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Appendix 1 : Community Mental Health Services for Adults with a Dual Diagnosis
Service Description
Case Management Includes outreach, comprehensive individualized assessment and planning, service coordination and support, monitoring and evaluation of services provided to recipients, systems advocacy/resource coordination and Community Treatment Order (CTO) coordination.
Counselling and Treatment Counselling, psychotherapy and other treatment services to individuals with serious mental illness in the community including tele-psychiatry.
Assertive Community Treatment Team (ACTT) Multi-disciplinary clinical teams provide treatment, rehabilitation and support services to clients with severe and persistent mental illness. They provide assertive outreach, individualized treatment, ongoing and continuous services, linkages to services and monitoring/evaluation.
Clubhouses Multi-service psychosocial rehabilitation based on the psychosocial rehabilitation principles, which includes assistance to further vocational and educational goals, secure housing and engage in social and recreational programs.
Early Intervention Specialized treatment and support services for individuals experiencing a first psychotic episode, and their families.
Diversion and Court Support Court support is provided in the courts to assist individuals and their families with the legal process, link to services and to assist the judiciary. Diversion is provided pre- or post-charge to link individuals to community or institutional mental health services.
Social Rehabilitation/ Recreation Provision and promotion of opportunities to develop interpersonal, social, and leadership skills, in order to interact fully in their communities as defined by themselves including assessment, counselling, planning, consultation with other service providers, coordination, advocacy, monitoring and evaluation.
Abuse Services Provision of counselling, treatment services and support to women who have experienced an abusive act or who are in an abusive situation.
Crisis Intervention Active treatment and support such as provision of safe beds, urgent psychological and/or medical attention offered as soon as possible after an individual has been identified as in acute distress. Includes: assessment and planning, crisis support/counselling, medical intervention, environmental interventions and crisis stabilization, review/follow-up referral.
Primary Day/ Night Care Free-standing or attached units where treatment, counselling, rehabilitative/ social and recreational services are provided to recipients who attend for three to twelve hours on average.
Community Service Information and Referral Information and referral services over the telephone or in person.
Consumer/ Survivor Initiatives Provision of a range of consumer directed initiatives including self-help, peer support and drop-in centres based on the needs and interests of consumers/survivors in local areas.
Family Initiatives Provision of support and training to strengthen and maximize natural supports and existing community networking systems that are relevant to the consumer/family. Family groups participate in planning and evaluation of care delivery, as well as provision of services such as self-help, peer support and education.
Alternative Businesses Provision of consumer operated businesses that offer full- or part-time employment at market rate or higher. They offer a combination of job development, job placement and supported education within the self-help context. They may also offer self-employment opportunities for consumers to earn income through independent contract work. Support and accommodation are provided on site to consumer employees.