There are very few programs in Toronto for people with a dual diagnosis. If you have creative ways to set up an informal approach to support someone in a part-time work setting, consider it seriously.
Supported employment (paid work in an integrated setting with ongoing agency support) has the best long-term employment outcomes. For more information, see:
Consumer-survivor initiatives range from self-help, peer support, advocacy and provision of enriching activities to businesses that are operated and staffed by people who have had mental health problems. They foster a strong sense of community, contribution and respect.
Developmental services agencies offer programs that help young adults make the transition to employment (foundation programs). They are offered through:
The federal and provincial governments fund programs to help youth with the transition from school to work:
The Ontario Disability Support Program (ODSP), which is the income maintenance program for people with disabilities, also funds employment supports. It may be worth investigating what they have available by calling 416 325-0693.
Vocational training organizations include:
Community Living Toronto offers a number of employment training centres and job placement services. Contact the centralized intake worker at 416 968-0650 ext. 2207 (employment training) or 416 750-0666 (job placement).
For more information about employment and vocational programs, see:
For a comprehensive list of developmental services sector programs, contact:
When you are looking for a vocationally oriented program for people, regardless of whether they are housed or unhoused, keep in mind the questions that we identified that will help you choose a program (see Questions to Ask a Service Provider).This will give you a sense of the program's experience with people with a dual diagnosis.
Flexibility and willingness to customize the program for the person are key criteria for success. People often need to change programs as their needs evolve. They will need to work with a support person, either a family member or case manager, to determine what these changing needs are.
Family members who are committed to finding meaningful work for their relative find this a full-time support function. Many parents have independently set up part-time and/or volunteer work placements with several agencies and organizations. This may involve a great deal of travel, but can be significantly enriching for their family member.
Most of the day programs offered through the developmental services sector are highly structured and require regular and full-time attendance.
Recently, several programs that offer more flexibility and an individualized approach have been developed. Information about available day supports is available through any of the core developmental services agencies. For information about developmental services day programs, contact any of the key developmental services sector agencies in Toronto with questions.
Within the mental health system, there are a number of options for day programs or activities, from day-treatment settings, which focus on clinical supports and treatment, to rehabilitation programs, which are offered through the Canadian Mental Health Association and other community mental health agencies.
Some community recreation centre programs offer a range of activities and tend to be less structured than developmental services sector programs. The person's fit with the culture will be the key consideration.
An example of a community-based program is:
Other resources