Types of Mental Health Services in Ontario

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Mental Health Case Management

The functional centre pertaining to the provision of case management to seriously mentally ill service recipients.

Case Managers provide at a minimum the following functions:

Individualized assessment and planning
Service co-ordination (linking service recipients with services and supports)
Supportive Counselling
Monitoring and evaluation of services provided to recipients
Systems advocacy/resource co-ordination
Also includes Community Treatment Order (CTO) co-ordination

Excludes:

Clinical counselling, psychotherapy or other clinical treatment interventions.
Case Management and treatment services dedicated to specialized population such as dual diagnosis, psycho-geriatric, etc. Functional centres for reporting specialized services, where all clients belong to a specific population or diagnosis, have been listed in primary care clinics
Mental Health and Addictions Workers who are involved in only providing information and referral services to clients.

Counselling and Treatment

This functional centre pertains to the provision of counselling, psychotherapy and other treatment services to seriously mentally ill service recipients in the community. This includes tele-psychiatry.

Assertive Community Treatment Team

The functional centre pertaining to Mental Health Assertive Community Treatment Teams (ACTT) that are multidisciplinary treatment teams providing assertive outreach, individualized treatment, ongoing and continuous services, linkages and include a monitoring and evaluation component.

Vocational/Employment

The functional centre pertaining to the provision of a range of employment supports including job development / creation / employer outreach, skills development / training for job / education, skills training on the job, job search skills / job placement, employment, planning / career counselling, supported education, supports to sustaining education / employment, and leadership training.

Clubhouses

This functional centre pertains to the provision of multi-service psychosocial rehabilitation functions to people with serious mental illness. Based on the psychosocial rehabilitation principles, services for clients or members are recovery focused and include the following:

Provision of community support/generic case-management services
Provision of a structured work day with activities that support recovery
Provision of supported education and supported employment, including transitional employment
Provision of social and recreational programs.
Assistance to client to secure housing

This excludes drop-in centres that are to be reported using consumer/survivor functional centres.

Early Psychosis Intervention

This functional centre pertaining to the provision of specialized treatment and support services to service recipients experiencing a first episode in psychosis, including the provision of support services to their families and / or their significant others.

Diversion and Court Support

The functional centre includes:

Court Support: Provided in the courts to clients and their families to assist the judiciary, clients and their families with the legal process, to link clients to services, and to provide services / supports to clients.
Diversion: Provide pre- or post-charge to link the person to community or institutional mental health services.

Abuse Services

This functional centre pertains to the provision of counselling and treatment services and support to persons who have experienced an abusive act or who are in an abusive situation. This functional centre will include family violence, child witness and transitional support.

Social Rehabilitation / Recreation

This functional centre pertains to the provision and promotion of opportunities for seriously mentally ill service recipients to develop inter-personal, social, and leadership skills, in order to interact fully in their communities as defined by themselves. Due to the high co-relation of social development with the determinants of health, it is common to provide psychosocial rehabilitation and support to clients in the areas of a safe place to live, the ways and means to contribute to the community, and the development/maintenance of positive relationships with self/family/friends. Social rehabilitation/recreation requires any or all of the following service recipient-directed services: assessment, counselling, planning, consultation with other service providers, service co-ordination, advocacy, monitoring and evaluation. Also, services include development of linkages with other service providers to maximize opportunities for social rehabilitation to isolated persons. Advocacy to bring about systemic change is an essential element of social rehabilitation.

Mental Health Crisis Intervention

This functional centre pertains to the response to urgent medical and/or individual psychological needs of service recipients with serious mental illnesses. (Note this function no longer includes Mental Health Safe Beds. Please see Short-Term Crisis Support Beds.)

Primary Day / Night Care

This functional centre pertains to the free-standing or attached units where treatment, counselling, rehabilitative/social, and recreational services are provided for seriously mentally ill service recipients who attend for three to twelve hours on average.

Homes for Special Care

This functional centre pertains to the provision of long-term residential care to individuals discharged from psychiatric hospitals and facilities for the developmentally disabled. The program provides 24-hour supervision and assistance with activities of daily living.

