2022 Edition

Mental Health and/or Substance Use Services (CA-MHSU) 10: Support Services

Individuals and families receive support services that increase the likelihood of progress in treatment and positive change.
NA The organization provides Diagnosis, Assessment, and Referral Services only.

NA The organization provides withdrawal management only.




Individuals and families who receive Mental Health and/or Substance Use Services improve social, emotional, psychological, cognitive, and family functioning to attain recovery and wellness.
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.
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 client participation occurs to a considerable extent.
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 client records are missing important information; or
  • Client participation is inconsistent. 
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
  • Referral procedures
  • Copies of agreements with cooperating service providers and/or community resource and referral list, as appropriate
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records


CA-MHSU 10.01

The organization provides, either directly or by referral, necessary support services which may include, as appropriate:  
  1. basic needs, such as food, clothing, and housing;
  2. work-related services and job placement;
  3. transportation;
  4. legal services;
  5. financial counselling;
  6. social skills training;
  7. public benefits;
  8. educational services; and
  9. respite care.


CA-MHSU 10.02

The organization works with individuals and families to identify natural supports and social networks to cultivate and sustain a supportive community.
Examples: Social networking opportunities can include: social, recreational, education, or vocational activities; religious or spiritual gatherings; or neighborhood and community events that provide individuals with an opportunity to meet, support, and share experiences with peers.


CA-MHSU 10.03

Individuals who have primary responsibility for children receive accommodations for, or assistance with:
  1. child care arrangements;
  2. educational and recreational services for children; and
  3. parenting workshops.
NA The organization does not serve persons who have primary responsibility for children.
Examples: Regarding element (a), the organization may offer child care while treatment or support groups meet or provide referrals to community child care resources.