UNIVERSITY OF TORONTO
PSYCHIATRY ANNUAL REPORT
2013-2014
Table of Contents Chair’s Message Awards and Honours Vice-Chair and Education Reports Vice-Chair, Clinical..................................................... Vice-Chair, Education ................................................. Vice-Chair, Research.................................................. Undergraduate medical education............................... Postgraduate medical education ................................. Fellowship................................................................. Continuing professional and practice development.................................................
Community Sites George Hull Centre .................................................... Humber River ............................................................ Hincks-Dellcrest Centre ............................................. North York General Hospital ........................................ Ontario Shores .......................................................... St. Joseph’s Health Centre ......................................... Surrey Place Centre ................................................... Toronto East General.................................................. Trillium Health Partners .............................................. Faculty Listing Funding
Divisions Adult Psychiatry and Health Systems .......................... Brain and Therapeutics .............................................. Child and Adolescent Psychiatry ................................. Consultation/Liaison Psychiatry .................................. Equity, Gender and Population .................................... Geriatric Psychiatry.................................................... Psychotherapies, Humanities and Educational Scholarship....................................... Forensics Division...................................................... Fully Affiliated Sites Baycrest.................................................................... CAMH ....................................................................... Hospital for Sick Children ........................................... Mount Sinai Hospital .................................................. St. Michael’s Hospital................................................. Sunnybrook............................................................... University Health Network (UHN) ................................. Women’s College Hospital .........................................
Publications Journal Articles.......................................................... Book Chapters........................................................... Books ....................................................................... Publications .............................................................. Administration Fast Facts
Chair's Message CHAIR’S MESSAGE I am delighted to share the Department of Psychiatry, University of Toronto 2013-14 Annual Report with you. The Department has truly flourished over the past year, and my colleagues and I are proud to share the strides in education, research and clinical care within the pages of this report. Our achievements in each of our strategic pillars, along with our educational endeavors and financial health, have been truly significant. With an endeavor to transform the future of psychiatry, we launched our fundraising campaign in September 2013. Thanks to an incredible show of support from our Faculty this year, we have been able to designate excellence funds in education, research and CPA that will be awarded for the first time in 2014. In addition, we have invested funding towards a chair in forensic and consultation liaison psychiatry. We are well on our way to exploring our boundless capacity to improve mental health for Canadians and citizens across the globe. In 2014, a landmark $60 million investment was made to establish the Medical Psychiatry Alliance, a joint initiative by the Department of Psychiatry at the University of Toronto, the Centre for Addiction and Mental Health, the Hospital for Sick Children and Trillium Health Partners, to address the challenges of combined mental and physical health. This ambitious, integrated project is possible due to the remarkable support of an anonymous lead donor who has gifted $20 million, a commitment of $20 million from the Ministry of Health and Long Term Care, and a commitment of $20 million from the four founding institutions. The Department of Psychiatry is home to an extremely broad and diverse range of research pursuits across a wide range of clinical psychiatric disorders. We are extremely proud of the outstanding success of our researchers in obtaining a record
number of NARSAD Young Investigator and Independent Investigator Awards. The NARSAD Awards are a very competitive application with an incredibly high caliber of international talent. The significant number of awards our members received attests to the strength of our research program. Education in the Department encompasses Undergraduate and Postgraduate Medical Education, the Fellowship Program and Continuing Professional and Practice Development (CPPD). The Department is very involved in teaching medical students at the University of Toronto both in pre-clerkship courses and during a six-week third year clerkship in psychiatry. An annual Psychiatric Institute for Medical Students considering training in psychiatry is also offered each year. Medical school graduates enter the residency training program through the Canadian Residents Matching Service and each year the Department trains over 180 residents (more than half are women) each year. Our unique ClinicianScientist Program is available for residents seeking to develop research careers and training is increasingly offered for international medical graduates. Three years ago, we became the first and only University to receive accreditation for all three psychiatry subspecialty programs in child and adolescent psychiatry, geriatric psychiatry and forensic psychiatry. Both geriatric psychiatry and child and adolescent psychiatry subspecialties were reviewed internally in April 2014 and successfully passed these reviews. Residents in both subspecialties identified their Program Directors as accessible and well-liked leaders who are responsive to resident feedback and who work hard to ensure the success of each program on many levels. One of the highlights of both programs is the variety of clinical exposures at different centers of excellence. Resources within the subspecialty programs are another major strength. Residents can work closely with a large number of leaders in their areas of interest. Research, education and clinical care are often treated as silos in academic medicine. As I think of
CHAIR’S MESSAGE my colleagues and recollect stories from this past year, I can’t help but think of these elements more as threads tightly woven into the fabric of our Department. It’s been a pleasure serving as Chair of such an accomplished Department, and I am honoured to be part of a Department that continues to serve as a catalyst for change, educating worldclass students, and mobilizing resources of the University and Department to benefit those living with mental health issues.
PROMOTIONS Many members of the Department deserve accolades, and not all are mentioned in the pages of this report. I would like to thank all who contribute to our Department being an exceptional place to work and a source of pride to us all.
5 Dr. Kwame Mackenzie was appointed as CEO of the Wellesley Institute, effective March 24, 2014. Dr. L. Trevor Young was appointed Dean, Faculty of Medicine, for a 5-year term effective January 1, 2015
IN CLOSING The Department of Psychiatry has a remarkable legacy and a bright future. We have the people and priorities needed to support the Department’s already broad integration into the economic, social and cultural fabric of Canada and beyond. Thank you for your interest and support. Regards, Dr. L. Trevor Young Department Chair
Senior Promotions Drs. Lisa Andermann, Pier Bryden, Corinne Fischer, Zoe Hilton, Ron Keren, Adrienne Kovacs, John Langley, Elizabeth Lin, Suneeta Monga, Howard Mount, Robert Nolan, Antonio Pignatiello, Michael Rosenbluth, Joanna Anneke Rummens and Sanjeev Sockalingam were promoted to Associate Professor, effective July 1, 2014. Drs. Robert Maunder, Allan Peterkin, John Vincent, Albert Wong were promoted to Full Professor, effective July 1, 2014.
Junior Promotions Drs. Mark Berber, Gregory Chandler, Shaheen Darani, Karen De Freitas, Stephen Geoffrey Gelber, Seena Grewal, Imraan Jeeva, Katy Kamkar, Donna Kim, Eileen La Croix, Rajeevan Rasasingham,and Bogdan Cristian Ulic were promoted to Assistant Professor, effective July 1, 2014.
LEADERSHIP POSITIONS Dr. Susan Abbey was appointed Psychiatrist-in-Chief to the University Health Network. Dr. Allan Kaplan was appointed Vice-Dean, Graduate & Life Sciences Education (GLSE) for a 5-year term effective July 1, 2014.
AWARDS Our department is home to many outstanding faculty members who have received a number of accolades and acknowledgements over the past year. Listing all awards our faculty members have received over the past year would be a book in and of itself. A few truly noteworthy Department awards include: 2014 AWARDS:
RECIPIENT:
Abraham Miller Undergraduate Teaching Award
Dr. Donna Kim
Award for Resident Teaching in Undergraduate Education
Dr. Debra Hamer
Best Accomplishment by a Fellow (Clinical)
Dr. Hiroyoshi Takeuchi
Best Accomplishment by a Fellow (Research)
Dr. Shinichiro Nakajima
Division of Geriatric Psychiatry Resident Award
Dr. Darcy O’Brien
Donald A. Wasylenki Award for the Best Sociocultural Psychiatry Grand Rounds
Dr. Pracha Vatsya
Dr. Donald Wasylenki Award for Social Responsibility
Dr. Samuel Law
Dr. Max Alexandroff Award
Dr. Katie Bingham
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 Fred Lowy Award in Psychosomatic Dr. Yvonne Leung Medicine, Resident or Fellow Ivan Silver Award for Excellence in Continuing Mental Health Education Outstanding Resident in Addiction Psychiatry
Drs. Virginia Wesson, LJ Nelles, Joel Sadavoy
Dr. Kiran Somal
Allan Kaplan Graduate Award
Dr. Gwyneth Zai
Paul Steinhauer Award for Best Postgraduate Teacher in Child Psychiatry
Dr. Johanne Roberge
Psychotherapy Award for Excellence in Supervision
Dr. Eva-Marie Stern Dr. Angela Ho
Marie Mara Award for Residents Advocacy
Julia Bella
Resident Psychotherapy Award: Best clinical case report submitted by a Resident
Mary Seeman Award for Achievement in the Area of Psychiatry and Humanities
Dr. Cindy Malachowski
Robin Hunter Memorial Award
Dr. Gwyneth Zai
Robin Hunter Postgraduate Teaching Award
Dr. Keyghobad Farid Araki
Mary Seeman award for Clinical Excellence
Dr. Peter Voore
Paul E. Garfinkel Award for Best Fellowship Supervisor
Dr. Tarek Rajji
The Henry Durost Award for Dr. Yona Lunsky Excellence in Creative Professional Activity in the Department of Psychiatry
Paul E. Garfinkel Caversham Booksellers Prize for Excellence in Resident Leadership
Dr. Michelle Marlborough
The Psychotherapy Award for Academic Excellence
Paul E. Garfinkel Caversham Booksellers Prize for Excellence in Resident Leadership
Dr. Matthew Knox
Dr. Ron Ruskin
UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
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Vice Chair, Clinical 2013-2014 Report Overview A central component of the responsibilities of the Vice Chair, Clinical is to foster alignment, collaboration and integration of clinical and academic resources across the 8 Divisions of the University Toronto, Department of Psychiatry and across the University of Toronto affiliated teaching hospitals. An important vehicle for this is the Mental Health and Addictions Acute Care Alliance. The Vice Chair, Clinical is also the Executive Committee sponsor for the Pillar 4 component of the new University Strategic Plan, focusing on improving Dialogue around mental health, advocacy and fulfilling our social responsibility through improving access to care and reducing stigma.
Organization This academic year marked the third year of the newly aligned Divisional structure of the University Toronto, Department of Psychiatry, in a complement of 8, with the leadership of the Divisions meeting together 3 times annually in the Council of Divisions, chaired by the Vice Chair, Clinical. Each Division is led by a Director(s) as noted below and each Division has significantly advanced integration within and across Divisions through the academic year. The Eight Divisions include: Child and Adolescent Psychiatry: Director, Dr. Peter Szatmari Forensic Psychiatry: Director, Dr. Sandy Simpson Geriatric Psychiatry: Director, Dr. Bruce Pollock Consultation-Liaison Psychiatry: Director, Dr. Jon Hunter Adult Psychiatry and Health Systems: Director, Dr. Vicky Stergiopoulos The Psychotherapies, Humanities and Education Scholarship: Director Dr. Susan Lieff and Associate Director, Dr. Paula Ravitz Equity, Gender and Population: Co-Directors Dr. Valerie Taylor and Dr. Kwame McKenzie
Brain and Therapeutics, Co-Directors, Dr. Jim Kennedy and Dr. Tony George
The new Division structure expands on historic strengths and facilitates growth in new areas of scholarship, as well as supports the sub-specialty training programs in Forensic Psychiatry; Child and Adolescent Psychiatry; and, Geriatric Psychiatry. As we move forward in implementing our new University Department of Psychiatry strategic plan, the Divisions are integrating their academic activities into the key foci of the strategic plan. This includes four key pillars that will shape the Department over the next several years: Integration; Development; Brain and Dialogue. Each Division provides leadership in the areas of: education at all levels including undergraduate, postgraduate, fellowship and continuing education; research; creative professional activity and public policy where appropriate; and, in the provision of exemplary clinical care. Each Division will also seek to establish an endowed Chair(s). Our new fundraising activities are prioritizing the establishment of a Chair in Forensic Psychiatry and a Chair in Consultation Liaison Psychiatry Each Division also serves as the academic home for its members and provides opportunities for collaboration and professional development amongst the Division members, recognizing the challenges and opportunities that emerge within a very large and widely spread Department. We have been successful in realigning Divisional membership with hospital appointments and establishing greater clarity about primary and secondary appointments. We have established guidelines for the use of the financial support provided by the University Department to each Division. A series of Divisional retreats, lecture and continuing professional developments were held over the year to promote engagement amongst the Divisional interprofessional membership and establish clinical, educational and research agendas. Regular updates
VICE-CHAIR AND EDUCATION REPORTS are presented at both the Senior Advisory Committee and the Council of Divisions.
Year in Review The Mental Health and Addictions Acute Care Alliance One of the central integrative clinical programs in the University Department is the Mental Health and Addictions (MHA) Acute Care Alliance focused on improving access and quality of care across the broad continuum of acute care psychiatry. This alliance brings together seven hospital partners including; The Centre for Addiction and Mental Health; Mount Sinai Hospital; St. Michael’s Hospital; St. Joseph’s Hospital; UHN; Sunnybrook Health Sciences Centre; and Toronto East General Hospital along with the University of Toronto. The Alliance was established to improve the quality and efficiency of care with which care is provided to patients accessing emergency and acute care services in our respective hospitals, recognizing the value in collaboration and more efficient utilization of resources. The Alliance is governed by a steering committee that consists of senior representatives of each of the hospitals and the university, The steering committee is led by a management committee cochaired by Dr. Molyn Leszcz representing the University; and Jan Lackstrom as the administrative lead. Dr. Stephen Sokolov succeeded Dr. Kwame McKenzie as the hospital lead on the executive and Dr.Vicky Stergiopoulos is an ex-officio member of the executive as the Division Director of Adult Psychiatry and Health Systems, the Division in which the Alliance is supported and located. The Alliance Executive includes Adair Roberts as Administrative Director and Dr. Don Wasylenki as Medical Director. Core activities of the Alliance include maintaining a central bed registry and interhospital bed access model to reduce ED wait times and facilitate patient flow; implementation of a common assessment form; compilation of reliable data capturing the nature and volume of acute care activities; and systems improvements in collaboration with health care providers, the TCLHIN and with the police. Regular meetings also occur between the Inpatient Directors
9 focused on the dissemination of best practices for inpatient care; improving discharge planning; and fostering a spirit of stronger collaboration regarding bed access and utilization. This past year marked significant advances for the Alliance in establishing a memorandum of understanding after much consultation and input that will guide our interaction and collaboration. We have also developed a three year strategic plan with what we anticipate will be a broad reach and impact. The key elements of the Strategic Plan include: Accelerate development of the culture of collaboration within the MHA acute care system Continuous improvement of the quality of MHA acute care in the TCLHIN Promoting a recovery oriented and evidence based MHA acute care system Create and share knowledge to influence the MHA acute care system Ensure value for resources entrusted to the Alliance Strengthen the Alliance organization to implement the strategic plan
We continue to work to secure a stable funding base for our activities linking direct support from its hospital partners, the University of Toronto Department of Psychiatry with project funding from the Toronto Central LHIN (TCLHIN). We have also productively engaged the TCLHIN and TCLHIN CEOs’ table, with the leadership of Dr. Catherine Zahn, CEO of CAMH, in ongoing discussion regarding a jointly supported infrastructure for the Alliance. Funded projects include: a pilot project of Collaborative Care Planning lead by Dr. David Gotlib, St; Joseph’s Hospital, focused on creating across hospital interprofessionally based care plans for high need patients; a pilot project to improve and coordinate access to Urgent Psychiatric Services; a newly formed university-community collaborative focused on training frontline clinicians in evidence based mental health treatments; and Coordinated Access to Care from the Hospital – Emergency Department (CATCH-ED), a research trial lead by Dr. Stergiopoulos and Alliance partners focused on
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
frequent users of the Emergency Room. This is a pilot program that responds to people who are frequently visiting Emergency Departments (EDs) assisting them in accessing health resources in the community with the goal of reducing preventable ED visits and improving access to community-based care. The sites include St. Michael’s Hospital, the Centre for Addiction and Mental Health (CAMH) and St. Joseph’s Health Centre, UHN and TEGH in collaboration with Toronto North Support Services, Reconnect Mental Health Services, Sound Times Support Services, Community Resource Connections of Toronto, COTA Health, Parkdale Activity and Recreation Centre; and four Community Health Centres, specifically South Riverdale, Regent Park, Central Toronto, and Parkdale Community Health Centres. CATCH-ED Transitional Case Managers (TCMs) provide direct service to people who use Emergency Departments frequently and work with the hospital Emergency Department sites and Toronto community agencies to help connect frequent users to appropriate health, mental health, addictions, physical health and other services. This research project has been supported through funding awarded through a competitive process from BRIDGES, a joint MOHLTC and University of Toronto Faculty of Medicine initiative to evaluate fidelity of the delivery of the intervention across providers and as well as the outcome of the intervention. This evaluation, led by Dr.Vicki Stergiopoulos will compare the CATCH-ED intervention with care as usual in a randomized control trial. Analysis of the results of the trial and series of publications are imminent.
