Substance Abuse

Substance abuse refers to a dependency on any form of drug, including prescription and over the counter drugs, alcohol, food, or other addictive substance with harmful or negative side effects. Often, those who have a substance abuse problem may not realize how dependent they are. That’s because repeated substance use can cause changes in the brain, which affect self-control and inhibit a person’s ability to resist intense urges to use the substance. It becomes a physical condition in the body and many people cannot stop their substance abuse despite wanting to. Substance abuse can be scary and isolating, for both the addict, as well as their family, friends and loved ones. It can also have serious health and well-being consequences, affecting work, family, money, and school, as well as have long-lasting legal consequences. We are here to help. If you aren’t sure if substance use has turned into abuse, or if you have questions or concerns about addiction, please click on the resources listed below.

You are not alone. Connect with others who may be going through the same thing, find professional help and resources near you. The Kinjunxion community is here to help.

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Substance Abuse

A Comprehensive Textbook

The premier text on substance abuse and addictive behaviors is now in its updated and expanded Fourth Edition, with up-to-the-minute insights from more than 150 experts at the front lines of patient management and research. This edition features expanded coverage of the neurobiology of abused substances, new pharmacologic therapies for addictions, and complete information on “club drugs” such as Ecstasy. New sections focus on addiction in children, adolescents, adults, and the elderly and women’s health issues, including pregnancy. The expanded behavioral addictions section now includes hoarding, shopping, and computer/Internet abuse. Includes access to a Companion wesbite that has fully searchable text.

Youth and Substance Abuse

This book provides a sociological examination of young people’s pathways into, and out of, substance abuse. Drawing from in-depth, life-history interviews with over sixty young people who have experienced problematic drug use, the author uses participants’ narratives to throw light on the relationship between trauma and issues such as homelessness, crime and self-injury. Contesting the view that substance abuse is either a medical issue or individual failing, the book examines the wide variety of factors which lead to youth substance abuse such as extreme poverty and other structural factors. Whilst it does not overlook individual agency, the rich descriptions from young people's oral histories show us that the contexts in which agency was exercised, was often considerably constrained by significant structural forces. The sociological concept of 'situated choice', which is used to explain and understand how people make choices within their individual context, is used throughout the book as we witness young people wrestling to escape intergenerational disadvantage. The book will be of interest to scholars and students of Social Work, Social Policy, Youth Studies, Sociology and Health Studies.

Adolescents, Alcohol, and Substance Abuse

Reaching Teens through Brief Interventions

This volume reviews a range of empirically supported approaches to prevention and treatment of adolescent substance use problems. The focus is on motivationally based brief interventions that can be delivered in a variety of contexts, that address key developmental considerations, and that draw on cutting-edge knowledge on addictive behavior change. From expert contributors, coverage encompasses alcohol skills training; integrative behavioral and family therapy; motivational interviewing; interventions for dually diagnosed youth; Internet-based education, prevention, and treatment; and applications to HIV prevention. The volume is extensively referenced and includes numerous clinical illustrations and vignettes.

Rethinking Substance Abuse

What the Science Shows, and What We Should Do about It

While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social–environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services.

A Parent's Guide to Substance Abuse and Addiction

A Parents Guide to Substance Abuse and Addiction: provides a necessary education on what the main substances of abuse are, how they are used, how addiction occurs, and the resulting physical, psychological, and legal consequences. This concise and factual guide is a useful reference for both parents and their teens. Its main purpose is to educate and open a pathway of communication, trust, and respect between parents and their teens about drug and alcohol abuse and how and why addiction occurs. It arms teens with vital knowledge about the pitfalls and possible dangers of substance abuse so that they can make educated choices throughout their teenage years and beyond.

Combining Substance Abuse Treatment with Intermediate Sanctions for Adults in the Criminal Justice System

A Treatment Improvement Protocol prepared to facilitate the transfer of state-of-the-art protocols and guidelines for the treatment of alcohol and other drug (AOD) abuse from acknowledged clinical, research, and administrative experts to the Nation's AOD abuse treatment resources. Includes: introduction and purpose; an overview of the criminal justice system; the AOD abuse treatment system; combining AOD abuse treatment and intermediate sanctions; issues in combining treatment and intermediate sanctions; planning: approaches for developing policy; and ethical and legal issues. Bibliography. Costing issues. Cultural competence.

