Assertive Community Treatment Team

The Assertive Community Treatment Team is designed to assist individuals with the most serious and persistent mental illness. Individuals served by this service often have co-existing problems such as homelessness, substance abuse or involvement with the judicial system.

Eligibility Criteria

To qualify for this service, an individual must meet all of the following criteria:

  • Live with a psychotic (e.g. schizophrenia) or bipolar disorder with psychotic features
  • Experience ongoing illness that impacts several aspects of their life including: activities of daily living, housing, finances, general health and relationships
  • Have had multiple hospital admissions
  • Need treatment support provided in their home or community
  • Have not been successful with less intensive programming
  • Have a focus on recovery
  • Can work with a team of professionals


To make a referral, follow the instructions below:

Referral Process

  • Step 1 - The Initial Phone Call

    An intake coordinator will answer calls Monday to Friday, from 8:30 a.m. to 4:30 p.m. If you leave a message for a call back, all information is kept confidential.

    The purpose of this call is to ensure that the person being referred meets the criteria for the Assertive Community Treatment team.

    If making a referral for someone else, when possible it is a good idea for the person being referred to be aware of and/or involved in this initial conversation.

  • Step 2 - Evaluating the Referral

    The initial information about the referral is evaluated by the clinical team manager and psychiatrist).

  • Step 3 - Contacting the Referred Person

    If the referral criteria is met, we will contact the individual/referral source to arrange to meet with them to gain a better understanding of the person's situation, thought-process and to discuss options available through the Assertive Community Treatment team.

  • Step 4 - Initial Meeting / Assessment

    The individual can be visited in hospital, if the referral was made from there or the individual can decide where the meeting takes place (at home, in the community).

    Typically, the clinical team manager and psychiatrist will attend this meeting.

    After this meeting, the person who made the initial referral will be notified about the outcome (such as to continue with assessment / treatment, or to refer the person to a different mental health service).

  • Step 5 - Treatment

    The individual will begin to work with clinicians from the Assertive Community Treatment team for ongoing follow-up, education, and support.

    Each individual's recovery plan looks different.

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