Community Psychiatry Program

Family Medicine and Psychiatric Resident Community Mental Health Opportunities: The Community Psychiatry Program provides an opportunity for psychiatric residents to experience their training within a community setting:

  1. The Community – Psychiatry Rotation/Elective provides the senior psychiatric resident (PGY4 or 5) with an excellent opportunity of working within either the Share Care and/or PACT model.  As per RCPSC expectations, PGY-4 Residents rotate through Shared Care on a half day basis from September to June.  Their collaborative clinical interventions within Primary Health Care expose them to the exciting opportunities to working within the community.
  2. Community Clinical Visits – these opportunities range from experiences for psychiatric residents in working in Child Psychiatry, Forensics, psycho-Geriatrics, and Northern & Rural Manitoba Clinics and are available to all PGY 2, 3 & 5 residents each year throughout their entire residency training.  Residents are expected to make 8 visits per year to widen their knowledge of ‘community' psychiatry. The community experience is meant to challenge the Resident to think outside the medical 'box' and approach problems from a systemic perspective while dealing with complex consultations.
  3. Psychiatric Residents – core rotations – EPPIS & PACT are available (see below)
  4. Family Medicine Residents - at the Northern Connections Medical Clinic are exposed to Shared Care as part of their regular first year mental health training requirements.

Residents are challenged to look at new potential opportunities arising within the Community Program some which may not be listed here e.g. Klinic.  With the Crisis Response Centre and the Program of Assertive Community Treatment Teams creating new clinical options, Residents will be exposed to a variety of learning opportunities.  Please contact Dr. Randy Goossen with any other educational ideas that you may have that would meet your learning goals within a community setting.

Program Overview

The Community Psychiatry Program is situated within the Winnipeg Regional Health Authority’s jurisdiction and is comprised of a number of specialized programs that provide mental health services to clients within primary care and a variety of mental health settings.
The following programs provide core and/or elective opportunities for residents:

CLPS – Community Living Psychiatric Service: The CLPS clinic is responsible for the dual diagnosed client who has an intellectual challenge and a mental health disorder. The program is situated at Access Fort Garry/Access Norwest - the program has three part-time psychiatrists and a team of four nurses.

For further information contact:
Dr. Jack Kettler - Phone:  204-940-3600
Dr. Jeff Waldman - Phone:  204-940-3600
Dr. Jeremy Sawyer - Phone:  204-940-3600

CODI - Co-occurring Disorders Initiative The CODI Team is comprised of three psychiatrists and three or four clinicians with expertise in the area of dual diagnoses including mental health and addictions. The psychiatrists have expertise as well in the management of maintenance treatment including Suboxone and Methadone.  The team offers Dialectical Behavioral Therapy (DBT) to individuals through class and group therapy opportunities. The program provides Residents a special educational opportunity to learn about co-occurring disorders and DBT.

For further information contact:
Dr. Adrian Hynes – Medical Director of Concurrent Disorders - Phone: 204-787-5005
Dr. Josh Nepon - Phone:  204-787-5005
Dr. Jayda MacLean - Phone: 204-787-5005

Crisis Services  - Since 2013, a new Crisis Response Centre (CRC) has opened to provide walk-in services for clients wanting to speak to a mental health professional.  Our crisis walk-in centre is available 24/7/365 by providing services to the city of Winnipeg. The Mobile Crisis Service (204-940-1781) provides phone and direct crisis assistance around the clock. We also have a Brief Counselling/Treatment Service available for counselling and helping a client through their crisis assisting them to move beyond it.  The crisis teams also have access to UFITT – the Urgent Follow-up Intensive Treatment Team for group classes/therapy and the Psychiatric Urgent Referral Clinic (PURC) psychiatric consultations when a non-emergent assessment is needed and provides various group therapy options for those who have been seen within the CRC. The Crisis Stabilization Unit (204-940-3633) with 16 beds provides short stays for clients to manage their crisis issues over a 4 to 7 day period.

For further information contact:
Dr. James Bolton – Medical Director of Community Crisis Response - Phone:  204-787-7078

EPPIS – Early Psychosis Prevention and Intervention Service: The program addresses the clinical issues of clients who suffer from a first episode psychosis. The program works to get clients into treatment as early as possible and manages their care over a two year period. The program has two psychiatrists and seven staff who work together as a team to provide the needed services within the community.

