IWK Psychiatry Consultation Services For Community Physicians and Pediatricians
Physicians can request psychiatry consultations or one-time assessments from an IWK child psychiatrist. The Psychiatry Consultation Service is for physicians who will continue to care for the referred patient’s mental health/addictions problems, but who need the advice of a psychiatrist to do so. Consultations to physicians can be provided by phone. Patients can also be referred for a one time visit to focus on diagnostic clarification or psychopharmacological advice.
To request a consultation, complete the Psychiatry Consultation Service Form.
Fax it to Central Referral at 902-464-3008.
IWK Consultation Liaison (C/L) Service
The IWK Consultation Liaison service provides psychiatric consultations for children and youth being treated as inpatients on the medical and surgical units at the IWK Health Centre. Psychiatrists work with pediatric and surgery teams to help address mental health and addictions concerns impacting the health and recovery of hospitalized children and teens. Consultations may include diagnostic assessment and clarification and treatment suggestions. Referrals or transition of care to other services within the mental health and addictions program may occur depending on needs of youth and the family. Efforts are put forward to effectively and collaboratively navigate the interface between pediatric medicine, surgery and child and adolescent psychiatry in order to foster a successful treatment approach for the youth and family.
IWK Emergency (ER) Service
The IWK Emergency Mental Health Service provides a 24 hour crisis/ER service for youth in need of mental health and addictions crisis intervention up to the age of 19 in the Halifax municipalities. Consults are also received for ER child/adolescent mental health and addictions and psychiatric emergency assessment from other emergency room services across the province. ER mental health and addictions assessment and treatment is conducted collaboratively between emergency staff (physicians, nursing) and the Crisis Team (clinical social workers and nurses) along with psychiatry (residents, psychiatrists) consultation. Emergency assessments are focused to address the emergency mental health and addictions issue and provide crisis intervention, as well as to help in organizing referral to longer-term mental health and addictions services, if required. When there is an acute psychiatric concern that requires treatment in an inpatient setting, then an admission to the acute inpatient psychiatry unit may take place from the IWK emergency room.
The IWK Youth Psychosis Team
The IWK Youth Psychosis Team is a multidisciplinary specialty service providing clinical service, research, education and advocacy in early identification and treatment of psychotic illness in youth. The IWK Youth Psychosis Team serves youth age up until 19 years of age who are seeking help and may be at risk for or are presenting in the early stages of a primary psychotic disorder such as, schizophrenia. The IWK team is part of the Early Psychosis Program at Dalhousie University servicing patients under 35 years of age. The team consists of psychiatry, nursing, psychology and trainees in mental health (psychiatry residents, psychology residents, nursing students). Referrals originate from any source in the Halifax Regional Municipality but also extend to consultation assessment requests from clinicians across the Maritime Provinces. Youth accepted for specialized care are followed until about age 19 and are then seamlessly transferred to the adult Early Psychosis Team for ongoing service for up to five years.
The clinical focus is on the earliest identification of illness marked by psychotic experiences, and rapid provision of treatment to enhance and foster positive outcomes. Care includes assessment, stabilization of symptoms, recovery and rehabilitation, family focused care, psychoeducation and psychotherapy. Extensive outcomes evaluations are routinely conducted ranging from metabolic/medical monitoring to assessment of quality of life and burden of care.
Research into the determinants of health for persons in the various stages of psychotic disorder as well as provision of education for patients and families are key components of the program. Parents and families of the youth attend family and patient education sessions as well as family support sessions run by clinicians and trainees.
The psychosis team routinely reaches out to schools, teen health centers, community services and other community resources to provide education sessions on psychosis and psychotic disorders. These sessions help to foster collaboration with our community partners and in turn hopes to foster better understanding of the illness, and in turn earlier identification of those in need.
The IWK Mood Disorders Team
The IWK Mood Disorders Team is a multidisciplinary specialty team that services youth with severe and persistent mood disorder such as, Bipolar Disorder. The team consists of psychiatry, psychology, social work, and trainees working collaboratively to assess, treat, stabilize and monitor youth with severe mood disorders. The team provides consultative services and collaborative care to clinicians at the IWK community mental health clinics as well as to clinicians across the province for those youth who show signs of increasing severity of illness with effort to provide a seamless transfer of care for those in the most severe stages of mood disorder. The clinic provides opportunity for clinical, education and research opportunities for students and residents interested in child and adolescent mood disorders.
