Centralized Access Point for Adult Ambulatory Mental Health Services

Centralized Access Point (CAP) is the main entry for community referrals to access adult mental health outpatient services provided by both London Health Sciences Centre (LHSC) and St. Joseph’s Health Care London.

Eligibility Requirements

• Serving individuals ages 18 to 64 (Early Intervention/First Episode Programs provide treatment to youth aged 16 and older)
• Serving residents of London and Middlesex County
• Assessment and treatment of primary psychiatric conditions including those with addictions
• Mood and Anxiety including first episode
• Psychosis including first episode
• Eating disorders
• Urgent referrals requiring psychiatric consultation
• Available services are a match for individual’s needs 

Exclusion Criteria

• Crisis/Emergency
• Family and Children Services: parenting assessments
• Competency Assessments
• Court/legal purposes or involvement to satisfy third party requests
• WSIB claims
• Dual Diagnosis
• Forensic Assessments
• Cognitive impairment; dementia, head injury
• Needs that would be better met by other services

Referral Process

• A physician or nurse practitioner or a psychiatrist is to complete the appropriate referral form found on the Referral Processes webpage.
• Referrals are screened and triaged by a member of the centralized access team
• Referrals are reviewed between 8:30am and 4:00pm Monday through Friday (except statutory holidays).
• In the event that the referral is incomplete or is not accepted, the referring source will receive notification.

Service Options

Current services available through Centralized Access Point:

• Non-urgent Psychiatry consultation with limited follow up as appropriate
• Cognitive Behavioural Therapy (CBT)
• Dialectical Behaviour Therapy (DBT)
• Adult Eating Disorders
• The Urgent Consultation Service with up to 6 follow up sessions
• The Early Intervention Psychosis Program (PEPP)
  *also accepting direct referrals and patient self-referral 
• The First Episode Mood & Anxiety Program (FEMAP) 
  *also accepting direct referrals and patient self-referral 

Specialized Services (available through St. Joseph’s Parkwood Institute) include:

• Ambulatory Electroconvulsive Treatment(ECT)
• Transcranial Magnetic Stimulation (TMS) Clinic
• Consultation and intensive case management for individuals with Concurrent Disorders
• Assertive Community Treatment (ACT) for individuals with Schizophrenia
• Interprofessional case management for individuals with severe mental illness requiring rehabilitation

Service Limitations

• Centralized Access is unable to provide linkage for individual, couple, marital or family counseling or ongoing care with an individual psychiatrist.
• Crisis services are not provided by Centralized Access.  Contact REACHOUT at 519-433-2023 or 1-866-933-2023 or visit in person Mental Health and Addictions Crisis Centre at 648 Huron St. London. More information on crisis services are available on the CMHA TVAMHS website.