Proximity and involvement

Fixed Site SIS (supervised injection site)

The Fixed Site is a distribution and recovery centre of injection, inhalation and prevention equipment: syringes, sterile containers (Stericups), water bulbs, Pyrex pipes, condoms. The intervention team located on-site also uses the premises for listening and support.

Open 7 evenings/nights per week, the Fixed Site receives between 120 and 200 daily visits. Those attending have access to information on safer drug use, safe sexual practices and blood-borne (BBSI) and sexually transmitted infections. The Fixed Site team remains available to guide and accompany people to community resources that meet their needs.

An on-site nurse provides consultation and screening to injecting and inhaling drug users, as well as to sex workers.


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Messagers de rue (Street Messengers)

The Messagers de rue (Street Messengers) have a drug use, homelessness and/or sex trade background. They understand the realities of the environment. In teams of two, they walk the streets of Ville-Marie borough to distribute injection, inhalation and prevention equipment.

The Messagers also provide information that enables people to adopt safer behaviors. Their knowledge about existing resources also allows them to guide individuals according to the needs expressed.


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Outreach work

Two CACTUS Montréal outreach workers move through Ville-Marie territory to meet people, develop bonds with them and spend time in the places they frequent. Education for safer drug use and prevention of BBSI’s are among their priorities.

The outreach workers distribute sterile equipment, recover used equipment and provide preventive information. They accompany individuals in their dealings with other community organizations, the health and social services network, or the legal system.

Outreach work aims to increase the well-being and autonomy of the people met. The overall improvement in the quality of life, as defined by each individual, is at the heart of the work of these workers.

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Programme de lieu d’accueil et d’implication sociale pour les personnes utilisatrices de drogues par injection et inhalation, responsables et solidaires.

Located on the premises of CACTUS Montréal, PLAISIIRS is a meeting place where drug users can build common projects together. But it is also – and above all! – a program that focuses on popular education and citizen participation to improve quality of life.

At PLAISIIRS, drug users are full citizens. By giving them a taste for investing in their community, the program seeks to develop their self-reliance and their civic conscience. Every week, participants establish together the activity schedule, which focuses on social involvement and the importance of taking care of oneself. In addition to the PLAISIIRS instructors and facilitators, a community worker accompanies participants in all steps that they wish to undertake.


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Action Santé Travesti(e)s et Transsexuel(le)s du Québec (ASTT(e)Q)

ASTT(e)Q promotes the health and well-being of the trans population. The project supports individuals in their daily lives, offering support services and weekly group meetings. In addition to banking on the involvement of trans people, mutual assistance and empowerment, ASTT(e)Q relies on the contribution of an outreach worker and peer educators, who are involved in the locales and resources frequented by trans people.

Defending rights, raising awareness and educating society are also at the heart of ASTT(e)Q’s action. The living conditions of trans people are directly linked to the inequalities that still exist in our communities. To ensure equitable access to employment, housing and health services, it is necessary to eliminate prejudices surrounding the realities of trans people. Therefore, ASTT(e)Q intervenes in agencies, institutions and detention centres to foster better inclusion of trans people.


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Groupe d’intervention alternative par les pairs (GIAP)

The GIAP works with young people in precarious situations who frequent central Montréal neighbourhoods. The mission of the group is to prevent the transmission of HIV, hepatitis C and other blood-borne and sexually transmitted infections (BBSI) while reducing the negative impacts of drug use and the street lifestyle.

GIAP has a team of several peer helpers, youth who have lived on the streets at one time or another.

Intervention by peer helpers focuses on the experiences that they share with all young people reached. Through empowerment, harm reduction, as well as a humanist and respectful approach, peer helpers promote the adoption of safer behaviours.