Outpatient Services

Eating Disorders

Contact:

Phone: 613-544-3400 ext. 2508

FAX: 613-544-7623

Email: micalena.instant@kingstonhsc.ca 

Eating Disorder Referral Form

The Child & Youth Mental Health Eating Disorder (CYMHEDO) Clinic is a comprehensive, interdisciplinary and specialized program that provides assessment and treatment for children and youth with eating disorders. The team consists of a child psychiatrist, a pediatrician, a behavioural therapist, a registered dietitian, a social worker (MSW), and a nurse practitioner. The CYMHEDO team works with the child/youth and their family to create specific treatment goals to correct medical complications, restore body weight and promote normal growth and development, regulate eating patterns, and treat underlying mental health issues.  Treatment is family based and includes family therapy, family based dialectical behavioural therapy (when appropriate), individual therapy, nutritional education and support, health monitoring, and medication monitoring.  Adjunct therapy may also include meal support, telephone support, and parent support group.

Family, Child and Youth Clinic

Contact:

Phone: 613-544-3400 ext. 3406 or 2554

FAX: 613-544-7623

Email: CYMHIntake@KingstonHSC.ca

Child & Youth Mental Health Referral Form

The Family, Child and Youth Clinic (FCYC) is an outpatient mental health service offering treatment for children and youth up to their eighteenth birthday, and their families who are struggling with anxiety, depression, attention-deficit disorders, behavioural problems, learning difficulties and other serious mental health concerns and family dysfunction that have not improved with previous interventions.

This clinic offers specific services in neurodevelopmental disorders, mood and anxiety disorders, family therapy, psychological testing, and individual and/or group therapy.  At the initial consultation, if it is determined that psychiatric services are required, a psychiatrist, or psychiatric resident/fellow will step in, or a subsequent consultation appointment will be scheduled. Psychiatric consultation and psychological assessments are conducted on an as needed basis in collaboration with the psychiatrist and/or psychologist.

Children or youth presenting with serious suicidal ideation/self-harm or feeding/eating disorders are referred to our Urgent Consult Clinic and Eating Disorders Clinic respectively. Less serious referrals are directed to access services from their local children's mental health providers across southeastern Ontario.

Family Therapy Service:

The Family Therapy Service provides family therapy for families presenting with a wide range of family problems including family members with acute and chronic psychiatric illness. Family therapy is considered a form of psychotherapy that places primary emphasis on the family system with the aim of affecting change in the entire family structure. The treatment places its focus on family communication, interactional problems, conflict between members with the goal of improved individual and family functioning. Length of treatment can vary from short to longer-term therapy depending on the nature of the presenting problem.
The Family Therapy Service uses a team approach in that families/couples are interviewed by a therapist with the team members observing behind a one-way mirror which allows for immediate consultation from a team of experts.

Neurodevelopmental Service:

Staffed by a psychological associate, psychometrist, social worker (MSW), behaviour therapist and occupational therapist, this service primarily sees patients with autism spectrum disorder (ASD), attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), conduct disorder, and addictions.

Services offered: Individual, group (parent, children and youth) and family therapy; psychological assessment; autism diagnostic observation schedule (ADOS) testing and functional assessments.

Mood and Anxiety Service:

Staffed by a psychologist, social worker (MSW), behaviour therapist, occupational therapist and psychiatrists this service primarily sees patients with anxiety and mood disorders including self-harming behaviours,  mood dysregulation, poor coping skills (personality disorders), and co-morbid addictions.

Services offered: Medication management; individual, group (parent, children and youth) and family therapy; psychological/educational assessment and personality assessment.

Psychology Service:

Psychological assessment includes diagnostic and psycho-educational assessments to guide treatment planning and recommendations for ongoing supports both at school and in the community.  Assessments are completed by psychologists, psychological associates, and psychometrists with clinical supervision.

Psychologists are also an integral part of the multi-disciplinary team in providing clinical supervision, implementing treatment and assessment guidelines, and conducting program evaluation and research to determine best practices to meet the needs of children and youth referred to our program.  Psychologists work collaboratively both within our multi-disciplinary team and with community partners to identify mental health needs and develop ways to best support children and youth in our community.

School Consultation Service:

This service provides multi-disciplinary team consultation and ongoing support for group therapy and individual behaviour therapy to the following classrooms in the Limestone District School Board (LDSB); the largest of the four school boards in the Kingston region:

Students Overcoming Anxiety and Becoming Resilient (SOAR 23) Classroom:

A Section  23 Classroom for eight children in grades 5 to 8 situated in LDSB School.  Referrals are accepted from all school boards, and made by school staff, family doctors, or CYMHP. 