Parenting and Substance Abuse

Developmental Approaches to Intervention

Parenting and Substance Abuse is the first book to report on pioneering efforts to move the treatment of substance-abusing parents forward by embracing their roles and experiences as mothers and fathers directly and continually across the course of treatment.

Handbook of Evidence-Based Substance Abuse Treatment in Criminal Justice Settings

Get high. Become addicted. Commit crimes. Get arrested and be sent to jail. Get released. Repeat. It’s a cycle often destined to persist, in large part because the critical step that is often missing in the process, which is treatment geared toward ensuring that addicts are able to reenter society without the constant threat of imminent relapse. The Handbook of Evidence-Based Substance Abuse Treatment in Criminal Justice Setting probes the efficacy of corrections-based drug interventions, particularly behavioral treatment. With straightforward interpretation of data that reveals what works, what doesn’t, and what needs further study, this volume navigates readers through the criminal justice system, the history of drug treatment for offenders, and the practical problems of program design and implementation. Probation and parole issues as well as concerns specific to special populations such as women, juvenile offenders, and inmates living with HIV/AIDS are also examined in detail. The Handbook’s wide-ranging coverage includes: Biology and genetics of the addicted brain. Case management for substance-abusing offenders. Integrated treatment for drug abuse and mental illness. Evidence-based responses to impaired driving. Monitoring technology and alternatives to incarceration. The use of pharmacotherapy in rehabilitation. This must-have reference work is a comprehensive and timely resource for clinicians, researchers, and graduate students across a variety of disciplines including clinical psychology, criminology and criminal justice, counseling, and educational policy makers.

Ethnocultural Factors in Substance Abuse Treatment

This book presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. Authors examine how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes addressed include the impact of migration and acculturation issues, spiritual values and traditions, family structures, gender roles, and experiences of prejudice and discrimination. Featuring a wealth of illustrative clinical material, the book makes concrete recommendations for more competent, effective assessment and intervention. It also guides clinicians toward greater awareness of the ways their own ethnocultural backgrounds may affect their interactions with clients.

Reducing the Risks for Substance Abuse

A Lifespan Approach

Authors Raymond P. Daugherty and Carl Leukefeld argue for replacing the youth-based, `zero tolerance' approach to substance abuse prevention that has been dominant in the field over the past two decades. Their dynamic alternative is the Lifestyle Risk Reduction Model, which revises standard prevention strategies to make them relevant throughout the entire life span. Features of this revolutionary new paradigm include Five Principles of Lifestyle Risk Reduction (LRR), Five Conditions of Effective LRR, and the LLR Formulas.

Preventing Substance Abuse

Interventions that Work

Preventing Substance Abuse is an informal guide to successful programs for treating specific substance abuse problems, identifying their origins, implementation, outcomes, and, where possible, contacts for obtaining additional information. The emphasis is on information documented from outcomes of successful interventions rather than on theories of what should work or what works under experimental conditions. Key features include easy-to-follow charts and graphs and an appendix summarizing the National Structured Evaluation (mandated by Congress) of substance abuse prevention.

Substance Abuse

A Patient Centered Approach

This text demonstrates how the patient-centered clinical method can assist clinicians to learn how to diagnose this complex psychosocial disorder.

Substance Abuse

Prevention of Child Abuse

Sexual Abuse

Domestic Abuse

Ending Child Abuse


Celebrate Recovery

A 12-step program for all hurts, habits, and hang ups that include but are not limited to:
* alcohol and drug addictions
* physical, sexual and emotional abuse
* anger, food addictions, sexual addictions

Program location:
* Compass Point Bible Church

Catholic Family Services of Hamilton - Women's Support Groups

Supports women and children who have experienced abuse. Services include trauma-informed individual and group counselling (drop-in and registered), awareness-building and education on the dynamics of abuse and negative impacts on self-esteem, parenting, relationships, substance use, sleep, and mood, and counselling for children exposed to violence, abuse, and trauma.

