Ideally your patient agrees to voluntarily go to an Emergency Department, in which case you may be able to have your patient brought by family or an ambulance.
1. Form 1
-
Have you seen your patient within the last 7-days? If so, consider completing a Form 1 (aka Application for Psychiatric Assessment), which allows:
- An authority (usually police) to bring an individual to an appropriate Schedule 1 facility and
- Authorizes the detention and assessment of an individual who meets the criteria in the Act in a (schedule 1) psychiatric facility/hospital for up to 72 hours.
- The Form 1 is available online here
- Or here
- For more information about the Form 1 criteria
2. Justice of the Peace
- If you have not seen your patient within the past 7 days (i.e. a Form 1 is not possible), then consider asking family members to contact a Justice of the Peace
- Anyone (usually family members, but can also include physicians) can present themselves to the local Courthouse, and be seen by a Justice of the Peace, who can issue a Form 2, which gives police the authorization to take the individual to a hospital for an assessment
- Here is a list of local Courthouses in Ontario http://www.attorneygeneral.jus.gov.on.ca/english/courts/Court_Addresses/
3. Call 911
- If your patient is acutely suicidal, homicidal or psychotic, consider emergency medical services (i.e. 911)
4. Call a Mobile Crisis Line
- Consider speaking to a mobile crisis line for advice about other options and services.
This is the official list of Schedule 1 facilities maintained by the Ministry of Ontario
http://www.health.gov.on.ca/en/common/system/services/psych/designated.aspx
Note: This is a list of Schedule 1 facilities, which means they have inpatient services, but note that not all have an Emergency Department. If you are looking to send a patient to an Emergency Department, check the hospital before hand to see if it has an Emergency Department.
|
Location |
Name |
|
Ajax |
Rouge Valley Health System - Ajax and Pickering Health Centre Site |
|
Barrie |
Royal Victoria Regional Health Centre |
|
Bath |
Regional Treatment Centre (Ontario) - Millhaven Institution Site |
|
Bath |
Regional Treatment Centre (Ontario) – Bath Institution Site |
|
Belleville |
Quinte Healthcare Corporation - Belleville General |
|
Brampton |
William Osler Health Centre - Brampton Civic Hospital William Osler Health Centre - Brampton Hospital Campus |
|
Brantford |
The Brantford General Hospital |
|
Brockville |
Brockville General Hospital - Charles Street Site and Garden Street Site. |
|
Brockville |
Brockville Mental Health Centre - Member of the Royal Ottawa Health Care Group, including the Forensic Treatment Unit |
|
Brockville |
St. Lawrence Valley Correctional and Treatment Centre, Secure Treatment Unit |
|
Burlington |
Joseph Brant Hospital |
|
Cambridge |
Cambridge Memorial Hospital |
|
Chatham |
The Public General Hospital Society of Chatham |
|
Cornwall |
Cornwall General Hospital |
|
Goderich |
Alexandra Marine and General Hospital |
|
Guelph |
Homewood Health Centre Inc. |
|
Hamilton |
Hamilton Health Sciences Corporation - Hamilton General Hospital Site, Chedoke Hospital Site, McMaster University Medical Centre Site, Henderson General Hospital Site |
|
Hamilton |
St. Joseph's Healthcare Hamilton - West 5th Campus Charlton Campus |
|
Kenora |
Lake of the Woods District Hospital |
|
Kingston |
Kingston General Hospital |
|
Kingston |
Providence Care Centre: Mental Health Services Site. |
|
Kitchener |
Grand River Hospital Corporation - Kitchener-Waterloo Site Grand River Hospital Corporation - Freeport Site |
|
Lindsay |
Ross Memorial Hospital |
|
London |
St. Joseph's Health Care London, Parkwood Institute, Mental Health Care Building |
|
London |
London Health Sciences Centre - University Campus, Victoria Campus |
|
Markham |
Markham Stouffville Hospital |
|
Mississauga |
Trillium Health Partners - Credit Valley Hospital |
|
Mississauga |
Trillium Health Partners - Mississauga Hospital |
|
Newmarket |
Southlake Regional Health Centre |
|
North Bay |
North Bay Regional Health Centre |
|
Oakville |
Halton Healthcare Services Corporation - Oakville - Trafalgar Memorial Hospital Site |
|
Orillia |
Orillia Soldiers' Memorial Hospital |
|
Oshawa |
Lakeridge Health Corporation - Oshawa Site |
|
Ottawa |
Children's Hospital of Eastern Ontario |
