SUPPORTS AND SERVICES FOR PERSONS WITH A DUAL DIAGNOSIS

SUPPORTS AND SERVICES FOR PERSONS WITH A DUAL DIAGNOSIS A Resurce Manual fr Yrk Regin Families The Yrk Regin Supprts and Services Resurce Handbk, 2003 Editin was prepared under the directin f the Simce Yrk Dual Diagnsis Educatin Cmmittee. This editin was updated in Fall 2009 by Yrk Supprt Services Netwrk staff

A Resurce Handbk fr Supprts and Services fr Persns with a Dual Diagnsis in Yrk Regin T a b l e f C n t e n t s SECTION 1: Intrductin Abut Yrk Regin Dual Diagnsis Cmmittee 1 Abut this Handbk 2 Dual Diagnsis An Overview 4 SECTION 2: Hw t Navigate the System When a Persn has a Dual Diagnsis Getting Started 6 Hw d yu knw if a persn might have an intellectual disability and/r mental health needs? D yu need a diagnsis t get services? D yu need an assessment? Tips n Getting Started Questins t Cnsider When Cntacting Organizatins Navigating the Sectrs 11 Schematic: Ministries respnsible fr Dual Diagnsis Funding & Plicies What d yu need t knw abut the system t get arund? What can a Case Manager d fr yu and hw t get ne? What t d in a crisis? Hw t access a cntract wrker? Tips n Hiring a Cntract Wrker Places t Lk r Advertise fr a Cntract Wrker Getting Started Thinking Abut What is Needed 18 The Supprts and Services Implementatin Guide Key Access Pints and Cmmittees 20 Three Key Specialized Services Key Cmmittees and Gvernment Cntacts Supprts and Services fr Persns with a Dual Diagnsis Table f Cntents i

A Resurce Handbk fr Supprts and Services fr Persns with a Dual Diagnsis in Yrk Regin T a b l e f C n t e n t s 2 Fr Family and Friends 23 What supprts d yu need? Respite Gvernment Prgrams and Plicies 25 Gvernment Structure Pliticians Legislatin re: Mental Health, Alternative Decisin making, Cnsent t Treatment and CTOs Financial Prgrams Abuse Plicy Other Imprtant Infrmatin 29 Wills and Trusts Newsletter The 12 Cmmandments fr Successful Lbbying SECTION 3: Index and List f Supprts and Services Imprtant Numbers at a Glance 31 Index f Supprts and Services by Type f Service 32 List f Supprts and Services (Alphabetical) 35 This is a list f specific rganizatins and prgrams that prvide supprts and services fr persns with a dual diagnsis. They are listed alphabetically and include a detailed descriptin f each rganizatin r service Supprts and Services fr Persns with a Dual Diagnsis Table f Cntents ii

A c k n w l e d g m e n t s We wish t extend ur thanks t Mr. Jim Jhnstn and Cncerned Parents f Trnt fr giving permissin t the Simce Yrk Dual Diagnsis Educatin Cmmittee t adapt their infrmatin bklet, A Resurce Handbk fr Supprts and Services fr Persns with a Dual Diagnsis in Trnt, 2002. In turn, we pass n their acknwledgements that sme f their material was btained and/r adapted frm the fllwing surces: Cmmunity Resurces Cnsultants f Trnt, Making Chices: A Cnsumer/ Survivr s Guide t Adult Mental Health Services and Supprts in Trnt, 1999 2000. MATCH Prject. Creating a Cntinuum f Supprts and Services, a Resurce Dcument, 1996. Lynn Eakin and Assciates, Trnt. The Twelve Cmmandments fr Successful Lbbying. We sincerely appreciate and acknwledge that sme material cntained in this handbk was btained and/r adapted frm YORKLINK A Cmmunity Services Directry, 2008, published by the Reginal Municipality f Yrk Cmmunity Services and Husing Department. Our thanks as well t Yrk Supprt Services Netwrk staff fr their assistance in the preparatin and prductin f this manual. Supprts and Services fr Persns with a Dual Diagnsis Table f Cntents iii

P e r s n a l H e a l t h I n f r m a t i n Persnal Health Infrmatin Prtectin Act (PHIPA) became law n Nvember 1, 2004. PHIPA prvides a cmmn set f rules fr cllecting, using, disclsing, retaining and dispsing f persnal health infrmatin in the Ontari health system. The act ensures prtectin f privacy, while facilitating effective health care and supprting well being. Persnal health infrmatin is identifying infrmatin abut an individual in ral, written r electrnic frm. It is bradly defined and includes infrmatin related t the physical, mental and scial dmains f an individual. Given that persnal health infrmatin is ften required in rder t prvide service, many scial service agencies have mdified their privacy plicies t cmply with the requirements f the Act. PHIPA cmpliant agencies have respnsibilities such as: Ensuring that persnal health infrmatin is prtected at all times Obtaining cnsent frm the individual accrding t regulatins in the Act Cnsumers f service have rights under PHIPA such as: The right t understand the purpse fr cllectin f infrmatin The right t withdraw cnsent The right t cmplain abut a breach in privacy Fr additinal infrmatin cntact: Infrmatin and Privacy Cmmissiner/Ontari 2 Blr Street E, Suite 1400 Trnt, ON M4W 1A8 1 800 387 0073 www.ipc.n.ca Supprts and Services fr Persns with a Dual Diagnsis Table f Cntents iv

SECTION 1: Intrductin

Abut Yrk Regin Dual Diagnsis Cmmittee In 1997, the Ministry f Health and Lng Term Care, the Ministry f Cmmunity and Scial Services and the Ministry f Children and Yuth Services recgnized the need t wrk jintly n prgramming fr persns with a develpmental disability and mental health needs (dual diagnsis). They released jint prvincial plicy guidelines t plan fr the prvisin f services fr peple with dual diagnsis. It was identified that n ne agency r sectr culd adequately serve a persn with a dual diagnsis and that services must be flexible, seamless and must eliminate jurisdictinal barriers t create a cntinuum f supprts. In the fall f 1998, the Simce Yrk District Health Cuncil struck a Yrk Regin Dual Diagnsis Cmmittee, made up f health and scial service prviders as well as cnsumer family members, t prvide a frum fr implementatin f the new prvincial guidelines at the lcal level. A plan was develped (March 2001) that included identificatin f strengths and gaps within a cmprehensive system f required supprts and services t meet the cmplex needs f peple with a dual diagnsis. The Yrk Regin Dual Diagnsis Cmmittee cntinues t meet n a regular basis, t put the lcal plan int actin and t advise the Yrk Regin Mental Health Cmmittee and the Yrk Regin Cmmunity Planning Cuncil n issues related t supprting peple with a dual diagnsis. Supprts and Services fr Persns with a Dual Diagnsis Intrductin 1

Abut This Handbk This is the sixth editin f the resurce handbk fr persns with an intellectual disability and mental health needs (dual diagnsis) in Yrk Regin. We hpe it will be helpful t cnsumers, family, friends, advcates and service prviders. It identifies key rganizatins in Yrk Regin and effective strategies t help yu plan and get the supprts and services yu need. The fcus is primarily adults but des include sme services fr yuth as well. The handbk is nt intended t include all pssible rganizatins but rather rganizatins that are geared t, r have shwn a capacity t, serve individuals with a dual diagnsis. These include a range f supprts and services in bth the develpmental and mental health sectrs. Fr a full listing f all cmmunity rganizatins please see the Cmmunity Services Directry called YORKLINK 2008 in Yrk Regin. Yu can call them at (905) 830 4444 Ext. 2151 r tllfree at 1 877 GO 4 YORK (1 877 464 9675), Ext. 2151, r yu can visit their web site at www.regin.yrk.n.ca. It is imprtant t remember that each rganizatin prvides services based n certain entrance criteria such as age, individual needs and whether they have any space in their prgram. The nly way t find ut if an rganizatin is a gd fit and/r can prvide services t yu is t cntact the intake staff and discuss yur particular situatin. Yrk Regin Dual Diagnsis Cmmittee cannt assess yur situatin and needs and, thus, we cannt recmmend a specific agency. This editin f the Handbk is divided int three sectins. Sectin 1 is an intrductin Sectin 2 describes the tw sectrs invlved and prvides infrmatin n hw t navigate the sectrs such as: ~ hw t get a case manager ~ what t d in a crisis ~ indicatrs f a dual diagnsis ~ a supprts and services guide t help yu plan ~ sample questins yu might cnsider asking when calling an agency ~ wh t call t learn abut gvernment prgrams and plicies ~ ther resurces yu might find helpful. Sectin 3 has an index arranged by type f service and lists a number f key supprts and services that yu might cnsider cntacting. We have listed the rganizatins alphabetically. There is als an imprtant numbers at a glance page. Supprts and Services fr Persns with a Dual Diagnsis Intrductin 2

T help yu find a particular type f service, g t the Index f Supprts and Services (see Sectin 3, Page 32) that grups all the rganizatins under the different types f services they ffer. Fr example, if yu are lking fr a case manager lk in the index under Case Management Services and yu will find a list f mental health and develpmental service agencies that prvide case management. It will tell yu the page number t turn t fr details abut each agency. Just a few wrds abut the language and terms used in the handbk: We use the term intellectual disability t refer t cgnitive limitatins. (Other terms the reader might be familiar with are develpmental handicap, develpmental delay r mental retardatin.) The sectr that primarily prvides service and supprt fr persns with intellectual disabilities is called the develpmental sectr. The sectr that prvides service and supprt fr persns with mental health needs is called the mental health sectr. Individuals wh are receiving services in either sectr are referred t as the cnsumer. The infrmatin in this handbk is available n the Yrk Supprt Services Netwrk website www.yssn.ca. We hpe that yu find the Directry useful. We welcme yur cmments, feedback and suggestins. Please cntact the Cmmunicatins Department at Yrk Supprt Services Netwrk 905 898 6455 ext. 2236. Supprts and Services fr Persns with a Dual Diagnsis Intrductin 3

Dual Diagnsis An Overview The term dual diagnsis refers t an individual wh has an intellectual disability and mental health needs. They may r may nt have been frmally diagnsed with an intellectual disability, a mental illness r bth. Individuals with a dual diagnsis are a marginalized grup in ur sciety ften expsed t prejudices, abuse and scial islatin. They experience the same range f severe and prlnged mental health difficulties including depressin, md disrders and schizphrenia as the general ppulatin, but at much higher rates. Studies have shwn that between.8 and 1% f the ppulatin has a develpmental disability. Fr Yrk Regin, this translates int 9,102 peple. Of these, it is estimated that apprximately 30% als have a mental illness, r abut 2,731 peple. As the ppulatin in Yrk Regin grws s will the ppulatin with a dual diagnsis. A cnservative estimate is that by 2016, there will be clse t 3,000 individuals with a dual diagnsis in Yrk Regin. Unfrtunately, many individuals are never prperly identified and, as a result, d nt receive the cmprehensive treatment they need. While there have been recent imprvements in hw services are being prvided, many gaps and barriers remain in the service system resulting in cnsumers nt being able t access the range f services they need. Many cnsumers are undiagnsed r receive a diagnsis in ne aspect nly. Fr sme they were identified with an intellectual disability as children. Hwever, they may never have had their mental health needs thrughly identified r been reassessed as they age and experience stress at varius life stages r events. One reasn fr this is that mental health issues ften shw up as behaviral prblems. Peple then treat the behavir prblem withut identifying r treating the underlying mental health need. Other individuals have been diagnsed with a mental illness and n ne has suspected that they als have an intellectual disability. Still thers have been verlked entirely and have never had their intellectual r mental health status evaluated, but are, in fact, dually diagnsed. Supprts and Services fr Persns with a Dual Diagnsis Intrductin 4

Several factrs cntribute t nt prperly identifying persns with a dual diagnsis and the many gaps and barriers t service in bth the develpmental and mental health sectrs. Here are a few f the key issues: It can be quite cmplicated t understand hw a persn's intellectual disability and mental health interact tgether. When an individual with an intellectual disability has a mental illness the symptms are usually less bvius and different frm the general ppulatin. Individuals ften present as higher functining r they deny their cgnitive difficulties. They use their strengths and splinter skills t mask their denial f their intellectual disability and/r their sadness. This is referred t as a clak f cmpetence. The clak fls peple. It sets up a chain reactin arund denial f the intellectual disability and high expectatins. These individuals may be struggling t cpe in the cmmunity r living n the streets and many mre are thught t be in the justice system. There are many service issues that act as barriers such as lng waiting lists, requiring a diagnsis in rder t get service and getting stuck in ne sectr when yu need services frm bth sectrs. The result is that many still are undiagnsed and untreated. Persns with a dual diagnsis have been a greatly underserved grup and remain very vulnerable and at risk. Unfrtunately, there are nt many prfessinals (e.g., psychiatrists, nurses and scial wrkers) wh are experienced and knwledgeable in assessing, diagnsing and treating individuals with a dual diagnsis. Treatment takes much lnger fr these cnsumers than fr thers. Unfrtunately, they ften fall thrugh the cracks in ur sciety and dn't get the treatment they need. Hwever with the right apprach, a persn with a dual diagnsis can certainly get help with their mental health needs. It can be cnfusing fr everyne invlved finding the right kind f help and supprt. There are a few key things t remember when helping plan services with a persn with a dual diagnsis: Everyne invlved needs t wrk tgether as a team; Several different types f services may need t be invlved; and Smetimes specific changes in a prgram r activity will help imprve the fit with the persn s needs. Supprts and Services fr Persns with a Dual Diagnsis Intrductin 5

SECTION 2: Hw t Navigate the System when a persn has a Dual Diagnsis

Getting Started Q. Hw d yu knw if a persn might have an intellectual disability and/r mental health needs? The fllwing are sme questins that can help yu identify cmmn indicatrs. Often family, friends and staff at agencies d nt knw what the signs are f a mental health need r an intellectual disability. These indicatrs will help yu decide if yu need t cnsult a prfessinal fr a mre thrugh assessment. Keep in mind that these are nly suggested indicatrs and d nt cnstitute a diagnsis. Cgnitive Indicatrs Des he/she cmmunicate in shrt sentences and seem egcentric in his/her thinking? Des he/she seem n the surface t be able t d things he/she really can't? Des he/she have truble generalizing? Des he/she seem t learn slwly? Des he/she have truble with abstract thinking? (Fr example, recgnizing hw tw things are similar.) Des he/she d better n cncrete and structured tasks? (Fr example, when yu are very specific and break things dwn int steps?) Des he/she have memry prblems? Des he/she have a splinter skill that fls peple but has been learned by rte? Is he/she a pr prblem slver? Des he/she shw pr judgment? Des he/she have truble understanding 'why' questins? Is he/she gd at picking up nn verbal scial cues? D peple disagree abut whether this persn is higher functining r nt? Mental Health Needs Indicatrs Is he/she verly dependent fr his/her capabilities? Is he/she verly independent fr his/her capabilities? Is change really hard fr him/her? Des he/she lack peers and friends? Is he/she impulsive? Is he/she withdrawn? Is he/she aggressive, verbally r physically? Des he/she have truble with anger? Is he/she irritable? Has he/she been in truble with the law? Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 6

Des he/she have prblems with inapprpriate scial r sexual behavir? Des he/she deny being intellectually disabled? Des he/she appear higher functining than he/she is? Is there a diagnsed mental illness? Des he/she hurt himself/herself? Is he/she sleeping mre r less? Has there been a change in his/her appetite? Des he/she seem veractive? Is he/she verly fearful? Is he/she extremely cnfused r disriented? Des he/she hear vices that are nt there? (This is nt t be cnfused with talking t neself fr cmpany r t reduce anxiety) Has there been difficulty in getting prfessinals t agree ver the years abut a diagnsis fr bth the range f cgnitive functining and their mental health? Are there family prblems that interfere with his/her functining? Is there a parent with an intellectual disability r a mental health prblem? Q. D yu need a diagnsis t get services? Unfrtunately this is nt an easy questin t answer. Sme rganizatins require a diagnsis and sme d nt. N matter which agency yu cntact, the cnsumer will need t meet certain criteria that the agency has decided is required fr a persn t receive their services. Fr example, a develpmental service agency may require prf f an intellectual disability such as a psychlgical r psychiatric assessment f the persn's level f functining. Hwever, they might als accept mre infrmal infrmatin that indicates that the persn is functining in this range. Many mental health agencies require a psychiatric diagnsis in rder t access mental health services. Sme may accept mre infrmal descriptin f behavir that might indicate that there is a mental health cncern. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 7

What if the individual r persn has ne diagnsis and nt the ther? With ne diagnsis yu can usually access services in the sectr that is assciated with the diagnsis. Fr example, if yu have a diagnsis f an intellectual disability yu shuld be able t access a range f services in the develpmental service sectr. If yu have a diagnsis f mental illness yu shuld be able t access a range f services in the mental health sectr. The difficulty here is that yu may get stuck receiving services in nly ne sectr when in fact yu need sme supprt frm the ther sectr as well. If yu have a diagnsis f bth an intellectual disability and a mental illness, yu can access a range f services specifically designed fr persns with a dual diagnsis. Unfrtunately, there is ften a waiting list fr many services in bth sectrs. Smetimes agencies in the develpmental service sectr will be cncerned abut their ability t manage a mental health prblem because they feel they dn't have the knwledge and experience that is needed. Or, n the ther hand, a mental health agency may wrry they dn't knw hw t help a persn with an intellectual disability. There may be situatins where this is true. They will need sme help frm the "ther" sectr in rder t help the cnsumer. In these situatins yu may need t get ne agency t start t wrk with yur relative/friend with sme back up supprt frm the ther sectr. If the cnsumer already has services with ne sectr, yu culd advcate finding a partner service in the ther sectr t help prvide mre f what the individual needs. The added advantage f this is that yu begin t develp a team apprach that wrks very well with individuals with a dual diagnsis. Yu may still hear agencies use the term "primary diagnsis" and yu may be asked if their intellectual disability r their mental illness is their "primary diagnsis". Hw yu answer this questin may determine whether yu get service frm this rganizatin. Q. D yu need an assessment? It is always very imprtant t have a gd verall assessment r an accurate picture f the persn and all their needs. Otherwise, yu wn't knw hw t put tgether the right services t really help the persn and their mental health will likely get wrse. A gd assessment needs t include physical and mental health and an understanding f the nature f the persn's intellectual disability. Imprtant areas t cnsider fr a cmprehensive assessment include medical, psychiatry, psychlgy, cmmunicatin, medicatin, vcatinal, behaviral, neurlgical, endcrinlgy, genetic, envirnmental, systems, family, scial, cultural and sexuality. Yu can get an assessment at an agency that specializes in dual diagnsis r yu may have t gather infrmatin and reprts frm different peple such as a family dctr, cmmunity agency reprts and/r a psychiatrist and put it all tgether. Even if the individual has had a thrugh assessment in the past, they may require a new assessment as their situatin changes. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 8

Tips n Getting Started A persn with an intellectual disability and mental health needs may want t cntact an rganizatin n their wn. Mre ften they will need sme assistance frm their natural supprts (family / friends) r a staff persn at an agency. Fr example, they may need sme caching abut what t say; have yu sit with them while they call r they may need yu t be the persn t speak n their behalf. When calling n behalf f a family member/friend: Prepare yurself and be clear abut what yur relative/friend needs befre yu call. Make a list abut what activities they like, what things they d well and what the prblems are. Think clearly abut what yu want/need frm the rganizatin. Fr example, yur family wuld like tw hurs f supprt each day r yur family/friend needs a day prgram. Remember this is a chance fr yu t see if the rganizatin feels like a gd fit fr yur relative/friend and the rganizatin is als trying t decide if yur relative/friend wuld be a gd fit in their prgram. Share imprtant infrmatin and be sure t balance the infrmatin abut bth yur relative/friend's strengths and areas f difficulty. Ask t speak t smene wh is infrmed abut what services are ffered and that can answer yur questins. Take the time t talk t staff s yu can get a sense f hw the rganizatin wrks its "culture". Or yu may need t meet with a wrker in the rganizatin yu are calling t discuss what yur relative/friend needs. Yu may decide t get a case manager t help yu with this whle prcess. A case manager can help yu srt ut what yur relative/friend needs, what yu as a family need and hw t match that with the supprts and services that are available. There are case managers in bth the mental health and develpmental sectrs that can help. (Fr mre infrmatin see What can a Case Manager d fr yu and hw t get ne; page 13). If yu dn't get a gd respnse when yu call an rganizatin, what d yu d? Call anther agency r yu can advcate fr yur relative/friend. Remember t recrd the wrker's name, phne number, date and respnse. Questins t Cnsider When Cntacting Organizatins The fllwing is a list f questins t review befre yu call an rganizatin t ask abut their services. Yu may already have sme questins f yur wn. Have a lk at this list and see if there are any ther questins that yu might like t ask. Are yu the intake persn and can yu answer my questins abut yur rganizatin? What is yur name? What area d yu serve? Can yur prgram serve smene with a dual diagnsis? Can we cme and visit? What chices d we have abut which prgrams yu ffer? Can we chse urselves r d yu d an assessment and then assign? Can yu d an assessment t help decide what is needed? Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 9

Is yur prgram flexible and can it be tailred t suit an individual? Is there a fee fr any services? What age are mst f the peple in the prgram? What is the physical set up f the prgram? D yu ffer jb training r placement? Hw many peple have yu placed? What recreatinal r scial prgrams d yu have? What kind f activities d yu d? Des this prgram perate five days a week? D yu have weekend r evening activities? Can yu manage many different types f behavir? Hw d the medical and mental health needs f individuals get met? In what areas are yur staff specially trained and what are their qualificatins? What is the rati f staff t clients? D yu have cnsultants t yur prgram? Fr example, d yu have a psychlgist r psychiatrist n call? Is yur agency accredited? Hw are yu funded? What is the rle f parents in yur rganizatin? What can I d if I have a cmplaint? If I can't get int yur services, can I get in if I pay a fee fr the prgram? Wh dn't yu serve and why? Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 10

Navigating the Sectrs The Tw Ministries Respnsible fr Funding and Plicies Related t Dual Diagnsis Ministry f Health and Lng Term Care (MOHLTC) Medical assessment General hspitals Mental Health Sectr Assessment Treatment Crisis Ministry f Cmmunity and Scial Services (MCSS) & Ministry f Children and Yuth Services Includes mst children s mental health services, except hspitals) Develpmental Sectr Lng term supprt re daily living Residential Vcatinal Dual Diagnsis Services Assessment Treatment Day Prgrams Inpatient (Prvincial Psychiatric Hspitals) Dual Diagnsis Services These specialized services can be: A specialized prgram fr individuals with a dual diagnsis based in either the mental health r develpmental service sectr A grup f agencies that are partnering t prvide a range f services in bth sectrs Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 11

Q. What d yu need t knw abut the system t get arund? There are tw separate sectrs that prvide funding and plicy directin fr services fr persns with a dual diagnsis. They are: the health sectr (including mental health) funded by the Ontari Ministry f Health and Lng Term Care and the develpmental sectr funded by the Ontari Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services The fact that tw ministries are invlved can make it quite cmplicated t knw hw t get services and where t begin t lk fr them. Smetimes peple get cnnected t ne sectr r the ther, but usually nt t bth. When this happens they will nt get the help they need because they are missing what is needed frm the ther sectr. Fr example, if a persn with an intellectual disability has a wrker in the develpmental sectr they might nt knw the signs fr depressin and what t d t help. In anther situatin, a persn, diagnsed with schizphrenia, might have a mental health wrker frm the health sectr that is helping them cpe with the symptms f schizphrenia and making sure their medicatin is right but they might nt knw what t lk fr t knw if the persn als has an intellectual disability. It can be difficult and cnfusing fr everyne invlved finding the right kind f help and supprt. It really wrks best if there is a special cmbined apprach with bth the health and develpmental sectr and fr everyne t wrk tgether as a team. Each sectr has areas f special knwledge that they can ffer. Fr example, the develpmental sectr can help with future planning such as where t live and what supprts the cnsumer needs in the cmmunity, while the health sectr (mental health) can assist in areas such as mental illness and medicatin. Anther imprtant pint is that many agencies d nt include family members as part f the planning prcess. It wrks best if everyne is included. In the last few years in Yrk Regin many peple have been trying t prvide better services fr peple with a dual diagnsis. There are still a lt f changes needed but sme things are better. In 1994 the Ministry f Health changed its definitin f wh shuld be the first nes t get mental health services and they included individuals with a dual diagnsis in the definitin f serius mental health prblems that shuld be a pririty. This change has led t many pprtunities fr mental health agencies t wrk tgether with agencies in the develpmental sectr. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 12

There is a recent initiative within the Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services that will be helpful t cnsumers and families. Nw when yu cntact a develpmental sectr agency, that agency is bliged t stay cnnected t yu. Either they will prvide the service r they will find an alternate service t fit yur needs. This initiative will help prevent the stress, frustratin and disappintment f reaching ut fr help nly t be tld that that agency can't help yu. While these changes remve sme barriers and there is a better range f services nw, mre jint wrk is still needed s that all the required services can be available. There may be sme cnfusin abut which sectr t turn t fr lng term care services. Please nte that (despite the name) the Ministry f Health and Lng Term Care is nt the primary prvider f lng term care fr persns with an intellectual disability. Mst f the lng term care services are prvided by the develpmental sectr thrugh the Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services. Hwever sme individuals with an intellectual disability and serius mental health difficulties d receive lngterm care services thrugh the Ministry f Health and Lng Term Care, but relatively few. The Ministry f Health and Lng Term Care prvides lng term care services fr cnsumers with serius psychiatric disabilities and thse wh need nursing hme care such as the elderly. Please remember that the system is always changing. This describes the system at the time this handbk was written. There will undubtedly be mre changes in the future, sme psitive and sme negative in regard t services fr persns with a dual diagnsis. There may be new plicies that have a direct impact r a new prgram that might be available. Check with smene wh is aware f the system such as a case manager, agency staff r a representative f the Ministry t clarify the current plicies and prgrams. Q. What can a Case Manager d fr yu and hw t get ne? It can be very cnfusing t srt ut what services the cnsumer needs and if thse services are available. Yu may find that yu wuld like a Case Manager t help yu decide wh t cntact and als t help yu begin t get everyne wrking tgether. Case management is a service prvided by staff wrking at agencies. They are usually referred t as Case Managers. Althugh case management services may differ smewhat frm agency t agency and within the mental health sectr and the develpmental sectr, they serve as a central pint t integrate all the stakehlders including cnsumers, families and service prviders. There are sme cmmn functins which all Case Managers fulfill. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 13

Assessment. Usually case managers will help yu assess the verall situatin and pull tgether all the infrmatin frm varius surces. They may refer the cnsumer t smene else fr a specific assessment, such as a psychiatrist r psychlgist Assistance with Service Planning. They help an individual and/r family decide what kind f services and supprts they currently require, as well as anticipate what the future needs might be. Using this infrmatin, the family and/r individual can prepare a plan that describes what supprts and services t seek and when Infrmatin. They can be an excellent surce f infrmatin abut the services that are available, as well as prviding educatinal materials related t yur needs Referrals. They can refer the cnsumer t available resurces with the prir apprval f the family and/r individual. This may include making a phne call, assisting with the cmpletin f applicatin frms, r writing referral letters that describe the persn's current needs and situatin Advcacy. They can advcate n behalf f a persn t assist him/her t btain r create services and supprts Crdinatin. They can assist the family and/r individual t crdinate the varius services and supprts being used, acting as the central pint t ensure that services are being used in a way that best meets the persn's needs and t prmte a team apprach Cunselling. Sme case managers prvide individual and/r family cunselling Supprt. They prvide supprt and encuragement, plus they are gd listeners! Smetimes a family member r friend has the rle f case manager. Case managers are available in bth the develpmental and mental health sectrs. Unfrtunately, there is smetimes a wait list fr this service and sme agencies require a diagnsis f either an intellectual disability r mental illness. Fr a range f case management services in bth sectrs check the listings in this handbk under the subject heading case management r lk in the Yrk Link A Cmmunity Services Directry 2008 which lists services and supprts used by the brader cmmunity. Yrk Link may be seen at any public library branch and cmmunity agencies and hspitals. Infrmatin in Yrk Link may als be btained by phne by calling 905 830 4444, ext. 2151 r tll free at 1 877 GO 4 YORK (1 877 464 9675), Ext. 2151 r visit their web site at www.regin.yrk.n.ca If yu are lking fr case management in the develpmental sectr yu can call Yrk Supprt Services Netwrk t access an Adult Supprt Services Wrker r a Family Supprt Services Wrker (see Sectin 3, List f Supprts and Services). If yu are lking fr case management in the Mental Health sectr call either Yrk Supprt Services Netwrk r the Canadian Mental Health Assciatin, (see Sectin 3, List f Supprts and Services). Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 14

Or if yu dn't knw wh t cntact t get the right help, yu can call these numbers and they will give yu infrmatin ver the phne: Yrk Supprt Services Netwrk Access Service 1 888 695 0070 r 905 898 3721 r Behaviur Management Services f Yrk and Simce 905 773 2362 (see Sectin 3, List f Supprts and Services). Once yu (r the Case Manager) have pulled tgether all the assessment material r a specialized assessment has been cmpleted, the next step is t match the needs f the cnsumer with the supprts and services that are available in the cmmunity (See the chart Supprts and Services Guide, Page 19 and the Index t Supprts and Services, Page 32). Sme peple with a dual diagnsis require a lt f supprt in specialized prgrams where they live, wrk r g t daily activities, while thers can live and wrk mre independently in the cmmunity with much less supprt. Q. What t d in a crisis? Cntact yur relative's family dctr r psychiatrist fr an assessment when yur relative / friend is becming very ill, and yu are afraid that he r she may be a danger t himself/ herself r thers if treatment is nt in place. When the situatin gets critical, first call any available prfessinal wh knws the individual well. He r she may be able t assist in prblem slving and in directing yu t the mst apprpriate service under the circumstances. If yu cannt reach smene, DO NOT WAIT. Cntact the crisis service specifically geared t persns with an intellectual disability r dual diagnsis by calling YSSN s Cmmunity Crisis Respnse Service: 310 COPE (2673) Accessible tll free frm anywhere in Yrk Regin Available 24 hurs a day/7 days a week N cst assciated with services ~ Assists individuals and/r families in de escalating crisis situatins ~ A team f prfessinals ffers telephne and mbile interventin ~ Refer and link peple t apprpriate services (e.g., 9 1 1, Mental Health Supprt Team) ~ Mental Health Supprt Team ffers a mbile respnse by a crisis wrker and a Yrk Regin Plice Officer ~ Recmmend and initiate fllw up ~ Prmpt translatin services available. Or fr any emergency r crisis situatin yu can g t yur lcal hspital emergency department. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 15

Q. Hw t access a Cntract Wrker? One t ne Cntract Wrkers can prvide an imprtant type f individualized supprt t cnsumers, families and service prviders in the hme and cmmunity by ffering: intermittent respite; pprtunities fr recreatin r scializatin; teaching life skills; prviding additinal supprts t maintain the cnsumer in their current envirnment r at times f transitin r t assist cnsumers in acquiring new skills. The funding prgram, Special Services at Hme, supplies financial assistance t a family r individual t pay the expenses f hiring a "Cntract Wrker" (see Page 27 fr mre infrmatin abut this prgram). Such Cntract Wrkers are usually hired directly by the family and/r individual t carry ut specific gals t imprve the persn's quality f life. Tips n Hiring a Cntract Wrker Yu can begin t lk fr a Cntract Wrker n yur wn. The fllwing suggestins may help yu in this prcess. Or yu may decide yu wuld like sme assistance. There is a prgram called CHAP that is specifically geared t facilitating the cnnectin f individuals with disabilities and supprt wrkers thrugh a Family Registry and Wrker Database. Call CHAP at 905 898 6455 Ext. 247, 1 866 257 9776 r visit the respite web site fr mre infrmatin n this prgram www.respiteservices.cm Places t Lk r Advertise fr a Cntract Wrker Develpmental sectr respite cluster web site: www.respiteservices.cm. (This website is specifically geared t assist families in the prcess f getting a cntract wrker and maintains a list f ptential wrkers.) Agencies that serve peple with disabilities Lcal religius rganizatins such as churches and synaggues Cmmunity Centres Clleges, universities, and high schls Emplyment bards Libraries Getting Started 1. Make a list f the duties the cntract wrker wuld fulfill. 2. Describe what essential qualificatins/attributes yu are lking fr in a wrker t carry ut these duties. Sme examples are previus experiences; first aid training; having a car; hurs f availability; and attitude t persns with disabilities. 3. Screen ver the phne by asking each caller questins related t these qualificatins/attributes. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 16

4. Cnduct in hme interviews with candidates wh have "passed" the phne screening. Have a prepared list f questins, including "what if,' situatins. Make sure that the candidate meets the persn with special needs t bserve hw they interact. 5. When yu have chsen a candidate, review carefully all issues related t financial arrangements, insurance cverage, and jb bligatins. 6. Prvide adequate training and supprt t the wrker, including specialized training regarding the needs f the individual. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 17

Thinking Abut What is Needed The Supprts and Services Implementatin Guide The Supprts and Services Implementatin Guide is a tl t help yu plan. The guide identifies an ideal range f supprts and services that cmbine elements f bth the mental health and develpmental service sectrs. Use this guide t help yu think abut what is needed r what is missing in the services yu already have and then t match the cnsumer's needs apprpriately with resurces. It utlines six stages in the implementatin f the assessment, interventin and treatment planning prcess. It shuld be nted that a cnsumer might enter this range f supprts and services at any pint depending n their needs and situatin. The verall gal is t develp a cmprehensive supprt netwrk fr each individual. This apprach requires that all invlved (family, friends, agency staff at varius agencies, family dctr etc.) wrk tgether and cmmunicate effectively. Yu may decide t take a central rle in arranging services r yu may want t find a case manager t help yu with this prcess and with the nging cmmunicatin between all invlved. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 18

