Distributed Clinical Training Sites

 

 

Vancouver General Hospital & UBC Hospital

Dr. Jesse Sidhu, Medical Director, Clinical Practice Unit, Department of Psychiatry
Dr. Cameron Anderson, Postgraduate Site Director

UBC Hospital Outpatient Programs

BC Neuropsychiatry Program

We are a tertiary adult provincial program located at distributed sites across the province of BC. Our partners include UBC Hospital’s neuropsychiatric inpatient and outpatient services in Vancouver, Hillside Centre’s neuropsychiatric inpatient unit in Kamloops, Delta Hospital Neuropsychiatric outpatient clinic in Delta, and the Alder Unit (Lower Mainland’s neuropsychiatric residential unit) in Vancouver.

Neuropsychiatric Population

Our target population are adults with brain illnesses that cause serious disturbances in behavior, mood, intellectual abilities, or thinking processes, as well as those with psychiatric disorders that present as physical disease (somatoform disorders). Patients seen include those with Parkinson’s disease, Huntington’s disease, multiple sclerosis, epilepsy, head injury, anoxic and metabolic brain injuries, Tourette’s syndrome, vasculitides such as systemic lupus erythematosus, stroke, dementias and other neurological disorders.

UBC Hospital Neuropsychiatry Inpatient Unit (Vancouver)

Patients are referred to the unit from around the province. The inpatient program provides intensive assessment and treatment of patients with complex neuropsychiatric presentations who require and would benefit from the expertise of an acute tertiary inpatient program such as ours. Beds may be booked and held open for 24-48 hours for referrals living outside the Lower Mainland. Many patients have physical disabilities and complex medical conditions. These patients often need access to specialized radiological investigations such as MRI and CT Scans, as well as neuropsychological testing, all of which are available at UBC hospital. Patients receive psychotherapy, counselling, education, medication and support from the interdisciplinary team. ECT is available for appropriate patients. The unit follows a primary care model that is client-centered, and whenever possible involves the patient and their families in the decisions around their care.

UBC Hospital Neuropsychiatry Outpatient Clinic (Vancouver)

The outpatient clinic provides assessment, treatment and ongoing monitoring to patients with neuropsychiatric conditions whose illness can be managed in the community. The clinic runs from Monday to Friday.

Hillside Centre Neuropsychiatric Unit (Kamloops)

Hillside Centre is a provincial facility and receives and treats patients from around the province. Hillside is a 25 bed secure unit providing assessment and treatment of patients with neuropsychiatric conditions who require extended inpatient stays to achieve psychobehavioural stabilization. Eligible patients have major persistent psychobehavioural problems that include disinhibition, intrusive aggression and or inappropriate behaviours. The unit follows a primary care model that is client-centered, and whenever possible involves the patient and their families in the decisions around their care.

Alder Unit (Vancouver and Fraser Health regions)

The Alder Unit at Langara Residence provides a longterm stabilization service to meet the needs of Lower Mainland patients who have already received assessment and treatment in the acute and subacute arms of the BC Neuropsychiatry Program. Eligible patients include those requiring ongoing neuropsychiatric care and are unable to transition directly to existing Health Authority community resources. The purpose of the unit is to optimize functioning and maximize quality of life with the ultimate goal of enabling the patient to transition to a less-restrictive community living environment. To this end, the Alder Unit’s aim is to provide a supportive setting with home-like attributes but within a secured environment. A supportive setting is achieved through the development of an interprofessional team providing specialized, person-centered care.

Mood Disorders Program

The Mood Disorders Outpatient Program provides a full range of consultation and assessments for adults with mood disorders within the Vancouver Coastal catchment area, but may also accept tertiary referrals from elsewhere within the province. In general, the program provides one-time-only consultation in the area of diagnosis and/or treatment recommendations. Occasionally, clients/patients are offered short-term follow-up, sometimes in the context of a research study. The Outpatient program is also very involved with teaching medical students and residents in psychiatry.

Inpatient Units

Mood Disorders Unit 1 East

The Mood Disorders adult psychiatric inpatient program consists of a multidisciplinary team, including psychiatrists, psychologist, occupational therapist, social worker, patient-care coordinator and manager and nursing staff that specializes in the assessment, treatment and research of mood disorders such as clinical depression and bipolar disorder.

The Mood Disorder Unit at UBC hospital is a fifteen bed unit operated and run by Vancouver Coastal Health, with most patients being referred from Vancouver General Hospital. Treatment may include diagnostic assessment, group and individual therapy, pharmacotherapy, family intervention, Cognitive Behavioral Therapy, psychosocial rehab, and possibly Electroconvulsive Therapy (ECT). The unit is also very involved in multidisciplinary teaching, primarily nursing and medical students and residents specializing within psychiatry. The staff, who are specialized in the treatment of complex mood disorders and the co-morbid illnesses that are often associated within this area of psychiatry, enjoy interacting and teaching students within a multi-disciplinary team.

Neuropsychiatry 1 West

See above.

Vancouver General Hospital

Outpatient Programs

BC Centre for Sexual Medicine

We are a specialty clinic within the Department of Psychiatry at Vancouver General Hospital. We provide assessment and treatment of Human Sexual Disorders. The Centre serves the entire Province of British Columbia, Canada.

Our services include assessment and treatment of individuals and couples of all ages with concerns in sexual dysfunction, reproductive health, and limited assessment and treatment services. Priority is currently given to those who have pain or other sex-functioning problems with intercourse; to other difficulties around fertility (such as vaginismus, dyspareunia or ejaculatory disorders); and to problems related to medical or psychiatric illness or trauma, to post-surgical conditions, or to physical injuries.

Geriatric Psychiatry Outreach Team

Our interdisciplinary team assesses (finds out what the problem is) and treats seniors (those over 65) who are living in the community and who have psychiatric problems. The team links with the Vancouver General Hospital STAT Centre for day hospital services and inpatient care when needed. We treat people with anxiety, depression, psychosis, memory problems and/or other cognitive difficulties, and behavioural problems associated with memory deficits. We conduct assessments of a person's ability to live safely at home and their legal, financial, and personal competency.

House calls are provided as needed. We conduct a cognitive-behavioural group for seniors recovering from depression and anxiety twice a year. Our assessment services include full neuropsychological assessments. Geriatric psychiatry rounds are given by staff and rotating students three times per month. Our team consists of three part-time geriatric psychiatrists, two nurses, a social worker, a board-certified neuropsychologist, and a secretary.

Outpatient Psychiatry Program

We provide interdisciplinary and comprehensive psychiatric assessment, consultation and treatment to adults aged 18-65 who live in Vancouver dealing with depression, generalized anxiety, social anxiety, stress management, post-traumatic stress disorder, panic disorders and borderline personality disorder. Our therapeutic approaches include cognitive, psychodynamic, psychoeducational and dialectical behavioral therapies, especially in group settings. We work with clients, and sometime their families, to recognize and support their strengths and help them strive toward wellbeing. Our goal is to improve clients' quality of life, prevent relapse and build on existing skills and the goals of each client.

Cross Cultural Psychiatry Program

We provide culturally sensitive and language-specific psychiatric assessment and treatment the following languages and dialects: Cantonese, Mandarin, Vietnamese, Farsi, French, Hindi, Punjabi Hungarian, Japanese, Spanish, Russian & Urdu. Hospital Interpreter Service is used for languages not listed above. We see people with major depressive disorders, dysthymic disorders, bipolar disorders, generalized anxiety disorders, panic disorder, post-traumatic stress disorder (early stabilization), severe adjustment disorders, and psychotic disorders for a limited number of challenging patients after discharge from inpatient programs. This program provides a full psychiatric assessment including diagnosis, medication, recommendations, and links with other resources available in the community. It provides short-term, individual psychotherapy, case review and second opinion for community mental health services, as well as psycho-education for patients and families to provide further information on their disorders. The cross cultural clinic also supports mental health services provided by the Vancouver Association for Survivors of Torture (VAST) and Bridge Clinic. We presently run Changeways programs in Cantonese & Mandarin.

Inpatient Units

Psychiatric Assessment Unit

This very unique unit provides a crisis service to the VGH Emergency Department and to the City of Vancouver, second to none in Canada. Within the 20 acute beds is a combination of four high secure rooms, four step-down secure rooms and twelve general observation beds. The unit has a high nurse: patient ratio to meet the safety and acute care needs of the patients. The highly skilled interdisciplinary team includes 10 emergency psychiatrists, provides assessment, crisis intervention, intensive care, pharmacotherapy and triage of the adult mental health patient. There is no restriction for admission and the average length of stay is about 5 days.

East One – General Psychiatry and Early Psychosis

East One is a twenty-bed adult inpatient unit at VGH. Fifteen beds are for general psychiatric disorders while five beds are for patients with early psychosis. An interdisciplinary team provides culturally-sensitive, family-inclusive care using a biopsychosocial approach to the management of symptoms and functional deficits. Community resources are involved throughout the hospitalization and discharge planning. Treatment modalities include pharmacotherapy, group and individual work.

West One – General Psychiatry and Concurrent Disorders

West One is a twenty-bed adult inpatient unit at VGH. Fifteen beds are dedicated to patients with concurrent disorders and five beds are for general psychiatric disorders. The care is provided by an interdisciplinary team and includes individual and group work. Programs for patients with concurrent disorders are based upon best practices for individuals with these issues. Community resources are involved throughout the hospital stay and discharge planning.

Brief Intervention Unit

This unit responds to the needs of the adult psychiatric patient in crisis. The interdisciplinary team discusses and makes recommendations and treatment plans for every patient at rounds each morning. The emphasis is on crisis management, pharmacotherapy, brief psychotherapy re-stabilization, and seamless return to the community within about a week with sound post-discharge follow-up.

St. Paul’s Hospital

Dr. Harpreet Chauhan, Department Head
Dr. Jennifer Wide, Postgrad Site Director

Inpatient Care

There are four inpatient mental health units at St. Paul’s Hospital with a total of 66 beds. Adults with mental health and addictions are admitted via emergency to hospital for assessment, triaging to either brief stay for stabilization or longer stay for augmentation of community treatment strategy.

Inpatient teams work closely with colleagues in nursing, social work, pharmacy to perform efficient and evidence-based interventions. This often requires input from other consultative services such as occupational, physical and recreational therapists, as well as other physician specialists within the hospital for complex and concurrent medical problems such as HIV, Hepatitis C, and other manifestations of IV drug use or extreme self-neglect. Inpatient units at St. Paul’s are all locked units reflecting the high acuity of patient illness. Inpatient psychiatrists are knowledgable about the mental health act and how to apply it with ethical and moral principles for patients who have difficulty understanding or appreciating the nature and consequences of their illness.

Brief Intervention Clinic

The Brief Intervention Clinic (BIC) is an outpatient service offering psychiatric care for patients in the acute phase of illness. Patients are triaged within 2 to 4 days and provided brief intervention (4 to 6 visits). The multi-disciplinary team (psychiatrists, social workers, and a nurse) provides care to patients Monday to Friday, 0800 to 1600. Services include psychiatric assessment, short-term psychiatric treatment, crisis counselling and access to CBT and DBT groups. BIC accepts referrals from SPH inpatient psychiatry, SPH psychiatry consult liaison and SPH/MSJ emergency.

Electroconvulsive Therapy

Electroconvulsive therapy (ECT) occurs at both St. Paul’s and Mount Saint Joseph Hospitals. The programs include both inpatient and outpatient treatments as well as acute and maintenance treatments. Treatments at MSJ are primarily the older adult population. Treatments at SPH encompass all age groups, though primarily those under the age of 65. Patients referred for ECT from the community are required to have an outpatient psychiatrist. Each patient who is receiving outpatient ECT is assigned an ECT psychiatrist at either SPH or MSJ who follows the patient for the duration of their ECT treatment. The programs are active teaching sites for medical students and residents.

Reproductive Psychiatry

The Reproductive Psychiatry service is an outpatient program serving people in the context of pregnancy planning, perinatal and postnatal mental health concerns. Several psychiatrists and psychiatric nurses triage and see patients referred from the community or hospital setting.

Community referrals may come from Obstetrics, Midwifery, or Primary Care Providers, from within the geographic catchment area of the downtown peninsula and all of the North Shore of Vancouver. Based on patient need, care may include a single assessment, a shared care approach, or management through pregnancy and for up to approximately one year postpartum. The program also offers direct physician-to-physician consultation as a means of optimizing access and care for patients who are generally well supported. Non-pharmacologic and pharmacologic strategies of managing mental illness in the context of pregnancy and lactation are the focus of this service.

Group therapy programming is being developed, with a CBT project currently in progress.

Provincial Adult Eating Disorders Program

The provincial adult eating disorders program provides a specialized level of care for adults who have a diagnosis of Anorexia Nervosa, Bulimia Nervosa or other eating disorders. Our program provides robust interdisciplinary clinical services including inpatient treatment, an intensive day treatment program (Discovery) with a residential facility component called Vista (in collaboration with Vancouver Coastal Health), and extensive transitional services including psychiatry, medical, dietitian, psychotherapy, occupational therapy, social work and spiritual health supports as well as a meal support program. As a program we also provide consultative expertise to physicians, clinicians, hospitals and community programs throughout the province of British Columbia.

Complex Pain Program

The Complex Pain Centre is an interdisciplinary pain management program for patients requiring treatment of severe pain that has proven unresponsive to conventional approaches. Emphasis is placed on self-management and rehabilitation/activation within the context of specialized medical assessment and treatment. Our program philosophy is the belief that pain relief requires an individualized treatment approach for the many types of pain including physical, psychological, social, and spiritual pain. Throughout the program patients are encouraged to learn self- management and take personal responsibility for their health through shared care discussion, goal setting and problem solving. All patients are provided with information and education about the complex nature of persistent (chronic) pain and about how they can learn self management skills as either an outpatient or inpatient or both depending on the individual patient’s needs.

Following an interdisciplinary diagnostic assessment, therapeutic interventions such as group education and discussion sessions, physical reconditioning, learning ways to perform activities of daily living or workplace skills, are provided. Interventional diagnostic (i.e. discogram – an x-ray exam of a disc after injecting dye) and therapeutic procedures (.e. trigger point injections or facet joint blocks) may be considered. Further, those who meet stringent medical, surgical and psychological criteria will be considered for neuromodulation, the implantation and maintenance of spinal cord stimulators and medication pumps for the management of very specific types of treatment-resistant neuropathic and cardiac pain.

Foundry Vancouver - Granville and Inner City Youth Program

Foundry Vancouver/Granville is a youth health clinic supported by Providence Health Care. The clinic provides a range of health care services for youth aged 12-24. These include primary care and addiction services, social assistance, housing supports, vocational and rehab programming as well as peer support. A range of mental health services are available including drop-in counselling; group and individual psychotherapy programs, including a full-fidelity Dialectical Behaviour Therapy program.

The clinic also houses an intensive case management program known as the Inner City Youth Program (ICY). This multidisciplinary team provides care to homeless or tenuously housed youth in Vancouver's urban core in collaboration with multiple community partner. The homeless youth population in Vancouver is complex typically with mental health and substance use struggles along with trauma and developmental disorders. Care includes assertive outreach and is provided based on attachment and trauma-informed principles.

