Evergreen is a Regional Geriatric Psychiatry Unit. This unit provides comprehensive, specialized assessment and treatment of older adults with complex, age related, psychiatric needs. These needs may be complicated by behavioural and psychological symptoms and/or comorbidities. Examples include: - late-life mood disorders such as depression, anxiety, mania - late-life psychotic disorders (delusional disorder, schizophrenia) - psychiatric disorders - behavioural symptoms associated with complex medical co-morbidities and functional impairment (Parkinson's disease).

The purpose of the specialized dual diagnosis unit is to prevent long-term institutionalization and to maintain community placement by providing psychiatric inpatient services. Individuals supported are those whose diagnostic/therapeutic needs and/or medical requirements in the context of pharmacological interventions are such that community based care is contraindicated. The goal is to enhance quality of life, maximize individual's potentials, reduce mental health and behavioural challenges, teach new skills to optimize functioning, and improve relationships, working within a recovery oriented framework. Focusing on the specialized needs of those functioning in the moderate to profound range of Developmental Disability, will optimize dependent/semi-independent living. The unit's team will collaborate with the Developmental Disabilities Service (DDS) Outreach Staff in discharge planning. The focus of the unit is on intensive diagnostic assessment and treatment planning, building upon the strengths of the patients, their families, and community partners.

Psychiatric assessment and rehabilitation for adults with severe and persistent mental illness who have exceeded the capabilities of district level resources; typically who have been treatment refractory and are struggling in their home environment. We offer recovery-orientated service, integrating individuals' wishes and goals through a wellness framework. Patients are supported in developing the skills and supports necessary to live successfully and satisfactorily in the community and in a living environment of their choice. Patients are offered in-depth inter-disciplinary psychiatric assessment to identify needs with relevant interventions. Outreach is offered subsequent to discharge with time limited follow-up and consultative services.

The Developmental Disabilities Service (DDS) program provides psychiatric consultation and treatment for adults with developmental disabilities and mental health needs residing in the hospital's catchment area. The program's clinical team works collaboratively with community-based teams most commonly located in the patient's place of residence. The provision of psychiatric care is offered on the basis of individual needs, informed consent and/or substitute decision making.

The Community Treatment Orders (CTO) program serves individuals with a serious mental illness who have a history of repeated hospitalizations and have shown benefit from receiving treatment, care and supervision in their place of residence as an alternative to in-patient psychiatric treatment. Individual must have had 2 or more Schedule 1 hospital admissions in the last three years or one admission of 30 days or longer in the last three years. This is on a voluntary basis or supported by their substitute decision maker if treatment incapable

Services provided in a Withdrawal Management (detox) Centre assist with voluntary withdrawal from alcohol and/or other drugs to individuals who are under the influence of these substances and/or in withdrawal or otherwise in crisis directly related to these substances. Services may be provided with or without the aid of drug therapy and/or other medical interventions.

Provides individual therapy for adults and youth and time-limited group therapy for adults. Offers consultation and education for patients and family members as well as community and hospital programs. A full comprehensive assessment will be conducted to confirm a diagnosis of an eating disorder. The team will then offer evidence-based intervention such as Family Based Treatment or Cognitive Behaviour Therapy - Enhanced for those that meet the criteria for an Eating Disorder. Inclusion Criteria: support of primary care provider; diagnosis of anorexia, bulimia, binge, or eating disorder not otherwise specified (NOS).