SUPPORTS AND SERVICES IMPLEMENTATION GUIDE FOR PERSONS WITH A DUAL DIAGNOSIS DS Develpmental MH Mental Health Other O CASE MANAGEMENT Canadian Mental Health Assn Yrk Regin (MH) Crsslinks (MH) Yrk Supprt Services Netwrk (DS/MH) CRISIS 310 COPE (MH) Yrk Regin Crisis Respnse Netwrk (MH, DS, O) DAY ACTIVITY Meta Centre (DS) Cmmunity Respnse Team (DS) Recnnect Mental Health Services (MH) Vita Cmmunity Living (DS) EMERGENCY HOUSING/ RESIDENTIAL Cmmunity and Husing Dept YR (O) Cmmunity Respnse System (DS) Dmiciliary Hstels (O) Husing and Residential Services Divisin (O) Husing Help Centre (O) Salvatin Army (O) Sandgate Wmen s Shelter (O) Transitinal & Supprtive Husing (O) Yellw Brick Huse (O) YR Crisis Supprt Netwrk (O) EMPLOYMENT SERVICES Career Slutins (O) Csti Emplyment Resurce Centre (O) Future Abilities Creative Emplyment (O) Jb Skills (O) Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services (DS) Neighbrhd Emplyment Resurce Centre (O) Ontari Wrks (O) YMCA/Seneca Cllege (O) FINANCIAL Ministry f Cmmunity and Scial Services & Ministry f Children and Yuth Services (DS) Ministry f Health and Lng Term Care (MH) Ontari Disability Supprt Prgram (DS MH) Special Services at Hme (DS) Ontari Wrks (O) HOSPITALS Markham Stuffville Hspital (MH) Suthlake Reginal Health Centre (MH) Whitby Mental Health Centre dual diagnsis service (MH) Yrk Central Hspital (MH) INFORMAL SUPPORT NETWORKS Autism Sciety (DS) CMHA Supprt Grups (MH) Dwn s Syndrme Assciatin f YR (O) Krasman Centre (MH) Neighburhd Link (O) Reginal Psych geriatric & Mental Health Cnsulting Service Schizphrenia Sciety (MH) Yrk Regin Crisis Supprt Netwrk(O) LEGAL Advcacy Resurce Centre fr the Handicapped (O) Canadian Mental Health Assn Curt Divisin (MH) Cmmunity Legal Clinic f YR Yrk Reginal Plice (O) RECREATION/SOCIAL Cmmunity Living Newmarket/ Aurra District Assn (DS) Cmmunity Living Gergina (DS) New Directins (MH) Psitive Cnnectins (MH) Reena (DS) Vita Cmmunity Living (DS) Cmmunity Living Yrk Suth (DS) RESPITE Cmmunity Living Newmarket/Aurra District (DS) Cmmunity Helpers fr Active Participatin (CHAP) (DS) Cmmunity Living Gergina (DS) Kerry s Place Autism Services (DS) Kinark Child & Family Services Mary Centre (DS) Meta Centre Participatin Huse (DS) Reena (DS) Safehaven Under the Banyn Tree Vita Cmmunity Living (DS) Cmmunity Living Yrk Suth (DS) TREATMENT Addictin Services fr YR (0) Behaviur Management Services f Yrk & Simce (DS) Canadian Mental Health Assn Yrk Regin (MH) Cathlic Cmmunity Services f Yrk Regin (O) Cmmunity Care Access Centre (MH) Family Services Yrk Regin (O) (Gergina, Newmarket, Richmnd Hill, Bradfrd, Markham/Stuffville) Jewish Family and Child Service YR Kinark Child & Family Services Markham Stuffville Hspital (DS/MH) Pineview (DS) Suthlake Reginal Health Centre (DS /MH) Thistletwn Reginal Centre (DS) Whitby Mental Health Centre (DS/ MH) Yrk Central Hspital (DS/MH) Yrk Regin Public Health Sexuality fr Persns with Disabilities Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 19

Key Access Pints and Cmmittees Three Key Specialized Services 1. Behaviur Management Services f Yrk and Simce Prvides cmprehensive behaviural assessment fllwed by psitive based teaching and prgramming assistance. Serves individuals wh have a develpmental delay, a significant cgnitive delay f tw years r mre and a delay in at least tw ther areas (see Sectin 3, List f Supprts and Services). Affiliated with Kinark Child and Family Services (see Sectin 3, List f Supprts and Services). 2. Yrk Supprt Services Netwrk Access Access: 905 898 3721 r 1 888 695 0070 Prvides case management services fr peple with develpmental disabilities r serius mental illness. 3. Dual Diagnsis Resurce Service Dual Diagnsis Resurce Service (DDRS) ffers a cmmunity based cnsultatin and treatment team and resurce, respite and safebed netwrking services. The Cmmunity team is perated by The Dual Diagnsis Prgram at the Whitby Mental Health Centre. Yu can call 416 535 8501 Ext 7800 if yu need help and are nt sure what t d. Pineview Prject Central East Regin (Dual Diagnsis Resurce) This prject has three key cmpnents: i. Transitinal Residential Treatment Hme ii. Mbile Resurce Team iii. Develping Cmmunity Capacity Manager f Clinical Services, Marnie McDermtt (705) 543 1749 (see Sectin 3, List f Supprts and Services fr descriptin) Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 20

Key Cmmittees and Gvernment Cntacts The Yrk Regin Cmmunity Planning Cuncil The Cuncil (YRCPC) cnsists f service prviders in the develpmental services sectr. It is mandated t develp strategic directins fr develpmental services in Yrk Regin t ensure implementatin fr a cmprehensive, cmmunity based range f services and supprts. The Cuncil acts as a frum fr system accuntability and as a link t ther reginal planning frums. It will prvide recmmendatins t the Central East Regin f the Ontari Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services n the planning, c rdinatin and management f develpmental services in Yrk Regin. YRCPC Cmmittee Structure The YRCPC receives infrmatin and recmmendatins thrugh a standing cmmittee and wrk grup structure. These include: ~ Cmmunity Respnse Cmmittee ~ Day Services Wrking Grup Frce (a wrk grup f the Cmmunity Respnse Cmmittee) ~ Respite Cmmittee (including respiteservices.cm Yrk Regin) As well, the YRCPC maintains linkages with the: ~ Dual Diagnsis Cmmittee Yrk Regin Dual Diagnsis Cmmittee This Cmmittee, funded by the Ministries f Health & Lng Term Care, the Ministry f Cmmunity and Scial Services, and the Ministry f Children and Yuth Services, cnsists f family members, ministry staff, and agency staff including hspital representatives. The Cmmittee versees and prvides leadership t the c rdinatin f the dual diagnsis system design implementatin prcess. It is fcused n system and service delivery integratin. Cmmunity Netwrks f Specialized Care (Central East Regin) This Cmmittee, funded by the Ministries f Health & Lng Term Care, the Ministry f Cmmunity and Scial Services, and the Ministry f Children and Yuth Services, cnsists f family members, ministry staff, and agency staff including hspital representatives. The Cmmittee versees and prvides leadership t the c rdinatin f the dual diagnsis system design implementatin prcess. It is fcused n system and service delivery integratin. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 21

Cmmunity Netwrks f Specialized Care are partnerships f cmmunity based rganizatins that wrk tgether t address current gaps in the availability f cmmunitybased resurces fr individuals wh have a develpmental disability and mental health issues and/r challenging behaviurs. Prvincially, there are fur Netwrks established. Cmmunity Living Hurnia is the lead agency fr the Central East Cmmunity Netwrk f Specialized Care. The Netwrk partnering agencies prvide prfessinal services, cnsultatin, educatin, training and research related activities t the target ppulatin f adults with develpmental disabilities and mental health issues and/r challenging behaviurs. Their gals are t: ~ Ensure that specialized clinical services ffered are in line/match level f need, allw supprt in the least restrictive envirnment and early identificatin f clinical needs ~ Develp a range f treatment ptins fr peple requiring specialized services ~ Increase the effective use f cmmunity resurces thrughut the Regin ~ Identify pririties fr services and/r supprts fr individuals with a dual diagnsis ~ Crdinate resurces and planning with thers in the Tri Reginal Netwrk ~ Increase the capacity f staff frm different disciplines that have enhanced skills and knwledge in assessing, planning and treating thrugh evidence based appraches ~ Assist individuals and families in navigating thrugh the system Cntact: Pam Carter, Crdinatr 705 526 0311 Ext 321 r pcarter@clhmidland.n.ca Ontari Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services ~ Call (905) 868 8900 r 1 877 669 6658 ~ Website: www.gv.n.ca Ontari Ministry f Health and Lng Term Care Mental Health Prgram ~ Call (905) 954 4700 r 1 800 486 4935 ~ Website: www.gv.n.ca Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 22

What supprts d yu need? Fr Family and Friends Persns with a dual diagnsis ften need a lt f supprt frm their natural supprts including family and friends. While each persn's needs may vary, prviding care can be very challenging n a daily basis. Yur caregiving may include prviding basic needs such as husing, meals, transprtatin, assistance in life skills and scheduling activities and being an emtinal supprt. If there is n case manager yu may als be the lead persn trying t help navigate the system, find the apprpriate services and deal with crisis situatins. Yur rle as caregiver is critical. Juggling all f these tasks and respnsibilities in additin t lking after yurself and ther demands such as family r wrk can be very stressful. Repeated crises and the lack f an apprpriate range f services can seriusly affect families and friends. This ften leads t stress, fatigue and burnut. Families ften feel blamed and burdened by the systems and this leads t feelings f disillusinment and anger. Misdiagnses, which ccur frequently, lead t cnfusin fr family members. The clak f cmpetence, cmbined with values arund nrmalizatin, can lead t high expectatins fr the individual with a dual diagnsis. Many service prviders, particularly in the adult system, d nt include family members as part f the planning prcess. It is imprtant t remember that gains fr the individual will nt be maintained if yu are nt invlved in the planning prcess and yu are nt prvided with the supprts that yu need. It is very imprtant fr yu t lk after yurself t. As caregiver, fr yur family member r friend, yu may want t take sme time t think abut what supprt yu need in rder t keep yur energy and spirits up. Yur rle can be particularly challenging as yu are ften caught between meeting the needs f yur family member r friend and yur rle in advcating in a system that is very difficult t understand with limited resurces. There is supprt available that yu might find brings sme cmfrt and relief t yur feelings f islatin and frustratin. There are a number f mutual aid/self help supprt grups fr caregivers and there are als cmmunity agencies that can prvide necessary resurces t yu. A mutual aid/self help supprt grup gives yu a chance t get sme much needed supprt fr yurself, share strategies and tips abut which rganizatins are mst helpful and what wrks and desn't wrk when trying t get services. Yu might als be able t get sme help in advcating fr services if yu haven't been successful n yur wn. Yu might like t try a supprt grup. Infrmatin can be accessed thrugh CMHA, Yrk Regin by calling 905 853 8477. Cmmunity agencies can als be a surce f supprt t families. Agencies in bth the mental health and develpmental sectrs can prvide infrmatin and/r referrals t a range f apprpriate resurces, and sme ffer cunselling t families. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 23

Respite Respite services can prvide care and family relief. There are bth in hme and ut f hme respite services. In hme services include hiring cntract wrkers t cme t yur hme and prvide intermittent relief, t teach life skills and/r during times f transitin. Special Services at Hme, an Ontari Gvernment prgram, can supply funds fr qualifying families t pay a cntract wrker (Fr mre infrmatin n this prgram see page 55). If yur family member / friend has a mental illness and requires supprt in the hme, yu may be able t access services thrugh yur lcal Cmmunity Care Access Centre (see Sectin 3, List f Supprts and Services). They are respnsible fr hme care services and depending n yur situatin may be able t ffer sme in hme respite services fllwing a hspitalizatin r t assist with taking medicatin apprpriately. There are times when caregivers need a break. Yu may need t attend t ther demands related t wrk; family r yu want t take a vacatin. In these situatins yu can arrange fr yur family member t stay in a residential setting and be cared fr in yur absence. There is a web site yu can g t learn mre abut respite services in Yrk Regin www.respiteservices.cm. This web site will lead yu thrugh a prcess that assists in identifying ptential cntract wrkers. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 24

Gvernment Prgrams and Plicies Gvernment Structure As f the date f publicatin f this Directry, tw separate ministries f the Prvince f Ontari deliver services fr persns with dual diagnsis. These tw ministries are the Ministry f Cmmunity and Scial Services & Ministry f Children and Yuth Services, which administers services fr persns with intellectual disabilities, and the Ministry f Health and Lng Term Care, which administers general health services and mental health services fr adults. In an effrt t wrk cllabratively, a jint plicy was develped in 1997 by bth f these ministries regarding services fr persns with a dual diagnsis and each made a cmmitment fr funding. Fr Yrk Regin, these tw ministries may be cntacted as fllws: Ontari Ministry f Cmmunity and Scial Services & Ministry f Children and Yuth Services Central East Regin, 465 Davis Drive, 3 rd Flr, Newmarket, ON L3Y 8T2 Call: 905 868 8900; 1 877 669 6658 Central Lcal Health Integratin Netwrk (MOHLTC) 140 Allstate Parkway, Suite 210, Markham, ON L3R 5Y8 Call: 905 948 1872; 1 866 392 5446 An up t date Gvernment f Ontari Telephne Directry can be purchased frm Publicatins Ontari at 416 326 5300. This lists all the gvernment ffices, lcatins, and phne numbers. Fr infrmatin abut each ministry, specific laws and prgrams yu can als g t the Gvernment f Ontari Web site: www.gv.n.ca *Please nte that these addresses and phne numbers are crrect as f the date f publicatin f this directry. Pliticians Since the respnsibility fr such services is prvincial, all cncerns r requests fr plitical assistance shuld be directed twards yur lcal Member f Prvincial Parliament (MPP). T find ut whm yur MPP is yu may cnsult the Blue Pages in yur phne bk under the listing f Ontari Gvernment. This infrmatin is als listed in the Yrk Link A Cmmunity Services Directry 2008, which lists services and supprts used by the brader cmmunity. Yrk Link may be seen at any public library branch and cmmunity agencies and hspitals. Infrmatin in Yrk Link may als be btained by phne by calling 905 830 4444, ext. 2151 r tll free at 1 877 GO 4 YORK (1 877 464 9675), Ext. 2151 r visit their web site at www.regin.yrk.n.ca. As well, yu can visit the Gvernment f Ontari website and fllw the links prvided. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 25

Legislatin Regarding Mental Health, Alternate Decisin making, Cnsent t Treatment and Cmmunity Treatment Orders As f the date f publicatin f this Directry, several imprtant pieces f legislatin were in effect regarding mental health, decisin making and adults with disabilities. It is recmmended that readers determine the status f any legislatin befre using the infrmatin detailed belw. T purchase cpies f any legislatin, cntact Publicatins Ontari at 416 326 5300 r visit the Ontari Gvernment web site www.gv.n.ca Fr a gd verview f the mental health prcess in Ontari including a descriptin f the relevant laws and required frms regarding admissin fr psychiatric care in a hspital, visit the Simce Cunty Mental Health web site at www.mhcva.n.ca (g t Mental Health Prcess in Ontari). Further infrmatin abut legislatin can be btained frm ARCH: A Legal Resurce Centre fr Persns with Disabilities call 416 482 8255. Fur relevant laws in Ontari: The Mental Health Act This Act gverns the rules and regulatins related t prviding and receiving mental health care services in Ontari. It describes what is required in rder t admit smene t a psychiatric hspital r a psychiatric ward f a general hspital. Fr example, befre anyne can be admitted fr a 72 hur perid t a psychiatric facility, a physician r Justice f Peace is required t assess each individual t determine if they meet the criteria fr admissin which includes behaviur that is seen as vilent twards thers, r threatening, attempting, r causing harm t themselves, r if the persn is unable t take prper care f themselves. This act als cvers cnfidentiality f psychiatric recrds and the rles f the Bards f Review, prviders f mental health services and thers such as plice, justices f the peace. The Substitute Decisin Act This Act describes the prcess by which individuals may make decisins ver prperty r persnal care n behalf f anther adult wh is deemed incapable f making such decisins. This can include Pwers f Attrney and curt appinted guardians. Health Care Cnsent Act This Act describes the prcess by which an adult is deemed t be capable f cnsenting t his r her wn treatments f a therapeutic, preventive, palliative, diagnstic, csmetic r ther health related nature. It als explains hw a persn may be deemed incapable f cnsent and the prcess fr ensuring that apprpriate alternate decisin makers are appinted wh will attempt t determine as best as they can what the wishes f the vulnerable persn might be and act accrdingly. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 26

Cmmunity Treatment Orders Cmmunity Treatment Orders (CTOs) are fcused n individuals with a serius mental illness wh have difficulty maintaining stability in the cmmunity. The individual must have tw admissins, r an admissin f ver 30 days, in the past three years. Treatment rders last six mnths and are rdered by a psychiatrist. It is a vluntary prcess and the client helps develp the treatment plan. The fcus f all treatment rders is t maintain the client s wellness in the cmmunity and, hpefully, t prevent re hspitalizatin. It has been well received thrughut Ontari in its third year f inceptin. Financial Prgrams As f the date f publicatin f this Directry, several imprtant pieces f legislatin were in effect regarding mental health, decisin making and adults with disabilities. It is recmmended that readers determine the status f any legislatin befre using the infrmatin detailed belw. T purchase cpies f any legislatin, cntact Publicatins Ontari at 416 326 5300 r visit the Ontari Gvernment web site www.gv.n.ca Special Services at Hme Special Services at Hme (SSAH) is available thrugh the Ontari Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services. This prgram prvides supprt t families caring fr children and adults with an intellectual disability in their wn hmes. It is geared t fund in hme supprt such as parent relief r teaching skills. Families hire their wn cntract wrker. Yu have t apply fr this prgram and Ministry staff decides if yur family is eligible. If yu are apprved fr this prgram it des nt cst yu any mney and is nt based n family incme. Families are expected t use cmmunity resurces (where available) befre they cnsider using this prgram. Call the Ontari Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services at 905 868 8900; 1 877 669 6658, 416 325 0624 t inquire abut this prgram (see Sectin 3, List f Supprts and Services). Ontari Disability Supprt Plan Ontari Disability Supprt Plan (ODSP) is available thrugh the Ministry f Cmmunity and Scial Services, an Ontari Gvernment Service. This prgram can prvide lng term financial assistance fr peple with disabilities, age 18 and ver, wh can't wrk permanently r fr at least a year r mre. There is a financial needs test and a disability applicatin frm when yu apply. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 27

