4.4 Conduct an appropriate risk assessment Flashcards
Conduct an appropriate risk assessment
What does a risk assessment involve?
Assessment of risk factors
Assessment of mental health:
Past psychiatric history.
Depressive and other psychiatric symptoms.
Medication.
History of alcohol and illicit drug use.
Observe verbal and non-verbal indicators of mental state (eye contact, apparent mood, hallucinations and unusual beliefs, agitation, speed of speech).
Previous self-harm or suicide attempts.
Age, gender, social situation.
Relationships which may be supportive/protective, or which may pose a threat (abuse or neglect).
Access to lethal methods.
Assessment of current intent and plans
Wish to be dead.
Feelings of hopelessness.
Regret/remorse over current/previous attempt.
Expectation about outcome of self-harming behaviour or suicide attempt/threat.
Specific plans.
Lethality and frequency of plans or attempts.
Other self-harming behaviour.
Assess current suicidal intent/wishes.
Length of time suicidal feelings have been present.
Mental state at time of self-harm or suicide attempt or threat (alcohol or drug intake, social situation, relationship changes, bereavements).
Plans for others after death: suicide notes, changes to will, consequences.
Assessment of needs Social problems. Untreated mental health disorders. Physical symptoms and disorders. Coping strategies. Skills, strengths and assets. Psychosocial and occupational functioning. Personal and financial difficulties. Needs of dependants
Develop safety plans with clients at risk.
WHO SHOULD HAVE A SAFETY PLAN?
Any Veteran who has a suicidal crisis should have a comprehensive suicide risk assessment. Clinicians should then collaborate with the Veteran on developing a safety plan.
HOW SHOULD YOU MAKE A SAFETY PLAN?
Listen to, empathize with, and engage the Veteran in the process. Safety planning is a clinical process, and involving the Veteran can promote the development of the safety plan and increase the likelihood of its use.
DEVELOPING THE SAFETY PLAN
There are six steps involved in the development of a safety plan.
IMPLEMENTING THE SAFETY PLAN
Step 1: Warning Signs
££Ask “How will you know when the safety plan should be used?”
££Ask “What do you experience when you start to think about suicide or feel
extremely distressed?”
££List warning signs (thoughts, images, thinking processes, mood, and/or behaviors) using the Veteran’s own words.
Step 2: Internal Coping Strategies
££Ask “What can you do on your own, if you become suicidal again, to help prevent yourself from acting on your thoughts or urges?”
££Assess likelihood of use: Ask “What do you think is the likelihood that you would be able to do this step during a time of crisis?”
££If doubt about use is expressed, ask “What might stand in the way of you thinking of these activities or doing them if you think of them?”
££Use a collaborative, problem-solving approach to address potential roadblocks and identify alternative coping strategies.
Step 3: Social Contacts Who May Distract from the Crisis
££Instruct the Veteran to use Step 3 if Step 2 does not resolve the crisis or lower risk. ££Remember, in this step, the goal is distraction from suicidal thoughts
and feelings.
££Ask “Who or what social settings help you take your mind off your problems at least for a little while?” or “Who helps you feel better when you socialize with them?”
££Ask for safe places where the Veteran can go, such as a coffee shop, to be around people.
££Ask the Veteran to list several people and social settings, in case the first option is unavailable.
££Assess the likelihood that the Veteran will engage in this step; identify potential obstacles and problem solve as appropriate.
Step 4: Family Members or Friends Who May Offer Help
££Instruct the Veteran to use Step 4 if Step 3 does not resolve the crisis or lower risk.
££Ask “Among your family or friends, who do you think you could contact for help during a crisis?” or “Who is supportive of you and who do you feel that you can talk with when you’re under stress?”
££Ask the Veteran to list several people, in case one contact is unreachable. Prioritize the list. In this step, unlike the previous step, patients reveal they are in crisis to others.
££Assess the likelihood that the Veteran will engage in this step; identify potential obstacles and problem solve.
££Role play and rehearsal can be very useful in this step.
Step 5: Professionals and Agencies to Contact for Help
££Instruct the Veteran to use Step 5 if Step 4 does not resolve the crisis or lower risk.
££Ask£“Who are the mental health professionals that we should identify to be on your safety plan?” and “Are there other health care providers who should be added?”
££List names, numbers, and/or locations of clinicians, local urgent care services, a VA Suicide Prevention Coordinator, and VA’s Veterans Crisis Line (1-800-273-8255 and Press 1, confidential chat at VeteransCrisisLine.net, or text to 838255).
££Assess the likelihood that the Veteran will engage in this step; identify potential obstacles and problem solve.
Step 6: Making the Environment Safe
££Ask the Veteran which means he or she would consider using during a suicide crisis.
££Ask “Do you own a firearm, such as a gun or rifle?” and “What other means do you have access to and may use to attempt to kill yourself?”
££Collaboratively identify ways to secure or limit access to lethal means: Ask “How can we go about developing a plan to limit your access to these means?”
££For methods with low lethality, clinicians may ask Veterans to remove or restrict their access to these methods themselves.
££Restricting the Veteran’s access to a highly lethal method, such as firearms, should be done by a designated responsible person—usually a family member, close friend, or the police.
Refer to specific professional services where
appropriate.
Toronto
Quick Guide
Mental Health Resources
Serving Toronto
Integrity
Partnership
Recovery & Wellbeing
Diversity & Equity
Accessibility
Quality
Safety & Privacy
CMHA Toronto Branch
Information & Decision Support
Member of Inform Canada/AIRS and Inform Ontario
ABUSE
Advocacy Centre for the Elderly
Barbara Schlifer Clinic
Boost - Child Abuse Prevention and Intervention Canadian Centre for Victims of Torture Children’s Aid Society
Lesbian and Gay Bashing Reporting Line Sunnybrook (WRAP)
- Women Recovering from Abuse Victim Services
ADDICTIONS
DART - Drug and Alcohol Registry
MAAR - Metro Addiction Assessment Referral Services Ontario Problem Gambling Helpline
ANGER MANAGEMENT
CAMH-Centralized Assessment Central Toronto Youth Services Family Service Association of Toronto John Howard Society
North York Women’s Centre
West End Walk-in Counselling Centre
ANXIETY/PANIC
Centre For Addiction and Mental Health -Mood and Anxiety Disorders Program
Humber River Regional Hospital
North York General Hospital
North York Women’s Centre
Obsessive Compulsive Disorder Helpline Sunnybrook Women’s College
416-598-2656 416-323-9149 x 234 416-515-1100 416-363-1066 416-924-4646 416-392-6877 416-323-6400 x 4863
416-808-7066
1-800-565-8603 416-599-1448 1-888-230-3505
Toronto East General Hospital 416-469-6204 or 416-469-7608
ASSERTIVE COMMUNITY TREATMENT (ACT)
Access 1
CMHA East Metro Act Team
Steeles - Lake, Victoria Park - Port Union CMHA New Dimensions ACT Team
Steeles - Lake, Victoria Park - Port Union CMHA West Metro ACT Team
Steeles - St Clair, Humber-Allen COMPASS - Toronto East Gen Hospital
St. Clair - Lake, Don River - Victoria Park CONTACT - St. Michael’s Hospital
Bloor - Lake, Yonge - Victoria Park IMPACT - Toronto Western Hospital
1-888-640-1934 416-289-6285 x 243 416-289-6285 x 243 416-789-7957 x 282 416-461-2000 x 226