University of Toronto Department of Psychiatry Strategic Plan The past academic year has seen significant implementation of our Strategic Plan. All of the Divisions are engaged with the four pillars of the plan and integration of activities is a cornerstone of the Council of Divisions. The Vice Chair Clinical is
the executive lead for the Pillar 4 Dialogue component of the Strategic Plan which is led by Drs. Ken Fung and Lisa Andermann. The Dialogue Pillar is coordinating working groups charged with revising the social responsibility teaching and training curriculum; improving access for marginalized populations; extending our global mental health reach and reducing stigma. A new postgraduate award for outstanding achievements in social responsibility was established and awarded this year after a robust competition. Planning is underway for our second annual MindFest event coinciding with Mental Illness Awareness Week. In collaboration with the University of Toronto Hart House and a number of UT organizations that support mental health advocacy including the leadership of Health & Wellness, Student Life Programs and Services, MindFest will be a full day of presentations and panels by consumers, advocacy groups and professionals; contact education; videos; and a mental health fair featuring the Divisions of the department fostering dialogue and education aimed at reducing stigma and improving mental health awareness. We expect to continue to build on these larger scale clinical and academic partnerships to improve knowledge, education, quality and access within the systems of care we provide within mental health and addictions. Additionally, as a component of our advocacy mandate we work closely with the newly appointed University of Toronto Department of Psychiatry Communications Director, Lindsay Curtis to mobilize and coordinate media and public communication responses that advance understanding of important contemporary mental health issues.
Molyn Leszcz, MD. FRCPC Professor of Psychiatry Vice Chair, Clinical University of Toronto Department of Psychiatry Psychiatrist-in-Chief, Mount Sinai Hospital
Vice-Chair, Education Report 2013-14 Overview During the 2013-2014 academic year the Education Portfolio has experienced many achievements that are consistent with our vision of enhancing, supporting and recognising teaching and educational excellence. The Undergraduate Program continues to be a strong presence within the Faculty of Medicine training in both pre-clerkship and clerkship. Dr. Raed Hawa and the Undergraduate Committee have demonstrated quality leadership and innovation with continual renewal of the undergraduate experience. As a result more students are participating in preclerkship experiences such as the Psychiatric Longitudinal Experience (PsyCLE) and the new PsyCLER experience with residents. These are shadowing experiences with faculty or psychiatry residents during their clinical work in hospitals and outpatient clinics. In addition to this, a new Narrative Reflective Competency (NRC) has been introduced to replace the Continuous Patient Profile (CPP). The Postgraduate Program has continued to flourish under the leadership of Dr. Mark Fefergrad. During this academic year the Postgraduate Program has implemented a mandatory telepsychiatry curriculum and experience in the PGY2 year with plans to expand to include telepsychiatry in every rotation. A new Curriculum Committee is being formed which will look at the implementation of simulation and a competency-based hybrid curriculum. The Postgraduate Program is the largest program in North America and we are delighted to have filled all of our CaRMs positions, with a plan to expand even further this coming academic year. This is a testament to the level of excellence and outstanding leadership of the Psychiatry Residency Program Committee (PRPC) and the Postgraduate Education Advisory Committee (PEAC).
The Continuing Professional and Practice Development portfolio has experienced a successful year of transition. Dr. Sagar Parikh completed the final year of his ten year term in June 2013, and left a legacy of outstanding accomplishments. The program mandate was expanded to include both Professional and Practice Development. Dr. Sanjeev Sockalingam was selected to become the new director of this program in September 2013. Since his appointment, he has led a comprehensive needs assessment which will inform the work of his new committee. Dr. Sockalingam has led our Department of Psychiatry in becoming an official Aligning and Education for Quality (ae4Q) collaborative site of the Association for American Medical Colleges (AAMC). We look forward to learning about their plans for the coming year. Dr. Arun Ravindran continues to develop and expand the Fellowship Program, which is now one of the largest in the Faculty of Medicine. A recent evaluation of the current cohort indicated that our fellows come from a diversity of contexts which include Canada, Africa, Asia, Europe, the Middle East and South America. The wonderful scholarly and clinical work that our fellows are participating in was quite evident at their recent Academic Day. Dr. John Teshima and the Faulty Development Committee have successfully implemented many new initiatives over this past academic year. The Orientation Day which took place in fall 2013 was highly rated by participants and will become an annual event. There have been teaching skills sessions at the Mississauga Academy of Medicine as well as locally and an oversubscribed Promotions Boot Camp. The Don Wasylenki Education Day was a huge success due to the quality of faculty participation in this event. Within our three fully accredited Subspecialty Programs, the Geriatric and Child and Adolescent
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
Psychiatry programs successfully passed the Royal College of Physicians and Surgeons of Canada (RCPSC) mandated internal review of their programs in April of 2014. Congratulations to Drs. Rob Madan and John Langley and their PRPCs for their wonderful work. We are also delighted this year to acknowledge the first graduates of the Geriatric and Child and Adolescent Subspecialty training programs. Having a clear direction and identifying opportunities for cross-fertilisation and collaboration across the continuum of education for our department have guided the work of the Education Council which is comprised of all of the above Directors, myself and the lead of the RISE stream. In the past academic year the Education Council has continued to identify faculty members for educational awards with some success and has implemented a semi-annual review of faculty teaching performance by the Chair and Vice-Chair, Education. The Education Development Fund Committee (EDF) reviews grant submissions from Department
of Psychiatry applicants to the Faculty of Medicine’s EDF on an annual basis, under the direction of Drs. Sophie Soklaridis and Shelly Brook. This year we are pleased that two of our committee members were selected and approved for funding: Drs. Sophie Soklaridis and Carrie Bernard for their project “The Health Advocate Role in Family Medicine and Psychiatry Residency Curricula” and Drs. Sanjeev Sockalingam and David Wiljer for their project “Developing a Lifelong Learning Curriculum to Prepare Psychiatry Residents for Continuing Professional Development”. I would like to express my heartfelt appreciation to all of our faculty members and administrative staff for their dedication and commitment to education in our Department over the past year. Best wishes,
Susan Lieff MD, MEd, MMan Vice-Chair, Education
Undergraduate Medical Education Overview
ASCM I/ASCM II/DOCH 2
My 5 year commitment as Director of Undergraduate Medical Education in the Department of Psychiatry has been to improve our preclerkship program, enhance psychiatry integration within our four year curriculum, expand recruitment, advance our students’ assessment tools and increase our involvement within the medical school locally as well as within the national and international educational bodies.
Our staff continues to contribute their energy and talent to make these preclerkship courses a success with emphasis on the importance of involvement of psychiatrists in medical student teaching, whether it is in interviewing skills or research projects. As we move ahead with new innovation in preclerkship years, DOCH will be replaced with a new program that enhances student engagement with community agencies.
PRECLERKSHIP BRAIN AND BEHAVIOUR and MMMD
Making Every Encounter Therapeutic- MEET
Dr. Albert Wong, as the Brain and Behaviour Psychiatry Coordinator, has collaborated with Dr. Nikola Grujich, the Coordinator for the Psychiatry section in MMMD, to integrate the psychiatry curriculum between first year’s Brain and Behavior and second year’s MMMD. This resulted in in enhancement of psychiatry exposure to our preclerkship students. We have been successful in our goal to have our psychiatrists co-teach along other specialists (paediatricians and family physicians) in areas such as eating disorders, addiction and paediatric developmental/behavioural disorders. The feedback from the students has been very positive. Dr. Grujich has also introduced an interactive modality to enhance his MMMD presentation with excellent student feedback.
Dr. Adrienne Tan continues to lead MEET - an innovative program for second year medical students to experience how therapeutic communications can be an effective skill to engage patients in a collaborative relationship. Eleven students have participated in four sessions including two patient interactions under the supervision of Drs. Khan, Wasserman, Burra, Ravitz, Quesnel, Lin, Sheehan, Laidlaw,Vatsya, Hamer, and Lynch.
PSYCHIATRY LONGITUDINAL EXPERIENCE- Psycle and Psyclers Under the leadership of Drs. Alan Fung (faculty lead) and Dr Richard Yanofsky (resident lead) the success of the PsycLE program continues with the
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
participation of around forty students and thirty faculty members. The expansion of the program to include eighteen residents as supervisors has also proven very successful. The first year medical students reported very positive experiences and rated their supervisors – both faculty and residents - as excellent.
RECRUITMENT The Recruitment Committee, under the guidance of Dr. Kien Dang, continues to host Psychiatry Interest Group nights, medical student dinners, and movie nights. The Recruitment Committee has increased the number of University of Toronto medical students who were selected for The Summer Psychiatry Institute. For this year, we had twelve University of Toronto students (out of a total of twenty-five) selected to participate in the Institute. As part of reaching out to our community psychiatrists, we have engaged members of the APA – Ontario Branch to take on Institute students for half-day electives.
CLERKSHIP CENTRALIZED CORE CURRICULUM The centralized core teaching, under the leadership of Drs. Kien Dang and Chloe Leon, and the revamped Child Psychiatry curriculum, under the leadership of Dr. Suneeta Monga, continue to thrive. Talented teachers recruited from each site, continue to contribute to a revised syllabus that prepares our students to the complex and yet exciting world of psychiatric care. In response to student feedback, and as part of the integration of the Psychiatry content between preclerkship and clerkship, the number of core curriculum days has been cut down from four days down to three, and the child psychiatry curriculum revamped to cover developmental trajectory.
Mini ACE/CBD The interview forms that have been used over the past 15 years have been replaced with miniACE/CBD forms that are used to plan an encounter, pick a focus of assessment, assess performance on the
planned activity and provide brief focused feedback. These forms have been utilized in other UG courses and will provide a more valid and reliable tool for assessment. Thanks to Dr. Andrea Waddell who has taken the lead on this initiative.
NARRATIVE REFLECTIVE COMPETENCY During the psychiatry clerkship rotation, clinical clerks will have the opportunity to develop the skills of constructing and interpreting complex narrative communications as part of the Narrative and Reflective Competence (NRC) curriculum, which is based on the principles found in the growing field of Narrative Medicine. NRC is a new innovative program that has been launched this academic year under the guidance of Dr. Alan Peterkin and the leadership of Dr. Debra Hamer.
UTM INVOLVEMENT/EXPANSION TO OS Trillium Health Partners has been involved in the delivery of clinical training in psychiatry for fiftyfour students. The psychiatry leads at Mississauga Hospital (Drs. Sashi Senthelal and Ariel Shafro) and Credit Valley Hospital (Dr. Mandeep Singh) have been instrumental to make the expansion a success to our students. They have worked with their faculty members to improve our students’ experiences at THP. Ontario Shores has welcomed its new group of third year medical students who are receiving their psychiatry training at their site. Ontario Shores, with Dr Hoa Pham as the site lead, has provided clinical training to twelve medical students this academic year.
ELECTIVES/ SELECTIVES Dr. Oshrit Wanono has been coordinating our Psychiatry electives offering local, national, and international students electives in various psychiatry specialties in our department. Dr. Monica Scalco has been coordinating our undergraduate program selectives offered through the Transitions to Residency (TTR) block.
VICE-CHAIR AND EDUCATION REPORTS
RESIDENT AS TEACHER CURRICULUM An innovative new program introducing residents to different approaches of teaching has been in the works over the last year. It borrows from the Teaching for Learning and Collaboration (TLC) program that has been successfully introduced in multiple hospital sites and adapts it to residents needs. Drs. Sophie Skolaridis and Susan Lieff have run a pilot for 2013/2014 that received wide praise by the residents group. Dr. Adrienne Tan will lead this program as it is run for all Psychiatry PGY1s starting June 2014.
HUB FOR PSYCHIATRY In collaboration of Dr. Marcus Law and the contribution of our residents (Drs. Roy, Charach, Rostas, Woodward, Leung, and Silverman) an online interactive tool is being created in response to the student need for up to date, relevant and distilled resources to use for clinical reference and study during their Psychiatry rotation. This resource will contain essential topics that a clinical clerk is expected to encounter during their six-week Psychiatry rotation. The HUB will become functional by the beginning of the new academic year.
CSI- CLINICAL STIMULATION INITIATIVE and ADMSEP Our UG program has been the first Canadian program to collaborate with ADMSEP in creating clinical scenarios/e-modules that will provide a national database for use in Psychiatry curricula
15 nationwide. The ADMSEP technology grant has helped our program to purchase the ARTICULATE program and create three modules: one on sleep disorders (in collaboration with Dr. Michael Marcangelo from Chicago); one on binge eating disorder (in collaboration with Drs. Jessica VanExan and Sanjeev Sockalingam); and one on parasomnias (in collaboration with Dr.Victor Likwornik). The insomnia module has been published through MedEdPortal and the other two modules are in preparation.
COUPE Our program, along with Dr. Tim Lau of the University of Ottawa and other COUPE members, has recently submitted a manuscript on recruitment based on a national survey of all Canadian medical schools. The finding of this report has already been shared through a number of conferences and UG education bodies.
SPECIAL THANKS I would like to extend my thanks to the administrative support of Rachel MacKenzie, Julia Abraham, Julie Bergevin and Rachel Delaney. My sincere thanks go to all members of the UG committee as well as to all our faculty and residents who continue to contribute to the UG mission and provide excellent role models to our students. Respectfully submitted, Raed Hawa MD FRCPC DABSM DABPN Director, UG Medical Education, Department of Psychiatry
Postgraduate Medical Education Overview The 2013-2014 academic year was a wonderful one for our residency program. We have managed to maintain the outstanding training for which we have been known for many years. This was appreciated by PAIRO as they awarded us the 2013 PAIRO Residency Program Excellence Award, recognizing us as the best training program in the province. This award was “created to recognize those programs that have consistently provided an exceptionally positive and rewarding experience to their residents, while producing physicians who are expertly trained to deal with the challenges in their upcoming careers.” The very successful 2013 Royal College Accreditation highlighted numerous strengths including: “a highly engaged and organized group of residents who are proud of their program” and “a very extensive range of expertise in faculty covering the full spectrum of psychiatry modalities.” Dozens of faculty members across multiple sites/divisions participated in this process as did nearly all our residents. The external accreditor was suitably impressed by the supportive educational environment we have all worked so hard to create. We also successfully filled 32 Canadian Medical Graduate and International Medical Graduate positions in the first iteration of the 2013 CaRMS match. Despite these successes, we have not sat back on our laurels. A series of initiatives have begun that will
radically transform our program over the next few years while keeping us at the forefront of innovation in postgraduate education.
PRPC Subcommittee Activities 20132014 The PRPC continued to function effectively through the strong efforts of its subcommittees with the Resident Evaluation, Resident Selection, Site Feedback and Safety Subcommittees all being extremely busy over the past academic year. Dr. Nadiya Sunderji effectively chaired the Site Feedback Subcommittee and has modified the site feedback review process in order to ensure that it continues to function as a sustainable and very meaningful quality assurance activity. Dr. Lori Wasserman has joined that committee as a co-chair and has been a valuable addition to the team. Postgraduate Site Coordinators have continued to be very responsive to issues raised by residents and overall resident satisfaction based on rotation effectiveness scores and teaching effectiveness scores from POWER, as well as bi-annual PRAT surveys, has remained very high. Julia Bella, Nithya Ravi together with Postgraduate Site Coordinators have also been very effective in ensuring that supervisor timeliness and overall supervisor ITER completion rates remain very high despite the challenges of overseeing up to 400 postgraduate supervisors per year.
VICE-CHAIR AND EDUCATION REPORTS The Safety Subcommittee, under the able leadership of Dr. Lesley Wiesenfeld, together with thoughtful PRAT input, were extremely active in continuing to revise and enhance the Department of Psychiatry safety process in order to ensure that there is increased attention to safety during community visits. In addition, there is now a rigorous process to ensure that all supervisors and Postgraduate Site Coordinators utilize a formal checklist in order to comprehensively orient residents to a new site at the beginning of a rotation. She handed over the reins after more than a decade on that committee to our new chair Dr. Jason Joannou who is already busily putting together a new and enthusiastic team to continue to carry out the important work of maintaining safety across numerous training sites. Dr. Alpna Munshi took over the role of Director of International Medical Graduate training. She has been heavily involved in reforming their orientation and working closely with the residents to make sure their needs are met in a way that will help encourage success. The Resident Selection Subcommittee co-Chaired by Dr. Lesley Wiesenfeld and Dr. Susan Abbey together with Dr. Alpna Munshi, had another extremely successful CaRMS Match. Our residency filled all 27 Canadian Medical Graduate and 5 International Medical Graduate spots. All candidates who were selected were extremely competitively ranked.
Changes in Faculty Involved in Residency Education Dr. Julie Maggi has rejoined the Postgrad enterprise after a hiatus. She assumed the role of Resident Advisor in 2013. In that capacity, she has been hard at work supporting residents in with a wide variety of issues including evaluation disputes, family problems and wellness issues. Dr. Judy Lin took over as postgraduate site coordinator at North York General Hospital from Dr. Jay Nathanson. Dr. Chris Willer took over from Dr. Mark Halman as the site coordinator at St. Michael’s Hospital. Dr. Lori Wasserman took on the role of site coordinator at Women’s College Hospital from Dr. Erin Carter. Dr. Gail Robinson was named senior advisor to the
17 Psychiatry Residency Program Committee and also agreed to act as interim site coordinator for the University Health Network. Dr. Chloe Leon agreed to be the inaugural PRAT advisor to act as an additional source of support to the resident association. We welcome all the bright, enthusiastic new additions while thanking all our outgoing faculty for their contributions. Of special note, we bid farewell to Dr. John Langley who has been an outstanding contributor to residency training and an excellent advocate for the child program over the last number of years. Dr. Daniel Gorman was appointed as his successor and we wish him the best in his new role.
