Process - Physician - Fraser Health Authority

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Fraser Health Mental Healthand Addiction ServicesVisionBest in Mental Health and Addiction Services within a recovery-oriented system.PurposeTo improve the overall health status of individuals and families in Fraser Health through health promotion and theprovision of high quality, comprehensive and integrated Mental Health and Addiction Services.ValuesTo provide care based upon respect, compassion, integrity, and accountability.4Fraser Health Mental Health and Addiction Services
Fraser Health’scommitmentFraser Health is dedicated to providing aresponsive, inclusive and recovery-orientedsystem of mental health and addictions care – asystem that recognizes that recovery is a deeplypersonal and unique process.Mental illness and substance misuse touch many lives.They can settle over a household like a cloud, puttinga young life on hold while parents desperately seekanswers. They can turn a pragmatic, cheerful andproductive person into someone who is fearful, angryand desperately unhappy. They can touch our familiesand our friends, perhaps our mother, or son or ourgrandfather. According to statistics, each of us has a onein five chance of struggling with mental illness and/orsubstance abuse, at some time in our life.The hopeful news is that prevention, early diagnosisand timely intervention, can make a real difference.With this in mind, Fraser Health provides a widerange of acute and community services and iscommitted to making significant investments toenhance its mental health and addiction resources overthe next few years. As well, it contracts with communityagencies to provide services that complete and complementits services.Mental Health and Addiction principal services are divided into the following categories:ÎÎ Youth and Young AdultÎÎ AdultÎÎ Older AdultÎÎ Specialized Services Eating Disorders Concurrent Developmental Disabilities Reproductive Mental Health Mentally Disordered OffendersÎÎ Specific Population Services Aboriginal Communities Diverse Communities (Multicultural Population, Lesbian, Gay, Bisexual, Transgendered Population) Homeless PopulationÎÎ AddictionsÎÎ Tertiary ServicesÎÎ HousingThe following is a snapshot of services within Fraser Health. There is a degree of variability in the services availablein each community – therefore all services listed are not necessarily available in every community. For detailedinformation on services available in a specific community please contact the local mental health or addictions centreor go to www.fraserhealth.ca/services/mentalhealthandaddictionsFraser Health Mental Health and Addiction Services 5
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SteppedCareLevel 1PSP Mental Health
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Fold back this page before administ
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CBISCOGNITIVE BEHAVIOURAL INTERPERS
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Table of ContentsINTRODUCTION. . .
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IntroductionThe following modules h
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TipsTeachingSelling Strategies• E
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Flow ChartsThis module contains flo
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Patient NeedsTryThe Circle of Depre
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AnxiousSymptomsTryOverwhelmedChaoti
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Assessment ModuleThe Assessment Mod
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5 Energy levela. How would you rate
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15 Phobiasa. Any unrealistic or exc
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21 CAGEHow many drinks might you ha
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DIAGNOSTIC SCREENING WORKSHEET (CON
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Problem List Action PlanACTIVATIONR
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Self-Assessment QuestionnaireName:
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Self-Assessment ProfilePleaser: Hig
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Self-Assessment ProfileOver-Thinker
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Understanding Depression- Frequentl
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Depression: System-Wide CrashDepres
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Activation ModuleThe Activation Mod
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Depression’s Energy BudgetEvery d
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Small GoalsThe concentration, fatig
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Problem SolvingDepression can make
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Chunk the DayStrategies that give p
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Appreciation Exercise“Good for Me
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The Circle of DepressionCognitive-b
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Common Thinking ErrorsThe situation
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THOUGHT CHANGE PROCESS (CONTINUED)T
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Thought StoppingDepression often ma
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Good Guilt / Bad GuiltA world witho
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Setting LimitsMost of us like to be
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Is Anger a Problem for You?Tom arri
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Stress ResponseIntroduction to Rela
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Variation - Box BreathingABDOMINAL
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Body ScanPurpose• Body scan is a
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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!
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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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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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THINKING REALISTICALLYStep 4: Pract
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SOLVING PROBLEMS EFFECTIVELYStep 1:
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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)
Page 216 and 217: Serial 7s: Administration: The exam
Page 218 and 219: Appendix CNAME OF PATIENTStandardiz
Page 220 and 221: Item 11Scoring WORLD backwards (ins
Page 222 and 223: Appendix CStandardized Mini Mental
Page 224 and 225: SCORING THE MOOD DISORDERQUESTIONNA
Page 226 and 227: FORM 4MENTAL HEALTH ACT[ Sections 2
Page 228 and 229: CommunityMHSU ReferralFormBounceBac
Page 230 and 231: REFERRAL FORMMental Health and Subs
Page 232 and 233: MENTAL HEALTH AFTER HOURSPLEASE LEA
Page 234 and 235: DOCUMENTATION REQUIRED UPON REFERRA
Page 236 and 237: Adult Eating Disorders ProgramRefer
Page 238 and 239: Medical History:Medical causes of l
Page 240 and 241: Who Are We?This is a specialized pr
Page 242 and 243: Fraser South Eating Disorders Progr
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Page 250 and 251: Fraser East:This program is part of
Page 252 and 253: Fact SheetPanic Disorder GroupDoes
Page 254 and 255: Fact SheetGeneralized Anxiety Group
Page 256 and 257: 4 th Floor Sherbrooke Centre Tel (6
Page 258 and 259: Early Psychosis Intervention Progra
Page 260 and 261: *Additional Resources*For Informati
Page 262 and 263: Mental Healthand Addiction… suppo
Page 266 and 267: ADDICTION SERVICESAddiction Service
Page 268 and 269: ADDICTION SERVICESYouth Addictions
Page 270 and 271: ADDICTION SERVICES6. Long-term Resi
Page 272 and 273: MENTAL HEALTH SERVICESMental Health
Page 274 and 275: MENTAL HEALTH SERVICESDelta Mental
Page 276 and 277: MENTAL HEALTH SERVICES4. Community
Page 278 and 279: MENTAL HEALTH SERVICESMinistry of E
Page 280 and 281: MENTAL HEALTH SERVICES7. Residentia
Page 282 and 283: Mental Health & AddictionsHEALTHY L
Page 284 and 285: Client name: ______________________
Page 286 and 287: Client name: ______________________
Page 288 and 289: 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
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Process - Physician - Fraser Health Authority

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