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CCSA > Home > CCSA ADDICTIONS DATABASES

Substance Abuse Treatment Services - Update

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Inclusion Criteria
To be included in the CCSA Treatment Services Database, the agency must:

  • be located within Canada (virtual programs must have the name and address for the Executive Director or Program Manager accessible from the homepage);
  • offer specialized drug, alcohol or problem gambling addiction treatment
The following are beyond the scope of the CCSA Treatment Services Database:
  • Referral services
  • Individual practitioners
  • Mutual support groups

Update Survey

To update or add a listing, please complete and submit the on-line survey form. Your information will be directed to the Database Coordinator who will review and post it to the database as soon as possible. Thank you.

* Indicates "required" information. New Listing Update
1. Name and mailing address of the organization or program to be described: (for large organizations, please complete a separate form for specialized programs within the organization, e.g. - AFM Compass Youth Residential Programs or Matrix Women's Services, Nova Scotia Dept. of Health).
*Name of organization/program :
Address: PO Box:
Street:
City:
Prov: Postal Code:
Web Address:
*Telephone: Ext.
1 (800) Number:
Fax:
*Email:
Branch Locations: (please list the addresses for satellite or branch locations offering the same services and under the same administrative umbrella).
2. Contact Person: (Name/phone number of person completing this form)
Name: *First: *Last:
Title:
Telephone: Ext.
Email:
3. Program Type/Setting: (check more than one if appplicable)
Detoxification/withdrawal management - home
Detoxification/withdrawal management - residential
Residential - hospital setting
Residential - treatment centre setting
Outpatient
Other program setting (please specify):
4. Direct Cost to the Client:
- In-province: Yes No
- Out-of-province: Yes No
5. In which language are services provided: (Check all that apply)
English
French

Other (please specify):


6. For which of the following clients does the program provide on-site services?
Children
Adolescents
Young adults
Adults
Seniors
Men
Women
Families
7. Which addictions are treated by your program?
Alcohol
Drugs (both licit and illicit)
Problem Gambling
Other (please specify)
8. If you offer **specialized programming on-site please describe it briefly in point form.

**A specialized program is defined as a program which has been developed for a particular client group only or to address a specific addiction only. For example, women only, adolescent only, family program, concurrent disorders program, problem gambling program, methadone maintenance program etc.

If you have any questions about the survey please contact the Database Coordinator
Thank you for completing this survey.

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