Mental Health and Addictions

Unity Health’s Mental Health and Addictions Programs are renowned for providing high quality care to disadvantaged people living with mental illness, addictions and other major life obstacles. We seek to treat patients with dignity and respect while providing them with options to meet their diverse and complex needs.

With an interprofessional team of psychiatrists, nurses, social workers, occupational therapists, nurse practitioners, and more, our programs are designed to help people struggling with issues like depression, anxiety, drug and alcohol addiction, changes in cognition and more.

Offered in both inpatient and outpatient settings across our two sites, some of the services we provide include:

  • Child, adolescent and family mental health services
  • Smoking cessation
  • Mindfulness-based relapse prevention
  • Stress management
  • Counselling
  • Crisis intervention and stabilization
  • Psychiatric emergency
  • Cognitive behavioural therapy

Click through the links below to learn more about the mental health programs, clinics and services offered at Unity Health.

Mental Health and Addictions at St. Joseph's Health Centre

At St. Joseph’s, our interprofessional team is made up of psychiatrists, nurses, social workers, occupational therapists, nurse practitioners, psychologists, peer support specialists, addiction counselors and social recreation therapists.

Addiction Services at St. Joseph’s span across both the Family Medicine and Mental Health Departments, and are integrated with multiple other programs throughout the hospital. Our specialists include emergency addiction crisis workers, addiction medicine consultation-liaison services, addiction medicine physicians, residents and nurses.

The services and clinics we provide include:

Addiction Shared Care

A referral program that offers collaborative care between our addiction physicians and family physicians for patients with substance use disorders. Patients can be referred for an assessment by faxing a referral to 416-530-6106 or by calling 416-530-6000 ext. 3969.

Mindfulness-Based Relapse Prevention

This is a 10-week aftercare group integrating cognitive-behavioral relapse prevention skills and mindfulness meditation practice. For more information please call 416-530-6486 ext. 3929 or 416-530-6471.

Ground Floor, East Wing
416-530-6486 ext. 3969
Fax: 416-530-6106

Monday to Friday, 9 a.m. to 5 p.m.

Rapid Access Addiction Medicine (RAAM)

Brief support/referral for patients not currently connected to addiction recovery resources. This clinic runs every Wednesday from 1 p.m. to 4 p.m. as well as Tuesday and Thursday from 10 a.m. to 11:30 a.m. Register at Family Medicine, located on the Ground Floor East entrance.

Smoking Cessation Clinic

Supporting Unity Health’s goal of being a smoke-free facility, this multidisciplinary service offers pharmacotherapy and counselling related to stopping smoking. No referral is necessary. Please call 416-530-6000 ext. 3969 to book an appointment.

Toronto Centre for Substance Use in Pregnancy (T-CUP)

The T-CUP programs offers multidisciplinary addiction, obstetric and neonatal care to pregnant women in an empathic and non-judgmental environment. The program is part of the Family Medicine Centre, located on the Ground Floor of St. Joseph’s. For more information call 416-530-6860.

St Joseph’s Adult Mental Health Inpatient Unit provides services to adults aged 19 years and older. The unit’s clinical priority is to deliver holistic and accessible mental health services to patients and their families.

Our individualized mental health care and services are planned in collaboration with patients, families and community stakeholders in order to meet the unique needs of the people we serve. We are committed to providing cutting-edge care and services and reinforcing innovative partnerships.

This unit also includes:

Adult Mental Health Inpatient Unit (7M)

The Adult Mental Health Inpatient Unit or 7M is a 29-bed unit providing inpatient care and treatment for people in the acute phase of a severe mental illness. We provide thorough assessment, care planning, interventions and evaluation.

A multidisciplinary team consisting of psychiatrists, nurses, psychiatric attendants, a psychiatric resident, general practitioner, occupational therapist, social worker, therapeutic recreationist, pharmacist, chaplain help to provide patients with individualized care plans. We offer a range of therapeutic and leisure group activities.

7th Floor Morrow Wing
416-530-6000 ext. 6175
Fax: 416-530-6105

The Psychiatric Intensive Care Unit (PICU)

The PICU is a safe and controlled environment for patients with a broad spectrum of acute and persistent mental health needs. The six-bed unit provides mental health care and treatment for individuals whose acute distress, suicidal or challenging behavior needs a secure environment beyond that which can normally be provided on regular psychiatric units.

