Searching for Geriatric Psychiatry

Psychiatry consultation, assessment and treatment services for older adults

All patients see a psychiatrist as part of the initial evaluation * some inpatient consultation and education to doctors, health care professionals and long-term care facility staff

Specialized care of older persons * evaluation and treating of functional, medical, and psycho-social aspects of illness and disability

Consultation, education, community development and evaluation of services * linked to older adults evaluation teams in ten counties by the Southwestern Ontario Geriatric Assessment Network

Geriatric Ambulatory Clinics - Consultative outpatient services and specialty clinics

Geriatric Rehabilitation Day Hospital - Hospital-based outpatient day program for frail older adults * offers nursing, physiotherapy, occupational therapy, and social work services to help patients be healthy, independent, and maintain their quality of life * program collaborates with community services to ensure the right supports are in place for frail seniors at home

Geriatric Rehabilitation Unit - 30-bed hospital inpatient rehabilitation program for older adults with multiple, complex health problems * goal is to promote patient's health, functional independence, and quality of life * services provided by doctors, nurse practitioner, nurses, physiotherapists, occupational therapists, physiotherapy/occupational therapy assistants, therapeutic recreation specialists, speech language pathologists, audiologists, dietitians, and social workers

Inpatient Unit - Inpatient clinical consultation, assessment, treatment, education, research and evaluation

Outreach - Peer support groups, education, and training for family members, service providers, and caregivers * sessions may include information such as advanced directives and safety issues

Physical Maintenance Program - Half-day program aimed at maintaining the client's physical function and mobility conducted by a rehabilitation trainer and a therapeutic recreation specialist with the assistance of volunteers

Regional Geriatric Program - Assessment of frail older adults in homes, hospitals, and long-term care homes * outreach team provides recommendations to care providers, families, and patients

Services and Programs:

• Geriatric Mental Health Clinic
• Parkinson's Community Exercise Group
• Parkinson's Education Program
• Third Age Outreach

Specialized psychiatric care and support for older adults who suffer from late onset mental illnesses or severe behavioural responses * program focuses on assessment, treatment, rehabilitation, prevention, family and community support and education *

Geriatric Day Program - Offers various professional programs and services including cognitive neuropsychiatry, mood disorders and psychotic disorders clinics, as well as limited therapeutic programs and therapy for outpatients

Discharge Liaison Team - Facilitates the transition of current inpatients or registered outpatients undergoing transition from hospital to the community

Regional Psychogeriatric Program - Provides clinical assessments in the patient's home, community clinic or long-term care facility, for older adults with behavioural or mental health issues

Specialized behavioural support for children, adolescents, adults, and seniors who are experiencing behavioural, social, emotional, and psychiatric difficulties

Family Services - Provides one-on-one support for families * support focuses on addressing and stabilizing challenging behaviours * no waitlist * services provided wherever client is, including home, hospital, school or in any other community setting

Specialized Behavioural Support Services - Customized support provided in a variety of settings, including residential facilities, day programs, hospitals, schools, long term care facilities, foster homes, and community programs * flexible, client-centered services reviewed on a regular basis to ensure quality care * supports to youth justice programs for youth aged 12 to 17 who are in conflict with the law, to assist with community integration and support

COVID-19 Update:

CMHA TVAMHS is open for Crisis and Outreach Services Mon-Fri 9 am-4 pm at the Woodstock Branch located at 522 Peel St. Woodstock, ON.

Individuals can also access 24/7 support via phone or online by calling Reach Out at 1-866-933-2023 or online at www.reachout247.ca. Individuals are encouraged to use phone or online channels if at all possible.

Oxford Self Help Drop In is closed until further notice. All group programming has been put on hold. Online group programming can be accessed through our FaceBook group at www.facebook.com/groups/OxfordSelfHelp/

Walk In Counselling: Can be accessed in Woodstock on Saturday's from 11 - 4 p.m. at 522 Peel St. Woodstock. Walk In Clinics in Ingersoll and Tillsonburg are on hold until further notice.

