Indigenous Harm Reduction & Substance Use Supports
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A curated list of Indigenous-led and Indigenous-serving programs in Tiohtià:ke / Montréal.
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INDex — Montréal Indigenous Community NETWORK
A searchable directory of Indigenous and Indigenous-serving programs.
[Visit Site ?](https://index-micn.ca/)
Support for Substance Use and Recovery**
A curated roundup of Indigenous substance-use, recovery, and harm-reduction supports.
[View Resources ?](https://micn.ca/substance-use)
Services Dedicated to Inuit Communities
A guide focused on Inuit-specific services in Montréal and nearby areas.
[View Guide ?](https://micn.ca/inuit-services)
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Indigenous-Led or Indigenous-Specific (Montréal / Tiohtià:ke)
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Indigenous Health Centre of Tiohtià:ke
An Indigenous-led clinic and navigation hub.
- Harm Reduction Program: Safer injection/inhalation supplies and naloxone.
- STBBI Outreach Work: Rapid HIV and Hep C testing, prevention support, and harm-reduction supplies.
- Individual Addiction Support: One-on-one support with a Certified Indigenous Addiction Prevention Specialist.
[Visit Site ?](https://www.ihct.ca/)
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Native Friendship Centre of Montreal
An Indigenous community hub with frontline programs.
- Kaie:ri:nikawera:ke Day Centre:** Day space with food, clothing, showers, laundry, and case management.
- Ka’wáhse Street Patrol:** Mobile outreach and essential supplies for unhoused Indigenous people downtown.
- Indigenous Health Clinic:** A nurse-led clinic run with Doctors of the World.
[Visit Site ?](https://nfcm.org/)
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Native Women’s Shelter of Montreal
An umbrella organization for Indigenous women's shelter, addictions, outreach, and housing.
- Addictions Program: Counselling and harm-reduction-based support for residents and the broader community.
- Cabot Square Project: Support, safety, outreach, and advocacy in and around Cabot Square.
- Welcoming Fire Outreach Program: Outreach support for past and self-referred clients.
- Miyoskamin: Transitional housing for Indigenous women and children.
[Visit Site ?](https://nwsm.ca/)
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Résilience Montréal – Day Centre
An Indigenous-run day centre with meals, showers, harm-reduction items, naloxone, and resting space.
[View Details ?](https://index-micn.ca/programs/resilience-montreal-day-centre)
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Refuge Mitshuap Montréal
An Indigenous overnight emergency shelter offering meals, counselling, harm-reduction items, and naloxone.
[View Details ?](https://index-micn.ca/programs/refuge-mitshuap-montreal)
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Projets Autochtones du Québec (PAQ)
An Indigenous-led shelter/housing continuum.
- Main Shelter (PAQ 1):** High-barrier emergency shelter with harm-reduction access.
- PAQ 2 Shelter:** Low-barrier shelter with private rooms and a supervised consumption tent for cannabis/alcohol.
- Managed Alcohol Program (MAP House):** Managed alcohol housing for Indigenous men.
- Annagiarvik House:** Sober transitional housing for Indigenous men.
- Community Health Program:** Health navigation, elders, translators, and spiritual healers.
- Community Shuttle:** Transportation for Indigenous people experiencing homelessness.
- Safe Start:** Intensive follow-up for newly arrived Indigenous people.
[Visit Site ?](https://paq-mtl.org/)
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Indigenous Support Workers Project (ISWP)
A by-and-for peer organization for Indigenous people with lived experience of homelessness.
- Peer Street Crew:** Distributes harm-reduction items and peer support.
- Indigenous Health Navigators:** Accompaniment to health services.
- Street Nurse:** Street-based nursing follow-up.
- Social Animators:** Low-barrier Indigenous cultural and food activities.