416-864-5120
416-603-5800
St. Clair - Lake, Keele - Yonge
416-535-8501 x 6878 416-924-2100 416-595-9618 416-925-4386 416-781-0479 416-394-2424 x 34
416-535-8501 x 4747 416-249-8111 416-756-6642
416-781-0479 416-920-5887 416-480-4611
Continued on next page
ASSERTIVE COMMUNITY TREATMENT (ACT) Cont’d. Mount Sinai Hospital ACT Team
Eglinton - Lake, Hwy 427 - Victoria Park North York General Hospital ACT Team,
Hwy 7 - St. Clair, Keele - Victoria Park Reconnect ACT Team
Vic Park - Islington, Eglinton - Lake Scarborough Hospital ACT Team
Steeles - Lake, Victoria Park - Port Union South Central Etobicoke ACT -Trillium
Islington to Hwy 10, Eglinton - Lake SUNPACT - Sunnybrook Hospital
Sheppard - St Clair, Bathurst - Don Valley West End ACT Team - St. Joseph’s HC
Eglinton - Lake, Humber River - Dufferin
BEREAVEMENT
Adult Grief Support Program-East Toronto 416-926-0905 Adult Grief Support Program-West Toronto
AIDS Committee of Toronto (ACT)
Bereaved Families of Ontario-Toronto (Multi-Faith) Bereaved Jewish Families of Ontario:
Bereavement Support Group-Wellspring
C.O.P.E.S (Community Of People Extending Support) Distress Centre Suicide Survivor Support Program Taylor Place Self-Help Recovery Group
The Canadian Centre for Bereavement Education
CASE MANAGEMENT SERVICES
Access 1
Across Boundaries Alternatives (East York) Bayview Community Services
(Eglinton - Steeles, Bathurst-Kennedy)
Central Toronto Youth Services
CMHA - East (Yonge - Port Union, Steeles-Lake) CMHA - West (Yonge - Hwy 427, Steeles-Lake) Community Care Access Centre
Community Resource Connections Toronto
COTA Health
Hong Fook
Reconnect Mental Health Services
St Elizabeth Health Care
Scarborough Hospital (Scarborough)
TEGH-Reach Services (Yonge - Vic Pk, Eglinton-Lake) Tor North Support (Humber - Vic Pk, Steeles-Eglinton) Wilkenson (Downtown)
Woodgreen (DVP-Vic Pk, Danforth-Lake)
416-586-9900
416-632-8708 416-248-2050 x 239 416-431-8230 416-521-4051 416-480-6100 x 7079 416-530-6130
or 416-496-6431 416-515-0197 416-340-2437 416-440-0290
416-638-7800 x 202 416-480-4440
416-767-6793 416-595-1716 416-447-7244 416-926-0905
1-888-640-1934 416-787-3007 416-285-7996
416-495-7778 416-924-2100 416-289-6285 416-789-7957 416-310-2222 416-482-4103 416-785-9230 416-493-4242 416-248-2050 416-498-8600 416-495-2627 416-461-2000 416-499-5969 416-461-5629 416-645-6000
COMMUNITY HEALTH CENTRES
Etobicoke
Access Alliance Multicultural Community Health Centre and West End Non-Insured Walk-in Clinic
The Four Villages Community Health Centre LAMP Community Health Centre
Rexdale Community Health Centre Rexdale’s John Garland Satellite
Stonegate Community Health Centre
Unison Health and Community Services - Keele-Rogers
North York
416-760-8677
416-604-3362 416-252-6475 416-744-0066 647-288-0281 416-231-7070 416-653-5400
Black Creek Community Health Centre 416-249-8000 or 416-246-2388 Flemingdon Health Centre 416-429-4991 Unison Health and Community Svcs - Bathurst-Finch 647-436-0385 Unison Health and Community Svcs - Jane-Trethewey 416-645-7575 x 3
Unison Health and Community Svcs - Lawrence Hts
Scarborough
Access Alliance Multicultural Community Health Centre Scarborough Centre for Healthy Communities Scarborough Centre for Healthy Communities Satellite TAIBU Community Health Centre
Toronto / East York