Call 905 868 8900 r 1 877 669 6658 t inquire abut this prgram and get the address and phne number f yur lcal ODSP ffice. Lcal ODSP ffices are als listed in the Blue pages f the telephne bk. Yu will need t make an appintment and ask what type f infrmatin yu need t take, such as bank statements, identificatin, fficial papers. It may take a while fr ODSP t cme thrugh s apply as sn as pssible. Yu might want t apply fr this prgram six mnths befre the 18 th birthday (see Sectin 3, List f Supprts and Services fr descriptin). Fr applicants with differences f pinin regarding Ministry decisins, there are prvisins fr appeal, and assistance available with the appeals prcess (e.g., the Cmmunity Legal Clinic f Yrk Regin see Sectin 3, List f Supprts and Services fr descriptin). Ontari Wrks This is a shrt term prgram t assist individuals in returning t the wrk frce. T apply fr Ontari Wrks in Yrk Regin call the Reginal f Yrk at 905 830 4444 and ask fr the ffice nearest t yu. Infrmatin Abut and Assistance Getting Ontari Wrks r ODSP The fllwing services are available if yu need infrmatin r have prblems r questins with gvernment assistance: ~ Client Services & Infrmatin Unit Ontari Wrks 905 830 4444 Ext. 2902 ~ Client Services & Infrmatin Unit ODSP (905) 868 8900 r 1 877 272 8610 Staff at these units act as g betweens between clients, the general public and decisin makers. They can prvide yu with infrmatin if... ~ yu dn t knw what services are ffered ~ yu dn t knw what the plicy and regulatins are ~ yu dn t understand hw the regulatins affect yu Abuse Plicy Agencies acrss the Central East Regin have been wrking cllectively n develping and prmting the implementatin f a reginal strategy n training staff and cnsumers n issues that cnstitute abuse and neglect, as well as cnsumer s rights and respnsibilities. Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 28

Wills and Trusts Other Imprtant Infrmatin Financial planning is imprtant fr all parents. It is even mre crucial when parents have a sn r a daughter with a disability. There are many factrs t be aware f when preparing a will when yu are trying t arrange fr the mst financially secure situatin fr yur child with special needs. Many lawyers have experience and knwledge preparing wills that include a beneficiary with a disability. T btain specific infrmatin regarding wills and trusts, yu may cntact the fllwing rganizatin: Ontari Assciatin fr Cmmunity Living 240 Duncan Mill Rad, Suite 403 Nrth Yrk, ON M3B 1Z4 416 447 4348 LifeTRUST Planning Jhn Dwsn, Executive Directr 60 Harrisn Drive Newmarket, ON L3Y 4P4 www.life trust.cm / lifetrust@rgers.cm ARCH Disability Law Centre (nn prfit cmmunity legal clinic) 425 Blr Street E, Suite 110, Trnt, ON M4W 3R5 416 482 8255 / TTY: 416 482 1254 www.archdisabilitylaw.ca Newsletter NADD NEWSLETTER (Natinal Assciatin fr Dual Diagnsis) t receive this newsletter send $10.00 and yur name and address t: Habilitative Netwrk c/ Plaza 69 Pstal Outlet 1935 Paris St., Bx 21020 Sudbury, Ontari P3E 6G6 Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 29

The 12 Cmmandments fr Successful Lbbying 1. Be Nice Respectable, reasnable, curteus, calm, but "cncerned". 2. Be Respectful Everyne likes t feel imprtant and t be helpful. Enlist their sympathy and supprt. 3. Be Clear Ask fr exact dates, times and wh will be invlved, etc. Ask fr things in writing. Ask fr cpies f crrespndence. Write cnfirming minutes f meetings. Summarize and clarify. 4. Be Infrmed D yur hmewrk, check yur facts, cnsult experts, brief yur members. 5. Seek Help Seek ut mentrs, cnsult experts, make alliances with agencies and ther grups, hire a lbbyist if the task if very large. 6. Knw Yur System Knw hw and where decisins get made; target key pints f interventin. 7. Knw What Yu Want Gvernments d nt slve prblems they adpt slutins. Yu must give them the prblem and the slutin. 8. Shw Strength Act as a grup, stick tgether, act rganized, act cnfident. 9. Be Patient Cnstantly re evaluate strategy and gals. Recgnize small accmplishments. Mving gvernments takes time. 10. Have Fun, Supprt Each Other Meet the needs f yur members fr persnal supprt and friendship. Keep a sense f humur and keep each ther in perspective. 11. Be Tugh Keep pushing frm all directins. Be plitical. Use the media. Be creative. 12. Be Strategic Carefully plan yur strategy in scale with yur resurces. Seize pprtunities. Be practive. Lynn Eakin and Assciates, Trnt Tel 416-961-3924 Fax 416 968-6280 lynn@lynneakin.cm (apprved fr cntinued use, 2005) Supprts and Services fr Persns with a Dual Diagnsis Hw t Navigate the System 30

SECTION 3: Index and List f Supprts & Services

Imprtant Numbers at a Glance (These supprts and services are described in further detail in this sectin) BEHAVIOUR MANAGEMENT SERVICES OF YORK AND SIMCOE 905 773 2362 Prvides cmprehensive behaviural assessment fllwed by psitive based teaching and prgramming assistance (see Pages 38 & 68) CANADIAN MENTAL HEALTH ASSOCIATION 905 853 8477 Supprt grup fr families, case management, curt diversin, scial/recreatin (see page 40) COMMUNITY INFORMATION YORK REGION 905 830 4444 X 2093 (Cmmunity Services and Husing) Yrk Link Directry f Cmmunity Services (see page 70) CRISIS (YSSN)* 310 COPE (2673) Assist individuals and/r families in de escalating crisis situatins; 3rd party referrals (see page 75) MOBILE CRISIS (YSSN)* (see page 75) 310 COPE (2673) SERVICE SYSTEM RESPONSE UNIT (YSSN)* (Intake) 905 898 3721 / 1 888 695 0070 The Service System Respnse Unit (SSRU) has been develped t ensure that there is a crdinated respnse t the needs f individuals and their families by the agencies that cmprise the develpmental service system in Yrk Regin. Yrk Supprt Services Netwrk prvides the crdinatin rle fr this prgram (see page 76) SPECIAL SERVICES AT HOME (SSAH) 905 868 8900 X 5450 / 1 877 669 6658 / 416 325 0624 Ontari Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services (see page 56) YORK SUPPORT SERVICES NETWORK (YSSN) (Access) 905 898 3721 / 1 888 695 0070 Prvides case management services fr peple with develpmental disabilities r serius mental illness (see page 73) *These prgrams are part f Yrk Supprt Services Netwrk (YSSN) Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 31

Index f Supprts and Services By Type f Service Case Management Canadian Mental Health Assciatin (CMHA) 40 Crsslinks 48 Yrk Supprt Services Netwrk 73 Crisis 310 COPE 75 Cmmunity Crisis Respnse Netwrk 75 Day Activity Meta Centre 54 Recnnect Mental Health Services 61 Service System Respnse Unit 76 Vita Cmmunity Living 65 Emergency Husing / Residential Blue Dr Shelters 39 Crisis Respnse Netwrk Yrk Regin 75 Husing Help Centre 49 Salvatin Army 62 Sandgate Wmen s Shelter 63 Yellw Brick Huse 67 Yrk Reginal Cmmunity and Husing Department 70 Emplyment Services Career Slutins 41 Csti Emplyment Services 47 Jb Skills 50 Ontari Ministry f Cmmunity and Scial Services and Ministry f Children & Yuth Services 55 Ontari Wrks 56 YMCA / Seneca Cllege 67 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 32

Financial Ontari Ministry f Cmmunity and Scial Services / Ministry f Children and Yuth Services Ontari Disability Supprt Prgram 55 Ontari Wrks 56 Special Services at Hme 56 Ontari Ministry f Health and Lng Term Care Cmmunicatins and Infrmatin Branch (Health Infrmatin Centre) 58 Hspitals Markham Stuffville Hspital 53 Suthlake Reginal Health Centre 64 Whitby Mental Health Centre 66 Yrk Central Hspital 68 Infrmal Supprt Netwrks Autism Sciety 36 Dwn Syndrme Assciatin f Yrk Regin 48 Krasman Centre fr Cmmunity Mental Health / Warm Line 52 NeighburLink 54 Schizphrenia Sciety 64 Yrk Regin Crisis Supprt Netwrk / Safebed 75 Legal Advcacy Resurce Centre fr the Handicapped 36 Cmmunity Legal Clinic fr Yrk Regin 45 Yrk Reginal Plice 72 Respite Cmmunity Helpers fr Active Participatin (CHAP) 74 Cmmunity Living Gergina 46 Cmmunity Living Newmarket/Aurra District 46 Cmmunity Living Yrk Suth 47 Kerry s Place Autism Services 51 Kinark Child and Family Services 51 L Arche Daybreak 52 Mary Centre 53 Meta Centre 54 Participatin Huse 59 Reena 62 Vita Cmmunity Living 65 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 33

Scial / Recreatin Cmmunity Living Gergina 46 Cmmunity Living Newmarket/Aurra District Assciatin 46 Cmmunity Living Yrk Suth 47 Krasman Centre fr Cmmunity Mental Health 52 Reena 62 Vita Cmmunity Living 65 Treatment Addictin Services fr Yrk Regin 35 Behaviur Management Services f Yrk and Simce 38&68 Canadian Mental Health Assciatin Yrk Regin 40 Cathlic Cmmunity Services f Yrk Regin 41 Central Cmmunity Care Access Centre 43 Kinark Child and Family Services 51 Markham Stuffville Hspital 53 Suthlake Reginal Health Centre 64 Thistletwn Reginal Centre 57 Whitby Mental Health Centre 66 Yrk Central Hspital 68 Yrk Regin Public Health 72 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 34

List f Supprts and Services ADDICTIONS SERVICES FOR YORK REGION 15150 Ynge St, Suite 201, Aurra, ON L4G 1M2 Cntact: Judy Aiken, Intake Crdinatr, Ext. 322 Phne: 905 841 7007 / 1 800 263 2288 Fax: 905 841 6146 Website: Hurs: Languages: Accessibility: asyr@asyr.ca www.asyr.ca Mn Fri 9:00 am 5:00 pm Yrk Regin Individuals ver 12 years f age, living r wrking in Yrk Regin English / French Barrier free washrm, disability parking, wheelchair accessible Prvides addictin assessment and ut patient treatment services thrugh individual, cuple, family and grup services t persns ver 12 years f age; specialized prgramming fr prblem gamblers and individuals whse driver s license is under suspensin; prvides supprt t assciated physical and mental health issues; ffers cmmunity withdrawal management services; services fr wmen wh are pregnant and lking at substance abuse issues; prvides cncurrent disrder services. Family Services Yrk Regin Newmarket 1 888 223 3999 r 905 895 2371 Richmnd Hill 1 888 820 9986 r 905 883 6572 Markham Stuffville 1 866 415 9723 r 905 415 9719 Gergina 905 476 3611 Bradfrd 905 895 2371 Cntact the ffice nearest t yu. Prgrams vary but include: individual and family cunselling, credit cunselling, child/adlescent cunselling, anger management and mre. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 35

ARCH DISABILITY LAW CENTRE Cntact: Ivana Petricne, Executive Directr 425 Blr St E, Suite 110, Trnt, ON M4W 3R5 A team apprach is used; client assigned t apprpriate lawyer Phne: 416 482 8255 / 1 866 482 2724 1 866 482 2728 (TTY/TDD)/416 482 1254 (TTY/TDD) Fax: 416 482 2981 / 1 866 881 2723 Website: Hurs: Languages: Accessibility: www.archdisabilitylaw.ca Mn Fri 9:00 am 5:00 pm All f Ontari English Barrier free washrm, wheelchair accessible A legal resurce centre fr persns with disabilities; prvides summary advice and referral, public legal educatin, cmmunity develpment and law refrm; Speakers Bureau and electrnic newsletter available; represents individuals with disabilities in precedent setting cases; translatin and interpretatin can be arranged; reference library with tw adaptive technlgy wrkstatins fr visitrs with visual r mtr disabilities, pen Mnday thrugh Friday between 10am and 4pm. AUTISM ONTARIO YORK REGION CHAPTER Cntact: 11181 Ynge St, Suites 303 305, Richmnd Hill, ON L4S 1L2 Simne Hubers, President Phne: 905 780 1590 yrk@autismntari.cm Website: www.autismntari.cm Chapter: www.autismntari.cm/yrk Hurs: Languages: Fees: Accessibility: Vlunteers: Run by vlunteers, use vicemail and a vlunteer parent f a child with ASD will respnd Yrk Regin English $50 annual fee fr membership, $500 lifetime membership; infrmatin and supprt is free Barrier free washrm, disability parking, elevatrs, tne elevatr, wheelchair accessible Yes Infrmatin, educatin, advcacy, self help supprt grup; linkages t cmmunity agencies fr services & supprts fr individuals living with Autism Spectrum Disrder; partially funded cmmunity based leisure/recreatin activities; peple with ASD, their families, caregivers and prfessinals welcme; calendar f wrkshps and meetings psted t website; virtual cmmunity f parents, hsted chats and mentring at www.bbbautism.cm Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 36

(Autism Sciety Ontari Yrk Regin Chapter Cntinued) Realize Cmmunity Ptential Prgram (905) 780 1590 Cntact: Website: Hurs: User Fees: Alana Racict, Crdinatr alana@autismntari.cm www.autismntari.cm/rcp Cntact ffice fr appintment Mst services funded by Ministry f Children and Yuth Services Autism Ontari s Realize Cmmunity Ptential (RCP) Prgram is an exciting prgram funded by the Ministry f Children and Yuth Services t ffer a variety f supprts and resurces t families living with Autism Spectrum Disrders (ASD). The RCP Prgram is currently perating in six cmmunities in the prvince: Durham Regin, Lndn, Niagara Regin, Ottawa, Thunder Bay & District and Yrk Regin. The RCP Prgram will realize cmmunity ptential by prviding: Prfessinal Parent Supprt: assisting parents in cnnecting t service prviders and resurces by lcating a full time RCP Crdinatr in the cmmunity Scial Opprtunities & Prgramming: implementing ideas frm parents t create mre scial pprtunities fr families and enhanced prgramming ptins fr individuals with ASD in the cmmunity Expertise n Autism Spectrum Disrders: arranging speaker events in the lcal cmmunity presented by prfessinals with expertise in ASD t give parents and prfessinals greater access t ASD educatin Knwledge & Resurces: develping a database f infrmatin and resurces specific t the cmmunity, while sharing applicable infrmatin acrss the prvince A OK Camp (905) 780 1590 Cntact: Applicatin: User Fees: Vlunteers: Paul Kalmykw, Crdinatr yrk@autismntari.cm Assessment required Applicatin required and intake Weekly subsidized fee Applicatin and interview Eight week summer day camp prgram fr children and yuth (ages 4 21) living with Autism Spectrum Disrder; camp structured in junir and senir divisins; ffers Life Skills, cntinuatin f schl and hme prgramming, jb training and cmmunity utings; fr children and yuth t age 21 with Autism Spectrum Disrders wh require and wuld benefit frm 1:1 r 2:1 supprt. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 37

(Autism Sciety Ontari Yrk Regin Chapter Cntinued) Summer Yuth Prgram (905) 780 1590 Cntact: Applicatin: User Fees: Vlunteers: Summer Yuth Prgram Crdinatr yrk@autismntari.cm Assessment required Applicatin required and intake Weekly subsidized fee Applicatin and interview Eight week summer prgram in partnership with Kerry s Place Autism Services Cmmunity Services Central East; fr transitinal aged yuth 16 25 living with Asperser s Syndrme r High Functining Autism; prgram f life skills, scial skills, transitin t pst secndary/vcatinal skills strengthened thrugh accessing yur cmmunity. BEHAVIOUR MANAGEMENT SERVICES OF YORK AND SIMCOE Cntact: 13311 Ynge St, Suite 115, Richmnd Hill, ON L4E 3L6 570 Bryne Dr, Unit H, Barrie, ON L4N 9P6 Jim Hughes Phne: 905 773 2362 (Yrk) 705 728 9143 (Simce) Fax: 905 773 8499 (Yrk) 705 728 7456 (Simce) Website: Hurs: Languages: Referral: Accessibility: behaviur.mgmt@bellnet.ca (Yrk) behaviur.simce@bellnet.ca (Simce) www.yrkcentral.n.ca Mn Fri 9:00 am 5:00 pm Yrk Regin and Simce Regin English, Greek, Italian, Spanish Develpmental delay f 2+ years with a significant cgnitive delay Parent, dctr, teacher r self referral Barrier free washrm, disability parking, elevatrs, wheelchair accessible On a mediatr mdel, prvides cmprehensive behaviural assessment and psitive based teaching interventins fr individuals with a develpmental disability. Als ffers, in affiliatin with Kinark Child and Family Services, intensive behaviural interventin (IBI) t children wh are diagnsed with mderate t severe Autism. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 38

