Types of Mental Health and Addiction
Services in Ontario
Abuse Services
This 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 Supportive Housing (ASH)
This service type is 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.
Assertive Community Treatment Teams
(ACTT)
This 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.
Bed-Based Supportive Treatment – Substance
Use
Supportive bed-based 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 bed-based treatment, but who need a
safe, supportive environment, away from their usual living situation, to deal
with their substance use. Supportive bed-based 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.
Bed-Based 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 bed-based
treatment milieu.
Bed-Based 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 bed-based treatment milieu.
Bed-Based Treatment – Substance Use
Bed-based 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. Bed-based 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 bed-based
treatment. Some programs may also provide medical, nursing or psychiatric
support.
Bed-Based 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.
Case Management – Mental Health
This 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.
Case Management – Substance Use
This service type is 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.
Centralized/Coordination Access
This service type is pertaining to the 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 and Youth Secure Treatment
Programs (CYMH)
This service type is pertaining to the provision of treatment for
children and youth with a mental disorder in a highly structured, secure
facility that places continuous restrictions on the liberties of the child or
youth.
Clubhouses
This 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
This 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.
Community Homes for Opportunity
This service type is pertaining to the provision of long term bed-based
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.
Community-Based 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 bed-based 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.
Consumer-Run Businesses
This 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.
Counselling and Treatment – Mental
Health
This service type is pertaining to provision of counselling,
psychotherapy and other treatment services to individuals with mental health
concerns in the community. Includes telepsychiatry.
Counselling and Treatment – Problem
Gambling
This 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.
Counselling and Treatment – Substance
Use
This 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
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.
Crisis Intervention
This 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 Short Term
Crisis Support Beds service type.
Diversion and Court Support – Mental
Health
This 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.
Diversion and Court Support –
Substance Use
This 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 substance use services.
Early Psychosis Intervention
This 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 Capacity Building and Support
(CYMH)
This service type is pertaining to the provision of services to enhance
the family’s ability to support and adaptively respond to the mental health
needs of the young person. Family capacity building and support services may
include access to peer support, effective capacity building training for
families, assistance in navigating pathways to care, and training to assist
families in learning about the mental health problems of the child or youth.
Supports may also include respite services: temporary care for children and
youth with mental health problems to provide short-term relief for families and
caregivers.
Family Support – Mental Health
This 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.
Family Support – Problem Gambling
This service type is pertaining to the provision of education, support,
and community counselling to family members/significant others concerned with
someone else’s gambling problems, where family members/significant others are
seen as the primary client.
Family Support – Substance Use
This service type is pertaining to the provision of education, support,
and community counselling to family members/significant others concerned with
someone else’s substance use problems, where family members/significant others
are seen as the primary client.
Harm Reduction
This service type is pertaining to the provision of services and
supplies to reduce the health and social harms associated with addiction and
substance use, without necessarily requiring people who use substances from
abstaining or stopping. Examples of harm reduction services include needle
exchange programs, Safer Opioid Supply programs, and Consumption and Treatment
Services.
Home Care – Mental Health
This 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)'.
Indigenous Youth Life Promotion
(CYMH)
This service type is pertaining to the provision of mental health and
well-being services to Indigenous children and/or youth to address the high
rates of suicide among Indigenous Youth by building resiliency. Services focus
on holistic/land-based programming and prevention supports.
Information and Referral Service
This 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.
Inpatient
This service type is used by hospitals for reporting mental health and/or
addiction inpatient information.
Intensive/Day Treatment - Mental
Health
This 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.
Intensive/Day Treatment – Problem
Gambling
This service type 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 bed-based supportive treatment services, to assist the individual to
develop skills to manage problem gambling and related problems.
Intensive/Day Treatment – Substance Use
This service type 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 bed-based supportive treatment services, to assist the individual to
develop skills to manage substance use and related problems.
Medical Inpatient Withdrawal
Management
This service type is pertaining to medically-assisted withdrawal; Medical
consultation and staff are available on a constant basis to monitor and manage client
withdrawal symptoms.
Medication Assisted Addiction
Treatment
This service type is pertaining to programs that provide approved
medication (e.g. methadone, buprenorphine, naltrexone, Antabuse) to support the
efforts of individuals with a substance use disorder to abstain from or reduce
their substance use. The objective of medication assisted treatment is to
gradually reduce the amount of the substitute drug that is required in order to
reduce and, if possible, eventually eliminate dependency altogether. This
service type does not include counselling.
Outpatient Clinic – Mental Health
This service type is pertaining to the provision of psychiatric
consultations and assessments, and offers a variety of treatment modalities
which may include psychotherapy and medication management to individuals with
serious mental illness. Services are provided in a community or healthcare
setting. Referrals are typically from primary care practitioners or internal
sources.
Peer/Self-Help – Mental Health
This 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.
Peer/Self-Help – Problem Gambling
This 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.
Peer/Self-Help – Substance Use
This 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.
Public Awareness - Mental Health
This 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.
Public Awareness – Problem Gambling
This 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.
Public Awareness – Substance Use
This 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 drug awareness.
Rapid Access Addiction Medicine
(RAAM) Clinic
This service type is pertaining to low-barrier, walk-in clinics that
patients can attend to get help for a substance use disorder without an
appointment or formal referral. RAAM clinics provide time-limited medical
addiction care (including pharmacotherapy, brief counselling, and referrals to
community services).
Short-Term Crisis Support Beds
This 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
This 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
This service type is 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.
Targeted Prevention (CYMH)
This service type is pertaining to services focused on changing views
and behaviours, building skills and competencies and/or creating awareness and
resiliency through the provision of information, education, and programming to
defined at-risk populations. Targeted prevention programs may occur in a
variety of settings including education, health and community settings, and may
involve health practitioners and educators as partners. Targeted prevention
activities are: therapeutic activities that intervene in, or avert the
development or occurrence of a mental health problem; aimed at increasing the
child, youth and/or family’s capacity to understand mental health problems,
identify these problems early in the course of illness and change perspectives
and enhance resiliency; and avenues to promote early identification of mental
health problems, provide timely, effective early intervention, and develop skills
in the target populations.
Vocational/Employment
This 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.