Process - Physician - Fraser Health Authority

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DepressiveSymptomsTryVegetative SignsNot Attendingto ADLLow ActivityLow MotivationACTIVATION MODULEAnti-Depression Activities . . . . . . . . . . . . . . 34Depression’s Energy Budget. . . . . . . . . . . . 35Small Goals . . . . . . . . . . . . . . . . . . . . . . . . . 37Problem Solving . . . . . . . . . . . . . . . . . . . . . 39Opposite Action Strategy . . . . . . . . . . . . . . . 40Chunk the Day, . . . . . . . . . . . . . . . . . . . . . . 41Improve the Moment . . . . . . . . . . . . . . . . . . 42Appreciation Exercise . . . . . . . . . . . . . . . . . 43TearfulSadHopelessHelplessACTIVATION MODULEChunk the Day . . . . . . . . . . . . . . . . . . . . . . . 41Improve The Moment . . . . . . . . . . . . . . . . . 42Appreciation Exercise . . . . . . . . . . . . . . . . . 43NegativeThinkingCognitiveDistortionsCOGNITION MODULEThe Circle of Depression . . . . . . . . . . . . . . . 45Common Thinking Errors . . . . . . . . . . . . . . . 47Thought Change <strong>Process</strong> . . . . . . . . . . . . . . 48Self Talk (Mean Talk) . . . . . . . . . . . . . . . . . . 50Thought Stopping . . . . . . . . . . . . . . . . . . . . 51Good Guilt / Bad Guilt . . . . . . . . . . . . . . . . . 53Is Anger a Problem for You . . . . . . . . . . . . . 57Low Self EsteemPassiveACTIVATION MODULEAppreciation Exercise . . . . . . . . . . . . . . . . . 43COGNITION MODULESelf Talk (Mean Talk) . . . . . . . . . . . . . . . . . . 50Good Guilt / Bad Guilt . . . . . . . . . . . . . . . . . 53Assertiveness Skills . . . . . . . . . . . . . . . . . . . 54CBIS MANUAL | MAY 2009 FLOW CHARTS | 816
AnxiousSymptomsTryOverwhelmedChaoticPanickyACTIVATION MODULEAnti-Depression Activities . . . . . . . . . . . . . . 34Small Goals . . . . . . . . . . . . . . . . . . . . . . . . . 37Problem Solving . . . . . . . . . . . . . . . . . . . . . 39Chunk the Day . . . . . . . . . . . . . . . . . . . . . . . 41RELAXATION MODULEAbdominal Breathing . . . . . . . . . . . . . . . . . . 60Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . 62Passive Relaxation . . . . . . . . . . . . . . . . . . . 64Mindfulness . . . . . . . . . . . . . . . . . . . . . . . . . 67RuminatingObsessingWorryingCOGNITION MODULECircle of Depression . . . . . . . . . . . . . . . . . . 45Thought Change <strong>Process</strong> . . . . . . . . . . . . . . 48Thought Stopping . . . . . . . . . . . . . . . . . . . . 51Worry Time . . . . . . . . . . . . . . . . . . . . . . . . . 52RELAXATION MODULEAbdominal Breathing . . . . . . . . . . . . . . . . . . 60Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . 62Passive Relaxation . . . . . . . . . . . . . . . . . . . 64Stress Busters . . . . . . . . . . . . . . . . . . . . . . . 65AgitatedAnxiousIrritableTenseStressedRELAXATION MODULEIntroduction to Relaxation . . . . . . . . . . . . . . 59Abdominal Breathing . . . . . . . . . . . . . . . . . . 60Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . 62Body Scan . . . . . . . . . . . . . . . . . . . . . . . . . . 63Passive Relaxation . . . . . . . . . . . . . . . . . . . 64Stress Busters, . . . . . . . . . . . . . . . . . . . . . . 65One Minute Stress Break . . . . . . . . . . . . . . 67Mindfulness . . . . . . . . . . . . . . . . . . . . . . . . . 67Mindfulness Meditation . . . . . . . . . . . . . . . . 68CBIS MANUAL | MAY 2009 FLOW CHARTS | 917
Page 1 and 2: SteppedCareLevel 1PSP Mental Health
Page 3 and 4: Fold back this page before administ
Page 5 and 6: CBISCOGNITIVE BEHAVIOURAL INTERPERS
Page 7 and 8: Table of ContentsINTRODUCTION. . .
