Searching for Addiction Counselling

Provincial initiative to support health care providers in treating people with substance use disorders with care models, clinical addiction tools for health care providers, resources for patients, and information about rapid access addiction medicine clinics

Rapid Access Addiction Medicine Clinics (RAAM Clinics)

To access a list of RAAM clinics across Ontario, www.metaphi.ca/raam-clinics/

• low-barrier, walk-in clinics for addictions
• time-limited medical addiction care, including pharmacotherapy, brief counselling, and referrals to community services

Online mental health and substance use support, including resources, tools, apps and connections to trained volunteers and qualified mental health professionals; confidential modules for addressing low mood, worry, substance use, social isolation and relationship issues

Immediate crisis support available:

• youth call 1-888-668-6810 or text WELLNESS to 686868
• adults call 1-866-585-0445 or text WELLNESS to 741741​

PocketWell App
Includes access to self-assessment tool and tracker that monitors mood and mental well-being; connects to WTC portal

MindWell for Healthcare Workers
4 weekly lesson modules to increase resilience and well-being; contact for session schedule; registration required

Togetherall
Online mental health wellness resource includes peer support community and self-help courses on topics such as anxiety, sleep, weight management, depression, isolation and loneliness; access to licensed and registered mental health practitioners

• access to full program requires free WTC account
• confidential

Partnership includes Kids Help Phone, Homewood Health, and Government of Canada (Health Canada), see separate listings

Promote the health of Toronto residents through the delivery of health services and programs and the development and implementation of public policy and practices

• immunization and screening for communicable diseases
• health education programs
• family and child health
• dental health
• sexual health
• injury prevention
• environmental health
• physical activity
• public health standards enforcement
• research and population-based health research
• air quality health index
• beaches water quality
• extreme heat/cold alerts
• food handler certification program
• health status reports
• home visiting program for pregnant women and parents of children birth-3 years
• smoking cessation * support to help quit smoking

Breastfeeding Support - Counseling for breastfeeding mothers * phone calls or home visits * breast pump rentals * discussion of the effects of foods and medications on breast milk

Dental Services - Free dental clinics for eligible children and youth (ages birth-17 years), adults enrolled in selected programs, and older adults 65 years and older * low cost dental clinic referral for those not eligible for free services

Diabetes Prevention - Community programs that focus on promoting healthy lifestyle changes to prevent type 2 diabetes * programs focus on diabetes risk assessment, food skills and nutrition, physical activity, and smoking cessation and stress management

Services and Programs:

• Emergency Preparedness
• Fall Prevention
• Immunization Information Centre
• Works, The
• Sexual Health Promotion
• Vulnerable Adults and Seniors Program

Program partnered with Cancer Care Ontario designed to enhance knowledge, build capacity and empower Indigenous communities with the skills and tools needed to address tobacco cessation, protection and prevention

COVID19 Building closed to the public, all non-essential services suspended; mental health and justice case management available

• Friends Community Meal Program, takeout food only Mon-Fri 10 am-4:30 pm; take out dinner Mon-Fri 4 pm-5 pm
• access to telephone, washrooms Mon-Fri 2:30 pm-4 pm
• PAID Clinic Thu 1:30 pm-3:30 pm, assistance with ID on first come, first served basis
• visit Fred Victor website for details on available services

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Drop-in services, including information and referral, counselling and advocacy

• access to ID clinic
• access to food, clothing and phones
• mental health and justice workers
• harm reduction equipment and support
• Fair Change Legal Clinic
• seasonal income tax preparation
• creative arts programs and outings
• community garden

Member agency of Toronto Drop-in Network (TDIN)

COVID19 -- Substance Use Service and RAAM Clinic open


Substance Use Service

• assessment and ongoing management of substance use disorders
• harm reduction education and supplies
• brief individual counselling; group counselling/support
• management of acute withdrawal from alcohol and opioids
• medication assisted treatment
• referral to long-term treatment

Rapid Access Addiction Medicine (RAAM) Clinic -- addiction assessment and care for people without connections to other addiction treatment

Emergency shelter for men, including short term problem solving and referrals, case management, housing and addiction counselling, and harm reduction

