3 Men Needing Opioid Addiction Treatment
One caller, Harold*, called in for himself looking for a specific program in the Niagara Region. It took us a few minutes to realize he had been told that this was going to be the best program and it was someone else’s recommendation for treatment. We, then, determined several factors that let us help him a better way than just giving him the information he had called in for. Harold wanted a program to help him deal with an addiction to Heroin. He was already on a Suboxone program and wanted OHIP options. We told him all the steps he needed to take and then explained what he needed to do. As usual, we sent him a follow-up email outlining all the information we discussed. That’s not all though… After giving Harold the resources he needed, he asked how we could help his brother who was also addicted to Heroin but was, instead, on a methadone maintenance program. We said his brother would have a harder time finding treatment because many programs don’t accept clients using methadone, but would send him another, separate email detailing options available to his brother. It didn’t end here though… Harold proceeded to ask about available treatment to a friend in his circle who was not yet on Suboxone or methadone and was still smoking heroin. This was the easier person to provide treatment options for as he was not on any anti-craving drugs. There are more options available for people using only Heroin and not Suboxone or Methadone. LOCATION: BRAMPTON, ONTARIO Harold DOC: Suboxone PERSON: 26-year-old male REQUEST: Harold is looking for OHIP options for opioid addiction treatment and programs teaching coping techniques. Harold also wanted to get off Suboxone, which we gave him detox options for. We also suggested Harold talk with his prescribing doctor about tapering off Suboxone before or after treatment. We provided a list of programs that accept methadone clients and told Harold to also call the Drug and Alcohol Helpline (1.800.565.8603) to get a list of residential programs that are within his LHIN (Unlike Methadone, Suboxone usually is permitted to be administered in treatment programs). We also gave Harold information for the nearest assessment office and a list of questions to ask in order to gather the information he needs before he gets assessed/referred to a opioid treatment program. Harold’s Brother DOC: Methadone Harold wanted information for programs that could help his brother get off Methadone and treat his opioid addiction. We told Harold that the same information we provided to him would also help het his brother into treatment. However, Harold’s brother will have a harder time because of Methadone is less accepted treatment programs than Suboxone. We suggested, if Harold’s brother didn’t want to be on Methadone, that he start working with his prescribing Doctor to start tapering. ASSESSMENT AND REFERRAL OFFICE (for Harold and his brother) William Osler Health Centre – Addiction Counselling and Problem Gambling Clinics 301-118 Queen Street W Brampton, ON L6X 1A5 Phone: (905) 796-3005 Note: assessment and outpatient counselling for youth and adults. METHADONE PROGRAMS (for Harold’s brother) Cornwall Adult Support Recovery St. Denis Centre 339 Second St. East Cornwall, ON K6H 1Y8 Phone: (613)933-0418 (direct) Toll-Free: 1(800) 272-9236 ext.107 (Admission/referral) Fax: (613) 933-3825 E-Mail: annzeran@aseo-steo.org Website: http://www.drugandalcoholhelpline.ca/Directory/Program/1932 St. Joseph’s General Hospital Elliot Lake (30MG or less and tapering) Camillus Centre 3-9 Oakland Boulevard Elliot Lake, ON P5A 2T1 Phone: (705) 848-2652 Phone: (705) 848-2129 ext. 242 (intake) Website: www.sjgh.ca Guelph Adult Primary Treatment (30MG or less and tapering) Homewood Addiction and Mental Health Division 150 Delhi Street Guelph, ON N1E 6K9 Phone: (519) 824-1010 ext.2551 (Intake) Toll-Free: 1(866) 839-2594 Fax: (519) 767-3533 E-Mail: admit@homewood.org Website: www.homewood.org Guelph Adult Support Recovery Stonehenge Therapeutic Community (Can do a methadone taper via doctor recommendation) 60 Westwood Rd. Guelph, ON N1H 7X3 Phone: (519) 837-1470...
