Established in 1992, the First Episode Psychosis Program serves people age 16-45 years who are showing signs of or are in the early stages of psychosis and have had less than 1 year of adequate treatment. Exclusionary criteria include: a clear diagnosis of substance-induced psychosis; psychosis related to a primary medical condition; or presences of a developmental disorder (i.e., IQ less than 70). The program offers a wide range of services, including:

• First Episode Psychosis Clinic (FEPC) - clinic-based assessment, consultation and treatment by a team of psychiatrists and clinician case managers for a period of 3 years
• Home Intervention for Psychosis Team (HIP) - mobile community-based assessment and treatment by a psychiatrist and team of clinician case managers to stabilize the person's health for a period of 6 months to 1 year
• Early Psychosis Unit (EPU) - assessment, stabilization and treatment by a multi-disciplinary team of psychiatrists and clinicians in an 18-bed inpatient unit
• LEARN - community-based service to assist in the recovery of individuals who have experienced a first episode of psychosis and their families. Services include psychosocial education and support both for clients and families; General Education Development (GED); social and recreational activities; vocational and employment work; and research.
• First Assessment Clinical Team (FACT Peel) - satellite clinic-based assessment, consultation and treatment by a team of psychiatrists and clinician case managers for a period of 3 years serving the Region of Peel. The team assists in the recovery of individuals who have experienced a first episode of psychosis, and their families. Services include psychosocial education and support, both for clients and families; social and recreational activities; vocational and employment work; and research.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program participates in the Central Access Resource intake process; is available for assessment, consultation and treatment of complex cases; provides service at LEARN; and is a resource for education and research activities.

• Call the Intake Coordinator at the phone number listed above OR
• Fax a completed referral form (if you have one) to the fax number listed above
• To get a referral form, call the Intake Coordinator at the phone number listed above or obtain an Adult Referral Form from the CAMH website (PDF version available here)

• Age 16-45 years
• Clients who are experiencing a first episode of psychosis in the context of a mood disorder and who either have never received or have received less than 1 year of treatment for psychosis (note: clients may have had previous treatment for depression or mania)

Established in 2005, the Early Intervention Mood and Psychosis Service serves people age 16 years or older who are experiencing a first episode of psychosis and a mood disorder. Clients must be referred by a physician. We welcome clients regardless of where they live.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program provides outpatient consultation and inpatient and outpatient treatment to young people with psychosis in the context of a mood disorder. This hospital-based program is part of the Centre for Addiction and Mental Health (CAMH), Canada's large addiction and mental health treatment, teaching and research centre.

The CAMH Early Intervention Mood and Psychosis Service works in partnership with the Canadian Mental Health Association (CMHA) Mood and Psychosis Early Intervention (MOD) Program. This partnership allows clients and their families a larger range of treatment options as they can choose to receive their outpatient treatment in either a specialized hospital-based setting or in the community. In addition, the CAMH Early Intervention Mood and Psychosis Service provides rapid consultation and inpatient treatment for acutely ill clients served by the CMHA MOD team.

• Call the Intake Coordinator at the phone number listed above
• Physician referral required
• Fax completed physician referral form to the fax number listed above
• To get a referral form, contact the Intake Coordinator at 416-535-8501 ext. 2505

• Youth and young adults age 15-24 years
• · Who are experiencing first episode/early psychosis and who either have never received or have received less than one year of treatment for psychosis

Established in 2006, the New Outlook Early Intervention Program provides services to young people age 15-24 years who are experiencing a first episode psychosis. New Outlook is focused on meeting the needs of the youth and young adults with complex needs, including those disconnected from their families, hesitant to use mainstream services, and/or who are street-involved or homeless. The program will consider referrals for individuals with concurrent disorders (i.e., mental health and substance abuse problems) or dual diagnosis (i.e., mental health problems and a developmental disability) if they are able to benefit from our services.

The New Outlook Early Intervention program assists young people aged 15-24 years and their families in connecting to mental health services. Through counseling, support, skill building and advocacy, this program helps young people navigate the mental health system. The program's intensive community outreach, case management and community support services are provided in communities, neighbourhoods, homes, schools, through group programs and individual counseling.