The Canadian Mental Association Thames Valley Addiction & Mental Health Services - Woodstock Branch has many services to offer. These include:

* Oxford Self Help Peer Support Program
* 24 Hour Crisis and Outreach Program
* Applies Suicide Intervention Skills Training
* Case Management Services
* Court Diversion and Court Support Services
* Dual Diagnosis Support Services
* Living Life to the Full
* S.O.A.R (Seniors Outreach and Recovery)
* Suicide Bereavement Mutual Support Group
* Supportive Housing

COVID-19 Update:

CMHA TVAMHS is open for Crisis and Outreach Services Mon-Fri 9 am-4 pm at the Woodstock Branch located at 522 Peel St. Woodstock, ON.

Individuals can also access 24/7 support via phone or online by calling Reach Out at 1-866-933-2023 or online at www.reachout247.ca. Individuals are encouraged to use phone or online channels if at all possible.

Oxford Self Help Drop In is closed until further notice. All group programming has been put on hold. Online group programming can be accessed through our FaceBook group at www.facebook.com/groups/OxfordSelfHelp/

Walk In Counselling: Can be accessed in Woodstock on Saturday's from 11 - 4 p.m. at 522 Peel St. Woodstock. Walk In Clinics in Ingersoll and Tillsonburg are on hold until further notice.

The Canadian Mental Association Thames Valley Addiction & Mental Health Services - Woodstock Branch has many services to offer. These include:

* Oxford Self Help Peer Support Program
* 24 Hour Crisis and Outreach Program
* Applies Suicide Intervention Skills Training
* Case Management Services
* Court Diversion and Court Support Services
* Dual Diagnosis Support Services
* Living Life to the Full
* S.O.A.R (Seniors Outreach and Recovery)
* Suicide Bereavement Mutual Support Group
* Supportive Housing

COVID-19 Update:

CMHA TVAMHS is open for Crisis and Outreach Services Mon-Fri 9 am-4 pm at the Woodstock Branch located at 522 Peel St. Woodstock, ON.

Individuals can also access 24/7 support via phone or online by calling Reach Out at 1-866-933-2023 or online at www.reachout247.ca. Individuals are encouraged to use phone or online channels if at all possible.

Oxford Self Help Drop In is closed until further notice. All group programming has been put on hold. Online group programming can be accessed through our FaceBook group at www.facebook.com/groups/OxfordSelfHelp/

Walk In Counselling: Can be accessed in Woodstock on Saturday's from 11 - 4 p.m. at 522 Peel St. Woodstock. Walk In Clinics in Ingersoll and Tillsonburg are on hold until further notice.

The Canadian Mental Association Thames Valley Addiction & Mental Health Services - Woodstock Branch has many services to offer. These include:

* Oxford Self Help Peer Support Program
* 24 Hour Crisis and Outreach Program
* Applies Suicide Intervention Skills Training
* Case Management Services
* Court Diversion and Court Support Services
* Dual Diagnosis Support Services
* Living Life to the Full
* S.O.A.R (Seniors Outreach and Recovery)
* Suicide Bereavement Mutual Support Group
* Supportive Housing

Addiction Program - assessment and outpatient counselling for people of all ages experiencing issues with alcohol, drug use and gambling. Mental health and peer support also available. Assistance is available to family and friends. Additionally, counsellors are available through the guidance offices of high schools. Community education is a major component of this program

Adult Mental Health Program - community-based, client-focused services to adults with mental illnesses or with concurrent disorders (mental illness and addictions) including assessment, consultation, treatment, education, support, and advocacy. It is an interdisciplinary staff (physicians, nurses, social workers, with support from addiction counsellors and peer support as required)

Specialized Geriatric Services - provides non-emergency clinical assessment, consultation, treatment and education to older adults, their families, and service providers who are, or know of, someone who is experiencing mental health issues combined with age-related difficulties

Agency head office

Services include:

• Peer Support Program (Achieve: mental health and wellness recovery centre)
  
  
• Addiction Program - assessment and outpatient counselling for people of all ages experiencing issues with alcohol, drug use and gambling. Mental health and peer support also available. Assistance is available to family and friends. Additionally, counsellors are available through the guidance offices of high schools. Community education is a major component of this program
  
  
• Adult Mental Health Program - community-based, client-focused services to adults with mental illnesses or with concurrent disorders (mental illness and addictions) including assessment, consultation, treatment, education, support, and advocacy. It is an interdisciplinary staff (physicians, nurses, social workers, with support from addiction counsellors and peer support as required)
  
