Mental Health and Addiction Services Overview

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1 Mental Health and Addiction Services Overview CEAC 0216 January 2015

2 Mental Health and Addiction Services Management Team Executive Director (306) Manager, Rural Mental Health & Addictions (306) Director, Child and Youth Services (306) Director, In Patient Mental Health Services (306) Director, Mental Health Clinic (306) Director, Addiction Services (306) Department Head and Medical Director - Psychiatry (306) Section Head - Adult Psychiatry (306) Section Head - Child & Youth Psychiatry (306) If you are feeling lost in the system or have questions or concerns about the services and programs including administrative decisions about care, please call the director of the service area. If the issue you have brought to the director is not resolved to your satisfaction, call the RQHR client representative at (306) or If you feel the issue has not been addressed satisfactorily by the client representative, contact the Saskatchewan Ombudsman at (306) or 1

3 Overview of Services We provide inpatient, outpatient, and community based services for people living within the Regina Qu Appelle Health Region (RQHR). All our services benefit from the Department of Psychiatry and include child and adult psychiatrists, either in private practice or on contract. Mental Health Services The Regina General Hospital has the Adult Inpatient Mental Health Unit and the Adolescent Psychiatry Unit. The adult unit is complemented by outpatient programs that provide innovative alternatives to inpatient care. Supporting these units in the community are Psychiatry, Mental Health Promotion, Adult Mental Health Services, and Child & Youth Services. Addiction Services Individual and group programming is offered to adults and youths with addiction issues as well as to their family members in urban and rural settings. Specialized residential programs, a Harm Reduction Methadone Program, the Secure Youth Detox Centre, and the Drug Treatment Court are available only in Regina. Community education services are offered throughout RQHR. Rural Area Services Outpatient services provided in the rural areas are similar to those provided by the Adult Mental Health Clinic, Child and Youth Services, and Addiction Services in Regina. Specialized programs are available only in Regina. Services are provided either one-to-one with clients or through group programs. Workers travel throughout the rural area of RQHR to provide satellite clinics and services. To access a rural clinic, call or call the local health centre or community hospital. Call the Crisis Response Unit in Regina in an emergency at (306) Call the HealthLine for information, advice, and addiction counselling. 2

4 Mental Health Services In-Hospital Services Regina General Hospital th Avenue, Regina Adults Adult inpatient mental health services have inpatient and outpatient programs. This inpatient unit is for adults experiencing severe mental health and/or addiction problems which cannot be managed in a community setting. Inpatient Programs - Unit 1D Unit 1D-East: (306) Unit 1D-West: (306) Patient and family centred care is provided in a comprehensive, continuous, coordinated, and individualized manner. Patients are intimately involved in decisions about their care. Case conferences occur frequently and planning for a smooth and successful discharge begins on admission. In addition to one-on-one nurse and doctor counselling, patients are involved in psycho-educational groups, relaxation, recreation, and activity therapies. The care team is the patient and his/her family and supports, psychiatrists, nurses, continuing care assistants, social workers, occupational therapist, recreation worker, spiritual care practitioner, pharmacists, dietitians, family doctors, and medical specialists. Psychotropic medication is a common part of inpatient care. Outpatient Programs - Level 0D Recovery Support Program: (306) Electroconvulsive (CT), Clozaril and Injection Clinics: (306) The Recovery Support Program provides care to patients during their transition from hospital care to community care. In some cases this program can be an alternative to inpatient care. Patients are referred to the Electroconvulsive Therapy (ECT), Clozaril and Injection Clinics by their psychiatrist. Adolescents Adolescent Psychiatry Unit (APU) Unit 4-B: (306) Adolescents (ages 11 to 18) who require intense in-hospital care may be admitted to the APU. Admission is usually arranged by a child psychiatrist and adult psychiatrists can admit when necessary. The APU works closely with Child and Youth Services to provide a continuum of care from inpatient to outpatient services. 3

5 APU care is a combination of one-to-one and group counselling, schooling, and recreation activities. The school program is provided in the morning for those youth well enough to participate. The afternoons and evenings include group counseling sessions, arts, crafts, and other skill building activities. Recreational activities include baking, games, and movie nights. Relaxation therapy is provided just before bedtime. Parents or guardians are included in the care program while their young person is on the unit. Privileges, including visitors, street clothing, and passes are earned as the youth makes progress in the treatment program. Decisions about privileges are made by the treatment team. Ensuring the safety of all the youth on the unit while they are getting well is a main concern. Security cameras are located throughout the unit to assist staff in keeping everyone safe, at all times. The unit can be locked, when necessary, to prevent very high risk patients from leaving the hospital. Usually the unit is not locked. Psychiatry Adult and pediatric psychiatrists provide in-hospital and community-based services on an emergency or ongoing basis. Some psychiatrists work from their private practices in the community and some are located at the Mental Health Clinic or Child and Youth Services. All psychiatry services are insured Saskatchewan Health benefits. After hours emergency services by a psychiatrist can be accessed through the Emergency Departments at the Regina General and Pasqua Hospitals. Psychiatrists manage patients on the Adult Mental Health Unit and the APU and carry clients in community based outpatient practices. Rural clinics are provided twice a month. Consultations to our long term facilities and the correctional centre are provided by Adult Mental Health Clinic psychiatrists. Mental Health Promotion (306) Creating and maintaining positive mental health (feeling good, functioning well, having a sense of purpose, dealing with normal life stressors, making a contribution to the community) benefits everyone. We look at what determines mental wellbeing and work with community partners to help people increase control over those determinants in order to improve the mental wellbeing of everyone, particularly children and youth. Key action areas include creating supportive and nurturing homes, schools and neighbourhoods, and increasing things that protect mental wellbeing of individuals and communities. Our work involves public awareness campaigns to increase knowledge, understanding and support for mental wellbeing and health promotion; research into promising practices; stigma reduction efforts; collaborative partnerships for joint action and public policy development on the social, environmental, educational, and economic conditions that influence mental wellbeing; and skill development to build resilience in individuals and communities. 4

