Service Detail

Service: Crisis Outreach Service for Seniors – COSS
Type: Health & Wellness, Seniors

Crisis Outreach Service for Seniors is an on-call mobile crisis intervention and outreach service for seniors who have suspected or diagnosed mental health and/or addictions, including dementia that provides short-term response 365 days a year, 9am to 5pm. Call the COSS team at 416 217-2077 to make a referral. The COSS team makes every effort to make direct in-person contact with the client in the community the same day or next day, depending on urgency.

The COSS program particularly serves older adults who are frail, isolated/marginalized, and at risk and may be “hard to serve" and hard to reach.

The service area is the City of Toronto (any postal code starting with “M”).

Referrals to the COSS Team can be made directly by the senior themselves or a social worker, hospital staff, a physician, family, friend, community member or anyone who is concerned about a senior’s wellbeing.


Provides interventions including crisis counseling, short-term intensive case management, harm reduction & concurrent disorders services, mental health & addictions supports, health assessment & care as needed by a nurse practitioner, and referral to long term primary care.

Services are delivered in the community (including client’s homes, supportive housing sites, drop-ins and community centres) by a multidisciplinary team made up of social workers, crisis workers, and a nurse practitioner. The service is offered through a Toronto Central LHIN funded partnership between WoodGreen Community Services, Reconnect Community Health Services, LOFT Community Services,  Good Neighbours' Club, and South Riverdale Community Health Centre.


The COSS Team responds to crisis across a broad spectrum that includes situations where the senior:

  • appears to be having an immediate mental health and/or addictions crisis
  • is chronically struggling and is isolated or homeless and may be at risk of repeated hospital use
  • needs services and supports that haven’t been put in place yet or the senior is connected to support in the community but the service isn’t available in the moment, for example, weekends, a worker is on vacation, or the service doesn’t start until a future date

    • People over 65 (some exceptions for those 55-64, including those who are homeless)
    • People must live in the service area.

    Contact Info

    Service provided in the Community

    Contact Name: Crisis Outreach Service for Seniors

    T | (416) 217-2077 or 1-877-621-2077


    every day of the year (Sunday – Monday)
    9 a.m.-5 p.m.