BLUE DOOR SHELTERS Patti Bell, Executive Directr 18838 Highway 11, East Gwillimbury, ON L9N 0C5 Phne: 905 898 1015 / 905 898 1658 Fax: 905 898 6414 Hurs: Languages: Vlunteers: Accessibility: inf@bluedrshelters.ca 24 hurs a day/7 days a week Yrk Regin Scial Husing Refrm Act, 2000 criteria; diagnsed are accepted thrugh regular prcess f each hme English N Wheelchair accessible Prvides supprtive and emergency husing services t hmeless peple r t peple at risk f becming hmeless; ffers cunseling and ther supprts t clients in rder t reslve their immediate scial, husing and/r financial crisis Cmmunity Husing Supprt Prgram This prgram helps individuals and families in the shelters t find, get and keep permanent husing in the cmmunity. Leeder Place Family Shelter Families Supprt t families wh need temprary emergency shelter t re establish itself in apprpriate cmmunity accmmdatin; length f stay is up t six weeks; serves families with children needing temprary emergency shelter. Prter Place Men s Shelter Men 27 99 years Hmeless male A 30 bed men s emergency shelter; in additin t basic needs, prvides infrmal cunselling and life skills prgrams; length f stay is up t six weeks. Yrk Regin Yuth Shelter Male Yuth 16 22 years 905 830 0121 Prvides shelter, supervisin, cunselling, life skills and recreatin prgrams fr yuth 16 t 22 years ld; prgram is fr male yuth wh require emergency husing and have n ther husing ptins. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 39

CANADIAN MENTAL HEALTH ASSOCIATION YORK REGION CMHA, Yrk Regin Branch prvides prgrams and services in Yrk Regin and Suth Simce. Our missin is t be the centre f excellence in mental health and supprt the resilience and recvery f peple experiencing mental illness. Fr mre infrmatin n the fllwing prgrams and ther services ffered, please visit ur website www.cmha yr.n.ca r call ur central number at 905 853 8477 r 1 866 208 5509 Assertive Cmmunity Treatment Team Designed t prvide cmprehensive, cmmunity based psychiatric treatment, rehabilitatin and supprt t peple with serius and persistent mental illness, ACT teams include multi disciplinary health care prfessinals: case managers, nurses, emplyment specialists, scial wrkers, ccupatinal therapist, peer supprt wrkers, addictins specialists and psychiatrists. Services are available 24 hurs per day, 365 days per year in the client s chice f envirnment. ACT teams wrk with clients t: imprve their daily quality f life increase independence in the cmmunity help with medicatin management and imprve symptm management reduce hspitalizatin find accmmdatin f chice reduce substance use explre emplyment pprtunities educate and supprt families Case Management Intensive case management ffers a supprtive framewrk fr individuals with serius mental illness t achieve greater independence and an imprved quality f life. Our highly skilled case managers wrk in partnership with individuals t identify areas f strength and determine areas f need. Tgether, a supprt plan is prepared, addressing areas such as skills develpment particularly as they relate t emplyment, issues related t primary healthcare, and access issues fr husing and/r incme; we assist clients t engage in their lcal cmmunity t reduce their experience f scial islatin. In additin t intensive case management, individuals in Suth Simce wh are hmeless r at risk f becming hmeless can access additinal supprt t ensure husing stabilizatin. Early Psychsis Interventin Psychsis is a cnditin that affects the mind, resulting in sme lss f cntact with reality. Symptms may include hallucinatins, delusins (false beliefs), parania and disrganized thughts and speech. Help Overcme Psychsis Early (H.O.P.E.) is ur early psychsis interventin prgram and is ffered thrughut Yrk Regin and Suth Simce. The H.O.P.E. team ffers specialized services fr individuals aged 16 35 wh are experiencing psychsis fr the first time. The team includes health care prfessinals frm many disciplines. The wrk with clients t: imprve their daily quality f live increase independence in the cmmunity help with medicatin management and imprve symptm management reduce hspitalizatin Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 40

CAREER SOLUTIONS (TDSB CAREER SOLUTIONS) Cntact: 10720 Ynge St, Suite 211, Richmnd Hill, ON L4C 3C9 Wilf Flagler, Prject Administratr Phne: 905 764 4797 / 1 800 290 8939 Fax: 905 508 4924 Hurs: Languages: Referral Prcess: Wilf.Flagler@tdsb.n.ca Mn Fri 8:30 am 4:30 pm Yrk Regin / Bradfrd West Gwillimbury Eligibility criteria fr sme prgrams, call fr details English Fr emplyment cunselling service nly Offers a number f quality emplyment services and prgrams like: individual emplyment cunselling services; Career Paths: a career assessment wrkshp; and Experience Cunts fr 35+, a tw day wrkshp; Take Cntrl, career research strategies, fr a practive jb search. CATHOLIC COMMUNITY SERVICES OF YORK REGION Rbert Hickey, Executive Directr 21 Dunlp St, Richmnd Hill, ON L4C 2M6 Phne: 905 770 7040 / 1 800 263 2075 Fax: 905 770 7064 Website: Hurs: Languages: Accessibility: Vlunteers: ccyr@ccsyr.rg www.ccsyr.rg Mn Fri 8:30 am 4:30 pm Yrk Regin Arabic, Armenian, Bsnian, Bulgarian, Chinese (Cantnese & Mandarin), Cratian, English, Farsi, Filipin, French, German, Hindi, Italian, Khmer, La, Plish, Prtuguese, Punjabi, Russian, Serbian, Smali, Spanish, Swahili, Thai, Turkish Barrier free washrm, disability parking, wheelchair accessible Yes Within the Cathlic value system, serves peple with scial and persnal needs in rder t strengthen and enhance individual and family functining and t empwer them t live their lives as independent, healthy and scially respnsible peple. Als advcates fr changes in ur cmmunity and in gvernment legislatin s as t enhance welfare, health and functining f the individuals and families served by the agency. Evening cunseling appintments ffered. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 41

(Cathlic Cmmunity Services f Yrk Regin Cntinued) Cmmunity Educatin Prgrams (905) 770 7040 Cntact: Dug Lweth Fax: 905 770 7064 User fees: dlweth@ccsyr.rg Subsidies are available fr thse wh are unable t pay. Educatinal prgrams fr adults and yuths are held in a variety f languages; als available t ffer cnsultatin t the cmmunity and t develp prgrams fr interested grups; prgrams currently being ffered include: cultural adjustment grups, supprt grups, life skills wrkshps, self esteem grups, parenting wrkshps and grups, scial/recreatinal grups, and cultural sensitivity training. Call fr details. Cunselling Services (905) 770 7040 Cntact: Dug Lweth Fax: 905 770 7064 User fees: dlweth@ccsyr.rg Sliding scale based n client s ability t pay Individual, cuple and family therapy available t enable clients t increase their awareness and find the resurces within themselves t cpe with their prblems; all services are cnfidential. Immigrant Services (905) 770 7040 Cntact: Stephen Lam Fax: 905 770 7064 Vlunteers: slam@ccsyr.rg Yes Prvides cunselling fr immigrant individuals and families relating t adjust prblems, infrmatin and referrals, advcacy and access, interpretatin and translatin, newcmer rientatins, wrkshps, multicultural events, cultural sensitivity training, jb search wrkshps and a HOST prgram; call fr details. Markham 7170 Warden Ave, Unit 15, Markham, ON L3R 8V3 Markham Phne: 905 415 9537 Vaughan 8108 Ynge St, Suite 203, Vaughan, ON L4J 1W4 Vaughan Phne: 905 709 8181 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 42

CENTRAL COMMUNITY CARE ACCESS CENTRE Cntact: 1100 Grham St, Unit 1, Newmarket, ON L3Y 8Y8 Cathy Szab, Executive Directr Phne: 905 895 1240 / 416 222 2241 r 1 888 470 2222 Fax: 905 952 2424 Website: Hurs: Languages: Accessibility: inf@central.ccac nt.ca www.central.ccac nt.ca 8:30 am 8:30 pm; 7 days/week Nrth Yrk, Yrk Regin, Suth Simce, Etbicke Yrk Valid Ontari Health Card English Barrier free washrm, disability parking, wheelchair accessible Prvides health care and persnal supprt services t enable clients f all ages t live safely at hme; helps individuals gain access t lng term care hmes; prvides infrmatin n health and scial services. Please visit website fr additinal infrmatin n lcatins utside f Yrk Regin. Markham Stuffville Hspital Site 905 472 7373 x 6546 381 Church St, Markham, ON L3P 7P3 Suthlake Reginal Health Centre 905 895 4521 x 2498 640 Grace St, Newmarket, ON L3Y 2P9 Richmnd Hill Office Site 905 763 9928 9050 Ynge St, Richmnd Hill, ON L4C 9S6 Yrk Central Hspital 905 883 2078 10 Trench St, Richmnd Hill, ON L4C 4Z3 Sheppard 416 222 2211 45 Sheppard Ave E, Suite 700, Nrth Yrk, ON M2N 529 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 43

CENTRAL LOCAL HEALTH INTEGRATION NETWORK Hy Eliasph, CEO 140 Allstate Parkway, Suite 210, Markham, ON L3R 5Y8 Phne: 905 948 1872 / 1 866 392 LHIN (5446) Fax: 905 948 8011 Website: Languages: central@lhins.n.ca www.centrallhin.n.ca Varius Ontari cmmunities encmpassing the majrity f Yrk Regin as well as nrth Trnt and suth Simce English One f 14 Lcal Health Integratin Netwrks that have been established by the gvernment f Ontari, respnsible fr planning, integrating and funding health services at the lcal level, including hspitals, lng term care hmes, cmmunity care access centres, cmmunity supprt services, cmmunity mental health and addictins services and cmmunity health centres. CHRISTIAN HORIZONS Cntact: Phne: 705 789 1725 Fax: 705 789 7042 Website: Hurs: Languages: Referral: User Fees: Vlunteers: 114A Main St E, Huntsville, ON P1H 1K6 Belinda Burstn, Area Manager bburstn@christian hrizns.rg www.christian hrizns.rg Mn Fri 8:30 am 4:30 pm Yrk Regin Diagnsis f develpmental disability English Referral Frm Available Yes Yes Residential accmmdatin serves individuals with develpmental delays and perates thrughut the Prvince f Ontari; three prgrams ffered in Yrk Regin. Hrizn Huse Yrk 5 905 939 4635 203 Western Ave, Schmberg, ON L0G 1T0 Fax: 905 939 9174 lgriffin@christian hrizns.rg Applicatin: Yes Supprts fur yung adults with autism; limited respite care; advcacy; referrals; educatin Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 44

(Christian Hrizns Cntinued) Hrizn Huse Yrk 6 905 939 4610 102 Western Ave, Schmberg, ON L0G 1A9 Fax: 905 939 0737 sstewart@christian hrizns.rg Prvides 24 hur residential supprt fr fur children with develpmental disabilities/autism; in additin, prvides a 24/7 in huse respite supprt prgram fr up t tw children Hrizn Huse Yrk 7 905 737 9770 93 Yrkland St, Richmnd Hill, ON L4C 5Z9 Fax: 905 737 3129 mbencm@christian hrizns.rg 24 hur respite care fr autistic yuth and adults Yrk Apartment Prgram/Yrk Stuffville Supprted Independent Living Prgram 345 Nrth St, Stuffville, ON L4A 4Z3 Phne: 905 640 5365 Fax: 905 640 6509 lhetheringtn@ christian hrizns.rg Applicatin: Cntact agency fr applicatin prcess User Fees: Service funding varies with prgram Six bed supprtive husing unit that prvides assistance t peple with develpmental disabilities with daily activities t facilitate independent living; 24 hur supprt and supervisin prvided; limited respite care; Day Supprt between 4pm 9pm; recreatin COMMUNITY LEGAL CLINIC OF YORK REGION Dennis Bailey, Executive Directr Cntact: 21 Dunlp St, Suite 200, Richmnd Hill, ON L4C 2M6 Call intake (receptin) and case will be assigned t apprpriate persn Phne: 905 508 5018 / 1 888 365 5226 Fax: 905 508 7539 Website: Hurs: Languages: Accessibility: Recgerg@la.n.ca www.clcyr.n.ca Mn Fri 8:30 am 4:30 pm Yrk Regin Financial eligibility test fr client representatin; n test fr summary advice Chinese (Cantnese), Chinese (Mandarin), English Disability parking, Elevatrs, Wheelchair accessible Prvides legal services (advice/representatin), public legal educatin and assistance t cmmunity grups with law refrm and cmmunity develpment; Cmmunity Legal Clinic funded by Legal Aid Ontari; prvides summary advice by telephne; prduces and distributes free public legal educatin materials; speakers available; perates Duty Cunsel Prgram fr tenants appearing befre the Ontari Rental Husing Tribunal; specializes in advising arund ODSP related matters. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 45

COMMUNITY LIVING GEORGINA Cntact: Phne: 905 722 8947 Fax: 905 722 9591 Website: Hurs: Languages: Accessibility: 26943 Highway 48, PO Bx 68, Suttn, ON L0E 1R0 Susan Rme, Executive Directr inf@cmmunitylivinggergina.cm www.cmmunitylivinggergina.cm Mn Fri 8:30 am 4:30 pm Gergina Individuals with a develpmental disability English Barrier free washrm; wheelchair accessible Services and supprt t ensure that all persns with develpmental and related handicap have the right t live in a state f dignity and have the pprtunity t participate and share in all elements f cmmunity living; services include residential, day and utreach supprts; in additin t, respite care thrugh ur Family Care Prgram. COMMUNITY LIVING NEWMARKET/AURORA DISTRICT Cntact: 757 Bgart Ave, Newmarket, ON L3Y 2A7 Larry Palmer, Executive Directr Phne: 905 898 3000 / 905 773 6346 Fax: 905 898 6441 Website: Hurs: Languages: Accessibility: clnad@clnad.cm www.clnad.cm Mn Fri 8:30 am 4:30 pm Aurra, East Gwillimbury, King, Newmarket, Whitchurch Stuffville Serves peple with an intellectual disability English Yes Prvides services and supprt t peple with an intellectual disability t prmte their participatin, friendship and citizenship in the cmmunity; services include living ptins, emplyment and alternative wrk ptins, respite and family supprt, and recreatin pprtunities Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 46

COMMUNITY LIVING YORK SOUTH Cntact: 101 Edward Ave, Richmnd Hill, ON L4C 5E5 Anita Leung, Cheri Evans, Cheryl Rennick r Ritu Bhasin Cmmunity Supprt Crdinatrs Phne: 905 884 9110 / 905 889 5239 r 1 877 737 3475 Fax: 905 737 3284 Website: Hurs: Referral Prcess: Languages: Accessibility: inf@ysacl.n.ca www.ysacl.n.ca Supprt Hurs are individualized Suthern Yrk Regin Peple with develpmental disabilities Self referrals, family referrals, utside agency referrals English and Cantnese Mst Cmmunity perated day prgrams, residential prgrams, utreach prgrams, supprted independent living and cmmunity ptins (emplyment, vlunteering, etc.) COSTI IMMIGRANT SERVICES Cntact: Phne: 905 669 5627 Fax: 905 669 1127 Website: Hurs: Languages: Accessibility: 7800 Jane St, Unit 1, Cncrd, ON L4K 4R6 Julie Darbh, General Manager vaughan@csti.rg www.csti.rg Mn, Wed, Thu, Fri 8:30 am 4:30 pm Resurce Centre is pen Tue, Wed, Thu until 7:00 pm Yrk Regin Open t all jb seekers wh are legally eligible t wrk in Canada Arabic, English, Italian, Plish, Prtuguese, French, Amharic, Orm, Assyrian, Russian, Spanish, German, Hebrew, Ga, Twi, Sign language Open t all eligible jb seekers. Wheelchair Cmmunity based agency assisting clients in meeting individual emplyment related needs Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 47

CROSSLINKS HOUSING AND SUPPORT SERVICES LOFT COMMUNITY SERVICES Lri Kerr, Prgram Directr Phne: Fax: 905 713 0139 Website: Languages: 15105 Ynge St, Suite 204, Aurra, ON L4G 1M5 905 713 0137, 1 866 553 4053 (Mbile Van) www.lftcs.rg crsslinks@lftcs.rg English Yrk Regin Yes Prvides husing and supprts t adults with serius mental health needs, including: husing utreach (shrt term husing; fcused case management), cmmunity supprt (case management) and residential Street Outreach Van 416 274 4972 / 1 866 553 4053 Street Outreach Van in cnjunctin with Yrk Regin Health Services prvides a variety f harmreductin services t individuals wh are hmeless and/r street invlved. Mbile Van 1st Episde Prgram In partnership with CMHA HOPE team prvides supprtive husing t individuals experiencing psychsis. Hmelessness Initiative 905 713 0137 Prvides residential husing utreach thrugh a cntinuum f supprtive husing t thse wh are seriusly mentally ill and hmeless r at risk f hmelessness. Ranges frm cperative living t self cntained units with n site supprt and the General Residents Assn DOWN SYNDROME ASSOCIATION OF YORK REGION Mailing 1100 Grham St, Suite 118, PO Bx 345, Newmarket, ON L3Y 8Y8 Phne: 416 410 3696 / 1 800 649 3696 Website: Languages: Fees: Vlunteers: inf@dsayr.n.ca www.dsayr.ca Yrk Regin English T be put n mailing list Yes Prvides infrmatin n Dwn Syndrme; rganizes meetings, scial events, and wrkshps t prmte integratin in all areas f cmmunity life. Parent supprt grup Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 48