• access to Housing Connections (see separate listing) Community Partner, assistance with housing search and application process

Emergency Shelter Program, 416-392-5522, 416-392-5527
Emergency accommodation in dormitory setting, with access to bed area 4 pm-8 am, includes day program, counselling and referrals, meals, and access to lounge, resource room, computers

• capacity 72
• laundry and lockers available

4th Floor Winter Respite Program, 416-392-5542
Respite accommodation for men 50 years and older in residential crisis with a documented need for 24-hour bed access, men 18-49 years with chronic health problems may be accepted

• capacity 100
• includes counselling and referrals, meals and laundry, and on-site day nurse

Annex Harm Reduction Program, 416-397-5598, 416-338-3190
Overnight wet shelter for men 18 years and older, ineligible for service in other programs due to chronic alcohol use, or who are vulnerable in other programs due to their behaviours related to alcohol use and/or mental illness

• capacity 51
• includes Managed Alcohol Program (MAP) and client centred case management services

Infirmary Program, intake nurse 416-392-5623, Infirmary shift leader 416-392-6706
Acute, respite, chronic and palliative care for men 18 years and older with complicated health care issues currently using the hostel system, including medical assessment, primary care and clinical case management

• capacity 22
• in partnership with St Michael's Hospital (see separate listing) and University of Toronto Faculty of Medicine

O'Neill House Program, Seaton House Overdose Prevention Site (SHOPS), 416-392-5407
Safe drug consumption site serves Seaton House residents

George Street Revitalization includes Seaton House programs, with residents moving to alternate locations, for information visit City of Toronto website for George Street Revitalization updates

COVID19 Modified services via phone, email, video calling, or screened on-site services by appointment with enhanced safety protocols

Health Centre
Nurses or nurse practitioners available for phone consultations and referrals, or by appointment; urgent psychiatry visits can be arranged; call 416-929-9614 ext 2238 or email healthcentre@ysm.ca

Mental Health Services
Telephone counselling by appointment, call Nazreth 416-929-9614 ext 2269 or email nmebrahtu@ysm.ca

Nursery
Appointments available for supplies for young families in need; current registered families may receive a 2 week supply of child supplies, to coordinate pick up call Ruth 416-929-9614 ext 2232 or email rroblin@ysm.ca

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Health Services
Including primary medical care, dental care, check ups, lab tests (including HIV testing), referrals, and ID replacement; no Ontario Health Insurance or identification required; child care available

• access to diapers, formula, baby food
• birth control, pregnancy tests
• prenatal care, perinatal services
• prenatal and parenting classes
• immunization
• optometry, eye glasses
• chiropractor, physiotherapist, naturopath, psychiatrist
• addictions counselling
• traditional Chinese medicine
• foot care, socks and shoes
• health education and counselling on health issues

• individual, couple, and family counselling
• addictions counselling
• wellness programs
• mental health seminars

Some services also offered at other locations

Non-residential substance use treatment program, assessment, individual and outreach counselling, crisis intervention, referral, harm reduction, educational workshops

• no emergency services

For other YMCA/YSAP locations in Greater Toronto Area, see separate listings

Drop-in services, including medical, mental health, employment, housing support and legal services

• breakfast, lunch, afternoon snack
• access to laundry, showers
• hygiene products
• substance use counselling and harm reduction supplies
• mental health counselling and crisis intervention
• visiting nurse
• housing support services
• access to telephones, resource computers
• referral to community partners
• clothing available (dependent on donations)

Member agency of Toronto Drop-in Network (TDIN)

Group and individual counselling to people with mental health and addiction issues * addiction day treatment program

Services and Programs:

• Aboriginal Mental Health And Addiction Services
• Walk-In Counselling

COVID19 -- registered nurse on site, but regular drop-in medical clinic hours have been suspended until further notice


CATCH (Co-ordinated Access to Care for the Homeless) --for persons who are homeless and not connected to services, with or without mental health or addiction problems, referrals through Medical clinic -- call for details

AApricot (Addiction Assessment Psychotherapy Referral in Community of Toronto) program

• assess, motivate and refer underserved substance users to appropriate services
• operates in partnership with Fred Victor (see separate entry) and community physicians