New Outlook also has a day program with 5 spaces dedicated to meeting the needs of early intervention clients, either from New Outlook's Early Intervention Program or other TEIPN programs. The mainstay of the program is life and social skills training, recreation as well as academic studies in a structured and supportive environment. A typical week may include a wellness and recovery group, a drama workshop and spending time at the YMCA. Clients set personal goals in collaboration with program staff. The program focuses on helping young people to understand and manage their illness. An on-site teacher provides an innovative special education program that allows clients to earn high school credits.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program in unique in its exclusive focus on youth and young adults age 15-24 years and is one of two programs in Toronto that provides on-site academic opportunities.

• Call Karin Francis at the phone number listed above OR
• Fax completed referral form to the fax number listed above
• To get a referral form, call Karin Francis at the phone number listed above

• Family members of individuals age 14-35 years who are experiencing first episode/early psychosis and who either have never received or have received less than 1 year of treatment for psychosis
• Family is defined broadly and includes anyone with a caring relationship with someone experiencing early psychosis

Established in 2006, the Early Intervention Family Program serves family members of individuals aged 14-35 years who are experiencing early psychosis. Family members can access the Early Intervention Family Program's services whether or not the person experiencing early psychosis is engaged in treatment. At the Schizophrenia Society of Ontario, family members are seen as anyone in a caregiving relationship with an individual having a psychotic episode. This may include parents, siblings and friends.

The Early Intervention Family Program believes that families are an integral part of a person's recovery process and must be supported in their own right. The program offers individual and family counseling, psychoeducation, and access to crisis support and intervention, self-help support groups and other information and resources through the Schizophrenia Society of Ontario's other programs and services.

The Early Intervention Family Worker can assist families with advocacy and help family members develop strategies and interventions to aid in coping with their loved ones' needs. The Schizophrenia Society of Ontario offers the services of counseling, therapy and caregiver assistance in person, over the telephone or through email; in the home or the community where the caregiver resides or works.

Families looking for a safe environment to express their concerns and challenges to other family members may attend the Early Years of Recovery Group. This open support group is designed for family, friends and caregivers of people who have experienced a first episode of psychosis within the past 3 years. It is also helpful for those families in the early stages of learning how to deal with schizophrenia and other psychotic disorders.

The primary psychoeducational service is the Strengthening Families Together program, a free 10-week group-based program for families and friends who are providing care and support to someone aged 14-35 years who is experiencing early psychosis. The program is offered jointly by the Early Intervention Family Program and the Mood Disorders Association of Ontario (MDAO). Course topics include: i) what are psychosis and other related mental illnesses; ii) coping as a family; iii) treating mental illness; iv) daily living tips; v) dealing with crisis; vi) understanding the mental health system; and vii) supporting yourself and your loved one.

In partnership with MDAO, the Schizophrenia Society of Ontario has also created a psychoeducational group for siblings of those individuals experiencing a first episode of psychosis. This free 10-week group-based program will cover topics such as: i) what is mental illness; ii) coping and communicating; iii) self-care; iv) treatment, ethics, legislation; and v) recovery. This program was largely shaped by input and voices of siblings whose brother or sister has experienced a first episode of psychosis.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program is known for ensuring that the support and educational needs of families are seen as critical. Through our understanding of psychotic disorders and schizophrenia in particular, the Early Intervention Family Program at the Schizophrenia Society of Ontario has furthered the awareness that psychosis can impact the family and that the family unit can have an impact on psychosis.

• Call the Early Intervention Family Workers, at the phone number listed above

• Family members of individuals age 14-35 years who are experiencing first episode/early psychosis and who either have never received or have received less than 1 year of treatment for psychosis or for families in the early recovery phase who have never received support.
• Family is defined broadly and includes anyone with in a significant relationship with someone experiencing and recovering from early psychosis

Established in 2007, the With HASTE program serves family members of individuals aged 14-35 years who are experiencing early psychosis, especially those from diverse communities and those who cannot readily access support. Family members can access the Early Psychosis Family Program's services whether or not the person experiencing early psychosis is engaged in treatment or has been given a formal diagnosis of psychosis. The Scarborough program provides services to the Tamil and Somali communities.

The With HASTE program, like FOR, uses a recovery approach when working with families which emphasizes that people can and do recover from serious mental health problems. The With HASTE program believes that families are crucial to their relative's recovery process.

Short-term and long-term support is available to individuals, couples and families. Sessions can be held in the office or in the family's home depending on their needs. The program's support works from an anti-oppression and trauma-informed framework and is focused on reinforcing and building upon a family's inherent strengths.

