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HART Hub

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What is a HART Hub?

A provincial initiative, the HART Hubs are healthcare facilities that provide an entire continuum of care under one roof, encompassing addiction treatment, mental health care, primary health care, supportive housing, vocational training, and social services to help people achieve long-term recovery and stability.

Do HART Hubs provide safe supply?

The HART Hubs DO NOT provide supervised consumption services, safer drug supplies, or needle exchange services.

Why aren’t the HART Hub services offered within the hospital?

The HART Hub model was designed to meet clients where they are at by providing community-based addictions recovery treatment and support over an extended period of time that prepares them to rebuild their lives in the community.

Hospitals provide fundamental addictions and mental health care that are an integral part of the continuum of care.

The HART Hub is designed to complement existing hospital support by offering accessible, community-based options for individuals who may not require or have completed inpatient care but still need structured support.

Who is eligible to receive care and support from HART Hubs?

HART Hubs require a referral and are for any individual who needs mental health and addiction support. Individuals may move through the full continuum of care or access only one or a few of the services (e.g. withdrawal management and addiction treatment only).

Some HART Hub clients are experiencing homelessness, and the treatment and wraparound services (e.g. transitional supportive housing, vocational training) help provide them with a pathway out of living on the streets.

Do you have to be sober to become a client at the HART Hub?

No, which is why the HART Hub offers withdrawal management care.

As with all the LLGAMH programs and properties, HART Hub clients will not be permitted to use substances when they are on the property and must behave respectfully.

At LLGAMH, we understand that every person’s experience is different, and our HART Hub team will support each client along their unique recovery journey, helping them at every point to reach their goals.

How will the Lanark, Leeds and Grenville (LLG) HART Hub serve the region?

Led by Lanark, Leeds and Grenville Addictions and Mental Health (LLGAMH) in partnership with more than 50 community organizations, the LLG HART Hub creates a coordinated pathway for individuals from withdrawal support to long-term recovery and stability. The HART Hub operates in two locations – one in the United Counties of Leeds and Grenville and one in Lanark County – ensuring that individuals move through different stages of treatment and housing without experiencing the instability that often leads to relapse.

What services does the LLG HART Hub offer?

The HART Hub offers a seamless, multi-phase approach to addiction recovery. Our program is designed to support individuals through every stage of the healing journey - from withdrawal management to long-term stability in the community.

1. Withdrawal Management (3 to 14 Days)

Clients begin their recovery with medically supported withdrawal in a safe and caring environment.

Daily contact with a Nurse Practitioner and Registered Practical Nurses
Use of medications to ease withdrawal symptoms and ensure safety
As soon as physically able, clients begin:
- One-on-one sessions with an Addictions Counsellor
- Meetings with a Case Manager
- Participation in group programs if health permits

2. Intensive Residential Treatment (3 months)

Once withdrawal is complete, clients transition into our Intensive Residential Treatment program. This phase includes:

5 - 6 hours of daily programming, combining group and individual counselling and therapy
Topics covered in groups include:
- Cognitive Behaviour Therapy (CBT) for Anxiety and Depression
- Coping with Trauma
- Anger and Addiction
- Substance Use Recovery 101
- SMART Recovery
- Mindful Recovery
- Relapse Prevention
- Relationships in Recovery
Vocational supports to help prepare for work, school, or volunteering after treatment

3. Supportive Treatment (3 Months)

Clients who complete intensive treatment can move into a supportive treatment phase with a focus on reintegration and skill-building.

Less intensive daily structure
Continued substance use programming through daily groups and individual counselling
Emphasis on:
- Employment readiness
- Job skills training
- School credit upgrading
- Volunteer placements

4. Supportive Housing

The final stage of care provides clients with stable housing in a substance-free environment for up to 2 years while they fully reintegrate into the community.

Opportunities for:
- Part-time or full-time work
- Volunteering
- School credit upgrading or college-level study
Continued support to maintain recovery and build independence

How does the HART Hub withdrawal management differ from withdrawal management at Brockville General Hospital?

