Page 86 - 2017-2018 Department of Psychiatry Annual Report

Provincial Programs

Child and Adolescent NSYF. To read more about these East Coast Forensic Hospital
Psychiatry Services services please visit pages 76-78. The East Coast Forensic Hospital
Our child and adolescent psychiatrists Adult Neurodevelopmental (ECFH) conducts court-ordered
provide psychiatry outpatient assessment for fitness to stand
consultation in person, by telehealth, Psychiatric Unit trial and criminal responsibility
and by phone to physicians for The Adult Neurodevelopmental for individuals who are charged
children and adolescents from Psychiatric Unit provides provincial with criminal offences. It is the
across the province, including Cape tertiary services for persons (19yrs only service doing these in the
Breton, through our subspecialty or older) living with an intellectual province. The ECFH also has a
clinics. Consults are provided to the or developmental disability program providing mental health
emergency room in Cape Breton by and complex mental health or care to incarcerated individuals.
IWK emergency room physicians. challenging behaviors that primary The other primary function of the
They also provide emergency child or secondary service providers ECFH is to provide rehabilitative,
and adolescent psychiatry consults (e.g., family physician, community risk management and community
through the IWK emergency room psychiatrist, general mental reintegration services to individuals
and to the Cape Breton emergency health team) have been unable who are under the jurisdiction of
room physicians. to effectively address. They also the Nova Scotia Criminal Code
provide both inpatient (Emerald Hall) Review Board, namely those who are
Child and adolescent psychiatry and outpatient/community based unfit to stand trial or not criminally
services also include provincial services through our Community responsible for their offences. The
inpatient services at the Garron Outreach Assessment, Support and ECFH community service monitors
Centre and intensive services Treatment Team (COAST) across the individuals throughout the province.
(Adolescent Intensive Services and province. Read more about the Adult To read more about the ECFH please
Child Intensive Services) accessed Neurodevelopmental Psychiatric Unit see page 69.
by youth and families, as well as under Adult Specialty Services on
forensic provincial services at the page 67.

The East Coast Forensic Hospital

86 DEPARTMENT OF PSYCHIATRY