New rapid medical addictions clinic 'imminent' for Windsor, says health network

A new addictions clinic designed to help people quickly access medical treatment for opioid and alcohol addictions inWindsor is "imminent,"according to theErie St. Clair Local Health Integration Network (LHIN).

A Rapid Access Addiction Medicine (RAAM) clinicintegratesopioidreplacement therapy with primary care and provides assessment, counsellingand prescriptionsof appropriate medications.

Dr. Del Donald runs the Bluewater RAAM clinic in Sarnia, which opened as a pilot site in 2016. He said50 sites have opened across the province since.

"It really is a great thing that's happened."

Donald said a Windsor clinic connected with him after the Sarnia site opened to learn from the BluewaterRAAM clinic.

What does it look like?

The Bluewater RAAMclinic is designed to look like a restaurant, said Donald, with an emphasis placed on comfort for patients who can walk in without an appointment to see a physician on their first visit.

"We talk about the medication, which one we're suggesting and what they can expect from it and things like that," he said, adding those medications are usuallybuprenorphineor methadone.

Patients are usually seen again in a week or less, depending ontheir addiction.

But a RAAMclinic doesn't need to be a specific physical space, according to theErie-St.ClairLHIN.

"We need to look less atis it a bricks and mortartype of place or is it really a process so that people get access to those resources very, very quickly," saidShannonSasseville, director ofcommunications and community engagement at theErie St.ClairLHIN.

Addictions doctor talks treatment options for opioid addictions in Windsor

6 years ago

Duration 4:25

Dr. Tony Hammer outlines why Windsor-Essex needs a Rapid Access Addictions Medicine clinic.

Current system 'not well-organized'

Dr. Tony Hammer specializes inaddictions treatment with Erie-St. Clair Clinic the clinic thatreached out to the Sarnia site and he believes barriers have prevented a RAAMclinic from opening in Windsor-Essex.

He said addictions treatment is"not well-organized" between the community and hospitals to create a seamless process.

"At the moment the problem is that it's half-hospital based, half-community based it should be community based," said Hammer.

"We need some kind of overriding authority here who can organize it."

Available by year end?

The Erie-St.Clair LHIN is the authority that plans, integrates and funds local health care over an area that includes both Sarnia, which has had a RAAM clinic since 2016, and Windsor-Essex.

"Sometimes change just takes longer than we probably think it does," said Sasseville.

However, she said a Windsor RAAM clinic is "imminent," but the process of getting partners on board takes time.

"We're at, really, the final stages of making sure if patients want to visit a RAAMclinic that all the partners are ready and available for them."

Sarnia's RAAMclinic, by the numbers

Donald, who runs the RAAM clinic in Sarnia, has noticed the followingin the first two years:

• 317 patients seen since March 2016.
• 130 patients continue to use the clinic.
• Patientvisits to emergency department reduced by roughly 50 per cent.

The clinic is available for 36 hours a week.

"It's an option for those services or physicians to offer something to the patients they didn't have before," said Donald.

What's available now

Dr. Hammer said there are two types of services available in Windsor: abstinence-based treatment and medical-based treatment.

"What we know is that if we can get these patients onto medical treatment, which is suboxone and methadone, we can reduce the death rate from accidental overdose by 75 per cent," said Hammer.

Not only that, he believes that abstinence-based withdrawal is dangerous.

Donaldalso believes medical addictions treatment is best for patients.

"A traditional sort of detox, I guess we call it withdrawalmanagement now, isn't very helpful. It certainly does nothing for opioid-use disorder because what they really need is to be put on opioid replacement therapy," said Donald.