The Brockville General Hospital has a well-established hospital-based withdrawal management program that has been, and will continue to be, an important service for our community.

The HART Hub’s Brockville location offers the first community-based withdrawal management beds in our region, expanding and strengthening treatment options for those who need them.

How many beds will the HART Hub have?

The Leeds and Grenville site will include 49 beds divided into four key components:

8 withdrawal management beds, providing short-term stabilization and medical support for individuals in the early stages of recovery, with a stay lasting between one and three weeks. These beds are accessible to clients across the region
16 residential addiction treatment beds, offering extended treatment and recovery support for individuals continuing their rehabilitation
10 transitional supportive housing beds, providing stable accommodations with wraparound services for those preparing to move toward independent living
15 emergency shelter beds, ensuring those experiencing homelessness have immediate access to safe, overnight accommodation **These beds have not been confirmed and would require the support of operational funding (outside of HART Hub funding)

The Lanark County site will focus on long-term treatment and housing support, as well as complementing and having access to withdrawal services offered in Leeds and Grenville. It will include 17 beds divided into two key components:

8 residential addiction treatment beds, offering extended treatment and recovery support for individuals continuing their rehabilitation
9 transitional supportive housing beds, providing stable accommodations with wraparound services for those preparing to move toward independent living

Why will emergency shelter beds potentially be located at the HART Hub?

The United Counties of Leeds and Grenville (UCLG) has determined that the current emergency shelter is not sustainable in its present location.

UCLG has had preliminary discussions with LLGAMH about the potential to locate emergency shelter beds at the HART Hub, which the Brockville location can accommodate.

The potential for LLGAMH to operate the emergency shelter would provide continuity for clients who also access LLGAMH Extended Drop-In Centre at 25 Front Ave site. Additionally, the emergency shelter beds could serve as potential feeder beds into the HART Hub model, offering a recovery pathway for emergency shelter clients.

Who are the staff supporting HART Hub clients?

The HART Hub team of mental health and addictions professionals includes:

Nurse Practitioners and Registered Practical Nurses providing medical supervision and withdrawal management support
Addiction and mental health specialists offering individual and group therapy
Case managers and social workers assisting with housing applications, employment readiness, and long-term recovery planning
Rehabilitation workers assisting clients with activities of daily living and providing support and guidance as they progress through the various levels of the HART Hub
Peer support workers and individuals with lived experience providing guidance and encouragement and help clients on their journey toward stability
Recreational counsellors leading wellness programs and community reintegration activities

What are the two locations of the Lanark Leeds Grenville HART Hub?

Lanark location: 9 Armstrong Drive, Smiths Falls

Leeds Grenville location: 280 King St E, Brockville

What is the rationale for choosing these specific locations?

The HART Hub locations will meet the following criteria:

Proper zoning
Appropriate facility space and layout
Close to the priority populations who will access services

Who funds the LLG HART Hub? Has a long-term funding commitment been made?

The Ministry of Health funds the LLG HART Hub. They have made a long-term funding commitment.

How can individuals access LLG HART Hub services?

The process for HART Hub referrals and self-referrals is being finalized and will be announced later in fall 2025.

Is there a cost to access the LLG HART Hub services?

The HART Hub client services are publicly funded by the Ontario government. There is no additional cost to clients.

Will the HART Hub be a gathering place in the community?

No, it will not be a gathering place in our community. Just like a hospital, the HART Hub will be a centre where clients are referred to receive care and progress along their healing journey. It will be staffed 24/7 by highly skilled addictions and mental health professionals who are trained in conflict de-escalation.

LLGAMH will continue to operate the successful Drop-In Centre at 25 Front Ave. that offers clients programming and support to address their basic needs, help with navigating resources, and a place to build community. The Drop-In will continue welcoming clients seven days a week (including holidays).