Concurrent Supportive Housing (CSH)

The Concurrent Supportive Housing (CSH) Program provides support coordination and counselling for clients who have both mental health and substance use issues. Support may include life skills/functional support, support to secure and maintain housing, recreation opportunities, system navigation and referral, screening and assessment, support coordination, and direct counselling. This program is a partnership between Thresholds Homes and Supports (THS) and House of Friendship (HOF). Support is provided by an integrated team comprised of Addiction Counsellors and Mental Health and Addiction Coordinators. It is an expectation of the program that participants will connect with their supports each week and is designed for clients who have made the choice to eliminate or change their substance use in order to increase quality of life and reduce risk caused by substance use. The program strives to improve the health and social outcomes of people with concurrent mental health issues by providing individualized support, based on identified goals related to each person’s vision of a happy, hopeful life.


Eligibility Criteria

  • 18 years and older

  • Must live in the Region of Waterloo or County of Wellington

  • Must have a diagnosed or diagnosable severe and persistent mental illness

  • Substance use concern

    • Use of a substance that affects at least 4 of 8 of the following domains:

      • Activities of daily living

      • Finances

      • Social relationships

      • Housing

      • Physical health

      • Employment

      • Justice involvement

      • Use of emergency services

    • Individual must be motivated to make changes to their substance use. Does not need to have abstinence as goal; could be harm reduction

  • Willing and motivated to engage with support staff on a weekly basis



Currently, we can only take on individuals who have stable housing. Individuals who are eligible but need housing will remain on the waitlist for when housing becomes available.


Referral Process

Referrals for this program follow a centralized intake process - to make a referrals to this program you can call 1-844-HERE247 (1-844-437-3247)


You can also access the referral package at this link.