General Psychiatry

Our primary mandate is to provide provincial specialized consultation for children and youth ages 6-18 with a broad range of complex emotional / behavioural concerns and who have not responded to community treatment resources.

About

Who we treat

The Child Psychiatry Teaching and Consultation Clinic is affiliated with the University of British Columbia (UBC) Faculty of Medicine and provides a teaching environment for Child and Adolescent psychiatrists to supervise psychiatry residents and other trainees.

We also provide consultation for children and youth with less complex concerns on a limited basis, in order to meet our multiple mandates of teaching, research, and program development.

Access to the clinic is by physician referral only and requires the following:

Ongoing care and support by a health care provider in the community including at discharge
Parent / caregiver involvement

A recent physical exam is recommended.

Services we offer

Consultation
Assessment
Diagnosis
Limited treatment
Education / family support

The healthcare team

The interdisciplinary team is comprised of physicians, social workers, and psychologists. Involvement of these professionals is determined by the clinic. Our assessment and consultation process requires the active participation of the child and their entire family. We also send a questionnaire to be completed by the child's teacher.

Research

Research into the causation and treatment of psychiatric disorders in infancy is an integral aspect of the clinic activities. Research on outcome of group treatment, pharmacological studies, and other new research projects have been integrated into the clinic. All research is done with informed consent and protocols have been reviewed by UBC and Hospital Ethics Committees.

Learn more about our research at Child & Family Research Institute.

Training

Student placements and training opportunities are provided to students at all levels and from multiple disciplines including: social work, nursing, psychology, medicine and psychiatry.

The focus of the Teaching Consultation Clinic (TCC) is to provide university-based undergraduate, postgraduate and continuing medical education for medical students, psychiatry residents, pediatric residents, postgraduate fellows, psychology interns and practicum students, social work students, and family medicine residents as well as preceptorships for pediatricians or family physicians who require expertise and knowledge in child psychiatry for their future careers.

Training is primarily met through clinical supervision of a wide variety of child psychiatric conditions. The child psychiatrists in the TCC supervise core psychiatry residents on a one-to-one basis providing close clinical supervision and detailed feedback for 3- to 6-month rotations. The psychologist provides training in psychological assessments as well as psychotherapy. The social worker in the TCC provides training in family assessments and therapy.

The TCC organizes and provides teaching through seminars, case discussions, rounds, and workshops. Specifically, the TCC organizes an orientation week for psychiatry residents, a family therapy clinic, psychotherapy rounds, a play therapy workshop, a play therapy clinic and a core child psychiatry curriculum.

Treatment

During treatment

All the family members living with the child are requested to attend the first appointment. During this appointment the entire family is usually seen at some point, and the child is also interviewed separately. Referral information and questionnaires are reviewed and clarified with the child and family.

The initial appointment may range in length from 1-1/2 to 2 hours. In some cases, 2 or 3 appointments may be required to complete the basic assessment.

When the assessment is complete, the clinician will discuss the findings with the child or adolescent and family. Generally, this will include a diagnosis and a specific plan for further assessment, or recommendations for further treatment and intervention, with suggestions for where this might take place. A report will be prepared and sent to the appropriate people.

Prepare

When a child / youth has been accepted to the waiting list, questionnaires regarding developmental and family history and symptom checklists are sent to the parents / caregivers for completion. In addition, their teacher will be asked to complete a questionnaire.

For adolescents, an additional self-report is required.

A request is also made to the parents / caregivers to bring all relevant previous assessment reports to the first visit.

After assessment

After our assessment and consultation is complete, children / youth and families who require long-term intervention are directed to resources in the community.

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Provincial Health Services Authority

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