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SJHH / Health Services/ Mental Health & Addiction Services/ Mental Health Services/ Schizophrenia & Community Integration Service (SCIS)


Schizophrenia & Community Integration Service (SCIS)

What the SCIS does...

The SCIS provides person-centred, specialized mental health care for people with schizophrenia and related illnesses living in Hamilton and the surrounding regions of Halton, Brant, and Haldimand-Norfolk.

Our aim is to support people with experiences of psychosis related to schizophrenia to regain and manage their health, and to live hopeful, meaningful lives through the provision of compassionate, innovative, specialized mental health and addiction services.

Our leading services are actively engaged in the education of future healthcare providers and the advancement of knowledge through ground-breaking research.

How the SCIS helps...

People who use our service will have the opportunity to:

  1. Engage in services that are caring and respectful of each individual’s culture, personal dignity, and trauma experiences
  2. Work in partnership with providers directed by each individual’s personal goals
  3. Participate in comprehensive assessment, individualized treatment, self-management and recovery planning that will
    • Focus on improving mental, emotional, physical, spiritual health & wellness
    • Assist with meeting basic living needs (e.g. finances, housing, food, safety)
    • Involve family &/or others they choose
    • Promote knowledge, skills & confidence to make personal choices & decisions regarding treatment, self-management & recovery with the least possible reliance on formal mental health services
    • Support individuals to (re)engage in a variety of meaningful roles
  4. Shape and improve the delivery of mental health and addiction services by participating in education of others, and in the planning and evaluation of services
  5. Contribute to our knowledge of mental illness and addiction, health and wellness by participating in research studies

The SCIS has a continuum of inpatient, transitional and outpatient programs...

Assertive Community Treatment Teams (ACTT) providing intensive treatment, rehabilitation and support in people’s homes and communities.

Brant ACTT (serving Brant County & the Six Nations Reserve)

Centralized Rehabilitation

Community Treatment Order (CTO) Program

Haldimand-Norfolk ACTT (serving Haldimand & Norfolk)

Hamilton ACTT1 (serving City of Hamilton)

Hamilton ACTT2 (serving City of Hamilton)

Homes for Special Care (HSC) program works with independently owned group homes to provide quality living experiences and operate two Skills Centres (Hamilton & Vineland)

Patient and Family Collaborative Support Service

Schizophrenia Inpatient Units

  • Three 24-bed Schizophrenia Inpatient Units (Waterfall, Orchard, Harbour North)

Schizophrenia Outpatient Clinic (SOC) (formerly Community Schizophrenia Service)

Transitional Outpatient Program of the Schizophrenia Service (TOPSS) bridging people from inpatient to outpatient care.

Crisis Prevention Institute (CPI)

“Prevention and Early Intervention Safety Training is provided to all staff and learners at St. Joseph's Healthcare Hamilton.  Included in this training are the skills and strategies necessary to support a person through a crisis situation safely and effectively.  Trauma Informed Care, physical safety skills and St. Joseph's policy and procedure are integrated throughout the various levels of training as staff learn how to identify a person in crisis, and gain knowledge around early interventions that ensure the safety of staff, the person in crisis and others.”

Nursing Resource Team 

The Nursing Resource Team is a staffing team that provides nursing services across inpatient care programs at St. Joseph’s Healthcare Hamilton. The team at West 5th campus is comprised of full-time and part-time RN’s and RPN’s whose shifts are assigned to various clinical units within the Mental Health and Addictions Program to meet staffing requirements.

Your Management Team

The Schizophrenia and Community Integration Service (SCIS) is part of the Mental Health & Addiction Program at St Joseph’s Healthcare Hamilton.

The SCIS Executive responsible for the management of the service as a whole:

Mary Puntillo, Director

Dr. Michal Siekierski, Head of Service

Dr. Heather McNeely, Academic Lead

Each of the program areas have managers responsible for day-to-day operations who would like to hear your compliments and complaints:

Brian Cooper, Manager -- Cleghorn Early Psychosis Intervention Program (EPI)

Karen McLeod, Manager -- Hamilton ACTT2

Mark Fellin, Manager -- Haldimand-Norfolk ACTT 

Alycia Gillespie, Manager of Social Work; Dawnna Kazarian-Keith, Manager of Allied Health; Jennifer Sansalone, Nurse Manager; Heather Saunders, Nurse Manager; -- Inpatient Units 

Alycia Gillespie, Manager  -- Schizophrenia Outpatient Clinic (SOC) (formerly Community Schizophrenia Service)

Alycia Gillespie, Manager -- Transitional Outpatient Program of the Schizophrenia Service (TOPSS) 

Michelle Houston, Manager -- Brant ACTT

Fiona Wilson, Manager  -- Centralized Rehabilitation 

Mark Fellin, Manager -- Homes for Special Care (HSC) 

Ben Millard and Eleanor Bard, CTO Coordinators -- Community Treatment Order (CTO) Program

John Monetta, Manager

Fiona Wilson, Manager – Patient and Family Collaborative Support Services

Sam Burns Registered Nurse (R.N.)