The purpose of this unit is to manage and reduce the risks associated with acute episodes of mental illness, while respecting patients’ privacy and dignity. The care and intervention provided in the program helps patients develop the skills, insight, education and confidence required to return safely to another unit or to the community.

7th Floor Morrow Wing
416-530-6000 ext. 4690
Fax: 416-530-6509

As part of the Emergency, Mental Health and Addictions Services, our Outpatient Mental Health program provides client-centred care to adults through a variety of hospital- and community-based programs.

Outpatient Mental Health includes seven programs that provide a wide range of treatment options for individuals with mental health concerns. The main clinic space is on the 5th floor of the Morrow Wing, extending into the Gilgan Family Wing and is accessible from the main elevators in the Morrow wing. We also have two programs on the 7th floor of the Morrow Wing.

Our interdisciplinary teams of practitioners provide the following range of mental health services:

  • Mental health assessment and treatment recommendations
  • Community support
  • Illness stabilization and recovery
  • Collaborative care with community primary care providers
  • Access to supportive and/or adjunctive services within the mental health and addictions program

5th Floor Gilgan Family Wing

The Outpatient Mental Health unit includes:

The Assertive Community Treatment Team (ACTT)

The Assertive Community Treatment Team (ACTT) provides community-based support and rehabilitation to adults with severe and persistent mental illness. Many ACTT clients have been given the diagnosis of schizophrenia, which is a challenging condition that sometimes makes it difficult to tell what is real and unreal, think clearly, manage emotions, relate to others and complete daily tasks. The team helps out with whatever the client identifies as a need, such as managing medication, trips to their family doctor and having a supportive ear whenever they need it.

Our team, which includes a psychiatrist, peer support worker, nurses, social workers, mental health worker and an occupational therapist, works collaboratively seven days a week to provide this community-based support.

5th Floor Gilgan Family Wing
Fax: 416-530-6363


The Collaborative Care Clinic (CCC)

The Collaborative Care Clinic (CCC) provides assessment and short-term treatment of a wide range of mental health concerns using a team approach for an episode of care. The clinic does not provide long-term psychiatric follow up. The program is comprised of four teams, each with two psychiatrists, two mental health clinicians and one case manager.

5th Floor Gilgan Family Wing
Fax: 416-530-6774
8 a.m. to 4 p.m.


Injection Clinic

The Injection Clinic is designed to support individuals with severe and persistent mental health issues who have been prescribed injectable antipsychotic medication. Our nurses provide injections, brief assessments and follow-up as needed.

5th Floor Gilgan Family Wing
416-530-6000 ext. 3448
Fax: 416-530-6405
Wednesday, 9 a.m. to 4 p.m.


  • Appointments to our Injection Clinic are by physician referral only

Psychiatric Day Hospital

Our Psychiatric Day Hospital provides a structured therapeutic environment for individuals transitioning from psychiatric inpatient care or who need a period of more intensive treatment. This is a three-week intensive day treatment program for clients who receive care from our multidisciplinary team including psychiatrists, a social worker and nurses who provide individual support and educational groups.

7th Floor Gilgan Family Wing
Fax: 416-530-6405
8 a.m. to 4 p.m.


  • The day hospital only accepts internal referrals from St. Joseph’s programs.

The Child, Adolescent and Family Mental Health Program at St. Joseph’s includes a six-bed inpatient unit, an outpatient day hospital, an urgent care clinic and a perinatal Father’s Mental Health Service.

The Child and Adolescent Program offers a wide range of services for children under the age of 19. These include crisis support in case of emergencies, urgent care follow-ups, inpatient hospitalization, outpatient day hospital, transitional support to community services and time-limited individual outpatient services.

Our care team includes:

  • Child and youth counsellor
  • Section 23 Toronto Catholic District School Board teacher
  • Psychiatrists
  • Social workers
  • Mental health nurses
  • Clerical staff
  • Learners and trainees in various disciplines

3rd Floor Our Lady of Mercy building
Fax: 416-530-6393
8 a.m. to 4 p.m.

