Table 2 Characteristics and details of intervention groups
Needs level | Moderate needs | High needs | |
|---|---|---|---|
Treatment acronym | ICM | ER-ICM | ACT |
Treatment name | Intensive Case Management | Ethno-Racial Intensive Case Management | Assertive Case Management |
Rent allowance# | $600 | $600 | $600 |
Service team | Intensive case management (ICM) | Intensive case management (ICM) with focus on ethno-racial diversity | Assertive community treatment (ACT) |
Name of service team | Toronto North Support Services | Across Boundaries | COTA Health |
Participant/staff ratio | 20:1 | 20:1 | 10:1 |
Availability to participant | 5 days/week; 8 hours/day | 7 days/week; 12 hours/day | 7 days/week; 24 hours/day |
Location of service | In the community | In the community | In the community |
Services provided | â–ª Participants are matched to a Case Manager who works with the participant to develop a service plan | â–ª Same as the regular ICM services with the addition of services oriented towards the ethno-racial population | â–ª Participants have access to entire ACT team, which will include a psychiatrist and nurse |
â–ª Focus is on independent living and providing supports that increase personal independence over time | â–ª This service provider takes a more holistic approach to mental health care that recognizes spiritual, emotion, mental, physical, social, economic, cultural, linguistic and broader environmental aspects of life including social determinants of health | â–ª ACT team provides all of the relevant services, including case management, initial/ongoing assessment, psychiatric services, employment and housing assistance, family support and education, substance use services and other services and support to allow the individual to live successfully in the community | |
â–ª Case manger will accompanies participant to appointments (with psychiatrist/social workers, etc.) | â–ª Main goal of model is to assist participants to help build support network, including with family and friends | Â | |
Additional services | Â | â–ª Programs and initiatives that are available to participants: | Â |
– integrative peer support | |||
– skills building | |||
– social and recreational activities | |||
– support groups, alternative and complementary therapies (including art and music therapy) | |||
– creative expressions | |||
– community kitchen and | |||
– individual and community outreach | |||
Crisis support services | Yes | Yes | Yes |
Non-English services1 | No | Yes | No |
Length of treatment | Minimum 1 year | Minimum 1 year | Minimum 1 year |