Next Tuesday, January 31st, 12:15 pm!
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The Nova Scotia Hospital is located at 300 Pleasant Street, Dartmouth, Nova Scotia.
Our mission is to improve the quality of life for those affected by schizophrenia and psychosis through education, support programs, public policy, and research.

A Self-Help Group in Kings County, Nova Scotia
Cumberland County Chapter meetings are held the third Tuesday of each month, beginning at 7:00 pm, in the Dr. Carson & Marion Murray Community Centre, 6 Main Street, Springhill, Nova Scotia. Meetings are not held during the months of July and August.By Brian Medel, Yarmouth Bureau
YARMOUTH — Several physicians, including a number of psychiatrists, began practising in southwestern Nova Scotia during the summer and fall of 2011.
Three psychiatrists joined Southwest Health recently, bringing the number of psychiatrists to six in Nova Scotia’s westernmost health district.
All psychiatrist vacancies for the district are filled for the first time in more than 10 years, Southwest Health said in a news release.
Dr. Olufemi Banjo came in August, followed by Dr. Razi Hemani in September and Dr. Lourdes Soto-Moreno (pictured) in October.
"It certainly is good news, and hopefully we’ll hold on to them; there’s certainly the need," said John Roswell, a Digby Clare Mental Health Volunteers co-ordinator, on Sunday.
"It’s terrific if we have the full complement. Hopefully, it will mean that people get to see a psychiatrist and eliminate the lengthy wait process.
"It has been practically impossible to get to see a psychiatrist within six months, and it’s very heartening to hope that wait times may be decreased somewhat because of this."
The common wisdom is that 20 per cent of people will require psychiatric services or will experience a mental illness at some point during their lifetime, said Roswell.
The reporting of mental illness and the number of people seeking help has increased, he said.
Dr. Faten Germanus began working at a family medical practice in Barrington Passage in December. She is not yet accepting patients but an announcement will be made soon when she is ready to take on new patients, according to a news release.
Dr. Navdeep Mangat also began working in Digby General Hospital’s emergency department in December and will provide services at the Digby Well Womens Clinic starting this month.
And southwestern Nova Scotia residents with no family doctor but who have high blood pressure may take advantage of a new cardiovascular program at Yarmouth Regional Hospital, to be based in the facility’s wellness centre.
(bmedel@herald.ca)
Because NSEPP is located in Halifax, within the largest of the Nova Scotia health regions; Capital Health, the program provides direct clinical services to residents of the Capital Health district.Image credit
Referrals to NSEPP can be made by anyone, including mental health care professionals, family physicians, community agencies, educators and school counselors, family members, friends and any young person who suspects they may be suffering from a first episode of psychosis.
Criteria for referral of individuals who reside in the Capital Health district are:
- Any individual between the ages of 15-35 who is suspected of experiencing or has been diagnosed with a first episode of psychosis, and
- Has been treated for less than 6 months with an anti-psychotic medication, and
If you or someone you know meets these criteria please contact the NSEPP immediately at (902) 473-2976.
- At the time of referral has had active, untreated psychosis for less than one year.
What can I expect if I refer someone who resides in the Capital Health district?
- The intake coordinator from NSEPP will usually contact the person making the referral within 1- 2 working days after NSEPP receives the referral. The purpose of this contact is to obtain information necessary to decide if the person being referred meets the criteria for the NSEPP program and to also determine the urgency of the referral.
- All information regarding new referrals is presented by the intake coordinator to the NSEPP multidisciplinary team at their weekly meeting. At that meeting the NSEPP team will determine if the individual referred meets the criteria for the NSEPP program. If a referral meets criteria, NSEPP endeavours to assess those individuals within 1-2 weeks.
- Priority for appointments for initial assessments will be determined by the NSEPP team based on their assessment of the degree of urgency.
- Urgent referrals are assessed, whenever possible, within 1-2 working days.
- The individual making the referral to the NSEPP will be notified of the date of the assessment appointment and, after the assessment is completed, will be notified of the outcome.
- If it is determined that an individual referred to NSEPP does not meet criteria for the program, the individual making the referral will be notified by the intake coordinator and will be provided with information regarding referral to other appropriate mental health services.
Under the provincial service delivery model developed by the Nova Scotia Department of Health and as one of the Dalhousie University Department of Psychiatry clinical academic programs, NSEPP provides clinical consultation for residents of the Maritime provinces who reside outside the Capital Health district.