Fathers’ Mental Health and Assessment

Our Fathers’ Mental Health Assessment and Treatment Service offers a consultation and treatment service for expecting and new fathers, as well as fathers with young children. This service provides a comprehensive outpatient assessment on a consultative basis. The assessment process may include a telephone intake interview followed by an assessment by a psychiatrist. For more information please visit


Inpatient Unit

Our Inpatient Unit provides interprofessional assessment and treatment by nursing, child and youth workers, social workers and psychiatrists. With most of our patients living at home with their families, our intensive program focuses on patient and family-centered care approaches. Inpatient admissions address crisis stabilization, medication initiation or management, risk mitigation through daily interdisciplinary assessments, structured group therapy, individual psychotherapy and family therapy.

In order to ensure our patients transition smoothly back into the community, we work with the Toronto Catholic District School Board to provide a Section 23 classroom to allow our inpatients to continue their studies in hospital and not add to the stress of recovery by falling significantly behind in their academics.

Outpatient Unit

Our Outpatient Day Hospital Program focuses on admission avoidance and reduction of re-admissions. This program is also partnered with the Toronto District School Board and provides an outpatient Section 23 classroom for our day hospital patients. Our outpatient urgent care clinic is psychiatrist-run and referrals come from our inpatient and mental health emergency services teams.

The day hospital allows inpatients to transition to outpatient services by providing educational and mental health support. A psychiatrist and social worker will follow day hospital patients with the goal of helping them reintegrate into their school and community. The day hospital only receives referrals from the inpatient program as well as referrals from within St. Joseph’s.

Our outpatient services provide education, motivation and support and provide links to community resources and treatment services, empowering individuals to make healthy lifestyle changes. Our outpatient programs include:

  • Community Withdrawal Management
  • Continuing Care Group
  • Day Withdrawal Program

The MHESU provides immediate assistance to individuals experiencing a mental health crisis. Emergency and crisis services are available to anyone who presents to the Emergency Department who may be experiencing an acute episode of mental health or psychiatric distress. Patients are assessed through the Emergency Department and unfortunately we cannot provide counselling services over the phone.

The team in MHESU includes physicians, clinical social workers, registered nurses, psychiatric assistants, as well as a variety of support personnel. Pre-admission assessment and screening is provided for individuals who may require voluntary or involuntary hospitalization, or who may require either outpatient-based crisis stabilization or inpatient crisis stabilization.

Services include:

  • Assessment
  • Crisis Intervention and stabilization
  • Brief counselling
  • Short-term critical stress management

Ground Floor Glendale wing
416-530-6000 ext. 3973
Fax: 416-530-3194

The RBC Mental Health Short Stay & Transitional Aged Youth Unit (MHSSU-TAY) provides age-appropriate and therapeutic services for young adults, aged 19 to 25, who are making the transition from adolescent to adult care. Patients in this age group are assessed through the Emergency Department and Mental Health Emergency Services Unit (MHESU) and may be transferred to the MHSSU-TAY if it’s determined that they would benefit from a short inpatient stay for mental health treatment and stabilization. Unfortunately we cannot provide counselling services over the phone.

Current programming on the unit includes group sessions focused on distress tolerance, coping strategies, mindfulness and emotional regulation. Sessions are meant to encourage recovery, socialization and skill building in this transitional-aged youth population.

Seventh floor (7G)
416-530-6000 ext. 4479
Fax: 416-530-6000 ext. 6201

Designed to promote wellness and recovery from substance abuse in a residential setting, our voluntary non-medical withdrawal management service facility houses 26 beds for clients. Our team includes addiction service workers, unit service aides and a unit secretary. We provide a complete withdrawal management service including:

  • Support and basic care during withdrawal
  • Help in identifying and making referrals for other medical assistance if needed
  • Assistance in identifying other treatment resources and services
  • Psycho-educational groups
  • Auricular acupuncture (not currently offered due to COVID-19)
  • Links to self-help programs as well as other community supports

Glendale House, 87 Glendale Ave.
Fax: 416-530-6380
Monday to Friday, 9 a.m. to 5 p.m.

Withdrawal Management – Residential
Glendale House, 87 Glendale Ave.
Fax: 416-530-6265

Mental Health and Addictions at St. Michael's Hospital

In partnership with several community organizations, St. Michael’s Mental Health and Addiction Service offers treatment, counseling and evidence-based treatments to promote personal recovery from mental illness.

We take a unique, interdisciplinary approach to addictions by integrating evidence-based addiction medicine and psychiatry principles into our treatment plans. Including addiction experts from family medicine, psychiatry, internal medicine and emergency medicine as well as registered nurses, addictions case workers, nurse practitioners and peer support specialists with lived addiction experience, our day-to-day clinical team treats addictions of all kinds.