The primary support and educational service offered is the Mental Health Recovery program, a free 10-week group-based program that gives families an opportunity to learn about the mental health recovery approach. It assists families to learn how they can be most helpful in their family member's recovery process. Families also explore ways to grow in their own recovery process. Series topics include: i) introduction to the concept of mental health recovery (including what we are recovering from and approaches to mental health recovery); ii) pathways to recovery and barriers along the way; iii) hopelessness and the power of hope; iv) role of the family and resilience; v) role of the family (including discussion of power issues and the difference between the concepts of "power with" versus "power over"); vi) motivation and stages of change; vii) strengths in the family; xiii) taking care (including the individual experiencing early psychosis' wellness recovery planning, family self-care, boundary and limit-setting); ix) family recovery action planning (including the creation of a nurturing environment); and x) recovery: the evidence and the practice (including a review of the concepts of family recovery and the family recovery skills toolbox). The program is held both in Scarborough and downtown three times a year. The groups are limited to 12 people. Families can register by phone or through our website www.familymentalhealthrecovery.org.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program, this program is the lead for the 3 funded family organizations which includes our partners the Mood Disorders Association of Ontario and the Schizophrenia Society of Ontario. FOR is also a partner with CRCT and the Rouge Valley Health System, Centenary site, in Scarborough.

• Call Krista MacKinnon for Toronto at 416-535-8501 ext. 1935 or Marian Dalal for Scarborough at 416-439-2253.

• Age 16-34 years
• Who are experiencing first episode/early psychosis and who either have never received or have received less than 1 year of treatment for psychosis, with specialization in serving clients who are experiencing early psychosis in the context of a mood disorder

Outreach, assessment, consultation, community-based treatment, case management, psychosocial supports (i.e., vocational, social/recreational, links to educational supports), family education and support

Mobile service capacity (i.e., services can be provided in the person's home and/or other community locations)

Established in 2005, the Mood and Psychosis Early Intervention (MOD) Program serves people age 16-34 years who are experiencing their first episode of psychosis and who have either not received or have received less than 1 year of treatment for psychosis from mental health services. The MOD Program specializes in serving individuals who are experiencing psychosis in the context of a mood disorder. The MOD Program is not able to provide service to clients seeking psychotherapy as the primary mode of treatment.

The program offers comprehensive assessment and treatment services, case management, family education and support, psychosocial support services and connection to other needed services and supports. The program's clinical services are provided in the community by an interdisciplinary team. The team is mobile and can meet clients in their homes or other community settings. The MOD team works closely with the Centre for Addiction and Mental Health (CAMH) Early Intervention Mood and Psychosis Service regarding inpatient and coordinated care for clients. The MOD team aims to empower individuals and their families in coping with the experience of psychosis, promote optimal recovery, prevent further episodes of psychosis and assist people to create and maintain meaningful lives.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program's key objective is to enhance services to young people in the early stages of psychosis, improve recognition of the early signs and symptoms of psychosis, and be a bridge to on-going services and supports.

• Call the MOD Intake Coordinator at the phone number listed above OR
• Fax a completed referral form (if you have one) to the fax number listed above
• To get a referral form, call the MOD Intake Coordinator at the phone number listed above

• Family members of individuals age 14-35 years who are experiencing or think they are experiencing first episode/early psychosis and a mood disorder
• Family is defined broadly and includes anyone with a caring relationship with someone experiencing early psychosis

Established in 2006, the Family and Youth Program serves family members of individuals aged 14-35 years who have, or think they have, a mood disorder and a first episode/early psychosis. Family members can access the Family and Youth Program's services whether or not the person experiencing early psychosis is engaged in treatment.

The Family and Youth Program believes that families of people experiencing first episode/early psychosis need their own support and that as they are strengthened and supported, this directly impacts the health of the person with the mood disorder and psychosis, as well as the whole family.

