAHAC)

The aftercare room provides an opportunity for individuals to continue to be observed for any complications including potential signs of overdose. Individuals also have the opportunity to connect with various health and social services, including: drug treatment, mental health services, housing, primary care, indigenous support, and income support. When individuals are ready to leave the aftercare room, they exit through the waiting room and out the north door.

Aftercare Room

Pictures: Aftercare Room


Counterpoint Needle and Syringe Program:

The Counterpoint Needle and Syringe Program has been operating at Regional HIV/AIDS Connection for over 25 years. People can access various harm reduction supplies such as needles, syringes, cookers, ties, vitamin C, sharps containers of various sizes, alcohol swabs, sterile water, safe inhalation kits, filters, snorting kits, hot railing kits, and naloxone kits. People can choose to use the Counterpoint Needle Syringe Program before or after they have used the injection room.

Counterpoint Needle and Syringe Program

Pictures: Counterpoint Needle and Syringe Program


Community Partner Engagement Room:

One of the offices of RHAC is available, as needed, as private space for community partners to meet with individuals for intake, counselling, HIV/Hep C Point of Care testing, vaccines, etc.

Community Partner Engagement Room

Pictures: Community Partner Engagement Room


Who operates the site?

The Temporary Overdose Prevention Site is operated in partnership between the Regional HIV/AIDS Connection and the Middlesex-London Health Unit.

The Temporary Overdose Prevention Site is also a partnership between several health and social service organizations that offer support at the site:

  • Addiction Services Thames Valley (ADSTV)
  • London Intercommunity Health Center (LIHC)
  • Southwest Ontario Aboriginal Health Access Center (SOAHAC)
  • Canadian Mental Health Association (CMHA)
  • London CARes Homeless Response Services

For more information:

Phone: 519.663.5317

Date of creation: November 27, 2018
Last modified on: May 1, 2023