As part of the program, we offer addictions groups to help individuals look at both mental health and substance use problems. The Addiction Team wants to engage with you even if you’re unsure of your goal or what your needs are, so please feel free to reach out at any time.

Coordinated Access to Addictions Services

Coordinated Access to Addictions Services is a central number that individuals, family members and community agencies can call for guidance and referrals to substance abuse support services within the City of Toronto. By calling this number, clients can speak to an addictions counselor who will help them find the appropriate level of care for their needs.

Monday to Friday, 9 a.m. to 4:30 p.m.

Rapid Access Clinics (RAC)

The RAC is an urgent care drop-in service for people with addiction disorders. We offer medications for withdrawal and alcohol craving (e.g. Naltrexone) or opiate agonist therapy (e.g. methadone or Suboxone). If you have already been started on methadone or Suboxone you will have to return to your original prescribing doctor. We are now also offering a virtual clinic.

17 CC Cardinal Carter Wing
Monday to Friday, 9 a.m. to noon

Residential Withdrawal Management Services

Designed to promote wellness and recovery from substance use in a residential setting, Unity Health Toronto, St. Michael’s site offers three voluntary non-medical withdrawal management facilities that operate 24/7.

If you identify as male, you can attend these locations:

  • 135 Sherbourne Street, 3rd Floor
  • 16 Ossington Avenue

If you identify as female, you can attend this location:

  • 892 Dundas Street West

Our team includes Human Services Counsellors, Community Case Workers, Registered Nurses, a Nurse Practitioner, and an Administrative Coordinator. We provide a robust withdrawal management service that is trauma informed and person-centered. Services we offer include:

  • Substance use assessment
  • Intoxication, withdrawal, and overdose monitoring and management
  • Crisis intervention and management
  • Counselling
  • Linkage to community resources
  • Health promotion
  • Goal setting
  • Treatment planning and support
  • Harm reduction education
    • Naloxone kits, safer injection and safer inhalation kits upon discharge

To access a non-medical Residential Withdrawal Management Service, please call Central Access: 1-866-366-9513

Day and Community Withdrawal Management Services

Unity Health Toronto, St. Michael’s site offers day and community withdrawal management services designed to promote wellness and recovery from substance use.

Our day withdrawal management service offers short-term group therapy for people who use substances. This program is currently offered online, Monday – Friday 8 a.m. – 4 p.m. via Zoom. Clients can register for this program through Coordinated Access: 1-855-505-5045

Our community withdrawal management services support clients who require short-term community case management, resourcing, and/or counselling. Clients who may be eligible for this time-limited case management service offered Monday – Friday, 8 a.m. – 4 p.m. are screened through our residential withdrawal management programs.

Coordinated Access to Addictions Services

Coordinated Access to Addictions Services is a central number that individuals, family members and community agencies can call for guidance and referrals to substance use support services within the City of Toronto. By calling this number, clients can speak to an addictions community case worker who will help them find the appropriate level of care for their needs.

Monday to Friday, 8 a.m. to 4 p.m.

The Child and Adolescent Mental Health and Addictions Service at St. Michael’s offers a range of mental health services from consultation to ongoing follow-up and treatment coordination for children ages five to 17. We do not offer an inpatient mental health service for children at St. Michael’s.

The services we offer include:

  • Outpatient consultation and follow-up clinic
  • Collaborative care to the department of pediatrics at St. Michael’s
  • Consultation as requested to St. Michael’s Family Health Teams, Medical Psychiatry, and Urgent Care Program
  • Consultation as required to other children’s mental health agencies as requested

The service supports children and youth who have a wide variety of needs for treatment of anxiety, mood, neurodevelopmental disorders or oppositional, impulsive-control or disruptive behaviours.

The service is primarily a psychiatry consultation process for diagnostic clarification, medication treatment, and direction to community agencies that can provide counselling, child and youth services or social worker support.

For more information, please call: 416-864-5120.


  • To access the service, a patient referral form must be completed by a physician and faxed to 416-864-5480.


This program is collaboration between St. Michael’s, Inner City Health Associates and Toronto North Support Services with the aim of connecting homeless people to health supports including primary and psychiatric care, peer support and case management. Fax a referral form to the CATCH Office at 416-864-5467 or call 1-877-482-4595 to learn more.

