Collaborative Mental Health Care Network
The Program
The Collaborative Mental Health Care Network links family physicians from
across the province with a GP Psychotherapist and Psychiatrist mentor in a
collaborative relationship to support easy access to case-by-case support and
ongoing continuing professional development regarding mental health care. The
program is supported by the Ministry of Health and Long-Term Care.The Network
was established in 2001 following the awarding of a grant from the Ministry of
Health and Long Term Care. Click here to view the grant proposal Enhancing Mental Health Services
Proposal.
The OCFP conducted a needs assessment of its members and recognized that
family doctors were experiencing great difficulties in accessing psychiatric
consultations for their patients. Needs assessment results indicated that
assessment and treatment of patients with psychiatric problems were stressful in
the absense of access to information, guidance and advice.
The CMHCN connects family doctor mentees to psychiatrist and
GP-Psychotherapist mentors through telephone, email and fax. Mentees may contact
their mentors on an informal basis for guidance and support. Formal CME
workshops, small group teleconferences and sessions take place regularly in
order to foster group cohesion. These tools help to support and augment the case
by case mentoring program. Advice in the areas of diagnosis, psychotherapy and
pharmacology is provided to mentees. Mentees are matched with mentors based on
clinical interests and/or geographic location. Please note this is not a
referral service.
Steering Committee:
Dr. Patricia Rockman, Co Chair
Dr. Jose Silveira, Co
Chair
Ex Officio: Ms. Jan Kasperski, Chief Executive Officer
- Dr. Allison Arnot
- Dr. Patricia Barry
- Dr. Sharon Cirone
- Dr. Michael Cord
- Dr. David Gotlib
- Dr. Jon Hunter
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- Dr. Brett Jamieson
- Dr. Mirelle St. Jean
- Dr. Spencer A. Tighe
- Dr. Danny Yeung
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Evaluation
The Collaborative Mental Health Care Network has recently completed an
evaluation of Years One to Three. The research indicates that the combination of
just-in-time input from mentors and formal CME activities have really made a
difference. Participants reported increased knowledge and skills and greater
confidence in their ability to care for patients with complex mental illnesses;
however, the most significant outcomes on all variables was seen in those who
used all aspects of the program including reliance on their mentors.
According to the results of our pre and post implementation surveys and focus
groups, participants who more heavily utilize their mentors (i.e. high
utilizers) have increased confidence in mental health management. High utilizers
have decreased their use of specialists face to face and are relying more
heavily on requests for help using telephone and email, an efficient and cost
effective trend.
Small group meetings have been implemented on a regular basis to ensure
ongoing mentor/mentee contact and to increase rapport between family physicians
and psychiatrists/GP Psychotherapists. Participants report that access to
mentors and the increased knowledge and skills acquired through CME activities
have decreased the time interval to optimal treatment and amelioration of
symptoms for patients. To view the report(s) submitted to the Ministry of Health and Long
Term Care, click here.
Newsletter: "Sharing The News"
Most recent issue Past
Issues: M/Date Mo/Date
For further information, or to learn how to join the
program, click here for our
brochure,
Ms. Eilyn Rodriguez,
Assistant Executive Director, Research and Educational Services, 416-867-9646
Ext: 24.
The CME Material
Assessment
By Problem
By Intervention
Child & Adol MH
Systems
Assessment and Formulation
The 15 Minute Psychiatric Screening Assessment
(2007)
Jose Silveira MD, FRCPC
By Diagnosis or Problem
Concurrent Disorders
Psychosis
Dementia
Somatization
Adult ADHD
The difficult patient
PTSD
Eating Disorders
By treatment modality
Interpersonal Psychotherapy (IPT)
Bedside
IPT: Helping patients with interpersonal problems (2007)
Paul Ravitz MD,
FRCFP & Michael Paré BSc, MSc, MEd, MD
Mindfulness
Mindfulness Based Therapies
(2007)
Patricia Rockman MD, CCFP, FCFP & Mark Weiss MD
Benzodiazepines
Using Benzodiazepines
in Primary Care: an evidence-based discussion (2007)
Spencer A. Tighe, MD,
FRCPC
Antipsychotics
Child and Adolescent Mental Health
Systems issues
Mentor Development Program
The Collaborative Mental Health Care Network is providing training to those
mentees making the transition to mentor or to assist new mentors gain a better
understanding of mentoring, the role they are to play, how to facilitate the
interaction between mentor and menteee. To view documents for this program click
here.
Educational Modules
The Collaborative Mental Health Care Network has developed stand alone
educational modules derived from the CME Conference to further enhance the
mental health care skills.
Managing Change: A Solution Development Workshop for Stress
Reduction:
This workshop, derived from the Solution Focused Therapy and
William Bridges' Model of Transition Management, will teach skills for coping
with change and transition. Participants will learn techniques for life planning
and stress reduction, allowing them to move from a problem-saturated view toward
a solution-focused approach.
Working with the Difficult Patient:
The workshop will help
participants recognize and ameliorate pejorative attitudes on the part of the
physician toward the difficult patient and will deepen understanding of the
doctor-patient relationship with the difficult patient. Participants will learn
useful tips and tricks in dealing with the difficult patient.
Practical Management of Comorbid Alcohol and Anxiety Disorders:
The
treatment of anxiety disorders in a primary care setting can be complicated by
several factors. A common challenge is the patient who is a known alcohol
"drinker" that presents with complaints of anxiety related symptoms. This
workshop will focus on practical tips to managing this comorbid problem.
CBT on the Fly:
This is a practical training program with the goal
of providing participants with a basic foundation in using the tools for
cognitive therapy. It is ideally intended for family physicians with some
interest in applying the cognitive model to treat emotional problems.
Educational Modules in draft include:
Treating and Managing
Psychosis: A Family Medicine Frame Work
I still have to format: Resources:
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