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Types of Drug and Alcohol Services in Ontario

Abuse Services

Abuse Services The service type is 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 service type will include family violence, child witness and transitional support.

Addictions Treatment – Problem Gambling

The service type is 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.

Addictions Treatment – Substance Use

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 use and related problems, 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 or other drugs for service recipients who are under the influence of these substances 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 or other medical interventions. Additional support such as discharge planning and early recovery education is provided.

Alternative Businesses

The service type is 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.

Ambulatory Care Emergency

This service type is pertaining to services usually on a consultation basis for registered persons who have acute mental health problems requiring assessment, treatment and disposition. Mental health emergency departments have their own triage, registration and are completely separate from the general emergency department.

Assertive Community Treatment Teams

The service type is 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 – Problem Gambling

A process that includes the designation of a worker whose primary responsibilities include the ongoing assessment of the client 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 client.

Case Management – Substance Use

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.

Case Management/Supportive Counselling & Services – Mental Health

The service type is pertaining to the services provided by case managers and counsellors to individuals with mental health concerns 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. This does not include services provided by dedicated housing support staff to residents in housing units provided by the organization.

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 Use

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

Clinic–Mental Health

The service type is pertaining to provision of community mental health treatment within a hospital setting.

Clubhouses

The service type is pertaining to the provision of multi–service psychosocial rehabilitation functions to individuals with mental health concerns. 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 Development – Mental Health

The service type is 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.

Consumption and Treatment Services

Consumption and Treatment Services are part of a long–term, comprehensive approach to addressing the harms associated with problematic substance use. Consumption and Treatment Services provides a safe and clean environment for individuals to ingest drugs, to access sterile equipment, to dispose equipment, and to access safer drug use education. These sites monitor individuals for signs of overdose and provide emergency overdose intervention. The goals of Consumption and Treatment Services are as follows: reduce the incidence of fatal overdose; connect people who use drugs to substance use treatment/other services; reduce public safety problems.

Counselling and Treatment

Pertaining to provision of counselling, psychotherapy and other treatment services to individuals with mental health concerns in the community. Includes telepsychiatry.

Crisis Intervention

The service type is pertaining to the response to urgent medical and/or psychological needs of individuals with mental health concerns. This function does not include Mental Health Safe Beds or Crisis Beds. See the residential Short Term Crisis Support Beds service type.

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 use/problem gambling and related problems.

Day/Night Care Mental Health – General

The service type is pertaining to the dedicated units or programs where treatment, counselling, rehabilitative/social and recreational services are provided typically several days per week for individuals with mental health concerns, who attend for three to twelve hours on average per day.

Diversion and Court Support

The service type 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.

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.

Early Intervention

The service type is 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.

Family Initiatives

The service type is 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.

Home Care – Mental Health

The service type is pertaining to clinical services provided, in service recipients' residences, to meet the support needs of mental health service recipients and their 'significant other(s)'.

Homes for Special Care

The service type 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.

Housing Bricks & Mortar – Mental Health

The service type pertaining to the ministry–managed funding for provincial and federal buildings provided for mental health services. An organization reporting in this service type receives designated operating funding for building maintenance, utilities, mortgages, property taxes and capital/replacement reserve funds for major repairs to a building etc. Expenses are not capitalized. Total operating funding and expenses must be reported. An organization reporting in this service type must receive funding for the following programs:

  • Federal/Provincial
  • Ontario Non Profit Housing Program
  • Section 95
  • Ontario Community Housing Assistance Program (OCHAP)
  • Community Sponsored Housing Program (CSHIP)
  • Mental Health Homelessness Capital Program

This service type excludes the provision of support services to individuals residing in the building, excludes marketed services and excludes construction costs for building additions.

 

Information and Referral – 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 – Provincial – Substance Use

Pertaining to the activity of provincial Information and Referral services for substance use services that take place over the telephone or when the individual enquires 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.

Information and Referral Service – General

The service type is pertaining to the activity of provincial or regional 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

The service type is pertaining to the activity of provincial or regional 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.

Information and Referral Service – Provincial – Problem Gambling

The service type is pertaining to the activity of provincial or regional 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.

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 service type is 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 service type is 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.

Problem Gambling Awareness

The service type is 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.

Rent Supplement Program – Mental Health

Houses clients in privately owned buildings through either head lease or referral agreements. An organization reporting in this service type must receive designated rent supplement funding from the following programs:

  • Mental Health Homelessness Phase 1 and 2
  • Service Enhancements Phase 1 and 2
  • Mental Health Supportive Housing Program (750 and 500)

Total operating funding and expenses must be reported. This service type excludes the provision of support services to individuals residing in the residential facility and excludes marketed services.

 

Residential Treatment – Mental Health

Includes a structured, scheduled program of treatment and/or rehabilitation activities provided for clients with serious mental health conditions, while the client resides in–house. In addition to the scheduled program activities, clients have 24 hour access to support and the residential treatment milieu.

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 practice 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.

Residential Withdrawal Management

Assistance with voluntary withdrawal from alcohol or other drugs to individuals who are under the influence of substances or in withdrawal or otherwise in crisis directly related to substances. Services may be provided with aid of drug therapy 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 or other drugs to individuals who are under the influence of substances 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 environments. Individuals accessing these services are most likely to be those with more complex 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.

Short Term Crisis Support Beds

The service type is 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

The service type is 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 service type 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 service type is 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.