About the Community Opioid Addiction Program

The Community Opioid Addiction Program is designed to improve the health, social outcomes and quality of life of people with opioid addictions by offering both direct client services and community education.


Is this program for me?

  • Must be 12 years of age or older

  • Must be willing to enter the program

  • Must have current or historic use of opioids and/or opioid substitution therapy

  • Must reside in Thames Valley (London-Middlesex, Elgin, Oxford)

Goals and Objectives

The goals and objectives of the Community Opioid Addiction Program include, but are not limited to: improved health, social outcomes and quality of life of people with opioid addictions and pregnant and parenting women with addictions; increase availability and appropriateness of services specifically targeted to people with opioid addictions and pregnant and parenting women with addictions; and reduced involvement with the criminal justice system.

Other goals and objectives include:

  • Reduction in substance use
  • Access to opioid addiction treatment
  • Access to primary health care (CEPS)
  • Reduced repeat Emergency Room visits
  • Improved linkages between programs serving client populations
  • Increased number of providers with specialized services and knowledge about client needs

Referral Procedure

Persons concerned about their opioid use can access screening, assessment and treatment services in London-Middlesex, Elgin and Oxford Counties. Third party and self-referrals are welcome as well from any sources.

If you are interested in services from the Community Opioid Addiction Program, there are several ways to get in contact:

  • Phone COAP at 519-673-3242 ext. 281 and complete screening/intake form through telephone to determine appropriateness for the Community Opioid Addiction Program
  • Attend ADSTV Walk-In Intake in either London, St. Thomas, Woodstock, Tillsonburg or Ingersoll – please email intake@staging.adstv.on.ca or call 519-673-3242 for more information on times and locations
  • Access the COAP referral form on the ADSTV website located here and fax the completed form to ADSTV at 519-673-1022 (CEPS)

COAP Referral Form


The Community Opioid Addiction Program provides a confidential, client-centered, harm reduction, community-based approach to working with individuals who have significant current or historic use of opioids and/or opioid substitution therapies such as methadone and suboxone. The program can provide direct client services in diverse community-spaces across Thames Valley. Direct services include assessment, treatment planning, case management, withdrawal management support and community treatment. We support individuals with a range of goals including abstinence, moderation and/or harm reduction and assist individuals in any stage of change. The program provides a priority emphasis on individuals who face barriers to accessing treatment, women who are pregnant or parenting, youth, and people living with HIV/AIDS or Hepatitis C.

Intake and Assessment Services

The initial assessment is a mutual exploration process that provides the clinician with detailed information for the purpose of developing specific client needs, goals, characteristics, problems and/or stage of change. Assessments include immediate assessment of safety concerns and basic needs related to health and shelter.

Community Treatment Services

Community treatment services are provided in group or individual format, typically weekly or less often. These sessions assist the individual to develop skills in managing substance abuse and related problems and/or maintain and enhance treatment.  Individual sessions are designed to support client’s who are planning for withdrawal and/or implementing or making changes to their substitution therapies. Activities such as relapse prevention, guided self-change, follow-up and aftercare are included here as well as programming to support and educate family members. A primary worker supports the client through providing ongoing assessment, ongoing evaluation of the client’s treatment plan, and linking and coordinating additional supportive services. The primary worker will help the client to develop and implement a discharge plan to sustain their goals.

Community Education

COAP staff members are available for speaking engagements or educational events. Please contact us to see if we can meet your needs or provide suggestions about other agencies that may better suit your needs. We also have a number of educational materials related to opioids and opioid substitution therapy that are available to both clients and community members.