Consultation Liaison Psychiatry

High quality and timely psychiatric consultations to patients admitted to St. Paul’s Hospital at the request of their attending or other consulting physicians are provided by the Consultation Liaison Psychiatry team. Our team services the entire hospital, including inpatient units on Medicine, Surgery, Maternity, Critical Care and Palliative Care. In addition to the inpatient work provided we coordinate a number of subspecialty outpatient clinics, including partnering with colleagues in the cardiac, renal, gastrointestinal, cystic fibrosis, HIV, ENT and dermatology programs.

We are also involved with the newly created multidisciplinary Post-COVID clinic. The Consultation Liaison service is very active in educating psychiatry residents and students. Our role in the hospital is vital to advocate for mental health patients outside of Psychiatry as we also educate other health care professionals about mental illness and the Mental Health Act. This serves to reduce stigma and promote better overall clinical care. Our service is 'The Face of Psychiatry' to the rest of Providence Health Care.

Geriatric Psychiatry

There are two geriatric units at Mount St. Joseph Hospital. “One South” is the 16 bed Geriatric Psychiatry Unit (GPU) for older adults with psychiatric illness such as depression, schizophrenia, and bipolar disorder or dementia with psychosocial and behavioural symptoms. “Four East” is a 22 bed Geriatric Medicine Reactivation Unit that provides sub-acute medical care to older adults. Four beds are designated as shared care between Geriatric Medicine and Geriatric Psychiatry providing care to patients with psychiatric illness and medical concerns. Common diagnoses included major neurocognitive disorder and complex delirium as well as chronic psychiatric conditions including schizophrenia or episodic conditions such as major depression or bipolar illness. Expected length of stay for our patients is between two to six weeks. During their stay, patients will be assessed by psychiatrists, family doctors, geriatricians, occupational therapists, physiotherapists, dieticians, pharmacists, social workers and nurses. A treatment plan including medications and non medication treatment such as behavioural approaches will be formulated prior to discharge. The goal of treatment is to assess, treat and stabilize patients, while working with family or other support networks on care planning.

Outpatient care is provided by the Inner City Older Adult Mental Health Team and includes work with a multidisciplinary team including a Geriatric Psychiatrist and a trained older adult case manager. Patients seen at the team are referred from a number of sources including Family Doctors, Geriatricians, hospitals, other health workers in the community, and can also be self referred or referred by families, friends or other community supports. Typically these patients are over 65, have complex psychiatric issues or are highly comorbid medically or impaired functionally, and will often have some degree of cognitive impairment and frequently meet criteria for major neurocognitive disorder. Patients are most often seen in outreach including in their own homes as well as a variety of supportive living environments including independent living, assisted living and long-term care facilities. The care provided often includes medication management as well as care planning and a number of psychosocial interventions that the resident will be expected to participate in as appropriate.

Consultation-liaison is provided by one of the Geriatric Psychiatrists at St Paul’s Hospital. Typically patients will be seen on adult psychiatric units as well as medical and surgical units in the hospital and are usually highly complex with significant psychiatric issues including delirium as well as mood disorders, psychotic illness and substance use. Capacity assessments are a significant focus of this team.

HIV Psychiatry

St. Paul’s’ Hospital is a recognized world leader in providing care for persons living with HIV/AIDS. SPH is also the home of the BC Center for Excellence in HIV/AIDS, a primary leader in HIV research and advancements in care.

A clinical elective is available through the psychiatrists at the John Ruedy Clinic, formerly called the Immunodeficiency Clinic, which is a comprehensive primary care and specialty clinic serving patients who have HIV. The clinic is staffed by an interdisciplinary team including family physicians, medical and psychiatric nurses, social workers, peer navigators, counsellors, psychiatrists and other specialists. Central to this clinic is our relationship with our primary care providers and interprofessional staff, and care of patients operates on a shared-care model.

Three psychiatrists retained by the clinic provide supervision of residents who wish to undertake an elective. Common clinical issues encountered include depressive, bipolar, anxiety, psychotic, substance use, sleep, sexual dysfunction, gender dysphoria, neurocognitive and personality disorders. Many patients come from disenfranchised backgrounds. The scope of care includes psychiatric assessment, initiation and maintenance of psychopharmacologic treatment, and time-limited psychotherapeutic techniques including elements of CBT, DBT, mindfulness and supportive therapy, as well as an established contingency management group.

BCCSU Addiction Medicine Clinical Fellowship

The Fellowship program is a multidisciplinary Addiction Medicine Fellowship that strives for excellence in clinical training, scholarship, research and advocacy and involves medical education to trainees from all medical specialties as well as allied health. It has been designed based on the accreditation criteria of the American Board of Addiction Medicine and includes specialty training in in-patient and outpatient Addiction Medicine as well as related concurrent disorders training. The program prepares Fellows to work clinically in the field of Addiction Medicine and take leadership roles in an academic setting and will help prepare Fellows to write examinations with either the American Board of Addiction Medicine (ABAM) and/or the International Society of Addiction Medicine (ISAM), and thus be eligible to apply for certification with The Canadian Society of Addiction Medicine (CSAM).