Criteria for referral of individuals who reside in the Maritime Provinces outside of the Capital Health district:
- NSEPP only accepts referrals for consultation from health care professionals including any mental health care professional or family physician, and
- Any individual between the age of 15-35 who is experiencing early psychosis (within the first 5 years of the onset of psychosis), may be referred for a consultation regarding diagnosis and/or treatment.
NSEPP does not provide ongoing clinical services to individuals who reside outside of the Capital Health district.
What can I expect if I refer an individual who resides in the Maritime Provinces outside of the Capital Health district?
- The intake coordinator from NSEPP will usually contact the person making the referral within 1 week after NSEPP receives the referral. The purpose of this contact is to obtain more detailed information regarding the reasons for the referral for consultation from the NSEPP.
- All information regarding consultations is presented by the intake coordinator to the NSEPP multidisciplinary team at their weekly meeting. At that meeting the NSEPP team will determine if the consultation referral to NSEPP meets the program criteria for consultation from NSEPP.
- If a consultation referral meets the NSEPP criteria, the NSEPP endeavours to assess all individuals referred for a consultation within 4 weeks after NSEPP receives the referral
- The individual making the referral to the NSEPP will be notified of the date of the consultation appointment. Once the consultation is completed, the individual making the referral will receive a written report.
- If it is determined that an individual referred to NSEPP does not meet criteria for referral for a consultation from NSEPP the individual making the referral will be notified by the intake coordinator and will be provided with information regarding referral to other appropriate mental health services.
At this time, persons referred for a consultation with the NSEPP must be willing to travel to Halifax/Dartmouth Nova Scotia for an assessment
To make a referral for a consultation please contact (902) 473-2976.
By Anne Aspler (pictured)Photo credit
There was a ticking time bomb in my head that deactivated at the age of 26: the probability of schizophrenia. That’s when, for first-degree relatives, the statistical likelihood of developing the disease drops from 13 per cent to that of the general population: 1 per cent.
My mom is afflicted with schizophrenia. Despite never having had signs or symptoms, I used to live in constant fear that, one day, I might develop it. The path of my life was driven by this fear. I overworked myself to ensure a livelihood that would enable escape from the stigma of mental illness and unemployment. Becoming a doctor seemed the best I could do to champion my own mental sanity, and to further understand an illness that has never made sense to me.
For some, Christmas aggravates their heart failure – all those salty holiday indulgences. For others, the season precipitates their “brain failure” – the stress, anxiety and loneliness is amplified by the process of reflection on years past.
For part of last year’s holiday season, I found myself on the crisis-psychiatry team at one of the busiest inner-city centres in Canada: St. Michael’s Hospital in downtown Toronto. “Crazy” became the new norm, all day, every day, suicide and self-harm an acceptable and prevalent psychological exit.
My worst moment of flashback to my own experiences occurred when I had to make a phone call to the Children’s Aid Society. I’d just spent an hour developing a good rapport with a newly divorced, newly unemployed, suicidal single parent – courageous in seeking help. Calling CAS was a decision that would result in the removal of her children from her home – at Christmas.
To me, it was the ultimate betrayal of her trust. I felt as though I had betrayed my own mother. Instead of going home for the holidays last year, I externalized my distress by going to Haiti as a volunteer physician working on cholera-relief efforts.
As early as Grade 3, I had an understanding of the societal taboos around mental disease. That year, our art-project assignment was to “depict your parent’s career in a drawing.”
My mom? Unemployed. And so I developed a knack for creativity. I didn’t understand exactly what was wrong with my mother, so making up a career for her wasn’t a big stretch.
In high school, my sister and I were recruited for a University of Alberta study of children with a parent who had schizophrenia. Enrolling in this was like facing my biggest fear. I was sure the survey would uncover that, secretly, my mental stamina of steel had been blocking out symptoms that would eventually resurface with a vengeance.
Quite the opposite happened: It was a first step toward freedom. Not only did they declare my sister and I mentally “healthy”; they did something far more important to me – they normalized the disease.
I understand now that “mentally healthy versus ill” is an often unhelpful dichotomy. The psyche of the population exists on a spectrum. Scientifically, we have constructed an arbitrary standard. Past a certain point of dysfunctionality, some will be labelled, recommended for therapy and medically treated.
The rest of us can retain our status as “normal” and obtain socially acceptable therapy in the form of free counselling from family members and friends, self-therapy in the form of reflection, and perhaps moderate doses of self-medication.
Even for one individual, mental wellness fluctuates immensely over time. Practising medicine has reaffirmed for me that there is not one among us who is 100-per-cent mentally sound in all day-to-day exchanges and decision-making. Most of us could probably cite one or two mental hang-ups they could do away with. Thankfully, we escape any permanent labelling and write these off as a mood, an anxiety, impulse or worry.