Access Alliance Multicultural Community Health Centre Anishnawbe Health Toronto
The Anne Johnston Health Station
Centre Francophone de Toronto
Davenport-Perth Neighbourhood Centre East End Community Health Centre
The Four Villages Community Health Centre Parkdale Community Health Centre Parkdale Community Health Centre Satellite Queen West Community Health Centre Regent Park Community Health Centre Sherbourne Health Centre
Shout Clinic Central Toronto Community Health Centre South Riverdale Community Health Centre
Women’s Health in Women’s Hands
CONSUMER INITIATIVES
A-Way Express Courier Service Consumer/Survivor Information Resource Centre The Empowerment Council
Fresh Start Cleaning and Maintenance
Friends and Advocates
Ontario Council of Alternative Businesses
Sound Times Support Services
416-787-1661
416-693-8677 416-642-9445 416-297-7490 416-644-3536
416-324-8677 416-360-0486 416-486-8666 416-922-2672 416-656-6812 416-778-5858 416-604-3361 416-537-2455 416-537-8222 416-703-8482 416-364-2261 416-324-4180 416-703-8480 416-461-2493 416-593-7655
416-424-2266
416 595-2882 416-535-8501 x 4022 416-504-4262 416-234-9245 416-504-1693 416-979-1700
COUNSELLING
519 Church Street Community Centre
Clinic for Person Centered Psychotherapy
East Toronto Health Centre
Psychotherapy and Counselling Centre Sunnybrook Psychotherapy for Women Toronto Family Service Association
Toronto General-Women’s Mental Health Clinic Woodgreen Walk-In Counseling
416-392-6874 416-229-2399 416-778-1496 416-516-6969 416-591-2000 416-595-9618 416-340-3048
416-645-6000 x 2512
CRISIS SUPPORT/DISTRESS LINES
Anishnawbe 24/7 (Aboriginal clients)
- Mental Health Crisis Management Service
Assaulted Women’s Helpline Distress Line
Gerstein Crisis Centre (Downtown) Kids Help Phone
Saint Elizabeth (North York, Etobicoke) Scarborough Hospital (Scar, East York) Senior Crisis Access Line
Toronto Rape Crisis Centre
Warm Line (8pm - 12am) Youthdale’s Crisis Support Team
416-891-8606 416-863-0511 416-408-4357 416-929-5200
1-800-668-6868 416-498-0043 416-495-2891 416-619-5001 416-597-8808 416-960-9276 416-363-9990
DEVELOPMENTAL DISABILITIES
Developmental Services Toronto Griffin Centre
www.dsto.com 416-222-1153
EARLY INTERVENTION IN PSYCHOSIS PROGRAMS
CAMH - Mood & Anxiety
CAMH - Schizophrenia Program (Downtown) Central Toronto Youth Services
CMHA Toronto (Vic Pk – Islington, Bloor - Steeles) Community Resource Connections Toronto
COPE (Scarborough)
Family Outreach & Response Program With HASTE
- Family (Downtown)
Family Outreach & Response Program
- With HASTE - Family (Scarborough) Humber River Hospital
Mood Disorders Assoc. Family & Youth
(North & Central Toronto)
Rouge Valley HS - FITT (Scarborough)
St. Michael’s Hospital - STEPS (Vic Pk-Yonge, Lake-Bloor) Schizophrenia Society of Ontario - Family
University Health Network - AIM
416-535-8501 416-535-8501 416-504-6100 416-789-7957
416-482-4103 416-539-9449
416-482-4103 416-658-2022
416-486-8046 416-281-7301 416-864-6060 416-449-6830 416-603-5071
EATING DISORDERS
Bellwood Health Services
Centre for Addiction and Mental Health
- Eating Disorders and Addiction Clinic
The Kyla Fox Therapy Centre
The National Eating Disorder Information Centre
- (NEDIC) - Helpline Sheena’s Place
Sick Kids-Eating Disorders Program
EMPLOYMENT / VOCATIONAL
