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Complex Mental Illness/Forensic Services Centre for Addiction
and Mental Health

Structured Observation and Treatment Unit (LOTU)

The Structured Observation and Treatment Unit (LOTU) is an eight-bed unit located at the Queen Street site of CAMH. It is operated by the Law and Mental Health Program. LOTU serves other clinical programs at CAMH as well as other facilities in the Greater Toronto Area. The mandate of LOTU is the interim assessment, treatment and stabilization of adult male inpatients with major mental illness who are aggressive and/or represent an elopement risk, and cannot be managed safely in other settings on account of aggressive behaviour. Once stabilized, patients are transferred back to the referring unit or facility. Discharge planning is not provided on LOTU and outpatient psychiatric care is not available from LOTU.

All referrals are screened by way of telephone contact with the unit psychiatrist and/or the unit manager. In some cases, the patient will be assessed at the referring unit or facility by LOTU staff prior to acceptance for transfer. The acceptance of each patient to LOTU is at the discretion of the psychiatrist and unit manager, with input from the treatment team. Acceptance requires a contract for return of the patient to the referring unit or facility, at such time this is considered appropriate by the attending psychiatrist on LOTU.

Contact Information:

Nursing Station (416) 535-8501, Extension 3665

Melody Upshaw, Manager (416) 535-8501, Extension 1112

Location: Unit 3, Main Floor, Queen Street site, 1001 Queen Street, Toronto

CAMH Switchboard 416-535-8501
CAMH General Information Toronto: 416-595-6111 Toll Free: 1-800-463-6273
Connex Ontario Help Lines
Queen St.
1001 Queen St. W
Toronto, ON
M6J 1H4
Russell St.
33 Russell St.
Toronto, ON
M5S 2S1
College St.
250 College St.
Toronto, ON
M5T 1R8
Nine offices across Ontario