Family of 3 needs treatment in Sarnia, Ontario
Every caller’s situation is different and unique. In our blogs we try to highlight the uniqueness of each person’s addiction. This next story is an excellent example of that. The caller, Jeff*, and his girlfriend’s 20-year-old daughter, Amy*, both struggle with addiction and dependency issues. All three live in Sarnia, Ontario. We began with providing Jeff with a list of assessment offices in Sarnia. We suggested Jeff contact them first to see what resources and services they can provide for him and his girlfriend as an affected loved one (e.g. family support). This way, Jeff can “kill two birds with one stone” because you can also find out what options are available for Amy. SARNIA OUTPATIENT – Government or Contracted Agencies Bluewater Health, Lambton County Addiction Services 209 Essex Street Sarnia, ON N7T 4S1 Phone: (519) 464-4400ext.5370 E-Mail: pstebbins@bluewaterhealth.ca Assessment and outpatient counselling for youth and adults. Bluewater Health also has an intensive outpatient program (typically for one week on a daily basis for several hours each day). Westover Treatment Centre 350 Indian Road Sarnia, ON N7T 3W8 Phone: (519) 692-5110 E-Mail: homeoffice@westover-fdn.org Outpatient counselling for youth, adults, and affected family members and significant others. Here is a link to all the residential treatment program in Ontario: http://www.canadadrugrehab.ca/ON/Ontario-Residential-Alcohol-Drug-Rehab-Programs.html#adult We suggested Jeff and his girlfiend print off a list of the programs that interest him or he would be willing to help Amy travel, such as a program that is 90+ days, women-only, includes trauma therapy, etc. Contact the Ontario Health Insurance hotline (1-800-565-8603) for public addiction treatment and don’t forget to use our “questions to consider asking facilities” when researching treatment options prior to detox and assessment. GOVERNMENT TREATMENT: When Jeff calls the Ontario Drug and Alcohol 24-hour hotline, we advised him to ask for the following 4 pieces of information: 1. Initial assessment facilities – In order to get a referral to a government treatment program you must be assessed first. 2. Available detox facilities – Depending on how severe the substance dependency is, a medical detox may be needed. 3. Outpatient Treatment – These programs are typically 6-12 weeks long, once a week, for 1-6 hours at a time. – They provide more support than meetings, but less than rehab. – This is sometimes a good interim solution while you or Amy are waiting to get into a rehabilitation program. 4. Residential treatment options...
Government addiction treatment options in London, Ontario
Dylan in London, Ontario is looking for government-funded treatment. He didn’t give us too many details about his substance use issue, so we offered some general, all-encompassing treatment options that met the needs we were aware of. The first thing Dylan needs to do is sober up off the substances he is using. STEP ONE Depending on the substance (e.g. meth, cocaine, speed, other party drugs) you can go here. If you are withdrawal from moderate to severe dependence on Opiates (e.g. heroin, morphine, Fentanyl, oxycodone), Alcohol, or Benzodiazepines you will likely need to go to a medical detox unit (see further down under “Toronto Options”) Alexandra Hospital Centre of Hope Withdrawal Management Centre 281 Wellington Street London, ON N6B 2L4 Phone: (519) 432-7241 Fax: (519) 672-4025 Website: http://www.drugandalcoholhelpline.ca/Directory/Program/6095 Note: 18 beds (8acute, 10 non-acute) for people 16+. Staff are not medically trained so clients must be sufficiently stable prior to admission. Contact this program to determine suitability. Centre for Addiction and Mental Health (CAMH) 3rd floor – 60 White Squirrel Way Toronto, ON M4G 3Z1 Phone: (416) 535-8501 ext. 36071 Toll-Free: 1(800) 463-2338 ext. 6616 Website: CAMH Medical Withdrawal Unit Note: an 18-bed medical detox. All clients are monitored by medically trained staff. Clients can self-refer between 8am -2pm Monday – Friday, no admissions on weekends or public holidays. Humber River Regional Hospital Bridgewood Chemical Dependency Program Elective Inpatient Withdrawal Program 2175 Keele Street Toronto, ON M6M 3Z4 Phone:(416) 658-2029 Website: Mental Health and Addiction Services Note: all clients are monitored by medically trained staff. There are 11 beds in the psychiatric care unit that are for acute withdrawal. If the above options cannot help you, here is a link to all available detox units in Ontario: http://www.canadadrugrehab.ca/ON/Ontario-Medical-Detox-Alcohol-Drug-Rehab-Programs.html#medical STEP TWO Once you are sober you can make an appointment with this office to assist you with the paperwork and referral into a treatment centre: Addiction Services of Thames Valley (ADSTV) 260-200 Queens Avenue London, ON N6A 1J3 Phone: (519) 673-3242 ext.222 E-Mail: intake@adstv.on.ca Note: assessment and outpatient counselling for youth and adults. Also has a program for family members, significant others, pregnant women and women with children up to 6 months of age. French available. STEP THREE It is helpful if you find a few programs you would like to get into and contact them prior to your appointment with the local mental health and addiction office (e.g. Addiction Services of Thames Valley in this situation). It shows initiative on your part. You will want to use these questions to help you figure out whether or not the program is meets your needs. Here is where you can research potential residential