Booth Packaging & Supportive Services CMHA Toronto
Corbrook
COSTI
Goodwill Industries
JVS Toronto
Plus & Transitional Employment Program Volunteer Toronto
FAMILY SUPPORT
CMHA Toronto
Concerned Parents of Toronto
Family Assoc for Mental Health Everywhere Family Outreach and Response
Family Resource Centre
Family Support Program - Toronto East Gen Family Support Program - Toronto Western Hong Fook Mental Health Association Mood Disorders Association of Ontario Schizophrenia Society of Ontario
FINANCIAL SUPPORT
Canada Pension Plan (CPP)
Canada Revenue Agency-General Inquiry Credit Counseling Service of Toronto
GST Refund Cheque Information
Office of the Public Guardian and Trustee Ontario Disability Support Program
Ontario Works (OW)
OW or ODSP Social Benefits Tribunal Workplace Safety and Insurance Board (WSIB)
FOOD BANKS
Foodshare Foodlink Hotline
866-475-3254
416-535-8501 x 36482 416-518-0440
416-340-4156 416-927-8900 416-813-7195
416-255-7070 416-789-7957 x 228 416-245-5565 416-789-7925 416-362-4711 416-787-1151 416-693-2116 416-961-6888
416-789-7957 x 260 416-492-1468 416-207-5032 416-539-9449 416-535-8501 x 4015 416-461-2000 x 223 416-603-5747 416-493-4242 x 2264 416-486-8046 416-449-6830
1-800-277-9914 1-800-959-8281 416-228-3328 1-800-959-1953 416-314-2800 416-325-5666 416-397-0330 416-326-0978 416-344-1000
416-392-6655
GOVERNMENT / HEALTH SYSTEM
Local Health Integration Networks (LHIN)
CENTRAL 905-948-1872 CENTRAL EAST 905-427-5497 CENTRAL WEST 905-455-1281 TORONTO CENTRAL 416-921-7453
Ombudsman Toronto
Ombudsman Ontario Complaints Line Mental Health Commission of Canada
HEALTH CARE
Association of Ontario Health Centres
Adelaide Centre for Women (OHIP not required) Aids and Sexual Health Info Line
Birth Control & STD Clinic (OHIP not required) Hassle Free Clinic
Health Centre-Queen West (OHIP not required) Med Visit Doctors House Call Service
Public Health Clinic (Free/Low Cost Dental Services) Service Ontario
Street Health Community Clinic
Telehealth Ontario
Toronto Public Health
416-392-7062 1-800-263-1830 613-683-3755
416-236-2539 416-392-9243 416-392-2437 416-789-4541 416-922-0566 416-703-8482 416-631-3000 416-392-6683 416-314-5518 416-921-8668
1-866-797-0000 416-338-7600
HOMELESSNESS/SHELTERS/OUTREACH
416 Drop In Centre (Women)
Assessment and Referral Centre
Families (Central Family Intake)
Hostel Outreach Program - COTA (Men) Hostel Outreach Program - CRCT (Women) St. Stephen’s Corner Drop In
Street Health (Downtown)
Street Outreach (North York)
Streets to Homes
The Meeting Place Drop In
Youth Hostel Outreach Program - CTYS
HOUSING HELP CENTRES
Albion Services (South Etobicoke) Albion Services (North Etobicoke) COSTI (North York)
East York Housing Help Centre Flemington Neighborhood Services Scarborough Help Centre
West Toronto Community Legal Services Woodgreen (East York)
Unison Health & Community Services
HOUSING
Federation of Metro Tenants’ Associations Landlord and Tenant Board
Toronto Mental Health and Addictions
Supportive Housing Network (CASH) Toronto Social Housing Connections
416-928-3334 1-877-338-3398 416-397-5637 416-785-9230 416-482-4103 416-964-8747 416-921-8668 416-990-3317 416-392-0090 416-504-4275 416-504-6100
416-252-5990 416-740-3704 416-244-0480 416-698-9306 416-424-2900 416-285-8070 416-531-0841 416-645-6000 416-653-5400
416-921-9494 416-645-8080
