2022 Edition

Day Treatment Services (CA-DTX) 8: Substance Use Services

The organization provides coordinated substance use prevention, treatment, and recovery services based on the person's assessed needs and goals.

NA The organization does not provide substance use services.

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VIEW THE STANDARDS

Purpose

Individuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
2

Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,

  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active participation of persons served occurs to a considerable extent.
3

Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,

  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several case records are missing important information; or
  • Participation of persons served is inconsistent. 
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for communication/collaboration among team members
  • Criteria for determining the level of care

Documentation tracking staff completion of required training and/or competencies related to opioid overdose, when applicable

  • Interviews may include:
    • Clinical/Medical director
    • Relevant personnel
    • Persons served
  • Review case records
  • Observe facility

 
Fundamental Practice

CA-DTX 8.01

A qualified team of health professionals, with experience, training, and competence in engaging, diagnosing, and treating persons with substance use disorders, provide services including:

  1. administering or reviewing diagnostic, toxicological, and other health related examinations;
  2. determining the optimal level and intensity of care including clinical and community support services;
  3. evaluation for psychotropic medications and medication-assisted treatment; 
  4. prescribing and managing medication including appropriate management of pharmacotherapy for people with co-occurring conditions; 
  5. review of complicated cases where co-occurring substance use, health, and mental health conditions intersect; and
  6. coordinating care with other service providers, including primary care and mental health providers, when appropriate and with the consent of the service recipient.

 

CA-DTX 8.02

The organization directly provides a comprehensive range of prevention and treatment services including:
  1. illness management and psychoeducation interventions;
  2. clinical monitoring and drug screening; 
  3. coping skills training; 
  4. relapse prevention; 
  5. acute care; and
  6. support groups and self-help referrals.
Examples: Other services may include intensive outpatient care, medical care, psychiatric rehabilitation, and targeted case management services.

 

CA-DTX 8.03

Therapeutic services help individuals develop the knowledge, skills, and supports necessary to: 
  1. manage mental health and/or substance use disorders; 
  2. develop and practice prosocial behaviours;
  3. cultivate and sustain positive, meaningful relationships with peers, family members, and the community; 
  4. develop self-efficacy; and
  5. promote recovery, resilience, and whole-person wellness.

Examples: Recovery is a holistic process of change where people learn to overcome or manage their diagnosed symptoms and conditions in order to improve overall well-being and achieve optimal health.


 

CA-DTX 8.04

Individuals, and their families when possible, are actively connected with peer support services, either directly or by referral, appropriate to their request or need for service. 

Interpretation

Connections to outside self-help/mutual aid groups should not be limited to providing the time and location for a meeting. Organizations can support the person’s acclimation to a new group by, for example, discussing meeting protocols and what to expect prior to attending, accompanying them to their first meeting, and encouraging them to make connections with peers while at the meeting.  

Examples: Peer support refers to services provided by individuals who have shared, lived experience. Services promote resiliency and recovery and can include peer recovery groups, peer-to-peer counselling, peer mentoring or coaching, family and youth peer support, or other consumer-run services. Peer recovery groups may be specialized for particular groups of individuals or families such as individuals affected by HIV/AIDS.


 

CA-DTX 8.05

The organization maintains a supply of naloxone on-site and appropriately trained staff are available to administer this medication in the event of an overdose. 

Related Standards: