A failed global war on drugs has had a devastating effect on our communities. The criminalization of drug use has led to an epidemic of infectious disease and overdoses, and has needlessly cost countless lives across Canada.. Pivot works with people who use drugs to make changes that will meet their most pressing needs, including timely access to a range of harm reduction, drug substitution, and addiction treatment options in their own communities. We are also working toward a new, evidence-based approach to drug policy that promotes health and human rights.