Now offering Probuphine®, Sublocade® and Kadian®

CTC wordmark

Supporting Your Recovery from Opioid and Drug Addictions

Why choose Us.

We believe that medication is only one part of a patient's recovery and should be used in the lowest dose and for the shortest amount of time necessary.

Our Mission.

To become an integral part of a healthy East Toronto community where freedom from addiction, the recovery of lives, and the realization of dreams is available to all.

What we Do.

To provide quality care for people struggling with addiction, assisting them to live physically, emotionally and spiritually fulfilling lives.

Our Comprehensive Care Program

We offer medical, psychological, practical resources for people with addictions.

Two person raising their hands facing mountain

Opioid Agonist Therapy

We prescribe medications to help people withdraw from opiates (such as heroin, fentanyl, morphine, dilaudid, codeine, oxycodone, etc.). The objectives include:

  • Decreasing drug overdoses, death and long-term disability.
  • Providing a gradual reduction in opioid requirement until abstinence is achieved.
  • Substituting safer prescription opioids instead of higher risk drugs from illicit sources.

Individualized Treatment

Our Doctors work with each individual patient to address their specific issues through a combination of medication and behaviour therapies. In addition to opioid substitution, safe and effective medications are available to control or stop the use of: alcohol, cocaine, cannabis, amphetamines (crystal meth), benzodiazepines (i.e. valium,clonazepam), and hallucinogens.

Non-Medication Treatment

Psychotherapy and addiction counselling are offered to help address the issues underlying addiction. Psychotherapy is offered by both our Registered Psychotherapist ($100-$150/hour, or as approved by a third-party) and our Registered Social Worker ($125/hour, or as approved by a third-party). Both may offer their services at a reduced rate (sliding scale) for CTC clients in need.

Cutting Edge Opioid Agonist Therapy

We are pleased to offer the newest, cutting edge OAT treatment options, including Kadian® (24-hour morphine), Sublocade® (monthly buprenorphine “Suboxone” depot injection lasting 4-6 weeks) and Probuphine® (buprenorphine “Suboxone” implant in the skin lasting 6 months).

Additional Support Services

We provide access to a host of services to address additional barriers to overcoming addiction. This includes access to shelter or housing options, access to food banks, links to job training, recruitment and other career-assistance services, support in attending residential inpatient treatment facilities, access to 12-step based recovery groups.

Art Group

In the treatment of mental health and addictions, art can help increase awareness of ourselves and others. It helps to improve our physical, mental and emotional well-being. Our Art Groups take place weekly on Tuesdays from 12:00pm to 1:30pm. They are FREE to attend and no past experience (or skill) is necessary. (Please note: Art Groups are currently suspended to due COVID19)

Free Meals

We are receiving a daily delivery of free healthy meals by the Outreach team at South Riverdale Community Health Centre, for any client in need. These meals are donated by local area restaurants and are available at reception while supplies last.

Harm Reduction Supplies

Our clinic has a stock of safer drug-using supplies, including Narcan for overdose treatment. Provided by South Riverdale CHC’s Mobile Outreach program, supplies include new, sterile needles, distilled water, tourneys, cookers, safer crack stems, filters, as well as injection and smoking kits. Please inquire at our reception.

Why Methadone or Suboxone®?

Opioid agonist therapy (OAT) is an effective treatment for addiction to opioid drugs such as heroin, oxycodone, hydromorphone (Dilaudid), fentanyl and Percocet. The therapy involves taking the opioid agonists methadone (Methadose) or buprenorphine (Suboxone). These medications work to prevent withdrawal and reduce cravings for opioid drugs. People who are addicted to opioid drugs can take OAT to help stabilize their lives and to reduce the harms related to their drug use. Opiod Agonist Therapy (CAMH)

Methadone is among the most effective medications used in the first-line treatment of opioid addiction. When taken under the care of a qualified practitioner — in optimal dosage and on regular intervals — it can serve as an effective and safe treatment for opioid addiction.

Buprenorphine (“Suboxone®”) is an effective alternative to methadone in the treatment of opioid addiction, offering advantages which may be more appropriate for certain patients.

Sublocade® is a “depot” form of Suboxone® that is given once per month and is designed to control opioid withdrawal symptoms for the entire time. This is especially convenient for people unable to attend the clinic or the pharmacy too often.

Probuphine® is a buprenorphine (“Suboxone®”) implant, usually placed under the skin of the upper arm. The implant delivers a steady dose of buprenorphine for six-months, after which it may be either replaced or removed. One key benefit is eliminating the need for daily dosing at the pharmacy or at home, and thus a highly convenient OAT option.

Kadian® is a new type of morphine pill that slowly releases medication over a 24-hour period. This allows for relief of cravings and withdrawal symptoms with only daily dose.

Medication-assisted detox: for some patients no methadone or suboxone is needed at all. We offer a variety of other supportive medications to decrease the severity of your withdrawal symptoms.

Understanding that no two patients, and thus, no two treatments are identical, means that what’s best for one patient may not be best for another. We will work with you to determine the best course of treatment for your unique circumstances.

It should be noted that, unlike a traditional Methadone Clinic, we believe that these medications are only one part of a patient's recovery and should be used in the lowest dose and for the shortest amount of time necessary to help somebody get back on their feet.

Additional Resources

Learn more from CAMH Making the Choice, Making it Work

We will not keep you on these meds for the rest of your life unless you want us to; We want you to recover your life and to live independently.