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).