Through a team of physicians, nurses,
pharmacists and therapists, the Addiction Medicine Service provides
pharmacotherapy for substance dependence to alcohol, opioid and
benzodiazepines. Our services include:
- medical assessment
- maintenance therapies for opioid addiction (methadone and
- treatment of concomitant pain and addiction.
- outpatient alcohol withdrawal
- medications to prevent relapse to alcohol use (naltrexone,
- benzodiazepine tapering
- group therapy
- resource room (which provides food & housing support, employment
support and skills groups)
- urine drug testing
The service also provides education and
training for health professional students and practicing health professionals
interested in learning more about Addiction Medicine. All programs are located
at the Bell Gateway Building
at the Queen Street
Treatment for Alcohol Dependence - Alcohol Research and Treatment Clinic (ARTC)
Clients who have a goal of abstinence from
alcohol and require medical assistance to achieve this goal are offered
comprehensive assessment performed by an inter-professional team that
includes both a psychosocial and medical component. At the time of
assessment, the MD recommends the most appropriate setting for
withdrawal management and provides options for follow up care. This can
include out-patient medical withdrawal management (Day Detox) along
with individual counselling when appropriate. Clients in need of
in-patient withdrawal management are referred to the Medical Withdrawal
Services at CAMH. Additionally, we offer pharmacotherapy for relapse
prevention, combined with professional therapeutic counselling. ARTC is
currently using approved pharmacotherapies (disulfiram, naltrexone and
acamprosate) and second lines therapies (baclofen and topiramate) for
relapse prevention. Comprehensive and holistic treatment plans are
customized for each client and include psychosocial support, case
management and concurrent treatment for mood and/or anxiety disorders
and nicotine dependence where appropriate.
We also work with clients with a goal of
reduction of alcohol intake that would like to be assisted with medical
approaches to reach this goal.
Treatment for Opioid
and other Substance Dependence
Clients who are diagnosed with opioid
addiction are offered various treatment options including maintenance therapies
with methadone or buprenorphine in a structured treatment program.
Clients who are diagnosed as
benzodiazepine dependent are offered various treatment options including
benzodiazepine tapering in collaboration with their family doctor or
psychiatrist. Clients can develop and pursue an individualized treatment plan
including setting goals around the reduction or cessation of the use of opioids
or other drugs of concern in collaboration with their physician, therapist,
nurse and other members of the multi-disciplinary team. Clients with
concomitant pain & addiction are also treated in this program.
Treatment for Pain Disorders and Chemical Dependence - Pain and Chemical Dependence Clinical Consultation Service (PCC)
Clients who are experiencing an established chronic pain condition along with an aberrant use or dependence on substances, or suspicion thereof, will initially be assessed by an RN, who will recommend next steps to the referring physician in our Pain and Chemical Dependency Consultation Service.
The service takes an interprofessional approach that incorporates medical, psychological, functional, and physical treatment methods in an intensive, integrated format to improve symptoms, function and occupational outcomes in a cost-effective manner for patients with chronic pain disorders.
The focus of the service is to be consultative and collegial. New clients are assessed and recommendations are made back to the referring physician.
Please note that clients who are referred for rationalization of their medications and would benefit from methadone or Suboxone for pain but are not determined high risk will have treatment recommendations from the consult that will ultimately be managed by their family physicians.
Please note that a physician referral is required.
Referrals to PCC should include the following documents:
- Specific reason for consultation
- Medical & psychiatric history
- Pain consultation notes
- Relevant consultation notes from other specialists
- Salient imaging scans & recent ECG if available
- Summary of prescription medications
The PCC service has a 3 to 6 month waiting period for an appointment. If there any questions, please call 416-535-8501 x 2
To book an assessment please contact Access CAMH, the centralized intake service at CAMH. Access CAMH ensures the right patient gets to the right place at the right time.
Referral Required: No
Access CAMH contact (416) 535-8501, press 2
Fax referrals to Access CAMH: 416-979-6815.
For all other Addiction Medicine Service inquires contact: (416) 535-8501, ext 36019.
Located at: CAMH Bell Gateway Building (BGB) 100 Stokes Street, 3rd Floor, Toronto, Ontario M6J 1H4