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Case Management Services

Across boundaries helps racialized individuals with mental illness and/or addictions, who need support.  Our services address the systemic barriers and complex needs experienced by people from racialized communities.

We work with racialized individuals with serious mental illness who require support to live and work in the community. Case managers promote independence and quality of life for these individuals by responding to their multiple and changing needs. They provide on-going support as needed by the client in order for them to stabilize, achieve their goals, and improve the quality of his or her life. Case managers also work to coordinate the services the client requires from across the mental health system, as well as other service systems (i.e., criminal justice, developmental, and addiction services). Integral to this process is the direct involvement of the client and the development of a caring, supportive relationship between the client and the case manager, and where appropriate, with the client’s family and supports.

Our holistic approach to mental health care includes many of the same case management services offered by other mental health agencies, but is also anchored in an anti-racist, anti-oppression framework.

Who are Case Management Services for?

  • Individuals 16 years of age and older who have been diagnosed with a serious mental illness
  • Individuals who are living in the Greater Toronto area
  • Services are offered in
  • Latin Dialects – English, Spanish
    • Caribbean Dialects
    • African Languages -Shona, Amharic, Harare, Xhosa, Tsonga, Afrikaans, Swahili, Somali, Twi, Nigerian Pidgin, Hausa, Idoma, Ghanaian, Ga, Bajan Patois, Jamaican Patois, Fante, Somali, Amharic,
    • Central Asian Languages – Dari, Pashto, Farsi (Persian)
    • South Asian Languages – Punjabi, Hindi, Urdu, Bengali, Marathi, Gujrati, Malayalam, Punjabi, Tamil, Nepali
    • South East Asian Languages – Mandarin, Cantonese

How do you apply for Case Management Services?
Give us a call at (416) 787-3007 or you can apply online by filling out this Access Point Form and indicate Across Boundaries as the
preferred service provider. The Access Point is an Intake Service that provides coordinated access for Case Management Services in Toronto.

Adult Mental Health Case Management Services

Our adult case management services provide community based mental health support for racialized adults from the age of 18 and older.  Our case managers work together with you to assess, plan and implement achievable goals and practical skills. You develop an individualized plan to help you access community resources and reach your desired outcomes, which includes strengthening your social and family supports. We believe in empowering individuals to take control of their health in their healing journeys.

Services/support is provided by case managers who come from the racialized communities we serve. They are fluent in Tamil, Hindi, Swahili, Somali, Farsi, Urdu, Punjabi and other languages.

Across Boundaries provides community mental health, addictions supports and in-house programs that integrate:

  • Individual support
  • Community outreach
  • Support groups, alternative and complementary therapies
  • Community kitchen
  • Skills building
  • Social and recreational activities


Case Management

We recognize that QTBIPOC folks experience complex challenges that require them to navigate various systems and institutions. Our case managers are here to provide portable and client-directed oneon-one support. We collaborate with our clients to achieve their goals, and provide support in navigating housing, education, employment, legal issues, family reunification, immigration, social assistance, ODSP, Ontario Works, etc. We tell our clients, “you don’t have to navigate these systems on your own.


Our team consists of counsellors with lived experience who are available to provide one-on-one support. This may include talk, and solutions-based therapy. Our counsellers approach their clients within the frameworks of sex positivity, harm reduction, trans inclusion and client centredness. Our counsellors are certified and registered with the Ontario College of Social Workers and Social Service.

Additional Services Offered

  • On-site psychotherapist, and addictions counsellor
  • Multilingual individual support, trauma-informed counselling, alternative healing and support groups.
  • Referrals to other health support agencies
  • Outreach at community spaces


Psychiatric Consultation Program

Psychiatrists provide services, support, consultations and educational sessions with staff and service users to address their clinical needs in a culturally appropriate manner and within our anti-racism, anti-oppression and resisting anti-Black-racism frameworks.

Addictions and Wellness Services

Our Peer-led programs and services are centered around a compassionate harm reduction approach. Our goal is to prevent the negative consequences of substance use and to improve health. We provide a non-judgmental and accepting atmosphere that empowers clients instead of stigmatizing them based on their addictions.

Check out our “Harm reduction, Wellness and You program

Youth Case Management Services and Programs
– Transitional Aged Youth (TAY)

This program offers a range of support and services for transitional aged youth (ages 15-24) with mental health and/or substance abuse issues. It is offered in collaboration with the Black Creek Community Health Centre. Catchment area bordered by Dufferin Street to Humber River and Steeles Avenue to the 401.

Please call 416-787-3007 for an appointment.

Mental Health and Justice Initiative (MHJI)

Supportive housing program

This program provides community mental health support services and housing services across Toronto for those who are involved in the criminal justice system. It was established by the Ministry of Health and Long Term Care (MOHLTC). The program is delivered in partnership with the Canadian Mental Health Association, Toronto.

Mental health and justice short-term community support worker

This service is provided in collaboration with the short-term residential crisis service as part of the Mental Health and Justice Initiative. The service is for racialized people who are experiencing severe mental health distress. The goal is to support service users getting involved in the criminal justice system

If you’re a court support worker in one of the metal health courts in the GTA please complete the following referral form and fax it to: 416-787-0812  

At Home/Housing First Case Management Services

At Home provides support to racialized individuals to transition from persistent homelessness to living independently within a community.  At Home was a national housing and health care project for people who are homeless and who experience mental health issues. Across Boundaries was selected by the Mental Health Commission of Canada to provide an Intensive Case Management (ICM) service for people from racialized communities living with mental illness and homelessness based on the Housing First model of service.

Contact us at (416) 787-3007 for more information.

Family Support

Families are an integral part of the circle of care for the communities we serve. Families require relevant knowledge, skills, information and support in order to support their loved ones.