Community Psychiatry Program

 

Program Overview

The Community Psychiatry Program is comprised of a number of specialized programs that provide mental health services to clients within primary care and specialized mental health settings including:

CLPS – Community Living Psychiatric Service: The CLPS 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 - the program has four part-time psychiatrists and a team of four nurses.

For further information contact:
Dr. Jack Kettler - Phone:  204-940-3600
Dr. Jeff Waldman - Phone:  204-787-3887
Dr. Jeremy Sawyer - Phone:  204-940-3600
Dr. Niki Boyko - Phone: 204-940-3600

CODI - Co-occurring Disorders Initiative The CODI Team comprises of three psychiatrists and three or four clinicians with expertise in the area of dual diagnoses including mental health and addictions. Besides providing an ACT –like team approach to clients’ needs, the team also has begun the use of Dialectical Behavioral Therapy (DBT) in both individual and group therapy. The program offers Residents a special educational opportunity to learn about concurrent disorders.

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 Response (Centre): Since 2013, a new Crisis Response Centre has opened o provide walk-in service for clients wanting to speak to a mental health professional.  Our crisis walk-in centre (CRC) 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. The Crisis Stabilization Unit (204-940-3633) with 16 beds provides short stays for clients to manage their crisis issues over a 4 to 5 day period.  We also have a Brief Counselling/Treatment Service available for counselling and helping a client through the crisis and assisting the client to move beyond it.  The crisis teams also have access to UFITT – the Urgent Follow-up Intensive Treatment Team for psychiatric consultations when a non-emergent assessment is needed and provides various group therapy options for those who have been seen within the CRC.

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 of psychosis. 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 and the new PACT –Winnipeg West are three of our mental health programs aimed at providing a recovery-orientated treatment, support, rehabilitative and crisis services to the serious and persistent mentally ill (SPMI). This is an interprofessional team that follows the PACT Model developed at the University of Wisconsin. They provide care for approximately 250 clients who have a major Axis I diagnosis and require intensive involvement by a specialized team with particular experience in co-occurring disorders and rehabilitation & recovery models.

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

Community Mental Health Redesign Team: The Redesign project has been initiated within the west of Winnipeg located at the newly constructed Access Winnipeg West Access Centre.  It has also been recently introduced at he new Access Fort Garry site as well. It is a new approach to manage mental health challenges within a designated region of the city using an interprofessional approach.  The psychiatrist plays a role in supporting Community Mental Health Workers within their specific region in the city, providing educational support and seeing clients who are not assigned to a specific mental health programs.

For further information contact:
Dr. Stewart Wakeman - Phone: 204-940-2453
Dr. Murray Enns - 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, psycho social 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 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 approximately 25 clinics, including private FFS and Access Centres within the City of Winnipeg. Eight Shared Care psychiatrist and nine-teen Shared Care Counselor are co-located within Family Physicians and Nurse Practitioners offices  delivering 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 contact:
Dr. Randy Goossen – Medical Program Director of Community Mental Health
Phone:  204-940-1694

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 addresses the senior resident (PGY4 or 5) with an excellent opportunity of working within either the Share Care 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 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. 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.  With the CRC and PACT 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. 

For further information, please contact:

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

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

Dr. Jeff Waldman
Phone: 204-787-3887

Dr. Jeremy Sawyer
Phone:  204-940-3600

Dr. Niki Boyko
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. Craig Downs
Phone:  204-940-8771

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 WW
Phone:  204-940-2437

Community Mental Health Redesign
Dr. Stewart Wakeman
Phone:  204-940-2453

Dr. Murray Enns
Phone:  204-940-7100

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

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