416-979-5496 416-981-6111
INFORMATION & REFERRAL
Access Toronto
CAMH - McLaughlin Information Centre Community Care Access Centre
Findhelp Toronto
Hospice Association of Ontario
Mental Health Service Information (Connex) Palliative Care Information Centre of Toronto
JUSTICES OF THE PEACE
444 Yonge Street (Toronto)
60 Queen St West (Old City Hall) 1000 Finch Ave West (North York) 1911 Eglinton Ave East (Scarborough) 2201 Finch Ave West (Etobicoke)
LEGAL/ADVOCACY
ACE (Advocacy Centre for the Elderly) ARCH Disability Law Centre
Canadian Civil Liberties Association Community Legal Education Ontario (CLEO) Equality Rights in Accommodation
Legal Aid
Ontario Human Rights Commission Psychiatric Patient Advocates Office Schizophrenia Society of Ontario
311 416-595-6111 416-506-9888 211 416-304-1477
1-866-531-2600 416-480-4844
416-325-8967 416-327-5179 416-314-4213 416-325-0354 416-314-3973
416-598-2656 416-482-8255 416-363-0321 416-408-4420 416-944-0087 416-979-1446 416-326-9511 416-327-7000 416-449-6830
MENTAL HEALTH & JUSTICE NETWORK
MENTAL HEALTH & JUSTICE PREVENTION PROGRAMS
North Toronto - COTA Health
East Toronto - CMHA Toronto
South Toronto - Sound Times Support Services West Toronto - Reconnect Mental Health Services City-Wide (ages 16 - 24) - CTYS New Outlook
Fred Victor Centre
Toronto Friendship Centre
416-514-1425 416-458-9466 416-979-1700 416-248-2050 416-924-2100 416-364-8228 416-368-8179
POLICE MOBILE CRISIS INTERVENTION TEAMS
NW Toronto – Humber River Hosp. & Div 12, 13, 31 SW Toronto – St. Josephs & Div 11, 14
East Toronto – Tor. East Gen & Div 54, 55 4 Scarborough – Scar. Hosp. & Div 41, 42, 43 Downtown – St. Michaels & Div 51, 52
416-808-2222 or 911 416-808-2222 or 911 416-808-2222 or 911 416-808-2222 or 911 416-808-2222 or 911
COURT AND CUSTODY-BASED MENTAL HEALTH SERVICES
College Park Court - CRCT
East Toronto - Scarborough Court - CMHA North Toronto - North York Court - COTA Health South Toronto - Old City Hall Court - CRCT West Toronto - Finch Court - Etobicoke - CMHA
416-598-8103 416-285-4177 416-667-0933 416-364-8394 416-745-5775
Continued on next page
MENTAL HEALTH AND JUSTICE NETWORK Cont’d.
COMMUNITY SUPPORT SERVICES A) North Toronto - North York General Hospital
- Adult Mental Health Case Mgmt Program East Toronto - Scarborough Court - CMHA West Toronto - Finch Court (Etobicoke) - CMHA South Toronto - Old City Hall Court-CRCT
416-632-8701 416-285-4177 416-745-5775 416-364-8394
B) Specialized Supports for Individuals with Dual Diagnosis
(mental illness and developmental disability)
COTA Health CM (city - wide) - Dual Diagnosis 416-785-9230
C) Specialized Supports for Individuals with Concurrent Disorders (mental illness and substance abuse)
CTYS, New Outlook (ages 16 - 24) Reconnect (West Tor) - with The Jean Tweed
RESIDENTIAL SERVICES
Long-term Housing with Support Services Registry (CMHA, COTA, HouseLink, LOFT)
Safe Bed Registry
(CMHA, COTA, Reconnect, Gerstein)
PROFESSIONAL ASSOCIATIONS
416-924-2100 416-255-7359
416-757-6454 416-248-4174
Canadian Counselling and Psychotherapy Association
Canadian Psychiatric Association College of Physicians & Surgeons of Ont College of Psychologists of Ont
Ontario Association of Consultants, Counsellors, Psychometrists and Psychotherapists
Ontario College of Social Workers and Social Service Workers