Community Connections Case Management program

This team of psychiatrists, nurses, social workers and occupational therapists provides intensive case management services for people living with serious mental illness, substance abuse issues or homelessness. To access this program a patient referral form must be completed by a psychiatrist within the Mental Health and Addictions service.


Our team of psychiatrists, nurses, social workers, occupational therapists, peer support specialists, psychologist and case managers offer community based services and supports to people living with serious mental illnesses in partnership with Cota Health. Learn more at Patients may also be referred by their psychiatrist within the Mental Health and Addictions Services.

Geriatric Mental Health Outreach Program (GMHOP)

GMHOP provides specialized outreach consultation, assessment and follow-up services to older adults with mental health needs and complex behavioural problems living in long term care homes in Toronto’s inner city. Individuals must be referred by a designated long term care home. For more information please call 416-864-5120.

The Starting Treatment Early for Psychosis Service (STEPS)

This early intervention in psychosis program is designed to offer treatment and supports to youth experiencing signs and symptoms of a first episode of psychosis. Learn more at Patients may also be referred by their psychiatrist within the Mental Health and Addictions Services.

The Inpatient Program at St. Michael’s is a 33-bed unit for adults aged 18 years and older suffering from serious mental illness and/or experiencing a crisis. Our interdisciplinary team includes physicians, nurses, peer support specialists, social workers, occupational therapists and a mental health pharmacist.

The unit creates a safe and therapeutic 24-hour environment for patients, while the team provides treatment using modalities like psychiatric care, pharmacological treatment, supportive therapy, primary nursing and group activities.

17th Floor Cardinal Carter Wing

The Interventional Psychiatry Program at St. Michael’s Hospital aims to define best treatment and care for people with mood and co-morbid disorders through innovative research and knowledge translation. The program has a focus on offering novel /emerging treatments including technology-enabled treatments for Mood and other Disorders.

The treatments offered by the Interventional Psychiatry program include Psychopharmacology (e.g., IV ketamine/other anesthetic agents), Neurostimulation (e.g., ECT, rTMS, emerging neurostimulation modalities) and Digital Therapeutics (e.g., mobile-based monitoring and interventions). Our interdisciplinary program collaborates closely with anesthesia, imaging, informatics, neurology and neurosurgery to offer these emerging treatments, and our research program aims to understand treatment response with these emerging treatments. By integrating clinical care and research with education and knowledge translation, we strive to create a stronger investment in mental healthcare and ultimately improve health policy and clinical practice.

For further information on the Interventional Psychiatry program, visit


To access St. Michael’s Mental Health Interventional Psychiatry program, a referral form must be completed by a family physician and faxed to 416-864-5480.

Interventional Program Referral Form

Information for referring providers:

  • A physician or nurse practitioner referral is required (self-referral is not accepted)
  • It is preferred that the referral comes from the treating psychiatrist or physician
  • The referring physician must accept care after patient has completed time-limited treatments offered within the Interventional Psychiatry Program
  • This program is not catchment specific
  • This referral form is for the Interventional Psychiatry Program only – for all other referrals, please use the general St. Michael’s referral form for Ambulatory Mental Health and Addictions Services

FAQ About Ketamine

What is ketamine?

Ketamine is a medicine that was developed as an anesthetic to block pain during surgery. It has been used this way for the last 50 years and is safe and effective. It is on the World Health Organization’s list of Essential Medications as an anesthetic.

Over the last 20 years, ketamine has been examined in smaller doses to treat psychiatric disorders, including major depressive disorder (MDD) in individuals who have not responded well to conventional treatments. Several short-term studies have shown that ketamine is effective for people with treatment resistant depression however there are limited long-term studies completed at this time. Compared to another drug or no drug at all, ketamine reduces the following in the short-term:

  • Reduces depressive symptoms
  • Reduces thoughts of suicide

How does ketamine work to improve depression?

Ketamine is thought to impact neurotransmitters in the brain including glutamate. Research suggests that these changes improve mood and thinking, which are impacted by depression.

Who is eligible for ketamine treatment?

To be eligible for ketamine treatment you must:

  • Have a primary diagnosis of moderate to severe depression
  • Have tried other forms of treatment (medications, psychotherapy, brain stimulation), but they have not helped you
  • Have a referral from your doctor

You are not eligible for ketamine treatment if you have an active substance use disorders or have symptoms of psychosis.

