Voluntary Treatment Services
Mental health counselling and treatment services are provided by a number of different Hincks-Dellcrest programs to infants, children, and youth (aged birth to 17). With the exception of four placements reserved in two residential treatment homes for youth who have been convicted of offenses under the Youth Criminal Justice Act (YCJA), all of these services are voluntary. There are three major types of services: outpatient, day treatment, and residential treatment.
Services within these programs are provided in the context of a multidisciplinary approach that includes access to personnel from a variety of mental health disciplines (social work, psychology, psychiatry, nursing, and child and youth work), according to each client's needs. Some services are provided by trainees closely monitored by an experienced supervisor.
Voluntary treatment services at Hincks-Dellcrest are funded largely by the Ontario Ministry of Community and Social Services.
Requests for Outpatient Services
or Day Treatment Services
from a Hincks-Dellcrest voluntary treatment program can be made directly through one of the Treatment Centre's two centralized intake units. One intake unit is located at the Treatment Centre's Jarvis Site in downtown Toronto; the other intake unit is located at the Treatment Centre's Sheppard Site in the northwest section of Toronto.
Access to Hincks-Dellcrest Residential Treatment Services
is through Centralized Access to Residential Services (CARS), operated by the Ontario Ministry of Community and Social Services.
Although referral sources may call the centralized intake units to make inquiries about services for a particular infant/child/youth, custodial parent(s) or guardian(s) need to call the intake unit directly to begin the formal intake process for outpatient or day treatment services. (In Ontario, under the Child and Family Services Act, children aged 12 and older may request services on their own behalf.)
The intake worker collects basic information about the infant/child/youth and family, the problems being experienced, and the type of service being requested. This allows the Treatment Centre to direct the request appropriately.
Two programs (one located in downtown Toronto, serving clients who live in the former City of Toronto; one located in northwest Toronto, serving clients who live in the former North York) provide outpatient mental health counselling and treatment to infants/children/youth up to the age of 17.
According to each client's needs, services may include single session consultation, brief family therapy, longer-term family therapy, group therapy, individual therapy, liaison with schools or other service providers, and specialized psychological or psychiatric assessments and consultation. Specialized assessments outside of the Treatment Centre also might be recommended.
The outpatient programs also provide outreach services to students of the Toronto District School Board, or in collaboration with other community partners. Intakes into these outreach services are decided by the community partners involved rather than by the Treatment Centre's Centralized Intake
Day Treatment Services
Two programs (one located in downtown Toronto and one located in northwest Toronto) provide day treatment services to children and youth who are experiencing serious, chronic mental health problems that significantly interfere with their ability to function in a community school setting as well as in their families and/or communities.
The downtown Toronto location offers three to four day treatment placements for youth aged 12 to 17. The northwest Toronto location offers twenty-eight to thirty-two placements for children and youth aged five to fourteen.
Each client served in day treatment is provided with an integrated program characterized by a range of strategies, including: clinical assessment prior to placement; placement in a daily, therapeutic classroom milieu; individualized educational programming; specialized psychological or psychiatric assessment, if required; parent education; parent groups; family therapy; individual therapy for children or youth; and, various types of group therapy.
Service is provided by a multidisciplinary team of Hincks-Dellcrest personnel, in collaboration with teachers from the Toronto District School Board.
Follow-through services are provided after a child/youth leaves a day treatment placement. These services include support to the child/youth and family during the transition back to the community school setting. They also include assisting the family to connect with community resources needed to maintain or enhance gains made by the client during day treatment.
The northwest Toronto day treatment program also offers outreach services to children registered in two behavioural classrooms of the Toronto District School Board. These services include teacher training and consultation, group work with the children, individual supportive counselling for the children, and informal parent support. Intake into these outreach services is carried out by the community partners involved, rather than by the Treatment Centre's Centralized Intake
Residential Treatment Services
The Treatment Centre has two residences that provide short-term (three months to two years) residential treatment services to seriously disturbed children and youth.
Clients served in residential treatment usually have acute and/or extreme social-emotional and behaviour problems (e.g., repeated suicidal gestures, placing self or others at risk, fire setting, running away), and often have multiple mental health diagnoses. Long-standing family problems also are often, although not always, present. Children and youth usually are not admitted to residential treatment unless family and community-based treatment has been tried and found insufficient to meet the child or youth's treatment needs.
All referrals to residential treatment must be supported by the parent or guardian.
Residential treatment includes daily living in a milieu that encourages healthy functioning and participation in the family, school, and community. In addition, residential treatment includes psychiatric assessment and consultation, individual therapy, group therapy, and family therapy. According to need, it also may include psychological assessment and consultation, and/or medication.
An educational program is provided to each child or youth in residential treatment. In some cases, residents continue to attend their regular schools. However, in most cases, residents attend special classrooms run collaboratively by Hincks-Dellcrest staff and teachers from the Toronto District School Board. These classrooms are designed to provide educational services to children and youth receiving treatment services who do not cope adequately in a community school. The school board component of the classrooms is funded by the Ontario Ministry of Education.
Some older youth attend work programs in addition to, or instead of, attending school.
Aftercare support is provided to former residents and their families after discharge from residential treatment.
City Residential. Located in downtown Toronto, this residence provides residential treatment services to thirteen boys and girls, aged 12 o 17. Two additional placements are reserved for youth convicted of an offense committed when they were 12 to 15 and sentenced to open custody.
The Farm. This residence is a 100-acre working farm about 180 kilometres northwest of Toronto in Heathcote, Ontario. It provides residential treatment to seventeen boys and girls (aged 12 to 17) who are the most difficult to serve. Two additional placements are reserved for youth convicted of an offense committed when they were 12 to 15 and sentenced to open custody.