Ontario Gerontology Association Ontario Psychological Association Ontario Society of Psychotherapists
PSYCHIATRIC ASSESSMENTS
1-877-765-5565 613-234-2815 416-967-2600 416-961-8817
416-298-7333
416-972-9882 416-535-6034 416-961-5552 416-923-4050
CAMH - Centralized Assessment, Triage & Support (CATS)
CAMH – Forensic Brief Assessment Unit Mount Sinai – General Assessment Service St. Michael’s - Assessment Clinic
Sick Kids - Urgent Care Clinic
416-535-8501 x 6878 416-535-8501 x 2936 416-586-4800 x 4568
Toronto Western - Asian Initiative
Toronto Western - Community Mental Health Clinic Toronto Western - Portuguese Mental Health & Addictions Women’s College - Mental Health in Medicine
416-864-5120 416-813-7005 416-603-5349 416 603 5747 416-603-5747 416-323-6010
SENIORS
CCAC - Community Care Access Centre
Chinese Seniors Health Centre - Mt. Sinai Community Seniors Mental Health Services Geriatric Community Service - Baycrest
Geriatric Mental Health Services - COTA Geriatric Psychiatry Service - Toronto Rehab Neighborhood Link Support Services Psychiatric Day Hospital - Baycrest Psychiatric Services for the Elderly - Sunnybrook
SETTLEMENT SERVICES
Access Alliance
Afghan Women’s Organization
Bloor Information & Life Skills Centre Catholic Crosscultural Services:
Culture Link Settlement
Polycultural Immigrant & Comm. Services Scadding Court Community Centre
South Asian Women’s Centre
Toronto Chinese Comm. Association Working Skills Centre
West End Walk-in Counseling Centre
SOCIAL ACTIVITIES/GROUPS
Among Friends (Lakeshore & Islington) Friends and Advocates (Bloor & Dundas) Friendship Club (Queen & Logan) Getting in Touch (Jane & Driftwood)
Our Place (Yonge & Dundas)
PLUS (Lawrence & Don Valley) Progress Place (Church & Wellesley) Sistering (Dufferin & Queen)
Sound Times (Dundas & Parliament) What Next! (Sheppard & Dufferin)
SUPPORT GROUPS/SELF HELP
Emotions Anonymous
Mood Disorders Association
Self - Help Resource Centre Info Line
www.emotionsanonymous.org 416-486-8046 416-487-4355
416-310-2222
416-321-5785 www.csmhas.com 416-785-2500 x 2730
416-785-9230 416-597-3422 x 3041 416-691-7407 416-785-2500 x 2700 416-480-4663
416-760-8677 416-588-3585 416-531-4613 416-757-7010 416-588-6288 416-533-9471 416-392-0335 416-537-2276 416-977-4026 416-703-7770 416-394-2424
416-251-8666 416-234-9245 416-645-6000 416-663-2733 416-598-2919 416-693-2116 416-323-0223 416-588-3939 416-979-1700 416-449-4555
TRANSPORTATION SERVICES
Toronto Transit Commission (TTC) Wheel Trans
East York
Call A Service Inc./ Harmony Hall Centre for Seniors Neighbourhood Link Support Services
Storefront Humber
North York
Care-Ring North West
Circle of Care
Don Mills Foundation for Seniors (DMF) Downsview Services to Seniors NeighbourLink North York
North York Seniors Centre
Scarborough
Agincourt Community Services Assoc
Warden Woods
Carefirst Seniors and Community Services Assoc St. Paul’s L’Amoreaux Seniors’ Centre Scarborough Centre For Healthy Communities Trans Care Community Support Service
Toronto
Canadian Red Cross Society Dignity Transportation Inc
Good Neighbours Club Mid-Toronto Community Services NeighbourLink Downtown
St. Christopher House
Scott Mission
Silver Circle: West Toronto Support Services WoodGreen Community Centre of Toronto
YOUTH
Central Toronto Youth Services Children’s Mental Health of Ontario Delisle Youth Services
