Concurrent Disorders - Mental Health

Concurrent disorder refers to any combination of addiction (drugs, eating disorder, alcoholism, etc...) existing at the same time as a mental health illness (anxiety, bipolar disorder, or a stress-related condition such as PTSD). One disorder can be more intense than the other - for example, a person can be experiencing severe mental health issues, but only mild alcoholism - or vice versa. How intense one disorder is does not depend on how intense the other one is. However, they are both present at the same time. Have you, or someone you know, been seeking treatment for an addiction without success? Or do you feel as though there could be more going on than just an addiction or mental health illness itself? Diagnosing BOTH conditions is necessary in order to gain proper treatment - often times an addiction can be identified, but if the underlying mental health issue isn’t also treated, it is much harder to achieve long-term recovery. Let us help you find a professional who is trained to evaluate the whole picture or resources within your community that can help with a complete diagnosis and treatment plan.

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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Halton Healthcare - Mental Health - Concurrent Disorders Program - Oakville Trafalgar Memorial Hospital

Offers help to individuals who have a concurrent addiction and mental health issue

Services include:
  • assessment, consultation and treatment with an Addiction Psychiatrist
  • individual and group therapy
  • group based education focused on developing personal goals, skill building, and improving the management of mental health and addiction issues

St. Joseph's Healthcare Hamilton - Concurrent Disorders Program - West 5th Campus

The Outpatient Care Team is an extension of the inpatient service, and provides specialized concurrent disorder services for patients with both high addiction and high mental health needs.

Services include:
* Time-limited follow-up for stabilization and transition to community and/or other appropriate services
* Consultation with a Psychiatrist
* Group programming such as Structured Relapse Prevention, Maintaining Recovery, Women’s Self Esteem, Men’s Self Esteem
* 1 on 1 counselling for addictions and mental health using both a harm reduction and abstinence based approach

Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate listing here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate listing here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate listings here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate listing here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

St. Joseph's Healthcare Hamilton - Halton Seniors Mental Health Outreach Program - Burlington

A program providing specialized service to older adults with complex mental health and addiction needs

Clients may include seniors who have:
* behavioural disturbances or mental health problems associated with cognitive impairment
* mental health and/or addiction problems accompanied by significant medical illness or functional needs
* chronic mental illness who develop complicating age-related physical or mental health disorders
* late-onset severe mental illness
* the program involves specialists in geriatric psychiatry, nursing, social work, occupational therapy, and education
* outreach service available for those unable to access traditional services
* prospective clients require a family physician

The Halton program is also staffed with a seniors concurrent disorder worker through a local partnership with Halton Alcohol Drug and Gambling Assessment Prevention and Treatment Services (ADAPT)

The program also has staff called Psychogeriatric Resource Consultants (PRCs) who:
* provide a targeted educational and community development service and support for health providers
* provide education, facilitation and system support to staff in Long-Term Care facilities and staff of LTC funded community support agencies

Cognitive Behavioural Therapy (CBT) Group for Depression In the Older Adult:
* a variety of group and CBT strategies and skills are aimed at assisting seniors to reduce their level of depression and anxiety and develop coping strategies to manage symptoms

Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate listing here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate listing here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate listings here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate listing here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

St. Joseph's Healthcare Hamilton - Halton Seniors Mental Health Outreach Program - Burlington

A program providing specialized service to older adults with complex mental health and addiction needs

Clients may include seniors who have:
* behavioural disturbances or mental health problems associated with cognitive impairment
* mental health and/or addiction problems accompanied by significant medical illness or functional needs
* chronic mental illness who develop complicating age-related physical or mental health disorders
* late-onset severe mental illness
* the program involves specialists in geriatric psychiatry, nursing, social work, occupational therapy, and education
* outreach service available for those unable to access traditional services
* prospective clients require a family physician

The Halton program is also staffed with a seniors concurrent disorder worker through a local partnership with Halton Alcohol Drug and Gambling Assessment Prevention and Treatment Services (ADAPT)

The program also has staff called Psychogeriatric Resource Consultants (PRCs) who:
* provide a targeted educational and community development service and support for health providers
* provide education, facilitation and system support to staff in Long-Term Care facilities and staff of LTC funded community support agencies