New Developments in Residency Education Over the past year there have been a number of important new developments within the residency program. Dr. Sanjeev Sockalingam completed his work as the chair of an ad-hoc working group to reform resident call. Changes included a clear articulation of the duties of junior and senior trainees while on call that is specific to each of our call sites. This helps to address the issue of graded responsibility over the course of training while maintaining the culture and systems of individual sites. In addition, his group continued to work on an online tool that could be used by residents and faculty to evaluate the on-call experience. A residency-led group will now be modernizing the system of call allocation across sites. Based on resident feedback and concern about fragmentation during PGY-4 training, Consultation Liaison Psychiatry was modified for to become a 6 month rotation consisting of 3 months of inpatient CL work and 3 months of ambulatory CL with collaborative care integrated into the 3 month ambulatory CL for at least 2 days a week. The senior Addiction Psychiatry training has also undergone significant restructuring during Chronic Care rotation in order to maintain the integrity of both rotations. The program managed to secure an additional month of PGY1 training due to a new rotational
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
structure. This has allowed us to begin to develop 4 weeks of “transition to PGY2” for all our PGY1s. This month spearheaded by Dr. Mary Preisman was delivered for the first time in June of 2014. It included a highly rated neuroscience week, culminating in Dr. Kerry Ressler joining us from Emory University in the United States to speak about fear responses and biological mechanisms of generational memory. We also delivered a series of workshops around teaching that are meant to enhance the effectiveness of our residents as teachers as they enter PGY2 and work on general psychiatry teams. The incoming PGY2s will also had the opportunity to shadow the outgoing PGY2 residents so as to learn firsthand the ins and outs of their new role which should help to ease their transition. The topic of the Postgraduate Education retreat in June 2014 was designed around integrative thinking. This was a preliminary step towards a transition towards competency-based education. A team led by Dr. Alpna Munshi and Dr. Latika Nirula will be spearheading that initiative. Dr. Sacha Agrawal has been involved in developing a program of patient advisors. These are carefully selected, trained and paid people who have had lived
experiences with mental illness. They are able to provide a unique and valuable perspective to our residents on our Chronic Care rotation that may be unavailable to faculty. Finally, an interesting project led by Dr. John Teshima is looking at ways of training and standardizing STACER examinations. They have already developed a resident and patient feedback form and are now focusing on extracting video vignettes from videos of actual examinations as a way of benchmarking various aspects of the process to ensure fairness.
PRAT Executive 2013-14 The residency program would like to thank the entire PRAT executive for all of their tireless and collaborative work over the past academic year. The residency program especially appreciates the leadership demonstrated by the 2013-2015 PRAT co-Presidents Dr. Matthew Knox and Dr. Michelle Marlborough.
Mark Fefergrad, MD, FRCPC, MEd. Director, Postgraduate Medical Education
Fellowship Program Fellowship Program The Fellowship Program of the Department of Psychiatry, University of Toronto, is diverse, unique and wide-ranging. About two-thirds of Fellows are MD’s and one-third PhD’s. The Fellowship Program receives applicants from within the Department as well as nationally and internationally. There is a standard application process and each Fellow works with a primary supervisor in a specific Program within the Department. Since 2010 the number of fellows has grown significantly year after year. A significant number of Psychiatry Fellows nationwide are enrolled in the University of Toronto Psychiatry Fellowship Program. The University of Toronto Fellowship enrolment in the Department of Psychiatry for 2013-2014 is 84; unprecedented enrollment in the Fellowship Program to date. Over the years there have been an increasing number of Fellows from a wider proportion of countries. A recent evaluation of the current cohort indicated a spread of fellows from six continents including Canada, Africa, Asia, Europe, the Middle East and South America. In addition, the University of Toronto’s Department of Psychiatry supports and integrates the CIHR funded postdoctoral program, Social Aetiology of Mental Illness (SAMI), directed by Dr. Kwame McKenzie, into the Fellowship Program.
Events and Achievements Awards Available to Fellows and Supervisors This was a very busy year for organizing competitions and offering awards and developing new awards. Fellows had the opportunity to nominate supervisors for the “Paul E. Garfinkel Award for Best Fellowship Supervisor” online, producing several nominations this year. This year’s winner was Dr. Tarek Rajji. We continued to offer “Best Accomplishment by a Fellow Award”. This award is based on the best submission of an annual report from a Fellow in the program. This year we offered two awards in this category, one to a research fellow and another to a clinical fellow. These recipients were Shinichiro Nakajima and Hiroyoshi Takeuchi. We were pleased to offer several travel awards this year to Fellows who were presenting their research at scientific meetings. This year’s recipients were Eva Brandl,Vanessa Goncalves, Shane McInerny, Shinichiro Nakajima and Clement Zai.
Events The Fellowship program hosted a very successful and well-attended Academic Day on May 2, 2014. For the first time, the Fellowship Academic Day was approved for accreditation by the Royal College of Physicians and Surgeons of Canada. Fellows had the opportunity to present their scholarly work in a
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
scientific format. The continuing education event provided an opportunity for Fellows to hear about research and scholarly activities undertaken by others in the program and allowed an exchange of academic discussion amongst fellows, supervisors and the fellowship executive. The Academic Day also provided a valuable social exchange among Fellows.
Works in Progress The Director of the Fellowship Program, Dr. Arun Ravindran, has recently been appointed the new Chair of the Senior Promotions Committee, and has regularly served as a member of the SAMI administrative committee. Dr. Ravindran is a Full Professor and Director of both the Global Mental Health Affairs and the Office of Fellowship Training for the Department of Psychiatry. He is crossappointed as Graduate Faculty in the Department of Psychology and the Institute of Medical Sciences. He is also the Medical Chief of Mood and Anxiety at the Centre for Addiction and Mental Health (CAMH). In 2009/2010 the Director of the Fellowship Program served on the Faculty of Medicine PGME Fellowship Working Group. The Director of the Fellowship Program is also a member of the Faculty of Medicine PGME Fellowship Educational Advisory Committee, which continues to provide standard guidelines for Fellowships across the Departments in the Faculty of Medicine. One of the main aims of this working group was to provide standard guidelines for Fellowships across the Departments in the Faculty of Medicine. We continue to review our administrative processes to ensure alignment with these new guidelines. Based on the group’s recommendations, a new template for educational goals and objectives has been developed and is currently in use in order to more effectively guide evaluation of fellows. A new in-training evaluation form for Psychiatry Fellows was implemented for the 2010-11 academic year and is used for online evaluations of clinical fellows. The Fellowship Program continues to emphasize the importance of consistent and effective evaluation and report procedures throughout this academic year. This initiative will continue to expand moving forward. To better evaluate the fit of a candidate to our program, we have instituted on face to face
group interviews. When this is not possible, a group interview is held over Skype. We are currently working towards instituting a mandatory research report and/or publication for all fellows. Improving the gender balance in fellows and trainees from the Middle East and Far East is a top priority. We have made a conscious effort to increase the number of female fellows, which has been successful. Priorities moving forward include limiting application process to two windows of opportunity during the year, setting up an orientation process, implementing an online application submission, increasing the number of seminars, facilitating attendance of Fellows in Resident education programs, introducing more integrated rotation programs across affiliated hospitals and implementing greater involvement of community teaching hospitals.
Fellows Please refer to tables below for a listing of Fellows by Program or Division. There were 84 registered Fellows this academic year.1
Fellows Enrolled in the Program: Academic Year 2013/2014 Last Name
First Name
Division/Program
Abdulkader
Sayed
Consultation/Liaison Psychiatry
Abi-Jaoude
Elia
Neurosciences
Al Enazi
Meteb
Psychiatry, Health & Disease
Al Ghamdi
Sultan
Child & Adolescent Psychiatry
Al Mansouri
Fatema
Women’s Mental Health
Alaqeel
Bandar
Geriatric
Albanna
Ammar
Child & Adolescent Neuropsychiatry
Alghamdi
Waleed
Child & Adolescent Psychiatry
Al-Hashemi
Tharaya
Brain & Therapeutics
Alibrahim
Noor Reyadh
Adult Psychiatry & Health Systems
VICE-CHAIR AND EDUCATION REPORTS Fellows (continued) Last Name First Name Al-Mosyab
Nemer
Division/Program Adult Psychiatry and Health Systems
21 Fellows (continued) Last Name First Name
Division/Program
Flanders
Corey
Addiction Psychiatry
Gauthier
Lynn Rollande
Consultation & Liaison Psychiatry
Alozairi
Abdullah
Neuropsychiatry
Al-Qahtani
Yasser
Child and Adolescent Psychiatry
Gebreyohannes
Miheret
Equity, Gender and Population
Alshammari
Nuha
Brain & Therapeutics
Gerretsen
Philip
Geriatric Psychiatry
Alshehri
Youssef
Geriatric Psychiatry
Hassan
Ahmed
Brain & Therapeutics
Alzaharani
Ahmad
Consultation/Liaison Psychiatry
Hawke
Lisa
Mood & Anxiety
Hensel
Jennifer
Alzahrani Psychiatry
Abdullah Bakhit
Consultation/Liaison
Adult Psychiatry & Systems
Iwata
Yusuke
Brain & Therapeutics
Ambusaidi
Aamal
Brain & Therapeutics
Kalache
Sawsan
Geriatric Psychiatry
Arida
Abdulnaser
Brain & Therapeutics
Kilkile
Teshome
Geriatric Psychiatry
Ashcroft
Rachelle
Equity, Gender and Population
Knyahnytska
Yuliya
General Psychiatry
Atsariyasing
Wanlop
Child & Adolescent Psychiatry
Kolla
Nathan
Law & Mental Health
Kronenberg
Sefi
Child & Adolescent
Beyraghi
Narges
Addiction Psychiatry
Kronick
Rachel
Child Psychiatry
Bingeliene
Arina
Adult Psychiatry & Health Systems
Kumar
Sanjeev
Program Geriatric Psychiatry
Bohra
Miqdad
Consultation Liaison Psychiatry
Kwan
Yunxin
Consultation & Liaison Psychiatry
Burton
Christie
Child & Adolescent Psychiatry
Lagzdins
Dina
Addiction Psychiatry
Lee
Jimmy
Chan
Lai Gwen
Brain & Therapeutics
Adult Psychiatry & Health Systems
ClichĂŠ-Fontaine
Marie-Michele
Child & Adolescent Psychiatry
Lee Population
Cheolsoon
Equity, Gender and
Colman
Sarah
Geriatric Psychiatry
Leung
Yvonne
Curran
Genevieve
Brain & Therapeutics
Psychiatry, Health & Disease
de la Fuente Sandoval
Francisco Camilo Research Imaging Centre
Luo Psychiatry
Yang
Child & Adolescent
El Banna
Mai
Child and Adolescent Psychiatry
Mansur
Rodrigo
Brain and Therapeutics
Manwell
Laurie
Brain and Therapeutics
Faria Goncalves Vanessa
Neurosciences
Marzouk
Sherief
Neuroscience
Fazeli
Adult Psychiatry & Health Systems
McInerney
Shane
Brain & Therapeutics
Mehta
Urvakhsh
Brain & Therapeutics
Neuroscience
Mittal
Kirti
Brain & Therapeutics
Fernandez Cordero
Zhila Rebeca
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
Fellows (continued) Last Name First Name
Division/Program
Fellows (continued) Last Name First Name
Division/Program
Mousa
Hanan Mohammed
Brain & Therapeutics; Geriatric Psychiatry
Seko
Yukari
Equity, Gender and Population
Nakajima
Shinichiro
Geriatric Psychiatry & Schizophrenia
Setiawan
Elaine Beverly
Neuroscience
Sin
Gwen Li
Geriatric Psychiatry
Takeuchi
Hiroyoshi
Schizophrenia
Tan
Pei Lin (Lynnette) Geriatric Psychiatry
Tseng
Michael
Neuroscience
van der Plas
Ellen
Brain & Therapeutics
Venantius
Michelle
Brain & Therapeutics
Wheeler
Anne
Schizophrenia
Zaheer
Juveria
Adult Psychiatry & Health Systems
Oullet-Plamondon Clairélaine
Addiction Psychiatry, Schizophrenia
Pai
Shraddha
Brain & Therapeutics
Paradiso
Monica
Child & Adolescent Psychiatry
Parvinchi
Diana
Child & Adolescent Psychiatry
Payne
Ada Yui Man
Adult Psychiatry & Health Systems
Proulx
Genevieve
Consultation/Liaison Psychiatry
Ray
Ipsita
Forensic Psychiatry
Roberts
Karen
Equity, Gender and Population
Rocha De Jesus Danilo
Complex mental Illness
Rotem
Amit
Addiction Psychiatry
Sabioni Systems
Pamela
Adult Psychiatry &
Arun V. Ravindran, MBBS, MSc, PhD, FRCPC, FRCPsych Director, Fellowship Program 1
Due to open enrolment and varied completion dates, the Fellows listed above reflect all those registered during the 2013-2014 year.
Global Mental Health Overview The Global Mental Health (GMH) section is the global health arm of the Department of Psychiatry, University of Toronto, and is an active partner in the University of Toronto’s global health initiatives. Its primary role is to collaborate with international academic centres, non-governmental organizations and other international agencies to build mental health research, academic training, and treatment expertise around the world, particularly in developing countries. It strives to increase public awareness of mental health issues and influence governmental policy and support for mental health resources, at a global level. GMH draws on the rich expertise and interests of Departmental members in such collaborations and also works actively to develop a culture of enthusiasm for global health work among trainees and young faculty in the Department. It works closely with the Office of Transformative Global Health at the Centre for Addiction and Mental Health (CAMH), as well as with international health groups within both UTPsychiatry and the University of Toronto. Humanitarian endeavours are also in its purview.
creating of a wide range of learning opportunities for students and trainees. Funding applications for global health work have also been successful, a tribute to the caliber of Departmental faculty.
Education Training programs During the 2013-2014 period, the collaborative clinician-scientist training program between the GMH section and the Universities of Colombo and Kelaniya in Sri Lanka continued to develop. Ethics approval and institutional funding have been obtained for 3 trainees’ projects and two other projects are in the submission stage. In addition, a psychologist has now joined the clinician-scientist program, and ethics approval and funding for her project are already in place. A similar program is Malaysia, in collaboration with the Universiti Kebangsaan Malaysia (UKM; National University of Malaysia), is also underway. One trainee has been recruited and in currently in the process of applying for funding for her research project.
Year in Review
MOUs are also currently under discussion with two universities in Latin America to help build mental health research and treatment capacity.
In 2013-2014, the GMH section continued to develop and implement activities to meet its goals. These included collaborative training with partner institutions in Asia and the Middle East, and the
The Toronto Addis Ababa Academic Collaboration, under the leadership of Dr. Clare Pain, continues to progress well. The psychiatry residency program is well in place, and programs in other specialties, from
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
family medicine and dentistry to surgery and radiology, are in development.
Institute is the only rehabilitation facility in Sri Lanka.
As well, Akwatu Khenti from the Dalla Lana School of Public Health leads several global mental health education initiatives in which UTPsychiatry faculty are involved, including training in addictions research for health professionals from Latin America and the Caribbean, training in addictions treatment for health professionals in the Caribbean, and training for decision-makers from Central America in integrating mental health care into primary care.
Separate from the CREMS program, a 7-week clinical selective in paediatrics, internal medicine and psychiatry in northern Sri Lanka was organized for a third-year medical student for 7 weeks, from February to April 2014.
Similarly, the inter-university funded research collaboration led by Dr. Trevor Young between the University of Toronto and the University of Sao Paolo, Brazil, is also continuing well.
Capacity building initiatives Training seminars in mental health research continue to be held. Planning is currently underway for the next set, which will take place in the Middle East in Winter 2015, under the sponsorship of academic institutions from several regional countries. There will be considerable focus on development of research questions and protocols by the attendees, who have been selected by their institutions for their potential as researchers. As previous, the teaching faculty will come from the Department of Psychiatry and the Dalla Lana School of Public Health.
Learning opportunities Medical students International research placements have been offered to 1st and 2nd year medical students through the Comprehensive Research Experience for Medical Students (CREMS) program of the Faculty of Medicine. The placement postings have generated considerable interest among medical students for other opportunities for international experience. In Summer 2013, a 2nd year medical student travelled to Sri Lanka for 8 weeks, to conduct a small research project on predictors of outcome in early psychosis at the University of Colombo teaching hospital. This year, two 1st year students have already travelled to Sri Lanka to conduct an 8-week project at the Ragama Rehabilitation Institute in Kelaniya on psychiatry morbidity among spinal cord injury patients. The
Clinician-scientist trainees Since July 2013, a PGY2 psychiatry resident, Dr. Amy Gajaria, has been part of the clinician-scientist program in the Faculty of Medicine, to develop expertise in global mental health. She is participating in a project to enhance mental health literacy among young adults in Leon, Nicaragua, and her particular component, in line with her interests, is in qualitative research on teachers’ and youths’ perceptions of mental health needs of youth and resource requirements. As part of her training, she travelled to Nicaragua in May 2014 to participate in focus groups for teachers, prior to curriculum implementation.
