Addiction and Substance Use Treatment in Ontario: Get Help Now

An impaired driving charge is often the moment people finally see what alcohol or drugs have been costing them. If that is where you are, you are not alone, and help in Ontario is a phone call away. Getting treatment for a substance use disorder can support your legal case, help you get your licence back and, most of all, help you rebuild your health, your family life and your future.

How treatment can help your impaired driving case

Getting help is first about your life, but it can also matter in court. The Criminal Code has a section built for exactly this situation:

• Delayed sentencing for treatment (section 320.23): after a finding of guilt for impaired driving or over 80, a court may delay sentencing so you can attend a treatment program approved by your province. It needs the consent of both you and the prosecutor. If you complete the program, the court no longer has to impose the minimum punishment or the mandatory driving prohibition.
• Taking responsibility: starting treatment early, and being able to show it with attendance letters or a counsellor’s report, gives your lawyer something real to put before the prosecutor and the judge.
• Getting ahead of licence requirements: most provinces require an assessment or remedial program before your licence comes back. Dealing honestly with substance use makes those steps easier to pass.

Every case is different, and no lawyer can promise an outcome. Ask an impaired driving lawyer how treatment fits your case before your next court date. Find an impaired driving lawyer in Ontario.

How addiction impacts your life

Addiction rarely stays in one corner of life. It reaches every part of it, and recovery does too.

• Health: Heavy drinking and drug use wear on the liver, heart, brain and sleep, and deepen anxiety and depression. Withdrawal can be dangerous without medical help.
• Legal: Impaired driving charges, licence suspensions, ignition interlock, a criminal record and, for repeat offences, jail. One night can follow you for years.
• Financial: Fines, legal fees, remedial program fees, interlock rental and much higher insurance quickly add up, on top of what is spent on alcohol or drugs.
• Work: Lost licence, missed shifts, lost jobs and closed doors for any job that requires driving or a clean record.
• Family: Broken trust, conflict at home, worried children and partners, and sometimes custody or access problems.
• Spiritual: Loss of purpose, self-respect and hope, and distance from the faith, culture or values that once grounded you.
• Education: Dropped courses, stalled training and goals put on hold while substance use takes over your time and focus.

The good news is that recovery works the same way in reverse. Each area of life can start to heal once the substance use is addressed.

Addiction treatment works

• Staying in treatment makes the difference. Staying in treatment, spending time with a different crowd who support your recovery, and going to support group meetings all help people stay sober for the long term.
• Relapse is not failure. Recovery is a long-term process. If a slip happens, it is a reason to get back to treatment and meetings, not a reason to give up.
• Substance use cost Canada $49.1 billion in 2020, including $22.4 billion in lost productivity and $10 billion in criminal justice costs. Alcohol alone accounted for $19.7 billion (Canadian Centre on Substance Use and Addiction).
• You are far from alone. In 2022, about 2.2% of Canadians aged 15 and older had an alcohol use disorder in the past year, and 1.4% had a cannabis use disorder (Statistics Canada).

Signs and symptoms of addiction

The Centre for Addiction and Mental Health (CAMH) describes addiction with the 4 Cs:

1. Craving: strong urges to drink or use.
2. Control: using more, or more often, than you meant to.
3. Compulsion: feeling driven to use even when you want to stop.
4. Consequences: continuing to use despite harm to your health, relationships, job or freedom.

Other warning signs include:

• Blackouts or memory gaps
• Injuries or accidents while drinking or high, including impaired driving
• Needing more to get the same effect (tolerance)
• Shakes, sweats, anxiety or poor sleep when you stop (withdrawal)
• Anxiety, irritability or depression
• Trouble thinking clearly or keeping up at work or school
• Spending money on alcohol or drugs instead of bills and essentials
• Hiding use or lying about it
• Arguments and broken trust with family
• Legal problems and a growing sense of hopelessness

A quick self-check (the CAGE questions): Have you ever felt you should cut down? Have people annoyed you by criticizing your use? Have you felt bad or guilty about it? Have you ever used first thing in the morning (an eye-opener)? Two or more “yes” answers suggest a possible problem, and even one is worth talking about with a doctor or counsellor.

Types of addiction treatment

• Withdrawal management (detox): medically supervised help to stop safely. Alcohol and some drug withdrawal can be dangerous without it.
• Residential treatment: live-in programs, often 28 to 90 days, with counselling, groups and a structured routine.
• Outpatient and day programs: treatment while you keep living at home and, often, keep working.
• Counselling: one-on-one or group therapy, such as cognitive behavioural therapy, often for trauma, anxiety or depression alongside substance use.
• Medication: for some people, medications that reduce cravings or treat opioid use disorder, prescribed by a doctor.
• Peer support: groups such as Alcoholics Anonymous, Narcotics Anonymous and SMART Recovery, which are free and meet across Canada.

How to get your licence back in Ontario

Back on Track: Ontario’s remedial program

In Ontario, your licence is not reinstated until you complete Back on Track, the Ministry of Transportation’s remedial measures program run by the Centre for Addiction and Mental Health (CAMH). It applies after an impaired driving conviction, or after two or more roadside suspensions in 10 years. Back on Track starts with registration and an assessment of your alcohol and drug use, followed by education or treatment groups and a follow-up interview. It can take up to 11 months. The fee is $634 after a conviction and $294 after roadside suspensions.

Contact: Back on Track: 1-888-814-5831 (Monday to Friday, 9 a.m. to 5 p.m.), remedial.net

An assessment is not a test you pass by saying the right thing. Counsellors are trained to spot problem use, and being honest is what leads to the right level of help. Starting treatment on your own can make the process smoother.

Learn more:

• How to reinstate a suspended licence in Ontario
• The Back on Track program
• Ontario’s ignition interlock program
• Cannabis-impaired driving in Ontario

Private substance use treatment centres serving Ontario

Along with public addiction services, these private treatment centres serve people in Ontario. Call them directly to ask about programs, wait times and cost:

This list is for information only. We do not endorse any centre or receive fees for referrals. Ask any centre whether it can provide attendance letters or a treatment report for your lawyer.

Run a treatment centre in Ontario? Contact us to be listed or to correct your details.

Frequently asked questions

Do I need an addiction assessment to get my licence back in Ontario?

In Ontario, your licence is not reinstated until you complete Back on Track, the Ministry of Transportation’s remedial measures program run by the Centre for Addiction and Mental Health (CAMH).

Can going to treatment help my impaired driving case?

It can. Under section 320.23 of the Criminal Code, a court can delay sentencing so you can complete an approved treatment program, with the prosecutor’s consent, and completing it means the minimum punishment and driving prohibition are no longer mandatory. Talk to your lawyer about whether it fits your case.

Is it too late to get help after I have been charged?

No. Many people start treatment after a charge, and starting early gives your lawyer more to work with and gives you more time in recovery before sentencing.

What are the first signs of addiction?

Using more than you meant to, cravings, failed attempts to cut down, needing more for the same effect, withdrawal symptoms and continuing to use despite problems with health, family, work or the law.

Where can I get help right now?

Call 9-1-1 in an emergency. You can call or text 9-8-8 any time, or call ConnexOntario at 1-866-531-2600.

This page is general information, not legal or medical advice. Program rules and fees change; check with the agency before you rely on them. Sources: Criminal Code s. 320.23; CAMH; Canadian Centre on Substance Use and Addiction; Statistics Canada; provincial program and licensing websites (November 2026).