I realized I'm tired of the silence around mental illness. I'm tired of contributing to the stigma by hiding the reality that these patients are our sisters and brothers, our parents, our closest friends – the ones in our lives whom we love but don’t know how to reach out to.
The reality? My mother is a great parent. With age, I’ve come to appreciate that her demeanour has given me a positive outlook on life; and it has imbued me with an inordinate capacity to tolerate chaos and disruption. They are traits that have served me well as an emergency resident physician in Toronto and working overseas in resource-poor settings in South America, Asia and Africa.
It's also taught me to value my clarity of mind and to put it to use. It gave me the opportunity to benefit firsthand from Canada’s social safety network. It has bred a doctor and a teacher (my sister) who will be strong lifelong advocates for redressing social inequity.
To my colleagues who work with those affected by mental illness: Thank you for showing them patience and understanding and treating them as equals, even when society, or sometimes their own family, doesn’t.
My mom has really done her best. She’s spent her entire life struggling to cope with the mind inside of her, as well as to cope with the reactions of the world around her.
She’s amazing, really. My sister and I will probably try to micromanage her symptoms until the end of her days. But we love her. And we owe her and her illness everything.
Anne Aspler lives in Toronto.

The Jack Project at Kids Help Phone, in partnership with the Mental Health Commission of Canada / Mental Health First Aid has produced this role play video. It outlines the need for mental health awareness and the Mental Health First Aid helping actions that can be used to support someone who is struggling.
Chair of the Mental Health Commission of Canada, the Honourable Michael Kirby spoke to the importance of peer support in the Mental Health Strategy for Canada at the Peer Project event in Ottawa on October 5th, 2011.
IWK hopes to whittle down wait for youth mental health services
By John McPhee, Health Reporter
Add value and keep it simple.
It sounds like a business marketing pitch but actually it sums up an increasingly popular system for treating young mental health patients.
Two child psychiatrists from Britain have been working with staff at the IWK Health Centre in Halifax this week to see if the Choice and Partnership Approach will work there.
About 1,100 people are on the waiting list for child and adolescent mental health services at the IWK Health Centre in Halifax. That wait can be as long as 18 months, compared with the standard acceptable wait of about a month.
"They’ve noticed some of their systems haven’t helped users as well as they would like," Steve Kingsbury [pictured], a child and adolescent psychiatrist based in London, said in an interview Tuesday during a break in the training session at a Halifax hotel.
"How you organize services (and) the paperwork you have to do? And I don’t think they could see any way of doing it better until they heard about this."
Kingsbury and Ann York, who also works in London, have taken the "reduce bureaucracy and focus on the patient" message to 11 countries in the past six years. They and other clinicians came up with the system as a way of tackling long wait times and unacceptable outcomes, York said.
"The central premise is how to design services to make things better for the young person and their family, a better experience and more effective for them. All the things we then do organizationally and clinically are around having them at the heart of it."
The usual treatment approach would see a doctor do a thorough assessment of the patient. But recommendations are often made based solely on such assessments, without finding out what makes sense to the family or the child or what they want, the doctors said.
The question of wants, not needs, is crucial to the Choice and Partnership Approach. If the patient is asked what they want, the list is usually short and can be addressed right away by giving the patient and family goals to work on at home.
"They wouldn’t be put on a waiting list for something," York said. "They would go away with an appointment in their hands to see somebody with the right skills to help them with the goals they wanted."
This method has reduced wait times at their London clinics from a year to several weeks. Similar successes have been reported in the countries where they have trained staff and managers. Those countries include the United Kingdom, Australia, New Zealand and Belgium.
York and Kingsbury came to Nova Scotia on the recommendation of a doctor now working in Halifax who underwent the training in New Zealand.
The IWK couldn’t provide an exact cost of the three-day session, but York and Kingsbury said they don’t charge full consultant’s rates. Rather they are paid the equivalent of what they would earn as clinicians in London. It is their first visit to Canada and they combined the working sessions with their vacation.
"It’s not our day job," joked York, who said they continue to work full-time as psychiatrists and devote an average of one day a month to their consultant work.
Sharon Clarke, clinical leader for mental health services at the IWK, said she was impressed by the Choice and Partnership Approach just from reading the material on the website.
"The exciting part for me is that they’re taking a business approach, in the sense of lean thinking, and using these ideas of demand and capacity to really be able to have an accurate assessment of what the needs are in the system — to put people in the right places, to do the right job at the right time."
The IWK will begin using the system in wait list interventions in January and it will be fully implemented by April.
(jmcphee@herald.ca)