Classroom consists of a teacher and educational assistant (EA). Our psychologist provides ongoing consultation and support in the classroom, and psychiatric support is provided as needed for new assessments, medication management or brief family interventions in the classroom on site (one afternoon a week).  All students are open as patients in the CYMHP.

Group Therapy:

A plethora of research-driven and best-practice groups are available through the Program. Please see attachment for more information:

Therapy and Assessment Service Descriptions
 

Psychiatry Medication Management Clinic

Contact:

Phone: 613-544-3400 ext. 3406 or 2554

FAX: 613-544-7623

Email: CYMHIntake@KingstonHSC.ca

In partnership with the Division of Child and Youth Psychiatry at Queen’s University our Psychiatry Medication Management Clinic (PMMC) provides psychiatric diagnosis, treatment, and medication monitoring for children and youth with complex presentations which may include: anxiety disorders, mood disorders, tic disorders, obsessive-compulsive disorder, personality disorder traits, gender dysphoria, ADHD and severe PTSD.

Children and Youth may be seen by one of our child psychiatrists, psychiatric residents, psychiatric fellows, or nurse practitioner; treatment in the clinic may involve the initiation or adjustment of medication as the supervising staff has expertise in child psychopharmacology.  Appointments are initially scheduled weekly, and then every one to three months thereafter depending on the needs of the child and family. Once the challenges of the child or youth have stabilized (usually after three to six months), care is transferred back to the family’s primary care provider for ongoing medication monitoring.

Transitional Youth Service:

This service is a recent addition and is currently running as a pilot project. A transitional age psychiatrist provides assessment to youth aged 16 to 19 with referrals to the psychotherapy services offered by the Family Child and Youth Clinic. We are hopeful that this service will be developed further with future funding to address the gap in services for transitional-age youth who are 16-24 years of age.

Telemedicine Service:

By utilizing the Ontario Telemedicine Network (OTN) our psychiatrists and allied health staff can increase access and reduce wait times by providing mental health services for children and youth in rural, remote, and underserved communities through secure video conferencing.  This includes initial assessment, medication management, and ongoing psychotherapy.  This service is also available for James Bay coastal communities through an agreement with Queen’s University.

Outreach Service:

Psychiatric services are funded by the Ministry of Health and Long Term Care (MOHLTC), and as part of our collaboration with our community partners we provide consultation to children’s community mental health agencies which are funded by the Ministry of Child & Youth Services (MCYS) in the following areas: 

  • The Maltby Centre (KFL&A): Psychiatrists from our program provide consultation on a weekly basis at Maltby’s main office in Kingston. 
  • Children’s Mental Health Services or Hastings and Prince Edward Counties (Belleville, Trenton, Picton, Bancroft): A Psychiatrist from our program provides consultation on a bi-weekly basis via telemedicine.
  • Open Doors for Lanark Children and Youth (Perth & Smiths Falls): A Psychiatrist from our program provides consultation on an as needed basis via telemedicine 
  • Children’s Mental Health of Leeds and Grenville (Gananoque, Brockville, Prescott): A Psychiatrist from our program provides consultation on an as needed basis via telemedicine.

E-Therapies:

For children and youth in rural, remote and underserved communities or for youth who are unwilling to participate in traditional in-person therapy sessions we offer an online therapist-guided Cognitive Behavioural Therapy (CBT) program for youth with mood and anxiety disorders.  Modules are provided for six to eight sessions that require youth to complete worksheets that are sent back to an assigned therapist.  This type of treatment has been proven to be effective in clinical trials and offers an alternative to traditional therapy models.

Referral Process for Outpatient Services

Referrals to the Division of Child & Youth Psychiatry must be made by physician (e.g. family doctor, paediatrician). Once a referral has been made, it will be triaged within the Division to determine the appropriate clinic and psychiatrist.

What To Expect from your outpatient visit

Our outpatient clinics are located on Brock 5 at Hotel Dieu. Please check in with our secretaries in room 564 before your appointment.

At your first appointment, you and your child will meet with a psychiatrist, who will complete an initial assessment. Based on this assessment, your child's psychiatrist will then make recommendations for services and treatment that are appropriate for your child, if necessary. Your child may be referred to another professional on the multidisciplinary teams (psychology, social work, behaviour therapy, occupational therapy) for further assessment, individual treatment, and/or group treatment.

Parental involvement is a vital and necessary part of our services. Parent education and training is provided through individual treatment and groups.

Please expect a wait time to access a psychiatrist, along with additional wait time to access multidisciplinary services.