HOUSING HELP CENTRE (Citizens fr Affrdable Husing) Cntact: Phne: Fax: 905 508 1237 Website: Hurs: Languages: Vlunteers: Accessibility: 10271 Ynge St, Richmnd Hill, ON L4C 3B2 Mary Ann Prulx, Executive Directr 905 713 2696 / 416 410 6051 / 1 888 447 9602 (Gergina) inf@husinghelpcentre.rg www.husinghelpcentre.rg Mn Fri 9:30 am 4:30 pm Yrk Regin English Yes Unlimited The cmmittee is an actin grup f cmmunity residents, human service prfessinals, church grups, nn prfit husing grups and public sectr representatives. Affrdable Husing Advcacy 905 713 2696 / 905 508 1877 Fax: 905 508 1237 Vlunteers: Yes Identifies existing barriers; prvides public educatin; prvides an infrmed and rganized vice n behalf f all thse wh require adequate and affrdable husing. Husing Help Centre 905 508 1877 Fax: 905 508 1237 inf@husinghelpcentre.rg Vlunteers: Yes Maintains a husing registry t assist individuals in securing affrdable accmmdatin in the private rental market; perated by the Affrdable Husing Cmmittee f Yrk Regin, a nnprfit advcacy grup advcating fr adequate and affrdable husing in Yrk Regin since 1986. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 49

JOB SKILLS Cntact: Nella Lasci, Executive Directr 14 130 Davis Dr, Newmarket Plaza, Newmarket, ON L3Y 2N1 Linda Day Phne: 905 898 5138 r 1 866 592 6278; TTY 905 898 4465 Fax: 905 898 4830 Website: Hurs: Languages: Accessibility: admin@jbskills.rg www.jbskills.rg Mn Fri 8:30am 4:30 pm Yrk Regin English Disability Parking, Wheelchair accessible Jb Skills is a cmmunity based training agency that prvides emplyment and business services and prgrams designated t meet clients individual requirements. Emplyment Assistance Services (EAS) Applicatin: Unemplyed Cmmn Assessment (emplyability assessment) Prvides unemplyed individuals with supprts, infrmatin, assessment t develp a return t wrk actin plan (RTWAP). One n ne supprt/case management services. Markham Office 905 948 9622 Fax: 905 948 8737 Hurs: 4855 14th Ave, Unit 3, Markham, ON L3S 3L6 markham@jbskills.rg Mn, Wed, Fri 8:30 am 5:00 pm; Tue, Thu 8:30 am 8:00 pm Keswick Office 905 476 8088 Fax: 905 476 5988 Hurs: 155 Riverglen Dr, Unit 7, Keswick, ON L4P 3M3 admin@jbskills.rg Mn, Wed, Thurs, Fri 8:30 am 4:30 pm, Tues, 8:30 am 8 pm Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 50

KERRY S PLACE AUTISM SERVICES CENTRAL EAST REGION Cntact: Brenda Sctt, Reginal Executive Directr 34 Berczy St, Suite 130, Aurra, ON L4G 1W9 Candice Grant, Intake Phne: 905 713 6808 / 905 841 6611 Fax: 905 841 1461 Web: Hurs: Referral Prcess: Languages: Vlunteers: Accessibility: www.kerrysplace.cm Mn Fri 9:00 am 4:30 pm Yrk Regin Eligibility based n dctr s diagnsis f Autism Parent English Yes Barrier free washrm, disability parking, wheelchair accessible Prvides specialized innvative supprts fr children, adlescents and adults with autism t address individual scial, educatinal, vcatinal and develpmental needs; specialized residential services and cmmunity utreach prgram fr adlescents and adults; prvides supprt and cnsultatin t children/adlescents with autism wh live at hme with their families by ffering parent/mediatr training prgram planning, and case management. Residential supprts lcated in Newmarket and East Gwillimbury, Durham Regin. Yrk/Durham and Simce cmmunity supprts include: cnsultatin, scial/rec grups and cmmunity awareness/training. KINARK CHILD AND FAMILY SERVICES Christine Simmns Physick, Prgram Directr 24 Orchard Heights Blvd. Unit 101, Aurra, ON L4G 6T5 Phne: 1 888 454 6275 (Intake) / 905 898 4572 / 905 773 0375 Fax: 905 713 0045 Website: Hurs: Referral Prcess: Languages: Accessibility: christine.simmns physick@kinark.n.ca www.kinark.n.ca Mn Thu 8:30 am 8:00 pm; Fri 8:30 am 5:00 pm Yrk Regin Children ages 0 19 years ld Parent English Wheelchair Accessible Offers grup cunseling, prfessinal assessments, yuth crisis interventin, respite relief, and residential treatment. Cntact main ffice fr infrmatin n these centres. Mbile crisis respnse fr children and yuth. Early interventin services can be accessed t supprt children with special needs. Access Kinark Autism Prgram thrugh Behaviur Management Services at 905 773 8499 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 51

KRASMAN CENTRE FOR COMMUNITY MENTAL HEALTH (LANCE KRASMAN MEMORIAL CENTRE) Cntact: 10121 Ynge St, Richmnd Hill, ON L4C 1T7 Tanya Shute, Executive Directr Phne: 905 780 0491 / 1 888 780 0724 Fax: 905 780 1960 Email: Website: Hurs: Languages: Accessibility: pstmaster@krasmancentre.cm www.krasmancentre.cm Mn, Tue, Fri 11am 5pm, Wed 1pm 5pm, Thu 11am 9pm, Sat 12pm 4pm Hlidays Nn 4pm Yrk Regin English, Translatrs/interpreters by arrangement Wheelchair accessible Drp in centre prviding infrmatin, referral and supprt t peple wh have experience with mental health issues and their families and friends. It is the hme f the Self Help Netwrk and prvides pprtunities fr cnsumers, survivrs and family members t have mutual supprt. Mnday t Friday hurs vary. Weekend hurs als vary. Warm Line 1 888 777 0979 A nn crisis telephne supprt line peer supprt line fr individuals r family members. The supprt line is answered by psychiatric cnsumer/survivrs and prvides infrmal supprt and resurce infrmatin in Yrk Regin. The line is currently pen every night frm 6:00 pm until midnight. L ARCHE DAYBREAK Cntact: Phne: 905 884 3454 Fax: 905 884 0580 Hurs: Languages: 11339 Ynge St, Richmnd Hill, ON L4S 1L1 Ann Pavilnis, Hmes Crdinatr annp@larchedaybreak.cm Mn Fri 8:30 am 4:30 pm Yrk Regin 18 years f age and lder and develpmentally handicapped English Prvides lng term residential care and vcatinal training fr 36 ambulatry develpmentally disabled adults Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 52

MARKHAM STOUFFVILLE HOSPITAL Outpatient Adult Mental Health Phne: 905 472 7011 Fax: 905 472 7371 Website: 18+ Referral Prcess: Languages: Accessibility: Janet Bead, President and CEO 381 Church St, PO Bx 1800, Markham, ON L3P 7P3 www.msh.n.ca Suthern Yrk Regin, Durham and Scarbrugh Referral by family physician required English Disability parking, elevatrs, wheelchair accessible An utpatient prgram prviding individual and grup therapy fr adults experiencing acute r significant difficulties related t their psychiatric r psychlgical health. Prgram is staffed by an interdisciplinary team ffering shrt term gal minded treatment, assessment, diagnsis, psychiatric cnsultatin and treatment n an utpatient basis. MARY CENTRE OF THE ARCHDIOCESE OF TORONTO Cntact: 530 Wilsn Ave, Ste. 210, Nrth Yrk, ON M3H 5Y9 M. Pattersn Phne: 416 630 5533 Fax: 416 630 5702 Website: Hurs: Referral Prcess: Languages: Fees: Accessibility: mpattersn@marycentre.cm www.marycentre.cm Office Mn Fri 9:00 am 5:00 pm City f Trnt and Peel Regin Respite Care Prgram GTA Adults 18 years and ver with intellectual disabilities. Intake Wrker English Fee fr respite care prgram nly yes Five wheelchair accessible grup hmes in Scarbrugh and Bramptn cmmunity integratin prmtes access t cmmunity activities fr senirs with intellectual disabilities living in grup hmes r in the cmmunity Respite Care Prgrams caregiver relief fr adults with an intellectual disability Supprted Independent Living Prgram tw respite beds parish utreach prgram nn denminatinal. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 53

META CENTRE Cntact: 401 Champagne Dr, Nrth Yrk, ON M3J 2C6 V. Tavernese Phne: 416 736 0199 Fax: 416 736 9181 Website: Hurs: Fees: vtavernese@metacentre.ca www.metacentre.ca Office: Mn Fri 9:00 am 4:30 pm; Prgrams: Mn Fri 9:00 am 3:00 pm, Sat 10:00 am 4:00 pm GTA and Trnt, Yrk Regin, Vaughan, Scarbrugh T be determined at intake assessment Day Prgrams fr adults 18 years and ver with a primary diagnsis f intellectual disabilities; leisure prgrams; supprted independent living prgram assistance securing shared accmmdatin, supprtive services t facilitate independent living; supprted emplyment prgram; summer day camp fr children and yuth; grup hmes; Saturday prgrams (fee fr service) NEIGHBOURLINK, HEART OF YORK Cntact: Phne: 905 895 0615 Website: Languages: Vlunteers: UCPO, PO Bx 21534, Newmarket, ON L3Y 8J1 Calls answered by many vlunteers www.heartfyrk@bellnet.ca Aurra, Bradfrd, Newmarket Dually diagnsed wuld receive the same service as anyne else English Yes Netwrk f lcal churches has invlved capable and willing vlunteers t respnd t needs in their cmmunities. It prvides a frum fr churches and lcal agencies t netwrk and partner in jint cmmunity ventures. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 54

ONTARIO MINISTRY OF COMMUNITY AND SOCIAL SERVICES MINISTRY OF CHILDREN & YOUTH SERVICES Central East Regin Cntact: Phne: Fax: 905 895 4330 Website: Hurs: Referral: Languages: Accessibility: 465 Davis Dr, 4th Flr, Newmarket, ON L3Y 8T2 Client Service Representatives 905 868 8900 / 1 877 669 6658 / 905 715 7759 (TTY/TDD) www.gv.n.ca r www.mcss.gv.n.ca Mn Fri 8:30 am 5:00 pm Yrk Regin and surrunding areas Self referral thrugh this ffice, Ontari Wrks referrals Be financially in need as prescribed by ur Act; be disabled as reviewed by the Disability Adjudicatin Unit English Barrier free washrm, disability parking, elevatrs, wheelchair accessible Incme and emplyment supprts and scial and cmmunity services fr adults, children and yuth, peple with physical and develpmental disabilities and abriginal peple, wh have financial eligibility and disability eligibility; assessment and planning fr emplyment fr disabled peple wh qualify. Children s Services 905 868 8900 x 5301 Fax: 905 895 6804 The Ministry funds temprary emergency shelters and cunselling services fr victims f dmestic vilence and their children, children s mental health services, prbatin services and child welfare services. Develpmental Services 905 868 8900 x 5400 Fax: 905 895 6804 Prvides services and supprts t adults wh have a develpmental disability and their families, primarily thrugh a netwrk f cmmunity based, bard perated, nn prfit transfer payment agencies t imprve the quality f their lives. Ontari Disability Supprt Prgram (ODSP) 905 868 8900 r 1 877 669 6658 Fax: 905 715 7662 Applicatin: Disabled unable t wrk Yes The Ministry prvides incme supprt fr disabled Ontari residents t live as independently as pssible within the cmmunity. Cntact the Reginal ffice fr mre infrmatin. Ontari Disability Supprt Prgram Emplyment Supprts 905 868 8900 r 1 877 669 6658 Fax: 905 715 7662 The Ministry prvides emplyment supprt fr disabled Ontari residents t live as independently as pssible within the cmmunity. Supprt is prvided thrugh the Ontari Disability Supprt Prgram. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 55

(MCSS/MCYS Cntinued) Ontari Wrks 905 868 8900 x 5501 Fax: 905 895 6804 Disabled unable t wrk Prvides financial and emplyment assistance t single peple, cuples with and withut children, and sle supprt parents. CHILDREN S SERVICES 465 Davis Dr, 3rd Flr, Newmarket, ON L3Y 8T2 Cntact: Ann Carl Hargreaves, Ext. 5406 Phne: 905 868 8900 / 1 877 669 6658 Fax: 905 715 7662 Website: Hurs: Languages: Accessibility: www.gv.n.ca r www.ssah.ca Mn Fri 8:30 am 5:00 pm Yrk Regin English, French Disability parking, elevatrs, wheelchair accessible Planning and develpment services under the Child and Family Services Act, including child welfare, child treatment, child and family interventins, cmmunity supprt, childcare and yung ffender service. Has prvincial authrity fr supervising agencies prviding these services, including children s aid scieties. Special Services at Hme 905 868 8900 r 1 877 669 6658 x 5450 This is a prgram funded by the Ministry f Cmmunity and Scial Services and Ministry f Children and Yuth Services t assist families in prviding fr family members wh have a disability within their wn hmes and cmmunities. The prgram is designed t assist families caring fr a member wh has a disability requiring supprt beynd the care nrmally prvided by a family. When this is the case, the gvernment has made a cmmitment t assist with csts and required supprt services, by supplying a range f family supprt services, which are nt therwise available in the cmmunity. It is nt intended t duplicate existing services r fund services that are the respnsibility f the educatin system. SSAH is mst cmmnly used by families t cntract a respite/supprt wrker t wrk with their special needs family member. The wrker may help peple with disabilities t develp new skills and jin in cmmunity life. Fr example, a wrker can be paid t teach smene scial skills r hw t perfrm daily living tasks independently. The wrker may als be trained t implement recmmendatins frm a behaviur, speech r infant develpment prgram. SSAH als helps families by recgnizing the added respnsibilities f caring fr a family member with a disability. A gd example f this help is parent relief (r respite) s family members can have time fr their wn needs, r the needs f ther peple in the family. Peple f all ages with a develpmental disability and children under 18 with a physical disability are eligible fr SSAH. T qualify, individuals must live in Ontari with their families, need help in daily living activities and require mre supprt than families can usually ffer. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 56

(MCSS/MCYS Cntinued) THISTLETOWN REGIONAL CENTRE FOR CHILDREN & ADOLESCENTS 51 Panrama Ct, Etbicke, ON M9V 4L8 Phne: 416 326 0600 Fax: 416 326 9078 Hurs: Mn Fri 8:30 am 5:00 pm Yrk Regin Referral Prcess: Prfessinal r self referral Languages: English Accessibility: Barrier free washrm, disability parking, elevatrs, wheelchair accessible Initiates new service mdels, is a prvincial teaching and research centre, prvides cnsultatin and prmtes develpment and sharing f expertise. Includes Adlescent Services, INTERFACE, SAFE T, and TRE ADD Adlescent Services 416 326 0735 Phne: 416 326 0874 (Intake) Fax: 416 326 9078 Referral: Yes Vlunteers: Yes Prvides services fr yuth 13 19 years ld with histries f cnduct disrders, learning disabilities and a variety f psychiatric disturbances, and their families INTERFACE 416 326 0750 Fax: 416 326 0936 Referral: Yes Vlunteers: Yes Prvides service fr families with symptmatic children up t 14 years ld, usually having sme previus invlvement with a mental health agency; ffers assessment and cnsultatin, live in unit admitting entry families fr assessment and treatment, assessment services fr children with develpmental delays, cmmunity services including nging family therapy, marital and individual day treatment and hme supprt SAFE T (Sexual Abuse: Family Educatin and Treatment) 416 326 0647 Fax: 416 326 6581 Referral: Yes Vlunteers: Yes Prvides service fr sexually abused and/r abusive children, adlescents and their families; ffers family and individual assessment, treatment f sexual ffenders and ffending parents and a self help cmpnent Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 57

(MCSS/MCYS Cntinued) TRE ADD (Treatment, Research and Educatin fr Autism & Devtl Disrders) 416 326 0608 Fax: 416 326 9078 Referral: Vlunteers: Yes Yes Prvides services fr children and yuth with Autism and develpmental disrders; ffers assessment and cnsultatin, day treatment in cmmunity schls, in hme behaviur management training, parent relief fr registered clients, grup hme treatment prgram, prfessinal cnsultatin, and training and research; direct service available in Nrth Yrk, Peel and Etbicke ONTARIO MINISTRY OF HEALTH & LONG TERM CARE Cmmunicatin and Infrmatin Branch, INFOline Phne: Fax: 416 314 8721 Website: Hurs: Languages: Service Ontari Infline M 1B114, Macdnald Blck, 900 Bay St, Trnt, ON M7A 1N3 1 800 532=2161 (Infline) / 1 800 387 5559 (TTY/TDD) infline@mh.gv.n.ca www.health.gv.n.ca Mn Fri 8:30 am 5:00 pm Ontari, including Yrk Regin English, French and a variety f ther languages A multilingual telephne infrmatin and referral line fr the Ministry f Health and Lng Term Care (MOHLTC). INFOline distributes Ministry publicatins and prvides general infrmatin/referral n Ministry prgrams and services (i.e., Ontari Health Insurance Plan OHIP, Ontari Drug Benefit Prgram ODB, Mental Health, Assistive Devices Prgram ADP, lng term care, etc. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 58

PARTICIPATION HOUSE, MARKHAM Frances DiCarl, Acting Executive Directr 9 Butternut Lane, Markham, ON L3P 3M1 Cntact: Julie Dnkersley RN, Manager Residential Care, Ext. 232 Phne: 905 294 0944 Fax: 905 294 7834 Hurs: Languages: Fees: Accessibility: Julie.dnkersley@participatinhuse.net Mn Fri 8:30 am 4:30 pm; vicemail system after hurs Yrk Regin Individuals with a develpmental disability. Access t services thrugh Yrk Supprt Services Netwrk (905 898 6455 X 574) English Daily fee applicable fr respite care Barrier free washrm, disability parking, wheelchair accessible Operates fur cmmunity residences and three grup hmes with 24 hur supprt and supervisin fr physically disabled adults 18 years f age and lder; special fcus n Cerebral Palsy; ffers independent living prgram, day supprt, respite care and recreatin Cedarcrest Manr (8 Bed Facility) 905 472 5261 20 Water St, Unit 225, Markham, ON L3P 7P7 Fax: 905 472 2975 Cliffwd Manr (9 Bed Facility) 416 494 2648 4000 Dn Mills, Willwdale, ON M2H 3N2 Fax: 416 494 4406 Farintsh Huse 7811 Kennedy Rd, Markham, ON L3R 1H1 905 477 9925 Fax: 905 477 5350 Hagerman Crners (8 Bed Facility) 905 947 0547 4460 14th Ave, Markham, ON L3R 1H1 Fax: 905 947 0536 Hendersn Huse (6 Bed Grup Huse) 905 881 5155 113 Hendersn Ave, Thrnhill, ON L3T 2L3 Fax: 905 881 5158 Participatin Huse Residence (48 Bed Residence Grup Hme) 905 294 0944 9 Butternut Lane, Markham, ON L3P 3M1 Fax: 905 294 7834 St. Luke s (20 Bed Facility) 905 731 0792 49 Green Lane, Thrnhill, ON L3T 7M9 Fax: 905 731 2160 Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 59

PINEVIEW (COMMUNITY LIVING HURONIA) Cntact: Phne: 705 543 1749 Fax: 705 526 8299 Marnie McDermtt, Manager f Clinical Services mmcdermtt@clhmidland.n.ca Central East Regin Pineview has three key cmpnents: Transitinal Treatment Hme Individuals with a develpmental disability, mental health needs and/r challenging behaviurs Pineview is a treatment hme fr five individuals, lcated in Penetanguishene n the grunds f the Mental Health Centre. The hme is fully accessible. Operated by Cmmunity Living Hurnia, the hme prvides shrt term (up t 1 year) treatment. During the treatment, a multi disciplinary team with expertise in develpmental disabilities, mental health issues and challenging behaviurs, prvides assessment and develpment and implementatin f a treatment plan based n a persn s individual supprt needs. Upn cmpletin f the prgram, individuals will return t their hme cmmunity with supprts t cntinue the treatment recmmendatins. Discharge planning with the referring agency begins upn admissin t the treatment hme. The referring agency will maintain case management fr the individual unless an alternate case manager has been assigned. The receiving agency will be actively engaged in the individual s treatment plan. Training fr agency staff and the family is part f the prcess. Mbile Resurce Team The Mbile Resurce Team (MRT) cnsists f bth lcal and reginal specialized supprts that review the individual using the bi psychscial mdel. Team members include behaviur therapists, a psychiatric nurse, case manager, persn centered planner and the transitin hme manager. Assessments are cmpleted in the individual s hme cmmunity by apprpriate members f the team. The MRT makes recmmendatins and/r ffers supprts t agencies, case managers and/r families t better supprt individuals with challenging behaviur and/r dual diagnsis t allw them t remain in their wn hme if pssible The MRT will review applicatins fr admissin t a treatment hme and make recmmendatins t the Netwrk Crdinatr. The recmmendatins may be: (a) remain in the cmmunity, with additinal supprts as required; (b) enter a treatment hme; r (c) be hspitalized. Key partners include: Yrk Central Hspital s Simce Behaviur management Services, Catulpa Cmmunity Services and the Mental Health Centre, Penetanguishene. Other rganizatins frm Central East Regin supply resurces and expertise as required. Develping Cmmunity Capacity There is an emphasis n building cmmunity capacity acrss Central East Regin. This will include an emphasis f staff training. Staff training will be dne at the transitin hme fr thse staff wrking with individuals in residence, and in the hme cmmunity. T ensure c rdinatin and cntinuum f service, it is expected that the hme cmmunity will be actively invlved in the nging planning and training activities. This will include fllw up actins upn discharge f the persn back t their hme cmmunity. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 60

RECONNECT MENTAL HEALTH SERVICES Cntact: Phne: 416 248 2050 Fax: 416 248 6557 Website: Hurs: Referral Prcess: Languages: Fees: Accessibility: 2150 Islingtn Ave, Suite 202, Etbicke, ON M9P 3V4 Elizabeth Munz, Intake Crdinatr cntact@recnnect.n.ca www.recnnect.n.ca Mn Thu 9:00 am 5:00 pm; Fri 8:30 am 4:30 pm There is n catchment area fr the day prgram but clients must be able t attend the centre using their wn means f transprtatin. The cmmunity supprt, husing supprt and ACTT prgrams serve clients wh live in Etbicke and/r the frmer city f Yrk Adults (16 years and lder); lng standing psychiatric illness Clients can be referred by a psychiatrist, therapist, family member r can refer themselves by phning 416 248 2050. *Referral frms are als available thrugh the website. English N fee (sme minimal fees are required fr clients wh wish t attend sme f ur utings) Yes Rehabilitatin day prgram; client attends grups at the centre and meets with a wrker biweekly fr individual cunseling; grups ffered include life skills, cking, drp in, stress management, cmputers and mre. Cmmunity Supprt Prgram: case management supprt fr clients wh are in need f therapeutic interventin in the cmmunity Husing Supprt Prgram: individual supprt fr clients wh have a mental illness and are hmeless r at imminent risk f hmelessness ACTT Assertive Cmmunity Treatment Team: Cmmunity based treatment cnducted by a multi disciplinary team fr peple with a serius mental illness, functinal impairments and cmplex needs. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 61

REENA: THE TOBY AND HENRY BATTLE DEVELOPMENTAL CENTRE 927 Clark Ave W, Thrnhill, ON L4J 4P8 Cntact: Intake Department Phne: 905 889 6484 (Receptin); 905 889 2690 Ext. 2051 / 2057 (Direct) Fax: 905 889 3827 rspekkens@reena.rg r egldbach@reena.rg Website: www.reena.rg Trnt GTA, Central East Diagnsis f develpmental disability Referral Prcess: Call Intake Department Languages: English Fees: Depending n Prgram Accessibility: Battle Centre and sme grup hme lcatins REENA prvides residential, day and utreach respite prgrams. SALVATION ARMY NORTHRIDGE COMMUNITY CHURCH Cmmunity & Family Services and Help Centre Phne: 905 895 0577 Fax: 905 830 0343 Website: Hurs: Area Served: Language: Accessibility: Majrs Brian and Glenda Bishp 415 Pickering Crescent, Newmarket, ON L3Y 4X7 mail@nrthridgecmmunitychurch.cm www.nrthridgecmmunitychurch.cm Mn Fri 8:30 am 4:30 pm Nrthern Yrk Regin abve Blmingtn English Identificatin Required, Dually diagnsed persn wuld be treated as anyne else. Barrier free washrm, disability parking, wheelchair accessible Prvides a range f services t families and individuals, including spiritual develpment, fd and clthing; prvides emergency fd t residents f Yrk Regin (nrth f Blmingtn Rd); residents may use ur services mnthly, including Christmas; at Christmas, prvides large hamper and tys. Fd bank hurs f peratin: Mn r Thu 9:30 am 11:30 am (appintment required). Als crdinates f Yrk Regin Hmelessness Preventin Prgram. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 62

SANDGATE WOMEN S SHELTER OF GEORGINA PO Bx 248, Suttn West, ON L0E 1R0 Phne: 905 722 3220 (Crisis) / 905 722 4043 (Admin) / Fax: 905 722 8416 Website: Hurs: Area Served: Language: Vlunteers: Accessibility: 1 800 661 8294 / TTY: 905 722 6223 www.sandgate.ca 24 hurs a day/7 days a week Yrk Regin English, French, Chinese (Cantnese/Mandarin), Russian, Spanish, Urdu, Arabic, Swahili, Plish, Gujarati, Punjabi, Hindi, Persian, Italian, Prtuguese, German Abused wmen and their children wh have identified abuse in their life; Dually diagnsed persns are accepted int the general prgram Yes Barrier free washrm, disability parking, elevatrs, wheelchair accessible Prvides emergency shelter and supprtive cunselling fr abused wmen and their children in crisis and/r abusive situatins; educates the cmmunity arund issues related t wman abuse Let s Talk 905 476 8992 r 1 888 698 8986 Fax: 905 476 8405 Abused wmen and their children wh have been expsed t vilence against wmen Helps children between the ages f 4 16 understand the cycle f abuse and deal in a grup setting with their feelings as witnesses t vilence against wmen. Als ffers mthers grups t supprt their child s learning. Free service; transprtatin can be arranged. Cmmunity Prgrams 905 476 8992 r 1 866 625 5910 Fax: 905 476 8405 Offered primarily t wmen and their children wh are nt residents f the shelter Prvides transitinal supprt and utreach wrkers t abused wmen thrughut Yrk Regin; public educatin individual and grup sessins are als available, as is ur vlunteer prgram. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 63

SCHIZOPHRENIA SOCIETY OF ONTARIO YORK REGION inf@schizphrenia.n.ca Website: www.schizphrenia.n.ca Vlunteers: Yes Prvides infrmatin, advcacy and supprt n issues related t schizphrenia. SOUTHLAKE REGIONAL HEALTH CENTRE Phne: 905 895 4521 Fax: 905 830 5818 Website: Hurs: Languages: Accessibility: Daniel P. Carriere, President 596 Davis Drive, Newmarket, ON L3Y 2P9 www.suthlakereginal.rg 24 hurs a day/7 days a week Yrk Regin English Barrier free washrm, disability parking, elevatrs, wheelchair accessible Prvides a range f inpatient/utpatient services t residents f Newmarket, the nrthern part f Yrk Regin, the suthern part f Simce Cunty, Bradfrd and surrunding area; service pririties include emergency care, cancer care, cardiac care, child/adlescent mental health, adult mental health and family centered maternal/child care. Adult Brief Therapy Clinic 905 895 4521 x 2339 Prvides assessment, shrt and medium term cunselling t individuals, grups, families; fcus n majr psychiatric diagnses Child and Adlescent Crisis Prgram (CAPC) 905 853 2227 Prvides assessment and crisis interventin fr children up t, but nt including, age 18; referrals t ther agencies where apprpriate; direct referrals and thse frm agencies g thrugh 310 COPE. Eating Disrder Prgram 905 895 4521 x 2322 Prvides ut patient and day treatment prgrams fr adlescents aged 13 18 with an eating disrder; cnsultatin, assessment, therapeutic grups, family supprt and psych educatinal grup prgrams fr adlescents and parents. Five days/week prgram fr eight patients Geriatric Outreach 905 895 4521 x 2447 Prvides assessment f senir citizens in wn hmes r lng term care facilities; makes recmmendatins fr treatment and care t lng term care facilities and family physicians; prvides educatin and fllw up Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 64

(Suthlake Reginal Health Centre Cntinued) Mental Health Prgram 905 895 4521 x 2514 Prvides supprt t children, adults and families needing grup r individual psychiatric assessment/treatment. Services include Adult Brief Therapy Clinic, Crisis Prgram, Child and Family Clinic, Inpatient and Outpatient Mental Health, Geriatric Outreach and an Eating Disrder Prgram ASSERTIVE COMMUNITY TREATMENT TEAM (A.C.T.T.) Cntact: Phne: Fax: 905 476 8668 Website: Hurs: Languages: Accessibility: 183 Simce Ave, Keswick, ON L4P 2H6 Ellen McGregr, Team Leader 905 476 1800; 905 853 2216 (After Hurs) emcgregr@suthlakereginal.rg www.suthlakereginal.rg Mn Fri 8:30 am 4:30 pm; 24 hur n call service Gergina/Newmarket area Severe, persistent mental illness, primarily schizphrenia r biplar disrder English Disability parking; wheelchair accessible, washrm is nt accessible. Assertive Cmmunity Treatment Teams are a multi disciplinary teams that prvides treatment, rehabilitatin and supprt fr peple with severe mental illness t help them remain in the cmmunity and t reduce hspitalizatin. Seventy five percent f services are delivered in the client s chice f envirnment. Staff is available 24 hurs a day, 7 days a week, including hlidays. VITA COMMUNITY LIVING SERVICES Manuela Dalla Nra, Executive Directr 4301 Westn Rd, Westn, ON M9L 2Y3 Cntact: Franca Mlinar Ext. 215 Phne: 416 749 6234 Fax: 416 749 1456 Hurs: Languages: Accessibility: mdallanra@vitacls.rg Mn Fri 9:00 am 5:00 pm Aurra, Markham, Richmnd Hill, Vaughan English, Italian Disability parking, elevatrs, tne elevatr, wheelchair accessible A nn prfit rganizatin prviding residential, day prgrams and respite services t adults and yuth with a develpmental disability Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 65

WHITBY MENTAL HEALTH CENTRE 700 Grdn St, Whitby, ON L1N 5S9 Cntact: Dan Ry, Clinical Services C rdinatr, Dual Diagnsis Ext. 6685 Phne: 905 668 5881 Ext. 6054 / 416 314 2862 / 1 800 263 2679 (Crisis) After Hrs Phne: 905 668 5881 Fax: 905 430 4032 Website: Hurs: Referral Prcess: Languages: Accessibility: www.whitbymentalhealthcentre.ca 24 hurs a day/7 days a week (in patient) Yrk Regin Persns with serius mental illness r emtinal difficulties, adlescent services fr yuth 12 18 years. Psychiatric services fr 18 years and lder Yes English Disability parking, tne elevatr, wheelchair accessible A prvincial psychiatric hspital ffering a number f specialized prgrams including: Inpatient Units, Skills Training, Senirs Cmmunity Services, Neurpsychiatry Unit, Dual Diagnsis Services, Psychiatric Rehabilitatin, Frensic Assessment Unit, Frensic Transitinal Unit and Frensic Rehabilitatin Unit, Assessment and Stabilizatin Unit, ccupatinal, vcatinal, and recreatinal services, cnsultatin, educatin, assessment and crisis interventin. Special Ppulatins Prgram (SPP) Phne: Cntact: Applicatin: 905 668 5881 Ext. 6642 (Admitting) Dan Ry, CSC 18 65 years. Reside within the Whitby Mental Health Center catchment area; be medically stable; have a diagnsis f mental retardatin; have indicatin f mental health r behaviural difficulty. Yes Referral: Intake Scial Wrker 905 668 5881 Ext. 6683 Three clinical units that prvide specialized services t discrete sub ppulatins f the severely mentally ill; services include: Dual Diagnsis Service which cmbines expertise in develpmental disability with that f psychiatry; Neurpsychiatry Unit serves individuals whse psychiatric prblems result frm disease r injury t the brain; Psychtherapy Unit services t adults with cmplex persnality prblems resulting in repeated psychiatric hspitalizatins and frequent invlvement with multiple mental health services. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 66

YELLOW BRICK HOUSE Phne: Fax: 905 727 7316 Website: Hurs: Languages: Accessibility: Vlunteers: Lrris Herenda, Executive Directr P.O. Bx 278, Aurra, ON L4G 3H4 905 727 0930/1 800 263 2231 (after hrs) inf@yellwbrickhuse.rg www.yellwbrickhuse.rg 24 hurs a day/7days a week Yrk Regin English, Chinese, Italian, French, Spanish, Ukrainian, Farsi, Turkish, Dari, Russian, Rmanian, Dutch Dually diagnsed persns are prvided services the same way as everyne else Wheelchair accessible Yes Prvide a variety f services t wmen in abusive situatins; perates three main prgrams. Services include: parenting children s prgram and a fllw up prgram. Public educatin prvided t the cmmunity n issues f vilence against wmen. Supprt grups and individual cunseling available. Call fr details. Reta s Place Secnd Stage Husing Referral: User Fees: Yellw Brick Huse shelter staff Rent geared t incme Prvides husing t abused wmen wh require further supprt after their shelter stay; serves abused wmen wh have been residents f Yellw Brick Huse; infrmatin abut applicatin and prcess available thrugh Yellw Brick Huse Emergency Shelter. YMCA SENECA ASSESSMENT CENTRE 10610 Bayview Ave, Unit 12, Richmnd Hill, ON L4C 3N8 Phne: 905 780 9622 Fax: 905 780 8299 Website: Hurs: ann.labmbard@ymcagta.rg www.wrkfrceready.ca r www.ymca.ca Mn Wed, Fri 8:30 am 5:00 pm; Thu 8:30 am 8:00 pm Markham, Thrnhill, Richmnd Hill, Newmarket Individuals wh are unemplyed r underemplyed Prvides career cnsultatin, educatin infrmatin and training fr peple ver the age f 18 years; call r walk in Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 67

