Addiction Services in the Central West LHIN Helen Danakas Coordinator, Withdrawal Management Hélène (Leela Leela) Tanguay, PhD, RP, ICADC Coordinator, Narcotics Strategy
Overview of Presentation Addiction Services, Central West LHIN Withdrawal Management Centre Addiction Counselling Services Narcotics Strategy, Central West LHIN Strategy within Provincial Initiatives Context Partners Referral Process
Withdrawal Management Centre (WMC) 135 McLaughlin Road South, Brampton 20 Bed Co-Ed Facility, Open 24/7 Safe, non-medical medical, brief residential services (average stay 3-5 days) for individuals 16 years of age and older who are intoxicated, in withdrawal, in a crisis related to alcohol, drugs, and/or gambling, and/or who are waiting for addiction treatment. Support and monitoring through withdrawal Only Residential Withdrawal Management Centre within a large area Accepts clients from any region Smoking Policy in effect
Withdrawal Management Services All staff are Addiction Crisis Workers Staff will assist clients with referrals (counselling, treatment, housing, etc.) when needed Assessments can be completed by staff to help with the referral process While at the WMC, clients will be participating in 12 step meetings, daily psycho-education groups, Auricular acupuncture, information sessions on community agencies and supports. For example: Harm Reduction, Hep C/AIDS info sessions, etc. Telephone support available 24 hours a day, 7 days a week
WMC Admission Criteria 16 years of age or older Intoxicated (stable on foot) In Withdrawal (used within 72 hours) In Crisis (Risk of Using) Pre-Treatment (Confirmation required, either by referring counsellor or Treatment Centre)
WMC Referral Process Self Referral. Client must call the Centre directly Counsellors/Case Workers/Physicians/Probation Officers etc. can call the Centre and check availability at any time Client must call the day they are ready to come in If a bed is available then a Telephone Screening would be completed with the client Telephone screening typically takes 15-30 minutes to complete. A number of questions are asked to determine if the client meets the admission criteria
WMC Referral Process (cont d) Medical clearance may be required if there are some medical/withdrawal concerns noted by the client or the Addiction Crisis Worker. In the event that a medical clearance is required the clients bed will be placed on hold pending the clearance. Medical clearance can be done with their family doctor or at the hospital. If a bed is not available at the time, the client can be referred elsewhere, or they can be placed on the wait list. If placed on the wait list the staff will call them back as soon as a bed is available (typically the client will receive a phone call within 24 hours)
What We Do at WMC... Support and monitor clients through their withdrawal Once admitted clients are placed in our Observation Area Typically, clients stay in the observation area for a minimum of 4 hours to ensure stabilization Once stable, clients are moved to the residential side Counselling (1 on 1 and in group) Treatment / Discharge Planning Average length of stay is 3-5 days, however it is assessed on an individual basis
Bridging Addiction Counselling (BAC) Coordinated services offered by William Osler Health System, CMHA Peel, Punjabi Community Health Services, and Peel Addiction Assessment and Referral Centre Support clients during the transition from Withdrawal Management Centre to residential treatment or long-term counselling Referrals accepted through Central West LHIN Health Links Short-term addiction assessment and counselling Assists the individual to engage with community resources that will meet their longer term needs
Bridging Addiction Counselling (cont d cont d) Assists individuals with the application process for these programs Families or concerned persons of the individual will be referred to appropriate resources where applicable Mobile services to meet clients in a safe place within Central West LHIN
Addiction Counselling Services (ACS) Primary location at Peel Memorial Centre for Integrated Health and Wellness. Additional Locations: - Etobicoke General Hospital - Homewood Community Addiction Services (CADS) Orangeville One on one counselling for alcohol, drugs, and problem gambling Open during the day, Monday through Friday some evening appointments available Comprehensive Assessment/ Treatment Planning / Referrals
Addiction Counselling Services (cont d) Individual and Group Counselling and Psycho-Education Counselling for family and friends Psychiatric Consultation and treatment Follow-up / Aftercare
Central West LHIN Narcotics Strategy Context: $12 Million annual funding from Province since 2012-2013 In response to the increase of opioid addiction and associated mortality Strengthen existing services through collaborative partnerships integrated across sectors (interdisciplinary, outreach-based services) Increase access to care Target populations: Poly-substance users, concurrent disorders, youth, homeless persons, people living in rural or remote areas, First Nations Services based on the local needs and context
Central West LHIN Narcotics Strategy A Partnership between six organizations: 1. William Osler Health System 2. Canadian Mental Health Association Peel Branch 3. The Jean Tweed Centre 4. Family Transition Place 5. Punjabi Community Health Services 6. Peel Addiction Assessment and Referral Centre (PAARC)
Resources Shared amongst Strategy Partners 1 Narcotics Strategy Coordinator 2 Psychiatrists specializing in Addiction Medicine 1 Nurse Practitioner Telemedicine Facilitator 11 Ontario Telemedicine Network (OTN) sites. 7 clinicians (Counsellors and Case Managers) work as part of the Narcotics Strategy team and are supported by the shared resources.
Services Available **All Narcotics Strategy services are free of charge** Case management Comprehensive Assessments Counselling Referrals to residential treatment Centres and Day Programs Counselling and support for Pregnant/ Parenting Women/ Youth Links to Methadone/ Suboxone and Naloxone kits providers Appointments available in the community / at agencies / OTN Services available in multiple languages
South Asian Opioids Addiction Program Supports individuals 16 years of age and older Current or previous opioid use Methadone or buprenorphine (Suboxone) treatment referrals Individual and family counselling & case management Group therapy Assessments, Referrals and home visits Culturally and linguistically appropriate services
Peel Addiction Assessment and Referral Centre (PAARC) Choices Program Supports individuals 16 years of age and older Current or previous opioid use Methadone or buprenorphine (Suboxone) Individual counselling/ Groups/ Case Management Services at the office or in the community May include family members and concerned persons
Family Transition Place Mothers Changing Path Program Supports pregnant and parenting females of any age Opioids and /or any substance use Individual counselling and case management Trauma-informed practices Parenting support Child welfare issues Childcare available onsite Serving Caledon and Dufferin regions
The Jean Tweed Centre Pathways to Healthy Family Program Supports pregnant and parenting females of any age Opioids and/or other substance use Individual counselling and case management Trauma-informed practices Parenting support Child welfare issues Childcare available onsite
Canadian Mental Health Association Peel Branch IMPACT Program Supports youth12-18 years of age Current substance use or high risk of future substance use Individual and group therapy Life skill and social skill development Focus on substance use education, harm reduction, health promotion, and awareness Worker can meet the youth in the community
William Osler Health System Nurse Practitioner Services Located at Withdrawal Management Centre Supports clients of the 6 partnering agencies Medical Assessments and Interventions Treatment of acute and/or chronic conditions Prescribing of medications / Lab testing Health promotion and medication education Referrals to medical specialists Services available on site (WMC) and through OTN
How to Refer Patients Self-Referral Clients can contact the agency directly Contact Strategy Coordinator if questions about services or unsure about where to refer a client. www.opioidsupport.ca
Contact Information Helen Danakas Coordinator, Withdrawal Management Centre 905-456-3500 helen.danakas@williamoslerhs.ca Hélène (Leela) Tanguay Coordinator, Central West LHIN Narcotics Strategy 905-494-2120 ext. 29383 Helene.tanguay@williamoslerhs.ca