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Axis I diagnosis *
The applicant is willing to participate in the frequency and intensity of ACTT services*
Yes
Hospital admissions (more than 50 days in past 2 years preferred) Increased use of medical/support services x 6 months (family doctor, emergency department, outpatient psychiatry, crisis services) Has not been successful in less intensive conventional mental health community services (including case management)
Needs intensive support (i.e. ACT) in order to:Move from long term inpatient or supervised setting to the community, or, Avoid a long term institutional or residential placement if already in the community, or, Prevent long term institutional or residential placement because currently living with family and family supports are faltering or insufficient to meet the client’s needs.
Poor medication adherence and/or treatment resistant Severe persistent functional impairment, such as:Inability to consistently perform the range of practical daily living tasks required for basic adult functioning in the community (e.g. personal care, meal planning/cooking, homemaking tasks, budgeting, attending appointments)Difficulty with employment/vocational issues or carrying out the homemaker role (e.g. child care tasks)
Inability to maintain a safe living situation (e.g. homelessness, at risk of homelessness, multiple evictions, difficult to house)Needs supportive housing Able to live in more independent housing if intensive support is available
Addictions: Co-existing substance abuse disorder x 6 months or longer
Legal involvement: In the past 2 years, Substantial jail time, recurring police involvement, Not Criminally Responsible/Ontario Review Board, or court diversion/involvement
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