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:

  • Client symptoms require monitoring by medically trained staff.
  • Medical consultation and staff are available on a constant basis to monitor and manage medically-assisted withdrawal.
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.

Types of Mental Health Services in Ontario
Abuse Services

The functional centre pertaining to the provision of counselling and treatment services and supports to persons who have experienced an abusive act or who are in an abusive situation. This functional centre will include family violence, child witness and transitional support.

Alternative Businesses

The functional centre pertaining to provision of consumer operated businesses that offer full/part time employment at market rate or higher. They offer a combination of job development, job placement and supported education within the self-help context. They may also offer self-employment opportunities for consumers to earn income through independent contract work. Support and accommodation are provided on site to consumer employees.

Assertive Community Treatment Team

The functional centre pertaining to Mental Health Assertive Community Treatment Teams that are multidisciplinary teams providing assertive outreach, individualized treatment, ongoing and continuous services, linkages and include a monitoring and evaluation component.

Case Management/Supportive Counselling & Services - Mental Health

Pertaining to the services provided by case managers and counsellors to individuals with serious mental health conditions and their significant others. Includes the following functions: Individualized assessment, planning and supportive counselling; Service co-ordination (linking service recipients with services and supports); Assistance with activities of daily living, support services, conflict resolution and crisis avoidance; Systems and landlord advocacy and resource co-ordination; Community Treatment Order (CTO) co-ordination.

Excludes: Services provided by the organization's dedicated housing support staff to residents in housing units provided by the organization; Psychotherapy and other clinical treatment interventions; Services provided in the clinic/program functional centres 7* 510* which includes treatment services dedicated to specialized services, specific population or diagnosis; The provision of information and referral services only.

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.

Child/Adolescent

The functional centre pertaining to the provision of specialized assessment and treatment services to service recipients under the age of 18, their families and/or their significant others.

Clubhouses

The functional centre pertaining to the provision of multi-service psychosocial rehabilitation functions to people with serious mental illness. Based on the psychosocial rehabilitation principles; services for clients or members are recovery focused and include the following: Provision of community support/generic case management services; Provision of a structured work day with activities that support recovery; Provision of supported education and supported employment included transitional employment; Provision of social and recreational programs; Assistance to client to secure housing.

Community Clinic

The functional centre pertaining to provision of community mental health treatment to seriously mentally ill service recipients within a hospital setting.

Community Development - Mental Health

The functional centre pertaining to the provision of guidance and assistance to a community in identifying its mental health issues and in developing its capacity to respond to those issues. For example, organizations that are funded to provide supports and services to First Nations communities.

Community Medical / Psychiatric Treatment

This is a specific, non-residential service to meet the needs of individuals with concurrent disorders. This service may be offered either through a structured Community Day/Evening Treatment, or Community Treatment program. These services are usually part of broader hospital services and employ physicians, nurses, and staff specializing in the treatment of concurrent disorders.

Counselling and Treatment

The functional centre pertaining to provision of counselling, psychotherapy and other treatment services to seriously mentally ill service recipients in the community. Includes telepsychiatry.

Crisis Intervention

The functional centre pertaining to the response to urgent individual medical and/or psychological needs of service recipients with serious mental illnesses.

Day/Night Care Mental Health - General

The functional centre pertaining to the dedicated units or programs where treatment, counselling, rehabilitative/social and recreational services are provided typically several days per week for seriously mentally ill service recipients, who attend for three to twelve hours on average per day.

Diversion and Court Support

The functional centre includes: Court Support: services provided in the courts to clients and their families to assist the judiciary, clients and their families with the legal process, to link clients to services, and to provide services/supports to clients; Diversion: services provided pre or post charge to link the person to community or institutional mental health services.

Early Intervention

The functional centre pertaining to the provision of specialized treatment and support services to service recipients experiencing a first episode in psychosis, their families and/or their significant others.

Eating Disorders

The functional centre pertaining to the provision of specialized assessment, treatment and support services to persons with eating disorders.

Family Initiatives

The functional centre pertaining to family groups participating in planning and evaluation of care delivery as well as provision of services such as self-help, peer support, education, advocacy, etc.

Forensic

The functional centre pertaining to the provision of specialized assessment and treatment services to forensic service recipients living in the community.

Health Promotion/Education Mental Health - Women

Pertaining to promoting women's mental health and educating the community, including the public, professionals and other sectors to these issues.

Home Care - Addictions

Pertaining to clinical services provided, in clients' residences, to meet the acute and support needs of Addictions clients and their significant other(s). Acute services are provided by hospitals only.