Graduate students A Master student at the Institute of Medical Science is also focusing on global mental health, in the Canadian context. The student’s research project investigated influences on academic achievement among immigrant and non-immigrant university students. Application to progress to PhD work is in preparation, and the proposed project will explore predictors of academic success and failure among local, immigrant and international students, an area in which there is no published Canadian data.
Fellows in global mental health Due to many expressions of interest from trainees and young faculty, a fellowship in global mental health is currently under development.
Humanitarian Endeavours Faculty submitted several funding applications for global mental health work during the 2013-2014 period, to both public and private agencies. Among the successful applications, Dr. Arun Ravindran is co-
VICE-CHAIR AND EDUCATION REPORTS principal investigator on a $250,000 CAD seed grant from Grand Challenges Canada (GCC), to improve youth outcomes in Leon, Nicaragua through delivery of a mental health literacy curriculum and teacher support and referral of distressed students. Dr. Ravindran is also a co-investigator on a $1 million CAD grant from GCC to develop awareness of human rights and improve patient care in mental health facilities in Gujarat, India, through education of patients, family and institution staff. Dr. Sean Kidd is PI on a $250,000 seed grant from GCC to analyze successful use of social entrepreneurship to address mental health needs in low-income countries. Projects led by Dr. Clare Pain and Dr. Kwame McKenzie, who received $1 million CAD in GCC funding in 2012, are progressing well. Dr. Pain’s project focuses on building capacity in psychological services in Ethiopia by training psychiatrists to deliver interpersonal psychotherapy. Dr. McKenzie’s project aims to improve child well-being in Kenya, by engaging school counselors, psychologists and specialized consultants in early screening and intervention of mental health and neurodevelopmental issues. Additional applications to GCC and international agencies are in the plans for the next year.
Clinical Programs Observerships and Fellowships in Psychiatry The active international observership program, hosted jointly with the Office of Transformative
25 Global Health at CAMH, welcomed 13 international clinician observers to CAMH in 2013-2014, from Asia, Africa, Europe, the Middle East, North and South American, and the Caribbean. There were also 40 clinical fellows from Asia, Africa, Europe, the Middle East, Australia, and North, South and Central America.
Subspecialty training There are few specialists in law and mental health, child and youth psychiatry and addictions medicine, in developing countries. Work is underway to develop training seminars in these areas, and recruit expert faculty. Dr. Sandy Simpson has already been engaged to deliver training in forensic psychiatry.
CONCLUSION Over the next year, the GMHA will continue to focus on establishing linkages with international academic centres, particularly those in emerging countries, and on seeking grant funding for mental health projects both within Canada (with ethnic or immigrant populations) and around the world. As with all its initiatives, the GMHA will continue to work collaboratively with local partners and to put in place sustainable processes and infrastructure to support the maintenance and expansion of initiatives by local stakeholders.
Dr. Arun V. Ravindran
Faculty Development Overview The Department has over 800 talented faculty members with a diversity of strengths. Facilitating their academic career development has been an increasing priority for the Department, with a number of new events and programs being implemented within the past few years.
Year In Review Orientation Day for New Faculty The inaugural version of this event took place in the fall of 2013. Forty-seven faculty members within the first three years of their appointment attended. Presentations included overviews of the 3-year review process, roles and responsibilities as a faculty, tips for undergraduate and postgraduate teaching, and tips from other junior faculty. At lunch, the Vice Chairs introduced themselves and their roles and faculty were encouraged to speak with them according to their interests. The afternoon session focused on core teaching skills: establishing the educational climate, setting goals and objectives, and providing feedback. All the components of the program and the presenters were highly rated by the participants. Comments indicated that the participants found the day to be highly relevant and practical for their needs. The response was so positive that the site chiefs have since agreed to make attendance at this event mandatory for all faculty members prior to
completing their 3-year reviews.
Don Wasylenki Day For the 2014 event, the focus was expanded from just Faculty Development to address educational issues more broadly. In doing so, the Department now has an annual showcase event for teachers and educators. Professor Geoff Norman from McMaster University led off the day with a keynote address that challenged prevailing assertions in medical education with contrasting research evidence. The rest of the morning was devoted to highlighting the outstanding education scholarship and innovation occurring in the Department, with faculty members and residents presenting on their projects and initiatives. The afternoon focused more specifically on faculty development, with a large group session on large group teaching and then several small group sessions focusing on small group teaching. The overall attendance was just under 100 individuals – primarily faculty but also a few residents. All sections of the day were highly rated, particularly the keynote address. Comments included a wide variety of intentions to change practice, based on both the morning and afternoon sessions.
Senior Promotions Boot Camp Assisting faculty in the senior promotions process had been identified as a key priority by the
VICE-CHAIR AND EDUCATION REPORTS Department’s senior leadership. This half-day event included presentations on the overall promotions application process, on assembling a teaching dossier, and on assembling a creative professional activities dossier. Although only 20-25 faculty members apply for senior promotion every year, attendance at this event had to be capped at 38 due to space limitations. Feedback from participants has indicated that the event was highly relevant to their needs and helped to clarify their plans with proceeding for promotion. In the future, this event will be scheduled earlier in the academic year to allow faculty even more time to prepare their applications.
27 Development. It provides an overview of core teaching skills for faculty. This event was designed as an opportunity to provide members of the various education committees in the Department to be exposed to this curriculum, so that they can assist faculty at their sites about their teaching. The program condensed the 6 modules of the curriculum into three sessions presented over one day. The program included pre-readings, videos, role-plays, and reflection exercises. Feedback on this program was very positive and a follow-up session is being planned for the 2014-2015 academic year.
Faculty Development for Oral Examiners Faculty Development at Community Hospital Partners Medical students have only recently started to have rotations at some of the community partner sites. To support faculty at these sites in their new roles as teachers and supervisors, faculty development programs have occurred at both Ontario Shores and at the Mississauga Academy of Medicine. The focus of these programs included an overview of the undergraduate curriculum, presentations by clinical clerks on what they value in terms of supervision and teaching, and tips on how to integrate clinical clerks into clinical practice. These sessions have all been received very positively.
Teaching for Learning and Collaboration for Psychiatry Teaching for Learning and Collaboration is a curriculum developed at the Centre for Faculty
All psychiatry residents must complete oral examinations in PGY-4 and early PGY-5. The postgraduate director requested the development of training for oral examiners to improve the reliability of the examination process. A taskforce has since been struck and has created a feedback form for the exam process and has established a plan to create video segments to help set standards for examiner training.
Closing Thanks to the strong support of our Chair and our Vice-Chair of Education, Faculty Development continues to expand and break new ground in the Department. I am looking forward to more adventures in 2014-2015. John Teshima, MD, FRCPC, MEd Director, Faculty Development
Continuing Professional and Practice Development Overview The Office of Continuing Professional and Practice Development (CPPD) in the Department of Psychiatry is a newly formed education portfolio within the department. It represents the evolution of the previous Continuing Mental Health Education (CMHE) Office into a portfolio that can respond to the CPD and practice needs in the current healthcare environment. The CPPD activities aim to build on the successes of the CMHE office and to focus more deliberately on quality and systems-based areas related to Psychiatric care.
Year in Review CPPD Organization In 2013, the Department of Psychiatry Director of Continuing Professional and Practice Development (CPPD) was created under the leadership of the Vice-Chair of Education, Dr. Susan Lieff, and Department Chair, Dr. Trevor Young, to meet the changing landscape of mental health professional development. The aim of this newly formed CPPD Office is to address the growing need for education and other interventions for improving practice and the mental health system. In September 2013, Dr. Sanjeev Sockalingam was appointed the Director of CPPD for the Department of Psychiatry. The CPPD committee was formed in March 2014 and now has Divisional representation including members with
expertise in QI, Health Systems Research and Implementation Science. The committee members are: Dr. Leslie Buckley (Brian and Therapeutics), Dr. Tara Burra (Adult Psychiatry and Health Systems), Dr. Adriana Carvalhal (Consultation-Liaison Psychiatry), Dr. Sandra Cunning (Program Development & Evaluation), Dr. Alan Fung (Equity, Gender and Population), Dr. Abel Ickowicz (Child and Adolescent Psychiatry), Dr. Paul Kurdyak (Health Systems Member), Dr. Matt Knox (Resident Member), Dr. Lisa Levbre (Addictions Member), Dr. Lesley Wiesenfeld (Geriatric Psychiatry) and Dr. David Wiljer (Psychotherapies, Humanities and Education Scholarship),
CPPD Developments and Achievements During the CPPD portfolio’s first year, a core CPPD committee was formed to meet the need for more QI and health systems experts integrated into continuing professional development activities in the department. With this goal in mind, the Department of Psychiatry embarked on a site visit and planning exercise with Dr. Dave Davis from the Association for American Medical Colleges (AAMC) Aligning and Education for Quality (ae4Q) Program. Following this site visit, the Department of Psychiatry received official AAMC ae4Q collaborative site status and is now the first mental health exclusive AAMC ae4Qsite in North America. Several strategic CPD and QI initiatives are being explored as a result of this visit.
VICE-CHAIR AND EDUCATION REPORTS The Department of Psychiatry continues to develop and deliver one of the highest volumes of CPD events in the Faculty of Medicine. Faculty have offered high quality CPPD activities spanning many divisions, healthcare professions and patient populations. During the 2013-2014 academic year, the Department of Psychiatry offered over 80 University of Toronto accredited CPD events, in addition to the many grand rounds and regional, national and international events accredited outside of the University of Toronto. Psychiatry CPD activities have included interprofessional events, online courses and certificate courses covering a range of mental health areas. Several faculty members in the department have been recognized for the excellence in CPD leadership and scholarship by the University of Toronto. This past year, faculty in our department were honoured by the University of Toronto, Faculty of Medicine for their achievements in CPD. Drs. Virginia Wesson, Joel Sadavoy and L.J. Nelles and Dr. Paula Ravitz received the University of Toronto Ivan Silver Innovation Award and the Colin Woolf Award for Long-Term Contributions to Continuing
29 Education, respectively. CPPD activities also received education grant funding from the Continuing Education Research and Development Fund and the Education Development Fund from the University of Toronto. This year, four CPD activities were nominated for the prestigious Department of Psychiatry Ivan Silver Award for Excellence in Psychiatry CPPD, with Drs. Wesson, Sadavoy and Nelles receiving this award for the novel work with the Reitman Centre CARERS Program and Training Program for Professionals. In the upcoming year, the CPPD Committee will continue to improve the alignment of CPD with QI, in addition to increasing the use of simulation, patient and family engagement, team-based training and education technology in the department’s CPD activities. Moreover, the CPPD committee will provide mentorship in advancing CPD in quality and systems-based areas. Sanjeev Sockalingam, MD, FRCPC Director, Continuing Professional & Practice Development
Divisions
Adult Psychiatry and Health Systems Overview
Major sites include:
With over 190 faculty members, the Division of Adult Psychiatry and Health Systems is the secondlargest division within the Department of Psychiatry. The Division focuses on fostering the many roles of academic general psychiatrists, mental health clinicians and health services researchers to improve the patient experience and the quality, effectiveness and cost effectiveness of our “system” of mental health and addictions care. It is the academic home of acute care psychiatry, involving the continuum of care between psychiatric emergency services, inpatient services, and outpatient care. The Division provides core training in psychiatry for medical students and residents and a framework for clinical and academic coordination across a range of sites within the City of Toronto.
• • • • • • • • • • •
Organization The Division of Adult Psychiatry and Health Systems, born out of the union of the Division of General Psychiatry and the Health Systems Program in 2011, is currently led by a Director and a small executive committee that meets at alternate months with the Division Steering Committee, including representatives from each hospital site. The Division is supported financially by the Department of Psychiatry and by contributions from the main site practice plans, which support administrative costs, faculty retreats and protected time for Divisional activities.
Mount Sinai Hospital North York General Hospital Ontario Shores Mental Health Centre St. Joseph’s Health Science Centre St. Michael’s Hospital Sunnybrook Health Sciences Centre Surrey Place Centre The Centre for Addiction and Mental Health The University Health Network Trillium Health Partners Women’s College Hospital
A Divisional retreat in May 2013 identified key directions in education, clinical innovation / quality and research for the next three years, to align with our Department’s strategic plan.
Year in Review The Division’s commitment to continue nurturing education, clinical excellence, scholarship, and innovation is demonstrated by the wide array of educational activitie, the pursue of policy relevant research and the dissemination of scientific information to improve the delivery of mental health and addiction services. This past year the Division saw some important changes, setting the stage for greater engagement of faculty across sites and the creation of an academic home for general psychiatrists and health services researchers.
DIVISIONS
Education With regard to education, the Division sponsors academic lectures and colloquia and trains medical students, residents, clinical and research fellows. The Division Education lead is Dr. Andrea Waddell, while on the postgraduate front, the Division has a new postgraduate representative in Dr. Andrea Berntson, tasked with reviewing the specific training objectives in general psychiatry. Dr. Jared Peck leads the Physician Manager curriculum, introducing psychiatry residents to quality improvement, leadership and teamwork. With regard to undergraduate education, a half-day workshop on the mental health system is presented in the Determinants of Health course. Seminars for psychiatric residents are presented in the departmental core curriculum and residents may structure career clinical or research rotations in the program. Resident training in dual diagnosis service delivery is also provided by program staff. This academic year, Dr. Diane Meschino, Dr. Paul Kurdyak, Dr. Don Wasylenki and Dr. Matt Levy taught key Adult Psychiatry and Health Systems topics in the transition to PGY-2 curriculum.
33 provision of technical assistance for planning processes, advice and consultation to government departments, commissions and task forces, and information to guide public policy development in the mental health field. Annual faculty retreats showcasing local innovation and external speakers are being planned. This academic year saw the launch of a Mental Health and Addictions Research Program at the Institute of Clinical and Evaluative Sciences, led by Dr. Paul Kurdyak and co-leadership in Building Bridges to Integrated Care (BRIDGES), an incubator supporting the design, implementation and evaluation of interventions that promote integration of care across medical disciplines and the continuum of care through Dr. Stergiopoulos. The Division is delighted to have over $15,500,000 in total research funding for 2012-13. This represents over 15.4% % of the Department’s total peerreviewed and non-peer reviewed funding for this year.
Clinical Programs
Research
The Division exemplifies inter-professional practice and is proud to advance and disseminate the theoretical perspectives, methodologies, and evidence-based knowledge that inform this important domain of modern health care delivery. Our members support the development of programs which are community-focused, which target individuals with severe mental illness and/ or substance use disorders and which are integrated into a continuum of care.
Research in diverse areas such as Inner City Health, Suicide, Dual Disorders, Clinical Treatments, Population Health, Ethics, and Integrative Psychotherapy/Medication models is pursued. In addition to the creation of new knowledge in the service delivery field, the Division emphasizes knowledge transfer and exchange as well as the integration of qualitative and quantitative research methodologies. Members are also extensively involved in activities related to public agendas. The program has developed effective working relationships with decision-makers at national, provincial and local levels. Activities include the
Furthermore, the Division is extremely proud to host the Toronto Mental Health and Addiction Acute Care Alliance (MH&A ACA) as part of its mandate to improve clinical coordination across the Toronto Central LHIN region. The Alliance is a partnership of seven (7) Toronto Central LHIN hospitals (i.e., The Centre for Addiction and Mental Health, Mount Sinai Hospital, St. Joseph’s Health Centre, St. Michael’s Hospital, Sunnybrook Health Sciences Center, Toronto East General Hospital and University Health Network), and is devoted to improving the management of psychiatric and behavioral emergencies as well as inpatient care in
The Division is working closely with the Director of Undergraduate, Postgraduate and Continuing Professional and Practice Development to improve training opportunities and Faculty Development in academic generalism, evidence based planning and quality improvement. Annual faculty development events on Education are being planned.
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TCLHIN Hospitals. The goal of the MH&A ACA is to provide the right acute mental health and addictions care, in the right place, at the right time, in a respectful, client-centered manner. This goal is being accomplished through a collaborative process aimed at optimizing the use of the TC-LHIN’s existing acute mental health and addiction service capacity. The TC-LHIN’s Emergency Departments are conceived of by the Alliance not as the center of mental health and addiction care for TC-LHIN residents, but rather, as emergency response centers and a key point of opportunity for connection of people with acute mental health and addictions needs to timely and appropriate alternatives and follow-up care through related inpatient, outpatient and/or community-based services. Over the past two years, the Alliance has begun to guide research efforts and hypothesis generation for the field, in part, by standardizing data collection across sites. Such large scale, standardized data collection activities provide massive structured databases that will greatly assist our efforts to advance and transfer knowledge about the assessment, management and outcomes of psychiatric emergencies and guide further evidence-based system improvement activities. Examples of Alliance activities this past year include a randomized controlled trial, testing the effectiveness and cost effectiveness of CATCH-ED, an intervention addressing the needs of frequent ED users. Furthermore, the Alliance is leading the development of three TCLHIN funded projects, a collaborative care model for frequent ED users, a model to coordinate access to Urgent Psychiatric Care and a training needs assessment of hospital and community mental health service providers to better support the delivery of evidence based practice across the continuum of care. Finally, a major Alliance accomplishment has been a Memorandum of Understanding, guiding member relationships, and setting the stage for renewal and increased role in the planning and delivery of acute care services.