  
• Telemedicine Services - provides non-emergency community-based services for adults 16 years or older with mental illness and/or addiction issues. The service uses video cameras and monitors to connect clients to specialists who live elsewhere for a one-time consult, increasing access to specialized care using videoconferencing technology
  
  
• Crisis Assessment and Support Team (CAST) - mental health crisis support telephone line staffed by experienced mental health professionals. Provides face-to-face assessments and short-term follow-up crisis counselling. Response time to clients is expected to be within 24 hours
  
  
• Mobile Crisis Rapid Response Team (MCRRT) - program partners a uniformed OPP officer with an experienced mental health professional to respond as first responders to calls through 911
  
  
• Specialized Geriatric Services - provides non-emergency clinical assessment, consultation, treatment and education to older adults, their families, and service providers who are, or know of, someone who is experiencing mental health issues combined with age-related difficulties
  
  
• Addiction Mobile Outreach Team - provides support to individuals living with substane use concerns, problem gambling or concurrent disorders through engagement, assessment and prevention through education
  
  
• Mobile Mental Health and Addictions Clinic

Immediate crisis telephone counselling

Counsellors are skilled in Brief Solution Focused Therapy and Crisis Intervention to provide the following:

• Crisis Outreach and Support Team (COAST) referrals
• connection to addiction services
• safety and crisis planning
• coping skills and self-soothing management
• referrals and connections to on-going service as required
• Naloxone kits and harm reduction supplies

Regional service to assist family, community and long-term care providers in the continuing care of older adults with complex cognitive, emotional and behavioural disorders

• specialized assessment, consultation, treatment and short-term specialty case management and intervention
  
• education and community/program development, community homes, retirement, and supportive housing and long-term care facilities

Wait times can be upwards of 5-6 months to see a psychiatrist

COVID19 Services are being offered via phone. If urgent care required, in home services offered.

Assessment and treatment provided for older adults experiencing depression, anxiety, confusion, cognitive impairment and changes in behaviour. Services are time limited and include community treatment. In-service training provided to Long Term Care Homes, community groups, and residential care homes. Psychogeriatric clinics and resource consultation

Core programs include:

• Inpatient Psychiatric Services: 21-bed inpatient psychiatric unit. Focus of an inpatient admission is to treat acute symptoms in order to stabilize a patient's mental illness and initiate a treatment plan. The goal is for the patient to then successfully transition into the community for ongoing treatment and support.
• Psychiatric Assessment Nurse (PAN): A specialized mental health nurse provides an assessment to inpatients. Once the assessment is complete, a treatment decision is made either to admit or to discharge for community follow-up. PAN partners with many other community agencies with a goal of creating a treatment plan that allows the client to return to the community with a coordinated treatment plan in place.
• Community based services: Partnered with Canadian Mental Health Association Lambton Kent (CMHA LK) to provide an integrated mental health and addictions service.
• Outpatient Services: Mental Health Counseling and Treatment, Outpatient Psychiatry Clinic, Early Psychosis Intervention Program - Today Not Tomorrow (TNT), Psychogeriatric Mental Health Outreach Team (GMHOT), Addictions Assessment, Treatment and Referral Program, Concurrent Disorders Program, Problem Gambling and Eating Disorders and Assertive Community Treatment.

An assessment and treatment program for seniors living in the community who are experiencing mental health concerns which may include: depression, mood changes, dementia and/or anxiety. The service is focused on the individual and their family. The team provides a comprehensive geriatric assessment that will include a medical and mental health history and screening. The care plan is developed and implemented with the individual and their support network including their primary care physician.

This regional service supports seniors who have complex medical and/or mental health needs. A team member follows up with the senior in their home once a comprehensive geriatric assessment has been completed and it has been agreed to by the senior and the care team that this service can support the individual's plan of care. The team member works closely with the senior's support network and promotes independence, self-directed care, and quality of life through the coordination of appropriate services and support for the senior.

Ambulatory Care Program (AC) provides specific short term out patient services that offers supportive care to the patient transitioning from acute in patient care to discharge or home environment * clinics provide services to the community with issues of dementia, delirium, memory, or falls

This regional service supports seniors who have complex medical and/or mental health needs. A team member follows up with the senior in their home once a comprehensive geriatric assessment has been completed and it has been agreed to by the senior and the care team that this service can support the individual's plan of care. The team member works closely with the senior's support network and promotes independence, self-directed care, and quality of life through the coordination of appropriate services and support for the senior.

