Details
Repeat emergency department visits for mental health and addictions conditions
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Repeat emergency visits for mental health can occur due to issues such as poor access to adequate community-based care and/or challenges in medication adherence and self-care. They may be indicative of a negative clinical outcome or lack of services.
Click here to visit Health Quality Ontario’s Indicator Library to view how to measure repeat emergency visits for mental health.
Change Ideas
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Motivate patients/clients towards self-care and enhance system navigation ability
- Connect patients/clients with relevant resources in their community for self-care, information gathering, and support
Resource Hub by the Ontario Centre of Excellence for Child and Youth Mental Health - Use the teach-back method to verify patients/clients understand their discharge instructions
Teach-back by Health Quality Ontario - Facilitate patients’/clients’ completion of a crisis plan
For adults: Patient Safety Plan Template by Barbara Stanley and Gregory K Brown
For youth (also helpful for adults): Create a Crisis Plan by the Waterloo Region Suicide Prevention Council
For loved ones: How to Get a Psychiatric Assessment by Crisis Line
Engage patients/clients in discharge planning
- Use patient-oriented discharge summaries to ensure patients/clients are well prepared for discharge
Patient-Oriented Discharge Toolkit (PODS) by OpenLab (UHN) - Evaluate how well your own service is meeting needs as part of the discharge process
The Ontario Perception of Care Tool for Mental Health and Addictions by the Centre for Addictions and Mental Health
Connect patients/clients to community services that meet their needs
- Use the Ontario Common Assessment of Need (OCAN) to help you identity patient/client needs for care
Ontario Common Assessment of Need: Full OCAN 3.0 - Provide patients/clients with information on how to connect with a local peer support program
The Ontario Peer Development Initiative - Ensure patients/clients with complex care needs have coordinated follow-up care
Ontario Health Quality Standard Transitions between Hospital and Home
- Connect patients/clients with relevant resources in their community for self-care, information gathering, and support
Last Updated: August 26, 2026