The fellowship is offered in the fourth year of psychiatric residency and allows for a fellowship year that does not extend the usual training length of the residency. Interested residents will apply in their third year and are encouraged to visit the BCCSU website as early as their second year of residency: https://www.bccsu.ca/addiction-medicine-clinical-research-fellowship-overview/.

Richmond Hospital Department of Psychiatry Resident Teaching Program

Dr. Ashok Krishnamoorthy, Department Head
Dr. Sheehan Chowdhury, Postgrad Site Director

Clinical Service Overview

Services within Richmond Hospital include an 18-bed inpatient unit, a 6-bed psychiatry emergency unit, an infant mental health clinic and an active emergency and consultation-liaison service. A unique group-focused outpatient program is also located within Richmond Hospital and provides a number of specialized groups for a range of mood, anxiety and personality disorders. The outpatient program also provides specialized assessments in the areas of the anxiety and mood disorders, geriatric psychiatry, women’s mental health and cross-cultural psychiatry.

Services located within the community are extensive and are housed close to Richmond Hospital in separate facilities. Community-based programs include Adult, Older Adult, an Infant, Child and Adolescent Community Mental Health Teams, an Acute Home-Based Treatment program, and various Addiction-related services. Also within the community is the Richmond Bridge House, a 10-bed short-stay multidisciplinary residential unit assisting patients in psychiatric crisis.

Teaching Rotations

Core rotations are offered in inpatient, outpatient, child, geriatrics, community care, shared care, consultation-liaison and addictions.

Elective rotations are offered in the following areas:

  • Inpatient Psychiatry
  • Outpatient Psychiatry
  • Chronic Care
  • Emergency/Consult-Liaison
  • Individual and/or Group Psychotherapy
  • Infant, Child and Adolescent Psychiatry
  • Early Childhood Mental Health and Developmental Child Psychiatry
  • Community Child Psychiatry
  • Child Therapy
  • Addictions
  • Geriatric Psychiatry
  • Shared Care

Teaching Rounds

Residents participate in variety of didactic teaching programs that include a monthly Grand Rounds, monthly postgrad site director rounds, a monthly case-based resident round (called Lunch and Learn Resident Rounds), an infant mental health journal club, and a geriatric seminar series. All rounds are accredited Section 1 Royal College of Physicians and Surgeons Group Learning Activities.

Facilities

Richmond Hospital Inpatient Unit

An 18-bed short-stay unit located within Richmond Hospital offers multidisciplinary assessment and treatment for a wide-range of psychiatric illnesses. There are four attending psychiatrists, primary care nursing and a variety of specialized inpatient groups. The interdisciplinary teams also include a psychologist, pharmacist, social worker and rehabilitation therapists.

Richmond Hospital Psychiatry Emergency Unit (PEU)

This is a 6-bed inpatient unit that is located near the Emergency Dept and is utilized for short-stay crisis admissions. There is also a busy Emergency Service and an active Consultation-liaison service based within Richmond Hospital.

Outpatient services and clinics

Richmond Hospital’s Outpatient program includes numerous group therapy programs utilizing CBT, DBT, and psychodynamic approaches. Specialized groups are available for the treatment of Panic Disorder, Social Anxiety Disorder, Obsessive-Compulsive Disorder, Generalized Anxiety Disorder, and Major Depressive Disorder. Numerous year-long psychodynamic groups are held, with clients struggling with mood, anxiety, and personality disorders. The Outpatient program also operates specialized assessments in the areas of the anxiety and mood disorders, geriatric psychiatry, women’s mental health and cross-cultural psychiatry.

Infant, Child and Adolescent Program

Services include an Early Childhood Mental Health program, a Child and Adolescent Community Mental Health Team, and consultation- liaison services to the Richmond school program for children with severe emotional and behavioural difficulties.

Geriatric Psychiatry Program

Services include outpatient assessments, an Older Adult Community-based Mental Health program, and geriatric psychiatry consultation-liaison services to Richmond Hospital and various nursing homes within Richmond.

Addiction Services

Teaching experiences include: (1) working with the DART (Drug and Alcohol Resource Team). This team responds to consultations within Richmond Hospital and is made up of an addictions physician, nurse, social worker, and support staff; (2) providing consultations to the Anne Vogel Clinic in Richmond. The Anne Vogel Clinic is primarily a methadone maintenance addictions clinic but also provides a limited degree of primary care, and (3) assessing individuals in healthy recovery at the Turning Point Recovery House.

Community Programs

There are three community mental health teams: an Adult Team, an Older Adult Team, and an Infant, Child and Adolescent Team as well as various community-based Addiction services. All programs are actively linked with local organizations and services such as CHIMO’s Crisis Line and Crisis and Suicide Intervention program. Mobile emergency services are also provided within the community via Mental Health Emergency Services and TRACC – Team Response to Adolescents and Children in Crisis. There is also a 10-bed multidisciplinary inpatient unit located in a residential setting (Bridge House) designed to assist patients in psychiatric crisis. For patients of higher acuity but not requiring hospitalization, Richmond also runs an Acute Home-Based Treatment Program. Shared Care is provided within a Richmond-based family physician’s office.