Minowachiihewin - Regional Service for Indigenous People (MINO) provides mental health support and services to individuals who self-identify as Indigenous in partnership with other regional and district level community partners throughout the northeast region. The service provides supports to patients and their treatment teams while they are preparing for discharge from hospital and offer time limited follow-up in their home community as appropriate and in partnership with community based services. This program also offers capacity building and consultation for cultural safety and indigenous mental health in all care environments

Supportive beds which are intended to prevent those experiencing a mental health and/or addictions crisis from unnecessary involvement with the criminal justice system and/or hospitalization. Staff can provide mental health assessments, short term support, advocacy, referrals to community services, and education. Inclusionary Criteria: Voluntarily participation; not suited for hospitalization, arrest and/or detention; low risk of harm to self/others; not impaired by substances; independent for activity of daily living and mobility

The Early Intervention for Psychosis Program provides close psychiatric follow-up, intensive support services and education to individuals experiencing a first episode of psychosis. We also provide support and education to their families. This service is geared towards individuals with a probable diagnosis of a Primary Psychotic Disorder and may not accept patients where the psychotic symptoms are secondary to underlying Personality Disorders or if the patients suffers from a significant Developmental Disability.

This program offers: telephone, or face to face crisis service located at the College Drive site and, telephone, or face to face, and short-term community crisis support at the King Street Campus. The program provides mental health assessments, de-escalation and stabilization, short term support, advocacy, referrals to community services and education.

The role of the Psychogeriatric Resource Consultant (PRC) it to support healthcare providers in long-term care homes (LTCHs), Home and Community care, hospitals, and MOH funded community support organizations that provide care for older adults with or at risk of, responsive behaviours/personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions.

This program provides intensive treatment, rehabilitation and support to individuals living with a severe and persistent mental illness. Services include working with the Forensic Outreach Program to serve those individuals bound by an order of the Ontario Review Board.

Seniors' Mental Health - Regional Consultation Service (SMH-RCS) functions as a regional tertiary psychiatric out-patient service. SMH-RCS collaborates with North East Behavioural Supports Ontario and key stakeholders to provide specialized community outreach consultation services for older adults residing in private homes, retirement homes, or long-term care homes within the North Bay District. SMH-RCS provides mental health assessment, diagnosis, treatment recommendations and follow-up for older adults with late-onset mental health concerns as well as supportive education and counseling for family care partners. The program assists older adults with age-related psychiatric disorders and their caregivers. SMH-RCS also facilitates outreach leadership throughout the Northeast by providing clinical support and education to satellite community seniors' mental health programs.

This program provides time-limited group psychotherapy using CBT and DBT-applied approaches with a specialty in mood, anxiety, and perinatal (post-partum) disorders to enhance recovery and wellness. Inclusionary Criteria: Clients living with moderate to severe mental illness with stable basic needs. A primary care provider or other community organizations must follow clients.

This program is provided in a Community Withdrawal Management (Detox) Centre to assist with voluntary withdrawal from alcohol and/or other drugs with individuals who are under the influence of these substances, and/or in withdrawal, or otherwise in crisis directly related to these substances. Clients will be monitored with medical supervision. Individuals must be evaluated to ensure the safety of care within a non-hospital environment. They will also be: independent with activities of daily living (ADL) must be medically stable and not acutely intoxicated, communicative and able to consent to treatment services that may be provided with or without the aid of drug therapy and/or other medical interventions.

The Psychiatric Consultation Service offers either: - a one-time direct consultation to individuals who have not been seen in the last 12 months - systematic case review between a psychiatrist and primary care provider The service does not provide consultation to individuals whose main symptoms are due to Developmental Disability or Acquired Brain Injury, those requiring specialized services, or for patients seeking the completion of legal or disability documentation. The Psychiatric Consultation service is not a follow-up service, however our psychiatrists may offer additional visits on a case by case basis.

Ongoing preventative physician and nursing support, which provides metabolic monitoring who have been assessed by a psychiatrist diagnosed with a psychiatric disorder who are stable on prescribed antipsychotic medication and do not have alternative access to medical care.

