ADDICTION & MENTAL HEALTH YEAR END SERVICE SUMMARY

Transcription

1 ADDICTION & MENTAL HEALTH YEAR END SERVICE SUMMARY April 1, 2008 March 31, 2009 Prepared by: Information Management, Evaluation and Research,,

2 ADDICTION & MENTAL HEALTH - YEAR END SERVICE SUMMARY FY Table of Contents Note: Note: The Service Area Descriptions included in the Year End Summary have been provided from the Mental Health Website. In 2009, the - Calgary Health Region changed its name to -. Also during the fiscal year Mental Health & Addictions Services changed its name to Addiction and Mental Health. Lastly, Information & Evaluation Unit is now known as Information Management, Evaluation & Research. * Service Area Descriptions (where available) precede the page number listed. Page* Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICT - all Mental Health 5 ACCESS MENTAL HEALTH Access Mental Health - Adult 7 Access Mental Health - Child and Adolescent 8 Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICT - Addictions Services 9 ADDICTION SERVICES AND CLARESHOLM CARE CENTRE Addiction Centre - Adolescent 12 Addiction Centre - Adult 14 Addiction Consultation Service - FMC 16 Addiction Services Network - PLC 18 Addiction Services Network - RGH 20 Claresholm Care Centre for MH & Addic-Community Support Serv 25 Claresholm Care Centre for MH & Addiction - Inpatient 26 Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICTS - Adult Services 28 ADULT MENTAL HEALTH SERVICES Active Treatment Team 30 Adult Aboriginal Mental Health - Therapist 33 Adult Aboriginal Mental Health - Wellness 35 Adult Mental Health Service - SCHC 38 Assertive Community Treatment 41 Bipolar Clinic - Regional 44 Carnat Centre 47 Community Based Mental Health 50 Community Extention Team 53 Community Mental Health Rehabilitation Team 56 Consultation Liaison - FMC 59 Consultation Liaison - PLC 62 Consultation Liaison - Psychiatry Outpatient 65 Dialectical Behavioural Therapy Program 69 Early Psychosis Treatment Service 72 Early Psychosis Treatment Service - Prime Clinic 74 FMC - Mental Health Day Treatment 77 Inpatient Adult Psychiatric Units 83 Report prepared by: IMER, -

3 ADDICTION & MENTAL HEALTH - YEAR END SERVICE SUMMARY FY Table of Contents Page Inpatient Adult Psychiatric Units - Diagnoses 85 Joint Services - Persons with DD Service Description 87 Mental Health Act of Alberta 88 Mental Health Outreach - Sheldon Chumir 90 Mobile Response Team 93 Mobile Response Team - South 95 Mobile Response Team - North 97 Northwest Community Mental Health Centre 100 Outpatient Mental Health 103 Outpatient Schizophrenia Service 106 Primary Mental Health Care 109 Psychiatric Assessment Service 112 Psychiatric Consultation Clinic - RGH 115 Psychiatric Emergency Services & MH Urgent Care Services 120 Psychiatric Emergency Outreach Team - FMC 122 Psychiatric Emergency Outreach Team - PLC 124 Psychiatric Emergency Outreach Team - RGH 126 Psychiatric Emergency Outreach Team - SCHC 128 Regional Capacity Assessment Team 131 Regional Mental Health Housing 134 Regional Psychological Assessment Service 136 RGH - Mental Health Day Treatment Service 140 Shared Mental Health Care 143 Short Stay Unit Follow-up 145 Urgent Therapy Services 148 Walk-In Service - SCHC 151 Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICT - Child & Adolescent 153 CHILD AND ADOLESCENT Adolescent Day Treatment Program 155 Calgary Eating Disorders Program 158 CAMHUS -Urgent Services 161 Child and Adolescent - Shared Mental Health Care 163 Collaborative Mental Health Care 165 Complex Kids 167 Family, Adolescent & Child Services 169 Healthy Minds, Healthy Children 173 Mental Health Inpatient Care Unit 175 Mental Health Inpatient Care Unit - Day Patient 178 Multidisciplinary Consultation Services 180 Pediatric Behavioural Development Clinic 182 Student Health Partnership - Mental Health 185 Unit 26 - Young Adult Program 187 Young Adult Services - Outpatient 190 Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICT - Forensic 192 FORENSIC Calgary Diversion Service 194 Report prepared by: IMER, -

4 ADDICTION & MENTAL HEALTH - YEAR END SERVICE SUMMARY FY Table of Contents Page Community Georgraphic Team Resources 198 Forensic Adolescent Program 200 Forensic Assessment & Outpatient Service 203 Southern Alberta Forensic Psychiatric Centre 206 Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICT - Geriatric 208 GERIATRIC Carewest - Geriatric Mental Health Recovery & Rehabiliation Unit 210 Community Geriatric Mental Health Services 213 Community Geriatric Mental Health Service - SCHC 216 Community Geriatric Mental Health Service - Sunridge 219 Geriatric Mental Health Consulting Services 222 Geriatric Mental Health Day Treatment 225 Geriatric Mental Health Outreach Team 228 Geriatric Mental Health - Unit 48 RGH 231 Map: MENTAL HEALTH CLIENTS BY SOCIAL DISTRICT - Rural 233 RURAL Airdrie Mental Health Clinic 235 Black Diamond Mental Health Clinic 238 Bow Valley Mental Health Clinic - Banff/Lake Louise 241 Bow Valley Mental Health Clinic - Canmore 243 Chestermere Mental Health Clinic 246 Claresholm Mental Health Clinic 249 Cochrane Mental Health Clinic 252 Didsbury Mental Health Clinic 255 High River Mental Health Clinic 258 Nanton/Vulcan Mental Health Clinic 261 Okotoks Mental Health Clinic 263 Strathmore Mental Health Clinic 266 CONTRACTED SERVICES Contracts 268 Grants 269 GLOSSARY Glossary 270 Report prepared by: IMER, -