Leadership Several of our faculty members hold senior administrative positions at their home hospital sites and several are cross appointed to the Institute for Health Policy, Management and Evaluation, the Institute for Medical Science and the School of Graduate Studies The Division is building strong relationships with other Divisions and Departments as follows: •
Is working closely with the Consultation Liaison Division in the redesign of Collaborative Care rotations, competencies, and quality indicators
•
Is co-leading with the Department of Family and Community Medicine a cross Departmental Collaborative Mental Health Care Working Group focused on advancing collaborative mental health care practice, education and scholarship.
•
Is co-leading, with the Department of Medicine and the Department of Family and Community Medicine, BRIDGES, with opportunities to contribute to the quality agenda of the MOHLTC, HQO, and IDEAS.
•
Is building relationships with senior planners from the US, UK and Australia to support evidence based planning and international trials.
We hosted our first Divisional retreat in May 2013 and are currently organizing three annual events focused on education, research and clinical innovation/quality, in efforts to create an academic home. for faculty in the division. Our residents are recognized by the Divisional Dr. Peter Prendergast Ontario Shores Prize in Quality Improvement and this year we launched the Dr. Mary Seeman Award in Clinical Excellence to celebrate excellence and innovation in our faculty. Vicky Stergiopoulos, MSc, MD, MHSc, FRCPC Director, Division of Adult Psychiatry and Health Systems Associate Professor, University of Toronto
Brain & Therapeutics Overview The Division of Brain and Therapeutics integrates the clinical, educational and research activities of its four component subspecialty areas: Neuroscience; Addictions; Mood and Anxiety Disorders and Schizophrenia. The division is co-directed by Drs. Tony George and Jim Kennedy, and is comprised of more than 230 full- and part-time faculty across eight Toronto teaching hospitals, with eight new faculty members appointed in the 2013-14 academic year. These outstanding areas of academic, educational and clinical foci are clearly strengthened through the added opportunities for clinical, educational and research collaboration and synergy that the new divisional alignment seeks to achieve for the benefit of its faculty and trainees. A summary of achievements in the past year is given below in the areas of research, education, clinical care and leadership:
Organization The Division is organized into four subcomponents in the areas of Neurosciences, Mood and Anxiety Disorders, Addictions and Schizophrenia. Assignment of faculty to the Division is based on their subspecialty expertise and interests. As a result of this widespread faculty expertise, a number of our faculty have secondary appointments in other Departmental Divisions, and we routinely cross-appointment other faculty with primary appointments in other
Divisions to Brain and Therapeutics. We also have a Steering Committee comprised of junior and senior faculty with clinical and non-clinical backgrounds which assists the Co-Directors in setting the vision and detailed agendas for the Division.
Year in Review Education The Division plays a major role in the training of undergraduate and graduate students in the Institute of Medical Sciences (IMS) and other medical school graduate departments (e.g., Pharmacology, Psychology), and for medical students, psychiatric residents and post-doctoral fellows in the Department of Psychiatry. In fact, over 75% of residents in the Clinician-Scientist Stream (CSS) and Clinician-Scientist Program (CSP) (lead by Dr. Jeff Daskalakis) have faculty members as supervisors based in the Division of Brain and Therapeutics. Dr. Arun Ravindran (Mood and Anxiety Section) is Director of the Department’s Fellowship Program. Faculty from the Schizophrenia, Mood and Anxiety and Addictions components within the Division also play important teaching roles with the UofT Psychiatry Residency, including in the PG-4 Chronic Care Rotation. In addition, there are more than 40 post-doctoral fellows working with Division faculty. The Division established a Distinguished Lecture Series in January, 2014 and Dr. Eric Nestler from
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
Mount Sinai School of Medicine in New York City presented the first lecture on the topic of “The Molecular Genetics and Epigenetics of Depression”, and also served as the speaker for the annual residents’ Neuroscience Day. Dr. Kerry Ressler from Emory University served as the Neuroscience Day speaker in June, 2014 and delivered a lecture on “Neurobiological Mechanisms in Posttraumatic Stress Disorder”. Co-sponsored by the Division and UofT’s Neurosciences Program, Dr. Akira Sawa (Johns Hopkins University) was another visiting speaker who gave two lectures on schizophrenia models and stem cells in late March, 2014.
b) Research The faculty of the Division of Brain and Therapeutics brought in nearly 40% of the external funding generated by the Department of Psychiatry in 2012-13. Division faculty published over 300 peer-reviewed papers, and were highly successful in recent grant competitions for CIHR, NIH, NARSAD, Ontario Mental Health Foundation (OMHF), the Schizophrenia Society of Ontario (SSO) and the Ontario Ministry of Health.
c) Clinical Programs Division faculty participate in the care of patients with a broad range of mood, anxiety, psychotic and addictive disorders which has been recognized for excellence in patient care at regional, national and international levels. Our affiliated hospitals include The Centre for Addiction and Mental Health (CAMH), University Health Network (UHN), Mount Sinai Hospital (MSH), St. Michael’s Hospital
(SMH), North York General Hospital (NYGH), Baycrest Hospital, Humber River Hospital, Ontario Shores Centre for Mental Health Sciences, and Sunnybrook Hospital. Brain & Therapeutics faculty and As an example of how hospitals can partner with the private sector to improve clinical care, CAMH has partnered with Assurex Health Inc. to establish the first clinical pharmacogenetics testing company to provide services from a psychiatric hospital.
d) Leadership In the past year, Drs. John Vincent and Albert Wong were promoted to Full Professor, Dr.Vincenzo Deluca to Associate Professor, and Drs. Kevin Chopra, Justin Geagea and Keyhgobad Farid Araki to Assistant Professor. Division members also hold senior leadership positions in many federal and international funding agenices, and on Editorial positions in major journals in the field of psychiatric neurosciences.
4. In Closing A priority for the Division is the mentoring of the next generation of translational and clinical psychiatric neuroscientists. Our Division has a wealth of faculty expertise in basic and clinical brain sciences and experimental therapeutics which is known worldwide, and helps take our Division and Department to new heights. Tony P. George, M.D., FRCPC James L. Kennedy, M.D., FRCPC Co-Directors, Division of Brain & Therapeutics
Child and Adolescent Mental Health Overview The Child Youth and Family Program provides a wide array of clinical services to children, adolescents and youth presenting with a range of mental health challenges. The services are divided into two large programs including Youth Concurrent Disorders and Outpatient services. The Youth Concurrent Disorder program focuses on adolescents and youth with mental health challenges in the context of substance abuse. The outpatient department focuses on children and adolescents with disruptive behavior disorders, mood and anxiety disorders through a consultation service and an on-going assessment and treatment service.
Education The Child,Youth and Family Program provides a busy focus for core resident training. On average, six residents participate in a core PGY3 child and adolescent training rotation every six months. CAMH is the busiest training program for child psychiatry within the academic division and the residents always rate the rotation very highly in terms of supervisor teaching and seminars. The postgraduate site coordinator is Dr. Debbie Schacter who also sits on the University post-graduate committee. With the establishment of subspecialty training in child and adolescent psychiatry in 2013, we expect that a significant number of subspecialty residents will also be working at CAMH in the future
particularly in our youth in-patient unit. The first sub-specialty resident will start at CAMH July 2014. Residents doing electives or selectives in other years of their training also come to CAMH for specialized experiences. This year four (4) residents took advantage of this opportunity. The service also provides a focus for clerks and medical student electives. At any one time, 4 clerks on average rotate though the different clinics and many elective students from the University and from other medical schools in Canada or around the world come to CAMH to experience child and adolescent psychiatry. This year 54 core medical students (clerks) came to CAMH. Each received two four hour sessions of didactic and experiential teaching. Twelve medical students also came to CAMH on elective experiences in the last academic year.
Research There are three Clinician Scientists/researchers who spent more than 50% of their time in research in the program; Dr. Brendan Andrade, Dr. Joanna Henderson and Dr. Stephanie Ameis. Another six have protected time for research: Dr. Peter Szatmari, Dr. Ken Zucker, Dr. John Strauss, Dr. Corine Carlisle, Dr Tracey Skilling, and Dr. Joe Beitchman. Dr. Henderson is Head of the Research Committee of the program. Significant research currently being conducted within the Division includes a clinical
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trial of children with disruptive behavior disorders, identifying aspects of developmentally sensitive services for youth with concurrent addictions and mental health problems, genetic factors underlying mood disorders, psychopathology in children with language disorders, a clinical trial of dialectical behavior therapy, and research into the longitudinal course and brain mechanisms associated with Autism spectrum disorders. Division researchers are Principle Investigators on $806,403 of funding in fiscal 20132014 and are Co-Investigators on $133,333 of funding received by other CAMH researchers (but external to Child Youth and Family Program) in fiscal 2013-2014. Division researchers are CoInvestigators on $1,125,164 of funding held externally to CAMH in fiscal 2013-2014. The total funding support to Division researchers held by CAMH and externally (combined) for fiscal 20132014 is therefore $1,910,901 – this includes funding beginning in fiscal 2013-2014, as well as previous funding continuing into 2013-2014. All junior investigators receive regular mentoring from Dr. Szatmari and are beginning to build collaborations with other members of the University of Toronto Division of Child and Adolescent Psychiatry and the Fraser Mustard Institute of Human Development. An important focus for the year has been the establishment of the Wallace and Margaret McCain Centre for Child,Youth and Family Mental Health. Several meetings were held with both faculty within the Division as well as other experts from CAMH to discuss a vision and mission for the Centre. This has now been accomplished and the Centre will become the “home” for research within the entire Child, Youth and Family Program and the Division of
Child and Adolescent Mental Health at CAMH. In the coming year, further tasks include a governance and membership strategy, plans to hold a conference, and the elucidation of several high priority research projects.
Clinical programs A major focus for this year is restructuring of the clinical services for children, adolescents and youth at CAMH. This involves establishing a single point of access (ACCESS CAMH), providing a generic brief assessment period and a more focused intervention. We anticipate that as a result of these changes more children and youth will be served with fewer restrictions on access. The focus will be on serving children, adolescents and youth with severe, chronic, complex mental health challenges within the greater Toronto area. Referrals outside Toronto will be redirected to telepsychiatry at the Hospital for Sick Children. All these need to take place in the context of education and research. The re-design of clinical services at CAMH is being aligned with similar exercises at Sickkids and at HInks-Dellcrest.
New leadership structure Dr. Szatmari arrived in 2013 to take over leadership of the Division of Child and Adolescent Mental Health. The new leadership structure also includes Dr. Kwame McKenzie as the Medical Director, Dr. Susan MacKenzie as the Medical Lead of the Outpatient services and Dr. Corine Carlisle as the Lead of youth and concurrent disorders. Dr. Peter Szatmari, Chief of the Division of Child and Adolescent Mental Health
Consultation Liaison Overview The Consultation & Liaison (CL) Division focuses on the relationship amongst psychological, biological, and social factors in the expression of symptoms in medical/surgical illness. This Division’s mandate is to provide consultation to patients and liaise with their treatment teams, to optimize the biopsycho-social care of patients. We also train undergraduate and postgraduate students in the psychiatric care of patients with medical, surgical, psychosomatic and medically unexplained conditions; develop and promote research; establish and communicate standards of care and provide and support continuing education in the interface between psychiatry and physical health. The Division draws the attention of physicians and members of the community to the often undetected and untreated psychiatric morbidity and psychosocial distress in medically and surgically ill populations, and enhances the services and treatment available for such problems. The CL Division is based at several general hospitals and one paediatric hospital, with additional research staff located at other institutions and Universities. CL teaching services, and specialized clinical and research programs, are distributed across these sites as follows, with leadership as noted:
The University Health Network •
Consultation-Liaison (CL) Psychiatry & Transplantation: Susan Abbey, Raed Hawa
• • • • • •
Bariatric Surgery: Sanjeev Sockalingam, Raed Hawa Eating Disorders: Marion Olmsted, Blake Woodside Neuropsychiatry and Sleep Disorders: Colin Shapiro Behavioural Cardiology: Robert Nolan Psychosocial Oncology & Palliative Care: Gary Rodin The Toronto Rehabilitation Institute: Dr. Abe Snaiderman
Mount Sinai Hospital • • • • • • • •
Consultation-Liaison Psychiatry: Jon Hunter, Ellen Margolese, Mary Preisman Psychosocial Oncology: Jon Hunter Gastrointestinal Disease: Ellen Margolese HIV Psychiatry: Peter DeRoche Palliative Care Psychiatry: Bill Mah Pain: Peter Moran Diabetes and Obesity: Barry Simon CL Research: Bob Maunder
St. Michael’s Hospital • • •
Consultation-Liaison Psychiatry: Adriana Carvalhal, Kien Dang, Shree Bhalerao, Obstetrics: Julie Maggi Neuropsychology: Sean Rourke
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
Sunnybrook Health Sciences Centre • • •
Consultation-Liaison Psychiatry: Robert Jaunkalns, Nick Grujich Neuropsychiatry: Anthony Feinstein Psycho-oncology: Janet Ellis
Women’s College Hospital The Hospital for Sick Children •
Consultation-Liaison Psychiatry: Claire De Souza
Year in Review This year the Review focuses on a sample of CL staff doing exemplary work in liaison at local, national and international levels, to improve mental health access and services for the medically and surgically ill, in line with Pillars 1 and 4 of the Strategic Plan. Within the city, Janet Ellis became the CCO Regional Clinical Lead for psychosocial oncology in the Toronto Central-North LHIN, providing leadership for the development of multi-disciplinary psychosocial services in cancer care. Dr. Mark Katz is the co-PI for a Bridges project on a Novel Collaborative Care Clinic in Mental Health, designed to improve psychiatric assess and reduce emergency visits. Sanjeev Sockalingam and Raed Hawa provide the psychiatric component of the U of T Bariatric Surgery Collaborative, which now assesses and provides psychosocial care for patients at TWH, TEGH, and SMH. Further alliances are being developed with St. Joseph’s Hospital, HSC, and HRRH, and beyond that to centres of excellence elsewhere in Ontario and Alberta. Of particular note is the substantial contribution of the Medical Psychiatry Alliance to the Hospital for Sick Children, where a rejuvenation of their Medical Psychiatry Program, directed by Dr. Claire De Souza, is underway, with the addition of Dr. Irfan Mian. In other paediatric work, Rebecca Pillai Riddell became a CIHR New Investigator in Pediatric Pain. Provincially, Marta Novak is the Chair of the Psychosocial Wellness Advisory Committee at the Kidney Foundation of Ontario. Dr. Marlene TaubeSchiff, leads a CL Division committee which brings together personnel concerned with the graduation of patients from the pediatric to the adult healthcare system and the significant risk for inadequate care at
this time. This “Transitions” group has membership from nursing, social work, psychology, and psychiatry, from multiple hospitals and clinical areas - including congenital heart disease, bariatric medicine, nephrology, and oncology. To the same end, Adrienne Kovacs became a member of the Toronto Central LHIN Children and Youth Advisory Table Transitions Working Group. Jon Hunter continues to participate in the OCFP Provincial Collaborative Mentorship Network for family doctors, and along with Bob Maunder, Paul Kurdyak, and Simone Vigod, has undertaken an investigation of the impact of collaborative care on the outcome of patients with serious psychiatric disorders. Nationally Dr. Sean Rourke, in his roles as Director of the CIHR Centre for REACH in HIV/AIDS, Director of the University without Walls (CIHRSTIHR), and Director of the CIHR CommunityBased Research Collaborative Centre, regularly liaises with university-based researchers, policy makers, frontline service providers, and members of the HIV AIDS and public health community to further research and non-stigmatized care in this area. Evan Collins joins the Division to further this work as well. Internationally, CL Division members continue several global initiatives. Gary Rodin’s team at Princess Margaret Hospital trains physicians in psychooncology and palliative care via visits to Kuwait. Kim Miller, also at PMH, has partnered with MOI University School of Medicine in Kenya to provide communication skills training via Skype on a monthly basis. Adrienne Kovacs will be a visiting professor to the Department of Pediatrics at Brown University in Rhode Island and Saul Marks has been reappointed as the Honorary Secretary of the FINA Sports Medicine Committee, maintaining his involvement in the International Olympic Committee. Marta Novak completes her term as Secretary of the European Association of Psychosomatic Medicine. Throughout this summary one may discern active and productive involvement by Divisional members in education, research and clinical development. Indeed, there are multiple other significant achievements captured elsewhere in this Annual Report. For instance, Bob Maunder’s promotion to
DIVISIONS Full Professor and the appointment of Susan Abbey as Psychiatrist-in-Chief at the University Health Network emphasizes the leadership provided by members of the Division. Sharing care across disciplines, specialists and settings, to optimize the well-being of patients remains a core value of the Division, therefore this report highlights the extensive, but often less obvious, liaison work
41 undertaken by members of the Division within their own institutions, as well as locally, nationally, and internationally. Respectfully submitted, Jon Hunter, MD, FRCPC Director, Consultation-Liaison Division
Equity Gender and Populations Directors’ statement Equity Gender and Population (EGP) is a new Division which has only been in place for three years. It was created by merging divisions which focused on Women’s mental health and Culture Community Psychiatry. The thematic link underlying this amalgamation, was a focus on access to care and the treatment of special populations, in accordance with the new strategic plan of the Department of Psychiatry at the University of Toronto. The Division is led by Dr Kwame McKenzie and Dr Valerie Taylor. It is supported directly by the Department of Psychiatry, though in kind support is offered by hospitals by way of administrative support to the co-Directors. Strategic planning and long term planning The two directors have been in place for one year, and the initial focus has been on identification of goals in education, research and health systems, with a focus on creating collation. This division is also very involved with the Departmental Strategic plan, and much of the work of Pillar 4 (Dialogue) of the strategic plan has been undertaken by EGP members. A retreat to discuss planning outside of the Departmental strategic plan is under discussion. Major milestones achieved within the division over the last 3 years. A number of major milestones have been achieved over the last few years 1) Development of a University of Toronto
accredited diploma in health equity and psychiatry. 2) Development of cultural psychiatry day that has moved from a local Toronto event to a cross Canada, web-based teaching initiative for residents in psychiatry. 3) Standards for the teaching of cultural psychiatry the Canadian Psychiatry Association has adopted the standards for teaching cultural psychiatry developed by a coalition of experts prominently including cultural psychiatrists in this Department 4) The addition of a focus on improving the services for diverse population as one of 7 main directors for the first Mental Health Strategy for Canada came about through research and advocacy by members of the Division. 5) The first RCT of an ethno-specific mental health services was devised and executed as part of the largest homelessness mental health research project in the world. 6) The development of the first Canadian training on recovery in mental health. 7) The development of standard questions on socio-demographic status which are now included as part of the data collected by all Toronto Hospitals. 8) The development of training in health equity impact assessment which is now approved and
DIVISIONS promoted by the Ministry of Health and Long Term care, Ontario 9) Creation of a Trauma Talks Conference 10) The expansion of the role of spirituality in the division and engagement with a Spirituality Conference. 11) Creation of a lecture series on women for trainees 12) Implementation of a across hospital series of trauma rounds
Challenges A major challenges has been the overlap between activities of Pillar 4 of the strategic plan and the work of EGP.