The program offers individual and family counseling, psychoeducation, groups for families and siblings, as well as self-help support groups and other information and resources through the Mood Disorder Association's other programs and services. Individual and family counseling services are provided at the MDAO's offices, one block west of Yonge and Eglinton, or in the community depending on the family members' preference. The primary psychoeducational services are the Strengthening Families Together program, and the group for siblings, both free 10-week group-based programs for families and friends who are providing care and support to someone aged 14-35 years who is experiencing early psychosis. The Strengthening Families Together program is offered jointly by MDAO and the Schizophrenia Society of Ontario (SSO). Course topics include: i) what are psychosis and other related mental illnesses; ii) coping as a family; iii) treating mental illness; iv) daily living tips; v) dealing with crisis; vi) understanding the mental health system; and vii) supporting yourself and your loved one.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program works creatively with families based on their goals, offering expressive arts as one way of working with families. The Early Intervention Family Worker has specific expertise in working with families with experiences of trauma. As well, families can access support through creative ways such as our Mapping the Journey group and use of expressive arts.

• Call Catherine Bancroft, Family Intervention Worker, at the phone number listed above

Geographic area bounded by Bloor St/Danforth Avenue to the north, Lake Ontario to the south, Yonge Street to the west and Victoria Park Avenue to the east.

• Age 16-24 years
• Who are experiencing signs and symptoms of a first episode/early psychosis. We accept individuals who have received treatment in the past and who have been ill for longer than 1 year.
• Clients may be homeless and have problems with drugs or alcohol

Established in 2006, the Starting Treatment Early Psychosis Service (STEPS) for Youth program is designed to provide early intervention services for youth aged 16 to 24 years experiencing signs and symptoms of what may be a first episode of psychosis. The program's clients may also be homeless and have problems with drugs or alcohol.

The STEPS for Youth program uses a recovery-oriented approach to provide assessment, treatment, and support with school, work and social activities, family education, linkages to community agencies and services, and public education and advocacy. Services are provided by a multidisciplinary team (nursing, social work and psychiatry). The team has the capability to offer outreach-based services as necessary for community-based care.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program is one of two programs with particular expertise in working with youth who are homeless and have problems with drugs or alcohol.

• Call the phone number listed above OR
• Fax a completed referral form (if you have one) to the fax number listed above
• To get a referral form, call the phone number listed above

• Age 16-45 years
• Who are of Chinese background, experiencing first episode/early psychosis and who either have never received or have received less than 1 year of treatment for psychosis
• Priority is given to those who are Chinese language dependent

Established in 2007, the early intervention component of the broader Asian Initiative in Mental Health (AIM) program serves people age 16-45 years who are of Chinese background, experiencing first episode/early psychosis and who have either not received or have received less than 1 year of treatment from mental health services. Priority is given to those who are Chinese language dependent.

AIM's outpatient program offers provides linguistically and culturally appropriate mental health services to the Asian community. Mental health clinicians work with a psychiatrist in the delivery of timely assessments, treatment, referral and advocacy, clinical consultation, and support groups.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program aims to meet the mental health needs of the increasing Chinese population in Toronto. In partnership with various health care facilities, settlement service agencies, educational institutions, immigration groups and community services including Hong Fook Mental Health Association, this specific early intervention program also tackles the strong stigma about mental health within the Chinese community and addresses the compounding effect of acculturation and migration on the psychosocial wellbeing of Chinese immigrants, who have remained as the single largest group of immigrants to Canada by language and country of origin according to Statistics Canada. Anyone can call the service directly and ask to speak to the program staff. There are no referral source restrictions.

• Call Regina Hung at the phone number listed above OR
• Fax a completed referral form (if you have one) to the fax number listed above
• To get a referral form, call Regina Hung at the phone number listed above

• Age 14-35 years, with particular emphasis on youth age 14-18 years
• Who are experiencing first episode/early psychosis and who either have never received or have received less than 1 year of treatment for psychosis

Established in 2005, the First Intervention Psychosis Team serves people age 14-35 years who are experiencing first episode/early psychosis and who have either not received or have received less than 1 year of treatment for psychosis from mental health services. The program focuses particularly on serving youth age 14-18 years who are at greatest risk for being underserved. First episode psychosis needs to be primary diagnosis. Secondary diagnosis of learning disabilities, developmental delay or addictions will be considered.

The program offers rapid intake (i.e., clients are contacted by phone within 48 hours of a referral, screening conducted with FITT therapist, and appointments set with the team as quickly as possible), assessment, intensive clinical support and treatment (i.e., a FITT Therapist will engage, assess, educate and establish goals with the client), psychosocial supports (i.e., through the program's psychoeducational and Healthy Lifestyles groups), and family education and support (i.e., through a 10-week psychoeducational group for families/parents and a monthly alumni group). The program also has access to inpatient beds and day hospital services. The program provides its services recovery-based, flexible, creative, youth-oriented approaches. Services can be provided in the community if clients and families prefer.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program would be particularly beneficial to any young person presenting with psychotic symptoms living in Scarborough.