Cognitive Behavioural Therapy (CBT) Group for Depression In the Older Adult:
* a variety of group and CBT strategies and skills are aimed at assisting seniors to reduce their level of depression and anxiety and develop coping strategies to manage symptoms

McMaster Children's Hospital - Pediatric Eating Disorders Program - Ron Joyce Children's Health Centre, Level 4

Provides comprehensive, multidisciplinary assessment for all new patients with eating problems on an in-patient, out-patient, day-treatment basis. Families and caregivers are integral to the treatment process. Further information is available from the National Eating Disorders Information Centre at 1-866-NEDIC-20 or www.nedic.ca

St. Joseph's Healthcare Hamilton - Halton Seniors Mental Health Outreach Program - Burlington

A program providing specialized service to older adults with complex mental health and addiction needs

Clients may include seniors who have:
* behavioural disturbances or mental health problems associated with cognitive impairment
* mental health and/or addiction problems accompanied by significant medical illness or functional needs
* chronic mental illness who develop complicating age-related physical or mental health disorders
* late-onset severe mental illness
* the program involves specialists in geriatric psychiatry, nursing, social work, occupational therapy, and education
* outreach service available for those unable to access traditional services
* prospective clients require a family physician

The Halton program is also staffed with a seniors concurrent disorder worker through a local partnership with Halton Alcohol Drug and Gambling Assessment Prevention and Treatment Services (ADAPT)

The program also has staff called Psychogeriatric Resource Consultants (PRCs) who:
* provide a targeted educational and community development service and support for health providers
* provide education, facilitation and system support to staff in Long-Term Care facilities and staff of LTC funded community support agencies

Cognitive Behavioural Therapy (CBT) Group for Depression In the Older Adult:
* a variety of group and CBT strategies and skills are aimed at assisting seniors to reduce their level of depression and anxiety and develop coping strategies to manage symptoms

Halton Healthcare - Mental Health - Eating Disorders Clinic - Oakville Trafalgar Memorial Hospital

Provides services for youth and adults struggling with eating disorders, including anorexia nervosa and bulimia nervosa * helps to eliminate or reduce symptoms of their eating disorder and develop adaptive strategies * as a member of Central West Eating Disorder Program (CWEDP), the team works in partnership with Treillis Mental Health and Developmental Services, Trillium Health Partners and William Osler Health System

Services include:
  • psychiatric assessment and treatment
  • individual, group and family counselling
  • nutritional assessment and counselling
  • family support and education

Joseph Brant Hospital - Community Mental Health Outpatient Services - Phoenix Program Early Intervention Service for Psychosis - Burlington - Joseph Brant Community Health Centre (Brant Centre)

The Phoenix Program is a mental health outpatient, community based program for Halton residents age 14 to 35 who are experiencing early stages of psychosis
* clinical partnership between Halton Healthcare, Joseph Brant Hospital, North Halton Mental Health Clinic, ADAPT and the Schizophrenia Society of Ontario

Services include:
* rapid psychiatric assessment
* treatment based on individual concerns/goals including education about psychosis
* assistance with work, school, social and leisure activities
* specialized support to family and friends
* addictions counselling
* community program referral and illness management instruction after discharge

Canadian Mental Health Association - Equilibrium Mood Disorder Support Group, Oakville - Evangel Pentecostal Church - Oakville - Evangel Pentecostal Church

A peer support group for individuals and their families who are affected by a mood disorder and whose main purpose is to gain a better understanding of the illness, to offer non-judgmental support and to share experiences

The focus of monthly meetings is wellness through education and sharing
  • guest speakers include individuals who live with a mood disorder, psychiatrists, psychiatric nurses, social workers and specialists in nutrition and relaxation
  • video presentations by medical specialists or professional documentaries
  • open discussions
  • no registration or membership required
  • all those affected by a mood disorder are welcome
  • refer to the Mental Health Services offered by the Canadian Mental Health Association, Halton Branch for more information

St. Joseph's Healthcare Hamilton - Mood Disorders Program - West 5th Campus, Harbour North Unit

The components of the program include both a 24-bed inpatient unit which provides clinical care and treatment preparing patients for their return to the community and outpatient and outreach services to the region.