Education Undergraduate medical education. A number of faculty are involved in undergraduate medical education however, there is no clear core teaching on equity, gender and population psychiatry. Within the population health module of community medicine there is one half day which looks at populations approaches to psychiatry. This includes a equity lens and is undertaken by one of the Directors of EGP. There are also a number of lectures directed at the unique aspects of health care in women.
Post graduate Medical Education. The Department of Psychiatry overseas a 5 year Royal College residency training program. Within that program there is specific teaching on EGP psychiatry in years 1 and year 3. This includes work on attitudes towards diversity, knowledge about the epidemiology, presentation and outcome of mental health problems in different marginalised populations. It also includes information on illness models and possible service approaches. Lectures on specific aspects of care in women are dispersed through the curriculum and are augmented by as lecture series. Teaching is in combination with service providers from community organizations. Other forums for teaching include cultural psychiatry day, advocacy day, social determinants of
43 health seminars at St Michaels, a Resident run seminar/ reading group on cultural psychiatry, a trauma talks conference, two lecture series, Women’s College Hospital and one lead by CAMH One initiative underway in EGP is to streamline these different offerings.
Continuing Education Within CAMH, EGP has developed the University Diploma in Equity and Mental Health. This is a full diploma course including face to face and web-based modules. With the Ministry of Health and Long Term Care and the Local Health Integration Networks, we have developed training for health equity impact assessment tools and the community of interest to support this initiative. Members of EGP have developed a Citizen and immigration Canada funded on-line course on refugee mental health which graduates 500 people a year.
Fellowship Programs EGP does not have a specific clinical fellowship program as yet, however, we regularly host clinical elective students and research elective students with a special interest in equity, culture and gender issues in psychiatry. A formalized fellowship in Women’s mental Health was created at Women’s College Hospital with the appointment of a fellowship director who is working to create competencies in this area.
Research Research in EGP is vibrant. The focusses are health equity, gender issues and LGBTT mental health. There are 90 faculty with primary affiliations to EGP: 12 full professors, 9 associate professors, 35 assistant professors, 33 lecturers and 1 emritus professor. There is an equivalent of 30 full time faculty. The total research funding 2011-2013 was $9,125,000. Health equity research has been funded in the last 3 years by CIHR, NIMH, PHAC, CHSRF, OMHF. It
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
has included operating grants, successful applications for national fellowship schemes and a grant to train post-doctoral researcher for the CIHR. There are 3 people in the Clinician Researcher residency scheme currently supervised by EGP. There have been over 20 postdocs in the last 3 years. A research webinar series developed by members of EGP reaches over 1000 people and has participants in every continent.
Innovations EGP is a pioneer in research, teaching and the development of services that promote equitable outcomes. With respect to culture, only one other department - that in the Jewish Hospital at McGill which also focuses on culture but there is no other Division which focusses on equity, gender and population health. The work that is done is unique for Canada and because of that much of what we do is innovative. There has been considerable expansion in this area and clinically the last few years have seen an expansion of the Perinatal program at Mt. Sinai, with significant links to the community, and the creation of the Women’s Mood and Anxiety Clinic at SunnyBrook. The Women’s Mental health and Addictions Program, which links key stakeholders in
the community with partners from with the department of psychiatry has also been moving to create new initiatives.
Faculty The Directors meet new faculty in the Division on a one to one basis to orientate them. Regular meetings with research faculty are undertaken. Development and support of teaching occurs through the Pillar 4 leads. An executive met regularly until recently to move towards a strategic plan and to plan a survey. The results of the survey will be discussed and the strategic planning will recommence in fall 2014.
Relationships The Division Directors work in CAMH. Women’s College Hospital and the Wellesley Institute. Members of EGP sit on the boards of community organizations offering mental health care such as CMHA Toronto, Hong Fook and Across Boundaries. Some are cross appointed to Ryerson University,York University and MacMaser University. Within U of T OSEI and the school of law PhD candidates are supported by EGP members.
Geriatric Psychiatry Mission The Division of Geriatric Psychiatry strives for excellence in research into mental disorders in latelife and the education of health care practitioners who treat elderly patients. As service providers to a growing and relatively under-serviced patient population, we also act as advocates for these individuals in the area of health policy.
Organization Bruce G. Pollock is Professor and Director of the Division. There are six primary sites: Baycrest (Head, Robert Madan), the Centre for Addiction and Mental Health (CAMH; Head, Tarek Rajji), Mount Sinai Hospital (MSH; Head, Joel Sadavoy), Sunnybrook Health Sciences Centre (Head, Nathan Herrmann), the University Health Network (UHN; Head, Alastair Flint) and St. Michael’s Hospital (SMH; Head, Corinne Fischer).
Clinical The Division sites provide the full spectrum of clinical services for the management of elderly patients with psychiatric illness. These include inpatient units, outpatient services, day hospital, community psychogeriatric services providing domiciliary visits, and consultation liaison services to both acute-care and long-term facilities. Corinne Fischer is chair of the clinical coordination
committee, which seeks to better integrate levels of care according to areas of specialization within the Division.
Education Formal educational activities are provided at the undergraduate, postgraduate, fellowship, and continuing education levels. The undergraduate education coordinator is Petal Abdool. Division members are active in all aspects of the undergraduate curriculum, which includes the preclerkship, clerkship, and psychogeriatric electives. The postgraduate education coordinator is Robert Madan. The Division trains every single resident in the program in geriatric psychiatry, as mandated by the Royal College requirements. The Division also trains residents interested in career paths in geriatric psychiatry, which is recognized as a subspecialty by the Royal College of Physicians and Surgeons of Canada. Alastair Flint is the fellowship coordinator. The Division offers institutionally funded fellowships at Baycrest, CAMH, Sunnybrook and UHN.
Research Opportunities for clinical and translational research in geriatric psychiatry are considerable and there are particular divisional strengths in functional neuroimaging (PET & fMRI), pharmacometrics, pharmacogenetics and clinical trials methodology. Tarek Rajji serves as Research Coordinator for the
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Division. Graduate advisors within the Division are available to those enrolled in the Clinician Scientist Program.
Public Policy: Division members have leadership roles in national (Canadian Academy of Geriatric Psychiatry (CAGP), Canadian Coalition for Seniors Mental Health) and international organizations (American Association for Geriatric Psychiatry (AAGP), International College of Geriatric Neuropsychopharmacology, International Psychogeriatric Association (IPA)). Division members were also active participants in developing health policy as consultants to governmental agencies such as the Ontario Ministry of Health and Long-Term Care and the U.S. Food & Drug Administration.
PROGRAM DEVELOPMENTS 2013/2014 Clinical Division members continue to be actively involved in a number of exciting clinical initiatives. Dr. Carole Cohen and Dr. Joel Sadavoy remain active in the Behavioural Support for Seniors Program in the Toronto Central LHIN (TCLHIN). Dr. Carole Cohen continues to lead the long-term care (LTC) sector and the community sector of this strategy. Dr. Joel Sadavoy continues to chair the Toronto Central LHIN Education Consortium. Dr. Cohen assisted with the preparation of the Psychogeriatric Review for the TCLHIN. Dr. Cohen has been active in the North East Health Link as a member of the Advisory Council and Dr Cohen chairs the Better Care Committee that oversees the development of a tracking system that identifies patients who are high users of ED or inpatient services at Sunnybrook Health Sciences Centre. Dr. Cohen and Dr. Sadavoy are members of the North West Toronto Health Links Steering Group. Dr. Sadavoy remains involved with the Reitman Centre, which has seen significant expansion over the past year. The centre focuses on training caregivers of patients with dementia and has now expanded into two community settings (St Christopher’s House for the Portugese community and SPRINT) in addition to providing formal training for all care coordinators in the Toronto
Central CCAC. In recognition of its accomplishments the Reitman Centre Training Program for Health Care Professionals was awarded the prestigious University of Toronto Faculty of Medicine Ivan Silver Award for Innovation in Continuing Professional Development. The centre also remains actively involved in both research and policy development.
Education Division members are active in all aspects of the undergraduate curriculum. In postgraduate education, the Division trained residents in mandatory training positions, geriatric psychiatry subspecialty residents, and fellows. For the PGY3 core geriatric psychiatry rotation, in each 6-month block there was a monthly centralized seminar series led by various faculty members in the Division. Geriatric psychiatry was successfully accredited as a subspecialty at the University of Toronto and Royal College of Physicians and Surgeons of Canada in February 2012. An internal review was conducted in April 2014 and the program was successful. The first resident graduated this academic year. Three more residents will graduate in December 2014. The program has accepted three residents for the 2014/2015 academic year, two from Toronto and one from Quebec. Members of the Division that participated in the Geriatric Psychiatry Residency Program Committee were Corinne Fischer, Ilan Fischler, Peter Giaccobe, Robert Madan (Chair/Program Director), Tarek Rajji, Mark Rapoport, Leslie Wiesenfeld and Vincent Woo. The Geriatric Psychiatry Subspecialty residents were represented on this committee as well. Darcy O’Brien received this year’s Division of Geriatric Psychiatry Resident Award. Of the four medical education awards given each year by the Department of Psychiatry, three were awarded to Division of Geriatric Psychiatry members: Donna Kim, Tarek Rajji, and Shinichiro Nakajima were recipients of the Abraham Miller Undergraduate Teaching Award, the Paul E. Garfinkel Award for Best Fellowship Supervisor, and the Best Accomplishment by a Fellow (research).
DIVISIONS
Research Substantial progress continues to be made in many areas of research in part due to the success of the Toronto Dementia Research Alliance (TDRA) established by the Toronto Academic Health Science Network. The TDRA is an academic coalition of the five memory/dementia clinics affiliated with the University of Toronto (Baycrest, CAMH, St. Michael’s Hospital, Sunnybrook Hospital, and University Health Network) and the Faculty of Medicine of the University. The TDRA has fostered increased collaboration which has resulted in another year with considerable increase in external funding to Division investigators. The thematic highlights of Division collaborative projects include: cognitive impairment in late life bipolar disorder, depression, and schizophrenia; depression and coronary artery disease, genetic and therapeutic studies in traumatic
47 brain damage; imaging of brain inflammation as well as dopamine, serotonin and muscarinic receptors in a variety of late-life conditions and amyloid deposition in Alzheimer’s disease and frontotemporal dementia; pharmacotherapy of dementia and related psychiatric symptoms; psychotic depression; the relation between affective disorders and balance and mobility; and neuroplasticity studies across the lifespan using brain stimulation techniques. One major accomplishment for our Division this past year is a $10M award by Brain Canada to conduct a randomized controlled trial to prevent Alzheimer’s dementia in older patients with depression or mild cognitive impairment. This 5-year project will be led by CAMH and includes all other four TDRA sites. Bruce G. Pollock, MD, PhD, FRCPC, DFAPA
Psychotherapies, Humanities and Education Scholarship Directors’ Statement Organization & Financial Structure The Psychotherapy, Humanities & Education Scholarship (PHES) Division is one of eight psychiatry divisions that was created with the restructuring of the Department of Psychiatry in 2011/2012. Our mission and vision are to foster innovation, excellence and a community of academic scholarship that promotes relationship-centred care, relationship-centred learning and reflective capacity in mental health care, teaching, and learning. The PHES Division is an amalgamation of two former programs, The Psychotherapy Program, under which the Humanities Program was housed, and the Research, Innovation, and Scholarship in Education (RISE) program. Our Division is led by director, Dr. Susan Lieff and associate director, Dr. Paula Ravitz with the Executive of the Division comprised of the leads of the three streams. Dr. Paula Ravitz is the lead of the Psychotherapy stream. The lead of the Humanities stream is Dr. Allan Peterkin. The lead of the Education Scholarship stream is Dr. Sophie Soklaridis. The Humanities Program also has Edu-D status as an interdepartmental program within the University of Toronto. The PHES Division is supported by the University of Toronto, Department of Psychiatry and each of the streams receives additional support from other sources. The Psychotherapy Stream is supported through the Mount Sinai Hospital, Department of Psychiatry practice plan and the Morgan Firestone
Psychotherapy Chair. The Humanities stream receives funding from Mount Sinai Hospital, Department of Psychiatry practice plan, in part supporting its 10-years of publishing the literary journal ARS MEDICA. Additionally, it receives some support from the University of Toronto, Faculty of Medicine and Postgraduate Medical Education office for resident wellness and arts-based initiatives. The Education Scholarship stream and RISE activities include a funded fellowship from the University of Toronto, Department of Psychiatry and receives support from the Office of Education of the Centre for Addiction and Mental Health (CAMH). The Executive meets 5 times per year; with three Division wide meetings for PHES members and grand rounds that circulate amongst the university affiliated hospitals. The Psychotherapy Stream associate lead is Dr. Adrienne Tan and is administered by a committee comprised of hospital-based postgraduate education leads and modality specific leads, meeting five times per year, coordinating centralized and hospital-based post-graduate education core curricular activities, a once yearly faculty development retreat and department wide academic day. The Humanities Program has an Advisory Board comprised of multidisciplinary, interdepartmental leaders from psychiatry and family medicine, nursing, English literature, the Jackman Humanities Institute, Film Studies and Bioethics meets three times per year. The Education Scholarship stream hosts five RISE- WIIPS (works, innovations and ideas in progress) meetings per year
DIVISIONS and stewards the Education Development grant competition of the University of Toronto, Department of Psychiatry as well as the yearly Don Wasylenki Education Day.
Strategic Planning and Long Range Planning Our Division undertook a strategic planning process in 2012-2013 in order to define shared goals, potential synergies amongst the streams and to identify interested members of the department whose work aligned with the division’s goals and objectives. The PHES vision is to: advance the understanding of relationship-centredness and reflective capacity (“RCRC”) in learning and health and to enhance the capacity of patients, clinicians, faculty, learners, families and community members to engage with one another in addressing the experiences of individuals living with mental illness. In order to fulfill this vision, we have identified three strategic priorities with short and long term goals: •
To shape the “RCRC” field through research and innovation
•
To become an essential resource for education scholarship and faculty development in RCRC across the Faculty of Medicine
•
To contribute to public understanding & knowledge exchange about mental health.
At the same time the division aims to support the development and growth of each autonomous stream.