programs: http://www.canadadrugrehab.ca/ON/Ontario-Residential-Alcohol-Drug-Rehab-Programs.html#adult Here are the local options for London: Westover Treatment Centre P.O. Box 8 2 Victoria Street South Thamesville, ON N0P 2K0 Phone: (519) 692-5110 Toll-Free: 1(800) 721-3232 Fax: (519) 692-3138 E-Mail: Use form on the “contact” page Website: www.westover-fdn.org Note: Has 22 beds funded by the Ministry of Health in our Substance Dependence Program and six beds in our Family Program. Also has 2 fee-for-service beds for those who want to get in faster. London Adult Support Recovery – Secular Mission Services of London Quintin Warner House 477 Queens Avenue London, ON N6B 1Y3 Phone: (519) 434-8041 Fax: (519) 434-1669 E-Mail: qwhintake@missionservices.ca Website: www.missionservices.ca Note: a 16 bed 16 -24 week residential program for males only 18+. Accepts referrals from the courts and correctional facilities. Clients must be sober between 7-14days. London – Adult Support Recovery – Faith-Based Teen Challenge London 9340 Sharon Road London, ON N6P 1R6 Phone: (519) 652-0777 Toll-Free: 1(888) 417-7777 E-Mail: ernie.tell@teenchallenge.ca Website: www.tclondon.ca Note: 1 year faith-based program for 52 men 18+. Program is $100 application fee with a fee of approx. $1000 per year. Clients must be sober 14days prior to admission. You can also call THE ONTARIO DRUG AND ALCOHOL HELPLINE (OHIP’s public drug and...
Private & Confidential Alcohol Treatment
Rose* called in to find addiction treatment resources for professionals in Ontario. She wanted to know about private and confidential programs that were going to help her 65-year-old husband who struggles with alcohol dependency. Rose said she had insurance, so we suggested she ask her provider to see if her insurance covers only “hospital facilities” or would allow him to seek any program. Insurance Programs If Rose’s insurance covers treatment, her husband will most likely attend to Homewood (Guelph) or Bellwood (Scarborough). These programs are the programs in Canada that have “hospital status” and meet the needs of insurance providers. We also gave Rose links to private 12 Step, 12 Step Holistic, and non-12 Step treatment programs if her insurance does not cover her husband’s treatment. We also gave her links for alternatives to standard treatment resources such as private therapy, sober companionship, life coaching, and pharmaceutical intervention. NON 12 STEP Residential Care Programs SUNSHINE COAST HEALTH CENTER 2174 Fleury Road, Powell River, BC V8A 0H8 Contact the Admissions coordinator, Sara, by phone: (604) 487-9010 Toll-free: 1(866) 487-9010 E-Mail: info@schc.ca A private program for men that uses evidence based approaches and includes medically-supervised detoxification, masters-level therapists, on-site recreation (including indoor lap pool), psychiatric assessment, refresher courses (aftercare), online support (aftercare), family program, and couples program. Program lengths are 30, 42, 60, and 90 days while returning alumni have more flexible lengths of stay. Average cost is $15,000 for 30 days. Click the links for more information on SCHC’s program descriptions and fee schedule. LIFESCIENCE ADDICTION TREATMENT CENTER 114 Rue Kimpton, Rigaud, QC J0P 1P0 Phone: (450) 451-9995 Fax: (450) 451-9995 Website: www.life-science.ca E-Mail: info@life-science.ca Contact MARIO LANCIA @ 514.631.9997 for information about admission to LifeScience. This is an English speaking fee-for-service co-ed treatment program for adults 18+. There are 30, 60, 90 day primary treatment programs with a 10 day maintenance program. They charge $8,000 for 30 days (extensions up to 90 days can happen) and use evidence and best practices models. They want to work with the client and design a treatment program that works best for them. They will help with implementing proper coping strategies in regards to stress. Treatment takes place in a home like environment in a rural area of Quebec. If necessary, clients see a psychiatrist for mental health assessment and treatment, as well as an addiction medicine doctor. Clients need to be sober prior to admission. Traditional 12 STEP Programs with a Holistic Model Orchard Recovery and Treatment Center Bowen Island, British Columbia, Canada Contact Joanna Journet to get more program details by phone: (604) 947-0420 or Toll-free: 1(866) 233-2299 A private co-ed residential treatment center. 1-on-1 Alternatives Summit-Bridge Consulting Group Vancouver, BC Contact Arnold Mulessa by phone: (604) 725-0121 Toll-free: 1.800.726.4075 or Email: info@recoverforgood.com Website: www.summit-bridge.com Summit-Bridge is a fee-for-service withdrawal management service. They come to your chosen location and offer 24/7 care and assistance through the initial withdrawal period. They are a Canada-wide service and use naturopathic and traditional western medicine. They also offer intervention services, sober companionship, and 24/7 monitoring and care to help clients establish new patterns and a recovery community. Private Therapy Here is the local therapist in your area that specializes in addiction. Morgan, Kelly – Hons. BA, MA Psych. Kelly J Morgan Psychotherapy & Assessment 1180 Cassells St. North Bay, ON P1B 1B6 Phone: (705) 472-5136 Phone: (705) 493-7111 E-Mail: morgankj@yahoo.com Pharmaceutical Alternatives We recommend people pursue different methods (e.g. abstinence-based programs) before settling on pharmaceutical alternatives for alcohol treatment. However, if Rose and her husband chose this route, we recommended her husband go see a counselor at the same time....
