RAAM Clinic Toolkit

This toolkit was created to support RAAM clinic leads (managers, directors, medical directors, etc.) in the implementation and operationalization of the RAAM clinic model in their communities. You can download the entire toolkit or the individual tools (see below).

Section 1 – Introduction

RAAM Clinic Toolkit Introduction

Introduction to the toolkit.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 2 – Introduction to META:PHI

Introduction to META:PHI

An introduction to the META:PHI program.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 3 – Introduction to the RAAM Clinic Model: FAQ

Introduction to the RAAM Clinic Model: FAQ

FAQ about the RAAM clinic model of care.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 4 – Starting a RAAM Clinic

Starting a RAAM Clinic

The steps to follow when planning a new RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Implementation Checklist

A checklist of the steps for starting a RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 5 – RAAM Clinic Human Resources

RAAM Clinic Human Resources

A description of possible RAAM clinic staffing complements, including sample role descriptions.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 6 – Clinic Supplies

Clinic Supplies

Considerations to keep in mind when planning supplies for a RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 7 – RAAM Clinic Quality Targets

RAAM Clinic Quality Targets

This document outlines META:PHI’s vision of ideal RAAM clinic care. It is META:PHI’s goal to support RAAM clinics in reaching these administrative, clinical, and community targets.
Design: Brent Logan
Part of RAAM clinic toolkit
Version date: 30 May 2024

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Section 8 – Data Collection and Reporting

Data Collection and Reporting

Some guidelines and considerations for RAAM clinic data collection and reporting
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA)

This client survey was developed by CAMH.
Part of RAAM clinic toolkit

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RAAM Clinic Client Survey

A sample RAAM clinic client feedback survey.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 9 – Resources Specific to First Clinical Visit

Resources Specific to First Clinical Visit

Resources that may be useful on a client’s first visit to the RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Client Consent and Waiver for Electronic Communication

A sample consent form for electronic communication between clients and the RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Client Consent to Service

A sample consent form for individuals receiving services at a RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Flyer: Virtual Help for Substance Use

A sample flyer advertising virtual RAAM clinic services.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic HIV Serology Lab Requisition

A standard HIV serology laboratory requisition form for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Intake Form

A sample clinician intake form for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Standard Intake Lab Requisition

A standard lab requisition form for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Referral Template

A sample RAAM clinic referral template.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Client Consent to Obtain and Release Information

A sample information release form for RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Client Rights and Responsibilities

A form outlining RAAM clinic client rights and responsibilities.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Client Handout: What to Expect in a First Appointment

A sample handout for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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RAAM Clinic Client Form

A sample waiting room form for RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 10 – General Clinical Resources

General Clinical Resources

Useful clinical resources for care in the RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Adult ADHD Self-Report Scale (ASRS-v1.1)

This scale is used to assess adult patients for attention deficit hyperactivity disorder (ADHD).
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Columbia-Suicide Severity Rating Scale (C-SSRS)

The C-SSRS measures the severity of a patient’s suicidal ideation and behaviour.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Generalized Anxiety Disorder (GAD-7) Scale

The GAD-7 is a validated scale for measuring the severity of a patient’s anxiety.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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GAIN Short Screener (GAIN-SS)

The GAIN Short Screener (GAIN-SS) has historically been used for clients seeking access to inpatient substance use disorder treatment.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Goal-Setting Form

A form for clients to identify their goals and triggers in substance use disorder treatment.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Mood Disorder Questionnaire (MDQ)

A tool for diagnosing bipolar disorder.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Sample Methadone Carry Agreement

A sample agreement form for clients receiving take-home doses (carries) of methadone.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Opioid Use Disorder Follow-Up Visit Form

A sample clinician form for capturing follow-up RAAM clinic visits related to opioid use.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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PTSD Checklist for DSM-5 (PCL-5)

A scale for measuring the severity and impact of a patient’s post-traumatic stress disorder (PTSD).
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Patient Health Questionnaire (PHQ-9)

