Women's College Hospital - Health Care for Women, Revolutionized

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Substance Use Service/Addictions Medicine

A collaboration with Addictions Medicine and Addictions Psychiatry

Our service provides assessments and ongoing management for all substance use disorders, including alcohol, opioids, cocaine, tobacco and cannabis. We provide pharmacotherapy for addictions to opioids, alcohol, tobacco, cannabis and other drugs.

Our medical staff consists of three addictions physicians and a social worker/ psychotherapist:

  • Dr. Meldon Kahan MD CCFP (Program director)
  • Leslie Molnar BSW MSW RSW
  • Dr. Inbal Gafni MSc, MD, FRCPC, Diplomate ABAM
  • Dr. Sheryl Spithoff MD CCFP
  • Dr. Mandeep Cheema
  • Dr. Rajesh Girdhari
  • Dr. Ashok Krishnamurthy
  • Dr. Pamela Leece
  • Dr. Chetan Mehta
  • Dr. Jennifer Wyman

Additional services

For opioid dependence, Dr. Meldon Kahan and Dr. Sheryl Spithoff provide opioid maintenance therapy with buprenorphine and methadone. As well, we are happy to see patients with chronic pain and assess for an opioid use disorder. However we do not see patients on an ongoing basis for the purpose of prescribing opioids if they do not have an opioid use disorder. Dr. Meldon Kahan and Dr. Sheryl Spithoff also offer day detoxification for alcohol addictions and are able to make recommendations for inpatient facilities if needed.

For patients who are suitable, Dr. Inbal Gafni and Leslie Molnar provide short-term, time-limited evidence-based psychotherapy for substance use disorders (e.g. cognitive behavioural therapy, motivational interviewing, structured relapse prevention, Seeking Safety), typically for 8 - 16 sessions. Dr. Gafni only sees patients with a referral from their family doctor.


Resources

Videos

Medical Grand Round | October 15, 2014
Dr. Meldon Kahan discusses the potential impact of abuse deterrent opioid formulations on rates of addiction and overdose, as well as their darker side.discusses the potential impact of abuse deterrent opioid formulations on rates of addiction and overdose, as well as their darker side.

Presentations

October 30, 2013
Presented by Drs. Meldon Kahan, Maya Nader and Anita Srivanstava

 

 

 

 

 

 

September 2, 2014
Presented by Dr. Meldon Kahan, Medical Director, Substance Use Service at Women's College Hospital

 

 

 

 

October 1, 2014
Presented by Dr. Wiplove Lamba at Li Ka Shing Knowledge Institute of St. Michael's Hospital in Toronto, Ontario, Canada

 

 

 

December 3, 2014
Presented by Dr. Jesleen Rana, CCFP & Lindsay Williams, M.S.W., R.S.W. at Li Ka Shing Knowledge Institute of St. Michael's Hospital in Toronto, Ontario, Canada

 

 

 

 

 

 

January 7, 2015
Presented by Dr. Vera Tarman at Li Ka Shing Knowledge Institute of St. Michael's Hospital in Toronto, Ontario, Canada

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Location & Contact Information

Substance Use Service/
Addictions Medicine

Women's College Hospital
76 Grenville Street
3rd floor
Toronto, ON M5S 1B2

Phone: 416-323-7559 ext. 7

Fax: 416-323-7739

Accessibility
The hospital is fully accessible. All clinics have wheelchair accessible washrooms.


Referral
Both self-referrals and physician referrals are accepted.

  • Please have your family doctor complete a referral and fax to: 416-323-7739 (Attention: Substance Use Service).
  • For self-referrals, please call 416-323-7559 ext. 7 to book an appointment with Dr. Kahan or
    Dr. Spithoff.

If your situation is urgent, please go to the emergency department.

Our Publications


  • Fully affiliated with:
  • University of Toronto
  • A member of:
  • Council of Academic Hospitals of Ontario (CAHO)