T. A. Patterson and Associates - Paradigm

A community based treatment program funded by the Ministry of Community Safety and Correctional Services which is designed for individuals who have experienced legal consequences as a result of their substance abuse.

T. A. Patterson and Associates - Perspectives

For youth with substance use issues serving a youth probation order through the Ministry of Children and Youth Services Youth Justice Services. Phases of the program are assessment, treatment and aftercare.

The objectives of the program include:
* assessing an individual’s substance use
* educating participants about alcohol/drugs and their effects
* assisting with identifying the consequences of client’s substance use
* encouraging further positive change
* match intervention to client’s stage of readiness for change

Celebrate Recovery

A 12-step program for all hurts, habits, and hang ups that include but are not limited to:
* alcohol and drug addictions
* physical, sexual and emotional abuse
* anger, food addictions, sexual addictions

Program location:
* Compass Point Bible Church

Catholic Family Services of Hamilton - Woman Abuse Program

Offers trauma informed support to women and children who have been exposed to abuse, violence and/or trauma within a non-judgmental, inclusive environment in which they can increase their knowledge and understanding of woman abuse, and explore the options, resources and supports available.

Services offered:
Woman Abuse Counselling
Children's Counselling
Partner Assault Response (PAR)
Learning Effective Anti-Violence in Families (LEAF)

St. Leonard's Society of Hamilton (The) - Emerald Street Treatment Centre - 24 Emerald St

A 30-bed substance abuse treatment centre.

Catholic Family Services of Hamilton - Elder Abuse / Neglect

Provides intensive case coordination with an in-depth, personalized, flexible and creative approach. Specializes in elder abuse, including physical, psychological/verbal, financial, neglect or self-neglect. Service is free and confidential.

Nina's Place - Regional Sexual Assault / Domestic Violence Care Centre - Joseph Brant Hospital

* If you have experienced sexual assault or domestic violence within the past 12 days, go to Joseph Brant Hospital Emergency Dept and ask for Nina's Place
* If your assault was greater than 12 days but less than 2 years, and you would like counselling, contact the Nina's Place trauma informed Social Worker at 905-681-4880

A sexual assault/domestic violence crisis centre providing specialized health care to any survivor who has experienced a recent sexual assault (within the past 12 days) and/or domestic violence
* specially-trained nurses are on call Mon-Sun 24 hours

Major services:
* a physical exam and treatment of any physical injuries
* testing and prevention for possible pregnancy
* testing and preventive treatment of sexually transmitted infections
* crisis intervention
* risk assessment and safety planning
* documentation and/or photographing of any injuries
* collection of forensic evidence of the assault for 6-month storage or immediate release to police
* providing information about navigating the legal system and reporting options
* follow-up medical care, counselling and referral to community agencies
* links to community resources such as Halton Region Sexual Health Clinic, Halton Women's Place, Sexual Assault and Violence Intervention Services (SAVIS)
* a sensitivity to race, gender, ethnicity, age, sexual orientation, socioeconomic status and/or abilities of individuals will be maintained

* support, welcome, and advocate for survivors of all genders, sexualities, races, abilities, religions, and cultural backgrounds
* clients may consent to all or parts of the offered care options
* clients have the choice whether to involve the police or not

Thrive Child and Youth Trauma Services - Child and Youth Trauma Services Program

Program offers comprehensive assessment and specialized intervention and treatment for : children and youth up to age 18 who have been sexually victimized; children under 12 concerning sexual behaviour; and children under 12 who have engaged in intrafamilial sexual abuse (e.g. siblings, cousins etc.).

YMCA of Greater Toronto - Youth Substance Abuse Program, Mississauga YMCA Centre - Mississauga YMCA Centre

Non-residential substance use treatment program * assessment, individual counselling, crisis intervention, referral * educational workshops * outreach counselling * no emergency services * for other YMCA/YSAP locations in Toronto and Peel Region, see separate entries

Fixed site for Peel Works Needle Exchange program, harm reduction supplies

Alternatives for Youth (AY)

A variety of services are available for youth who are experiencing difficulties related to substance use/abuse and support for families or caregivers.