CAST (Concurrent, Addictions, Specialized Treatment) Services –  Eastern Health 

Address: 657 Topsail Road, St. John’s, NL 

Reception: (709) 777-5074
Program Manager: (709) 752-4923 
Clinical Lead: (709) 752-4203 
Hours of Operation: Mon-Fri 8:30am-4:30pm


To provide integrated care for clients who are experiencing both mental health and addictions issues, known as concurrent disorders, where there is a significant impairment in functioning and/or a high level of distress.

Target Population:

Adults 18+ with concurrent disorders involving significant and severe mental health and substance use issues. These issues substantially interfere with or limit one or more major life activities (ex: school, employment, personal safety, and housing).

Highlights of Programs/Services Offered:

  • Outpatient, community-based counseling services for individuals that have a high severity of both mental health and addictions needs. 
  • Services may include individual, couple, family, and/or group therapy. 
  • Recovery-focused goals for treatment may include:
    • Increasing knowledge about concurrent disorders 
    • Taking a harm-reduction approach to substance use 
    • Receiving help for mental health issues 
    • Learning more adaptive ways of coping 
  • Additional services may include group programming on:
    • Cognitive behaviour therapy (CBT) skills for anxiety and depression
    • Dialectical behaviour therapy (DBT) skills
    • Seeking Safety and Families C.A.R.E (Helping Families Cope and Relate Effectively)
  • Physicians and other health professional can fax or email a referral by contactingintake for adults. Individuals may call the Adult Central Intake line directly at (709) 752-8888 for information and self-referral.