5 AHS-Calgary Mental Health Client Summary Includes 28,715 Clients with 41,461 Enrollments in Fiscal Year Calgary Urban Social Districts: Number of Clients with Dx Number of clients ,864 Most Common Diagnoses 5,115 4,833 4,784 4,557 Male Female 3,275 2,151 2,184 Mood Other Conditions Substance Related Anxiety Adjustment Schizophrenia Dementia Personality Eating Disorder Age and Gender 522 <= >=65 Age group Non-Urban Clients: North Rural South Rural East Rural West Rural Area Outside Calgary Region Homeless (Documented) Missing Postal Code Number of Clients 2,585 1, ,802 1, ,265 These results describe clients registered in more than 90 mental health programs, clinics, and nursing units, using data extracted from the ARMHIS, CARA, RAIS, GMHIS, CHR Inpatient, Triage, ADTP, CMHC, and Clinibase data systems, and so represent a large majority (~97%) of the individuals who accessed CHR Mental Health Services. Clients not included were from programs such as Adult Aboriginal and contracted mental health agencies. Some of these data sources may be added to the I&E Unit Data Repository in the near future, so the numbers reported above may change slightly in subsequent reports.

6 ACCESS MENTAL HEALTH Access Mental Health is a non-emergent access and intake point for Mental Health Services. It also acts as a centralized mental health information source for the Calgary Zone. Anyone can call, fax or and receive assistance. Access Mental Health will: Assist new clients attempting to gain entry to, Child and Adolescent Mental Health Services Screen and complete referral packages for a number of identified programs within Adult Mental Health Services Facilitate equitable and transparent access to service Represent one face to Mental Health Services to increase clarity and decrease confusion around available resources. Streamline the process of accessing mental health services in the Provide accurate information about mental health services to external and internal services including wait times. Matches callers to the right service, right place and the right time Advocate for consumers by ensuring that Mental Health Services follow through and provide the assistance that they say they will

7 Access Mental Health Services ACCESS MENTAL HEALTH - ADULT Mental Health Indicators Number of Calls 21,416 Number of Calls by Contact Type Other Professional 14% (3084) Self 46% (9798) Family Physician 22% (4672) Family Member 7% (1556) Friend 1% (220) Psychiatrist 2% (448) Social Worker 3% (561) Other 4% (847) Unknown 1% (230) TOTAL 100.0% (21416) Number of Calls by Reason for Call Information 82% (17614) Referral Package 16% (3434) Out of Scope 1% (183) Intake 1% (173) Crisis Intervention 0% (10) Other 0% (2) number of calls TOTAL 100.0% (21416) Persons of Concern Number of persons of concern 18,151 Persons of Concern by Gender Male 59% (10651) Female 34% (6186) Unknown 7% (1314) TOTAL 100.0% (18151) Persons of Concern by Age 0-17 years 1% (240) % (15072) % (449) Unknown 13% (2390) TOTAL 100.0% (18151) source: MHIOS source: MHIOS source: MHIOS source: MHIOS source: MHIOS source: MHIOS 7,

8 Access Mental Health Services ACCESS MENTAL HEALTH - Child and Adolescent Mental Health Indicators Number of Calls 7,248 Number of Calls answered =< 2 minutes (4652) Number of Calls abandoned (904) Number of Referral Faxes (965) source: symposium source: symposium source: symposium 8,

9 AHS-Calgary Addictions Services Summary Includes 1,319 Clients with 1,518 Enrollments/Admissions in Fiscal Year Calgary Urban Social Districts: Number of Clients with Dx Most Common Diagnoses 60 1, Mood Other Conditions Substance Related Anxiety Adjustment Schizophrenia Childhood Dx Personality Somatoform Dis. 29 Number of clients Male Female Age and Gender North Rural South Rural East Rural West Rural Non-Urban Clients Area Outside Calgary Region Number of Clients <= >=65 Age group Homeless (Documented) Missing Postal Code 53 0 These results describe clients registered in 5 MH Services (the Adult and Adolescent Addiction Centre programs, the FMC Addiction Consultation Service, and the Addiction Services Network at RGH and PLC) using data extracted from the CARA data system. Clients in addictions programs at the Claresholm Care Centre were not included.

10 ADDICTION CENTRE PROGRAM NETWORK Addiction Program The Addiction Program incorporates treatment, education and research of concurrent disorders across the health care continuum. It operates under the Services within the. Concurrent disorders Concurrent disorders are described as two or more disorders in a single individual interacting in the presenting clinical picture. The Addiction Program promotes the Progressive and Integrated Recovery (PaIR) Model. Progressive: Based on assessment results and motivation, patient care starts with lowest level of treatment intensity required/desired followed by higher levels as needed. Integrated: Combines treatment elements from mental health, medicine and addiction to create a unified and comprehensive program. Recovery: Recovery management provides an alternative to the traditional provision of unrelated, serial episodes of acute care. Addiction Centre The Addiction Centre specializes in the comprehensive assessment, diagnosis and treatment of adults/adolescents with substance/behavioural addiction concurrent with a mental health and/or chronic physical health condition. The Addiction Centre aims to: Bridge the gap between addiction and physical/ psychiatric treatment services. Provide a bio-psycho-social assessment. Provide a treatment and referral service that encourages patients to be active participants in their treatment and take responsibility for their overall well-being. Provide a multi-dimensional model of care to meet the needs of our patients. Teach and train health care professionals about concurrent disorders. Evaluate assessments and interventions using standardized evaluation tools. A referral from a physician is required for treatment at the Addiction Centre, and the patient's physician is expected to be actively involved. There is both an adult service and an adolescent service.