• Physician (e.g., family doctor, GP) referral required
• Fax completed physician referral form to the fax number listed above OR
• Call Geraldine McGee at the phone number listed above
• To get a referral form, call Geraldine McGee at the phone number listed above

• Age 14-35 years
• Who are experiencing first episode/early psychosis and who have either never received or have received less than 1 year of treatment for psychosis

Established in 2006 the COPE Program provides services to people age 14-35 years who are living in Scarborough, experiencing a first episode psychosis and either have never received or have received less than 1 year of treatment for psychosis. COPE does outreach to the Tamil, Chinese and Afro-Caribbean communities, and to homeless youth, however all referrals are accepted. COPE and its parent organization, CRCT, has a commitment to work with people facing barriers to service, especially as a result of homelessness, conflict with the law, race, culture, ethnicity, sexual orientation and language.

The COPE program believes that psychosis is treatable and that people can and do recover from psychosis. COPE aims to intervene early and provide clients with support to maintain or get back to school or work. COPE services are voluntary and staff work in partnership with clients and their families/significant others (with client consent) to provide the information needed to understand what is going on and to make informed decisions. The COPE program wants and values client participation at an individual, program and agency level.

COPE provides culturally appropriate case management for people experiencing their first episode of psychosis and the people who care about them. The program works with clients to: meet their basic needs such as food, housing, clothing, and health care; participate in their communities and find enjoyable activities including recreation, work or education; manage crises; and learn the skills they need to meet their goals. COPE also works with clients' families and other support people (with client consent) to help them understand what is going on and how to help their loved ones' recovery.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program is delivered in Scarborough in partnership with the Family Outreach and Response Program and the Rouge Valley Health System, Centenary site.

• Call the phone number listed above OR
• Fax completed referral form to the fax number listed above
• To get a referral form, call the phone number listed above or download the form from the CRCT website at www.crct.org
• A COPE worker will return calls within 48 hours

• Age 14-35
• Who are experiencing first episode/early psychosis and who either have never received or have received less than 1 year of treatment for psychosis
• This program has the capacity to treat individuals with concurrent disorders (psychosis and drug or alcohol use) if they are able to benefit from our services.
• This program has the capacity to treat individuals with concurrent disorders (i.e., psychosis and drug or alcohol problems) if they are able to benefit from our services

Established in 2008, the Early Intervention Program serves people age 14-35 years who are experiencing first episode/early psychosis and who either have not received or have received less than one year of treatment for psychosis. This program has the capacity to treat individuals with concurrent disorders (psychosis and drug or alcohol problems) if they are able to benefit from our services.

The program offers rapid intake (i.e., individuals are contacted by phone within 48 hours of a referral, screening is conducted with an Early Intervention nurse and appointments set as quickly as possible), assessment, consultation, treatment, psychosocial support and family education/support. All of these services are offered on-site at HRRH and are also available in the community through HRRH's partnerships with the Canadian Mental Health Association and the Schizophrenia Society of Ontario. This program uses a biopsychosocial, recovery-based approach. Services are delivered in both individual and group formats.

HRRH is also developing a 10 week treatment adherence program. This program will provide psycho-education, as well as cognitive, behavioral and supportive interventions to both individuals and families dealing with early psychosis.

Within the Toronto Early Intervention in Psychosis Network (TEIPN), this program is:

• Able to work with younger individuals (e.g., 14 and 15 year olds)
  ** Please note that recruitment is currently underway for a Child and Adolescent psychiatrist.
• Able to work with individuals with concurrent disorders (psychosis and drug or alcohol problems) if they are able to benefit from our services
• Able to utilize specialized, multi-disciplinary services at HRRH such as psychiatry, dietetics, occupational therapy, psychology, etc., as individuals needs are assessed and/or change
• Able to utilize inpatient and day hospital services for both youth and young adults

• Physician referral required
• To obtain a referral form call 416-658-2022
• Fax completed referral form to the fax number listed above
• If you have any questions or concerns regarding the referral process, please phone the Nurse Coordinator at 416-658-2077