Drug decriminalization in BC reduced police encounters for drug possession, with no changes in drug-related deaths

British Columbia’s drug decriminalization policy was associated with a substantial decrease in police encounters for drug possession, while neither decriminalization nor the subsequent partial recriminalization was associated with detectable changes in deaths due to drug toxicity or drug-related hospitalizations, found new research in CMAJ (Canadian Medical Association Journal).

In January 2023, the Government of British Columbia introduced a time-limited initiative that decriminalized possession of up to 2.5 grams of opioids, cocaine, methamphetamine, and methylenedioxymethamphetamine (MDMA or ecstasy). The aim was to reduce overdose deaths and increase treatment engagement by reducing fear and stigma that lead to hiding substance use or using drugs alone and avoiding treatment and support. In May 2024, following concerns about drug use in public and public safety, the government partially recriminalized possession in most public spaces, while it remained decriminalized in designated spaces. In January 2026, the government of BC opted not to renew the decriminalization initiative.

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