11 Addiction Network The Addiction Network includes acute care and community based satellites. Each Addiction Network satellite provides enhanced consultation services to individuals presenting with a history of substance abuse/behavioural addiction concurrent with a significant psychiatric and/or medical diagnosis. Services are supported by a registered nurse, psychologist, and consulting family physician and/or psychiatrist. Claresholm Centre The Concurrent Disorders Residential Program at Claresholm is intended for individuals with concurrent disorders 18 and older who would benefit from residential treatment.

12 Addictions Network and Claresholm Centre ADDICTION CENTRE - ADOLESCENT Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 127 No Shows 4 Average Wait Time (dys) 78 Direct Procedures 1672 Indirect Time (hours) 2695 Referral Source Family Physician/Pediatrician 16% (20) Mental Health (Outpt/Inpt) Services 9% (11) Psychiatrist 2% (2) Addiction Centre 74% (94) Other 0% (0) referrals TOTAL 100.0% (127) source: Triage source: Triage Residence - Urban 82% (113) - Rural 9% (12) Other Alberta 9% (12) BC 1% (1) Other 0% (0) existing enrollments TOTAL 100.0% (138) Age and Gender Female Male Total <12 years 0 0 (0) (7) (17) (26) (46) (32) => (10) existing enrollments TOTAL (138) 38% 62% source: Triage 12

13 Addictions Network and Claresholm Centre ADDICTION CENTRE - ADOLESCENT Diagnoses by DSM-IV-TR N = 355 Diagnoses, 138 Existing Enrollments Axis I Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Each Axis III Diagnoses counted. Axis I Additional Codes 0.7% (1) Adjustment Disorders 0.7% (1) Anxiety Disorders 34.1% (47) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy 60.9% (84) Dissociative Disorders Eating Disorders 1.4% (2) Factitious Disorders Impulse Control Disorders 0.7% (1) Mental Disorders due to General Medical Mood Disorders 30.4% (42) Other Conditions That May be a Focus 21.7% (30) Schizophrenia and Other Psychotic Disorders 2.9% (4) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 97.1% (134) Axis II Axis II 2.2% (3) Axis III Axis III 1.7% (6) 13

14 Addictions Network and Claresholm Centre ADDICTION CENTRE - ADULT Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 549 No Shows 38 Average Wait Time (dys) 93 Direct Procedures 9793 Indirect Time (hours) 1463 Referral Source Family Physician 20% (111) Inpatient (all sites) 1% (7) Psychiatrist 2% (9) Mental Health Outpatient Services 75% (411) Emergency Department 1% (5) MH Agencies/Other Outpt/Other 1% (6) referrals TOTAL 100.0% (549) source: Triage source: Triage Residence - Urban 85% (363) - Rural 9% (37) Other Alberta 6% (25) BC 0% (1) Other 0% (0) existing enrollments TOTAL 100.0% (426) source:cara Age and Gender Female Male Total 0-17 years 0 1 (1) (35) (97) (124) (115) (46) >= (8) existing enrollments TOTAL (426) 50% 50% source:cara 14

15 Addictions Network and Claresholm Centre ADDICTION CENTRE - ADULT Diagnoses by DSM-IV-TR N = 1072 Diagnoses, 426 Existing Enrollments Axis I and II Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Axis I Each Axis III counted. Additional Codes 17.8% (76) Adjustment Disorders 4.2% (18) Anxiety Disorders 13.6% (58) Delirium, Dementia, and Amnestic 0.5% (2) Disorders Usually First Dx'd in Infancy 1.2% (5) Dissociative Disorders Eating Disorders 2.1% (9) Factitious Disorders Impulse Control Disorders 4.5% (19) Mental Disorders due to General Medical Mood Disorders 30.3% (129) Other Conditions That May be a Focus 11.7% (50) Schizophrenia and Other Psychotic Disorders 6.1% (26) Sexual and Gender Identity Disorders 0.7% (3) Sleep Disorders 0.2% (1) Somatoform Disorders 9.2% (39) Substance Related Disorders 95.8% (408) Axis II Axis II 19.5% (83) Axis III Axis III 13.6% (146) 15

16 Addictions Network and Claresholm Mental Health & Addictions Centre ADDICTION CONSULTATION SERVICE - FMC Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals - No Shows - Average Wait Time (dys) - Direct Procedures 448 Indirect Time (hours) 0 FY source: Triage Referral Source Not available Residence - Urban 74% (224) - Rural 19% (58) Other Alberta 4% (12) BC 2% (5) Other/Rest of Canada 1% (2) existing enrollments TOTAL 100.0% (301) Age and Gender Female Male Total 0-17 years 1 1 (2) (20) (44) (63) (90) (52) >= (30) existing enrollments TOTAL (301) 37% 63% 16

17 Addictions Network and Claresholm Mental Health & Addictions Centre ADDICTION CONSULTATION SERVICE - FMC FY Diagnoses by DSM-IV-TR N = 335Diagnoses, 301 Existing Enrollments Axis I Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Axis I Each Axis III counted. Additional Codes Adjustment Disorders Anxiety Disorders 1.0% (3) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders Factitious Disorders Impulse Control Disorders 1.3% (4) Mental Disorders due to General Medical Mood Disorders 1.7% (5) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 91.0% (274) Axis II Axis II 3.7% (11) Axis III Axis III 11.3% (38) 17