BC Mental Health and Addiction Services at BC Children’s and Women’s Health Centre

Dr. Roberto Sassi, Department Head and Division Head
Dr. Jennifer Russel, Associate Department Head
Dr. Ashley Miller, Postgrad Site Director

BC Mental Health & Addiction Services, an agency of the Provincial Health Services Authority, provides a diverse range of mental health services to people across BC. At BC Children’s and Women’s Health Centre, we provide specialized tertiary mental health treatment services for women, children, and families.

Outpatient Services

The outpatient specialty clinics provide comprehensive mental health assessments and short-term treatment of children, youth, and families.
Patients may present with problems such as disorders of mood, anxiety states, serious behavioural problems at home or at school, and other more general psychiatric difficulties. Ongoing treatment may be provided for families and/or they will be assisted in accessing appropriate community resources.

The following is a brief summary of the specialized clinics:

Teaching and Consultation Clinic

The Child Psychiatry Teaching and Consultation Clinic (TCC) is a teaching clinic for mental health trainees from many disciplines, and provides individual psychiatric assessments in a teaching environment. The TCC organizes and provides core and specialized training in child psychiatry specifically for psychiatry residents, and is also involved in training pediatric residents, psychology residents, medical students and social work students.

ADHD Clinic

The Attention Deficit Hyperactivity Disorder (ADHD) Program provides outpatient services including: consultation, assessment, and treatment for children and youth with all types of ADHD. The program also provides leadership in family education, academic and clinical training, and promoting the awareness of ADHD issues in the community

Infant Psychiatry Clinic

The Infant Psychiatry Clinic’s mission is to respond to, and advocate for, the mental health needs of infants, young children (through age 5) and their families. Our goal is to help our patients to achieve their potential, to work with their strengths, and to improve their quality of life.

Mental Health Metabolic Clinic

The Metabolic Clinic provides care for children and youth with mental health disorders who are at high risk for metabolic side effects associated with taking certain types of psychiatric medication, or who have pre-existing metabolic conditions and have been diagnosed with a mental health disorder. The team includes experts in child psychiatry, pediatric endocrinology, dietary science, physiotherapy, nursing, and general pediatrics.

Mood and Anxiety Disorders Clinic

The Mood and Anxiety Disorders Clinic provides outpatient consultation, diagnosis & treatment recommendations for children and adolescents, ages 6 to 18 years, who have symptoms suggestive of a mood and/or anxiety disorder, including major depressive disorder, dysthymia, bipolar disorder, panic disorder, and generalized anxiety disorder.

Neuropsychiatry Clinic

The Neuropsychiatry Clinic provides diagnostic assessments to recommend and facilitate treatment for children and youth (before their 19th birthday at initial contact) with neurodevelopmental conditions who are also challenged by a combination of emotional, social, cognitive, and behavioural problems. The assessment and treatment also considers the patient’s interests, talents, and the quality of their lives.

Pediatric OCD Program

The OCD program provides outpatient assessment and treatment of children and adolescents with obsessive compulsive disorder. The clinic also provides consultation and teaching to psychiatry and psychology trainees, and hospital and community professionals, on the treatment of OCD in youth. The clinic is actively involved in conducting research to better understand the biological underpinnings of OCD, the effectiveness of the treatments provided in the clinic, as well as the psychosocial sequelae of OCD.

COMPASS Program

COMPASS is an innovative and award-winning program that provides indirect consultation to mental health care providers of youth age 0-25, including family physicians, pediatricians, nurse practitioners and psychiatrists. The COMPASS line is open 9-5, five days a week and staffed by a multidisciplinary team providing clinical consultation and resource navigation. COMPASS also hosts educational webinars, toolkits and trainings on the full spectrum of child and youth mental health disorders.

Reproductive Mental Health

The BC Reproductive Mental Health Program helps women and their families dealing with emotional difficulties related to pregnancy, perinatal depression, infertility, pregnancy loss, premenstrual disorder, premenstrual dysphoric disorder, menopause and perimenopause.

Telehealth Outreach Psychiatric Services (TOPS)

TOPS provides child and adolescent psychiatry consultation, treatment recommendations, and followup for patients living in rural and remote communities. TOPS uses video teleconferencing technology so that patients do not need to travel to Vancouver to see their doctor. This is a service available in Prince Rupert, Masset, Queen Charlotte City, Kitimat, Terrace, Smithers, Hazelton, Houston, and the Nisga’a Nation. TOPS serves children up to the age of 19 who are patients of the mental health teams in these communities.

Inpatient, Residential and Combined Services

Adolescent Unit

The Adolescent Psychiatry Inpatient Unit is a 10-bed provincial program that provides assessment, stabilization and treatment to teenagers ages 12 to 18 years who experience serious psychiatric symptoms such as psychosis, mood disorders, suicidal behaviour, or anxiety states. Services include pre-admission transition planning, and consultation to community services. Using an inter-professional team model of care, in-patient services include assessment, diagnostic clarification, school evaluation, and treatment interventions including individual, group milieu and family therapy/support. The length of stay is generally 2-6 weeks, with a 6-month post discharge group to bridge the youth’s transition to community. Since the start of the COVID pandemic, the team is also providing some “virtual admissions” and intensive community-based support.