6 We support the Developmental Assets framework in our community. This framework for positive youth development engages sectors and individuals to build capacity and resilience, strengthen support networks, build citizenship and increase community belonging. Online resources are available at under the Health Promotion quick link. Adult Mental Health Services Mental Health Clinics 3rd floor Hamilton Street, Regina (306) Intake 3rd floor Hamilton Street, Regina (306) Stella Street, Grenfell 178 Boundary Avenue, Fort Qu Appelle These clinics offer a wide range of community based services for people, ages 18 and up, who are having significant mental health problems. Your health care provider can refer you for services or you can phone in yourself to request services. Referrals are assessed through the Intake service in Regina and by individual counsellors in the rural areas. Individualized programs for people with a variety of mental health problems are provided. Case management and rehabilitation programming that includes financial, housing, and vocational support is available for individuals with a long term, serious mental illness. Individual counselling is available for people experiencing severe difficulty coping day to day and who show significant deterioration in their level of functioning and mental health. The Alternatives to Violence Program provides assessment and group programming for individuals who have been physically, verbally, or psychologically abusive to their partners. The Crisis Response Team is an outreach program designed to respond to mental health crises within Regina (306) The Mental Health Transition Care Team provides an intensive 2 week follow-up after discharge from the Adult Inpatient Unit or Emergency Department for individuals with a psychiatrist referral. 5

7 Child & Youth Services Regina Child & Youth Services 1680 Albert Street (306) Randall Kinship Centre 1680 Albert Street (306) Autism Centre 2166 Broad Street (306) Rural 721 Stella Street, Grenfell 178 Boundary Avenue, Fort Qu Appelle Community based mental health services are provided to children (preschool to 11), youth (ages 12 to18) and their families. Services include assessment, treatment, and case management for a range of emotional, developmental, and behavioural disorders and addiction issues. Individual, family, and group services are available. The Young Offender Service Program, the Cognitive Disabilities Program, and the Early Psychosis Intervention Program are accessed through Child & Youth Services and delivered throughout southern Saskatchewan. The Randall Kinship Centre program works with families with children and youth who have serious disruptive behaviour problems. Families are provided treatment and support. Services are provided in ways that are culturally affirming. Staff provide support and training for KidsFirst Regina programs, including the home visitors. KidsFirst is a program that provides support to vulnerable expectant and new mothers in Regina. The Autism Centre provides diagnostic and therapeutic services for children and youth with an Autism Spectrum Disorder. The Centre provides Telehealth educational opportunities to families in the southern health regions. Psychiatry Services With a specialization in child and adolescent psychiatry, services of assessment, consultation, treatment and follow up for children and youth up to age 18 are provided. Psychiatrists work closely with Child and Youth clinicians, health care providers, schools, and community agencies providing consultation and recommendations. 6

8 Distance Consultation Consultation with Child and Youth Services psychologists and psychiatrists is available to the southern health regions. These services are available through office visits or Telehealth. Suicide Awareness and Prevention (306) This community based suicide prevention, intervention and postvention program extends beyond an urban child and youth mandate to include adult and rural populations. The program supports actions designed to reduce the incidence of suicidal behaviours with strategies that include community awareness and education, professional training, consultation, coordinated community response, and certified suicide intervention workshops. Addiction Services Regina Addiction Treatment Centre Adult Treatment Programs, Brief and Social Detox, Problem Gambling 1640 Victoria Avenue (306) Concurrent Disorder Programs 2nd Floor Hamilton Street (306) Community Education (306) Harm Reduction Methadone Program 1048 Albert Street (306) Rural Grenfell 721 Stella Street Fort Qu Appelle 178 Boundary Avenue Programs take a harm reduction approach, meaning that counsellors start where clients are at and work with them towards their individual goals. Education, counselling, and support are offered to family members whether or not the substance abusing person is receiving service. 7

9 Outpatient programs are offered to adults at the Addiction Treatment Centre through individual and group counselling sessions. Specialized programs include the Brief and Social Detoxification programs, a 4 week Day Patient Treatment program, a Relapse Prevention Group and the Insight Group for family members. Treatment is available for individuals with pathological gambling problems which includes outpatient programs, a week long day patient program and evening support groups. Outpatient counselling and group services are available for persons experiencing co-occurring disorders (mental illness and addiction). Adult counsellors are available at Four Directions Health Centre, Meadow Primary Health Centre and at a variety of community agencies. Youth counsellors are available at Child & Youth Services and all Public High Schools. The Harm Reduction Methadone Program offers services to opiate dependent people. Community Education services are based on best practice models and focus on education and prevention with an aim to create a better understanding of addictions in the community. Educational services include classroom and workplace presentations and general public presentations on request. Secure Youth Detox Centre (SYD) Ritter Avenue and Toothill, Regina (306) This facility is for safe medial detoxification from drugs for youth ages 12 to 18 who are struggling with issues related to substance abuse and dependence. Drug Treatment Court (DTC) 1815 Smith Street, Regina (306) This is a therapeutic court that addresses drug addiction as an underlying cause of criminal activity. Participation in the DTC is open to any adult accused of a nonviolent crime that is likely motivated or caused by addictive behaviour. This voluntary treatment program generally lasts for one year. All referrals are made through the Crown Prosecutors office. All participants face sentencing however their sentence will be dependent on compliance with the program. Visit 8

10 Notes: 9

11 CEAC 0216 January 2015

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