Mental Health and Addictions Service

Ambulatory Services

The Ambulatory Care Services provide interprofessional team-based care to adults experiencing mental health and concurrent disorder difficulties.  We support people along a spectrum of illness severity, in our outpatient and collaborative care programs with the goals of supporting recovery and quality of life in the community. 

Urgent care

The Urgent Care Program (UCP) is a partnership initiative between St. Michael’s Hospital, CAMH and Sound Times. The UCP provides timely outpatient mental health care for up to 3 months for clients recently discharged from St. Michael’s Hospital Psychiatric Emergency Service and/or Inpatient Mental Health Unit. 

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Urgent care teamServices offered

The UCP consists of an inter-professional team including psychiatrists, psychiatric residents, nurses, social workers, and case managers.

The UCP provides psychiatric care including:

  • Assessment
  • Medication management
  • Community case management
  • Brief supportive psychotherapy

Eligibility criteria

Adults 16 years and older experiencing a crisis, who are in need of rapid follow up after an psychiatric inpatient or emergency department visit at St Michael's Hospital.

How to access the service

The Psychiatric Emergency Service and Inpatient Mental Health Unit are the only referral sources for UCP.  For further information please contact 416-864-5120.


General Assessment Clinic

Psychiatry residents, supervised by staff psychiatrists, assess patients referred from family physicians and other physicians across southeast Toronto. In some cases we offer brief follow-up.

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General Assessment Clinic teamServices offered

The service offers a consultative model to enable the referral source to manage the presenting mental health issues. If appropriate, short term interventions or referrals to one of our specialized treatment programs will be facilitated.

The assessment clinic team is composed of psychiatric residents and supervising Psychiatrists. The team provides consultation, short term interventions and facilitation of referral ; where if appropriate

Eligibility criteria

  • Catchment area: East of Yonge St., south of Bloor/Danforth and west of Victoria Park
  • Referrals by physician only
  • Age range: 18 years or older

How to access the service

To access St. Michael’s Mental Health Ambulatory and Community Mental Health Programs a patient referral form must be completed by a family physician and faxed to 416-864-3091. For further information please call 416-864-5120.


Mindfulness based cognitive therapy group programs

Mindfulness Based Cognitive Therapy (MBCT) is offered as a 10 week therapy group for people struggling with depression and emotional distress. In this group, participants are introduced to mindfulness based meditation practices as a way developing skills to manage depression, anxiety and stress. This is a structured, psycho-educational group and participants will be provided with materials to support their learning outside of sessions. Groups will consist of guided meditations, group discussion, and CBT exercises. 

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Mindfulness based cognitive therapy group teamServices offered

MBCT groups are offered three times a year - in fall, winter and spring.  There are no groups running in the summertime. All groups are run during daytime business hours and are two to 2.5 hours. The group will consist of one full retreat day after the 7th or 8th session that is offered at the hospital from 10 a.m. to 4 p.m.

Eligibility criteria

This program is open to patients of St. Michael’s Hospital  Mental Health and Addictions Serviceand patients of St. Michael’s Hospital. This group is for people with a diagnosis of depression and/or anxiety who are open to learning with a group and committed to establishing a daily home meditation practice. All participants must attend a mandatory information session before groups commence.

How to access the service

 To access St. Michael’s Mental Health Ambulatory and Community Mental Health Programs a patient referral form must be completed by a family physician and faxed to 416-864-3091. For further information please call 416-864-5120.


Cognitive Behavioural Therapy Group Program

Cognitive Behavioural Therapy group for depression and anxiety.   

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Mindfulness based cognitive therapy group teamServices offered

MBCT groups are offered three times a year - in fall, winter and spring.  There are no groups running in the summertime.  All groups are run during daytime business hours and are about two hours.  Fall group focuses on anxiety while the winter and spring groups will focus on depression.

Eligibility criteria

This program is open to patients of St. Michael’s Hospital  Mental Health and Addictions Service and patients of St. Michael’s Hospital. This group is for people with a diagnosis of depression and/or anxiety who are open to learning with a group and committed to establishing a daily home meditation practice. All participants must attend a mandatory information session before groups commence.

 


Mindful Awareness Stabilization Program (MAST)

MAST is an introductory group to mindfulness practice for those interested in learning about emotion regulation.

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Services offered

In this four-week group, participants will be introduced to different mindfulness practices that help to surf the waves of overwhelming emotions.  Participants will come away with information and concrete tools to develop greater emotional stability in their daily lives. MAST is offered throughout the year and is only during daytime hours.

Eligibility criteria

This program is open to patients of St. Michael’s Hospital  Mental Health and Addictions Service and patients of St. Michael’s Hospital. All participants are asked to attend a group information and intake session, and to attend all four sessions.

How to access the service

To access St. Michael’s Mental Health Ambulatory and Community Mental Health Programs a patient referral form must be completed by a family physician and faxed to 416-864-3091. For further information please call 416-864-5120.

More about the MAST program.


Collaborative Care Clinics at Family Practice sites

Psychiatrists from the St Michael’s Hospital Mental Health and Addictions Service provide care at the St Michael’s Family Health Team sites. We provide patient assessments, and also support primary care providers in caring for their patients through case conferences and education. We use a team-based approach to care.

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Collaborative Care Clinics teamServices offered

Patient assessment, infrequent patient follow up, case consultation and case conferences, education sessions, involvement in quality improvement, program development and evaluation. We are also involved in the training of psychiatry residents and learners from other disciplines, as well as research projects in collaborative mental health care.

Eligibility criteria

Patients of the Family Health Team who do not already have a psychiatrist.

How to access the service

The Collaborative Care psychiatry program can be accessed through any clinician (e.g. family physician, psychologist, or social worker) at the Family Health Team.


Wellness and Recovery Enhancement Program

Wellness Recovery Enhancement Program (WREP) provides time limited psychiatric services, individual counseling and brokerage case management services for clients who have a mental illness. For further information please call 416-864-5120.

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Services offered

The clinical team consists of psychiatrists, a social worker and a nurse.

Services include:        

  • medication stabilization
  • recovery plan development
  • referral to community based programs
  • individual counseling/treatment to support client goals

Eligibility criteria

  • Catchment area: east of Yonge St., south of Bloor/Danforth and west of Victoria Park
  • Referrals by physician only
  • Age range: 18 years or older

How to access the service

To access St. Michael’s Mental Health Ambulatory and Community Mental Health Programs a patient referral form must be completed by a family physician and faxed to 416-864-3091. For further information please call 416-864-5120.


Mobile Crisis Intervention Team (MCIT)

The Mobile Crisis Intervention Team is a partnership program between St. Michael’s Hospital and Toronto Police Divisions 51 and 52. The program combines a mental health nurse and a specially trained police officer who respond to 911 emergency and police dispatch calls involving emotionally disturbed persons.  The team operates 365 days a year, from 11 a.m. to 9 p.m.

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Image of Mobile Crisis Intervention TeamServices offered

The Mobile Crisis Intervention Team provides onsite:

  • Prompt on site crisis assessment and intervention
  • Support to individuals experiencing a mental health crisis
  • Referrals to community resources and services for ongoing treatment and follow-up, if needed

Eligiblity criteria

Adults 18 years and older suffering from a serious mental illness and/or experiencing a crisis.

How to access the service

Emergencies: 911
Non-emergencies:
416-808-2222