Clinical Tools

Below is a collection of Clinical Tools regarding Mental Health, Substance Use, and Concurrent Disorders. On this page:

Concurrent Disorders:

  • Concurrent Disorders: An Information Guide (CAMH): PDF

  • Stigma: Understanding the impact of prejudice and discrimination on people with mental health and substance use problems

Substance Use:

Click on the substances below to view an information sheet (downloadable in PDF):

Addiction Medications:

Interactions Between "Stree Drugs" and Prescribed Psychotropic Drugs
Stages of Change:

Below are tools that may be used with clients at particular stages of change:


Client does not recognize need for/or desire to change. Goals are to establish rapport, identify goals and values, help foster insight.

  • Developing Discrepancy

  • Goal Sheet

  • Setting Life Goals

  • The Life Compass

  • Values Card Sort

  • What are my Character Strengths?

  • Mental health fact sheets (see all here)



Client is ambivalent about making a change. Compare pros and cons of behaviour change an develop discrepancy.

  • Pros and Cons of Making a Change

  • Adjusted Recreation Activities Worksheet

  • Payoff Matrix

  • Testing Out Abstinence


Client has committed to behavioural change. Plan for change, problem solve around challenges, and identify/engage supports.

  • Change Plan Sheet

  • Identifying Triggers

  • Setting up Goals Worksheet

  • Triggers and Coping


Client has initiated behavioural change. Provide positive reinforcement, strengthen coping skills and self-efficacy.

  • 3D's

  • Relapse Prevention Plan

  • SOBER Breathing Space

  • Reminder Card with SOBER Breathing Space


Client has adjusted and sustained behaviour change. Reinforce adaptive skills, strengths relapse prevention plan.

  • Relapse and Crisis Plan

  • Emergency Coping Card

  • Refusing Drugs and Alcohol

  • Strengths and Qualities

  • Tips for Relapse Prevention

  • Identifying Problem Substance Use Situations


Client has experienced a relapse re: changed behaviour. Provide empathy and support, re-frame relapse/slip as a learning opportunity.

  • Enjoyable Activities

  • Informal Mindfulness Practice

  • Simple Ways to Get Present

Screening and Assessment:

Below is the screening and assessment tool created and utilized by the Concurrent Disorders Capacity Building Team. Click here to download a PDF copy.

Screening and Assessment Tool (Pg1)
Screening and Assessment Tool (Pg1)

Screening and Assessment Tool (Pg2)
Screening and Assessment Tool (Pg2)

Screening and Assessment Tool (Pg3)
Screening and Assessment Tool (Pg3)

Screening and Assessment Tool (Pg1)
Screening and Assessment Tool (Pg1)

Finding Treatment in Ontario:

ConnexOntario has comprehensive online directories of services relating to addiction, mental health, and problem gambling. Please note, these service directories and support lines were previously separate, but have been merged. Click here to be directed to the ConnexOntario website: