DDICT CAMH

Building the Path to Home

Links to sustainable housing
for people with dual diagnosis

Risks, crises and emergencies

This section helps you evaluate the risks the person faces including risks to his or her housing situation. It also explains how to respond to crises and emergencies, and discusses consent and capacity issues.

Introduction

As a dual diagnosis service provider put it:

The greatest risk comes from not being understood . . . that's what leads to behaviours that then trigger the more traditional risk factors and bring the whole thing to someone's attention . . . 

Just as having supports can sustain housing, the absence or loss of supports can lead to a serious crisis and the loss of housing.

Many people with a dual diagnosis who do not have supports that meet their needs will be at risk in some way. The risk may involve losing housing, being terminated from an agency that has supported them, or losing support people or services. The risk may be as serious as causing significant harm to themselves or others. 

The table below lists types of problems you may come across and suggests who to contact for help.

Risk

Contact

Loss of housing

Case manager or housing advocacy agent

Loss of supports

Case manager or Griffin Community Support Network (GCSN)

Victimization

Case manager or GCSN

Harm to himself or herself (e.g., suicidal talk or behaviour, self-destructive behaviour, self-care and health issues)

First call 911 or crisis team, then consult with a dual diagnosis specialist, doctor, case manager or community health center

Harm to others (e.g., aggression or threats of aggression)

First call 911 or a crisis team, then a mental health support agency

Lack of competence to manage current level of autonomy

Mental health supports or case manager or GCSN

Fear of harm from others

Mental health supports or case manager or GCSN

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