Addiction Program - assessment and outpatient counselling for people of all ages experiencing issues with alcohol, drug use and gambling. Mental health and peer support also available. Assistance is available to family and friends. Additionally, counsellors are available through the guidance offices of high schools. Community education is a major component of this program

Adult Mental Health Program - community-based, client-focused services to adults with mental illnesses or with concurrent disorders (mental illness and addictions) including assessment, consultation, treatment, education, support, and advocacy. It is an interdisciplinary staff (physicians, nurses, social workers, with support from addiction counsellors and peer support as required)

Specialized Geriatric Services - provides non-emergency clinical assessment, consultation, treatment and education to older adults, their families, and service providers who are, or know of, someone who is experiencing mental health issues combined with age-related difficulties

Assessment, diagnosis, and treatment of age-related mental health issues including psychopharmacology and psychotherapy

Community based mental promotion and education services for individuals and families facing mental illness and developmental challenges. Services include:

• outreach / case management
• specialized psychiatric and mental health assessments and treatment for adults and seniors
• Intensive Geriatric Service Workers (IGSW) - work with frail seniors after release from hospital or who display a complex number of needs
• programs for school-aged children and teens
• specialized programs for eating disorders and 1st Episode Psychosis
• family support options for families caring for children with developmental or physical disabilities - can help families apply for funding to receive one-to-one support; respite services; access to Supporting Kids in Camp program
• infant and pre-school support services - pre-school assessment consultation for child care providers and families of children 2-6 years of age
• court support worker - support to individuals with mental health issues who find themselves in conflict with the law
• employment services and support
• 1st Step Program - Early Psychosis Treatment Team - Interdisciplinary team provides support to individuals in the early stages of psychosis and their families; initial assessment includes medical screening, medical history and psychiatric interviews; treatment may include counselling, medication, individual and group treatment, family education and finding supports for day-to-day living

Assessment, treatment, and recommendations for the management of care for older adults with dementia, depression and other mental health needs.

There are three streams within the program:

• Dementia Stream
• Mood, Anxiety and Other Co-Occurring Conditions Stream
• Crisis Bed Service Stream (dedicated to local community only)

Specialized service and treatment for individuals who have behaviours related to a diagnosis of dementia. Program provides service to Local Health Integrated Network (LHIN) 4 (the regions of Niagara, Brant, and Halton). Program goal is to return clients to an appropriate care setting within their home community after assessment and development of a treatment plan.

Connect is a centralized intake service for St. Joe's Mental Health and Addiction outpatient programs.
Accepts and processes referrals for the following clinics:

• Anxiety Treatment and Research Clinic (ATRC)
• Women's Health Concerns Clinic (WHCC)
• Senior's Mental Health Clinic
• Eating Disorders Program
• Mood Disorders Program
• Youth Wellness Centre
• Community Psychiatry Clinic (CPC)
• East Region Mental Health Services (ERMHS)
  • Concurrent Disorders Program
  • General Psychiatry Clinic
  • Bridge to Recovery Program
  • Rapid Consultation Clinic
  • Border Personality Disorder Service
• Cleghorn Early Intervention Clinic
• Schizophrenia Outpatient Clinic
• Developmental Dual Diagnosis Program

Provides a large variety of services including:
*care geared towards older adults such as living assistance including bathing, feeding, dressing as well as rehabilitation including occupational therapy and physiotherapy. Also provides assistance in nursing needs and footcare.
*support for family caregivers.
*community support and education in health care for aboriginal persons.
*driver's assessment and training for older adults.

See Services and Programs for a full list of supported services.

Clinical and educational partnerships to enhance knowledge and skills of professional and non-professional service providers in seniors mental health issues ; education and consultation services for long-term care facilities, retirement homes, hospitals and community agencies.

Clinical education and workshops include:

• Gentle Pursuasive Approaches (GPA) to Dementia Care, certificate program
• GPA recharged - refresher workshop
• Compassion Fatigue
• 3D's - Delirium, Depression, Dementia
• Dementia - Overview, Communication, Activities
• Intimacy and Long-Term Care
• Schizophrenia
• Depression
• Using Therapeutic Interventions to Minimize Behaviours in the Older Adult
• Virtual Dementia