A family orientation to the unit is available at: http://www.youtube.com/watch?v=UiEg3-mnnXU

Child Unit

The Child Psychiatry Unit is a 10-bed intensive provincial program that provides a blended inpatient/day treatment model of mental health services to children under 12 with particularly challenging psychiatric disorders. Services include a school component; inter-professional assessment, diagnostic clarification and treatment; pre-admission and post-admission transition planning; and consultation to community services. During the COVID pandemic, the unit has operated largely through “virtual admissions” and intensive community consultation. The unit promotes trauma-informed care, attachment based parent/child relationship building and collaborative problem solving approaches with families and children.

Child and Adolescent Psychiatric Emergency (CAPE)

The Child and Adolescent Psychiatric Emergency Unit (CAPE) is a 6-bed provincial unit, that provides short-stay inpatient crisis/re-stabilization for children and youth (up to their 17th birthday) who are experiencing acute psychiatric problems. The inter-professional team works closely with BCCH emergency department, other mental health and emergency units across the province, and community-based services, to provide timely responses to care, discharge to community and/or transfer to longer stay mental health units.

Eating Disorders Program

The Provincial Specialized Eating Disorder Program at BC Children’s Hospital is a comprehensive, multidisciplinary, specialized program to assess and treat children and adolescents with eating disorders. The program emphasizes the involvement of parents and/or primary caregivers in the delivery of care. The program includes inpatient, outpatient, and day programs.

Our program fully integrates medical, psychiatric, psychosocial, and other aspects of care through a combination of intensive inpatient, day treatment, and outpatient services. We provide a complete range of services for children and adolescents struggling with these potentially life-threatening disorders.
A family orientation to the inpatient eating disorders unit is available at: http://www.youtube.com/watch?v=SRSdJJw2wms

Heartwood Centre for Women
The Heartwood Centre for Women, located at BC Women’s, is the new women’s provincial tertiary residential treatment program. It focuses on women with substance dependence, mental health concerns and primary health care needs.

Other resources

Kelty Mental Health Resource Centre
The Kelty Mental Health Resource Centre is a provincial resource centre that provides mental health and substance use information, resources, and support to BC children, youth and their families. The Centre offers information and resources on a wide range of mental health and substance use issues affecting children and youth, as well as options for support and treatment in BC, assistance navigating the mental health system, and tips for self help, healthy living, and prevention. The Centre also provides resources and support for individuals of any age with an eating disorder or disordered eating concerns.
These services are provided to families across B.C. over the phone, in person, via email, and online. Visit the Kelty Mental Health Resource Centre website for additional information, resources, and contact details: http://keltymentalhealth.ca/

Note: The descriptions above are meant for general informational purposes. For referral information, please contact BC Children’s and Women’s Health Centre directly.

 

Dr. Anson Koo, Regional Division Leader

Dr. Faiza Hameer, Associate Program Director

Detailed information, including informational videos, about our UBC Psychiatry Residency Program is available at our website: www.fraserpsychiatry.com

The UBC Department of Psychiatry Residency Program has embraced a "Distributed Model" of postgraduate Psychiatry training and education which reflects the broad pan-provincial scope and educational mission of our Faculty of Medicine, which has grown in size from 120 students per year to 288 in less than 10 years to meet the rapidly growing health needs of the citizens of BC. As the UBC Faculty of Medicine has nurtured Undergraduate Education sites across Greater Vancouver and around the province, it was a natural evolution to move forward with the expansion of postgraduate training and the distribution of that training in the diverse communities of Greater Vancouver and the Province of BC in sites that have a record of excellence in clinical care and education. The UBC Department of Psychiatry has formalized several psychiatry residency "Distributed Tracks" which are based in different health authorities, but administered centrally with uniform standards, and with complete academic and social integration between tracks.

The UBC Fraser Health Greater Vancouver Psychiatry Residency Program (UBC-FHGV) is located in Greater Vancouver (the City of Vancouver and its Suburbs), a city and region which The Economist recently declared the "World's Most Liveable". Our program is based out of two main Regional Teaching Hospitals (Royal Columbian and Surrey Memorial Hospitals) and a number of other hospitals located throughout Greater Vancouver. Our teaching hospitals are easily accessible from anywhere in Greater Vancouver. The Royal Columbian Hospital is in New Westminster, 15 minutes from the City of Vancouver, and is located directly on the Skytrain Rapid Transit Line. Surrey Memorial Hospital is located in Surrey, 25 minutes from the City of Vancouver, and is also accessible by Skytrain. Our residents live throughout Greater Vancouver, including Downtown Vancouver, Richmond, Coquitlam, North Vancouver, Burnaby and others.

Our program has a record of excellence in resident education, with many psychiatrists who have won awards for teaching and education. Our clinical rotations are among the most highly rated by residents on a regular basis.

We offer highly individualized learning plans with extensive direct supervision and support from psychiatrists who value their role as mentors. Our academic program (i.e. Interviewing Course, Grand Rounds, Clinical Case Conference Rounds, STACER course, etc) is very well developed and has been noted as a highlight by many residents who have trained with us. All residents attend academic days on Thursdays in Vancouver. The Fraser Health Authority serves the largest (1.6 million) and fastest-growing population of all provincial health authorities.

