Outpatient Mental Health Clinic

A person petting a dog.The Outpatient Mental Health Clinic is designed to foster the continuity of care once patients return home. They optimize their mental condition, functioning and recovery in the community.

All individuals referred to our Outpatient Mental Health Clinic are directed towards a central intake. Once the referral received, the central intake staff evaluates and directs the individual to the appropriate service within the Outpatient Mental Health Clinic or in the community. This service if offered by a nurse and a social worker, Monday through Friday between 8 am and 4 pm.

Our outpatient services include many programs and clinics that address different needs:

Our specialized clinic is designed to improve the daily autonomy of patients struggling with concurrent disorders by offering a range of psychoeducational workshops. Patients with concurrent disorders live with a severe and persistent mental disorder in addition to substance abuse. The AGIR clinic focuses on harm reduction by concentrating on relapse prevention, enhancing motivation and teaching skills that can be used on a daily basis. Patients benefit from group therapy, with the possibility of regular one-on-one counselling with a professional from our clinic. Group meetings last between 8 and 15 months, with two workshops, three hours per week. A psychiatrist, social worker and occupational therapist manage the AGIR clinic.

The Integrative Day Hospital Program is designed for Francophone residents of Ontario. The therapeutic approach is based on Cognitive Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT.) The treatment modalities include psychoeducation in a group therapy setting, and individual psychotherapy. The program is held 5 days a week, for 8 weeks. Daily group sessions begin at 10 am and last 2 to 4 hours. The interdisciplinary team is comprised of a psychiatrist, a psychologist, a nurse and an occupational therapist. 

Exclusion criteria:

  • Substance abuse that could interfere with treatment
  • Housing and/or transportation issues
  • Psychotic disorders (some exceptions may apply)

Objectives:

  • Improve level of functioning
  • Increase general understanding of what affects their mental health and develop skills to better manage it (especially crisis intervention strategies)
  • Improve connections within the community

This intensive group therapy is designed for Francophone residents of Ontario from 18 to 65 years of age presenting a diagnosis of severe and/or persistent depression and/or anxiety. The program’s goal is to work directly on managing emotions and interpersonal difficulties. The therapy objectives are adapted to the particular problematics presented by each participant. The program is spread over 8 weeks. Each session lasts 3 hours, 5 days a week. The Intensive Day Hospital’s interdisciplinary team consists of a psychiatrist, and two psychotherapists.

The Borderline Personality Disorder Clinic offers specialized treatment to Francophone adults diagnosed with a borderline personality disorder. This therapy program combines both behavioral-dialectical therapy and mentalization-based therapy. It is offered for a maximum of six months. It aims at the transmission, integration and generalization of various skills that will enable patients to deal with the emotional, interpersonal, cognitive and behavioral effects of borderline personality disorder. This service includes a weekly 3-hour group session as well as one weekly individual psychotherapy session. Psychiatric consultations are also available as needed.

The psychiatrists with our Outpatient Mental Health Clinic offer consultations, psychotherapy and pharmacological monitoring meetings. To obtain this service, a patient’s physician must submit a request to one of our clinic’s psychiatrists.

This program allows Francophone adults living with a mental health disorder to obtain brief individual psychotherapy. Our mental health professionals offer short-term psychosocial interventions founded on precise and attainable therapeutic objectives. The multidisciplinary team consists of psychologists, psychotherapists, social workers, and occupational therapists. This program is only available through a recommendation made by a psychiatrist within the mental health program.

The purpose of this clinic is to evaluate, educate and support patients diagnosed with a mental disorder, and to administer the necessary medical treatments. Offered by nursing care professionals, the program is reserved for clients followed by a psychiatrist from the Outpatient Mental Health Clinic. The nursing staff is also qualified to monitor patients who have been prescribed Clozaril, and to administer long acting injections.

This program is the outcome of a partnership between Montfort Hospital and the Transition in Mental Health Care Service for Young Adults of the Children’s Hospital of Eastern Ontario (CHEO). Based on a psychoeducational model, its objective is to help Francophones aged between 16 and 24 to make the transition from child to adult mental health services. The content of the psychoeducational workshops is adapted to the participants’ diagnosis. We also offer a referral service throughout the program to make it easier to obtain treatment tailored to the needs of each participant. Members of our closed group meet once a week for 10 weeks. The Transition Clinic for Young Adults team includes a psychiatrist, a social worker and a psychotherapist. To join the group, a psychiatrist, general practitioner or coordinator of the Transition in Mental Health Care Service for Young Adults must complete the referral form.

