Process - Physician - Fraser Health Authority

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MENTAL HEALTH SERVICESMental Health Services1 2 3 4 5 6Health Promotion& PreventionPrimary &Shared CareUrgent/Emergent/CrisisCommunity &OutpatientIn-patient & DayTreatmentTertiary Care7. Mental Health HousingSupported Housing Supported Living Program (SIL) Minimum Barrier HousingMH ResidentialFamily Care HomeCommunity Mental Health CentresServices available through the centres include: Adult Community Support Services, Adult Short-Term Assessmentand Treatment, Community Residential Program, Geriatric Program, Crisis Intervention, Day/Outpatient Program,Addictions Counselling, Concurrent Disorders Services, Group Therapy, Peer Support, and Mental Health After-HoursServices.Abbotsford Mental Health604-870-7800Hope Mental Health Centre604-860-7733Agassiz Mental Health Services604-793-7160Langley Mental Health604-514-7940Burnaby North Mental Health Team604-949-7730Maple Ridge Mental Health Centre604-476-7165Burnaby Services (South Team)604-777-6870Mission Mental Health Centre604-814-5600Burnaby Services (Central Team)604-453-1930New Westminster Mental Health Centre604-777-6800Chilliwack Mental Health604-702-4860Royal Columbian Hospital Psychiatric Services604-520-4664Delta Mental Health Centre – north604-592-3700Surrey Mental Health Centre604-953-4900Delta Mental Health Centre – south604-948-7010Surrey (Primary Care Clinic)604-953-4940Developmental Disabilities Mental HealthServices – Fraser 604-777-8475Tri-Cities Mental Health Centre (Port Coquitlam)604-941-3471Developmental Disabilities Mental HealthServices –Burnaby/Vancouver Coastal604-918-7540White Rock/South Surrey Mental Health Centre604-541-684412Fraser Health Mental Health and Addiction Services
MENTAL HEALTH SERVICES1. Health Promotion and Prevention(See description in Addictions section)A variety of Health Promotion and Prevention activities are provided by Mental Health Centres, i.e. education andawareness building during National Mental Health Week in May, Mental Illness Awareness Week in October, NationalAddictions Awareness Week in November; health fairs; information brochures, education sessions, Healthy BodyHealthy Mind one-time grants for initiatives that promote and encourage healthy lifestyle changes, smoking cessationprograms, etc.Fraser Health’s website also provides a variety of mental health and addictions information.Early Psychosis Intervention (EPI) ProgramThe goal of the EPI program, a partnership between Fraser Health and Ministry of Children and Family Development,Child and Youth Mental Health is to recognize the signs and symptoms of psychosis early so that effective treatmentcan be started as soon as possible. The program provides clinical services and education for youth and young adultsages 13-35 years old – with the intent of promoting wellness, reducing socially-isolating behaviour, and restoringprevious levels of functioning.2. Primary and Shared CareShared Care ProgramsThis program aims to assist family doctors in caring for their patients who have mental health concerns. The programis directed at adults and youth who need short-term mental health support. Each client is assessed by a mental healthnurse in the physician’s office, who can help them connect with community services, counselling and other localresources. Formal psychiatric assessment and consultation with a psychiatrist is available through the shared carenurse.Primary CareThe primary care clinics administered by Surrey and Burnaby Mental Health and Addiction Services provide medicalcare, health education, and advocacy, to individuals including youth experiencing mental health problems as well as totheir families. The clinics embrace an integrated approach to service delivery through coordination of care with mentalhealth services, hospital and other community agencies.3. Urgent/Emergent/CrisisCar 67 (available in Surrey)Through the Mobile Outreach a mental health nurse and a RCMP officer in an unmarked police car, respond to urgentcases where it is believed that an individual experiencing mental health difficulties is at risk of harming himself/herself.The team provides intervention, assessments and referrals to individuals experiencing a mental health crisis.Fraser Health Mental Health and Addiction Services 13
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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
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Appendix CNAME OF PATIENTStandardiz
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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 268 and 269: ADDICTION SERVICESYouth Addictions
Page 270 and 271: ADDICTION SERVICES6. Long-term Resi
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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