The Rapid Access Addiction Medicine clinic (RAAM), provides an opportunity for individuals with substance use issues to access safe, non-judgmental specialized addiction medicine in a timely manner. While appointments are preferred, this low barrier model allows for drop-ins and self-referral. This multidisciplinary team combines addiction medicine (physicians who specialize in substance use disorder) with the psycho-social supports that many individuals struggling with substances require to improve their quality of life. In addition to medical intervention, assessment, treatment referral, and case management (housing supports, financial support, etc.) are provided. Once their addiction treatment has stabilized, they are referred back to primary care and other community supports. The clinical team offers ongoing support to family physicians through re-assessments and addiction specific consultations. In this model, addiction specialists, hospital staff, family doctors, and community service agents work with the individual to provide seamless and accessible care. Eligibility is assessed at contact with emphasis on opiates, alcohol and sometimes other substances.

This program provides blended group and individual psychotherapeutic programming, for those who are seeking to address concurrent substance use and mental health issues. Treatment will focus on harm reduction, and with a trauma-informed approach to care. Individuals using opiate replacement or anti-craving medication are welcome. This group is offered virtually.

The Specialized Geriatric Clinic is a community outreach consultation service that provides assessment, diagnosis and treatment recommendations with a focus on geriatric syndromes, such as frailty, falls, poly-pharmacy, and other medical complexities. Specialized team members offer : - comprehensive geriatric assessment, diagnosis and treatment recommendations - education and support for individuals and their families/caregivers - connection to other health care agencies and supportive services - limited follow-up

The role of the Psychogeriatric Resource Consultant (PRC) it to support healthcare providers in long-term care homes (LTCHs), Home and Community care, hospitals, and MOH funded community support organizations that provide care for older adults with or at risk of, responsive behaviours/personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions.

The role of the Psychogeriatric Resource Consultant (PRC) it to support healthcare providers in long-term care homes (LTCHs), Home and Community care, hospitals, and MOH funded community support organizations that provide care for older adults with or at risk of, responsive behaviours/personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions.

This program provides psychiatric assessment and rehabilitation for adults with severe and persistent mental illness and those experiencing concurrent disorders to substance use and who have exceeded the capabilities of district level resources; typically who have been treatment refractory and are struggling in their home environment. The program offers recovery-orientated service, integrating individuals' wishes and goals through a wellness framework. Patients are supported in developing the skills and supports necessary to live successfully and satisfactorily in the community. In order to accomplish these goals, patients are offered in-depth interdisciplinary psychiatric assessment to identify needs with relevant interventions. Outreach is offered subsequent to discharge with time limited follow-up and consultative services.

This program is designed for older adults who have a neurocognitive diagnosis complicated by Behavioural and Psychological Symptoms Disorder (BPSD), and/or medical comorbidities that may exceed the capacity of the community care and long-term care system to address. The focus of the program is an assessment of the causes of these behaviours and work to improve quality of life through environmental, behavioural, and pharmacological approaches. Findings and care recommendations will be shared with the home environment. The program will function as both a assessment site and demonstration site for educational purposes.

This program provides behavioural healthcare services for older adults in Ontario with, or at risk of, responsive behaviours/personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions. Clinical Behaviour Response Specialists: Provide direct clinical assessment, treatment, transitional support and behavioural health care planning to explore potential causes of responsive behaviours/personal expressions to develop formalized care strategies with care partners. Behavioural Support Facilitators: Support the family care partner(s) of individuals being supported through BSO by providing one-on-one coaching, support, reflective goal-setting and assistance with system navigation. Psychogeriatric Resource Consultants: Support healthcare providers in long-term care homes (LTCHs), Home and Community care, hospitals, and MOH funded community support organizations that provide care for older adults with or at risk of, responsive behaviours/personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions. Dedicated BSO Staff in Long Term Care: Provide coaching/mentoring, behavioural assessment and individualized non-pharmacological care strategies and are based in various long-term care homes throughout the North East.

The role of the Psychogeriatric Resource Consultant (PRC) it to support healthcare providers in long-term care homes (LTCHs), Home and Community care, hospitals, and MOH funded community support organizations that provide care for older adults with or at risk of, responsive behaviours/personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions.