META:PHI is a provincial initiative to support health care providers working with people who use substances through education, mentorship, advocacy, and clinical tools. Our annual conference is one of the highlights of our year, as it presents an opportunity for members of our community across the province and beyond to come together and learn from each other. The theme of this year’s conference is Stronger Together: Advancing Substance Use Health Through Connection.

This year’s conference sessions will be delivered virtually, with two days of interactive learning for clinicians, community workers, administrators, researchers, learners, community members, and advocates. Following last year's enthusiastic reception, there will be again be social hubs to add an in-person component to the conference experience. More information will be posted here when available!

Agendaof the virtual event

Agenda

April 17, 2026 08:30 am to
10:30 am

Welcome

Jennifer Wyman, Kate Hardy, Meldon Kahan


Keynote presentation

Breaking down silos to build connections: Towards integrated health human resources in substance use care 

Leigh Chapman

Learning objectives:

  • Explore fragmented care as a key barrier to substance use service delivery within the existing workforce.
  • Propose strategies to overcome these barriers and support the substance use workforce in delivering quality care.
  • Bring to the forefront the important work that health human resources play in substance use service delivery including supporting workforce development and fostering a more connected health care system


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Leigh Chapman
Chief Nursing Officer Health Canada

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Meldon Kahan
Medical Director, META:PHI Women's College Hospital

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Jennifer Wyman
Clinical Programs Lead, META:PHI Women's College Hospital

April 17, 2026 10:45 am to
11:45 am

Leslie Buckley, Victor Tang

April 17, 2026 10:45 am to
11:45 am

Pamela Leece, Ria Garg, Cassandra Smith

Learning objectives:

  • Describe the landscape of SROM prescribing for OAT (mono- or combined therapy).
  • Describe the qualitative experiences of people taking SROM for OAT.
  • Discuss considerations for SROM in OAT delivery
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Pamela Leece
WIHV Innovation Fellow Women's College Hospital

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Ria Garg
Pharmacist CAMH

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Cassandra Smith

April 17, 2026 10:45 am to
11:45 am

Kevin Haynes

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Kevin Haynes
Senior Manager, Black Health Strategy CAMH

April 17, 2026 11:45 am to
12:30 pm
Katie Dunham, Hasan Sheikh, Jennifer Wyman

A discussion of META:PHI's Emerging Practice documents on managing combined medetomidine/fentanyl withdrawal in acute care, withdrawal management, and ambulatory settings.

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Jennifer Wyman
Clinical Programs Lead, META:PHI Women's College Hospital

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Katie Dunham
Nursing Educator, META:PHI Women's College Hospital

April 17, 2026 12:45 pm to
02:15 pm

Emily Dakers, Tasha Maier, Jason Perfect, Wendy Stewart, Elizabeth Kamler, Michael Roach


Learning objectives:

  • Describe the challenges and opportunities of providing RAAM services through modalities such as drop-in, mobile and virtual care.
  • Identify strategies for optimizing peer support in RAAM clinic care.
  • Develop relationships to support access to primary care for people who use RAAM clinics.
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Emily Dakers
Director Good Shepherd Barrett Centre

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Liz Kamler
Clinical Team Leader, Oasis Sandy Hill Community Health Centre

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Tasha Meier
Manager, Addiction Medicine Stonehenge Therapeutic Community

April 17, 2026 02:45 pm to
03:45 pm

Mike Franklyn, Amritdeep Khela

Learning objectives:

  • Identify the need for, and benefits of, recognizing SUD upon admission of inmates to correctional facilities.
  • Practical approaches to effectively dealing with SUDs in carceral settings.
  • How could current practices be enhanced?
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Amritdeep (Nikki) Khela
Medical Student NOSM

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Mike Franklyn
Associate Professor of Family Medicine NOSM

April 17, 2026 02:45 pm to
03:45 pm

Joanne MacMillan, Sherrie Nicholas, Nya Elijah

Learning objectives:

  • Communicate to their networks and communities that Thunderbird Partnership Foundation is developing a culture-based model of care for complex trauma.
  • Understand the components in the model of care for complex trauma.
  • Have informed discussions on the impacts of complex trauma and ways of healing.
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Nya Elijah
Research Analyst Thunderbird Partnership Foundation

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Sherrie Nicholas
Trainer Thunderbird Partnership Foundation

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Joanne MacMillan
Policy Analyst Thunderbird Partnership Foundation

April 17, 2026 02:45 pm to
03:45 pm

Dafna Kahana, Colm Hogan, Alexandra Potapenko

Learning objectives:

  • Understand the clinical rationale, evidence, and key components of the youth rapid access addiction medicine clinic.
  • Identify strategies for incorporating family care in the setting of a youth rapid access addiction medicine clinic.
  • Recognize the importance of youth-friendly design and peer involvement in a youth rapid access setting.


