Process - Physician - Fraser Health Authority

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ADDICTION SERVICESAddiction ServicesIn April 2002, the responsibility for thedelivery of addiction services was placed withthe regional health care delivery systems forthe first time in B.C.’s history. Since then,Fraser Health has been dedicated to buildinga comprehensive continuum of supportand service for individuals with problemsubstance use.Harm ReductionFraser Health has adopted a Harm Reduction Policy that focuses onkeeping people safe and minimizing injury, disease and death thatcan result from substance use. This approach recognizes our clients’strengths and needs, and meets our clients wherever they are in theircourse of recovery. The approach empowers clients to set their owngoals, while our services support our clients to achieve them.1 2 3 4 5 6HealthPromotion &PreventionSecond Stage HousingHarmReductionOutpatientOutreachWithdrawalManagementServices7. Addictions HousingDayTreatmentShort-termResidential
ADDICTION SERVICES2. Outpatient/OutreachOutpatient ServicesTrained professionals at outpatientservices offer free, confidentialinformation, assessment, counsellingand referral for people with problemsubstance use. Service is also availablefor people who are affected bysomeone else’s problem. Treatmentincludes individual, family, couplesand group work, as well as aftercaresupport.Drug and AlcoholResource Team (DART)– Surrey MemorialHospitalDART provides early interventionand counselling to in-patients inacute care who may also be copingwith a substance abuse problem.The hospital-based team works withpatients and hospital staff to provideearly identification, assessment,intervention, and referrals tocommunity resources. Services alsoinclude education to patients andtheir families, facilitating transitionsfrom the hospital, and collaborativework with other health careproviders.Concurrent DisordersServicesDirect ServicesBurnaby Addictions Services604-453-1910Surrey Addictions Services604-953-4900Contracted AgenciesAbbotsford CommunityServices 604-850-5106Agassiz-HarrisonCommunity Services 604-792-2585Family Services GreaterVancouver Burnaby Services604-453-1910Tri-Cities: SHARE Familyand Community Services604-936-3900Chilliwack Addictionsand Prevention Services604-824-6883Deltassist Family andCommunity Services604-594-3455Hope Transition Society,Addictions and Prevention604-869-2466Langley CommunityMaple Ridge: AlouetteAddiction Services604-467-5179Services 604-534-7921Specialized support and servicesare available in each Fraser Healthcommunity for adults and youthexperiencing both substance abuse and mental health issues. The overarching goal of the Concurrent DisordersTherapists is to increase awareness and understanding of concurrent disorders, to provide education, consultation andsupport to care providers in both the addictions and mental health fields and to provide direct individual and grouptreatment of concurrent disorders.Mission: Fraser HouseOutpatient Clinic604-826-6810Mission Indian FriendshipSociety 604-826-1281New Westminster:Fraserside CommunityServices 604-522-3722Surrey: DiverseCityCommunity ResourceSociety 604-597-0205White Rock: Peace ArchCommunity Services604-538-2522ContractedSpecialized OutreachServices for YouthOdyssey 604-299-6377Pacific CommunityResources Society604-412-7950IMPACT Society604-853-1766Fraser Health Mental Health and Addiction Services 7
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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
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Montreal Cognitive Assessment(MoCA)
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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 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 264 and 265: Fraser Health Mental Healthand Addi
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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