Support Within Housing

This functional centre pertains to services provided to individuals with serious mental illness for accessing and maintaining housing. These individuals require varying levels of support.

May include:

Up to 24-hour support to mental health service recipients and their significant others to ensure a stable housing environment
Individualized assessment and planning, hands-on assistance with activities of daily living, coordination and support, crisis management, facilitating peer and group support and resident input to their housing environment
Support services provided to individuals who are homeless, or at a risk of being homeless, are included in this functional centre
Includes services such as connecting with landlords, matching people to housing, housing advocacy, and teaching life skills

Housing (Physical includes Mental Health Bricks & Mortar and Mental Health Rent Supplement)

Mental Health - Housing Bricks & Mortar

This functional centre pertains to the Ministry-managed funding for provincial and federal buildings provided for mental health services. An organization reporting in this functional centre receives designated operating funding for building maintenance, utilities, mortgages, property taxes and capital/replacement reserve funds for major repairs to a building, etc. Expenses are not capitalized. Total operating funding and expenses must be reported. An organization reporting in this functional centre must receive funding for the following programs:

Federal/Provincial
Ontario non Profit Housing Program
Section 95
Ontario Community Housing Assistance Program (OCHAP)
Community Sponsored Housing Program (CSHIP)
This functional centre excludes the provision of support services to individuals residing in the building, and excludes marketed services and excludes construction costs for building additions.

Mental Health - Rent Supplement Program

The functional centre pertaining to ministry-managed funding under the rent supplement program to house clients in privately owned buildings through either head lease or referral agreements. An organization reporting in this functional centre must receive designated rent supplement funding from the following programs:

Mental Health Homelessness Phase 1 and 2
Service Enhancements Phase 1 and 2
Mental Health Supportive Housing Program (750 and 500)

Short-Term Crisis Support Beds

This functional centre pertains to the provision of time-limited emergency housing with high-intensity care for individuals with serious mental illness. This includes services such as assessment, monitoring, care/treatment, symptom stabilization, assistance with securing access to case management and long-term housing services.

Community Service Information and Referral

This functional centre pertains to an information and referral service that takes place over the telephone or when the individual inquires in person and no demographic data is recorded. This does not include clients who are assessed and referred or admitted clients who may be referred to other community services in the course of their service plan.

Includes:

Mental health and addictions workers who are involved in providing only information and referral services to service recipients.
Mental health and addictions entry services

Excludes:

Service recipients who are given comprehensive assessment and referred to other services
Admitted service recipients who may be referred to other community services in the course of their service plan

Health Promotion and Education – General Awareness

This functional centre pertains to the provision of services pertaining to promoting health and educating the community, including the public, professionals, and other sectors which impact on the health of individuals and populations towards maintaining/improving health statistics related to mental health.

Health Promotion and Education - Community Development

This functional centre pertains to the provision of guidance and assistance to a community in identifying its mental health issues and in developing its capacity to respond to those issues. Report ONLY if you are specifically funded to provide this service (e.g., agencies in the north region that are funded to provide supports and services to First Nations communities).

Peer / Self-help Initiatives

This functional centre pertains to the provision of a range of consumer directed and consumer driven initiatives including self-help initiatives, peer support, drop-in centres and public and provider education about self-help.

Alternative Businesses

This functional centre pertains to the provision of consumer operated businesses that offer full/part time employment at market rate or higher. They offer a combination of job development, job placement and supported education within the self-help context. They may also offer self-employment opportunities for consumers to earn income through independent contract work. Support and accommodation are provided on-site to consumer employees.

Family Initiatives

This functional centre pertains to family groups participating in the planning and evaluation of care delivery, as well as the provision of services such as self-help, peer support, education, advocacy, etc.

Inpatient

This functional centre is used by hospitals for reporting mental health inpatient service information to ConnexOntario. Please refer to Chapter 8 of the Financial Management Branch (FMB) of the Ministry of Health and Long-Term Care (MOHLTC) Ontario Health Reporting System (OHRS).

This functional centre is used to report the psychiatric services provided by both acute and designated mental health hospitals. The psychiatric functional centre may only be used when reporting the activity of designated mental health beds.