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Dafna Kahana
Clinician Scientist CAMH

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Alexandra Potapenko
Counsellor CAMH

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Colm Hogan
Peer Support Worker CAMH

April 17, 2026 04:00 pm to
05:00 pm

Ken Lee, Adam McInnis

Learning objectives:

  • Review evolving approaches to buprenorphine initiation and maintenance, with attention to emerging evidence and real-world practice adaptations.
  • Examine the growing impact of non-opioid sedatives and adulterants (including bromazolam, xylazine, and dexmedetomidine) on withdrawal presentations and treatment planning.
  • Consider how addiction care models may need to adapt in response to an increasingly complex and unpredictable drug supply, including implications for RAAM and low-barrier settings.
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Adam McInnis
Nurse Practitioner CMHA Thames Valley

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Ken Lee
Medical Director London RAAM Clinic

April 17, 2026 04:00 pm to
05:00 pm

Derek Roberts, Elizabeth Lalonde

Learning objectives:

  • Identify the importance of adapting substance use recovery programming for diverse populations, including 2SLGBTQIA+ individuals, youth and families.
  • Understand the model of care used by ONE Team Recovery and how it differs from traditional recovery models.
  • How inclusive language and the removal of labelling increase the success of outcomes.
  • Describe the structure and design principles of the ONE Team Recovery (OTR) program, including its trauma-informed principles, affirming care approach and harm-reduction foundations.
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Derek Roberts
Counsellor Windsor Family Health Team

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Elizabeth Lalonde
Counsellor Windsor Family Health Team

April 17, 2026 04:00 pm to
05:00 pm

Jennifer Altosaar, Tesha Slack

Learning objectives:

  • Describe the rationale and process for developing a harm reduction program specifically for those with IDD, including key findings from our needs assessment and focus groups.
  • Explain the co-design process used to create the program’s service model, including how individuals with lived experience and IDD were meaningfully involved, including ensuring culturally affirming support.
  • Discuss how we need to shift the structure and mindset of the developmental services sector to better support those with problematic substance use.
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Jennifer Altosaar
Manager, Safer Steps program Surrey Place

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Tesha Slack
Research Assistant, Safer Steps program Surrey Place

April 18, 2026 09:00 am to
10:00 am

Meldon Kahan, Robin Hogan

Learning objectives:

  • Describe the updates to the alcohol chapter, including anticraving medications, management of withdrawal in RAAM clinics
  • Describe the updates to the opioid chapter, including new protocols for buprenorphine XR, methadone, and SROM
  • List major new additions to the Best Practices book, including a chapter on cannabis, which reviews pharmacotherapy for cannabis use disorder, and management of cannabis induced psychosis and cannabis hyperemesis syndrome
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Meldon Kahan
Medical Director, META:PHI Women's College Hospital

April 18, 2026 09:00 am to
10:00 am

Anne-Rachelle Boulanger

Learning objectives:

  • Identify key barriers to healthcare and harm reduction for people who use drugs in prisons.
  • Describe evidence-based and rights-affirming models for continuity of care between correctional and community health systems.
  • Develop practical strategies to strengthen collaboration between healthcare providers, community organizations, and correctional institutions to improve health outcomes.
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Anne-Rachelle Boulanger
Policy Analyst HIV Legal Network

April 18, 2026 09:00 am to
10:00 am

S. Monty Ghosh

Learning objectives:

  • Discuss the concept of Virtual Harm Reduction and review various interventions and forms.
  • Review the evidence around the intervention and outcomes.
  • Discuss how to use virtual harm reduction in your practice. 


