William Osler Health System

CD specific programs

• Concurrent Disorders Group: (BCH) facilitated by an addictions counselor from Addiction Counseling Services of William Osler Health System and a mental health counselor from the Day Treatment Program. Insight oriented, psycho-educational, and supportive model of treatment. In development for our Etobicoke General Hospital site.
• Addiction Counseling Services of Peel, Brampton : assessment, individual counseling, and psychiatric treatment is provided to those with a concurrent disorder.

All other programs

• Addiction Counseling Services : Assessment Program (for Drug and Alcohol and Problem Gambling Clients, Brampton and EGH). The MOHLTC-approved standardized assessment tools are administered through this program. This program follows the principles of Ontario's Admission and Discharge Criteria to develop treatment plans, including referrals to other organizations where appropriate
• Addiction Counseling Services : Treatment Program (for Drug and Alcohol and Problem Gambling Clients, Brampton and EGH). Addiction counseling to individuals, relapse prevention, family intervention, follow up, and aftercare. Cognitive-behavioural model. Models: harm reduction, Stages of Change. Uses other modalities depending on therapist. Individual and group counseling provided. Consultation on addictions provided to all mental health program staff. Psychiatric consultation provided to clients referred by counselors of program.
• Residential Withdrawal Management Level 2 (Withdrawal Management Centre, Brampton): Client withdrawal is monitored by non-medical staff to provide stabilization. Crisis intervention is provided as required. Assessment, counseling, support and referral to other resources according to client need.
• Mental Health Emergency Services Unit (MHESU), BCH. A 4-bed mental health clinical decision unit located in the Emergency Department at the Brampton Civic Hospital.
• Short-term Intervention Clinic, BCH (counseling and treatment, age 18+ years, North Peel Region). This clinic provides short-term intervention to maintain adult clients (18 years and over) experiencing an urgent mental health problem, who would benefit from a short-term model of intervention. Typically, they may not require admission, but a quick response is needed to maintain the client in the community.
• Mental Health Crisis Intervention , BCH and EGH (although service responds regardless of catchment area consideration)). The Crisis Intervention Team provides assessment and intervention to those who are in an acute state of crisis due to a mental disorder and/or severe psychosocial stressors. Family and/or significant others are included in the intervention. The team collaborates with the mental health and emergency team, staff from other hospital services, as well as its community partners to develop and implement appropriate intervention strategies. This service is located in the Emergency Department at both BCH and EGH and operates 24/7.
• Adult Inpatient Brampton , BCH (age 18+ years, Central West LHIN). Three adult units currently open include: Mental Health Intensive - a 14-bed unit focused on high risk patients, typically new admissions from the ER; General Unit B - a 19-bed unit with a focus on the treatment of mood and anxiety disorders; General Unit C - a 15-bed unit with a focus on the treatment of schizophrenia/psychotic illnesses.
• Child and Adolescent Inpatient Unit and Day Hospital , BCH (under 18 years of age, Central West LHIN (primary)). A 10-bed inpatient unit that provides comprehensive care to children and adolescents up to the age of 18 who are experiencing acute psychiatric symptoms, plus a 4-bed intensive unit for those requiring a secure setting. A 10-space Day Hospital provides a short term service for children and youth who are experiencing acute psychiatric symptoms requiring assessment and initiation of treatment, but who do not require admission to an inpatient setting.
• Adult Day Treatment Program (ADTP)/Adult Outpatient Services, BCH (age 18+ years, Central West LHIN). The Adult Day Treatment Program (ADTP) provides intensive, outpatient psychiatric treatment and psychoeducation to adults, 18 years of age and older. Adult Outpatient Services provide aftercare to ADTP patients, a Mood and Anxiety Program, a Concurrent Disorders Group, and are developing a Health and Wellness Clinic for those at risk of Metabolic Syndrome.
• Mental Health Centralized Intake and Triage ( CIT -BCH) provides Intake and Triage of adult mental health patients age 17+ referred by a physician. Patients may be triaged based on the physician's referral form or with the addition of a social work assessment in person. Patients may be triaged to psychiatry, psychotherapy, or specialized treatment programs within the hospital and/or community as appropriate. Every effort will be made to provide the appropriate service closest to the patient's place of residence. Referrals are welcome from physicians located in the Central West Local Health Integration Network (LHIN) (5) and/or whose patients are located in LHIN 5. The referrals are triaged based upon level of urgency and risk.
• Mental Health Centralized Intake and Triage ( CIT -EGH) (counseling and treatment, age 18+ years, North Etobicoke). The Mental Health Centralized Intake and Triage Clinic provides assessment and short-term counseling to those whose mental health problems can be addressed in an outpatient setting and where the mental health problems necessitate the need for urgent treatment to prevent further decomposition by the client which could include either a psychiatric follow-up, individual counseling and or group interventions for depression, anxiety and stress management. Referrals to the CIT can be made by family physicians using the programs referral form.
• Adult Inpatient Unit Etobicoke(Unit), EGH (age 18+ years, Central West LHIN). A 25-bed acute care facility that provides assessment and acute treatment for adults with acute mental illness.
• Adult Day Treatment Program (ADTP), EGH , (age 18+ years, Central West LHIN. The Adult Day Treatment Program (ADTP) provides intensive, outpatient psychiatric treatment and psychoeducation to adults, 18 years of age and older. Several program streams are offered depending on the individual's level of functioning. The ADTP also includes the Depot Injection and Clozaril Clinic which provides services to patients living in the community requiring long-acting depot injections and monitoring patients on Clozaril medication.
• Community Treatment Orders ( CTO ) Program , (case management, age 18+ years, BCH). The Community Treatment Orders (CTO) Program provides information and support to those who are being considered for a CTO, as well as to their substitute decision maker, if any. This program also provides coordination and support to those who are subject to a CTO, as well as to their substitute decision maker, if any. Community Treatment Orders for EGH are coordinated through the Canadian Mental Health Association of Toronto.
• Adult Community Mental Health Clinic , (counseling and treatment, age 16+ years), BCH. The Community Mental Health Clinic offers a wide range of psychotherapeutic, supportive and educational services to adult clients, 16 years of age and over who are experiencing moderate to serious mental health problems.
• Eating Disorders Clinic , (counseling and treatment, North Peel Region, Halton Hills and Dufferin County (for children and adolescents). This clinic provides multidisciplinary outpatient assessment and treatment for children, adolescents and adults with mild to moderate eating disorders such as anorexia nervosa and bulimia nervosa.
• Child and Adolescent Mental Health Clinic , (counseling and treatment, under age 18 years, North Peel Region (Brampton and Caledon) and Dufferin County (consultation for children and adolescents)). The Child and Adolescent Clinic provides outpatient treatment to families with children and adolescents up to 18 years of age, who are experiencing or are at risk of developing a serious psychiatric disorder.