|
Ottawa |
Hôpital Montfort |
|
Ottawa |
Queensway Carleton Hospital |
|
Ottawa |
Royal Ottawa Mental Health Centre - Member of the Royal Ottawa Health Care Group – Does not have an Emergency Department |
|
Ottawa |
Regional Children's Centre Royal Ottawa Hospital, a division of the Royal Ottawa Health Care Group – Does not have an Emergency Department |
|
Ottawa |
The Ottawa Hospital - Civic Campus, General Campus |
|
Owen Sound |
Grey Bruce Health Services - Owen Sound Site |
|
Penetanguishene |
Waypoint Centre for Mental Health Care |
|
Peterborough |
Peterborough Regional Health Centre - Hospital Drive Site |
|
Richmond Hill |
Mackenzie Health |
|
St. Catharines |
Niagara Health System - St. Catharines Site |
|
St. Thomas |
Southwest Centre for Forensic Mental Health Care, St. Joseph's Health Care London |
|
St. Thomas |
St. Thomas Elgin General Hospital |
|
Sarnia |
Bluewater Health |
|
Sault St. Marie |
Sault Area Hospital |
|
Stratford |
Stratford General Hospital |
|
Sudbury |
North Bay Regional Health Centre (Kirkwood Place) |
|
Sudbury |
Hôpital régional de Sudbury Regional Hospital |
|
Thunder Bay |
St. Joseph's Care Group, Lakehead Psychiatric Hospital Site |
|
Thunder Bay |
Thunder Bay Regional Health Sciences Centre |
|
Timmins |
Timmins & District Hospital L'Hopital De Timmins et Du District |
|
Toronto |
Rouge Valley Health System - Centenary Health Centre Site |
|
Toronto |
The Scarborough Hospital - General Division Site, Grace Division Site |
|
Toronto |
North York General Hospital - General Division Site |
|
Toronto |
Humber River Regional Hospital - Finch Avenue Site, Church Street Site, Keele Street Site |
|
Toronto |
Centre for Addiction and Mental Health |
|
Toronto |
Baycrest Hospital |
|
Toronto |
William Osler Health Centre - Etobicoke Hospital Campus |
|
Toronto |
Sinai Health System - Mount Sinai Hospital Site |
|
Toronto |
St. Joseph's Health Centre |
|
Toronto |
St. Michael's Hospital - Bond St. Site, Wellesley Central Site |
|
Toronto |
Sunnybrook Health Sciences Centre |
|
Toronto |
The Toronto East General and Orthopaedic Hospital Inc. |
|
Toronto |
University Health Network - Toronto General Hospital Site, Toronto Western Hospital Site, Ontario Cancer Institute / Princess Margaret Hospital Site |
|
Whitby |
Ontario Shores Centre for Mental Health Sciences |
|
Windsor |
Hôtel-Dieu Grace Healthcare – Tayfour Campus |
|
Windsor |
Windsor Regional Hospital |
|
Woodstock |
Woodstock General Hospital |
- You have assessed the patient, and believe that an emergent Psychiatric Assessment is required, and the patient is not willing to go voluntarily
- Ensure the patient is in a safe place, accompanied by family or staff.
- In some circumstances, if the patient is acutely agitated (e.g. psychotic episode), it may be helpful to give the patient a PRN medication if available.
- Fill out a Form 1.
- Contact the police (or ambulance service) to see if they can accompany your patient to the hospital.
-
While awaiting the police
- Have someone let the Emergency Department triage know about the patient
-
Write a note that includes:
- Summary of why you believe the patient needs to be seen in hospital
- Medications and dosages
- A telephone number where you can be reached at.
- Wait for the police to arrive…
Written by members of the eMentalHealth.ca Primary Care Team, which includes Drs Mireille St-Jean (Family Physician, Ottawa Hospital), Eric Wooltorton (Family Physician, Ottawa Hospital), Farad Motamedi (Family Physician, Ottawa Hospital), M. Cheng (Psychiatrist, Children’s Hospital of Eastern Ontario).
Information in this pamphlet is offered ‘as is' and is meant only to provide general information that supplements, but does not replace the information from a health professional. Always contact a qualified health professional for further information in your specific situation or circumstance.
You are free to copy and distribute this material in its entirety as long as 1) this material is not used in any way that suggests we endorse you or your use of the material, 2) this material is not used for commercial purposes (non-commercial), 3) this material is not altered in any way (no derivative works). View full license at http://creativecommons.org/licenses/by-nc-nd/2.5/ca/
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