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Monty Ghosh
Associate Professor University of Alberta, University of Calgary

April 18, 2026 10:15 am to
11:15 am

Tony George

Learning objectives:

  • Understand the mechanisms by which brain stimulation may be helpful to treat addictions.
  • Review data supporting the use of brain stimulation for treating addictions and co-occurring psychiatric illness, including gaps in the literature.
  • Utilize this information on brain stimulation for addressing resistance to treatment in addictions.
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Tony George
Senior Scientist CAMH

April 18, 2026 10:15 am to
11:15 am

Jennifer Bondy, Nicole Sbrocca, Kelly Goz, Luke Di Paolo

Learning objectives:

  • Describe collaborative and relationship-based models of care that strengthen initial engagement and trust-building with unhoused individuals. This includes the social service team’s strategies for connecting with clients, effective transitions to the clinical team, and the use of shared EMRs, co-location, and interprofessional expertise to enhance continuity of care.
  • Examine clinical structures and approaches within the Windsor Shelter Health model that support integrated, trauma-informed, and evidence-based care. Participants will explore the use of diverse clinical services, approaches to care coordination, and the vital importance of strong linkages with hospital and community health partners to improve access and outcomes.
  • Assess system-level and administrative strategies that dismantle traditional silos between health and social sectors. This includes exploring governance and partnership models, relational approaches to collaboration, and the measurable impact that cross-sector trust and shared accountability have on care for people who use substances.


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Jennifer Bondy
Medical Director Windsor Shelter Health

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Luke Di Paolo
Clinical Director Windsor Regional Hospital

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Kelly Goz
Manager, Homelessness and Housing Support City of Windsor

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Nicole Sbrocca
CEO CMHA Windsor-Essex

April 18, 2026 10:15 am to
11:15 am

Angie Hamilton, Brynlea Barbeau

Learning objectives:

  • Share study findings from a national study with affected family members of persons with SSUD.
  • Engage the audience in a discussion related to family member perspective on involuntary treatment.
  • Meaningfully discuss family-centered strategies identified by family member participants.
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Angie Hamiton
Executive Director FAR Canada

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Brynlea Barbeau
Lead Physician Sault FHO

April 18, 2026 11:30 am to
12:30 pm

Katie Dunham, Michael Goring

Learning objectives:

  • Discuss options for care for alcohol withdrawal from hospital to home.
  • Review typical withdrawal unit eligibility criteria and common alcohol withdrawal treatment plans.
  • Review safety requirements and protocols for outpatient alcohol withdrawal management 
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Katie Dunham
Nursing Educator, META:PHI Women's College Hospital

April 18, 2026 11:30 am to
12:30 pm

Kirsten Barnes, Michael Bennington

Learning objectives:

  • Describe and explore how a co-design framework can inform, advise and enhance the development of substance use strategies for equitable, evidence-informed, community driven strategies in other jurisdictions.
  • Identify key lessons learned in engaging People with Lived/Living Experience of Substance Use and cross-sector collaboration.
  • Discuss how sectors (public health, social services, health care and enforcement) can align with a shared framework to reduce substance-related harms
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Kirsten Barnes
Advisor of Substance Use and Harm Reduction Peel Public Health

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Michael Bennington
Manager, Substance Use and Harm Reduction Peel Public Health

April 18, 2026 11:30 am to
12:30 pm

Sharon Cirone, Mike Franklyn

Learning objectives:

  • Learn what youth focused practices involve.
  • Learn about Screening, Brief Intervention, and Referral to Treatment (SBIRT) with youth.
  • Acquire Motivational Interviewing tips for working with youth.
  • Engage in discussions about pharmacotherapy options for youth with substance use issues.
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Mike Franklyn
Associate Professor of Family Medicine NOSM

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Sharon Cirone
Family Physician

April 18, 2026 01:30 pm to
02:45 pm

1. Which medicines will support my recovery from opioid addiction? A culturally grounded OAT decision making tool for First Nations communities

Katie Hoffman, Joanne MacMillan

Learning objectives:

  • Learn how the resource integrates Western medical knowledge with Indigenous worldviews to support treatment engagement.
  • Explore how the tool presents plain-language explanations, FAQs, and culturally relevant framing to support healing.
  • Gain awareness of how Indigenous-led, strengths-based approaches to health education can enhance recovery pathways and reduce barriers to care.

2. Managing ADHD and stimulants in correctional settings: Insights from people with lived experience and clinicians

Cory Byrne, Dale Guenter

Learning objectives:

  • Describe the prevalence and clinical significance of ADHD in correctional settings, and its intersections with substance use and other mental health conditions.
  • Identify key barriers to ADHD diagnosis and treatment in correctional settings, including stigma, resource constraints, and concerns around stimulant diversion and misuse.
  • Understand the benefits and drawbacks to the prescription of stimulants in correctional settings for the management of ADHD from the perspectives of clinicians and people with lived experience of ADHD and incarceration.
  • Recognize the impact of inconsistent practices and limited access to evidence-informed ADHD care on patient outcomes, clinician experience, and system functioning.

3. Supporting recovery from methamphetamine addiction: A First Nations culture-based tool

Katie Hoffman

Learning objectives:

  • Learn how the First Nations Mental Wellness Continuum Framework, grounded in hope, belonging, meaning, and purpose, can guide individual and community-based responses to methamphetamine addiction.
  • Gain practical knowledge about how to support someone with methamphetamine addiction, and how to care for oneself as a family or community member.
  • Explore how culturally grounded, spirit-centred, and land-based approaches can be used alongside Western harm reduction and counselling practices to support holistic recovery from methamphetamine addiction.

4. Enhancing access to contraception in a RAAM clinic

Zoe Hutchison, Jennifer Wyman

Learning objectives:

  • Review the importance of screening and offering access to contraception in a RAAM/Substance Use clinic.
  • Describe the QI process utilized to develop a client-centered approach to contraception screening and counseling within the WCH RAAM.
  • Consider clinic specific approaches to address contraception and sexual health needs in a RAAM clinic setting


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Joanne MacMillan
Policy Analyst Thunderbird Partnership Foundation

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Katie Hoffman
Knowledge Mobilization Specialist Thunderbird Partnership Foundation

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Cory Byrne
Medical Student Schulich School of Medicine and Dentistry

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Dale Guenter
Family Physician

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Jennifer Wyman
Clinical Programs Lead, META:PHI Women's College Hospital

April 18, 2026 01:30 pm to
02:45 pm

1. From pilot to practice: Sustaining a community-led contingency management model for stimulant use in Ontario

Laurie Barkun, Natasha Larkin, Sarah den Ouden

Learning objectives:

  • Describe the key components and implementation steps of a wrap-around contingency management program designed for individuals using crystal methamphetamine and/or (crack)cocaine.
  • Identify strategies for integrating community partnerships to address the holistic health and social needs of participants in contingency management programs.
  • Recognize common challenges and effective mitigation strategies when developing and sustaining a low-barrier, abstinence-based program for stimulant use.
  • Explore innovative and practical approaches to funding and sustaining contingency management programming within the financial constraints of community-based settings.

2. Evaluation of the impact of peer support in the substance use service at Women’s College Hospital

Pamela Leece, Walker Akhlaghi

Learning objectives:

  • Describe the Peer Support Program in the Substance Use Service, informed by peers and community partners.
  • Summarize final evaluation findings from clinical administrative data and clinician perspectives, as well as service user and medical learner data in progress.
  • Discuss implications of the evaluation for understanding and strengthening peer support available to people seeking care for substance use

3. Trauma and substance use: A snapshot of data from the Addictions Management Information System (AMIS)

Stephanie McConkey, Majd Radhaa

Learning objectives:

  • Provide an overview of the Addictions Management Information System (AMIS).
  • Provide estimates of the frequency of substance use and trauma-related events experienced by First Nations accessing treatment.
  • Understand the impact of trauma on frequency of substance use among First Nations accessing treatment.

4. Concurrent disorders complement to a rapid access addiction medicine clinic: A real world description and narrative

Christine Vogt, Wiplove Lamba

Learning objectives:

  • Appreciate how therapy  can be used in addiction recovery (M.I., CRA, DBT).
  • Describe the value of self direction in therapy.
  • Understand how peer support motivates action.
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Walker Akhlaghi
Peer Support Worker Women's College Hospital

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Pamela Leece
WIHV Innovation Fellow Women's College Hospital

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Laurie Barkun
Registered Nurse Prescriber Street Health Centre

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Natasha Larkin
Primary Health Care Nurse Practitioner Street Health Centre

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Sarah den Ouden
Community Support Worker Street Health Centre

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Stephanie McConkey
Epidemiologist Thunderbird Partnership Foundation

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Majd Radhaa
Epidemiologist Thunderbird Partnership Foundation

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Christine Vogt
Social Worker Joseph Brant Hospital

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Wiplove Lamba
Lead, Substance Use Service Sinai Health System

April 18, 2026 01:30 pm to
02:45 pm

1. Evolving patterns of extended-release buprenorphine utilization for the treatment of opioid use disorder in Ontario

Shaleesa Ledlie

Learning objectives:

  • Describe real-world induction practices for BUP-ER in Ontario, including transitions from other opioid agonist treatment formulations.
  • Understand BUP-ER treatment continuity and dosing patterns, including time between injections and supplemental use of buprenorphine/naloxone.
  • Understand patterns of BUP-ER discontinuation and how this compares with other forms of opioid agonist treatment.