Home Care - Child/Adolescent

Pertaining to clinical services provided, in clients' residences, to meet the care and support needs of Mental Health clients under the age of 18 and their significant other(s).

Home Care - Forensic Psychiatry

Pertaining to clinical services provided, in clients' residences to meet the care and support needs of Mental Health clients who have been referred from the criminal justice system and their significant other(s).

Home Care - Geriatric Psychiatric Assessment

Pertaining to clinical services provided, in clients' residences, to meet the care and support needs of Mental Health clients over the age of 65 and their significant other(s).

Home Care - Longer Term

Pertaining to clinical services provided, in clients' residences, to meet the longer term care and support needs of Mental Health clients and their significant other(s).

Home Care - Psychiatric Acute

Pertaining to clinical services provided, in clients' residences, to meet the acute and support needs of Mental Health clients and their significant other(s).

Home Care - Psychiatric Crisis

Pertaining to clinical services provided, in clients' residences, with critical mental health problems that are seeking advice and counselling.

Home Care - Psychiatric Follow-Up

Pertaining to clinical services provided with a designated response time, in clients' residences, to monitor the Mental Health post-emergency visit.

Home Care - Psychiatric Rehab

Pertaining to clinical services provided, in clients' residences, to meet the rehabilitation and support needs of Mental Health clients and their significant other(s).

Homes for Special Care

The functional centre pertaining to the provision of long term residential care to individuals discharged from psychiatric hospitals and facilities for the developmentally disabled. The program provides 24-hour supervision and assistance with activities of daily living.

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 - Mental Health

Pertaining to the activity of provincial Information and Referral services for mental health 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.

Mental Health 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 mental health.

Peer/Self Help

The functional centre pertaining to provision of a range of consumer directed and consumer driven initiatives including self-help initiatives, peer support, drop-in centres and public and provider education about self-help.

Psycho-geriatric

The functional centre pertaining to the provision of specialized assessment and treatment services to seriously mentally ill service recipients with psycho-geriatric illness and their significant others.

Short Term Crisis Support Beds

The functional centre pertaining to provision of time-limited emergency housing with high-intensity care for individuals with serious mental illness. This includes services such as assessment, monitoring, care/treatment, symptom stabilization, assistance with securing access to case management and long-term housing services.

Social Rehabilitation/Recreation

Pertaining to provision and promotion of opportunities for seriously mentally ill service recipients to develop inter-personal, social, and leadership skills, in order to interact fully in communities. Due to high co-relation of social development with determinants of health, it is common to provide psychosocial rehabilitation and support to clients in the areas of a safe place to live, ways and means to contribute to community and development/maintenance of positive relationships with self/family/friends. Social rehabilitation/recreation requires any or all of the following client-directed services: assessment, counselling, planning, consultation with other service providers, service co-ordination, advocacy, monitoring and evaluation. Also, services include development of linkages with other service providers to maximize opportunities for social rehabilitation to isolated persons. Advocacy to bring about systemic change is an essential element of social rehabilitation.

Support Within Housing - Mental Health

The functional centre pertaining to counselling and support services provided by dedicated housing support workers to individuals with serious mental illness that are residents of supportive housing units provided by the organization. These individuals require varying levels of support and include the following: Up to 24 hours support to residents and their significant others to ensure a stable housing environment; Assistance with activities of daily living, support services and crisis avoidance; Individualized support and planning provided to residents; Facilitate resident group support, conflict resolution and resident input to their housing environment; Matching individuals to appropriate housing.

Vocational/Employment

The functional centre pertaining to the provision of range of employment supports including job development/creation/employer outreach, skills development/training for job/education, skills training on the job, job search skills/job placement, employment planning/career counselling, supported education, supports to sustaining education/employment, and leadership training.

Depending on the service model of care, the attendance day statistic would be the appropriate main client activity to report. Primary service recipient activities are provided face-to-face, or by videoconference, on an individual and/or group basis to a service recipient and /or significant other(s) by facility staff. Visits and group statistics would not be reported.

Types of Problem Gambling Services in Ontario
Addictions Treatment - Problem Gambling

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 gambling 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.

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.

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.

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 - Problem Gambling

Pertaining to the activity of provincial Information and Referral services for problem gambling 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.

Problem Gambling 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 problem gambling awareness.

Residential Treatment - Problem Gambling

Includes a structured, scheduled program of treatment and/or rehabilitation activities provided while the client resides in-house, to assist clients to develop and practise the skills to manage gambling and related problems. In addition to the scheduled program activities, clients have 24 hour access to support and the residential treatment milieu.