Fraser Health has the highest concentration of children and young families in our province. Our hospitals and Psychiatry programs are growing to meet increasing needs, and we have hired over 50 skilled psychiatrists over the past two years to help meet the mental health needs of the citizens we serve. We offer an outstanding environment for clinical education and training with diverse populations which allow broad exposure to all areas of Psychiatry, and dedicated clinical faculty who are deeply committed to education and teaching.

For 2013, UBC-FHGV is accepting 6 positions for clinical training through CaRMS. Core rotations in the junior residency (PGY1-3) are based at Royal Columbian Hospital and Surrey Memorial Hospital. Selective and elective rotations in the senior residency (PGY4 and PGY5) are offered at a number of clinical settings in the Fraser Health Region and Greater Vancouver, based on residents' career interests and goals.

UBC Fraser Health – Greater Vancouver

Dr. Alison Gregson, Associate Program Directorvancouver island - blue text

Victoria has a population of around 380,000 and is the main medical centre for all of Vancouver Island. This offers residents the full range of training options with the benefit of a smaller, more personalized program. The psychiatry program is currently the only complete Royal College postgraduate program on Vancouver Island. Residents can be assured of the time and attention they require to maximize their learning.

The residency program is based at the Royal Jubilee Hospital where the Psychiatric Emergency Service (Archie Courtnall Centre), Psychiatric Intensive Care Unit, Victoria Mental Health Centre, and all of the adult and geriatric psychiatry inpatient units are located. Residents will have more continuity of care of their patients when they can easily follow them from emergency to inpatient and then to outpatient programs. The inpatient units are located in the recently-opened Patient Care Centre (PCC). This is a state-of-the-art world-class facility that offers an ideal learning environment. There are many interview rooms, teaching spaces, and seminar rooms - most of which are equipped with high speed videoconferencing links. Supervisors are all based on the Royal Jubilee site which increases accessibility for teaching. Because the Postgraduate Psychiatry Program is relatively new, there is a lot of enthusiasm among the supervisors. For the residents, being based at one site for most rotations and seminars saves a lot of time.

The program still maintains close linkages with the other UBC Psychiatry Residents in the Lower Mainland (Vancouver, Richmond, and Fraser Valley) through the Thursday Academic Days for PGY2-5. These sessions are by videoconference, but once a month, the Victoria residents travel to Vancouver to join the seminars in person - often by float plane or helijet. Victoria based residents also have frequent opportunities to travel to Vancouver for other special academic and social events enjoyed by the entire UBC program.

Victoria offers some cutting-edge psychiatry programs. Supervisors on the Mood Disorders and Schizophrenia Services are internationally-renowned. The Collaborative Care program has been recognized as a leading program in Canada, as is the Tertiary Program. This program also includes several ACT (Assertive Community Treatment) teams servicing the downtown core. The Geriatric Psychiatry program offers a unique multi-service experience that is integrated with inpatient, outpatient, outreach, consultation-liaison, and nursing home consultation ensuring a continuity of learning experience. Excellent psychotherapy training is focused on 2 streams with supervision available for both cognitive behaviour therapy and psychoanalytic psychotherapy modalities.

Victoria offers an exceptional lifestyle with easy access to many recreational and cultural activities. Residents have access to facilities and events at the University of Victoria, which is only a few minutes away from the Royal Jubilee Hospital. Outdoor activities include world class cycling, hiking, and kayaking. People come from around the world to hike the West Coast Trail, or explore the world heritage site at Cape Scott. Vancouver Island also offers excellent opportunities to enhance cultural awareness of First Nations issues.

For additional information and inquiries, please see the Vancouver Island Program page or contact Dr. Alison Gregson at alison.gregson@viha.ca.

Dr. Dmitri Zanozin, Associate Program Director

Prince George is a rural city of 81,000 inhabitants with the Northern Health authority covering a wider population of circa 300,000. Following a well-established Family Practice residency program Prince George began a Psychiatry residency program in 2008, PGY1-3.

Practicing psychiatry in Prince George is an exciting experience, which offers a busy clinical environment to home your clinical skills and clinical confidence. You will be supported by a dedicated site director and a team of 10 psychiatrists and two visiting psychiatrists. The program is actively recruiting psychiatrists aided by the attraction of the new University status of the hospital (University Hospital of Northern British Columbia) and the vision of the Health Authority.

You will have the unique opportunity to help shape the program and will be involved in shaping your own training experience. Opportunities for participation in rural outreach and native mental health initiatives occur throughout the residency years accommodated in Prince George (PGY1-3). Research opportunities are also positively encouraged within the framework of the Northern Health / University of Northern British Columbia mental health strategy.

With excellent outdoor activities on your doorstep (winter and summer), good restaurants, theater, orchestra, numerous music venues and a welcoming community, Prince George is a place in which you quickly feel at home.

For more information please contact Jennifer Young, our Interim Postgraduate Programs Coordinator, at Jennifer.Young@unbc.ca. Other useful sites are www.unbc.ca and www.city.pg.bc.ca.