18 Addictions Network and Claresholm Centre ADDICTION SERVICES NETWORK - PLC Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals - No Shows - Average Wait Time (dys) - Direct Procedures 808 Indirect Time (hours) 0 source: Triage Referral Source Not available Residence - Urban 72% (320) - Rural 21% (95) Other Alberta 5% (22) BC 0% (1) Other 1% (4) existing enrollments TOTAL 100.0% (442) Age and Gender Female Male Total 0-17 years 0 1 (1) (27) (65) (115) (137) (60) >= (37) existing enrollments TOTAL (442) 29% 71% 18

19 Addictions Network and Claresholm Centre ADDICTION SERVICES NETWORK - PLC Diagnoses by DSM-IV-TR N =493 Diagnoses, 442 Existing Enrollments Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Axis I Each Asis III counted. Additional Codes Adjustment Disorders Anxiety Disorders 1.6% (7) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders Factitious Disorders Impulse Control Disorders 1.6% (7) Mental Disorders due to General Medical Mood Disorders 8.1% (36) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders 2.0% (9) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 92.3% (408) Axis II Axis II 2.7% (12) Axis III Axis III 2.8% (14) 19

20 Addictions Network and Claresholm Centre ADDICTION SERVICES NETWORK - RGH Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals - No Shows - Average Wait Time (dys) - Direct Procedures 351 Indirect Time (hours) 0 Referral Source Not available Residence - Urban 75% (166) - Rural 20% (43) Other Alberta 4% (9) BC 0% (0) Other 1% (2) existing enrollments TOTAL 100.0% (220) Age and Gender Female Male Total 0-17 years 2 2 (4) (24) (32) (47) (62) (36) >= (15) existing enrollments TOTAL (220) 32% 68% 20 Services

21 Addictions Network and Claresholm Centre ADDICTION SERVICES NETWORK - RGH Diagnoses by DSM-IV-TR N =294 Diagnoses, 220 Existing Enrollments Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Axis I Each Axis III counted. Additional Codes Adjustment Disorders 3.2% (7) Anxiety Disorders 0.5% (1) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders 0.5% (1) Factitious Disorders Impulse Control Disorders 1.4% (3) Mental Disorders due to General Medical Mood Disorders 0.9% (2) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders 4.1% (9) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 97.3% (214) Axis II Axis II 1.8% (4) Axis III Axis III 18.0% (53) 21 Services

22 CLARESHOLM CENTRE for MENTAL HEALTH & ADDICTIONS What We Do The focus of the Claresholm Centre for MH & Addictions is to provide treatment and education for adults who are coping with a mental illness and who may also have chronic pain and addiction and benzodiazepine dependence with anxiety in order to reach and maintain their overall mental health and well-being. Our programs aim to assist clients in managing their illness, increasing independence, and returning to their own community environment. The Centre has assisted individuals with bipolar disorder, mood and anxiety disorders, schizophrenia, substance abuse, and other disorders. Professionals at the Centre believe in each individual s potential for development and success. Our team includes nurses, social workers, psychologists, psychiatrists, recreational and occupational therapists, dieticians, pharmacists and other mental health providers. Who We Serve Our Centre is unique in the as well as in Canada. Serving Southern Alberta, the 100 bed inpatient, 40 outpatient, community focused psychiatric rehabilitation centre is located one hour south of Calgary in the welcoming rural community of Claresholm, Alberta. Individuals are placed in one of three program areas for their stay: Active Rehabilitation Program The Active Rehabilitation Program Unit is designated for individuals over age 18, who are considered able to participate in rehabilitation and reintegration. A comprehensive model with varying levels of care and gradual transition to independent living. Concurrent Disorders Program In partnership with the Addiction Centre FMC the Residential Concurrent Disorders Program at Claresholm specializes in the treatment of adults with chronic pain and addiction and benzodiazepine dependence with anxiety. The Residential Program is intended for medically stable individuals 18 and older who would benefit from residential treatment while undergoing a supervised drug tapering program. L.O.S weeks in 3 week blocks. Individuals will be assessed and admitted through the Addiction Centre at the Foothills Medical Centre. Please refer to for further information regarding the Addiction Centre's services. Extended Treatment Program Extended Treatment Program Unit is designed for individuals over age 18, experiencing difficulties in functioning due to mental health concerns. Individuals are provided with rehabilitation support and/or maintenance and a mental health care plan. Individuals will eventually be transitioned into supportive housing or a long-term care centre, as appropriate. Once a client is ready for transition and re-entry into community living, follow-up support, outpatient programs, and outreach services are coordinated for clients. These form a comprehensive treatment model with various service options for clients.

23 Services Provided Medication management and Pharmacy Rehabilitation and addictions programs Education for clients and families One-to-one sessions Group therapy Occupational therapy Leisure, education & employment pursuits Client advocacy Discharge planning Resource support and referral Transitional satellite housing Community support services (outpatient support and outreach) How to Make a Referral There are 3 processes available to refer patients for admissions to the Claresholm Centre for Mental Health & Addictions including: Active Rehabilitation and Extended Treatment Unit Referrals 1. Referral Assessment Team Application - for Referrals may be made by: 1. Physician s Orders (accompanied by referral letter) 2. Verbal Request 3. Independent Case Review *Independent Case Review refers to those individuals that Claresholm Referral Assessment Team identifies as potential rehabilitative patients when conducting rounds and/or visits to Inpatient units In order for Claresholm Centre for Mental Health and Addictions to process a referral, please fax the Referral Application attention: Admissions Coordinator or contact the Admissions Coordinator. On-site assessments are scheduled based on referral and at the earliest availability of the Claresholm Referral Assessment Team. 2. Referral Application Out-of-region health teams, family physicians, and staff can complete the Referral Application and fax to the Admissions Coordinator. *Please Note: Referring providers from health zones outside of the should contact the Centre s Admissions Coordinator at for clients being referred to rehabilitation programs.