The IWK Obsessive Compulsive Disorder (OCD) Clinic
The IWK OCD Clinic provides specialty service to children and youth (and their families) with moderate to severe OCD. Care is multidisciplinary including psychiatry, psychology and social work (family therapy), as well as an outreach clinician to provide exposure-response prevention (cognitive behavioural therapy) treatment within the youth’s home/community. Education and support for families and the youth with OCD is a key component of treatment at the clinic. The OCD clinic also has a clinical research mandate as well as an academic focus to train psychiatry residents and other mental health trainees in the identification and effective treatment of youth with severe and persistent OCD and anxiety disorders. The team provides consultative services and collaborative care to clinicians at the IWK community mental health clinics as well as to clinicians across the Maritime Provinces for those youth who show signs of moderate to severe OCD with effort to provide a seamless transfer of care to the clinic for those in the most severe stage of this illness. Clinical training and research opportunities in clinical assessment, and medication and psychotherapy (cognitive behavioural therapy and family therapy) treatment in child and adolescent OCD are available for interested students and residents.
The IWK Pervasive Developmental Disorders (PDD) Clinic
The IWK PDD clinic is a specialty service that is a part of the IWK multi-disciplinary clinical and academic program for children and youth with Autism Spectrum Disorders. This is the only sub-specialized mental health service for youth with Pervasive Developmental Disorders (PDDs) in Atlantic Canada. This service specializes in treating psychiatric illnesses that occur in youth with pervasive developmental disorders. The team consists of experienced psychiatrists, psychologists and social workers with expertise in autistic spectrum disorders, more specifically the mental health issues often coexisting with these disorders. The team provides second opinion diagnostic consultation to clinicians within the IWK program but also to those across the province. The team provides ongoing multidisciplinary care for those youth and their families with severe illness and with complex presentations. Clinical service includes but is not exclusive to second opinion diagnostic consults, medication reviews, and provision of consultation and support to inpatient and residential mental health programs as well as to caregivers working with youth in community settings. Collaboration occurs with the community resources serving youth with PDD to enhance care provision/support services for youth and families with the illness. Research and academic teaching are key components of this clinic; the clinic serves as an excellent learning opportunity for students and residents who have an interest in youth with severe and complex PDD.
The IWK Eating Disorders Team
The IWK Eating Disorders Team is a multidisciplinary specialty team that services youth identified as having either anorexia or bulimia nervosa. The team consults and collaborates closely with colleagues in pediatrics at the IWK providing direct consultation and ongoing care for youth requiring inpatient medical care secondary to an eating disorder. The team also consults directly to the acute inpatient psychiatry unit providing collaborative and ongoing care for youth with the illness who require treatment on the acute psychiatry inpatient unit. Clinical care occurs not only with the youth (in inpatient and outpatient settings) but also directly involves immediate family members in the form of psychoeducation, support, psychotherapy and training in the integral components of evidenced based behavioral and cognitive therapy used for treatment of this illness. The evidence based treatment approach used by the team follows the model developed at the Maudsley Institute (UK), and is consistent with care models provided by most eating disorders programs in the country and internationally. The Eating Disorders Team accepts referrals from across the Maritime Provinces and provides collaborative specialty consultation to outside services via a provincial network of clinicians who share an interest in providing evidence based care for Nova Scotia youth with eating disorders. The mandate of the Eating Disorders Team is to provide clinical service but also education for learners and residents (psychiatry, psychology, pediatrics) as well as to community partners to enhance early identification of markers of risk for eating disorder and recognize who may require referral to the team.
The IWK Tourette’s/Movement Disorders Clinic
The IWK Tourette’s/Movement Disorders Clinic provides consultative comprehensive psychiatric assessment and treatment suggestions for youth (and families) presenting with complex Tourette’s disorder or other neuropsychiatric movement disorders for which traditional treatment approaches have been unsuccessful. The psychiatrist works closely with other disciplines within the IWK such as neurology, neuroimaging, internal medicine and psychopharmacology providing collaborative care for those youth presenting to the service. Education and family support are key components to this clinic along with efforts to conduct research into the various aspects of these disorders in children and youth.