Lauren Heinken Occupational Therapist, OT Reg. (Ont.)


Carla Smith
Tel: 905-522-1155 ext. 36266
Fax: 905-381-5601

Schizophrenia & Community Integration Service
Mental Health and Addiction Program
St Joseph’s West 5th Campus
Level 2, Block D
100 West 5th Street
Hamilton, ON
L8N 3K7

Referral Process

Please see each of the program areas linked above for the applicable referral process.

Preparing for Your Visit

Interpreter Services

  • Please let us know if English is not the language you and your family members understand. We can arrange the services of a professional cultural interpreter free of charge.

Planning Your Care

  • You and (if you wish) your family or friends can be active partners in your care.
  • You can expect to participate in an assessment to help determine your needs and goals to direct a plan of care. We are concerned with the whole person and how illness has impacted your daily life.
  • Tell us what has worked and not worked for you to manage your health. Also, let us know what has helped keep you healthy, well and strong.

We ask that you do not bring any valuables with you as the hospital cannot be responsible for lost or stolen personal items. 

Maps & Directions

SCIS operates central clinical, education and research facilities at the West 5th Campus of St Joseph’s Healthcare in Hamilton.We also have staff and programs working in locations throughout the LHIN 4 region with community partners. The SCIS administrative offices and the following programs are at the West 5th Campus:

You can access the West 5th Campus by:

Bus Routes: (21) Upper Kenilworth; (33) Sanatorium; (35) College

Car: Google Map to West 5th Campus

Parking Arrangements

Assertive Community Treatment Teams (ACTT) Offices

  • Hamilton ACTT1 (serving Hamilton West, Central)
    204-52 Cannon Street West, Hamilton, Ontario, L8R 2B5
    Phone: 905-525-4273  Fax: 905-525-4926
  • Hamilton ACTT2 (serving Hamilton Central, East)
    011-100 James Street South, Hamilton, Ontario L8P 2Z2
    Phone: 905-528-5354  Fax: 905-528-8442
  • Haldimand-Norfolk ACTT (serving Haldimand & Norfolk)
    185 Robinson St. Suite 240, Simcoe, ON  N3Y 5L6
    Phone: 519-426-9980  Fax: 519-426-0971
  • Brant ACTT (serving Brant County & the Six Nations Reserve)
    99 Wayne Gretzky Parkway, Marquis House, Box 106, Brantford, ON   N3S 6T6
    Phone: 519-752-2927  Fax: 519-758-1971

Registration Procedures

To receive clinical services, individuals need to be registered with SCIS through the applicable programs.

Additional Resources

Please explore these useful links for more information about Schizophrenia and Addictions:


For Hamilton

  1. COAST 
  2. Barrett Centre for Crisis Support 

For Haldimand-Norfolk

  1. CAST 

For Brant

  1. St. Leonard’s 


For Hamilton

  1. Schizophrenia Outpatient Clinic (SOC) – St. Joseph’s Healthcare Hamilton
  2. Hamilton Mental Health Outreach Program 
  3. Hamilton Program for Schizophrenia 
  4. Public Health – Street Outreach 
  5. Canadian Mental Health Association 

For Haldimand-Norfolk

  1. Community Addiction & Mental Health Services (CAMHS) 
  2. Canadian Mental Health Association (CMHA)

For Brant

  1. Brant Community Healthcare System 
  2. Brantford Welcome Inn
  3. Canadian Mental Health Association (CMHA) 
  4. Family Counselling Services 
  5. HOPE Brantford 
  6. Nova Vita 
  7. Six Nations Mental Health Service 
  8. St. Leonard’s Community Services 


Institute for Advancements in Mental Health

Schizophrenia Society of Canada

Mental Health Commission of Canada

Centre for Addiction and Mental Health -- Resource Library

Canadian Mental Health Association – Hamilton Branch