24 Concurrent Disorders Unit Referrals 3. Admissions Process/Application Please contact the Addiction Centre in Calgary for any referrals to the Concurrent Disorders Program. Referrals will be processed centrally at the Addiction Centre in Calgary and are available on the website: Please note on the referral form that the patient is to be considered for residential treatment. The minimum length of a Concurrent Disorders Residential Program stay will be 3 weeks, with a maximum stay of 6 months. Admissions Criteria Active Rehabilitation and Extended Treatment Programs Primary Axis I diagnosis Adults ages 18 and over Ability to function in an open, integrated community setting Potential for skill development supporting increased independence Demonstrate a willingness to participate and engage in programming Concurrent Disorders Program Opiate Dependence and Chronic Pain The criteria for admission includes: Adults with chronic pain and addiction Willingness to change - amenable to progressive withdrawal/tapering and appropriate use of medication Medically stable as indicated by a physical examination within the previous 3 month period Not acutely psychiatrically unstable at time of admission Able to operate in an open, integrated community setting Need for stable recovery environment Referral source is willing to follow up after discharge Benzodiazepine Dependence and Anxiety Disorder The criteria for admission includes: Adults with chronic benzodiazepine dependence with an anxiety disorder Willingness to change amenable to progressive withdrawal/tapering and appropriate use of medication Medically stable as indicated by a physical examination within the previous 3 month period Not acutely psychiatrically unstable at time of admission Able to operate in an open, integrated community setting Need for stable recovery environment Referral source is willing to follow up after discharge

25 Addictions Network and Claresholm Centre CLARESHOLM CENTRE for MH & ADDICTIONS - Community Support Services Mental Health Indicators Capacity 40 + New Admissions 5 Discharges 5 source: Pgm Stats source: Pgm Stats 25 Services

26 Addictions Network and Claresholm Centre CLARESHOLM CENTRE for MH & ADDICTIONS - INPATIENT Mental Health Indicators Number of Beds 100 Occupancy 83.2% Average Length of Stay (days) 177 New Admissions 161 Discharges 178 Against Medical Advice 35 Rererral Source Acute Care Hospitals (all RHA's) 63% (101) MH Outpatient Services 11% (17) CCC - Community Support Services 5% (8) AHE/AHP 1% (2) Physicians 11% (18) AADAC 9% (15) admissions TOTAL 100.0% (161) Discharge Disposition Planned 68% Transfer 10% Against Medical Advice 20% From Leave of Absence 1% Death 1% discharges TOTAL 100.0% source: Pgm Stats source: Pgm Stats source: Pgm Stats source: Pgm Stats Age 0-17 years 0% % % % % >= 65 4% admissions 100% source: Pgm Stats Diagnoses by DSM-IV N = 178 Discharges Primary Diagnoses are counted once per DSM-IV category per discharge. Axis I Schizophrenia and Other Psychotic Disorders 38% Mood Disorders 11% Anxiety Disorders 3% Adjustment Disorder 1% Substance Abuse/Dependency 44% Other Conditions 3% continued source: Pgm Stats 26

27 Addictions Network and Claresholm Centre Axis II Axis III CLARESHOLM CENTRE for MH & ADDICTIONS - INPATIENT Axis II 3% None reported source: Pgm Stats source: Pgm Stats Mental Health Act of Alberta N=161 Admissions 24 Hour hold 4.3% 7 Formal Patients Admitted 9.9% 16 Formal Certificates Issued (post admission) 5.6% 9 source: Pgm Stats 27

28 AHS-Calgary Adult MH Services Summary Includes 15,719 Adult Mental Health Clients with 23,642 Enrollments/Admissions in Fiscal Year Calgary Urban Social Districts: Most Common Diagnoses ,991 Number of Clients with Dx Number of clients ,038 3,277 2,834 2,953 2,305 Mood Other Conditions Substance Related Anxiety Adjustment Schizophrenia Dementia Male Female 1,615 1,161 Age and Gender Personality Childhood Dx 489 North Rural South Rural East Rural West Rural Non-Urban Clients Area Outside Calgary Region Homeless (Documented) Number of Clients <= >=65 Missing Postal Code 24 Age group These results describe clients registered in almost 50 urban adult MH Services (including urgent care programs such as the Psychiatric Emergency services at 4 sites) using data extracted from the CARA, ARMHIS, and inpatient ADT data systems.

29 ACTIVE TREATMENT TEAM What We Do To provide community-based treatment for individuals who have a severe and/or persistent mental illness by (1) reintegrating clients into their communities through the development of skills necessary to increase their levels of functioning and increase independence and quality of life, and (2) fostering and facilitating a therapeutic alliance between hospital and community in order to promote continuity of care. Services Provided Active Treatment team is comprised of an inter-disciplinary team, which utilizes a clinical case management model of service delivery. Services include: Intake assessments Psychiatric consultations Individual and/or group therapy Medication Management Transition Services i.e. Independent Living Support Who We Serve Adults years of age with an Axis I diagnosis including disorders of mood, psychosis, anxiety, post traumatic stress. High risk clients. Referral Process How to Make a Referral All referrals to this program must be screen by Access Mental Health - Adult & Senior Services. Prospective clients can be self-referred, or referred by physicians, significant others or other agencies. Admission Criteria Between the ages of years Axis I diagnosis Experience pervasive impairments across different areas of functioning, including social relationships, work, leisure, and self-care. Admission is strictly voluntary. Individuals must be willing to address their mental health concerns. Exclusion Criteria Absence of Axis I diagnosis. Predominant diagnosis of substance abuse. Developmental disorders e.g. IQ <70.