Page 9 and 10: IntroductionThe following modules h
Page 11 and 12: TipsTeachingSelling Strategies• E
Page 13 and 14: Flow ChartsThis module contains flo
Page 15: Patient NeedsTryThe Circle of Depre
Page 19 and 20: Assessment ModuleThe Assessment Mod
Page 21 and 22: 5 Energy levela. How would you rate
Page 23 and 24: 15 Phobiasa. Any unrealistic or exc
Page 25 and 26: 21 CAGEHow many drinks might you ha
Page 27 and 28: DIAGNOSTIC SCREENING WORKSHEET (CON
Page 29 and 30: Problem List Action PlanACTIVATIONR
Page 31 and 32: Self-Assessment QuestionnaireName:
Page 33 and 34: Self-Assessment ProfilePleaser: Hig
Page 35 and 36: Self-Assessment ProfileOver-Thinker
Page 37 and 38: Understanding Depression- Frequentl
Page 39 and 40: Depression: System-Wide CrashDepres
Page 41 and 42: Activation ModuleThe Activation Mod
Page 43 and 44: Depression’s Energy BudgetEvery d
Page 45 and 46: Small GoalsThe concentration, fatig
Page 47 and 48: Problem SolvingDepression can make
Page 49 and 50: Chunk the DayStrategies that give p
Page 51 and 52: Appreciation Exercise“Good for Me
Page 53 and 54: The Circle of DepressionCognitive-b
Page 55 and 56: Common Thinking ErrorsThe situation
Page 57 and 58: THOUGHT CHANGE PROCESS (CONTINUED)T
Page 59 and 60: Thought StoppingDepression often ma
Page 61 and 62: Good Guilt / Bad GuiltA world witho
Page 63 and 64: Setting LimitsMost of us like to be
Page 65 and 66: Is Anger a Problem for You?Tom arri
Page 67 and 68:
Stress ResponseIntroduction to Rela
Page 69 and 70:
Variation - Box BreathingABDOMINAL
Page 71 and 72:
Body ScanPurpose• Body scan is a
Page 73 and 74:
Stress BustersPurpose• Shorter te
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MindfulnessPurpose• Mindfulness i
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BreathMINDFULNESS MEDITATION (CONTI
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Healthy Habits for SleepingDepressi
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IT’S TRUE: YOU ARE WHAT YOU EAT!
Page 83 and 84:
The Wellness WheelPHYSICALGROWTHSEL
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CBISCognitive Behavioural Interpers
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FLOW CHARTS……………………
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PANIC DISORDER• Anxiety “System
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The Many Faces of AnxietyPanic Diso
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Medical ConsiderationsMost Common M
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Anxiety“System-Wide Explosion”A
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Resources for Self-HelpOnline Resou
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GAD: Self-Assessment QuestionnaireN
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GAD: Self-Assessment ProfileHard Dr
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How Anxiety WorksTHOUGHTSBODYFEELIN
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Panic CircleEvent (public speaking)
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Your Emotional Thermometer• Imagi
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Anxiety EquationAnxiety arises out
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2. When something bad happens, I wo
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Coping CardsAnxious people often ma
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Problem SolvingAnxiety is strengthe
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Example: Kelly begins by making a l
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D.E.S.C. ScriptAssertiveness doesn
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Application forPsychiatric Medicati
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APPENDIX 2: WOMEN’S MENTAL HEALTH
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Pharmacotherapy in the Perinatal Pe
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Page 129 and 130:
Page 131:
FAMILY PHYSICIAN GUIDE | ADDRESSING
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Olanzapine (Zyprexa)Tablets, wafers
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Consortium forOrganizationalMentalH
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3. Gather details on current andpre
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Task Two: ADVISE1. Provide meaning
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SUPPORTED SELF‐MANAGEMENT FOR DEP
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TABLE OF CONTENTSIntroduction 1What
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INTRODUCTIONTake a moment now to as
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WHAT IS DEPRESSION?The two most com
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WHAT CAUSES DEPRESSION?People becom
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WHAT CAUSES DEPRESSION?ThoughtsEach
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WHAT CAUSES DEPRESSION?EmotionDepre
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WHAT CAUSES DEPRESSION?ActionDepres
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WHAT CAN YOU DO ABOUT DEPRESSION?MI
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MORE ABOUT MEDICATIONMedication is
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ANTIDEPRESSANT SKILLSIn this sectio