Who should not get ketamine?

You should not get ketamine if:

  • You suffer from psychotic disorders or have psychotic symptoms
  • You have an active substance use disorder or are on maintenance treatment for a substance use disorder
  • You have high blood pressure that is not well controlled or other serious medical conditions
  • You have symptoms from a traumatic brain injury
  • You have a hypersensitivity to the ketamine drug

Do I have to pay for this treatment?

No, there is no cost to you to receive this treatment, which includes 6 sessions.

How is ketamine given?

Our program uses intravenous ketamine (through an IV line). While ketamine can also be given in other ways, giving ketamine through an IV has been studied the most and shows the most benefit so far. If you have significant improvement after one series of the IV treatment, you could be considered for use of other forms of ketamine for maintenance therapy. Our program does not cover the costs of the other forms of ketamine for maintenance therapy.

What dose of ketamine will be used?

The most common dose is 0.5 mg/kg infused over 40 minutes. Your psychiatrist will decide if you need a different dose.

How many sessions of treatment will I need?

You will receive your IV ketamine treatment 2 times per week for 3 weeks. In total, you will receive 6 treatments over 3 weeks.

How effective is the treatment?

About one third of patients have significant improvement (their depressive symptoms largely go away) by the end of one series of IV treatments. About one third of patients do not improve with ketamine treatment. The other third usually have some improvement.

How quickly does IV ketamine treatment begin to work?

You may feel the effects within a few hours to 24 hours of a single treatment, however it often takes a few days to feel better. It has been shown that benefits improve with repeated treatments.

How long do the effects of repeated doses of ketamine last?

We do not know this with certainty. Here is what research has shown so far for patients who have significant improvement:

  • After a single treatment of IV ketamine, effects can appear within a few hours, peak at 24 hours after the treatment, and often remain for at least 1 week.
  • After repeated treatments, the effects can be longer. People remain well between several days to several months. Some people remain well for longer periods of time.
  • People could maintain the benefits with more doses of ketamine or with other treatments (for example other medications, psychotherapy, or neurostimulation). Please note that we don’t currently have enough research about the best ways to maintain benefits following one series of IV treatments. At this time, booster treatments or maintenance with other forms of ketamine are not covered by OHIP.

What are the side effects of ketamine and what should I do if I have them?

The doses of ketamine that are used for depression are much lower than the dose used for anesthesia. This makes it quite safe and side effects are usually limited. Any side effects usually appear within 2 hours of infusion and go away between 4 to 24 hours afterwards.

The most common short term side effects of ketamine used for this purpose include:

  • Nausea
  • Vomiting
  • Dizziness
  • Headache
  • Blurred vision
  • Anxiety
  • A sense of dissociation (feeling disconnected from yourself or surroundings)
  • Increased blood pressure and increased heart rate

These symptoms appear during treatment and disappear shortly afterwards on their own. We can provide treatment for nausea during the infusion. We will monitor for these symptoms throughout the treatment.

If you have side effects more than 24 hours after your treatment, or the side effects are getting worse:

  • Contact our office at 416-864-3920 during business hours
  • Or go to your nearest emergency department

Are there any long-term side effects?

Short-term ketamine use (in lower doses for a limited number of treatments) has the side-effects listed previously, however there is limited literature on long-term side-effects. If you are considering maintenance treatments for a longer period of time, speak to your doctor about potential side effects.

Can I continue taking my antidepressant while getting ketamine treatment?

Ketamine treatment is safe to receive when taking most antidepressants. Some studies suggest that ketamine treatment may not work as well if you are also taking benzodiazepines and NMDA receptor antagonists. Your psychiatrist will review your medications to decide if ketamine treatment is right for you.

Do I need a referral for ketamine treatment?

Yes, you need a referral from your regular doctor. Our program does not provide long-term follow-up after completion of the IV ketamine treatments. You will need to follow-up with your doctor for ongoing care.

For more information

Talk to your doctor if you want more information about ketamine IV treatments.

The Medical Psychiatry program at St. Michael’s provides psychiatric consults to all the medical, surgical and subspecialty floors and outpatient clinics. We also provide follow up of patients upon discharge, if needed.

