NOBODY OWNS IT | CAMPAIGN CORRESPONDENCE SUMMARY R13 | November 9, 2026 · 3:13 PM CAMH | Patient and Family Experience Office CAMH described who is notified when a referral is declined. The office wrote: “There is no specific role at CAMH that is responsible for ensuring referrals made in the ED are followed-up on.” CONTEXT: When a referral is declined, CAMH said the referring provider is notified and is responsible for informing the patient. If that is not possible, information may go to the primary care provider, who may notify the patient. Outcomes, contact attempts and primary care communication are documented in the health record. Patients may receive service contact information and can ask Central Intake Ontario’s Toronto Mental Health and Addictions Hub about CAMH referrals. The pilot was shared with the Clinical Director for General Outpatient and Integrated Mental Health. The pilot decision and a written notification policy or timeline for the fallback route remain open. On November 3 at 2:36 PM the office had described primary care communication, referral tracking and temporary Bridging Clinic support. Source: Campaign correspondence audit, November 10, 2026. Times shown are Toronto time. Summary only. Personal and staff contact details omitted. Not an independently authenticated public record.