30 Adult Mental Health ACTIVE TREATMENT TEAM at Sheldon Chumir Centre Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 587 No Shows - Average Wait Time (dys) 122 Direct Procedures 7460 Indirect Time (hours) 180 Referral Source Family Physician 74% (435) Psychiatrist 6% (36) Self 7% (44) Mental Health Services 6% (33) Acute - Inpatient 2% (10) Other 5% (29) referrals TOTAL 100.0% (587) source: Triage source: Triage Residence - Urban 109% (506) - Rural 4% (18) Other Alberta 2% (11) BC 0% (0) Other 0% (0) existing enrollments TOTAL 100.0% (535) Age and Gender Female Male Total 0-17 years 3 0 (3) (38) (88) (123) (169) (102) >= (12) unknown 0 0 (0) existing enrollments TOTAL (535) 56% 44% 30

31 Adult Mental Health ACTIVE TREATMENT TEAM at Sheldon Chumir Centre Diagnoses by DSM-IV-TR N = 705 Diagnoses, 535 Existing Enrollments Axis I Diagnoses are counted once per DSM-IV category per existing enrollment. Axis I Additional Codes 1.3% (7) Adjustment Disorders 1.1% (6) Anxiety Disorders 13.1% (70) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy, Childhood.. 1.5% (8) Dissociative Disorders 0.7% (4) Eating Disorders Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical Mood Disorders 49.0% (262) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders 40.4% (216) Sleep Disorders Somatoform Disorders 0.4% (2) Substance Related Disorders 6.0% (32) Axis II Axis II 11.2% (60) Axis III Axis III 5.4% (38) 31

32 ADULT ABORIGINAL MENTAL HEALTH What We Do Accessible and integrated mental health services provided in a milieu that supports and encourages connection to traditional Aboriginal healing. Cross cultural education and information (workshops, presentations, consultations) regarding the unique cultural identities, histories and socio political contexts of the lives of Aboriginal peoples and their relationship to mental health concerns. Services Provided Therapists and Aboriginal Mental Wellness Workers provide culturally relevant and safe mental health interventions including assessment, treatment, information, referral and outreach support to access health resources including access to traditional healing resources. The education facilitator and community coordinator provide cultural awareness education and consultation. Who We Serve We provide service to First Nations, Metis and Inuit (Aboriginal) people within the context of their families and their communities. Referral Process How to Make a Referral Call Admission Criteria Aboriginal individuals and their families experiencing mental health concerns. Exclusion Criteria Children and non-voluntary clients.

33 Adult Mental Health ADULT ABORIGINAL MENTAL HEALTH - THERAPISTS Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 84 No Shows - Average Wait Time (dys) - Direct Procedures 338 Indirect Time (procedures) 100 Referral Source General Practice Physician 10% (8) Mental Health Clinics (Outpt/Community) 4% (3) 43% (36) Self 37% (31) Other 7% (6) referrals TOTAL 100.0% (84) Residence Calgary 79% (66) Siksika/Morley/Eden Valley 4% (3) Other 1% (1) NFA/Unknown 17% (14) referrals TOTAL 100.0% (84) source: manual stats source: manual stats source: manual stats source: manual stats source: manual stats First Nations Status First Nations - Non Status 13% (11) First Nations - Status 70% (57) Metis 13% (11) Inuit 0% (0) Bill C-31 1% (1) Unknown 5% (4) referrals TOTAL 100.0% (84) source: manual stats Gender Female 81% (68) Male 15% (13) Unknown 4% (3) referrals TOTAL 100.0% (84) source: manual stats 33

34 Adult Mental Health ADULT ABORIGINAL MENTAL HEALTH - THERAPISTS Diagnoses by DSM-IV-TR N = 87 Diagnoses, 84 Referrals Primary Diagnoses counted once per DSM-IV-TR category. Axis I Additional Codes/Unknown 79.8% (67) Adjustment Disorders 2.4% (2) Anxiety Disorders 4.8% (4) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical 1.2% (1) Mood Disorders 2.4% (2) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders 3.6% (3) Sexual and Gender Identity Disorders 1.2% (1) Sleep Disorders Somatoform Disorders Substance Related Disorders Axis II Axis II 4.8% (4) Axis III None Reported source: manual stats source: manual stats source: manual stats 34

35 Adult Mental Health ADULT ABORIGINAL MENTAL HEALTH - WELLNESS Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 93 No Shows - Average Wait Time (dys) - Direct Procedures 764 Indirect Time (procedures) 185 Referral Source 8th&8th Clinic 2% (2) Mental Health Clinics (Outpt/Community) 16% (15) Acute Care Inpatient 39% (36) Other 25% (23) Unknown 18% (17) referrals TOTAL 100.0% (93) Residence Calgary 30% (28) Siksika/Morley 39% (36) Other 6% (6) NFA/Unknown 25% (23) referrals TOTAL 100.0% (93) source: manual stats source: manual stats source: manual stats source: manual stats source: manual stats Residence First Nations - Non Status 6% (6) First Nations - Status 69% (64) Metis 5% (5) Inuit 0% (0) Bill C-31 1% (1) Unknown 18% (17) referrals TOTAL 100.0% (93) source: manual stats Gender Female 35% (33) Male 48% (45) unknown 16% (15) referrals TOTAL 100.0% (93) source: manual stats 35

