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Rapid Access Addiction Medicine Clinic (RAAM)

Type Of Service

Addictions Treatment - Substance Use

Program Description

The Rapid Access Addiction Medicine Clinic (RAAM) provides low barrier access for patients seeking treatment for any substance use disorder. Patients do not need an appointment and are seen on a walk-in basis. This clinic will provide brief counselling, prescribe medications (including anti-craving medications for alcohol and buprenorphine/naloxone for opiate use disorder) and connect patients with community treatment programs.

Please note, this clinic is not for patients suffering strictly from chronic pain, or patients who require acute care/monitoring (this is not meant to facilitate early discharge from the emergency department). This clinic is part of a broader network of RAAM clinics throughout Toronto, as part of META:PHI (Mentoring, Education and Clinical Tools for Addiction: Primary Care – Hospital Integration).

What Happens on your first appointment:
1. This clinic operates on a first- come first -serve basis and therefore you may have to wait if there are other people ahead of you, or if the nurse or the doctor have other obligations within the health centre. Our team will aim to see you as soon as possible; however, be prepared to wait while we are providing care to others, since it is difficult to estimate how long the wait might be.

2. You will be first assessed by an addiction nurse or clinician, and you may or may not see the doctor today.

3. If a doctor is available to see you today, he or she will ONLY prescribe medications to relieve your withdrawal symptoms or those that help to reduce cravings from substances. Medications that may be offered to you today include:
- Methadone or Suboxone for opioid use disorder; or
- Naltrexone, Acamprosate or Disulfiram for Alcohol Use Disorder.
We will also prescribe Methadone or Suboxone for patients while they are staying at St. Joe’s Withdrawal Management Services (AKA Detox).

4. We will NOT prescribe medications in the following cases:
- If you have an existing Methadone or Suboxone provider. We will refer you back to your primary doctor to obtain these medications.
- If you require medications for pain such as (Tylenol#3, Percocets, OxyContin, Dilaudid, fentanyl etc.)
- If you require medications for anxiety (eg. Valium, diazepam, Ativan, lorazepam, clonazepam etc.).
Please NOTE that for all of the above medications, as well as for any other medications you may require for your general health (blood pressure, diabetes etc.) we suggest that you request them from your usual prescriber. This is not within the scope of the care we provide in the Rapid Access Clinic.

5. If you feel that your withdrawal is severe and that you cannot wait to be seen by the clinician today, you have the option of seeking care in the Emergency Department.

6. If you are unable to wait today but you do not feel that you need to go to the Emergency Department, you can request your Family doctor to refer you for a scheduled appointment with our Addiction Medicine Clinic

COVID-19 Note

Operating as normal. Follow up appointments may be virtual. COVID-19 screening taking place at the entrance to the hospital. Please come alone unless assistance is needed due to language translation or physical mobility assistance.

Access Information

Walk-in (no appointment necessary). Must not be impaired during appointments.

Additional Information

  • Program Cost: No
  • Additional Cost: No
  • Gender: All
  • Age: 18 and up
  • Catchment: Ontario Health Regions: Toronto
  • Not Accessible
  • Languages: English
  • Virtual Service: Yes

Location

St. Joseph's Health Centre


Address

30 The Queensway

Toronto

Operated By

Unity Health Toronto


Hours

Main Hours: Tuesday and Thursday : 10:00 AM - 11:30 AM
Wednesday : 1:00 PM - 4:00 PM


Referral Contact Information

Phone: 416-530-6486 ext. 3969