Individuals experiencing or witnessing a mental health crisis can access the Toronto Community Crisis Service by calling 211 or 911. Appropriate calls will be dispatched based on the call location, dispatch criteria and availability of teams.

Re-imagining Toronto’s Mental Health Response

The Toronto Community Crisis Service (TCCS) is a new, alternate approach to responding to someone in crisis that focuses on health, prevention and well-being. The service provides an alternative to police enforcement, creating a community-based, client centred, trauma-informed response to non-emergency crisis calls and wellness checks.
Toronto Community Crisis Service Logo

This service aims to respond to the needs and desires of the communities most impacted by policing and establish trust and confidence in a new community-based response model.

The TCCS supports individuals 16 years of age and older. Service areas and hours of operation are provided below.

To view or find the four TCCS pilot areas, please visit the Toronto Community Crisis Service Areas map page.

The Toronto Community Crisis Service (TCCS) is part of the City of Toronto’s commitment to treat mental health crises as a public health issue, not a public safety issue. The TCCS is a community-based service with multidisciplinary teams of crisis workers who will respond to non-emergency calls from people in crisis and requests for wellbeing checks.

Principles of Care

  • Enable multiple, coordinated pathways for service-users to access crisis and support services
  • Ensure harm-reduction principles and a trauma-informed approach are incorporated into all aspects of crisis response
  • Ensure a transparent and consent-based service
  • Ground the service in the needs of the service-user, while providing adaptive and culturally relevant individual support needs;
  • Establish clear pathways for complaints, issues and data transparency

The Toronto Community Crisis Service (TCCS) dispatches trained teams of multidisciplinary crisis workers to respond to people experiencing a mental health crisis. It is a community-based, non-police response to mental health crisis calls and well-being checks.

Teams will respond to calls received based on dispatch criteria, the call type, location, and availability of teams.

TCCS crisis workers can be identified by their green lanyards and identification card. The City of Toronto logo appears on all vehicles, along with the logo of the partnering organization.

Beyond the Toronto Community Crisis Service pilots, other supports are available for people experiencing a mental health crisis and looking to connect with someone. Gerstein Crisis Centre offers crisis services 24/7 and can be reached by calling 416-929-5200.

The Toronto Community Crisis Service (TCCS) was designed to serve individuals who are experiencing a mental health crisis and to connect them to the supports they need. It has intentionally prioritized communities that are impacted by over-policing and that have lived-experience of mental health issues and substance use.

The TCCS has launched in four intentional areas of Toronto, offering a health focused response to those in crisis or to those seeking resources to support someone in crisis. The initial pilot communities were selected based on areas where the demonstrated need and calls for people in crisis are the highest in Toronto.

To view or find the four TCCS pilot areas, please visit the Toronto Community Crisis Service Areas map page.

The City is committed to ensuring strong evaluation of the Toronto Community Crisis Service (TCCS) program to ensure it successfully meets its goals and outcomes. The City has partnered with the Provincial System Support Program and Shkaabe Makwa at the Centre for Addiction and Mental Health to build a program evaluation framework co-developed with our community anchor partners, the Toronto Police Service and FindHelp | 211 Central.

Since the launch of the service in March 2022, Provincial System Support Program and Shkaabe Makwa at the Centre for Addiction and Mental Health have completed a one-year outcomes-focused evaluation report for the TCCS. The report confirmed the TCCS is successfully and increasingly diverting mental and behavioural health crisis calls from 911 with no police involvement, connecting service users to appropriate community-based follow-up supports, and providing positive experiences for service users, service providers and the community at large. An overview is provided in the Executive Summary and key highlights of the one-year evaluation report can be found in this infographic. To help visualize the impact of the TCCS, a visual story was created to showcase TCCS service user experiences, testimonials and data. All service users depicted in the visual story are for illustrative purposes only and are not exact representations of the service users.

The Toronto Community Crisis Service (TCCS) is a community-based service of trained teams of crisis workers who respond to people experiencing a mental health crisis. It is non-police led response to mental health crisis calls and well-being checks that is client centred, trauma-informed and focuses on harm reduction. This image is a visual map showcasing TCCS service user experiences, testimonials and statistics. Service users are connected with appropriate supports, including Indigenous-specific and Afrocentric and West Indian Carribbean-centric supports; 300 culturally relevant supports and 2407 referrals were provided. The top referrals made by TCCS teams were shelter beds (35%); crisis stabilization (20%); crisis beds (16%); emergency paramedic services (11%) and culturally relevant supports (10%). The top resources and supports provided by the TCCS teams included clothing (46%); blankets and sleeping bags (12%) and harm reduction supplies (10%). Service users experiences included 95% feeling very satisfied with the service from the TCCS; 90% changed their views on well-being and community safety; 95% felt heard and that they had a say in the type of supports they received; and 95% felt safe when they were emotionally vulnerable. Visit Toronto.ca/CrisisService to learn more.

 

On Thursday, November 9, 2023, Toronto City Council considered EX9.10 – 2023 Update on the Toronto Community Crisis Service and Proposed Expansion Plan, the comprehensive report on the first year of the Toronto Community Crisis Service (TCCS) operations, as well as a roadmap for expansion city-wide.

City Council has unanimously approved the city-wide expansion of the Toronto Community Crisis Service before the end of 2024, positioning the Toronto Community Crisis Service to become the fourth municipal emergency service alongside Toronto Fire Services, Toronto Paramedic Services and the Toronto Police Service.

Previous TCCS reports from the Provincial System Support Program and Shkaabe Makwa at the Centre for Addiction and Mental Health include:

TAIBU Community Health Centre

TAIBU is at the forefront of the delivery of community health and social services to Black communities across the Greater Toronto Area. Grounded in an Afrocentric model of Black health and wellbeing TAIBU offers comprehensive access to services and supports through its network of partners.

Jobs at TAIBU

Gerstein Crisis Centre

For more than 30 years Gerstein Crisis Centre has offered 24 hour crisis services for individuals 16+ living in the City of Toronto who are living with mental health, concurrent disorders, or serious substance use issues. Gerstein Crisis Centre brings decades of experience in providing strengths-based, non-medical, trauma-informed service.

Jobs at Gerstein Crisis Centre

2-Spirited People of the 1st Nations

2-Spirits provides service centred on Indigenous philosophies of holistic health and wellness. Their approach places individuals at the centre of the medicine wheel. Service is delivered in partnership with ENAGB Indigenous Youth Agency and Niiwin Wendaanimak / Four Winds Indigenous Health and Wellness Program, based out of Parkdale Queen West Community Health Centre. The Downtown West Pilot has been given the traditional name Kamaamwizme wii Naagidiwendiiying, which means coming together to heal/look after/take care of each other.

Indigenous Community Mental Health Crisis Line

On May 1st, 2-Spirited People of the 1st Nations launched their Indigenous specific mental health crisis line: 416-363-2999 in partnership with the City of Toronto, which acts as an additional access point to supports for Indigenous communities across Toronto experiencing mental health related crises.

The line operates daily from 2 p.m. to 2 a.m., and provides direct access to wholistic and trauma-informed approaches to care.

Jobs at 2-Spirited People of the 1st Nations

Canadian Mental Health Association (CMHA) Toronto & Partners

CMHA provides community-based support services that help people who are living with mental illness or mental health issues improve the quality of their lives in accordance with their defined needs. CMHA brings an anti-racist, anti-oppressive, and culturally safe approach to this work, along with their collaboration with eight local organizations (Addiction Services of Central Ontario, Black Creek Community Health Centre, Black Health Alliance, CAFCAN, Jane/Finch Community and Family Centre, Rexdale Community Health Centre and Yorktown Family Services).

Jobs at CMHA

Findhelp | 211 Central

As the Toronto Community Crisis Service’s intake and dispatch partner, Findhelp | 211 Central triages and dispatches appropriate calls to the mobile teams. Findhelp has been connecting people to the support they need through multi-lingual 211 services, specialty lines, websites and social media for over 60 years. With more than 250,000 contacts annually, and more than 60,000 agencies and programs maintained in their provincial database, they are one of the most experienced centres in North America.

Jobs at Findhelp|211 Central

 

To further engage communities in pilot implementation, each pilot has convened their own Community Advisory Table. The Tables are comprised of service users, family members, caregivers, and support networks, and are responsible for:

  • Providing strategic direction, monitoring and input throughout the pilot period;
  • Providing strategic guidance on system level gaps and emerging issues related to service delivery and pilot implementation; and
  • Identifying alignments across key tables and sector partners to facilitate cross-sectoral and inter-governmental collaboration.

Representatives from each local table sit on the overarching City-Wide Pilot Community Advisory Table, which is comprised of people with lived experience, family members with lived experience supporting a family member with mental health challenges, and leaders from the mental health and related sectors, senior leadership from the City of Toronto, Toronto Police Service and the community anchor partners. Current members include:

Rachel Bromberg

Rachel Bromberg is the Co-Founder of the Reach Out Response Network and the Executive Director of the International Crisis Response Association, which supports cities across Canada and the United States in developing alternative crisis response services. She has nine years of experience working in mental health and crisis response in frontline, Board, committee, and policy-focused roles. She is currently completing a joint JD/MSW degree at the University of Toronto.

Denise Andrea Campbell

Denise Andrea Campbell is a purpose-driven executive leader with a successful history of delivering transformational change on social justice issues. A seasoned public servant, in 2019, Denise became the Executive Director of the Social Development, Finance and Administration Division at the City of Toronto where she leads a passionate team of community developers, funders, youth workers, researchers and policy writers to help make Toronto a safer, more equitable and just city. Among leading social equity work like the Toronto Action Plan to Confront Anti-Black Racism and the Toronto Poverty Reduction Strategy, Denise and her team just launched the ground-breaking Toronto Community Crisis Service for people experiencing mental health crises as part of Toronto’s Community Safety and Wellbeing Plan, SafeTO.

Jennifer Chambers

Jennifer Chambers is Executive Director of the Empowerment Council, Systemic Advocates in Addictions and Mental Health. She is also a member of the Mental Health and Addiction Advisory Panel to the Toronto Police Services Board, a member of Global Law Enforcement and Public Health Mental Health Interest Group, and participates in the development of recommendations at Ontario inquests into the deaths of people in crisis in encounters with police. She centres the rights and empowerment of people with lived experience.

Marcel Charlebois

Marcel Charlebois is currently a volunteer for the City-Wide Community Advisory Table. He has 30+ years working in front line services to the Indigenous and non-Indigenous community in Toronto.

Dianna Cochrane

Dianna Cochrane is the manager for the Forensic Mental Health and Justice Unit of the Ministry of Health. This unit is the lead for initiatives that support the intersection between mental health and addictions and the justice system. Prior to this, Dianna spent over 15 years in hospitals within the forensic division, both as a clinician and an administrator.

Paulysha De Gannes

Paulysha De Gannes (she/her) works as a Senior Policy Advisor (Equity) at Addictions and Mental Health Ontario where she leads equity, anti-racism, anti-oppression, diversity, and inclusion initiatives across the entire addiction and mental health section.

Lana Frado – Downtown East Pilot Community Member

Lana Frado is the Executive Director of Sound Times Support Services. Sound Times is funded to provide community mental health and addiction supports and is entirely staffed by users and former service users. The majority of their services are provided to support individuals who are also involved in the criminal justice system. Lana has worked with her community for over 30 years and has served in many government and community initiatives and advocacy efforts in the disability community. She has a keen interest and considerable experience in service user participation in the design, delivery, implementation and evaluation of services and supports as the means to ensure quality and accountability.

Chris Fraser – Northeast Pilot Community Member

Christopher Fraser is currently a member and community advocate for not only the Malvern Community and Scarborough community but for the Black community as a whole. He has been apart of Taibu Community Health Centre for 5 years as a member and volunteer and currently sits on the Community Advisory Table for the Northeast Pilot at Taibu. He has 20+ years of advocacy and volunteer experience across various sectors within mental health in the Black community. More importantly, he has a personal interest in supporting the expansion of community-led mental health supports from an Anti-Black Racism Perspective.

Halimo Hashi

Halimo Hashi is a forensic social worker and mental health therapist with the Scarborough Health Networks Justice and Mental Health Program. She is also faculty member at York University and executive director of Shifting Ways providing lectures, workshops, consultation, and group therapy in areas including mental health, anti-oppressive practice and anti-black racism, settlement and community development.

Steve Lurie

Steve Lurie C.M. is co-chair of the Community Advisory Table. Steve is a Senior Fellow at the Wellesley Institute, and served as Executive Director of CMHA Toronto from 1979-2020. He received the Order of Canada for his contributions to the mental health sector as an administrator, scholar and advocate.

Tiffaney Malley – Downtown West Pilot Community Member

Tiffaney is an Indigenous Community member with family relations in Manitoulin Island. Tiffaney is Bear Clan, and has been a Traditional Helper for 19 years, bringing years of lived experiences, working at various Toronto Indigenous Support Services Agencies and is currently a Board Member with The Parkdale Neighborhood Land Trust.

Dr. Kwame McKenzie

Kerry Murray-Bates

Kerry Murray-Bates is currently the Manager of the 911 Communications Center for the Toronto Police Service. A civilian employee with 30+ years’ experience in 911 operations, front line call take and dispatch duties and is committed to partnerships within the community that lead to growth and meaningful support.

Deluxson Yogarajah – Northwest Pilot Community Member

Deluxson Yogarajah supports his community of Jane and Finch by providing catered advice and workshops for youth. He has 3+ years’ experience working in the community and mental health sector and has a personal interest in law and is looking forward to law school in the future.

 

We have heard from members of the public and those representing community organizations that Toronto should rethink and de-emphasize the current reactive approach to public safety in favour of a proactive approach that addresses the social determinants of crime, such as poverty, housing, food security and social services.

