Assertive Community Treatment Teams (ACTT)
Flexible Outreach Collaborative Urban Supports (FOCUS) is a team of psychiatrists, nurses, social workers, occupational therapists, peer support specialists, psychologist and case managers offer community based services and supports to people living with serious mental illnesses in partnership with Cota Health.
Physician's referral is required. Physician's not associated with St. Michael's Hospital may referral patients via The Access Point.
Inclusion criteria:
Must meet all five of these criteria:
1. Experiencing current serious mental health problems that significantly impair ability to function and live well within the community. Typically, challenges with functioning would be demonstrated by significant difficulty in being able to consistently perform the range of activities of daily living required for successful personal functioning in the community (e.g., caring for personal affairs; obtaining medical, legal, and housing services; recognizing and avoiding common dangers or hazards, meeting nutritional needs; maintaining personal hygiene; maintaining employment or carrying out the homemaker role)
2. 18 - 65 years old (in exceptional cases an older adult may be considered)
3. Not currently served by an assertive community treatment (ACT) team
4. Residing in the Mid-East Toronto Health Link (METHL), or, are using acute care services at St. Michael’s Hospital (SMH) and living within the SMH catchment area
5. Two or more psychiatric hospitalizations in the past two years, or, recurrent use of the emergency department ( 5 visits in the past 12 months) for mental health problems
Must meet 2 of these criteria:
1. Significant challenges in being able to consistently maintain a safe living situation (e.g., repeated evictions or loss of housing)
2. An acute and/or chronic medical illness which requires intensive support (e.g. chronically bedridden, homebound, terminal illness, severe mobility limitations, unstable medical condition) and difficulty effectively utilizing traditional office-based out-patient services
3. A coexisting substance use disorder of greater than 6 months duration
4. Criminal justice involvement in the context of mental health and addictions problems in the past year
And have been assessed as being able to be safely supported by the FOCUS team, within the limitations of the resources available. Please note that the FOCUS team is not able to safely support individuals who have been assessed as requiring an admission to a medically monitored/supervised institutional or residential setting.
http://theaccesspoint.ca
St. Michael's Hospital - Toronto - Regent Park Boulevard
3rd Floor
73 Regent Park Boulevard
Toronto
Unity Health Toronto
Off Site / Community Hours: Monday - Friday: 8:00 AM - 7:00 PM
Saturday - Sunday: 9:00 AM - 5:00 PMStaff On Call: Monday - Sunday: 5:00 PM - 9:00 AMOn Site / Office Hours: Monday - Friday: 9:00 AM - 4:00 PM
Central Access - Phone: 416-640-1934
Central Access - FAX: 416-499-9716
Central Access - Toll Free: 888-640-1934