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:
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.
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:
Community Living Psychiatric Service (CLPS)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.
Co-Occurring Disorders Initiative (CODI)The CODI Team is comprised of several 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.
Since 2013, a the 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 the Urgent Follow-up Intensive Treatment Team (UFITT) 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 (CSU - 204-940-3633) with 16 beds provides short stays for clients to manage their crisis issues over a 4 to 7 day period.
Early Psychosis Prevention and Intervention Service (EPPIS)
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.
Program of Assertive Community Treatment (PACT)
PACT – Hargrave, PACT – Leila, PACT – Winnipeg West, and 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 nearly 400 participants who have a major "Axis I" 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.
Mental Health Teams (MHTs)
A redesign project to align community health workers and other professionals using a team approach to oversee regional mental health care needs was first initiated in the west of Winnipeg located at the Access Winnipeg West (AWW) Centre. It has expanded to Access Fort Garry (AFG), Access Norwest (ANW) and Access Downtown/Point Douglas (ADT/PT). 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. As of 2021, AFG and AWW MHTs will have a child psychiatrist that will join as a consultant.
Health Outreach and Community Support (HOCS)
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.
Shared Care Mental Health
This service 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. Fourteen Shared Care psychiatrists and over 20 Shared Care Counsellors are co-located within Family Physicians/Nurse Practitioners offices delivering Shared Care to meet the mental health challenges within primary care. Working side by side with primary care providers, creates a unique relationship opportunity that enhances mental health delivery as described by Dr. Pamela Wener’s research of our WRHA program. The range of diagnostic challenges is vast and affords the opportunity to work to improve patient outcomes and support primary care providers at the front line of mental health care provision.
The Shared Care Program is now beginning to offer Geriatric Consultations (Dr. Avadhanula) at select clinics and hopes to offer Child Psychiatry consultation in the near future.
Shared Care Psychiatrists: Prabhath Avadhanula, Niki Boyko, Randy Goossen, Taghreed Hassan, Natalie Husarewycz, Adrian Kettner, Jessica Kreviazuk, Mark Lander, Waheed Lawal, Kieran O’Keeffe, Donatus Onwurah, Sara Rusen, Nancy Wightman
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)
Or one of the psychiatrists of each of the following programs
Community Living Psychiatric Service - CLPS
Dr. J. Kettler
Dr. J. Sawyer
Dr. J. Waldman
Co-Occurring Disorders Initiative - CODI
Dr. J. Nepon (Director)
Dr. S. Balchen
Dr. N. Brainch
Dr. A. Hynes
Dr. G. Konrad
Dr. C. Rona
Crisis Response Centre - CRC
Dr. J. Bolton
Medical Program Director - Crisis Response Centre
Early Psychosis Prevention and Intervention Service - EPPIS
Dr. T. Ballegeer
Dr. C. Downs
Dr. A. Shamlou
Health Outreach & Community Support - HOCS
Dr. R. Goossen
Dr. B. Malchy
Mental Health Teams
Dr. R. Goossen - AFG
Dr. C. Kowal - AWW
Dr. W. Lawal - AFG, ADT/PT & ANW
Program of Assertive Community Treatment - PACT
Dr. T. Bello
Dr. R. Jayas
Dr. J. Simm
Dr. CJ Okoye
Shared Care Mental Health
Dr. R. Goossen
Medical Program Director - Community Mental Health