Process - Physician - Fraser Health Authority

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ADDICTION SERVICESYouth Addictions Outreach ProgramYouth Outreach Workers work across Fraser Health with a focus onengaging youth whose drug use includes crystal methamphetamine,recognizing approximately 80 per cent of youth are poly-drugusers. These workers encourage and assist youth in accessing othercomponents of the addiction system of care and also provide some earlyintervention services.Matrix ProgramThe customized Matrix Program for Maple Ridge and Pitt Meadowsoffers withdrawal management, clinical interventions, and aftercareservices for youth 16 to 24 years old, along with support to their familyand others affected by their substance use. Utilizing a ‘wrap-around’approach to youth-centred addition treatment, this community basedprogramis led by the Maple Ridge Treatment Centre.3. Withdrawal Management and DetoxIn-patient Detox FacilitiesWithdrawal management services provide safe, supportive medically supervised environments for individualswithdrawing from the acute effects of alcohol and/or other drugs.Creekside Withdrawal Management Centre (24 adult and six dedicated youth beds) 604-587-3755(Virtual tour of Creekside is available at www.fraserhealth.ca/Services/MentalHealthandAddictions/AddictionServices/pages )Chilliwack Withdrawal Management Unit, Chilliwack General Hospital (eight adult and one youthbed) 1-866-795-0600 (toll free)DaytoxDaytox is a medically monitored day program for withdrawal management forindividuals who do not require intensive residential withdrawal managementservices. It provides an alternative support option other than detox orhospitalization for adults (19 and older) assessed as being suitable—to ensuredaytox will meet their withdrawal management needs, and who have asupportive home environment.Home DetoxAmong the outreach services provided by the Matrix Program in Maple Ridgeand Pitt Meadows is home detox for youth 16 to 24 years old.8Fraser Health Mental Health and Addiction Services
ADDICTION SERVICES4. Intensive Day TreatmentTEAM, MELL, WELLJackson Murray - 604-589-7080These four-to five-week contracted programs offer free intensive therapeutic group counselling in a non-residentialsetting.DEWY (Day, Evening, Weekend Youth program)This 12-week program offers free intensive therapeutic group counselling in a non-residential setting for high-riskyouth, 12-18 years old, experiencing alcohol, drug and/or related problems, and whose assessment indicates that theywill be effectively supported only through receipt of intensive treatment services.5. Short-term Residential (less than 90 days)Intensive Residential TreatmentThese facilities offer intensive treatment programs that include groups, with some individual and family counselling.Direct ServiceMaple Ridge Treatment Centre - 604-467-3471 (Men Only) www.mrtc.bc.caContracted AgenciesKinghaven (men) 604-864-0039Peardonville (women and their pre-school age children)604-856-3966Fraser Health Mental Health and Addiction Services 9
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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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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 264 and 265: Fraser Health Mental Healthand Addi
Page 266 and 267: ADDICTION SERVICESAddiction Service
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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