Community Outreach Assessment Support and Treatment Team (COAST) - Dual Diagnosis Program (Intellectual Disability in combination with Mental Illness)

The community outreach assessment support and treatment team provides services for persons with both intellectual disability and also mental illness. These services include:

Emerald Hall - Dual Diagnosis Program (Intellectual Disability in combination with Mental Illness)

Emerald Hall is a unit in the Nova Scotia Hospital that provides care to individuals with a dual diagnosis (an intellectual disability in combination with mental illness). This is an in-patient unit, meaning patients will stay at the hospital during treatment.

Electroconvulsive Therapy (ECT)

Electroconvulsive therapy (ECT) is used when an individual does not respond to or cannot tolerate medication. It is used to treat: 

  • Major depression (including agitated depression)
  • Depressed/manic phases of bipolar disorder
  • Schizoaffective disorder
  • Behavioural and psychological symptoms of dementia
  • Catatonia

Treatment involves the administration of a small electrical current to the surface of the scalp (which is transmitted to the surface of the brain). 

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Eating Disorders Clinic

The eating disorders clinic helps individuals overcome anorexia nervosa and bulimia nervosa. 

As part of your treatment, there are a number of outpatient groups that support a variety of concerns associated with eating disorders. These groups include meal experiences, learning healthy coping skills and addressing and processing issues and emotions related to the development of the eating disorder. There is also an inpatient program that may be required for a limited number of patients.


Connections Service is a recovery-focused program that provides supports and opportunities to adults living with mental illness such as schizophrenia, schizoaffective disorder or bipolar disorder, and who also experience substantial functional challenges in their day-to-day lives.
These supports and opportunities include:

Community Transition Program

The Community Transition Program (CTP) helps adults who have complex (mental and physical) health and behavioural challenges, and residential/social support needs. The goal is to transition individuals from inappropriate settings to an appropriate level of care within the community. 

Services offered are tailored to address individual’s needs. The following may be offered: 

Community Mental Health Services

Community Mental Health (CMH) helps individuals manage and improve their mental health illness and well-being. The CMH team is made up of health care professionals including occupational therapists, social workers, registered nurses, psychologists and psychiatrists. They work together to access and recommend the most appropriate support. 

Some of the more common illnesses that CMH treats are:

Centre for Emotions and Health

The Centre for Emotions and Health provides specialty consultation and psychotherapy services for people not responding to treatment in other parts of the medical and mental health systems. Using an assessment and treatment approach called Intensive Short-term Dynamic Psychotherapy (ISTDP), we help detect emotional factors that are interrupting treatment benefits and personal growth in people with anxiety, depression, and stress-related physical problems. 

Bungalow Program

The Bungalow Program is for individuals who are under the jurisdiction of the Nova Scotia Criminal Code Review Board and are current inpatients at the East Coast Forensic Hospital. The program promotes independent living through skill building activities to prepare them for re-entering the community.

These individuals have full community access and are involved in school, work or volunteer activities in the community.