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Case Management

Case management services are offered by Mental Health Counsellors at each of the five office sites throughout Hastings and Prince Edward Counties.  Services are based on the Recovery Model, which supports independence, wellness, personal growth and community living.

Services include:

  • community-based service offered in the client’s environment of choice
  • individualized assessment and planning
  • counselling and support
  • service navigation and coordination
  • system advocacy
  • personal advocacy
  • family support and education
  • skills groups
  • public education and consultation
  • linkage to agency consulting psychiatrists
  • relapse prevention and crisis planning

Hospital Liaison Services

The Hospital Liaison Mental Health Counsellor provides seamless transition for adult patients with a mental illness who are to be discharged from the hospital to their community in Hastings or Prince Edward Counties.  Case Management services begin while the person is still an in-patient and continue to be provided after discharge.

Services include:

  • individualized assessment and discharge planning
  • service coordination with hospital staff
  • ongoing counselling and support after discharge
  • service offered in client’s environment of choice
  • linkage to other agencies, programs, and services
  • liaise with general practitioner and/or psychiatrist
  • system and personal advocacy
  • family support and education

Activities of Daily Living Peer Mentor

The Peer Mentor Program provides support with activities of daily living by a person with lived experience.  The Peer Mentor develops and maintains supportive relationships with clients and acts as a role model.  Supports and services are provided in clients’ own homes as well as in the community.  The Peer Mentor assists, instructs and monitors clients’ personal recovery abilities as they relate to household management including grocery shopping, budgeting, banking, errands, household chores and home safety, accessing community resources, transportation and accompaniment to social/recreational and leisure activities.

Transitional Enhancement Program

The Transitional Enhancement Program’s (TEP) Mental Health Counsellor (MHC) provides case management services to mental health clients being diverted from the Emergency Department (ED) for a six-week period.  Services include:

  • individualized assessment and planning
  • service coordination and navigation
  • crisis planning
  • discharge planning
  • monitoring of referrals made
  • monitoring of ED presentations

Skills Groups and Public Education

Skills groups are offered in the various satellite offices.  Staff facilitate groups according to identified client and collaborative agency needs.

Skills groups are offered to:

  • assist clients in gaining information on their illness
  • provide tools to cope with their symptoms in order to increase their quality of life
  • assist clients in gathering information to monitor and reduce physical and emotional symptoms
  • create positive changes and increase wellness
  • learn about and incorporate self-help skills into their daily lives

HOW TO MAKE A REFERRAL:

Please call 310-OPEN  (310-6736) to speak to an intake counsellor.  310-OPEN is available 24 hours a day, 7 days a week.