COMING SOON

The Child and Youth Virtual Consultation and Crisis Response Service has been created to support professionals and paraprofessionals who have a helping relationship with a child or youth under 18 living in Manitoba. This service works in collaboration with the Child and Youth services in regional Health Authorities, creating a “hub and spoke” service model, supporting low barrier service pathways.

The service offers timely consultation and support to service providers, and where it makes sense, brief treatment/crisis intervention for the children/youth in their care, to stabilize and transition care. This service is not a replacement for existing regional crisis services but works collaboratively to meet the needs of youth and their families. 

About the Service

The service responds to requests from a variety of service providers delivering care to children and youth including:

• Emergency departments
• Primary care
• School clinical teams
• Health care providers in First Nations Communities
• Service providers in organizations across sectors (e.g. Health, Housing Addictions and Homelessness, Families, Justice)
• First Nations community-based resources

Using a hub and spoke model, the service acts as a service hub, receiving requests from service providers across the province. The service offers consultation to service providers for high needs child & youth clients as well as brief treatment to help stabilize clients.

Once a request is received, staff will work with the service provider sources to provide clinical support, clinical assessment, along with medication and psycho-social treatment recommendations, client intervention, and facilitation of resource access. The service will work with regional partners to facilitate access to appropriate regional resources to ensure ongoing continuity of care.

Accessing the Service

The aim of the service is to ensure providers supporting children and youth throughout Manitoba have the ability to access timely supports and opportunities for consultation for clients with complex mental health and substance use concerns.

Criteria for inclusion into the service are:

• Requests for consultation from service providers
• Requests in relation to a child/youth under 18 years
• Service providers to maintain a helping relationship with the child/youth they are consulting about

The service is available seven days a week. To make it easier for service providers to access support, there are several ways to contact our team:

Phone: 1-877-536-2590

Fax: 204-786-0990

MB Telehealth: 1-888-315-9257 Email:[email protected]

Resources

• POSTER – Accessing the Child and Youth Virtual Consultation and Crisis Response Service

• This poster was created to serve a quick reference guide for accessing the Child & Youth Provincial Crisis and Consultation Service. We encourage referring service providers to share with staff and place in your respective locations.

The Behaviour Resource and Consultation Team (BRaCT) is a specialty mental health service that provides consultation and guidance for person-centered behaviour strategies.

The aims of BRaCT are:

• To improve quality of life for individuals living with complex mental health and behaviour support needs (the “individual”), their families, care providers, and support services (the “support network”) within the context of the individual’s lifestyle, values and environment through supporting the implementation of Positive Behaviour Support principles
• To build the capacity of the health system services to address behaviors of concern (BoC) and to mitigate risks posed by behaviours of concern through use of a Positive Behavior Support framework.

To access BRaCT services, health-care providers need to complete and fax “BRaCT Request for Consultation Form” or “BRaCT Request for Education” Form to 204-779-9165.

For general inquiries – please call 204-430-2867.

Mental Health Quick Reference Guide
The purpose of this guide is to familiarize you with some of the more common mental health issues and mental illnesses you may come across in your day to day work. This document may be helpful to a range of staff. Paraprofessional and support staff may find it particularly useful to equip themselves with the knowledge and tools to effectively work with individuals who may be having difficulty coping due to the nature of their symptoms.

Behaviours of Concern: A Resource for Supporting Individuals
The purpose of this resource is to offer a lens for understanding behaviours that we may see exhibited in individuals that we serve. This includes exploring why behaviours can occur, what they might look like, and how we can offer support to the person. Through review and reflection, we can enhance the nature of our interactions and improve the care that we provide.

The CBTm Hub has been funded by the Manitoba Government in partnership with Shared Health. The CBTm Hub has two main components:

• Service delivery – Offering access to CBTm classes for all Manitobans
• Clinical capacity building – Providing training for clinicians to use CBTm materials

The CBTm Hub provides two options for individuals to access the CBTm program:

• Option 1: Clients/patients from clinics across Manitoba can be referred to the CBTm Hub by any healthcare provider by completing a referral form online at https://cbtm.portal.gs/accounts/clinic/cbtm-intake-clinic/patient/referral/ or by using the attached PDF patient referral form in their EMR. Patients can be referred to either the facilitator-led Zoom classes or the online self-directed web course.

• Option 2: Anyone in Manitoba can now self-refer to either the facilitator-led Zoom classes or the online self-directed course without requiring access to a healthcare provider. Clients/patients can self-refer and choose the program that is best for them by scanning the QR code on the CBTm infographic attached or by visiting the CBTm website.

Anyone who is referred to the CBTm Hub programs must participate in the program evaluation, as the CBTm Hub team uses centralized evaluation to determine the effectiveness of the program. Those referred will begin their CBTm classes within four weeks. We recommend that clinicians check the CBTm website for current client opportunities and consider printing and displaying posters in inpatient, outpatient, and residential facilities so that clients can refer themselves.