Housing workers/resettlement/crisis intervention counselling -- Monday-Friday, by appointment only

Gambling Addiction Program -- case management and support groups for adults struggling with both homelessness and problem or pathological gambling (temporarily closed, call for details on re-opening of program)

Veterans Housing Navigation Team

• intensive case management for veterans who are homeless or at risk of homelessness
• contact Veterans' Transition Worker

Pastoral Care Program -- counselling and support to meet spiritual needs

Member agency of Toronto Drop-in Network (TDIN)

COVID19 -- most staff working remotely, call or email for program intake and support

In-person court services, and visits to Vanier Centre suspended, Market Place closed due to COVID restrictions

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Transitional housing, counselling, community, court and outreach programs

Phyllis Haslam Residence -- transitional residence for women on parole

• staffed 24 hours
• individual and group counselling, practical assistance
• referral and support to plan for release
• capacity 14, also 2 satellite apartments for independent community living, 1 for woman with a child

General Counselling -- individual and group counselling supports and workshops for women in the community dealing with social, economic and justice issues

• provides information pertaining to legal rights, health and safety and alternatives to at-risk behaviours
• programs include parenting, immigrant family law, anger management, theft and fraud, healing from abuse and trauma, domestic/gender based violence, substance abuse and gambling support

Reintegration Counselling -- individual and group counselling for women on provincial probation and parole

• clients provided with skills to develop alternatives to theft, fraud, substance use behaviours and poor decision making

Trauma Recovery and Empowerment Model (TREM) --individual and group counselling and psycho-educational support for women who have experienced gender-based trauma

Direct Accountability Program (DAP) -- provides alternatives to prosecution for individuals charged with minor criminal offences, operates at the College Park court

Partner Abuse Response program -- 12 week group education and counselling program on domestic violence and non-abusive ways of resolving conflict

• victims/partners of the offender provided with support including safety planning, referrals to community resources, and information on offender's progress

BEST (Building Employment Strategies Together) -- individual and group support for women to develop a job search plan

• communication skills, resume writing, financial literacy, identifying career training programs and job placement

My Start-Up Entrepreneurship Program -- self-employment entrepreneurship training and support program for women who want to start their own business

• idea generator sessions, employment skills workshop, support developing business ideas and low interest loans
• in partnership with Rise Asset Development at University of Toronto

Record Suspension (Pardon) Information Services -- assistance with submitting a pardon application with the National Parole Board of Canada

Talk and Listen Phone Line, 1-855-924-3708 -- assists women calling from institutions to navigate the criminal justice system

• information and resources on legal information, housing, mental health services, reintegration, release planning
• does not make third part calls or call on anyone's behalf

College Park Court Program -- practical assistance and support, information to women and their families navigating the court system

• assistance with referrals, information and resources
• free snacks, clothing, personal hygiene items for women released on bail

Vanier Centre for Women -- social and recreation program, provides information and resources about Elizabeth Fry Toronto and other community supports

The Market Place -- for marginalized women particularly those recently released from incarceration

• in-house service provides free personalized shopping allowing women to pick up clothing, food, supplies and other needed items

Linguistically and culturally appropriate mental health and addiction services

• assessment, treatment and consultation for mental health, substance use and problem gambling
• intensive case management service

Drop-in centre, counselling services and support for 2SLGBTQIA+ youth, including case management, newcomer support, and access to community resources, books, and workshops; not a crisis line

Drop-in centre
Includes intake, assessment and individualized support plan; information and referral to emergency shelter, housing options; assistance in applying for government health (OHIP) and social assistance programs (OW, ODSP); assistance in obtaining identification and/or legal support in amending sex markers on official documentation

• meals available with snacks throughout opening hours
• light groceries, TTC fare
• personal hygiene kits
• harm reduction including safer sex kits, hormone injection kits, safer self-harm kits, safer substance use kits, naloxone
• seasonal clothing, laundry facilities
• employment assistance including resume and job search coaching, and referrals
• access to computer lab with free WiFi, printer, fax, phone
• book library

Counselling Centre
Includes immediate crisis response and short term counselling, suicide prevention, intervention and follow-up care