Milestones and Accomplishments Achieved Over The Past Year Milestones over the past year include creative professional activities, research, education scholarship, faculty development and leadership of initiatives aligned with the division’s strategic plan. Divisional membership increased by 24% from 94 (in our two former divisional programs) to 117 members as a result of active recruitment; there are now 82 faculty members who have a primary PHES appointment. Dr. Allan Peterkin was appointed as the inaugural Humanities Lead for the Faculty of Medicine
49 (UME), and the Humanities Program also received Edu-D status from the University of Toronto. Dr. Brian Hodges,Vice President of Education at University Health Network (UHN), holds the Richard and Elizabeth Currie Chair in Health Professions Education Research and leads the AMS Phoenix Project to promote compassionate healthcare in medicine and nursing. Dr. Diana Kljenak is President-Elect of the Ontario Psychiatric Association (2014). Dr. Molyn Leszcz, Psychiatristin-Chief at Mount Sinai Hospital is the Vice-Chair Clinical for the University of Toronto, Department of Psychiatry and co-chairs the Mental Health and Addictions Acute Care Alliance among seven TAHSN hospitals in collaboration with our community partners and the ongoing support of the University of Toronto and the Toronto Central LHIN.
Within our Strategic Priorities Priority number one: Dr. Sophie Soklaridis has stewarded a successful grant application to the Arnold P. Gold Foundation to conduct a scoping review on relationship-centred care in health involving a number of divisional members.
Priority number two: In January 2014, we initiated a three times yearly divisional meeting and rounds that rotate to different hospital sites, and were hosted by CAMH and Mount Sinai. We initiated a membership recruitment initiative that has resulted in Divisional membership increasing by 24%. Dr. Adrienne Tan and other faculty members are piloting an elective experience for medical students in therapeutic communication entitled “Making Every Encounter Therapeutic (MEET).” Dr. Allan Peterkin is working with PGME and some Divisional members on a faculty development program on professionalism and leadership.
Priority number three: A novel initiative to engage patients as educators and teachers is in development with the Office of
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Education at CAMH. Drs. Sacha Agrawal and David Wiljer are the appointed leads of this initiative.
Education The PHES RISE Stream, following their strategic planning, developed the RISE-WIIPs rounds to foster collegial discussion and mentorship in the domain of education scholarship. Based on resident interest and a needs assessment, the stream also created a faculty and resident planning group that developed and co-taught an evidence-based teaching skills curriculum for interested psychiatry residents. The program is now being further evolved and into the core curriculum for all PGY1 residents just prior to entering PGY2. A key activity of the Psychotherapy Stream is to teach psychiatry residents to achieve required proficiencies in evidence-supported psychotherapy treatments. Towards this end, we coordinate centralized seminars and clinical supervision in differing psychotherapy treatments across the PGY25 years in the post-graduate psychiatry residency program. Faculty Development, accredited continuing education (CE) and knowledge exchange initiatives have focused on therapeutic communication in medical students and junior residents, psychotherapy supervision, and education outreach to underserviced settings. Other quality improvement and faculty development initiatives in psychotherapy included a qualitative study of the causes and impacts of disruptions in psychotherapy training, and the alignment of evaluation of psychotherapy competence with proficiencies in the CanMEDs roles. In the areas of continuing and public education, CAMH, UHN, Sunnybrook Health Sciences Centre and Mount Sinai Hospital through the Mount Sinai Psychotherapy Institute, have produced numerous accredited CE workshops in psychotherapy treatments, treatment of psychological trauma, and Mindfulness Based Stress Reduction, and engage in capacity-building outreach with community based clinicians and service organizations. This year’s Psychotherapy Day, on “Improving Psychotherapy Supervision Effectiveness” featured invited keynote presentations from Drs. Clara Hill, Molyn Leszcz and John Norcross, with simulations of supervisory and clinical
challenges. Drs. Carmen Wiebe and Shelley McMain at CAMH have provided extensive training to community based clinicians in Dialectical Behavior Therapy (DBT), an effective treatment for patients with Borderline Personality Disorder. International education initiatives have been led Dr. Molyn Leszcz training in group psychotherapy in China and Drs. Clare Pain, Dawit Wondimagegn, Paula Ravitz, Atalay Alem and others at Addis Ababa University are engaged in a scaling up project of mental health services with culturally adapted Interpersonal Psychotherapy for Ethiopians through the Toronto-Addis Ababa Academic Collaboration, funded by Grand Challenges Canada. The Humanities stream, in its mission to humanize health care, has created and disseminated several curricular projects for learners across the academic continuum from undergraduate medical students to faculty and staff. A companion curriculum in the humanities for undergraduate medicine was created with psychiatry residents and now “pulses” to students on ARTBEAT, their humanities blog. In the Postgraduate Psychiatry core curriculum is a seminar series that fosters reflective capacity. In the workplace a team of 12 interprofessional clinicians, called “Team Narrative”, lead narrative seminars to foster wellness, mitigate burnout, and renew compassion for a patient-centred approach. The Humanities program has also generated artist-in-residence placements in health settings, the ARS MEDICA journal (now in its 10th year) and the programming of many multidisciplinary arts-based events for health learners and practitioners including a yearly Creating Space Conference, produced in conjunction with the Canadian Conference on Medical Education. As well, students from across the 11 health disciplines at the University of Toronto can now receive a Certificate of Competence in Interprofessional Health Humanities that involves participating in a variety of arts-based learning activities.
Research & Scholarship Dr. Sophie Soklaridis received funding from the Arnold Gold Foundation to conduct a scoping review on relationship-centred care in health. Within education, our faculty engage in a diversity of research programs that span great breadth. Within
DIVISIONS psychiatry, these include: learning from patients and families affected by mental illnesses, gender and leadership in psychiatry, mentorship programs for residents, training in telepsychiatry and collaborative care, developing an interprofessional care assessment tool for healthcare teams (CIHR), intersections among quality improvement and continuing professional development in psychiatry, use of social media for updating evidence-based guidelines (CIHR) and a study of facilitated performance feedback in residency education. Additional foci beyond the psychiatric realm include simulation, mentorship, academic leadership development, performance feedback for practice improvement, self-versus peer-directed physician assessment and audit for practice-based learning and practice guideline implementation, the determinants of knowledge use in a medical education context, intersections between the domains of CE, knowledge translation, patient safety and quality improvement, and the development and testing of an interprofessional care assessment tool for healthcare teams. In the Humanities, funded research projects include medical student reflective writing, post-graduate medical education portfolio assessment and collaborative projects on resilience and wellbeing in LGBT communities (CIHR and FQRSC). From an international perspective, funded research of our faculty over the past year includes two international team projects, on developing ER clinical services and training in partnership with Addis Ababa University, and an international symposium based on Canadian and Taiwanese experiences to develop guidelines for culturally sensitive and equitable globalization projects in medical education. Additional projects included leading of an environmental scan of postgraduate medical education at the University of Toronto site. Other research by our divisional members includes a 6-year CIHR-funded national study of telephonebased Interpersonal Psychotherapy counselling for mothers with post-partum depression which was completed in 2013, and a capacity building project in evidence-supported psychotherapies with a series of learning guides/DVDs by the University of Toronto, Department of Psychiatry faculty for
51 introductory skills teaching and dissemination of a range of effective psychotherapy treatments for depression, anxiety, emotion dysregulation and substance abuse problems for health learners across the learning continuum (Eds Ravitz & Maunder). Drs. Leszcz and Ravitz are also co-investigators with the national Psychotherapy Practice Research Network (PPRNet) whose mission is to conduct practice-based research.
Novel Innovations & CPA In addition to the research and education scholarship above mentioned, PHES faculty have published books and journals on narrative medicine, psychotherapy, trauma, and innovative models of teaching and evaluation. These include “Creating the Health Care Team of the Future: The Toronto Model for Interprofessional Education and Care” (Nelson, Tassone & Hodges. 2014), “Body and Soul: Narratives of Healing from ARS Medica” (Crawford, Kay, Peterkin & Roger. 2013) and the 5-book/DVD series, “Psychotherapy Essentials to Go” (Eds. Ravitz & Maunder. 2013). The ARS MEDICA journal is celebrating its 10th anniversary this year and moving to an online platform (www.ars-medica.ca). As well, there are three artists-in-residence: at Mount Sinai Hospital, a Poet-in-Residence; through Undergraduate Medical Education, an Illustrator-inResidence; and at Massey College, an Editorial Fellow. Finally, psychiatry residents, with the support of the Health Humanities Program, are curating a new medical student humanities and creative interface blog called ArtBeat. Dr. Clare Pain is a founding co-director of the award winning international Toronto-Addis Ababa Psychiatry Program (TAAPP) and director of the Toronto-Addis Ababa Academic Collaboration (TAAAC. http://www.taaac.ca). TAAAC has over 14 individual partnerships in 6 different faculties at University of Toronto including psychiatry, emergency medicine, nursing, pharmacy, library science and occupational health. Through these education partnerships faculty from the University of Toronto travel to Addis Ababa University to teach for one month three times a year. By effectively strengthening the training of medical subspecialists, a critical mass of health and human resources for
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service expansion, delivery and training results. The TAAAC program received a major award for The Biaber Project led by Drs. Clare Pain, Dawit Wondimagegn, Paula Ravitz, Atalay Alem and other Ethiopian psychiatrists at Addis Ababa University, with Drs. Jane Phillipots and Amy Bender at University of Toronto to build capacity and scale up mental health care and culturally adapted Interpersonal Psychotherapy for Ethiopians in primary care settings (Grand Challenges Canada).
meetings, development of the web-site, post-grad, under-grad and faculty education activities, and strategic planning from the Department of Psychiatry. Leadership, salary support and stream activities are further supported by TAHSN hospitals where faculty are on staff. The psychotherapy and health humanities streams have their academic home at the Mount Sinai Hospital, Department of Psychiatry and Morgan Firestone Psychotherapy Chair, and the RISE stream has its home at the CAMH Office of Education.
Faculty
Several of our faculty have leadership and administrative positions both within the Department of Psychiatry, at their respective hospitals, and the University of Toronto, Faculty of Medicine including Vice Chair of Education and Vice Chair of Clinical Affairs for the Department of Psychiatry, Head of Health Humanities for the Faculty of Medicine, the Morgan Firestone Psychotherapy Chair, the Richard and Elizabeth Currie Chair in Health Professions Education Research, Co-Project director of the Toronto Addis Ababa Academic Collaboration,Vice Presidents of Education at UHN, CAMH and Sunnybrook Health Sciences Centre and Director of Academic Leadership Development for the Centre for Faculty Development. In addition, extending beyond the University, several of our faculty are leaders in global mental health initiatives and international associations. They are active as teachers of courses, curricular and evaluative planners, and supervisors of graduate students.
As a new Division, we are in the formative stages of establishing cohesion to realize our vision and strategic plan. Our Division encompasses a diverse group of faculty and our challenge is to continue to be responsive to the generative scholarly, research, and program development activities of our members and streams, creatively advancing the strategic plan whilst supporting diverse emergent initiatives. In addition to the divisional rounds, and RISE-WIIPs, faculty development for psychotherapy clinical supervisors includes a yearly education retreat, a yearly academic day for faculty and residents that features invited guest speakers, and hospital-based grand rounds and peer-supervision meetings.
Relationships Our Division receives core financial support each year both through in-kind support of administrative staff and funds for expenses including divisional
Forensics Division Overview The Division of Forensic Psychiatry is the smallest of the new divisions within the Department with 53 members. It includes 4 professors, including one Emeritus, and six Associate Professors. The Division includes psychiatrists and psychologists and four lawyers, and other interdisciplinary colleagues. We are active contributors to Pillar 4 of the Department’s Strategic Direction. The group currently has a total amount of $3,604,226 in active grants from all sources. We published 4 books, 11 chapters and 19 refereed publications.
Cantor, and in relation to issues of mental illness, mental disorders and offending behaviour at CAMH, headed by Assoc Prof Sandy Simpson and Dr Stephanie Penney. All groups have significant international and national links, holding CIHR and US research grants as well as institutional and provincial grants. We are increasingly seen as the centre for forensic psychiatry in Canada, for professional leadership, policy contributions, teaching and research. Teaching development has focused on the establishment of Canada’s first sub-specialty program in Forensic Psychiatry, now in its 3rd year [see below].
Organization The Division has three major bases: at the Centre for Addiction and Mental Health, at Ontario Shores Centre for Mental Health Sciences and at the Waypoint Centre for Mental Health Sciences. Each centre has a major clinical program in forensic psychiatry and they provide high quality venues for teaching and research activity. Research has three major teams: •
at Waypoint, Professor Howard Barbaree is Executive Vice President for academic affairs at the Waypoint Centre for Mental Health Care with a long and successful history in risk related research; and
•
at the Sexual Behaviors Clinic at CAMH where a research program has been headed by Dr James
Year in Review Education i) Subspecialty and graduates: the major initiative over the last 3 years has been the successful implementation of the Subspecialty Training Program in Forensic Psychiatry under the leadership of Dr Lisa Ramshaw. Four residents graduated from the Program in 2013: Drs Andrew Morgan, Mitesh Patel, Jennifer Pytych, and Leslie Wong. They are the first forensic subspecialty graduates in Canada, and will make significant contributions to the field in the years to come. All took on roles within the GTA in U of T affiliated clinical centres. The program now has 3 further PGY 6 candidates accepted into it, and a developing PGY 5 cohort indicating
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 forensic psychiatry interest. One of these, Dr Georgia Walton, was successful in gaining a Rappaport Fellowship of the American Academy of Psychiatry and the Law in 2014.
ii) Also of major note is the publication of Dr Hy Bloom and Justice Richard Schneider’s co-edited text: Law and Mental Disorder: A Comprehensive and Practical Approach, Irwin Law, 2013. This text book running to over 50 chapters is a comprehensive work about the practical craft of forensic psychiatry. The work that has taken a Herculean effort to produce and has been contributed to by many U of T forensic faculty members. It is a major contribution to forensic practice in Canada and beyond. It formed the basis for the Training Course in Forensic Psychiatry, convened by Drs Hy Bloom, Lisa Ramshaw and Treena Wilkie. It occurred in July 2013 for over 100 psychiatrists from across Canada to assist them in the preparation for the subspecialty examination in forensic psychiatry of the Royal College, that occurred in September 2013.
Research i) Research activity is rising in each centre noted above. A few highlights are now listed below. ii) Dr Nathan Kolla is involved with investigations in neuroimaging of impulsive and aggressive individuals. Positron emission tomography studies are currently underway that seek to understand the neurochemical correlates of impulsive, aggressive behavior in individuals with borderline personality disorder or antisocial personality disorder. These studies investigate monoamine oxidase A binding - a brain protein implicated in aggression and impulsivity. Genetic analyses and fMRI of these populations are also being pursued. Dr. Jeff Meyer is the primary investigator working with Dr. Nathan Kolla. iii) One of the most important risk assessment tools in forensic mental health, the HCR 20 was coauthored by Prof Chris Webster, Professor emeritus. Dr Webster and colleagues released the HCR 20 V3 in 2013, the first revision of this tool since 1997. It represents a major consolidation of
the principles of structured professional judgment methodologies. Initial work on interrater reliability is occurring at CAMH as well as 2 studies exploring concurrent and predictive validity. iv) An epidemiological research program is being developed at CAMH by Drs Simpson and Penney to explore a series of studies of patterns of mental illness and violence in Ontario. The methodologies for this are in development, and include time trend studies of ORB patient numbers, patterns of homicide and mental illness and case register based studies derived from the CAMH population. v) Correctional Psychiatry: the problem of serious mental illness in prison and jail settings is a major issue of public policy concern. The Division has been involved in public discussion regarding this theme, and a developing line of publications and now CIHR funded research on the longitudinal course for inmates with mental distress during incarceration. This work is linked to clinical service development.
Clinical Programs After some years of recognition that forensic mental health services have been underfunded, the Ministry of Health and Long Term Care have commenced funding increases to forensic programs across the province, but particularly in the GTA to improve access and address wait times within the forensic system, as well as developing alternate pathways of care. The three clinical programs all benefitted from such funding increases this last two years. We are also addressing joint approaches to care and service policy development, including joint benchmarking or key performance indicator programs and the development of evidence based practice standards. Waypoint completed the redevelopment of its forensic program with its new $474 million facility opening on February 21 2014. The new centre provides a visionary setting for secure forensic care with effective use of interior and exterior space and a wide range of therapeutic and recovery based programs within a secure envelope. It provides 120 secure forensic and civil beds for Ontario.
DIVISIONS A further new domain of involvement will be the enhanced model of early interventions for remand inmates at the Toronto South Detention Centre, where CAMH services and U of T Faculty will together provide clinical assessment and treatment services for inmates with mental illness.
