Canadians for access to quality psychiatric treatment,

Canadians for Access to Quality Psychiatric Treatment
Improving outcomes for persons with serious mental illnesses

Formerly known as CFACT

The Coalition for Access to Care and Treatment


Consequences of Non-treatment

Schizophrenia Fact Sheet

Manic-Depressive Illness Facts (also known as bipolar disorder)

Consequences of Non Treatment

Seven Deadly Sins of Mental Health Reform

The Catch-22 of Ontario's Health Care Consent Act

Victimization: One of the Consequences of Failure to Treat

(Under Construction)

The criminalization of people who suffer from serious mental illness

CFACT was originally founded in the early 2000's by the late Tony Cerenzia. Tony was the former president of the Schizophrenia Society of Canada and CFACT was dedicated to improving the treatment and care provided to individuals who suffer from serious mental illnesses. We believe that there are major deficits present in the mental health care system today. We decided to change our name and to embark on incorporating and acquiring charitable status so that we have more resources to pursue our goals.

The changes needed in mental health care are the following:

Getting help early:

  • Education about serious mental illnesses in secondary and post secondary schools to teach early signs and symptoms, the problem of lack of insight, and how individuals and families can connect locally with effective help

Getting the right help:

  • Science based curriculum about brain disorders and psychosis for family doctors and all other mental health professionals who might be the first contact or providing counselling for individuals and families experiencing a first psychosis.

  • Psychiatric medications: Open access to psychiatric medications and the best evidence (independent studies, not information provided by, or funded by, pharmaceutical companies) as to their efficacy and side effects.

  • Confidentiality laws must be changed to enable family caregivers to effectively help the family member experiencing signs or symptoms of psychosis.

Hospital treatment:

  • Involuntary hospital admission and treatment:

Ensure legislation that allows people admitted involuntarily to hospital to also be treated involuntarily.

  • Inclusion of family caregivers:

Hospital assessment should include family caregiver observations. The hospital mental health team should include family caregivers as partners in treatment. Family caregivers who feel endangered or threatened by the ill family member must be listened to. Family caregivers should be given standing at hospital review board Consent and Capacity hearings.

Hospital beds:
  •  Stop cutting psychiatric beds in hospitals. People with psychosis are being discharged too early – before the psychosis is stabilized – resulting in repeated relapses and readmissions and preventing recovery of a quality of life

  • Hospital discharge plans:

Before discharge, hospitals should be obliged to craft an individualized, comprehensive plan for ongoing support in the community, and to include family caregivers in this plan

A continuum of treatment and care in the community:
  • A continuum of caregiver:

The person with a serious mental illness should be followed by the same psychiatrist in hospital and out of hospital.

  • More ACT teams:

There are now long waiting lists for this highly effective support.

  • High-service supportive housing:

Dedicate a percentage of community supportive housing funds to long-term, high-service housing for people with high behavioural needs. It is unacceptable that, because of behaviours consistent with their illness, people are being evicted from housing that is funded specifically to support them.

  • Quality of life

Support programs that enhance quality of life by providing people with serious mental illnesses with an adequate income, cognitive remediation therapy, and opportunities for social participation, education and employment.

  • Protect the right to involuntary treatment and care for people whose mental illness causes them to be unaware that they need help

  • Ensure availability of community treatment orders

  • Improve accountability for patient/client outcomes among mental health professionals in hospitals and community agencies.

For further information e-mail: info AT

We are a non-profit organization working to ensure the appropriate treatment for the seriously mentally ill (SMI). Continued deinstitutionalization has placed a significant proportion of the SMI population in jeopardy. Only when services are designed and provided on the basis of the needs of individuals, will we achieve our goal. We do not accept donation from the pharmaceutical industry