Individual and Family Treatment for Alcohol Addiction
Mary* called us recently to inquire about residential alcohol treatment for her husband, David*, and family support (specifically boundaries and enabling) counselling for herself in Ontario. Our time with Mary tackled two issues. We provided resources for David – assessment, detox, residential, Ontario Health Insurance, and private treatment. We also went over resources for Many and explained how to access these services as an affected loved one. Mary was dealing with intense feelings of suffocation because she could not go anywhere or do anything without David falling apart and getting drunk at home. The effects of David’s depression, his first relapse, and his heightened neediness when he is off work (David does seasonal work) all have taken a toll on Mary. These are the resources and links we provided Mary: This link will provide you with useful information for substance-affected family members and friends: http://www.sunshinecoasthealthcentre.ca/family-addiction-help.html BOUNDARIES This is a list of printed resources on boundaries for families affected by addiction: Addictive Relationships: Reclaiming Your Boundaries (1989) Joy Miller Better Boundaries: Owning and Treasuring Your Life (1997) Jan Black, Greg Enns Boundaries – Where You End And I Begin: How To Recognize And Set Healthy Boundaries (1994) Anne Katherine Boundaries and Relationships: Knowing, Protecting and Enjoying the Self (1993) Charles Whitfield Boundaries in Marriage (1999) Henry Cloud and John Townsend Boundaries in Marriage (1999) Henry Cloud and John Townsend Boundaries in Marriage – Participant’s Guide (2002) Henry Cloud and John Townsend Boundaries: When to say Yes, When to Say No, To Take Control of Your Life (1992) Henry Cloud and John Townsend Where to Draw the Line: How to Set Healthy Boundaries Every Day (2000) Here are some of, CDR operator, Sunshine Coast Health Center’s blogs on boundaries and family support: 1. When Addiction is close to home: A Toolkit for Families 2. Emotional Hangovers LOCAL OPTIONS – ASSESSMENT OFFICE Mary and David live near Norwood. These were the closest offices they could to get David’s assessment and options for Mary: Four Counties Addiction Services Team (Four CAST) 2nd floor 1011 Elgin St. W Cobourg, ON K9A 4K9 Phone: (905) 377-9111 Toll-Free: 1(800) 461-1909 Fax: (905) 377-9392 E-Mail: fourcast@fourcast.ca Website: www.fourcast.ca Lakeshore Counselling 975 Elgin Street Cobourg, ON K9A 4K9 Phone: (905) 377-9111 Toll-Free: 1(800) 461-1909 E-Mail: fourcast@cogeco.net Campbellford Memorial Hospital 246-146 Oliver Road Campbellford, ON K0L 1L0 Phone: (705) 653-3352 Toll-free: 1(800) 461-1909 E-Mail: fourcast@cogeco.net Four Counties provides assessments and outpatient counselling for youth and adults, including pregnant women and mothers with children 6 months of age or younger. Open Thursday and Friday only. DETOX These are the detox services available in your area if David needs support during withdrawal (which is quite common for alcoholism): Cobourg Withdrawal Management Services (Detox) Four Counties Addiction Services Team (Four CAST) 2nd floor 1011 Elgin St. W Cobourg, ON K9A 4K9 Phone: (905) 377-9111 Toll-Free: 1(800) 461-1909 Fax: (905) 377-9392 E-Mail: fourcast@fourcast.ca Website: www.fourcast.ca Home detox is provided with support and monitoring offered by a withdrawal management professional. Clients are assisted with withdrawal symptoms on an outpatient basis (in-office or by phone). PRIVATE RESIDENTIAL TREATMENT This is one example of programs we provided Mary that we believed would be optimal for David: Life Science Addiction Treatment Center 114 Rue Kimpton Rigaud, QC J0P 1P0 Phone: (450) 451-9995 Fax: (450) 451-9995 Website: www.life-science.ca E-Mail: info@life-science.ca They charge $8,000 for 30 days (extensions up to 90 days can happen). Life Science uses evidence-based and best practices models. This facility works with the client to design a treatment program that works best for him or her. Life Science will help with implementing proper coping strategies in regards to stress. Treatment takes place in a home-like environment located in a rural area of Quebec. It is also...