East Metro Youth Services
George Hull Centre
Hincks - Dellcrest
Kids Help Phone
Shoniker Clinic (RVHS)
West End Walk-in Counseling Centre
416-393-4636 416-393-4111
416-752-8868 416-691-7407 416-259-4207
416-961-0447 416-635-2860 x 431 416-447-7244 x 41
416-398-5510
416-221-8283 416-225-1231 x 31
416-321-6912 416-694-1138 x 35 416-502-2323 416-493-3333 416-847-4125 416-750-9885
416-236-3180 416-398-2222 416-366-5377
416-962-9449 x 31 416-921-7214 416-532-4828 416-923-8872 416-653-3535 469-5211 x 1247
416-924-2100 416-921-2109 416-482-0081 416-438-3697 416-622-8833 416-924-1164
1-800-668-6868 416-281-7301 416-394-2424
CMHA ONTARIO BRANCHES
CMHA Ontario Division: 416-977-5580
• Brant County Branch
• Champlain East Branch
• Cochrane Timiskaming Branch
• Durham
• Elgin Branch
• Fort Frances Branch
• Grey-Bruce Branch
• Haldimand and Norfolk Branch
• Haliburton, Kawartha, Pine Ridge Branch
• Halton Region Branch
• Hamilton Branch
• Hastings & Prince Edward Counties Branch
• Huron Perth Branch
• Kenora Branch
• Kingston Branch
• Lambton Kent Branch
• Leeds and Grenville Branch
• London-Middlesex Branch
• Niagara Branch
• Nipissing Regional Branch
• Ottawa Branch
• Oxford County Branch
• Peel Branch
• Sault Ste. Marie Branch
• Simcoe County Branch
• Sudbury-Manitoulin Branch
• Thunder Bay Branch
• Toronto Branch
• Waterloo Wellington Dufferin Branch
• Windsor-Essex County Branch
• York Region Branch
Toronto
519-752-2998 613-933-5845 705-267-8100 905-436-8760 519-633-1781 807-274-2347 519-371-3642 519-428-2380 705-748-6687 905-693-4270 905-521-0090 613-969-8874
1-888-875-2944 807-468-1838 613-549-7027 519-436-6100 613-345-0950 519-434 9191 905-641-5222 705-474-1299 613-737-7791 519-539-8055 905-451-2123 705-759-0458 705-726-5033 705-675-7252 807-345-5564 416-789-7957 519-821-8089 519-255-7440 905-841-3977
CMHA Toronto Branch Information & Decision Support
700 Lawrence Ave. West, Suite 480, Toronto ON M6A 3B4 Tel: 416-789-6880 Fax: 416-789-6895 westdecisionsupport@cmha-toronto.net
1200 Markham Rd., Suite 500, Scarborough ON M1H 3C3 Tel: 416-289-6880 Fax: 416-289-4306 eastdecisionsupport@cmha-toronto.net
Report to authorities as required by law.
If you have reasonable grounds to suspect a child is in need of help, you need to make the call. It isn’t up to you to prove or investigate the abuse but it is up to you to reach out and help protect the child.
Under section 125 of the Child, Youth and Family Services Act every person who has reasonable grounds to suspect that a child is or may be in need of protection must promptly report the suspicion and the information upon which it is based to a Children’s Aid Society. This includes persons who perform professional or official duties with respect to children, such as health care workers, teachers, operators or employees of child care programs or centres, police and lawyers. In 2018 the age of protection was raised to include youth up to 18 years old. Youth who are 16 and 17 years old are now eligible to receive protection services from Children’s Aid Societies. While reporting for 16 and 17-year old youth is not mandatory, please contact your local Children’s Aid Society if you have concerns about a youth.
Follow up to monitor risk over time.
Follow up to monitor risk over time.