This group is designed for Francophone adults struggling with anxiety management. Its psychoeducational approach aims to address anxiety-inducing sensations, thoughts, and behaviours that interfere with a person’s level of functioning. Dialectical Behaviour Therapy, Acceptance and Engagement Therapy as well as Cognitive Behavioural Therapy are approaches used with this group. The group is offered by a social worker, a psychotherapist and their students. We aim to have between 10 and 12 participants per group. Each session lasts three hours, at a rate of once a week for ten weeks. There is an individual evaluation and orientation session before beginning the group, as well as another individual session a few weeks after the group has ended.

The Outpatient Mental Health Clinic has introduced perinatal services to its outpatient clinic. It is a specialized program for pregnant or postpartum women who have psychiatric difficulties that are either pre-existing or have developed during pregnancy or in postpartum, or who have premenstrual dysphoric disorder. Outpatient consultations and follow-ups may be provided for these patients. Group therapy can also be offered to pregnant or postpartum women who are Francophone, at least 18 years of age, and suffering from a mood or anxiety disorder. The group is available over 12 weeks, with each weekly session lasting 90 minutes. It is an integrative psychotherapy containing elements of psychoeducation, interpersonal interactions, relaxation exercises, and interventions promoting attachment, including baby massage. This group therapy aims to reduce depressive and anxious symptoms, encourage social supports, improve interactions between mother and child, reinforce autonomy, and foster feelings of competence as a new mother. A medical reference is required.

The Perinatal Telepsychiatry Service provides consultation and evaluation services in perinatal psychiatry and women’s health for Francophone women living in remote regions, through the OTN audiovisual system. Psychotherapy and ongoing treatment are not available through the telepsychiatry service. The consultations and evaluations are made by a psychiatrist.

Individuals with mental health and substance abuse disorders may seek help from the emergency department when they are experiencing a crisis, having difficulty coping with their situation, or finding that their condition is deteriorating. They may also seek help if no other service is available or if they do not have knowledge of services available. Individuals come on their own accord or are accompanied by a loved one. This service is offered by an interdisciplinary team composed of a nurse, a social worker and an on-call psychiatrist. The team is available Monday through Friday from 8am to 4pm. During evenings and weekends, the on-call psychiatrist is available for consultations when deemed necessary by the Emergency Department Team.

The team provides a comprehensive assessment and will make recommendations for admission to the mental health unit, refer the person to the Outpatient Mental Health Clinic, or to community services. If discharged, the patient will receive a follow-up wellness check by telephone to ensure they have followed through with the recommendations and determine if they need additional help to access services.

The Transitional Discharge Model (TDM) was initially part of a two-year research project partially funded by the Council of Academic Hospitals of Ontario (CAHO.)  The Mental Health Program directors decided to maintain this service, which aims to improve the patient’s transition from hospital to community.

This innovative, patient-centered, evidence-based approach will allow us to create a safety net around the patients being discharged from the in-patient unit through a continued clinical staff support from a transition team until a community care provider can provide services to the patient; *Please note that the TDM is only accessible to patients hospitalized within the in-patient unit.

This integrative treatment program is meant to address the needs of French-speaking adults living with psychosis umbrella disorders, including schizophrenia. This group therapy modality is based on tenets of psychosocial rehabilitation, cognitive rehabilitation, and is meant to help participants work on cognitive deficits and regain social roles and facilitate community reintegration. The treatment team is composed of a psychiatrist, a nurse, an occupational therapist and a social worker. Groups are held twice a week, on Mondays and Thursdays, from 13h30 to 15h00 in room 00B182, located at the Mental Health Outpatient Clinic. Furthermore, the program will include punctual follow-ups with psychoeducation on psychosis to participants and their families with the goal of offering additional support to families and involve them in the recovery process.

Admission criteria:

  • Completed form (Central Admission / Request for psychiatric consultation)
  • Between 18-65 years of age (with the exception of the Transition Clinic for Young Adults (CAJAR) and the Perinatal Telepsychiatry Service)
  • Valid OHIP health card
  • Referral from a family physician, nurse practitioner or an in-patient ward of the hospital

Exclusion criteria:

  • Eating disorders
  • Psycho-legal evaluations
  • Not a resident of Ontario
  • Geriatric psychiatry
  • Pediatric psychiatry
  • Autism spectrum
  • Intellectual disability
  • ADHD evaluations
  • Long-term treatment
  • Request for second opinion (having already received a psychiatric consultation - each case will be evaluated)

To make a referral, fax the completed form to 613-748-4938, or call 613-746-4621 x 3909.