Mental Health
Cindy Dawson CYC (Cert.)
Mental Health Centralized Intake
for CHEO/ROMHC Youth Program
• Any referrals for services at CHEO or the
Royal Ottawa Mental Health Centre are
filtered through a Centralized Team
• This team consists of 3.2 Intake Workers
• In the last quarter of 2012 (Oct to Dec)
884 referrals were processed through
Centralized Intake
Mental Health Centralized
Intake for CHEO/ROMHC
• All external referrals require a referral
package completed by the referring
• Family physician is included in the process
for continuity of care
• Families are encouraged to communicate
with their primary care provider until seen
Mental Health Centralized
Intake for CHEO/ROMHC
• The child/youth is seen at
CHEO/ROMHC or redirected to a more
appropriate community mental health
resource or both
• Centralized Intake will also assess the
urgency and prioritize the referral if
Criteria for Acceptance
CHEO/ROMHC Youth Program
• Patients have accessed community
mental health agencies
• Patients are experiencing moderate to
severe impairment in daily functioning
(this would be in more than one area,
such as moderate in school and social
Specialty Outpatient Teams
• Mood and Anxiety: offers individual, group and family
interventions for children and youth up to 16 presenting
with mood disorders and anxiety. Including DBT group
programming. (Wait time approx. 10 months)
• ADHD and Disruptive Behaviour: children and youth
presenting with moderate to severe symptoms of
ADHD/ADD; parent groups offered (with children 6 to 12
years of age). (Wait time approx. 3 to 4 months)
Specialty Outpatient Teams
• Consultation Team: children and youth
presenting with diagnostic clarification; med
consults; symptoms of psychosis. Short term
follow up (3-4 sessions). Wait time approx. 3 to 4
Specialty Outpatient Teams
• Abuse and Trauma: children and youth up to 18 who
have been victims of sexual and/or physical abuse,
victims of trauma (PTSD) and perpetrators of abuse;
support groups offered for adolescent girls who have
been victims of sexual abuse; interventions for parents
and/or families around abuse and trauma. (Wait time
approx. 4 months)
Specialty Outpatient Teams
Eating Disorders:
• Children and youth up to 18 yrs with
symptoms of anorexia and bulimia nervosa.
• Require a height, weight, growth curve, EEG
and bloodwork to assess urgency
• See Community Resources
Currently closed to new referrals – Aug, 2012
Specialty Outpatient Teams
Behavioural Neurosciences Consultation: (wait times vary)
• Children and youth up to 18 yrs with interacting medical condition and
mental health problems: 4 services
1. Medical/surgical: this service is for inpatient and outpatient consults
requiring mental health/psychiatric intervention
2. Neuropsychological/cognitive assessment: for all patients who are suffering
from a cognitive impairment due to their medical problem (ie seizure
3. Tourette Syndrome: for all patients who are experiencing tic symptoms
associated with a mental health problem
4. Dual Diagnosis: children and youth up to the age of 18 with a cognitive
impairment and/or a pervasive developmental disorder and a mental health
problem. Below 2nd percentile in functioning
Approx Wait time is 6 to 9 months, 12 months for Neuropsychology
Specialty Outpatient Teams
Royal Ottawa Mental Health Centre:
• specialized out-patient services for youth 16
to 18 yrs of age presenting with major
psychiatric problems. (Wait time approx. 12
• Youth partial hospitalization unit for youth
16 to 18 yrs of age for those not attending
school (Wait time approx. 3 months)
• Patients that live outside the Ottawa region
will receive consultations via OTN
• This service allows family to access services
without having to drive a long distance for
• Short term follow up is offered through OTN
• Current wait times are 12 months
CHEO Telepsychiatry Program
• Referrals are received from designated
mental health providers outside of the
Ottawa Region
• Families receive a one time psychiatric
assessment via Ontario Telehealth
Network for children up to 18 years of
• Wait times vary, currently very little
Urgent Care
What does Urgent Care do?
• Provide prompt mental health assessments on an
outpatient basis for children and youth who are in
crisis but not at immediate risk
• Provide recommendations
– referral to a community mental health agency
– additional short term intervention by a member of
the team
– referral to other internal services if necessary
Who and Where is Urgent Care?
• Located in the Mental Health Patient Service Unit
(MHPSU) ambulatory area at CHEO
• Services are provided by
– Psychiatry
– Psychology
• Covered by Centralized Intake during the day, Crisis
Intervention evenings
Urgent Care
Who Accesses?
Working together in Urgent Care
 A protocol is set up within the school board as to how
to access urgent care
 Social Worker or Psychologist within the school is
contacted prior to accessing urgent care
Is this Urgent Care?
Urgent Care
Emergency Criteria
• Patient on a Form 1
• Sudden/recent onset of
psychotic symptoms
• Inability to contract for safety
• Specific suicide/homicide plan
(date, time, means)
• Inability to care for self
Send to CHEO Emergency
Urgent Care Criteria
• Current suicidal/homicidal
ideation without a specific plan
• Current/recent suicide
attempt/gesture (medically stable)
• Previous hx of suicide attempts
• Acute change in mental status
(e.g. depression, anxiety)
• Acute emotional crisis from
trauma or psychosocial stressors
• Ability to contract for safety
Mon – Fri 0800-2300 hrs call
1-877-251-2273 (long distance) or
Exclusion Criteria for
Urgent Care Clinic
• Involved in any current /on going treatment
• Evidence of substance abuse as primary
• Chronic behavior/conduct disturbance
• Chronic conflicts; family / school related
• Legal assessments and/or placement issues
Centralized Intake
Urgent Care
• Any student that is considered at imminent risk
is advised to present to the CHEO emergency
• Crisis Intervention Workers are available from
0730 hrs to 2330 hrs for the purpose of risk
assessment – Call CHEO ER when sending any
student 613-737-2328
Important Resources
PLEO – Parent lifelines
of Eastern Ontario
Crisis Line