(YMCA Seneca Assessment Centre Cntinued) Jb Cnnect Markham 905 201 8662 6061 Highway 7 E, Unit G, Markham, ON L3P 3B2 martin.tame@senecac.n.ca Yuth 16 t 24 ut f schl, ut f wrk Services fr yuth wh are jb searching r identifying educatinal and vcatinal gals; call fr an appintment. Jb Cnnect Newmarket 905 898 6199 16655 Ynge St, Newmarket, ON L3X 1V6 Services fr yuth wh are jb searching r identifying educatinal and vcatinal gals Jb Cnnect Richmnd Hill 905 780 9622 Referral: 10610 Bayview Ave, Unit 12, Richmnd Hill L4C 3K8 Yuth 16 t 24, ut f schl, ut f wrk Call r drp in. The Alternative Learning Lab / Business Office Skills 905 898 6199 x 320 Fax: 905 898 0057 Applicatin: User Fees: Interview with crdinatr and pre entrance test Weekly fee, lab fee This prgram prvides training t update cmputer skills, individual prgram plans develped; cntinuus intake start any Mnday. YORK CENTRAL HOSPITAL Phne: 905 883 1212 Website: Hurs: Languages: Accessibility: 10 Trench St, Richmnd Hill, ON L4C 4Z3 www.yrkcentral.n.ca 24 hurs a day/7 days a week Aurra, King, Richmnd Hill, Vaughan English Barrier free washrm, Braille elevatr, disability parking, elevatrs, tne elevatr, wheelchair accessible. Acute care facility that prvides diverse inpatient and utpatient services t residents f Suthwest Yrk Regin. Services include: emergency services, day surgery, day treatment, diagnstic imaging, mental health and ccupatinal therapy prgrams; supprt fr sexual assault victims, lng term care services and services t persns with brain injuries. Call general hspital inf line (24/7) fr further details r patient lcatin enquiries (frm 7:00 am 9:30pm). Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 68

(Yrk Central Hspital Cntinued) Cntinuing Care Prgram Prvides adult day care service (aphasia, acquired brain injury and cgnitively impaired); cmplex cntinuing care (includes medically cmplex rehabilitatin), Geriatric Cnsultatin (inpatient and utpatient), palliative care, rehabilitatin services (fr strkes and rthpedics), respite care and skin management. Call fr infrmatin. Mental Health Prgram 905 832 1406 Offers adult utpatient services, after care medicatin clinic, child and family services, crisis team, day hspital, inpatient services, psych geriatric assessment and utreach clinic, Simce Cunty autism services (children s early interventin), Simce Cunty Behaviur Management Services, urgent clinic, Behaviur Management Services f Yrk and Simce (dual diagnsis), Yrk Regin Cmmunity Outreach services (educatin and preventin), Yrk Simce brain injury services, Yrk Regin Autism Services (children s early interventin). Call fr infrmatin. YORK REGION COMMUNITY SERVICES Husing & Lng Term Care 194 Eagle St, Newmarket, ON L3Y 1J6 Phne: 1 866 967 5582 r Health Cnnectin 1 800 361 5653 Website: Csts: Languages: www.yrk.ca Yrk Regin Csts fr all prgrams are subsidized/geared t incme English, Language and culturally sensitive services are available The Husing Lng Term Care Branch prvides a range f prgrams and services t individuals 18 years f age and lder which prmte client health, well being, safety and independence. The Regin perates tw Lng Term Care Centres The Newmarket Health Centre and the Maple Health Centre. The prgrams prvided at the Centres place special emphasis n meeting the needs f difficult t serve/hard t place clients with heavy, cmplex physical and/r cgnitive/behaviural care requirements. The Centres als prvide shrt stay beds fr respite and cnvalescent care. The Cnvalescent Care Prgram ffers intensive rehabilitatin services, at the Newmarket & Maple Health Centres, t peple wh need additinal time t recver strength, functining and independence fllwing illness r injury. The Alternative Cmmunity Prgram prvides husing, supprt services and essential hmemaking t frail, at risk senirs s that they can stay in the cmmunity and remain independent. At mst sites, staff and supprt are available 24 hurs a day, 7 days a week. Shrt stay respite is als available. The LTC Adult Day Prgrams prvide supervised activities, supprt services and care that serve and assist individuals with cgnitive impairments, physical disabilities, acquired brain injuries and cmmunicatin disrders. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 69

(Husing & Lng Term Care Cntinued) The Client Interventin and Supprt Services ffer scial wrk services, advcacy and supprt t lder at risk adults in the privacy f their wn hme. The Persnal Emergency Respnse Prgram prvides a financial subsidy fr the purchase r rental f a persnal emergency respnse system. The Reginal Psych geriatric & Mental Health Cnsulting Service prvides educatin and supprt t frntline staff f LTC hmes and cmmunity agencies wh serve clients with difficult and challenging behaviurs. The Integrated Psych geriatric Outreach Prgram prvides integrated mental health services that include assessment, treatment planning, educatin and referral fr adults with mental health needs living in the cmmunity. YORK REGION COMMUNITY SERVICES AND HOUSING Sylvia Pattersn, Directr 17250 Ynge St, 3rd Flr, Newmarket, ON L3Y 6Z1 Phne: 905 830 4444 Ext. 2093 / 1 877 464 9675 Fax: 905 895 2189 Website: Hurs: Languages: Accessibility: www.yrk.n.ca Mn Fri 8:30 am 4:30 pm Yrk Regin The dually diagnsed persn wuld be prcessed as anyne else English Disability parking, elevatrs, wheelchair accessible Administers scial husing, dmiciliary hstels, emergency shelters and hmemakers and nursing services thrugh agreements with cmmunity agencies and husing prviders; develps and implements strategies t reduce hmelessness in the Regin; prvides prperty management services t ver 1700 scial husing units. Dmiciliary Hstels 905 830 4444 x 2460 Cntact: Carmela Ciappa 905 893 8377 Applicatin: Yes Dmiciliary hstels prvide lng term, husing t vulnerable, (mental health) special needs adults requiring supervisin f their daily living activities. Applicants are referred directly t the Hstel and the Hstel Operatr will assess the individual s apprpriateness fr residency and make an appintment with the Dmiciliary Hstel Wrker t determine if the individual is eligible fr financial assistance (per diem and persnal needs allw) Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 70

(Cmmunity Services and Husing Cntinued) Emergency Shelters Cntact: J Anne Richardsn Phne: TTY 905 762 0401 Fax: 905 895 3267 Applicatin: Yes User Fees: In certain circumstances 905 830 4444 x2960 Emergency hstels and transitinal hmes prvide temprary shelter fr individuals and families fleeing dangerus situatins, r fr thse requiring a temprary place t stay. The Emplyment and Financial Supprt Branch (frmerly the Scial Assistance Divisin) des nt perate emergency shelters, but des administer the shelter prgram. Applicants may be referred t the apprpriate shelter lcatin and eligible residents will be prvided with bard and ldging in the shelter. When a resident has lcated permanent husing in the cmmunity, financial assistance may be prvided t secure the accmmdatin. Hmemakers and Nurses Services Subsidy Cntact: J Anne Richardsn Fax: 905 895 3267 Applicatin: Yes 905 830 4444 x2960 A subsidy prgram t help cver the cst f in hme hmemakers and/r nurses services fr members f the cmmunity wh are temprarily ill, r wh have a permanent illness r disability; applicants are incme tested t assess eligibility fr the prgram. Scial Husing Access 905 830 4444 x 2499 Email: helen.astn@yrk.ca Applicatin: Yes User Fees: Rent geared t incme Rent geared t incme husing fr thse with affrdability issues and fr thse wanting market rental units. Call 905 830 4444 fr central access t subsidized units. Applicatin and wait list infrmatin available. Scial Husing Prgram Administratin 905 830 4444 Email: kerry.hbbs@yrk.ca Applicatin: Yes Prvincially legislated prgrams that prvide suitable, affrdable rental husing fr peple where financial, scial r health needs prevent them frm finding adequate husing in the private market. Rental husing prvided fr mderate t lw incme families, senirs and singles/cuples. Prgrams are administered by Yrk Regin. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 71

YORK REGION HEALTH SERVICES Public Health Branch 17250 Ynge St, Bx 147, Newmarket, ON L3Y 6Z1 Phne: 905 895 4511 / 1 877 464 9675 After Hurs Phne: 905 955 0198 Fax: 905 895 3166 Website: www.regin.yrk.n.ca Hurs: Mn Fri 8:30 am 4:30 pm Yrk Regin Languages: English Accessibility: Wheelchair accessible Offers the fllwing services: Preventin and cntrl f tuberculsis Prvisin f schl and cmmunity based immunizatin clinics Schl immunizatin review Travel cnsultatin Preventin and cntrl f infectius diseases Prmtin f healthy sexuality and sexual health clinic services Preventin and cntrl f sexually transmitted diseases YORK REGIONAL POLICE 17250 Ynge St, Newmarket, ON L3Y 4W5 Phne: 905 773 1222 Cntact: Detective Sergeant Lynn Rney Fax: 905 895 2177 Hurs: Mn Fri 8:00 am 4:00 pm Languages: English Accessibility: Yes Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 72

YORK SUPPORT SERVICES NETWORK 102 Main St S, Unit 3, Newmarket, ON L3Y 3Y7 Phne: 905 898 6455 / 1 866 257 9776 Fax: 905 898 1171 Cntact: Develpmental Services Access @ Ext. 574 Mental Health Access @ Ext. 278 Website: Hurs: Referral Prcess: Languages: Accessibility: yssnnwm@yssn.ca www.yssn.ca Mn Fri 8:30 am 4:30 pm fr case management Yrk Regin Develpmental disability and/r serius mental illness based n agency assessment r supprting dcumentatin Access, as abve Chinese (Cantnese), English, French, Italian Wheelchair accessible Prvides case management services fr peple with develpmental disabilities and/r serius mental illness t help them achieve persnal gals fr living, wrking and learning in their chsen envirnments. Als administers 310 COPE, which is a cmmunity crisis respnse prgram. A mbile utreach team f prfessinals in Yrk Regin experienced in handling mental health crises. Crisis wrkers will prvide telephne supprt t a persn in crisis and their family. Newmarket Satellite 905 895 9775 Hurs: 460 Oak St, Newmarket, ON L3Y 3X6 Mn Fri 8:30 am 4:30 pm Fax: 905 895 7874 Markham 905 305 7440 r 1 800 887 3679 Hurs: 50 McIntsh Dr, Suite 239, Markham, ON L3R 9T3 Mn Fri 8:30 am 4:30 pm Fax: 905 305 7442 Suttn 905 722 6484 Hurs: 106 High St, PO Bx 689, Suttn, ON L0E 1R0 Mn Fri 8:30 am 4:30 pm Fax: 905 722 9101 Adult Supprt Services Develpmental Disability Based n supprting dcumentatin Applicatin: Thrugh Develpmental Services Access Department, Ext. 574 Helps individuals live in the cmmunity as independently as pssible by ensuring they receive apprpriate and necessary cmmunity services and encuraging cmmunity invlvement; serves adults with a develpmental handicap living independently r with family. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 73

(Yrk Supprt Services Netwrk Cntinued) Adult Supprt Services Mental Health 16 r lder, based n agency assessment r supprting dcumentatin Applicatin: Thrugh Mental Health Access Department, Ext. 278 Vlunteers: Must be 16 r lder CHAP: Cmmunity Helpers fr Active Participatin Prgram 905 898 6455 x 247 Cntact: Website: Hurs: Fees: Languages: Karen Delng kdelng@yssn.ca www.respiteservices.cm Mn Fri 8:30 am 4:30 pm Yrk Regin Children, adlescents and adults with develpmental disabilities, physical disabilities and/r autism/pdd N fee t register. Families hire and pay their CHAP wrker directly English Respite wrkers registered n the CHAP Wrker database are cnnected with families lking fr supprt. Children s Case Crdinatin fr Yrk Regin 905 830 0228 Cntact: Applicatin: Vicky Merrilees Children, yuth and families wh reside in Yrk Regin, and the child r yuth is between 0 and 19 years f age and has cmplex multiple needs that are beynd the service capacity In mst situatins, cmmunity rganizatins will make the referral, with the written cnsent f the family. In exceptinal situatins, the family may refer directly. Upn referral, direct cntact is made. Children, yuth and families are effectively supprted thrugh a range f supprts and services in Yrk Regin. Hwever, sme children s needs are s cmplex, that traditinal services have been exhausted and creative service planning is required. In these situatins, a referral may be made t Children s Case Crdinatin Services. Children s Case Crdinatin Services prvides: infrmatin, cnsultatin and cmmunity case cnferencing, when all ther services have been exhausted. Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 74

(Yrk Supprt Services Netwrk Cntinued) Cmmunity Crisis Respnse Service (310 COPE) Referral: crisis@yssn.ca Adults, children and their families experiencing mental health crisis 1 800 848 6838 fr secnd party referrals, 24 hur vicemail Mental Health Crisis Supprt prvided with an array f respnses including: telephne interventin, mbile visits and brief stay cmmunity crisis beds. 310 COPE als perates the Mental Health Supprt Team in partnership with Yrk Regin Plice t serve individuals wh have r are at risk f cming int cntact with law enfrcement. 310 COPE partners with Kinark Child and Family Services and Suthlake Reginal Health Centre s Child and Adlescent Crisis Prgram fr crisis services t children and families. Cmmunity Crisis Respnse Netwrk 905 898 6455 r 1 866 257 9776 Cntact: Fax: 905 898 1171 Hurs: Referral Prcess: Susan Van Elswyk / Sctt Belisle Mn Fri 8:30 am 4:30 pm Yrk Regin 16 years f age and ver wh are experiencing a psych scial crisis and wh have: a serius mental illness a dual diagnsis f a develpmental disability/mental health needs and/r challenging behaviurs an acquired brain injury Justice Case Management: 16 years f age and ver wh have a develpmental disability and mental health prblems and/r challenging behaviurs wh are invlved r at risk f invlvement with the criminal justice system Referrals can be made by the individual, family, caregiver r frm service prviders wh have btained cnsent thrugh 310 2673 (COPE) r 1 866 257 9776 The prgram prvides timely, flexible and apprpriate crisis respnse services t individuals, their families r caregivers experiencing a psychlgical r situatinal crisis thrugh early interventin and the prvisin f urgent supprts t stabilize the persn r situatin and t avid the need fr mre intensive interventin. The Crisis Respnse Netwrk is a grup f agencies wh agree t partner thrugh written memrandums f understanding t ffer shrt term access t their service while the crisis situatin stabilizes r reslves. Partnering agencies ffer such things as quick access t a timelimited residential bed within their service (up t 30 days), a temprary cmmunity day prgram, case management, cnsultatin and resurces (e.g., behaviural cnsult, psychiatric assessment). Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 75

(Yrk Supprt Services Netwrk Cntinued) Family Supprt Services (Develpmental Services) Ages 6 21, children with a develpmental challenge based n agency assessment r supprting dcumentatin Applicatin: Thrugh Develpmental Services Access Department, Ext. 574 Wrkers ffer individualized supprt by meeting with a child wh has a develpmental disability and their parents t assess the needs f the child and family, and tgether develp a service plan t meet these needs. Service System Respnse Unit (SSRU) 905 898 6455 x 230 Cntact: Hurs: Applicatin: Languages: Fees: Accessibility: Julie Graham Thirgd jgraham@yssn.ca Mn Fri 8:30 am 4:30 pm (appintments with individuals/families can be scheduled utside f these hurs) Yrk Regin Children and adults wh have a develpmental disability Thrugh the Cmmunity Respnse System r Develpmental Service agency in Yrk Regin English, translatin services available in mst languages N Yes The Service System Respnse Unit (SSRU) functins as the access mechanism fr develpmental services in Yrk Regin. Our primary gal is t ensure that there is a crdinated /cllabrative respnse t the needs f individuals and their families by the agencies that cmprise the develpmental service system in Yrk Regin. Yrk Supprt Services Netwrk prvides the crdinatin rle fr this prgram. Cllectin f data identifies and priritizes individuals with a develpmental disability and/r dual diagnsis wh are in need f residential and/r day supprts. The unit supprts the planning wrk f the Yrk Regin Cmmunity Planning Cuncil. It als supprts the Yrk Regin Respite Cmmittees Vacancy Management prcess, the Case Reslutin prcess and acts as the Passprt t Cmmunity Living delivery agent fr Yrk Regin, as well as prviding a case reslutin functin fr adults wh have develpmental disabilities. The staff f the SSRU als supprt families t access respite services thrugh the Respite Access Facilitatr, and spnsrs the CHAP (Cmmunity Helpers fr Active Participatin) services, a matching service fr families and mediatrs. (Please see CHAP entry in this bklet. Please g t www.respiteservices.cm fr further details) Supprts and Services fr Persns with a Dual Diagnsis List f Supprts and Services 76