Announcement: Pan Canadian Working Group develops a strategy for innovation and coordination in addiction services
Treatment works – and more of it is needed - but Canada can also strengthen its support for people with alcohol and drug problems
through improved collaboration, communication, and co-ordination between all sectors involved in addressing the harms associated
with substance use. That is the message of a pan-Canadian working group charged with developing recommendations for a National Treatment Strategy
for people with substance use problems. The working group released its report in Ottawa on November 18, 2008.
A Systems Approach to Substance Use in Canada: Recommendations for a National Treatment Strategy is available on line at www.nationalframework-cadrenational.ca. Also available are an executive summary, a list of working group members, and a summary of work already underway to implement
the report.
The work was initiated and supported by the British Columbia Mental Health and Addiction Services (BCMHAS), the Centre for
Addiction and Mental Health (CAMH) in Ontario, and the Canadian Centre on Substance Abuse (CCSA).
The working group was led by two co-chairs:
- Gail Czukar, Executive Vice-President, Policy, Education & Health Promotion, CAMH and President of the Canadian Executive
Council on Addictions (CECA)
- Patrick Smith, PhD, Vice-President, Research, Networks and Academic Development, BCMHAS
Their work was supported by an associate co-chair:
• Rita Notarandrea, Deputy Chief Executive Officer, CCSA
Addictions treatment in Canada is delivered by a diverse collection of hospitals, community agencies, private providers, and
governments. Provincial governments typically fund the publicly supported programs, although the federal government plays
a key role in areas such as aboriginal addiction services and corrections, and through the systems support role of Health
Canada.
The foundation of the proposed system for addictions treatment is the adoption of a flexible, tiered model of services and
supports that effectively matches the intensity of the addiction problem to the intensity of the treatment. The report highlights
the key role played by primary care in responding to substance use problems. An increased focus on the role of primary care
will allow treatment providers such as residential addiction programs to focus their services most effectively. In order
to provide a comprehensive continuum of care, service providers must also collaborate effectively with the other supports
required by people with drug and alcohol problems, particularly mental health programs.
The report also highlights the importance of ensuring the highest quality of addiction services in Canada, including the treatment
that is broadly delivered through primary care. To accomplish this, the report recommends the development of a knowledge
exchange system, as well as national treatment indicators. The comprehensive knowledge exchange system will continually improve
services through the communication of information and support for the adoption and implementation of best practices. The
treatment indicators will provide a national overview of the availability of addiction services, the effectiveness of treatment,
and the cost-effectiveness of public investments in addiction services.
A Systems Approach contains 20 recommendations in total. They include the tiered model, knowledge exchange, and treatment indicators discussed
above, as well as efforts to address the stigma and discrimination directed at persons with substance use problems; and stronger
support for research on addictions issues.
The 46-member working group included aboriginal representatives, addiction service providers, government representatives,
leading addiction researchers, as well as those with lived experience with addictions and their families.
For more information:
Media Contact: Heather Wilcox,
Communications and Corporate Services
CCSA
613-235-4048 ext 237
CCSA Contact: Rebecca Jesseman
Research and Policy Analyst
CCSA
(613) 235-4048 x228
rjesseman@ccsa.ca
BCMHAS: Deborah Ross
(604) 875-3068
Director of Research Operations and Consultation Services
BCMHAS
(604) 875-3068
DRoss@bcmhs.bc.ca
CAMH: Barney Savage
Director of Public Policy
CAMH
(416) 535-8501, ext. 2129
barney_savage@camh.net