[Visit Site ?](https://www.iswp.ca/)
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Black Indigenous Harm Reduction Alliance
Community-led harm reduction education, street-based outreach, and advocacy. *The Cedar Tea Project distribution is currently on hiatus.*
[Visit Site ?](https://www.bihra.ca/)
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Inuit-Specific Supports (Montréal / Dorval / Medical Travel)
Qavvivik Inuit Family and Community Health Centre
An Inuit-run centre for Inuit living in southern Quebec. The medical clinic runs Thursdays at IHCT at no cost.
[Visit Site ?](https://qavvivik.ca/)
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Makivvik Front-line Workers
Supports Nunavik Inuit around the Dorval/airport area with flight help and referrals to housing and health services.
[Visit Site ?](https://www.makivvik.ca/)
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Ullivik
Culturally safe lodging, meals, and local transportation for Nunavik Inuit coming to Greater Montréal for medical appointments.
[Visit Site ?](https://www.ullivik.ca/)
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Indigenous-Serving / Strong Low-Barrier Supports
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The Open Door Montréal
A low-barrier shelter with a strong Indigenous/Inuit focus.
- Emergency Shelter:** 24/7 high-tolerance shelter with priority for Indigenous communities.
- Navigation:** Accompaniment to legal, medical, and personal appointments.
- Housing First:** Subsidized housing and case management (over half of participants are Inuit).
[Visit Site ?](https://www.theopendoor.ca/)
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Plein Milieu — Street Workers
Outreach for First Nations, Inuit, and Métis community members with addiction support, harm-reduction items, housing help, and meals.
[Visit Site ?](https://www.pleinmilieu.org/)
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Doctors of the World — Indigenous Healthcare Program
Indigenous navigators help people access healthcare safely.
[Visit Site ?](https://doctorsoftheworld.ca/indigenous-healthcare-program/)
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Roundhouse Café / Roundhouse Program
An Indigenous café in Cabot Square offering food, harm-reduction items, clothing, and cultural activities.
[Visit Site ?](https://www.roundhousemontreal.ca/)
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Women’s Centre of Montréal — Indigenous Women / “On the Road to Wellness”
Support for Indigenous women in urban Montréal, including harm-reduction items.
[Visit Site ?](https://centredesfemmesdemtl.org/en/)
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Native Montreal — Family Health Clinic
Culturally safe front-line care for Indigenous people with harm-reduction items and naloxone. *Eligibility rules apply.*
[View Details ?](https://index-micn.ca/programs/family-health-clinic)
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Chez Doris — Indigenous Programs
Support for Indigenous women.
- Indigenous Assistance Program: Psychosocial and basic-needs support.
- Housing Program: Stable housing support for Indigenous women.
[Visit Site ?](https://www.chezdoris.org/en/)
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Surrounding Communities / Near Montréal
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Onen’tó:kon Healing Lodge (Oka/Kanehsatake)
A 6-week trauma-focused, culture-based residential program for Indigenous adults with addictions.
**Outreach Services:** One-to-one counselling, referrals, and after-care in Kanehsatake and Montréal.
[Visit Site ?](https://www.onentokon.com/)
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Kahnawà:ke Shakotiia’takéhnhas Community Services**
- Addictions Response Services:** Support and resources for substance use and addiction.
- Mental Wellness and Addictions:** Broader mental wellness supports.
[Visit Site ?](https://www.kscs.ca/)
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Kanesatake Health Center — Primary Care
Community health centre with primary care and mental health/addictions monitoring.
[Visit Site ?](https://kanesatakehealthcenter.ca/)
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24/7 / Province-Wide Back-Up
Hope for Wellness
24/7 Indigenous crisis, emotional support, and referral line/chat.
- **Call:** 1-855-242-3310
[Visit Site ?](https://hopeforwellness.ca/)
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Indigenous Services Canada — Substance Use Treatment Centres
An official directory of federally funded treatment centres, including Quebec options.
[View Directory ?](https://www.sac-isc.gc.ca/eng/1579534598383/1579534663843)
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