The COAST program is a program of St. Joseph’s Healthcare and serves the residents of the City of Hamilton who have serious mental health issues and are in crisis. COAST is a multidisciplinary team consisting of child and youth crisis workers, mental health workers, nurses, social workers and plain-clothes Hamilton police officers.

A mental health worker will respond to a call on the COAST crisis line and make a preliminary assessment regarding the mental health concern. The worker will determine whether to respond with telephone support or a mobile visit.

Once the mental health triage worker collects information over the phone, the next step, if required is outreach. Daily, between 8 am to midnight, the outreach mobile unit, consisting of a mental health worker and a police officer, is able to go to the mental health crisis situation.

The goal is to help the individual/family deal with the crisis in the environment of choice where a management plan will be developed to defuse the crisis situation. A follow-up plan will also be provided.

If necessary, the follow-up plan may involve linkage to additional community agencies or support networks. Clients will be given the opportunity for support services following a crisis situation.

Clients requiring support or follow-up will receive assistance from the support team within 24 hours of the crisis situation.

The client will receive support or follow-up until either the difficulties have been resolved or the client has been linked to appropriate community resources.

Psychiatric consultation, assessment and/or treatment is negotiated on an individual basis.

St. Joseph’s Healthcare COAST Hamilton is proud to be part of a unified Community team effort in partnership with the Hamilton Police Service.

Funding for COAST is provided by the Ministry of Health and Long Term Care.


For more information, please visit our website:

Hamilton Crisis Line 24 Hours – 905-972-8338