Ontario
Types of Drug and Alcohol Services in Ontario
Addictions Treatment - Substance Abuse

The functional centre pertaining to the provision of community counselling/treatment which includes initial and ongoing assessment and treatment planning, case management activities, brief intervention, lifestyle and personal counselling to assist the individual to develop skills to manage substance abuse and related problems, and/or maintain and enhance treatment goals. Sessions are individual, family and group format with the frequency and length of sessions varying depending on service recipient need and program format while the client resides in the community. Such activities as relapse prevention, family intervention, follow-up and aftercare are included. Services may be offered in a variety of settings including outreach to the service recipient's home, school, an addiction agency or other service setting. Outreach includes activities such as early intervention but not prevention, education or public relations activities.

Addictions Withdrawal Management

Assistance with voluntary withdrawal from alcohol and/or other drugs for service recipients who are under the influence of these substances and/or in withdrawal or otherwise in crisis directly related to these substances. Service recipients may be simultaneously accessing residential support services, or they may be residing in their home, the home of a significant other or in another community setting, supervised or unsupervised. Care may be provided with or without the aid of drug therapy and/or other medical interventions. Additional support such as discharge planning and early recovery education is provided.

Case Management - Substance Abuse

The functional centre pertaining to the provision of services by staff with a primary designation of a case management role or funded specifically for case management (transitional case management, opioid case management). Responsibilities include the ongoing assessment of the substance use service recipient and his/her problems, ongoing adjustment of the treatment plan, linking to and coordination of required services, monitoring and support, developing and implementing the discharge plan, and advocating for the service recipient. Excludes the provision of treatment services.

Case Management/Supportive Counselling & Services - Addictions Supportive Housing

The functional centre pertaining to the services provided by case managers and counsellors to individuals who have been accepted into Addictions Supportive Housing (ASH) programs. ASH case managers provide a full range of case management services, which also includes housing support, case coordination, community linkage, advocacy, safety planning, life skills training, financial management, relapse prevention and counselling.

Centralized/Coordination Access

Provision of a centralized function within a geographic community (or large treatment centre) for clients to access services based on needs. Only used when there is dedicated staff that solely provides centralized access and referral services.

Central access collects information sufficient to determine linkage to services. It may also include managing waitlists for agencies that are part of referral service.

Does not include: an agency's regular intake process; decision for program admission; admission to program; provision of treatment planning and treatment; formulate/develop client goals for counselling/treatment therapy.

Community Development - Substance Abuse

The functional centre pertaining to the provision of guidance and assistance to a community in identifying its substance abuse issues and in developing its capacity to respond to those issues.

Day/Evening Care - Addictions

The functional centre includes a structured, scheduled program of treatment activities typically provided five days or evenings per week (e.g., 3-4 hours per day) while the service recipient resides at home or in another setting, including residential supportive treatment services, to assist the individual to develop skills to manage substance abuse/problem gambling and related problems.

Drug Awareness

The functional centre pertaining to promoting health, and educating the community, including the public, professionals, and other sectors which impact on the health of individuals and populations towards maintaining/improving health statistics related to drug awareness.

Information and Referral Service - General

The formal Information and Referral functional centre is used to record the expenses and activity of Information and Referral services that take place over the telephone or when the individual enquires in person and no demographic data is recorded. This does not include clients who are assessed and referred or admitted clients who may be referred to other community services in the course of their service plan.

Information and Referral Service - Provincial - Substance Abuse

Pertaining to the activity of provincial Information and Referral services for substance abuse services that take place over the telephone or when the individual inquires in person and some demographic data may be recorded. This does not include clients who are assessed and referred or admitted clients who may be referred to other community services in the course of their service plan.

Inpatient

This functional centre is used by hospitals for reporting mental health programming inpatient service information to ConnexOntario. This functional centre is used to report the psychiatric services provided by both acute and designated mental health hospitals.

Residential Withdrawal Management

Assistance with voluntary withdrawal from alcohol and/or other drugs to individuals who are under the influence of substances and/or in withdrawal or otherwise in crisis directly related to substances. Services may be provided with aid of drug therapy and/or other medical interventions. Additional support such as discharge planning and early recovery education provided.

Services are provided by staff that is not medically trained but can safely monitor symptoms. The intensity/severity of symptoms can be managed with medical consultation being provided by physician, after hours clinic, health centre, or hospital emergency department.

Routine medical consultation and sufficient staff resources are available to consider management of the following medication situations: Medications for medical conditions; Medications for diagnosed psychiatric conditions; Pain medications for acute injuries or recent surgery; Clients on methadone; Clients being tapered from benzodiazepines or narcotics.

Residential Medical Withdrawal Management Inpatient Short-Term

Assistance with voluntary withdrawal from alcohol and/or other drugs to individuals who are under the influence of substances and/or in withdrawal or otherwise in crisis directly related to substances.

Services requiring medically trained staff:

Residential Supportive Treatment - Addictions

Supportive residential programs provide safe, substance-free accommodation with low to moderate intensity of services and a level of support appropriate for longer-term treatment of problematic substance use. Suitable for individuals who do not require intensive residential treatment, but who need a safe, supportive environment, away from their usual living situation, to deal with their substance use. Supportive residential services may also meet the needs of individuals who require additional stabilization and support to integrate into the community.

Support is generally provided through a combination of peer mentoring, group work, education, life-skills training and may also include individual counselling that will help the participant to integrate successfully into the community.

Residential Treatment – Addictions

Residential addiction treatment facilities provide intensive time-limited treatment in structured, substance-free, in-house environment. Individuals accessing these services are most likely to be those with more complex and/or chronic substance use. Residential treatment programs provide daily programming that supports participants to examine and work on issues related to their substance use. Treatment includes counselling/therapy, as well as psycho-social education and life-skills training. In addition to the scheduled program activities, service recipients have 24-hour on-site access to support and the residential treatment. Some programs may also provide medical, nursing or psychiatric support.