If your loved one’s mental health seems different from their usual baseline, it is okay to reach out. You do not need to be certain it is a crisis before asking for support. When you are caring for someone with a serious mental illness, it is normal to feel worried, overwhelmed, or unsure about what to do next.
You can call the NS Provincial Crisis Team if you are concerned about psychosis, suicidal thoughts, deep depression, self-harm, unsafe behaviour, or changes that feel difficult to manage. A trained clinician can listen, help you understand the level of risk, and guide you through possible next steps.
It is better to call early than to wait until the situation becomes unmanageable. Even if the PCT does not need to intervene directly, they can help you sort through the concern, identify risk, and decide on a safer plan.
Before calling, gather any collateral information you can share about your loved one:
Information you provide can be an important part of how the PCT decides what steps to take next. Be sure to include any details about risk to self or others.
A crisis clinician will listen and document the information you are able to provide. They will ask questions, assess risk, and review any other information available to them.
The clinician may discuss options with you right away, or they may call you back after reviewing your loved one’s history or chart more thoroughly.
Here are some good questions to ask:
The team will collaborate as much as possible to support the safest and most appropriate care for your loved one.
If you are unsure what happened after your call, you are welcome to call back a few days later to ask for an update. The PCT responder may be able to tell you whether the team contacted your loved one.
The PCT cannot share details from your loved one’s health record without their consent. However, any collateral information you provide may be added to their health record and used to help assess risk and plan next steps. If you call back a few days later, the PCT can tell you whether they were able to make contact by phone or in-person.
The PCT is not an emergency response service. If there is immediate danger or an urgent medical emergency, call 9-1-1.
The PCT cannot complete a wellness check if your loved one’s location is unknown.
The PCT may also be unable to complete wellness checks for people staying in shelters if responders are not permitted access.
After the call, take a few minutes to record:
Write down the plan clearly:
Available 24 hours a day, 7 days a week across NS. You can call for yourself or because you are worried about someone else.
Call 9-1-1 or go to the nearest emergency department.
Support for caregivers, including help with how to share concerns with healthcare providers.
Call 2-1-1 for help finding community, social, and health-related supports.