2. Disrupted care, heightened risk: Lived impacts of safer supply program closures in Ontario

Farihah Ali, Andrzej Celinski

Learning objectives:

  • Describe the role and intended impacts of SSPs within Ontario's harm reduction landscape, particularly in the context of the overdose crisis and gaps in traditional treatment options.
  • Identify the health, social, and structural consequences experienced by people who use drugs following the closure or disruption of SSPs in Ontario.
  • Differentiate between the experiences of clients who were able to maintain access to safer supply through alternative prescribers and those who were not, including how each group adapted to program loss or transition.

3. Association between early methadone dose titration and treatment discontinuation and opioid toxicity

Ria Garg

Learning objectives:

  • Describe the recommended META:PHI guidance for early methadone dose titration among individuals using fentanyl.
  • Interpret the association between early methadone dose titration (within treatment days 4–6) and patient outcomes, including treatment discontinuation and opioid toxicity.
  • Discuss potential clinical and logistical factors that may influence timely methadone dose titration and strategies to optimize retention while maintaining patient safety.

4. Exploring the early impacts of drug decriminalization on harm reduction and opioid agonist treatment service operations and delivery in British Columbia: Insights from key informant interviews

Savannah Torres Salbach

Learning objectives:

  • Understand the impacts of BC’s decriminalization policy and its amendment on harm reduction (HR) and opioid agonist treatment (OAT) service operations from the perspective of frontline providers.
  • Identify key systemic barriers—including resource constraints, toxic drug supply, and housing instability—that shaped service delivery and moderated the policy’s effects.
  • Examine implications for practice and policy, including the need for improved communication, training, and sustained investment to support meaningful engagement and reduce stigma among people who use drugs.
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Ria Garg
Pharmacist CAMH

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Shaleesa Ledlie
Senior Research Associate Ontario Drug Policy Research Network

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Farihah Ali
Scientist and Manager Canadian Research Initiative in Substance Matters, Ontario Node

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Andrzej Celinski
Co-Founder RECLAIM Collective

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Savannah Torres-Salbach
Research Analyst Canadian Research Initiative in Substance Matters, Ontario Node

April 18, 2026 03:15 pm to
04:45 pm

Sandra Ka Hon Chu, Tara Gomes, Chris Cull

Learning objectives:

  • Describe ways researchers, people with lived experience, and advocates can work together to advance substance use health (case studies).
  • Discuss the ways in which research can be developed to reflect the priorities of people who use substances.
  • Discuss creative ways that research can be shared to support community-based organizations and advocacy efforts.
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Sandra Ka Hon Chu
Executive Director HIV Legal Network

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Chris Cull

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Tara Gomes
Scientific Director, Urban and Community Health Pillar Unity Health Toronto

FAQFrequently Asked Questions


The META:PHI Conference is for anyone who is interested in improving the quality of care for people who use substances. Our audience is usually a mix of nurses, doctors, nurse practitioners, peer support workers, counsellors, administrators, pharmacists, researchers, and other people who care about issues related to substance use and addiction. While META:PHI is based in Ontario, we welcome participants from across Canada and beyond! You can view previous META:PHI conference presentations on our website's Conference page.
There is a discount code for group registrations of five people or more; please contact laurie.smith@wchospital.ca for more information.
META:PHI is dedicated to providing a respectful and collaborative conference experience for all participants. The conference code of conduct is intended to support an environment for learning and sharing. By attending the META:PHI conference, you agree to abide by the following guidelines:
  1. Participants are expected to conduct themselves in a professional manner. All attendees should communicate with respect and consideration for others and differing perspectives.
  2. META:PHI does not tolerate harassment in any form. Harassment is understood as any behaviour that threatens another person or group or produces an unsafe environment, including intimidation and disruption of talks or other events.
  3. The use of discriminatory language or behavior based on race, ethnicity, gender, sexual orientation, disability, religion, age, or any other characteristic will not be tolerated.
We encourage attendees to bring a spirit of curiosity and open-mindedness to these two days of collaboration and learning.
There will be technical support available during the conference. If you're having any technical difficulties, open the chat menu, click on "Rooms", look for "v-Fairs Live Tech Support", and click "Join", and a representative will be able to help you.
Yes! All the presentations that we have received permission to share will be posted on our website after the event. An announcement will be made on our listserv when the presentations are available.
Conference tickets are non-refundable. If you would like to transfer your ticket to someone else, please email sarah.clarke@wchospital.ca with the name and email address of the new attendee by April 13.
We will post accreditation information as soon as it's available.