Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin St, Toronto, Ontario, M5S 2S1, Canada.
Ontario Node, Canadian Research Initiative in Substance Misuse (CRISM), Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin St, Toronto, Ontario, M5S 2S1, Canada.
Subst Abuse Treat Prev Policy. 2023 Dec 12;18(1):73. doi: 10.1186/s13011-023-00586-3.
Ontario has one of the highest rates of substance-related harms in Canada. Residential treatment programs in the province provide a variety of in-house treatment services to support the needs of individuals with substance use disorders (SUD). However, these programs are not standardized, often varying in the type, quality, and availability of services offered, including evidence-based interventions such as Opioid Agonist Treatment (OAT). Local treatment systems are also rather fragmented and complex to navigate, creating barriers for potential services users to identify and make informed choices on available treatment options.
Between May to August 2023, we conducted an environmental scan to capture available information on all publicly-funded residential treatment programs in Ontario using the ConnexOntario service portal, a government-funded, health services information platform. Data were captured on organization name, geographical location, program description, program type (residential addictions treatment or supportive recovery programs), eligibility criteria, target population, the program's OAT policies, number of available beds, minimum and maximum length of stay, projected wait times, funding source, and associated fees for program admission. Data were extracted and organized by geographic region, and findings were presented descriptively.
A total of 102 residential addiction treatment programs and 36 residential supportive recovery programs in Ontario were identified. The scan noted substantial regional variations in program availability and wait times, along with a lack of programs tailored to unique populations such as women, youth, and Indigenous peoples. There is also a paucity of publicly-available information on program offerings, including detailed specifics on OAT policies within residential treatment programs that are crucial to ensuring that the services being offered are safe and grounded in evidence-based practice.
Findings from the scan highlight notable gaps in program types, offerings, and availability among residential treatment programs in the province, including a lack of standardization on OAT policies across programs. Efforts should be made to ensure access to treatment-specific program information relevant to potential service users and to enhance coordinated access to residential treatment services in the province.
安大略省是加拿大物质相关危害率最高的省份之一。该省的住院治疗计划为有物质使用障碍（SUD）的个人提供各种住院治疗服务，以满足他们的需求。然而，这些计划没有标准化，所提供的服务类型、质量和可用性往往存在差异，包括阿片类药物激动剂治疗（OAT）等基于证据的干预措施。当地的治疗系统也相当分散和复杂，使得潜在的服务使用者难以确定并做出明智的选择。
2023 年 5 月至 8 月期间，我们使用政府资助的健康服务信息平台 ConnexOntario 服务门户，对安大略省所有公共资助的住院治疗计划进行了环境扫描，以获取可用信息。数据记录了组织名称、地理位置、计划描述、计划类型（住院成瘾治疗或支持性康复计划）、资格标准、目标人群、该计划的 OAT 政策、可用床位数量、最短和最长停留时间、预计等待时间、资金来源以及计划入学的相关费用。数据按地理区域提取和组织，结果以描述性方式呈现。
在安大略省共发现了 102 个住院成瘾治疗计划和 36 个住院支持性康复计划。扫描结果显示，计划的可用性和等待时间存在显著的地区差异，而且缺乏针对妇女、青年和原住民等独特人群的计划。此外，关于计划提供的服务，包括住院治疗计划中 OAT 政策的详细信息，也缺乏公共信息，这些信息对于确保提供的服务是安全的并基于循证实践至关重要。
扫描结果突出了该省住院治疗计划在计划类型、提供的服务和可用性方面存在显著差距，包括缺乏计划之间 OAT 政策的标准化。应该努力确保潜在服务使用者能够获得与治疗相关的特定计划信息，并加强该省住院治疗服务的协调获取。
