Standards for Canadian organizations

2020 Edition

Mental Health and/or Substance Use Services (CA-MHSU) 8: Ambulatory Detoxification Treatment

Detoxification treatment is provided based on the needs of the service recipient.
NA The organization does not provide detoxification treatment.
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: Detoxification can occur at varying levels of intensity.
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
  • Criteria for determining the level of care
  • Sample job descriptions from across relevant job categories
  • Interviews may include:
    1. Clinical/Medical director
    2. Relevant personnel
    3. Persons served
  • Review case records

CA-MHSU 8.01

Qualified personnel determine the appropriate level of detoxification care and treatment for the individual using diagnostic criteria outlined in clinical decision support tools and clinical practice guidelines.

CA-MHSU 8.02

Detoxification services include:  
  1. assessment and evaluation; 
  2. monitoring and stabilization; and  
  3. preparation for entry into substance use treatment.

Fundamental Practice

CA-MHSU 8.03

Detoxification treatment is provided by a qualified team of trained and licensed professionals appropriate to the intensity of services offered.
Examples: Organizations providing medically-monitored detoxification may employ an interdisciplinary staff of nurses, counsellors, social workers, addiction specialists and/or other health and technical personnel, whom all work under the supervision of a licensed physician.