Opioid/Heroin Addiction Detox & Treatment
All of the stories we hear are sad in some way, but some are more heartbreaking than others… Laura lives in St. Catherine’s, Ontario, but her son, Andrew, currently resides in Alberta. Linda recently received news that Andrew is in an Edmonton hospital recovering from an assault (likely related to substance use). He has broken ribs and fractures to the face, as well as other injuries. Laura is looking for as many funded resources for Andrew as possible. We started off by giving her contact information for several Mental Health and Addiction offices. Over the phone, we also gave Laura contact information for several detox locations to call before she goes to Edmonton to pick Andrew up from the hospital. We also provided information for medical detoxes in Toronto if Laura decides to bring Andrew back to Ontario. These are the closest Mental Health and Addiction offices to Laura: Community Addiction Services of Niagara 401-60 James Street, St. Catharines, ON L2R 7E7 Phone: (905) 684-1183 ext. 221 E-Mail: mchudy@cas-n.ca City of Hamilton, Alcohol, Drug and Gambling Services 3rd Floor 21 Hunter Street E Hamilton, ON L8N 1M2 Phone: (905) 546-3606 E-Mail: adgs@hamilton.ca Suntrac Addiction Treatment Centre Mission Services of Hamilton, Inc. 106-293 Wellington Street N Hamilton, ON L8L 7W2 Phone: (905) 528-0389 E-Mail: suntrac@mission-services.com Wayside House of Hamilton 15 Charlton Avenue W Hamilton, ON L8P 2B8 Phone: (905) 528-8969 E-Mail: regan.anderson@gmail.coma This link will take you to a list of additional options (alphabetically organized by city) if the facilities above are unavailable: http://www.canadadrugrehab.ca/ON/Ontario-Outpatient-Alcohol-Drug-Rehab-Programs.html#govt DETOX/WITHDRAWAL SERVICES Andrew will most likely need to be sober prior to admission for any treatment program. Here is a link to the medical services of Ontario: http://www.canadadrugrehab.ca/ON/Ontario-Medical-Detox-Alcohol-Drug-Rehab-Programs.html There are only four locations offering medically supervised withdrawal: Two in Toronto, one in Ottawa, and the other in Sioux Lookout (near Kenora). This link will give you more options if the mens withdrawal unit in St. Catherine’s cannot assist you with his withdrawals. St. Catherine’s Withdrawal Management Services (Detox) Niagara Health System Niagara Regional Men’s Withdrawal Management Service 10 Adams Street St. Catharines, ON L2R 2V8 Phone: (905) 682-7211 ext.1 Fax: (905) 682-4749 Website: www.drugandalcoholhelpline.ca/Directory/Program/6848 Andrew also has pending criminal charges and may need a program that allows clients to attend hearings. Here are links to CSC programs in Ontario that will accommodate hearings and programs that accept clients on methadone (which is possible since Andrew is a frequent relapse): http://www.csc-scc.gc.ca/text/pblct/community/onte-eng.shtml RESIDENTIAL TREATMENT Here is a link to all the residential programs that offer treatment in Ontario: http://www.canadadrugrehab.ca/ON/Ontario-Residential-Alcohol-Drug-Rehab-Programs.html It is a mix of private, charitable, and government-funded programs organized alphabetically by city. We suggest scrolling through the list and highlighting programs that offer long-term treatment. Start with these ones first since you mentioned it would be better for Andrew to stay in treatment as long as possible. Take notes on the programs (create a list), then call and ask the questions provided in the link below. This will help you find a program that is low in cost and long-term. Write down when you called so that you know if you’ve called and left a message. If you do not hear back from the program, call back. When researching treatment programs, make sure to ask them all the questions necessary to ensure Andrew’s needs will be met. Here is a suggest list of questions to ask. METHADONE-SUPPORTED PROGRAMS If Andrew begins using methadone as part of his treatment, here is the list of programs that accept clients on methadone: Note: This is a list of programs that deal with clients...