A validated scale for measuring depression severity.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Quality of Life Scale (QoLS)

This form allows a client to evaluate the quality of their life across a number of domains.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Road to Recovery: R2AR Patient-Reported Outcomes Measurement

The R2AR form allows clients to identify their goals in substance use disorder treatment.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Sweating Hallucinations Orientation Tremor Scale (SHOT)

The Sweating Hallucination Orientation Tremor (SHOT) scale is used to measure the severity of alcohol withdrawal.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Substance Use Disorder (Non-Opioid) Follow-Up Visit Form

A sample clinician form for capturing follow-up RAAM clinic visits for non-opioid substance use.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Order Set for Alcohol Withdrawal

An order set for the management of alcohol withdrawal in withdrawal management services (WMS).
Part of WMS toolkit
Part of RAAM clinic toolkit
Version date: 25 January 2024

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Order Set for Opioid Withdrawal

An order set for the management of opioid withdrawal and initiation of opioid agonist therapy (OAT) in withdrawal management services (WMS).
Part of WMS toolkit
Part of RAAM clinic toolkit
Version date: 25 January 2024

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Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar) Scale

The CIWA-Ar is a validated scale for measuring the severity of alcohol withdrawal, for use in in various settings, including withdrawal management and the emergency department (ED).
Part of WMS toolkit
Part of RAAM clinic toolkit
Version date: 25 January 2022

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Clinical Opioid Withdrawal Scale (COWS)

The Clinical Opioid Withdrawal Scale (COWS) is a validated scale for measuring opioid withdrawal severity.
Part of ED toolkit for OUD
Part of RAAM clinic toolkit
Version date: 19 September 2022

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Section 11 – Transition Planning

Transition Planning

Considerations and resources for transferring a client’s care from the RAAM clinic to another setting.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Consultation Letter for Transferring Substance Use Disorder Care to Primary Care

A sample letter for transferring substance use disorder care from a RAAM clinic to a primary care provider.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 12 – Clinical and Administrative Policies

Clinical and Administrative Policies

Some sample RAAM clinic policies that can be adapted as needed.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Medical Directive: Management of Alcohol Withdrawal

A sample medical directive for alcohol withdrawal management in RAAM clinics.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Medical Directive: Naloxone Administration Policy

A sample medical directive for naloxone administration in RAAM clinics.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Medical Directive: Point-of-Care Urine Testing

A sample medical directive for point-of-care urine testing in RAAM clinics.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Section 13 – Educational and Mentorship Resources

Educational and Mentorship Resources

Educational and mentorship resources for RAAM clinicians.
Part of RAAM clinic toolkit
Version date: 14 November 2024

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Victoria Burke, Community Consultant
Katie Dunham, Nurse Practitioner Lead, Stonehenge Therapeutic Community RAAM; Nursing Educator,
META:PHI, Women’s College Hospital
Ashley Flemming, Community Consultant
Kate Hardy, Administrative Director, META:PHI, Women’s College Hospital
Pia Heikkinen, North Western Ontario Regional RAAM Coordinator, St. Joseph’s Care Group
Meldon Kahan, Medical Director, META:PHI, Women’s College Hospital
Michael Roach, Clinical Manager, Regional Outpatient Addictions Services, Health Sciences North
Stephanie Rochon, Holmes House Manager, Norfolk General Hospital
Philip Wong, Director, Nursing Services, Addiction Services Central Ontario
Jennifer Wyman, Clinical Programs Lead, META:PHI; Medical Director, Substance Use Service, Women’s College Hospital

Greg Carfagnini, MD CCFP(AM)
Caryn Green, MD CCFP, Division Head, Addiction Medicine, Lakeridge Health
Brian Irving, RP, RCS, CACII
Mary LaBine, Director of Clinical Services, CMHA Hastings Prince Edward Addictions & Mental Health Services
Tonya Muchano, RAAM Coordinator, Thunder Bay and Greenstone