Resources:

• Printable public/patient facing CBTm poster/information
• Patient Referral Form

Clinical capacity building

The CBTm Hub offers training and support for clinicians interested in using the CBTm material within their practice. The Hub serves as a centralized resource for training, mentorship, adaptations, and program updates for over 400 trained facilitators across the country. The CBTm program can be used both in group settings and on an individual basis, and has been implemented as both a waitlist management tool or as adjunct to current treatment. The program is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada. Clinicians who are interested in learning more about how they can receive training and integrate the CBTm program into their clinic can visit the CBTm Hub’s website at CBTm.ca. The CBTm material is currently available in both English and French.

Are you a health-care worker in Manitoba who’s feeling stressed or overwhelmed? A new series of CBTm classes created specifically for health-care workers is now available. These classes are designed to teach skills that can help anyone in the health-care field to manage their mood better and cope with high levels of worry. The CBTm program consists of five classes, which can be done with a facilitator or on a self-guided basis. The program aims to help participants learn the basic principles of CBTm, which can in turn strengthen their mental well-being. CBTm is a program created in Manitoba and is being facilitated by the University of Manitoba, along with several collaborators including Shared Health. To sign up or learn more visit cbtm.ca, call 204-787-7729 or email [email protected].

• Download the poster

Rapid Access to Addiction Medication (RAAM) on-call information – For urgent 24/7 assistance that cannot wait until the next RAAM clinic. Available for clinical questions from physicians, nurse practitioners, nurses & pharmacists.

Rural Adult Telemental Health Consultation and Mental Health Virtual Ward Multidisciplinary team providing urgent telemental health consultation and short-term intensive virtual follow-up care for individuals residing in rural Manitoba. Please contact the service to speak to a team member.

Health-care providers: Call 1-204-940-6602 and ask for the Rural Emergent Telepsychiatry Service

Call Line Hours: 7 days/week from 0800 – 1600

(After hours – leave a message/request which will be followed up the next day.)

What is provided?

• Review of the case with a psychiatrist or delegate
• Telemental health assessment with a psychiatrist, physician assistant or mental health clinician
• Referral to short-term intensive virtual follow-up care if indicated

Please have the following information prepared prior to calling:

• Patient demographic information
  • Full name
  • DOB
  • PHIN

• Clinical details
  • Diagnoses
  • Clinical assessment details
  • Current Medications

Please have your site phone and fax number ready.

For patients requiring admission contact the Provincial Rural Flow Specialist at 1-204-599-8949.

The Provincial Virtual Crisis Service is delivered by Shared Health to all Manitoba health regions outside Winnipeg

Resource:

• Printable poster for health-care providers

In the fall of 2020, an inter-agency Renewal Committee, with partners throughout the Manitoba health care system, was formed to lead the redevelopment of a province-wide training curriculum to support clinical excellence in the delivery of services to individuals with co-occurring mental health and substance use disorders.

The Co-occurring Disorders Educational Curriculum (CODEC), was developed to meet a range of learning needs and is delivered in two tiers. The first tier is aimed at strengthening general knowledge of co-occurring disorders and is designed for a broad audience. The second tier delves deeper into the topic and is aimed at learners with a clinical focus.

CODEC Facilitator Materials

• Clinical Explorations Prereading Package
• Clinical Explorations Resource List
• Clinical Explorations References
• CODEC Additional Training Recommendations
• Clinical Explorations Slide Deck

Recognizing the need for wrap-around multi-disciplinary community mental health teams to address the complex needs of individuals, Shared Health has created three new teams.  These teams located in Winnipeg are the HUB, Flexible Assertive Community Treatment Team (FACTT) and the Assertive Community Treatment (ACT) teams. 

The (F)ACTT Hub was created to be a central location for referrals to be received with a goal of ensuring individuals are directed to the most appropriate resource. The team receives and reviews referrals and conducts initial meetings with individuals to determine whether the FACTT, or the Progressive Assertive Community Treatment (PACT) team would be the appropriate service.

ACT and FACTT are interdisciplinary teams of mental health professionals including a psychiatrist, psychologist social workers, nurses, occupational therapists, substance abuse specialist, employment specialist, support staff and peer support. The teams provide services with a low staff to individual ratio using a team approach with shared caseloads. The teams base the work they do on the principles of psychosocial rehabilitation and recovery.  Individuals working with the teams will help develop their recovery plan, receives assertive outreach, and can expect continuous service over the years, including:

• Treatment such as medication management, therapeutic counselling, substance use intervention, and access to primary care
• Rehabilitation is all areas of life including housing, family/social relationships, vocational/education support, and skill building
• Support though direct assistance to help meet the basic necessities of life
• On call support, 24 hours per day, 7 days per week

For a comparison of the FACTT, ACT and PACT teams, please click here.

To access the Assertive Community Treatment Teams Program Referral Form, click here.