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Download Referral Criteria for - BC Children`s Hospital
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Referral Criteria for: Mood & Anxiety Disorders Clinic Referral Criteria What are the age criteria? Between the ages 6-18 years old What are the gender criteria? n/a Who can refer? A General Practitioner or Medical Physician of any type can make a referral. Is there a form that needs to be filled out? The Child & Adolescent Mental Health Outpatient Programs Referral Form needs to be filled out. How do you submit this form? The Child & Adolescent Mental Health Outpatient Programs Referral form and a detailed consult letter with copies of all reports (all prior assessments occupational therapy/speech language pathology/psychology, children and youth mental health, physician consult reports,etc) plus name, address, all contact telephone numbers, Personal Health Number and birth date can be mailed or faxed to 604-875-2099 If there is no form that needs to be filled out, then who does the referrer need to contact? n/a The full address of where service is offered. BC Children’s & Women’s Health Centre of BC 4500 Oak Street Vancouver, BC V6H 3N1 We serve children and youth: Description of target audience. 1. Clearly Tertiary: Referrals from Child and Youth Mental Health or Psychiatrists/Pediatricians for consultation for complex patients with symptoms consistent with major depression, bipolar disorder or severe anxiety disorder. 2. “Secondary” General Practitioner referrals in the following circumstances: moderate to severe symptoms; require consultation but limited local resources Patients who are not responding to initial medication and psychotherapeutic interventions Medication review/reassessment of mood or severe anxiety case previously seen in clinic or other mental health resource Symptoms consistent with early stages of serious mood disorder, in context of strong family history, but not necessarily meeting criteria for acute referral to community mental health. Examples: severe anxiety and sleep disturbance, extreme mood swings, recurrent brief depressive episodes, unexplained hallucinations, chronic or temperamental anxiety symptoms interfering with function without the acuity that would allow them to access community mental health resources. 3. Other teaching or research cases: Less complex cases that live in the local area as needed to fill teaching/research mandate. Who is the service not appropriate for? 4. Group Referrals: Referrals to existent group programs from treating clinicians. This service is not appropriate for adults, Autism assessments, longterm treatment, medical legal issues, psycho-educational/occupational therapy/ speech language pathology assessments, custody/ access/court reports and children involved with other agencies. Before or after care restrictions or considerations. Is there anything else you need to know about the referral process? We do not see children and youth that: Have not engaged in appropriate community treatment closer to home prior to referral (tertiary referral unlikely to be necessary at this stage) Already in active treatment with another resource which is not requesting 2nd opinion (i.e duplication of service) Have another primary diagnosis (such as an Eating Disorder, undiagnosed Autism or Attention Deficit Hyperactivity Disorder) that is likely to be responsible for the presenting symptoms Before care considerations: If a timely community mental health referral is more appropriate, rather than waiting for assessment with us, then referral to a community team for re-assessment and treatment is recommended All referrals are reviewed by the clinic director and team members at a weekly intake meeting. If a referral is not accepted, the family and referring physician will be informed by letter and recommendations for more appropriate resources will be provided. Once a referral is accepted, pre-assessment questionnaires are sent home for the family and the child's school to complete. These questionnaires must be returned by mail before the first appointment, as they provide helpful information for the clinician in the assessment.