Standards for Canadian organizations

2020 Edition

Mental Health and/or Substance Use Services (CA-MHSU) 6: Therapeutic Services

Persons served receive ongoing, coordinated, trauma-informed therapeutic services based on their assessed needs and goals.
NA The organization provides Diagnosis, Assessment, and Referral Services only.
2020 Edition

Currently viewing: MENTAL HEALTH AND/OR SUBSTANCE USE SERVICES (CA-MHSU)

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Purpose

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.
Note: For detoxification treatment programs, please refer to the interpretation at CA-MHSU 5.
1
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.
2
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.
3
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. 
4
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 applicable
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

CA-MHSU 6.01

Persons served receive psychosocial, therapeutic and educational interventions that are:
  1. matched with the assessed needs, age, developmental level, and personal goals of the service recipient; and
  2. provided in individual, family, and/or group format.

Interpretation

For detoxification treatment programs, therapeutic and educational interventions may be limited given the length of treatment and the service recipient's treatment progress.

CA-MHSU 6.02

The organization directly provides or makes referrals for a comprehensive range of prevention and treatment services, including:
  1. psychotherapy; 
  2. illness management and psychoeducation interventions;
  3. coping skills training;
  4. relapse prevention; 
  5. acute care; 
  6. support groups and self-help referrals;
  7. detoxification;
  8. inpatient care; 
  9. intensive outpatient care; 
  10. medical care; 
  11. psychiatric rehabilitation; and 
  12. targeted case management services.

CA-MHSU 6.03

Individuals and their families, when appropriate, are connected with peer support services, either directly or by referral, appropriate to their request or need for service.
Note: 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.