Nova Scotia

It's the end of the road for Halifax's methadone bus

A bus that delivered tens of thousands of doses of methadone to patients fighting opioid addiction is making its final runs through the streets of Halifax this week. The bus is being officially retired on Friday, which is International Overdose Awareness Day.

With fewer people seeking treatment from the 'Bailey Bus,' the mobile clinic is no longer needed

The mobile methadone clinic, parked outside Direction 180's new office, is being retired on Friday and put up for sale. (Eric Woolliscroft/CBC)
A mobile clinic that has delivered tens of thousands of doses of methadone to patients fighting opioid addiction will make its final run through the streets of Halifax this week.

The decision to officially retire the bus on Friday — which is International Overdose Awareness Day — is an indication of how much progress has been made in combating Nova Scotia's opioid problem. 

"That's the last day the wheels on the bus will go round and round," said Cindy MacIsaac, executive director of Direction 180, the community-based methadone treatment clinic that operates the bus.

Cindy MacIsaac, executive director of Direction 180, said while it's sad the bus is being retired, it's also a sign of progress. (Elizabeth Chiu/CBC)
Five years ago, when the original bus — a used Winnebago — started pulling up to various stops around the city, as many as 175 people a day would stop in to swallow a dose of the synthetic opioid. 

But the bus also ran into opposition from some residents who didn't want a methadone clinic parked in their backyard.

Responding to needs

​These days, about 70 to 100 patients head to the bus at one of three locations in Halifax and Dartmouth. The decision was made to park the bus and serve those clients from Direction 180's new, larger office at the former Guardian Drugs location on Gottingen Street.

"It's sad, but at the same time it's a sign of evolving and responding to the needs of our client population," said MacIsaac.

A methadone dispensary has been set up in the basement of Direction 180. There used to be a Caribbean restaurant in this location. (Elizabeth Chiu/CBC)

Starting Saturday, clients who once visited the bus will get their methadone at a new dispensary in the basement of the building. These clients are trying to stabilize their methadone treatment or have relapsed with substance use, said MacIsaac.

The vast majority of Direction 180's 470 clients go to pharmacies to drink their methadone, or have carry privileges to take their doses home.

When the bus first hit the road, the methadone treatment wait list was as long as three years. 

Bus being put up for sale

MacIsaac said the bus reached people who were struggling with addiction and losing jobs, jeopardizing relationships with family and committing crimes while waiting for help. The bus was "meeting them where they were at," she said. 

Now, with timely treatment in Halifax starting almost "on the spot," people aren't left waiting and slipping through the cracks.

The Winnebago was replaced in 2015 with a new $160,000 Ford chassis bus — paid for entirely from donations and proceeds from a fundraiser that sold lipstick. It's logged 47,000 kilometres in its daily trips around Halifax and Dartmouth.

The vehicle is now up for sale. MacIsaac is hoping it will fetch $80,000 to $100,000, which she said will be reinvested in programs.

ABOUT THE AUTHOR

Elizabeth Chiu is an award-winning reporter in Nova Scotia. She's passionate about engaging with the community to share their stories. Send your story idea to elizabeth.chiu@cbc.ca.