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
Introduction to the toolkit.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 2 – Introduction to META:PHI
An introduction to the META:PHI program.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 3 – 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
Section 4 – Starting a RAAM Clinic
The steps to follow when planning a new RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A checklist of the steps for starting a RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 5 – 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
Section 6 – Clinic Supplies
Considerations to keep in mind when planning supplies for a RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 7 – 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
Section 8 – 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
This client survey was developed by CAMH.
Part of RAAM clinic toolkit
A sample RAAM clinic client feedback survey.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 9 – 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
A sample consent form for electronic communication between clients and the RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample consent form for individuals receiving services at a RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample flyer advertising virtual RAAM clinic services.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A standard HIV serology laboratory requisition form for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample clinician intake form for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A standard lab requisition form for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample RAAM clinic referral template.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample information release form for RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A form outlining RAAM clinic client rights and responsibilities.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample handout for new RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample waiting room form for RAAM clinic clients.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 10 – General Clinical Resources
Useful clinical resources for care in the RAAM clinic.
Part of RAAM clinic toolkit
Version date: 14 November 2024
This scale is used to assess adult patients for attention deficit hyperactivity disorder (ADHD).
Part of RAAM clinic toolkit
Version date: 14 November 2024
The C-SSRS measures the severity of a patient’s suicidal ideation and behaviour.
Part of RAAM clinic toolkit
Version date: 14 November 2024
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
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
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
A tool for diagnosing bipolar disorder.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample agreement form for clients receiving take-home doses (carries) of methadone.
Part of RAAM clinic toolkit
Version date: 14 November 2024
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
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
A validated scale for measuring depression severity.
Part of RAAM clinic toolkit
Version date: 14 November 2024
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
The R2AR form allows clients to identify their goals in substance use disorder treatment.
Part of RAAM clinic toolkit
Version date: 14 November 2024
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
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
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
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
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
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
Section 11 – 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
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
Section 12 – 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
A sample medical directive for alcohol withdrawal management in RAAM clinics.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample medical directive for naloxone administration in RAAM clinics.
Part of RAAM clinic toolkit
Version date: 14 November 2024
A sample medical directive for point-of-care urine testing in RAAM clinics.
Part of RAAM clinic toolkit
Version date: 14 November 2024
Section 13 – Educational and Mentorship Resources
Educational and mentorship resources for RAAM clinicians.
Part of RAAM clinic toolkit
Version date: 14 November 2024
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