The META:PHI care pathway

  • Patients presenting to any health care setting – withdrawal management services (WMS), hospital, psychiatry, primary care provider – with a condition related to substance use receive highly effective, evidence-based treatment
  • On discharge, patients are referred to a rapid access addiction medicine (RAAM) clinic, which they can attend without a booked appointment or formal referral note
  • At the RAAM clinic, an addiction specialist immediately provides brief counselling, prescribes appropriate addiction medications (such as buprenorphine, naltrexone, or acamprosate), and connects patients to community treatment programs
  • Once patients are stabilized, they are referred back to primary care for long-term follow-up
  • The RAAM clinician provides ongoing support by being available to primary care providers for re-assessments, consultations, and advice about addiction management
  • Patients move throughout the care pathway as needed, with communication between providers in the different settings
The result of the META:PHI care pathway is a fully integrated system in which patients receive evidence-based care at every step.

Model resources

A guide to rapid access addiction medicine (RAAM) clinics
A FAQ for care providers about starting and working in a RAAM clinic (version date: 10 June 2019).
PDF, 381kB
RAAM clinic best practices
An explanation of best practices within the RAAM clinic model (version date: 10 June 2019).
PDF, 353kB