• individual, group and family counselling
• addiction and mental health supports
• medical, dental and legal aid referrals
• safety planning, de-escalation
• resources, information and referrals
• exploration of education opportunities, including high school, postsecondary and trades programs
• gender affirmation, community acceptance support and counselling, including transition planning and trans literacy seminars
• group discussion and learning activities
• not a crisis service

Member agency of Toronto Drop-in Network (TDIN)

Tobacco cessation outpatient treatment services

• individual assessment and treatment plan
• medical consultation on nicotine replacement therapy and cessation medication
• group counselling, patient education and workshops
• follow-up appointments
• information on e-cigarettes and vaping

Prevention of Gestational and Neonatal Exposure to Tobacco Smoke (PREGNETS), www.pregnets.org

• online information, resources and support for pregnant and postpartum women and their health care providers

TEACH (Training Enhancement in Applied Cessation Counselling and Health)

• Training for health care providers in tobacco dependence treatment and intensive tobacco dependence interventions, visit teachproject.ca for information on courses and workshops

COVID19 Services available virtually; visit website for updates

Addiction outreach and community support services, including case management, individual and group counselling, harm-reduction approach, aftercare, relapse prevention counselling

• pre-treatment group
• post-treatment support

Clinical services including psychological assessment, treatment and referrals related to behaviour problems, mood and anxiety disorders, psychotic disorders, substance use and concurrent disorders

• treatment recommendations and psychological consultation
• services for those involved with Youth Criminal Justice Act
• addiction and concurrent disorder case management
• children's social skills program
• psycho-educational parenting program
• outreach, prevention and education

Slaight Family Centre for Youth in Transition
Early intervention, treatment and recovery services for youth experiencing severe mental illness and addictions from late teens through early adulthood, including prevention and research

Substance Abuse Program for African Canadian and Caribbean Youth (SAPACCY)
Early intervention and prevention services for Black youth, including individual and group counselling and family support

Assessment, referrals, and group treatment for youth, adults and families, including individual and group treatment for parents of youth technology users, mindfulness group, psychiatric consultation and follow-up

Gambling, Gaming and Technology Use, www.problemgambling.ca
Free, anonymous, online self-help gambling tools and resources for individuals and families

• training and education, tools and resources development
• knowledge exchange for addiction and mental health service agencies
• research, training, outreach and public education
• mailing address, CAMH, 33 Russell St, Toronto

Offices are open, but appointments are recommended


Settlement and Adaptation Services

• information and referral, orientation, housing referrals
• one to one gambling counselling and workshops
• translation and interpretation
• documentation, form filling
• outreach, social development program, educational workshops, career mentoring

Employment Services

• employment counselling
• resume preparation, job search techniques
• access to telephone, fax, photocopier
• assistance obtaining certification of education and/or trade documents

Other Services -- citizenship, commissioner of oaths, community advocacy, cultural events, Internet access, volunteer opportunities

Smoking - smoking support and information for smokers at all stages of change * one-to-one counselling * one-to-one counselling, education and support, support groups, Nicotine Replacement Therapy (NRT), harm reduction approach, access to community resources around smoking, and community education and workshops

Asthma and COPD - address the health of people living with Asthma and/or COPD * one-to-one and group care, education and support in a way that improves their capacity to self-manage respiratory health concerns * support to primary care doctors, nurses and nurse practitioners in making clinical decisions

Free confidential information, advice, and support about quitting smoking through telephone, online and text services

Service provided to people thinking about quitting, have already quit and need support to remain smoke-free, as well as family and friends wanting to help a smoker quit * online services include an interactive web-based quit program and online support group * text messaging service

Cancer Information Service 1-888-939-3333, Mon-Fri 9am-5pm

CancerConnection.ca Online community * helps people with cancer and their loved ones share their experiences and build supportive relationships.

Smoker's Helpline 1-877-513-5333, http://www.smokershelpline.ca/ , Mon-Thu 8am-9pm, Fri 8am-6pm, Sat-Sun 9am-5pm-- information, advice and support

Wig and Breast Accessories Program 1-888-939-3333 wig and breast accessories bank via a virtual distribution system.

Services and Programs:

• Wheels of Hope