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People with complex substance use issues need extra support. The mobile Toronto Community Action Team (TCAT) works from a client-centered and harm-reduction approach to provide intensive case management to people who are frequently admitted to withdrawal management programs and hospital emergency departments. 
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People whose substance use is significantly impacting their quality of life and frequent users of Withdrawal Management or Emergency Room services
Referrals come from community, health, social services organizations.

People can also contact us directly at or 647.216.0558 to join.

TCAT Case Managers improve people's health, wellness and stabilization by:

  • Planning and goal setting
  • Providing advocacy
  • Acting as a voluntary trustee to manage money
  • Referring people for health and legal issues
  • Helping to find housing and prevent evictions
  • Assisting with applications for government benefits
  • Accompanying people to appointments
  • Co-ordinating with other service providers


  • What is harm reduction?
    Harm Reduction is an evidence-based, non-judgmental approach to help people who use substances live safer and healthier lives. Strategies include safer substance use, managed substance use, and if possible, stopping sustance use completely. Keys to harm reduction are respect, empowerment, and dignity.