This alternative approach avoids the criminalization of poverty, mental health and substance use issues. Recognizing, however, that an emergency response will always be necessary, the City was directed to create a community crisis response model that is community-led as opposed to police-led, recognizing the strengths of community-based organizations in regard to requisite training, background and expertise to effectively support mental health crises.

In February 2021, Toronto City Council unanimously approved four community crisis support service pilots that will test a new, non-police led approach to non-emergency, non-violent calls, including those involving persons in crisis and wellness checks.
Our approach involved an intensive period of community engagement and research. It prioritized the communities that are most impacted by over-policing and that have lived-experience of the mental health, substance use, and justice system. From October to December 2020 the City:

  • Led 33 community roundtables with over 500 participants focused specifically on historically marginalized and over-policed groups
  • Conducted 2 surveys with a combined response rate of 6,384 responses
  • Completed 29 interviews with subject matter experts
  • Ran a public opinion poll with a representative sample of over 1,000 Torontonians
  • Reviewed 53 crisis response models from 50 jurisdictions across Canada and internationally.

TCCS is one of the key priority actions under SafeTO, Toronto’s 10 Year Community Safety and Wellbeing Plan, allowing the City to test, evaluate, and revise a community-based crisis response before implementing it at a larger scale.

The 2023 Strengthening the Community Crisis System Grant (SCCSG) was a funding opportunity for eligible organizations intended to strengthen and increase the capacity of the current mental health and substance use crisis infrastructure within the city of Toronto. The grant aims to:

  • Improve timely access and connection to appropriate community-based post-crisis supports, wrap-around care, and case management
  • Improve the availability and connection to culturally relevant and population-specific supports
  • Increase the capacity and infrastructure of the crisis service system to address service gaps, such as access to crisis respite spaces.

A total of 71 applications were received representing a total funding request over $30 million. After careful considerations, four applications were successful in receiving funding.

The Canadian Mental Health Association – Toronto Branch

Toronto Community Crisis Service Safe Beds Enhancement Project:

  • This initiative will add two 24/7 dedicated crisis beds to the Toronto Safe Bed Network for the Toronto Community Crisis Service.  The project will leverage existing resources funded by Ontario Health such as 24/7 staff to conduct intakes, provide mental health and addictions support, medication support, to support the two additional beds. The goal of the program is to assist individuals to stabilize their immediate physical and mental health needs and develop a plan for longer-term interventions to mitigate future crises.

The Eshkiniigjik Naandwechigegamig, Aabiish Gaa Binjibaaying (ENABG) Indigenous Youth Organization

Waan’kiiyendamome – “We Feel Safe”:

  • This project will enhance existing drop-in services by bridging the current overnight and weekend service gap to offer a safe drop-in space for youth (16 to 29) Monday to Friday between the hours of 9 p.m. to 9 a.m. and 24/7 Saturday and Sunday (9 a.m. to 9 a.m.). Indigenous youth accessing the drop-in, referred through the Toronto Community Crisis Service teams, will have access to support staff and a secured safe space to access food, showers, and laundry. Indigenous youth will also have access to case management support and ENGAB’s existing daytime drop-in programming.

Fred Victor

Mental Health Crisis Support for African, Black and Caribbean Communities:

  • This project will expand current capacity to improve access to mental health and addictions case management programs and services for Afro-Caribbean/Black Torontonians and their families. The project will build on the strength and partnerships of the existing program to minimize waitlists and maximize access to case management, case coordination, systems navigation and short and long-term care planning services for Afro-Caribbean/Black service users accessing care through the Toronto Community Crisis Service.

Parkdale Community Food Bank

Enriching Mental Health and Community Connectedness Through Food Security and Cultural Cuisine:

  • This project will increase access to food for Torontonians who are food insecure. The organization will extend its operating hours, hire more food bank coordinators and volunteer navigators, and enhance its culturally appropriate food options for its diverse client base. This project will improve food security within the crisis ecosystem by feeding up to 12,000 individuals.

For information on other community funding opportunities, visit the Community Funding webpage.

9-8-8 Suicide Crisis Helpline is a new three-digit helpline that provides urgent, live support by phone and text to people in every province and territory across the country.

9-8-8 is available in English and French, 24 hours a day, every single day of the year across the country.

9-8-8 is for anyone thinking about suicide, or worried someone they know. Trained 9-8-8 responders will answer calls and texts and listen without judgement while providing support.

For more information, visit https://988.ca

TAIBU Community Health Centre Logo
2-Spirits Logo
Canadian Mental Health Association Toronto Logo
Gerstein Crisis Centre Logo
FindHelp 211 Central Region logo