For further information contact:
Dr. Trevor Ballegeer – Psychiatrist - Phone:  204-940-8648
Dr. Craig Downs - Psychiatrist - Phone: 204-940-8636

PACT – Program of Assertive Community Treatment: PACT – Hargrave, PACT – Leila, PACT –Winnipeg West  the new PACT Logan are four of our mental health teams  aimed at providing a recovery-orientated treatment, support, rehabilitative and crisis service. This is an interprofessional team that follows the PACT Model developed at the University of Wisconsin. They provide care for over 300 clients who have a major ‘’diagnosis and require intensive involvement by a specialized team with particular experience in co-occurring disorders, specialized treatments such as clozapine and rehabilitation & recovery-orientated practice.

For further information contact:
Dr. Tunde Bello– Phone: 204-940-3290 - PACT Hargrave
Dr. Osita Nnabuchi - Phone: 204-935-5440 - PACT Leila
Dr. CJ Okoye - Phone: 204-940-2437 - PACT-WW
Dr. Jim Simm – Phone 204-940-2693 – PACT - Logan

Mental Health Team: A redesign project to align community health workers and other professionals into a team approach to regional care was initiated within the west of Winnipeg located at the newly constructed Access Winnipeg West Access Centre three years ago.  It has recently expanded to the new Access Fort Garry site and plans for Access Norwest are being developed.  It is a new approach to manage mental health challenges within a designated region of the city using an interprofessional team approach including specialized staff such as a therapist, transition specialist, and a child and adolescent worker  The psychiatrist plays a role by supporting Community Mental Health Workers within their specific region in the city, by providing educational support to primary care and agencies and by seeing clients who are not assigned to a specific mental health programs.

For further information contact:
Dr. Stewart Wakeman - Phone: 204-940-2453
Dr. Donatus Onwurah - Phone: 204-940-7100

Health Outreach and Community Support: The Winnipeg Regional Health Authority (WRHA) HOCS team is an outreach consultation service that aims to improve the focus populations’ access to primary care and behavioural health services and decrease the use of emergency services to meet basic health needs. Using a Service First approach to make health services accessible and responsive to homeless or vulnerably housed individuals, HOCS provides support at an individual and agency level as a direct point of connection for information and referral, problem solving, service linkages, assessment, psychosocial support, service coordination and service delivery. HOCS supports partner agencies in their efforts to meet the health needs of their clients and encourages partnership between community agencies, the WRHA and applicable government programs in daily operations and through the HOCS Community Network.

For further information contact:
Dr. Mark Etkin - Phone: 204-794-3804

Shared Care Mental Health: : provides a collaborative approach to managing and treating mental health clients within primary care and is based in over 25 clinics, including private fee-for-service clinics and Access Centres within the City of Winnipeg. Eight Shared Care psychiatrist and nine-teen Shared Care Counselors are co-located within Family Physicians and Nurse Practitioners offices delivering shared care to meet the mental health challenges within primary care.

To learn more about Shared Mental Health Care in Canada visit: http://www.shared-care.ca/

For further information on any community program, please contact

Dr. Randy Goossen
Medical Program Director
Community Mental Health
(U of M; WRHA Mental Health Program)
Phone:204-787-5005 or 204-940-1694

Or the medical director of each of the following programs

CLPS – Community Living Psychiatric Service
Dr. Jack Kettler
Phone: 204-940-3600
Dr. Jeff Waldman
Phone: 204-940-3600
Dr. Jeremy Sawyer
Phone:  204-940-3600

CODI - Co-occurring Disorders Initiative
Dr. Adrian Hynes
Medical Director of Concurrent Disorders
Phone:  204-787-5005
Dr. Josh Nepon
Phone:  204-787-5005
Dr. Jayda MacLean
Phone:  204-787-5005

Crisis Response Centre (CRC)
Dr. James Bolton
Medical Program Director of Crisis Response
Phone:  204-787-7078

EPPIS – Early Psychosis Prevention and Intervention Service
Dr. Trevor Ballegeer
Phone: 204-940-8648
Dr. Craig Downs
Phone:  204-940-8771

HOCS - Health Outreach & Community Support
Dr. Mark Etkin
Phone: 204-794-804

Mental Health Teams
Dr. Stewart Wakeman
Phone:  204-940-2453
Dr. Donatus Onwurah
Phone:  204-940-7100

PACT – Program of Assertive Community Treatment
Dr. Tunde Bello - PACT Hargrave
Phone:  204-940-3290
Dr. Osita Nnabuchi - PACT Leila
Phone:  204-935-5440
Dr. CJ Okoye - PACT Winnipeg West
Phone:  204-940-2437
Dr. Jim Simm – PACT Logan
Phone: 204 940 - 2693

Shared Care Mental Health
Dr. Randy Goossen
Medical Program Director - Community Mental Health
Phone:  204-940-1694