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Brief Mental Health Services

Home » Brief Mental Health Services

This program provides brief mental health support to individuals who are experiencing crisis due to mental health concerns or serious mental illness. The program is open to individuals aged 16 or over who live in Peterborough, Kawartha Lakes, Northumberland and Haliburton counties.

Services provided include brief interventions to stabilize crisis and reduce mental health concerns and connection to appropriate longer term supports in the community.

Referral to the program can by made by community partners using the referral form below. Individuals who are experiencing a mental health crisis should contact 9-8-8 for support.

Click here to download a PDF of the referral form. Completed referral forms can be emailed to bmhs@cmhahkpr.ca.

Note: If you have feedback regarding this program, please see our Feedback page or contact the program manager, Deb Sandeman.

Brief Mental Health Services Form

Client Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Date of birth

Reason for Referral

What do you hope to gain from this referral to Brief Mental Health Services?

Current Supports

What supports does the client have in place? (Formal and informal) What do these supports do for the client?

Name of Referrer(Required)

First Last

Referrer Contact Details(Required)

Date of Referral(Required)

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