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REACTIVATING YOUR LIFEStep 1: Ident
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REACTIVATING YOUR LIFESmall DutiesE
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REACTIVATING YOUR LIFEStep 2: Choos
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REACTIVATING YOUR LIFEStep 3: Set r
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REACTIVATING YOUR LIFEStep 4: Carry
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THINKING REALISTICALLYNegatively di
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THINKING REALISTICALLYStep 1: Learn
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Page 180 and 181:
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THINKING REALISTICALLYStep 4: Pract
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SOLVING PROBLEMS EFFECTIVELYStep 1:
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Page 188 and 189:
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
REDUCING THE RISK OF RELAPSEPlan ah
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Congratulations! You have now made
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SUGGESTED READINGON DEPRESSION AND
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DIETThe Canada Food GuideGuidelines
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SLEEPStress, anxiety, and depressio
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CAFFEINECaffeine stimulates the sym
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CHALLENGING DEPRESSIVE THOUGHTSSitu
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PROBLEM SOLVINGACTION ADVANTAGES DI
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AnxietyDementiaDementiaBipolar155
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Practice Support ProgramGeneralized
Page 214 and 215:
Montreal Cognitive Assessment(MoCA)
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Serial 7s: Administration: The exam
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Appendix CNAME OF PATIENTStandardiz
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Item 11Scoring WORLD backwards (ins
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Appendix CStandardized Mini Mental
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SCORING THE MOOD DISORDERQUESTIONNA
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FORM 4MENTAL HEALTH ACT[ Sections 2
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CommunityMHSU ReferralFormBounceBac
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REFERRAL FORMMental Health and Subs
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MENTAL HEALTH AFTER HOURSPLEASE LEA
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DOCUMENTATION REQUIRED UPON REFERRA
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Adult Eating Disorders ProgramRefer
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Medical History:Medical causes of l
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Who Are We?This is a specialized pr
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Fraser South Eating Disorders Progr
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Page 246 and 247:
Fraser South Eating Disorders Progr
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Fraser East:This program is part of
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Fact SheetPanic Disorder GroupDoes
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Fact SheetGeneralized Anxiety Group
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4 th Floor Sherbrooke Centre Tel (6
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Early Psychosis Intervention Progra
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*Additional Resources*For Informati
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Mental Healthand Addiction… suppo
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Fraser Health Mental Healthand Addi
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ADDICTION SERVICESAddiction Service
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ADDICTION SERVICESYouth Addictions
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ADDICTION SERVICES6. Long-term Resi
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MENTAL HEALTH SERVICESMental Health
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MENTAL HEALTH SERVICESDelta Mental
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MENTAL HEALTH SERVICES4. Community
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MENTAL HEALTH SERVICESMinistry of E
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MENTAL HEALTH SERVICES7. Residentia
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Mental Health & AddictionsHEALTHY L
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Client name: ______________________
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Client name: ______________________
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Taking Wellness to Heart! Metabolic
Page 290 and 291:
Mental Health and Substance Use Rev
Page 292 and 293:
Collaborative Care Process Map-Epis
Page 294:
Fax the Special Authority Request t
Page 301:
o o o o o o o • • • o o o o o
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Process - Physician - Fraser Health Authority

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