Treating addictions is an intensive process.
Engagement, developing therapeutic rapport, providing thorough assessments, evidence-based treatment and addressing social determinants of health and social reintegration are all part of the treatment process. For a flow chart of the treatment process, click on the link at the bottom of this page.
TDTC treatment is phased program. As the participant gains more stability and increasingly meet requirements, court requirements such as frequency of court appearances and curfew restrictions are reduced.
All treatment is provided by the Centre for Addictions and Mental Health, CAMH, and associated community health partners.
Particpants begin by attending court twice weekly. As particpants progress through the treatment phases and achieve increased social and recovery stability, court attendance is reduced. Court sessions are conducted in a therapeutic court environment. All participants attend together, participants report directly to the judge, treatment program staff are present to report on participant progress, incentives and sanctions are utilized and traditional court procedings are not strictly followed.
Thorough bio-psycho-social assessments are completed as part of determining eligibility (e.g. must have an addiction) and treatment planning. Assessments are conducted by CAMH staff.
Assessments explore an individual's drug use history, the consequences of drug use, social supports, medical risk behaviours, mental health concerns, criminal behavior and psychosocial issues. Once clients are admitted to the TDTC program, the assessment will form the basis for an individual treatment plan.
At this stage, appropriate housing is also investigated. (Proof of stable housing is a key component of the program.)
2. Orientation and Stabilization
This phase prepares registrants for the journey of recovery they are about to embark on. Expectations of the program are discussed and immediate social needs, like housing and income support are addressed.
At this stage participants also begin attending group treatment sessions to assist with understanding addiction and related issues and beginning the change process.
Two types of group sessions are employed:
- Getting Started/Orientation
new clients learn the norms, expectations and benefits of the program. At this stage they will also start attending to urgent social needs, such as housing.
- Preparation Phase Groups
This group consists of three 2-hour treatment group sessions per week where clients explore a variety of topics and strategies consistent with early recover.
3. Intensive Treatment
Intensive treatment consists of either a residential treatment program or an instensive day treatment program, depending on the participant's progress and stability.
At this point, participants are becoming accustomed to the TDTC program and group sessions require more depth. Bi-weekly sessions last 2 hours and continue funtil participants are in the final stages of readiness for graduation/program completion.
Topics covered include maintaining positive lifestyle changes, relapse prevention strategies, spirituality, trauma, criminal thinking and behaviour and continued goal setting. Additionally, particpants are provided opportunities to explore personal and interpersonal issues in a caring environment.
During the maintenance phase, participants are required to attend a 5 week group dealing with Criminal behaviour/thinking.
5. Continuing Care
This phase involves attending one weekly, 2-hour group session for the remainder of a registrant' time in the program. These sessions provide ongoing group support with a focus on maintaining positive change and preventing relapse.
Once all treatment phases are complete and clients are displaying a degree of social statibility/integration (housing, working/volunteer/attending school), participants are considered for graduation from the program.