NOBODY OWNS IT | POLICY PROPOSAL
Updated: November 10, 2026

A named administrative owner until the receiving service confirms referral acceptance. Clinical decisions remain with clinicians.

1. Give people a named contact.
Before discharge, provide the destination service, how to contact it, the responsible transition role and the next step in writing.

2. Confirm the referral was received.
Track receipt and acceptance separately. Test a two business day administrative acknowledgement target. This is a proposed pilot target, not an existing entitlement.

3. Test timely clinician follow up.
For a defined pilot group, test a scheduled appointment within 7 days, with clinician approved exceptions and an escalation route if capacity is unavailable. Use the major depression standard as a benchmark, while clarifying its scope.

4. Keep responsibility when plans break.
Keep an administrative owner when a referral is rejected, contact fails or a short course ends before the next provider accepts the person.

5. Make the results visible.
Publish monthly aggregate results: accepted referrals, completed follow ups, unresolved waits and 30 day ER revisits. Report time to actual treatment separately from intake.

This is a proposal for a bounded hospital pilot, not an existing legal entitlement or an agreed program. On November 9, CAMH said the proposal went to the Clinical Director for General Outpatient and Integrated Mental Health. The pilot decision and decision date remain open. See https://nobodyownsit.ca/the-ask/#pilot-status.