36 Adult Mental Health ADULT ABORIGINAL MENTAL HEALTH - WELLNESS Diagnoses by DSM-IV-TR N = 93 Diagnoses, 93 Referrals Primary Diagnoses counted once per DSM-IV-TR category per existing enrollment. Axis I Additional Codes/Other/Unknown 45.2% (42) Adjustment Disorders 6.5% (6) Anxiety Disorders 8.6% (8) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical Mood Disorders 19.4% (18) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders 7.5% (7) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 12.9% (12) Axis II None Reported Axis III None Reported source: manual stats source: manual stats source: manual stats 36

37 ADULT MENTAL HEALTH - South Calgary Health Centre What We Do The mental health services of the South Calgary Health Centre (SCHC) are designed to provide enhanced access to psychosocial intervention and brief psychotherapy for individuals and families with psychosocial and/or mental health concerns. While the location of the health centre is most suitable for those families residing in the south part of Calgary and nearby rural areas, all residents within the broader are able to utilize the services at South Calgary Health Centre. Services Provided Change-oriented brief psychotherapy is offered in individual, couple or family format. Selfreferrals can be made or referrals can be provided by family physicians, psychiatrists and other health/mental health providers through Access Mental Health. Hours of operation for Adult Mental Health are Monday - Thursday and on Friday Phone: To send referrals phone Use North entrance. Located on the 2nd Floor in the Mental Health area

38 Adult Mental Health ADULT MENTAL HEALTH SERVICE - South Calgary Health Centre Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 583 No Shows 21 Average Wait Time (dys) 59 Direct Procedures 2858 Indirect Time (hours) 11 Referral Source SCHC MH Urgent Care 15% (88) Access Mental Health (MD & Self) 75% (440) SCHC Walk-in/FACS/MRT/Other 4% (23) Outpatient MH Clinics 1% (4) Self 0% (0) Other 5% (28) referrals TOTAL 100.0% (583) source:cara source:triage source:cara source: Triage Residence - Urban 83% (462) - Rural 4% (20) Other Alberta 14% (77) BC 0% (0) Other 0% (0) existing enrollments TOTAL 100.0% (559) Age and Gender Female Male Total 0-17 years 0 0 (0) (68) (162) (155) (127) (41) >= (6) existing enrollments TOTAL (559) 70% 30% 38

39 Adult Mental Health ADULT MENTAL HEALTH SERVICE - South Calgary Health Centre Diagnoses by DSM-IV-TR N = 665 Diagnoses, 559 Existing Enrollments Axis I Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Axis I Each Axis III counted. Additional Codes 4.3% (24) Adjustment Disorders 26.3% (147) Anxiety Disorders 19.0% (106) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders 0.4% (2) Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical Mood Disorders 34.5% (193) Other Conditions That May be a Focus 30.1% (168) Schizophrenia and Other Psychotic Disorders Sexual and Gender Identity Disorders 0.4% (2) Sleep Disorders Somatoform Disorders 0.4% (2) Substance Related Disorders 1.8% (10) Axis II Axis II 1.6% (9) Axis III Axis III 0.3% (2) 39

40 ASSERTIVE COMMUNITY TREATMENT SERVICE What We Do The Assertive Community Treatment Team provides services to adults 18 and over with severe or persistent mental illness who are ordinarily unable to engage in traditional mental or community services. Services Provided Services are provided to individuals who have difficulties with daily living tasks, accessing medical, legal, housing and financial services and support. Services provided are case management, administration and monitoring of medications, providing services in the client's own environment, assistance to access medical, dental, legal and housing resources; facilitation of family and community involvement; advocacy accessing income support and substance abuse interventions. Who We Serve 18 years and older. Axis I diagnosis of mental illness i.e. schizophrenia, severe psychotic disorders, mood disorders; severe or persistent mental illness, inability to access traditional mental health resources and treatment. Referral Process How to Make a Referral Self, GP, Family Member All referrals to this program can be initiated by contacting Access Mental Health - Adult Services. Please call (403) Ext 2 to initiate a referral.

41 Adult Mental Health ASSERTIVE COMMUNITY TREATMENT SERVICE Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Residence Referrals - No Shows 18 Average Wait Time (days) 139 Direct Procedures - Indirect Time (hours) - - Calgary 93% (99) - Rural 7% (8) Other Alberta 0% (0) BC 0% (0) Unknown 0% (0) existing enrollments TOTAL 100.0% (107) Reason for Closure Referred for Further Services 46% (6) Client Withdrew from Service 8% (1) Declined Services 23% (3) Deceased 15% (2) Mutual Agreement 8% (1) discharges TOTAL 100.0% (13) Gender Female Male Total 0-17 years 0 0 (0) (5) (18) (26) (32) (23) =>65 yrs 2 1 (3) (107) 30% 70% 41

42 Adult Mental Health ASSERTIVE COMMUNITY TREATMENT SERVICE Diagnoses by DSM-IV-TR N = 90 Diagnoses, 107 Existing Enrollments (17 Primary Diagnosis unknown) Diagnoses are counted to a DSM-IV category per existing enrollment by Primary Diagnosis. Primary Diagnosis assignment mandatory for Axis I diagnosis unless Diagnosis deferred coded. Axis I Axis II Axis III Additional Codes Adjustment Disorders Anxiety Disorders 0.9% (1) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy Dissociative Disorders Eating Disorders Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical Mood Disorders 3.7% (4) Other Conditions That May be Focus Schizophrenia and Other Psychotic Disorders 79.4% (85) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 4.7% (5) None reported None reported 42

43 BIPOLAR CLINIC - REGIONAL What We Do Comprehensive outpatient assessment, consultation and treatment to individuals diagnosed with a mood disorder and their families. Services Provided Assessment, treatment, monitoring Education for patients and family Support for patients and family Therapy for patients and family Referral to other agencies Who We Serve Serves Referral Process Physician or psychiatrist only

