Page 78 - 2017-2018 Department of Psychiatry Annual Report
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provides consultative services and   diagnostic consultation to clinicians   young children and their families to
        collaborative care within IWK services   within the IWK program but also to   help with diagnosis, formulation and
        as well as to clinicians across the   those across the province. Clinical   treatment planning to help address
        Maritime Provinces for those youth   service includes, but is not exclusive   concerns identified. The program
        who show signs of moderate to        to second opinion diagnostic consults,   also supports capacity building in
        severe OCD. Clinical training and    medication reviews, and provision of   evidence based treatments for young
        research opportunities in clinical   consultation and support to inpatient   children and their parents in the
        assessment, and medication and       and residential mental health         community and in outpatient clinics
        psychotherapy (cognitive behavioural   programs as well as to caregivers   e.g. Circle of Security group.
        therapy and parent training) treatment   working with youth in community
        in child and adolescent OCD are      settings. Research and academic
        available for interested students and   teaching are key components of
        residents.                           this clinic; the clinic serves as an
                                             excellent learning opportunity for
        Early Psychosis Specific Care        students and residents who have
        Clinic                               an interest in youth with severe and
                                             complex ASD.
        The IWK Youth Psychosis Specialty
        Team was initiated in 2006 and is an   IWK TransHealth Team
        extension of the Central Zone Nova
        Scotia Early Psychosis Program       This TransHealth team was formed in
        (NSEPP). As per the NSEPP, the       2006 to assess and support gender-
        focus is on the earliest identification   questioning youth and their families.
        of illness and rapid provision of    The role of the team is to assess
        treatment to enhance and foster      and treat youth, up to the age of 19,
        positive outcomes. Effort is made to   who are questioning their gender
        identify youth at risk for psychotic   identity or wishing to transition.  The
        illness. Research and education      team can offer assessment, and as
        are also key components of the       appropriate psychotherapy. The team
        program. Parents and families of our   works with therapists in a youth’s
        youth attend the family and patient   community for those who live outside
        education sessions and family        of HRM. Referrals can be made to
        support sessions from NSEPP site.    relevant IWK Mental Health teams for
        The IWK Youth Psychosis team in      treatment of any co-occurring mental
        conjunction with NSEPP routinely     health and addictions problems
        reaches out to schools, teen health   and as appropriate, can serve as a
        centers, community services, public   referral route for other specialized
        health settings, etc. to provide     services, including endocrine and
        education sessions on psychosis and   surgery.
        psychotic disorders.
                                             Tourette’s / Movement Disorders
        Autism Spectrum Disorder (ASD)       Clinic
        Specific Care Clinic
                                             Children and adolescents suffering
        The IWK ASD Specific Care Clinic     from Tourette’s Disorder have the
        is a service for children and youth   opportunity to meet with a specialized
        with a diagnosis of Autism Spectrum   clinician who will offer consultation,
        Disorder (ASD). This service         assessment and treatment for
        specializes in treating psychiatric   Tourette’s and co-morbid disorders.
        illnesses that occur in youth with
        ASD and providing multidisciplinary   0-5 Years Clinic
        care for those youth and their       This is a consultation clinic for
        families with severe illness and     children under five with early signs
        complex presentations. The team has   of psychiatric illness. The clinic has
        expertise in ASD, more specifically   a psychiatrist who works closely with
        the mental health issues often       pediatricians and family physicians to
        coexisting with these disorders.     provide psychiatric consultations with
        The team provides second opinion

     78  DEPARTMENT OF PSYCHIATRY                                    IWK Criagmore site, home of Adolescent Intensive Services (AIS).
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