Standards for Canadian organizations

2020 Edition

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

The organization provides coordinated substance use prevention, treatment, and recovery services based on the individual’s assessed needs and goals.
NA The organization does not provide substance use services.
2020 Edition




Individuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
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
  • Procedures for communication/collaboration among team members
  • Criteria for determining the level of care
No On-Site Evidence
  • Interviews may include:
    1. Clinical/Medical director
    2. Relevant personnel
    3. Persons served
  • Review case records

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 individuals 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 individuals 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 connected with peer support services appropriate to their request or need for service.
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.