44 Adult Mental Health BIPOLAR CLINIC Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals - No Shows - Average Wait Time (dys) - Direct Procedures 1835 Indirect Time (hours) 70 Referral Source Not available source:pgm stats Residence - Urban 81% (235) - Rural 12% (36) Other Alberta 6% (16) BC 0% (1) Unknown/Rest of Canada 0% (1) existing enrollments TOTAL 100.0% (289) Age and Gender Female Male Total 0-17 years 0 0 (0) (12) (52) (52) (89) (55) >= (25) unknown 0 0 (4) existing enrollments TOTAL (289) 69% 31% 44

45 Adult Mental Health BIPOLAR CLINIC Diagnoses by DSM-IV-TR N = 339 Diagnoses, 289 Existing Enrollments Axis I Diagnoses are counted once per DSM-IV TR category per existing enrollment. Axis I Each Axis III counted. Additional Codes 10.0% (29) Adjustment Disorders Anxiety Disorders 0.7% (2) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy 0.3% (1) Dissociative Disorders Eating Disorders Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical Mood Disorders 93.8% (271) Other Conditions That May be a Focus Schizophrenia and Other Psychotic Disorders 4.8% (14) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 0.7% (2) Axis II Axis II 5.2% (15) Axis III Axis III 1.5% (5) source:cara source:cara source:cara 45

46 CARNAT CENTRE Sunridge Mall What We Do Assessment, stabilization, active rehabilitation, relapse prevention and health promotion for individuals with schizophrenia. Assessment and consultation of other primary psychotic disorders. Services Provided Consultation, assessment, Neuropsychological evaluation, Rehab/Psychoeducational and Social groups, Clinical follow-up, Clozapine clinics. Family therapy and caregiver support. Who We Serve Persons 18+ with a diagnosis of Schizophrenia. Consideration and assessment of individuals presenting with other primary psychotic disorders. Referral Process How to Make a Referral All referrals to this program can be initiated by contacting Access Mental Health - Adult Services. Please call (403) Ext 2 to initiate a referral. Admission Criteria Persons 18+ with a diagnosis of Schizophrenia. Consideration and assessment of individuals presenting with other primary psychotic disorders. Exclusion Guidelines Individuals with limited capacity for rehab may be directed to the alternate services Primary presentation of current alcohol/substance dependence - Individual will be encouraged to seek initial/concurrent treatment as appropriate

47 Adult Mental Health CARNAT CENTRE - at Sunridge Mall Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals - No Shows - Average Wait Time (dys) - Direct Procedures 33,983 Indirect Time (hours) 484 Referral Source Not available Residence - Urban 91% (406) - Rural 5% (20) Other Alberta 4% (18) BC 0% (0) Other 0% (0) existing enrollments TOTAL 100.0% (444) Age and Gender Female Male Total 0-17 years 0 0 (0) (25) (76) (117) (153) (54) >= (19) existing enrollments TOTAL (444) 35% 65% 47 CalgaryZone

48 Adult Mental Health CARNAT CENTRE - at Sunridge Mall Diagnoses by DSM-IV-TR N = 565 Diagnoses, 444 Existing Enrollments Axis I Diagnoses are counted once per DSM-IV-TR category per existing enrollment. Each Axis III counted. Axis I Additional Codes 2.0% (9) Adjustment Disorders Anxiety Disorders 2.0% (9) Delirium, Dementia, and Amnestic Disorders Usually First Dx'd in Infancy 2.3% (10) Dissociative Disorders Eating Disorders 0.2% (1) Factitious Disorders Impulse Control Disorders Mental Disorders due to General Medical Mood Disorders 9.5% (42) Other Conditions That May be a Focus 2.5% (11) Schizophrenia and Other Psychotic Disorders 87.4% (388) Sexual and Gender Identity Disorders Sleep Disorders Somatoform Disorders Substance Related Disorders 5.2% (23) Axis II Axis II 8.1% (36) Axis III Axis III 6.4% (36) 48 CalgaryZone

49 COMMUNITY BASED MENTAL HEALTH Sunridge Mall What We Do Provides service to adults 18 to 64 with a chronic or severe persistent mental illness. Services Provided Program provides psychiatric consultation, assessment, and treatment for individuals presenting with symptoms associated with depressive and bipolar disorders, anxiety, schizophrenia, and other psychotic disorders. Treatments include a variety of individual and group therapy modalities, medication management, case management, therapeutic home visits, independent living supports, and satellite services. Target population is individuals presenting with chronic and persistent mental illness. Referral Process How to Make a Referral All referrals to this program must be screened by Access Mental Health - Adult & Senior Services. Please call to initiate a referral

50 Adult Mental Health COMMUNITY BASED MENTAL HEALTH - Sunridge Mall Mental Health Indicators FY0506 FY0607 FY0708 FY0809 New Enrollments Existing Enrollments Unique Active Enrollmts Carryovers Discharges Referrals 346 No Shows 39 Average Wait Time (dys) 108 Direct Procedures 5003 Indirect Time (hours) 146 Referral Source Psychiatry Inpatient 12% (43) Mental Health Outpatient Service 11% (39) Self 14% (48) Other 52% (179) Unknown 11% (37) existing enrollments TOTAL 100.0% (346) source:cara source:triage source:cara Residence - Calgary 95% (436) - Rural 2% (7) Other Alberta 3% (14) BC 0% (0) Unknown 0% (0) existing enrollments TOTAL 100.0% (457) Age and Gender Female Male Total 0-17 years 0 0 (0) (31) (85) (126) (124) (84) >= (7) existing enrollments TOTAL (457) 58% 42% 50