In addition to working within the St. Michael’s Mental Health and Addictions Service, we provide care through integrated clinics for patients living with conditions like HIV, head injury, cystic fibrosis, diabetes and more who also have mental health concerns. We also have a Memory Clinic where we provide comprehensive assessment and follow-up for older adults experiencing changes in memory and cognition.

Our team includes:

  • Medical psychiatrists
  • Geriatric psychiatrist
  • Clinical nurse specialist

The services we offer include:

  • Comprehensive interprofessional psychiatric assessment
  • Diagnosis information for patients and caregivers
  • Treatment recommendations and medication monitoring
  • Links to appropriate community support services
  • Short-term psychosocial interventions
  • Psychiatric care through the Ontario Telemedicine Network

17th Floor Cardinal Carter Wing
Fax: 416-864-3091


The Mental Health Emergency Service Area (MHESA), located in St. Michael’s Emergency Department, are available 24 hours a day. We offer psychiatric assessments, triage, crisis intervention and stabilization of clients experiencing a mental health or addictions-related crisis. No referral is necessary to come to the St. Michael’s Emergency Department, however access to the MHESA is by referral from the hospital Emergency Department. Upon arrival to the Emergency Department, you will be seen by the emergency nurses and doctors, who will notify the crisis intervention service as required.

Emergency Department, 30 Bond St.

Mental Health Assessment Clinic

The clinic offers mental health assessments to diagnose and provide treatment recommendations for patients aged 18 or older living in southeast Toronto. If indicated, short-term follow-up for medication management and time-limited group psychotherapy options are available for patients referred to the clinic. This consultative and time-limited model enables the referring source to access specialized mental health services for their patients and receive recommendations to manage the presenting mental health issue after patients complete their care in the clinic. St. Michael’s Hospital is a University of Toronto (UofT) affiliated academic health centre and multidisciplinary health professions, including psychiatry residents and health professional trainees, are part of this mental health service.

For more information, please call 416-864-5120.


  • To access this service a referral form must be completed by a physician and faxed to 416-864-5480.

Mood Disorders

St. Michael’s Hospital offers sub-speciality psychiatric assessment for diagnostic clarification and recommendations for complex mood disorders. As St. Michael’s is an academic institution and an innovator in mental health research, the mood disorder program includes access to novel clinical options and ongoing research studies in which patients can participate. For more information about the treatment options that are currently being offered, please see the Interventional Psychiatry section in St. Michael’s Hospital Outpatient Mental Health Services webpage.

For more information, please call 416-864-5120.


  • To access a mood disorders consultation a referral form must be completed by a physician and faxed to 416-864-5480.
  • To access a specific treatment option offered by the Interventional Psychiatry Program an Interventional Psychiatry referral form must be completed by a physician and faxed to 416-864-5480.

Urgent Care Program

The Urgent Care Program (UCP) at St. Michael’s Hospital provides timely outpatient mental health care for patients up to three months after they have been discharged from the Mental Health Emergency Service Area or an inpatient admission at St. Michael’s Hospital. The UCP offers outpatient psychiatric follow-up for medication management and stabilization of the acute mental health issue. Allied health-care professionals are part of the UCP team and support patients to connect to mental health services in the community or to return to care with their family physicians.

For more information, please call 416-864-5120.

Collaborative Care Program

The Collaborative Care program offers mental health assessment and treatment recommendations for patients within the St. Michael’s Family Health Team. Embedded psychiatrists across five clinical locations (61 Queen Family Practice Unit, Health Centre at 80 Bond, St. Lawrence Health Centre, Sumac Creek Health Centre and Wellesley – St. James Town Health Centre) work within a multidisciplinary team of family physicians, social workers and psychologists to support comprehensive mental health service delivery.

This program is only available to patients registered with the St. Michael’s Family Health Team.

Mental Health and Addictions at Providence Healthcare

Geriatric Psychiatry Clinic

A Geriatric Psychiatrist provides assessment, consultation and treatment to geriatric individuals who may have a mental health issue, a dementia syndrome, behavioural or psychosocial issues. Consultation typically occurs in the on-site clinic setting, however home visits may be arranged for homebound individuals as needed.

3276 St Clair Ave E.


  • Referral by physician only.

As of April 1, 2021, St. Michael’s Foundation amalgamated with Providence Healthcare Foundation and all receipts will be issued by St. Michael’s Foundation.

We are pleased to let you know that your donation will go directly to the organization and priority that you have designated.

Last updated June 17, 2022