Elective Rotations: Assertive Community Treatment Team - Carlington
Carlington Community and Health Services
900 Merivale Rd.
Ottawa K1Z 5Z8
Brief Description of Rotation
The resident will participate in the functioning of an ACT team which is a multidisciplinary team providing treatment and rehabilitation services in the community to patients suffering from severe and persistent mental illness.
Direct clinical services will include:
- Monitoring of patients in their living environments;
- Provision of pharmacotherapy;
- Individual and family counseling;
- Skills teaching; and
- Psychoeducational group interventions.
Indirect interventions will include:
- Consultation to the ACT team;
- Liaising with various service providers;
- Teaching allied professionals; and
- Advocacy for patient's rights.
The resident will participate in discussions and in decision-making involving ethical dilemmas associated with the integration of marginalized populations into the community. There is opportunity to attend weekly indirect multidisciplinary team consultations to various community health centers and agencies.
Principal Supervisor: Dr. Chantal Whelan
Description of Supervision
The resident will have on-going informal teaching and supervision through daily team meetings, weekly treatment planning meetings, assessment of new referrals and meetings with patients. Weekly formal supervision will include review of the literature related to psychiatric rehabilitation and teaching of the skills relevant to consultation psychiatry in the community. The resident will be expected to arrange long-term psychotherapy supervision.
As per the terminal cognitive, skill and attitudinal objectives of the Resident Training Objectives of the University of Ottawa, Department of Psychiatry and distributed yearly to Residents in the Orientation Package.
Expectations and Opportunities
The rotation will offer opportunities to further skill development in assessing patients with a high burden of comorbidity and psychosocial problems, in formulating a rehabilitation treatment plan and in monitoring functioning over the long-term. The resident will be expected to develop skills necessary for effective consultation to other mental health professionals. There will be on-going opportunity to manage pharmacological treatments and learn treatment principles in managing patients suffering from co-occurring mental illness and substance abuse. The resident will be expected to participate in family and systemic interventions.
The resident will be expected to prepare a minimum of one in-service and will be called upon to informally teach allied health professionals on a daily basis.
This is a clinical rotation. However, outcome evaluations and surveys are on-going in the service. The resident will have the opportunity to participate and will be encouraged to design any small projects related to his/her interests.
The Resident will function as a consultant with collaborative responsibility for patients on a multidisciplinary rehabilitation and treatment team. He/she can also have exposure to an exclusively consultative experience in attending sessions to community agencies with the supervisor. The resident will also participate in Ottawa Hospital intramural teaching activities (site to be determined individually).
Residency Level: PGY-2 to PGY-5 (Senior resident preferred)
Rotation Length: Six Months preferred, Three Months possible
Number of Residents: One
Suitable for Half-Time: Yes, but Full-Time preferred
RCPSC Core Rotation: Yes, Severe and Persistent Mental Illness (SPMI)
Debbie Hall, Postgraduate Coordinator
The Ottawa Hospital (General Campus), 501 Smyth Road, Ottawa, ON, K1H 8L6
All visiting elective residents must comply with the University of Ottawa policies and timelines.