The Decriminalization of Illicit Drugs in British Columbia

Canada has announced their plans to decriminalize small amounts of illicit drugs in British Columbia by January of 2023. They are hopeful this will lower high rates of overdoses.

Graffiti about drug decriminalization. Ted’s Photos. CC BY-NC-SA 2.0.

In British Columbia, Canada, where thousands of overdose deaths occur each year, officials have decided to try decriminalizing small amounts of illicit drugs. The illicit drugs in question include heroin, cocaine, opioids, methamphetamine and more. Residents of British Columbia 18 years or older will be allowed to possess a maximum of 2.5 grams of these drugs without penalty, a policy that will take effect in January of 2023. This policy comes from an exemption from the Controlled Drugs and Substances Act that makes these drugs illicit, which was granted to British Columbia for a three-year trial run.

Officials hope that by decriminalizing small amounts of these drugs, dependent users will feel less afraid of prosecution and stigmatization if they do decide to seek drug-related help. Further, by tackling rates of drug deaths as a public health issue, BC Government News says “the Province will create new pathways to support those seeking treatment.”

Since the height of the pandemic in 2020, British Columbia has struggled with high rates of illicit drug abuse and overdose deaths. In 2020, drug-related death rates rose into the two-thousands, a problem that since 2016 had been declared a public health crisis. Most of these deaths occur when drug users hide their addiction from friends and family, fearing the reaction or stigmatization that will come from their loved ones learning of their addiction.

By decriminalizing these drugs, Canada hopes to reverse this effect; Dr. Theresa Tam, Canada’s chief public health officer, wrote in a tweet: “Stigma and fear of criminalization cause some people to hide their drug use, use alone, or use in ways that increase the risk of harm. This is why the Government of Canada treats substance use as a health issue, not a criminal one.”

Street use in Vancouver. Ted’s Photos. CC BY-NC-SA 2.0.

The exemption to be instituted in 2023 has found support from family and friends of deceased drug users and was even supported by the police associations and chief coroner. Though some call for even further decriminalization – a policy that would expand the 2.5 gram limit to larger amounts – health officials in Canada believe 2.5 grams is a good trial starting point. Harm reduction is their main goal; British Columbia’s Provincial Health Official Dr. Bonnie Henry stated, “This is not one single thing that will reverse this crisis but it will make a difference.”

In requesting an exemption from the Controlled Drug and Substances Act, British Columbia also stated that drug-related felonies and arrests disproportionately affect already marginalized communities. In decriminalizing small amounts of drugs, the authorities will reduce  punitive actions and may help to decrease the stigmas around drug use that cause people to hide their addictions. 

Turning Point of Tampa has also stated that experts on drug incarceration have stated that imprisonment does not deter drug use, and problems such as substance abuse, mental health issues and fear of open drug use worsen when sentenced to prison time. Peer clinical adviser Guy Felicella told the New York Times, “Arresting me and incarcerating me for all those years for using drugs never stopped me once from using drugs — even when I went to prison. It didn’t do anything except create stigma and discrimination, shame,” which is the exact thing Canada is trying to end through decriminalization.

Hoping to reduce the stigma surrounding drug use that leads to deaths due to fear of judgment and sequentially more dangerous usage, Canada is waiting to see how this exemption in 2023 will reduce rates of drug-related deaths, and whether further decriminalization is needed. 

To Get Involved:

The Canadian Drug Policy Coalition (CDPC) is an advocacy organization that is fighting against the harm caused by drug prohibition laws. Campaigning with a platform centered on decriminalization, the Coalition strives to reduce the high rates of drug overdose deaths in Canada. To learn more about the CDPC’s mission and to support their work, click here.


Ava Mamary

Ava is an undergraduate student at the University of Illinois, double majoring in English and Communications. At school, she Web Writes about music for a student-run radio station. She is also an avid backpacker, which is where her passion for travel and the outdoors comes from. She is very passionate about social justice issues, specifically those involving women’s rights, and is excited to write content about social action across the globe. 

Middle Eastern Countries Combat Stigma Surrounding Mental Health

While the stigmatization of mental health issues is common worldwide, sociocultural factors specific to the Middle East often prevent individuals from seeking treatment.

A drawing depicting mental health issues. Pixabay.

Mental health services are more urgently needed now than ever before. The world is currently facing a mental health epidemic, with over 264 million people struggling with depression in 2019. The additional stress and uncertainty caused by the COVID-19 pandemic have caused anxiety and depression levels to skyrocket. For many individuals, it has become even harder to participate in counseling programs. According to the World Economic Forum, over 93% of countries have reported a disruption in their mental health services since the pandemic started. 

In the Middle East, mental health awareness continues to rise, especially in the Gulf countries among the nations’ youth. A recent poll conducted in the Gulf region reported that 62% of youth agree that mental health issues are important. Even so, a recent survey in Saudi Arabia revealed that 80% of people struggling with severe mental health issues do not seek treatment. Similarly, this year’s Arab Youth Survey, which interviewed 4,000 young adults ages 18-24 from 17 Arab countries, revealed that mental health issues are rampant, with the number of people affected continuing to rise. 

Difficulties in Obtaining Proper Mental Health Care

The Kaaba in Mecca, Saudi Arabia, the holiest site in Islam. Konevi, Pixabay.

A prevalent culture of stigmatization in Middle Eastern countries prevents many individuals from seeking treatment in the first place. Due to the shame associated with mental health issues, privacy between the client and their mental health professional is of utmost concern. In many cases, mental health issues place a burden on a family’s reputation and social status. Rania Raine, a 43-year-old British-Egyptian art teacher who struggles with mental health, states that, “It’s the ‘shame’ families have, that their child isn’t perfect, that their lives are not perfect and what will people say, what will the neighbors say, society say–and then it all leads to marriage, how no one will marry the child who has a mental health condition, or worse still, ruin the chances of marriage of the other siblings.” 

Although the stigmatization of mental health conditions is common in Muslim communities, Ph.D. researcher Mounira al-Dousari states that they are “reflections of cultural practices and discourse.” There is a growing movement among mental health professionals to include faith in therapy, which results in a faster recovery for some clients. It’s also important to note that many forms of therapy use predominantly Western practices, which need to be diversified to appeal to a larger audience. According to Dousari, “When it comes to Islam, Muslim scholars and those working in the mental health field are working harder than ever to establish well-structured Islamically integrated psychotherapy models.”

Additionally, the financial burdens of seeking mental health treatment raise another concern. Even though mental health care is free in some public hospitals, many people do not trust them due to privacy concerns. Prices for private mental health care sessions are quite expensive. For example, Dousari’s research sessions cost $225 an hour, a large sum even for well-off families. 

Historic Treatment of Mental Illness in the Middle East

An entrance to the Moristan of Kala’oon, a mental health hospital in Egypt, 1878. Werner. CC2.5

Although mental health remains a prevalent issue in the region, the Middle East was well known for mental health treatment during the Islamic Golden Age. The term bimaristan, Persian for “home for the sick,” refers to entire psychiatric hospitals where a patient’s mind, body and soul were considered part of the treatment process. First opened in Fez, Morocco, and in Baghdad in the eighth century and later in Cairo, Damascus and Aleppo in the ninth, the practice was initially introduced by physician Ahmed ibn Sahl al-Balkhi. A famous manuscript written by Balkhi called “Sustenance for Bodies and Souls” was written in clear, understandable language and helped make mental health education more accessible to the public. Unfortunately, the practice declined throughout the centuries and does not occur in the mainstream today. 

Additionally, Dr. Mamoun Mobayed, director of the treatment and rehabilitation department at Behavioral Healthcare Center in Qatar, emphasizes that the stigmatization of diseases is a global phenomenon. “Any disease thought to be infectious or bizarre-looking, like leprosy, has always been stigmatized. Even with COVID-19, there have been cases where paramedics working with COVID-19 patients have been avoided due to the fear and stigma attached to the virus.”

In recent years, mental health awareness in the Middle East has become a top priority, with many countries starting their own wellness initiatives and campaigns. 

Qatar Paves the Way in the Gulf

Sidra Medical and Research Center in Qatar. Sergeev. CC3.0

Qatar launched a new mental health program in conjunction with World Mental Health Day. Being the first country in the Gulf to start such an initiative, the Wellness Ambassadors program aims “to promote mental health support and break the stigma attached to mental health conditions at school level.” Program ambassadors received comprehensive training on mental health issues such as anxiety, depression and bullying while breaking cultural misconceptions surrounding mental health. Dr. Mobayed states that educating individuals about mental health issues serves “to remove the barriers associated with mental health and know they are normal humans with a disorder in the mind.” 

Turkish Counseling Services Provide Assistance

Taksim Square in Istanbul. Pixabay.

A crisis helpline in Turkey helps those struggling with mental health issues during the pandemic. Supported by the World Health Organization, the service is accessible in all of Turkey’s 81 provinces and consists of 418 staff members trained in helping individuals manage stress and access mental health resources. So far, the service has offered more than 80,000 consultations since its inception. 

Social Media Campaigns in Kuwait Lead to Legislative Action

Youth in Kuwait. Wikimedia Commons. CC2.0

Kuwait enacted its first mental health law in 2019, which passed unanimously through the national assembly. Instrumental to this success were numerous social media campaigns led by youth, artists and mental health advocates. The founder of ASAP Beauty, Sheika Majda al-Sabah, credits her involvement in the campaign to her own struggles with depression. Other campaigns include “Mind Me”, “Human Line Organization” and “Taqabal”, with trending hashtags such as #noshame working to spread awareness. Outreach events helped to create a welcoming climate where people could speak more openly and denounce negative stereotypes surrounding mental illness. Since the onset of the COVID-19 pandemic, an online program called Corona Care provides mental health services for those in need. Additionally, the Gulf Program for Mental Health encourages countries to develop comprehensive mental health programs that adhere to international standards. 

Although there is still work needed to break down barriers surrounding mental health treatment, Middle Eastern countries seem ready to rise to the challenge. 

To Get Involved: 

Check out social media campaign pages “Mind Me”, “Human Line Organization” and “Taqabal” working toward mental health awareness in Kuwait. Visit the website of the Institute for Muslim Mental Health, which focuses on providing support for Muslims in the United States. The Journal of Muslim Mental Health is an excellent resource to learn about issues affecting the Muslim community in the United States and globally. 


Megan Gürer

Megan is a Turkish-American student at Wellesley College in Massachusetts studying Biological Sciences. Passionate about environmental issues and learning about other cultures, she dreams of exploring the globe. In her free time, she enjoys cooking, singing, and composing music.