Advocacy and policy influence: Forensic Division Faculty have contributed significantly to Pillar 4 of the Department’s Strategic Plan. There are also three major areas where Faculty have been involved with advocacy or sector influence of national and international impact. i) Not Criminally Responsible and Bill C 54/C-14 campaign: concern arose in relation to a series of high profile cases of persons found NCR, resulting in a Bill from the Federal Government to amend Part XX.1 of the Criminal Code. In partnership with a series of national organisations, U of T staff contributed to or led the public debate and submission production to Parliament opposing aspects of this legislation, giving evidence before the Commons and Senate committees. ii) Sexual behaviours area: Dr Cantor has been frequently called on to discuss public policy issues in understanding sexual offenders, particularly sexual offenders against children. Senior U of T Faculty were centrally involved in the DSM 5 approach to sexual disorders. iii) The major event the Division was responsible for organizing over the last two years was the 14th International Conference of the International Association of Forensic Mental Health Services on June 19-22 2014. The conference theme was “Trauma,Violence and Recovery: Risk and Resilience Across the Lifespan”. Dr Simpson was the chair of the local organizing committee and Dr S Penney was chair of the scientific
55 committee. The meeting was also sponsored by our clinical partners at Waypoint, Ontario Shores, St Joseph’s HealthCare in Hamilton and CAMH. There was in excess of 400 registrants with keynote speakers from the US, Ireland and Australia, and featured a screening of the John Kastner documentary “Out of Mind Out of Sight”. Post conference workshops also attracted over 100 registrants. Feedback was very positive about the quality of the meeting and the networking and collaborative opportunities it generated. iv) Correctional mental health services: service responses to the needs of mentally ill persons in detention centres and prisons became a major discussion point this last year, in tandem with public concerns around a high profile suicide in custody and related concerns, Dr Simpson was involved in public debate and media response to these issues and planning future service enhancements for mentally ill prisoners.
Closing The Forensic Division faces an exciting future of clinical growth and development, Royal College sub specialty status for Forensic Psychiatry and building research and policy influence. We are also contributing to the Global Health program and new areas such as Child and Adolescent forensic psychiatry. This coming year will see increased research had policy influence and major new clinical enhancements promoting Toronto as a major clinical and academic centre in forensic psychiatry. Assoc Prof Sandy Simpson Chief of Forensic Psychiatry, Centre for Addiction and Mental Health Head, Division of Forensic Psychiatry, University of Toronto
Fully Affiliated Sites
Baycrest Health Sciences Hospital Overview Baycrest Health Sciences is an academic health sciences centre that is fully affiliated with the University of Toronto. Baycrest provides a wide range of clinical services including inpatient palliative care, rehabilitation, chronic continuing care, inpatient behavioral neurology and psychiatry. Outpatient services include a variety of clinics including geriatric medicine, day programs, mood and memory clinics and a wide range of other services. Importantly, Baycrest has outreach teams that provide care within a geographical catchment area and is the home of a seven-floor long-term care facility. The Baycrest Rotman Research Institute is globally recognized for its research in the aging brain.
Organization The Baycrest Centre for Mental Health has the following mission: to enrich the quality of life of the elderly and their families through the provision of exemplary multiple disciplinary mental health care, education, and research. The Baycrest values include passion, advocacy, respect, and excellence. The overall vision of Baycrest is to transform the experience of aging through leading innovations in brain health, wellness promotion, and approaches to care that enrich the lives of older adults. The Baycrest strategic plan has a focus on brain health, and the Centre for Mental Health at Baycrest plays a very important role in achieving the strategic
goals. The current strategic plan involves the development of a “Baycrest Model� of care which is centred on brain health, to introduce preventive strategies and technologies for brain health, expand service delivery, and to continue to be productive in the areas of research, scholarship, innovation, and dissemination. Baycrest and the Baycrest Centre for Mental Health are currently embarking on a 10-year clinical services plan based on these strategic priorities.
Year in Review Education Our program receives approximately 8-10 psychiatry residents per academic year for core geriatric psychiatric training at the University of Toronto. Baycrest has also been involved in the training of the Geriatric Psychiatry Subspecialty Residents with 2 trainees in the past academic year. Numerous students are trained from a variety of disciplines within our department including family medicine and COE, geriatric medicine, social work, nursing, and occupational therapy. Baycrest continues to provide training in geriatric care, including mental health care, to visiting students and faculty from the Peking Union Medical College in China. The Baycrest Geriatric Mental Health videoconferenced rounds have been well-reviewed and have expanded to a national audience. This has been supplemented with the GEMH.org website which provides interested participants with a
UNIVERSITY FULLY AFFILIATED OF TORONTO SITES PSYCHIATRY • ANNUAL REPORT 2013-2014 community of practice via an interactive forum to discuss issues in this area. The Baycrest Centre for Mental Health has produced a Geriatric Mental Health Educational Website for patients and caregivers. This interactive website has been supported by Geoffrey H. Wood Foundation, Evelyn Burns-Weinrib, and the AFP Innovation Fund. It has had national press and there is sustained donor funding for the next five years from the Geoffrey H. Wood Foundation .
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(Outreach), Telehealth to Northern Ontario (recently expanded by 50%), and Consultation-Liaison within the Baycrest Hospital, and nursing home facility. The composition of the psychiatrists is a combination of full and part-time staff totalling 11 FTEs. All programs are team-based and have a medical program director and manager. The entire Centre for Mental Health will undergo an extensive external review in 2014.
Leadership Research The members of the Baycrest Centre for Mental Health who are Rotman Research Scientists continue to be productive in the research area of brain health. Members of our Department have been very successful in acquiring AHSC AFP Innovation Funds Grants from the Ontario Ministry of Health. Scholarly work which has been disseminated in peer-reviewed journals and conferences, have included research in palliative care, rehabilitation, interprofessional care and education, geriatric depression, and manuals for the treatment of depression and mental health in the nursing home. These are just a few examples of some of the excellent work that has been done by members of this department.
Clinical Programs The Department of Psychiatry at Baycrest is one of the two centres of excellences. Our Department is now known as the Baycrest Centre for Mental Health. The clinical programs include a 20-bed Inpatient Unit, Mood and Related Disorders Clinic, Psychiatric Day Hospital Program for Depression, Geriatric Psychiatry Community Service
There have been no changes to the leadership this past academic year. The Centre continues to use a Program Management Model and involves a Mental Health Council and Family Council. Baycrest has been asked and has agreed to take on the coordinator role for the Northwest Health Link in Toronto. This Health Link will enhance the care of the population through improved coordination and alignment of services and communication supporting family physicians and the community. The Ontario Ministry of Health has also asked that Baycrest conduct a review of psychogeriatric resources within the Toronto Central LHIN. This Psychogeriatric Resources Working Group involved both the Executive Medical Director and the Executive Director of the Centre for Mental Health as well key players across the Toronto Central LHIN in order to review the coordination, alignment, and gaps in services for psychogeriatric outreach.
Robert Madan MD, FRCPC, Geriatric Psychiatrist Psychiatrist-in-Chief and Executive Medical Director Baycrest, Centre for Mental Health Assistant Professor, University of Toronto
Centre for Addiction and Mental Health (CAMH) CAMH had another outstanding year, continuing to deliver a large amount of clinical care, while achieving a balanced budget and meeting its targets in the areas of research, education, and commitments to its provincial role. This year saw the CAMH-wide implementation of a brand new clinical information system — I-CARE, and the completion of the reorganizations of all CAMH clinical services into four programs (Access & Transitions, Complex Mental Illness, Ambulatory and Structured Treatments, and Underserved Populations) with seven academic divisions (Addictions, Forensic Psychiatry, General and Health Systems Psychiatry, Geriatric Psychiatry, Mood and Anxiety, and Schizophrenia) that started in the fall 2012.
OVERALL CLINICAL SERVICES Over the past year, CAMH served over 28,000 unique clients, accounting for 7,000 Emergency Department visits, 4,300 inpatient admissions, and over 470,000 outpatient visits. With more than 350 physicians on staff, a highly committed staff of more than 2,800 and over 1,000 volunteers, CAMH met its aim to continue to improve access to clinical services and decrease inpatient length of stay.
RESEARCH — VP Research: Dr. Bruce G. Pollock CAMH launched a new Research Strategic Plan in November 2013 with three primary pillars: Brain
Science (through the Campbell Family Mental Health Research Institute), Clinical Research, and Social and Epidemiological Research. A partnership with a U.S. pharmacogenomics company to create a Toronto-based subsidiary AssureRx Canada, located on CAMH premises, was finalized. CAMH 116 scientists published 513 peer-reviewed papers, 45% of which were published in high-impact journals (i.e., journals with aimpact factor of 4 or higher). They included a Nature Genetics paper on the shared genetic etiology among 5 psychiatric disorders and a JAMA paper reporting on a multi-site study on the effects of the antidepressant citalopram on agitation in Alzheimer disease. CAMH discoveries also yielded seven patents: five were related to diagnosis or treatment of mood disorders, stroke, schizophrenia and addiction, and two were for genetic mutations to screen for muscular myopathies and Joubert syndrome; both have been licensed to Athena Diagnostics Inc.
EDUCATION — VP Education: Dr. Ivan Silver In 2013-14, education scholarship at CAMH resulted in over $1.6M in new peer-reviewed funding, 13 peer-reviewed papers, and 50 conference presentations and invited talks. In the spring 2014, Portico, a new, national mental health knowledge translation platform, was completed and launched. Two new mobile applications to support mental health and addictions are under development and
FULLY AFFILIATED SITES will be launched next year. The new CAMH Student Centre has been completed and will officially open on June 4th, 2014. CAMH Education hosted the first ever hospital-wide Education Celebration Day honoring the hospital’s award winning teachers and educators from all health disciplines and sectors. Dr. Amitai Ziv from Tel Aviv University Medical School was CAMH’s first visiting professor in Education. CAMH Education also launched a new Client and Family Education Program and is supporting the development of a Client and Family as Teacher Program, which is supporting the Department of Psychiatry’s new From Surviving to Advising initiative, in which people with lived experience advise psychiatry residents.
CAMH ACADEMIC DIVISIONS Addictions — Chief: Dr. Peter Selby With 29 physicians and 4 scientists, the Division received over $6,860,000 in grants, published over 20 papers, and had over 14 research trainees. It offered training to 4 fellows, 55 residents, and 22 medical students from psychiatry and family medicine; it continued to contribute to CME with several courses such Opioid Dependence Treatment course and the Training Enhancement in Applied Cessation Counselling and Health (TEACH) course. This year, Dr. Araki’s teaching excellence was recognized by the Robin Hunter Memorial Award.
Child & Youth Mental Health — Chief: Dr. Peter Szatmari Nine clinician scientists/researchers have protected time for research and they are involved in a clinical trial of children with disruptive behavior disorders, identifying aspects of developmentally sensitive services for youth with concurrent addictions and mental health problems, genetic factors underlying mood disorders, psychopathology in children with language disorders, a clinical trial of dialectical behavior therapy, and research into the longitudinal course and brain mechanisms associated with Autism spectrum disorders. An important focus for the year has been the establishment of the Wallace and Margaret McCain Centre for Child,Youth and Family Mental Health that will become the Division
61 “home” for research. On average, six residents participate in a core PGY3 child and adolescent training rotation every six months; in addition, four residents completed electives or selectives in other years of their training at CAMH. The first Child and Adolescent Psychiatry sub-specialty resident will start at CAMH July 2014.
General and Health Systems Psychiatry — Chief: Dr. Valerie Taylor Under the leadership of a new Chief, the division has been actively involved in education, research, program development, and policy/stakeholder relationships. Its membership includes staff from all four CAMH clinical programs. Research highlights include a large CIHR grant for Behaviour Therapy for Chronically Self-Harming Individuals with Borderline Personality Disorder (PI: Shelley McMain) and new funding from the MOHLTC Health Systems Research Fund focused on improving the health and health care provided to individuals with developmental disabilities in Ontario (PI:Yona Lunsky). In December 2013, the Ontario Minister of Health launched a new mental health and addictions research program at the Institute for Clinical Evaluative Sciences (ICES) under the leadership of Dr. Paul Kurdiak. The division is also active in teaching general psychiatry to PGY2 residents with experience in emergency psychiatry and crisis intervention to elective residents.
Geriatric Psychiatry — Chief: Dr. Tarek Rajji The Division is highly active in research in various aspects of late-life mental disorders including genetics; cognitive neuroscience; functional and structural neuroimaging; and interventions using cognitive, psychosocial, pharmacologic, and brain stimulation approaches. The Division physician scientists received a $10M grant from Brain Canada to conduct the largest Canadian study in the prevention of Alzheimer’s disease, using a combination of non-invasive brain stimulation and cognitive remediation in older patients with depression or mild cognitive impairment. The
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division is also active in teaching medical students, core residents, elective residents, and fellows, with two of its faculty members winning major Departmental teaching awards
Forensic Psychiatry — Chief: Dr. Sandy Simpson The Division is active in research with grants focused on research in violence, risk assessment, correctional mental health, and brain imaging in relation to violent behaviour. Advocacy for system change has been prominent in the areas of legislation — providing evidence to the Senate select committee on Bill C-14, proposed legislation, prison mental health, and sexual deviance. Building on the successful first year of the sub-specialty training program in Forensic Psychiatry (with four graduates in 2013), the Division expect increased interest in forensic psychiatry from residents.
training of more than 10 research and clinical fellows, more than 20 graduate students, and more than 30 psychiatry residents and medical students. The Division held a very successful Schizophrenia Research Day in October 2013, attended by over 150 faculty and staff.
CAMH PROGRAMS Access & Transitions — Medical Director: Stephen Sokolov With the aim of improving access to psychiatric and addictions services, the program initiated Access CAMH, creating one unique access point and one unique 2-page referral form for CAMH 75 outpatient clinics and 26 inpatient units. This work is supported by three medical heads who focus on specific areas: Dr. Allison Crawford (Telepsychiatry), Dr. Daniel Greben (Crisis and Assessment), and Dr. Brittany Poynter (Emergency).
Mood & Anxiety — Chief: Dr. Arun Ravindran
Ambulatory Care and Structured Treatments — Medical Director: Dr. Peter Voore
Productivity in research and publication has continued to be strong, with several peer-reviewed grants received from Canadian Institutes for Health Research, Ontario Mental Health Foundation, Ontario Brain Institute, Canadian Foundation for Innovation, and Grand Challenges Canada. Similarly, the division remained active in teaching residents and fellows. Faculty members were also deeply involved in piloting innovative services, including a new CAMH-wide referral process (“Access CAMH”), CBT groups for patients with primary anxiety disorder and for patients with primary mood disorders, and a new Urgent Care Clinic.
The program launched an Integrated Care Pathway (ICP) for patients with concurrent alcohol dependence and major depression providing them with combined pharmacotherapy, CBT, and support by an interprofessional team. Patients with mood or anxiety disorders can now be seen within three days of a CAMH emergency visit in the new Urgent Care Clinic. By means of process improvements, the wait time for group CBT was drastically reduced 2-4 weeks. An integrated assessment for patients referred for outpatient, day hospital or inpatient care is being planned.
Schizophrenia — Chief: Dr. Tony George With 20 clinician-scientists, 25 clinician teachers, and 1 education scholar, the Division faculty members obtained new research funding from national and international agencies such as CIHR, NIH, OMHF, NARSAD, and the Schizophrenia Society of Ontario. They published nearly 200 peer-reviewed articles and reviews and they were involved in the
The Complex Mental Illness — Medical Director: Dr. Tony George The program includes 357 inpatient beds, an 18-bed Partial Hospital Program (PHP), and 16 outpatient clinics. Drs. Justin Geagea, Andrew Lustig, and Treena Wilkie serve as Inpatient Heads, and Drs. Crystal Baluyut and Patricia Cavanagh as Outpatient Heads. The program has seen significant development of its interprofessional teams and improvements in flow into inpatient and outpatient services. With the new
FULLY AFFILIATED SITES funding of the $15M Slaight Centre for Transition Age Youth, the program will develop and evaluate new clinical services, education, and research directed to people aged 18-24 in the earliest stages of severe mental illness.
The Underserved Populations — Medical Director: Dr. Kwame McKenzie The program includes Child Youth and Family, Dual Diagnosis, and Geriatric Mental Health services at CAMH. Though they serve three distinct populations, these services share a vision of improving access to care and supporting integration and partnerships across sectors. The program consolidated its Integrated Care Pathway (ICP)
63 focusing on patients with dementia and agitation; it is now developing three new ICPs that will expand standardized care for geriatric patients. The program completed a review of the Dual Diagnosis services that will lead to their renewal. Work with Sickkids, the Ministry of Child and Youth Services, and community partners such as Hincks Delcrest is underway to develop a rational and efficient system of care that better meets the needs of children and adolescents. Benoit Mulsant, MD, MS, FRCPC Physician-in-Chief, Centre for Addiction and Mental Health Professor and Vice-Chair, Department of Psychiatry
Hospital for Sick Children Hospital Overview The Hospital for Sick Children (SickKids) is recognized as one of the world’s foremost pediatric healthcare institutions and is Canada’s leading center dedicated to advancing children’s health through the integration of patient care, research and education. Its mission is to provide the best in complex and specialized family-centered care; pioneer scientific and clinical advancements; share expertise; foster an academic environment that nurtures healthcare professionals and champion an accessible, comprehensive and sustainable child health system. Our Department provides strong educational leadership by providing exceptional educational experiences for trainees at all levels. Members of our educational group led the educational curriculum teaching for the University of Toronto Undergraduate Program in Child & Adolescent Psychiatry. At all levels, members of our educational group are involved in creative curriculum development. Type of Trainee:
Total number for year:
Core Psychiatry Residents
6
Child Psychiatry Subspecialty Residents
2
Psychiatry & Psychology Fellows
4
Elective Medical Students
16
Observers (e.g. medical students, physicians)
4
Paediatric, Neurology Residents and Development Peds Fellows
18
PedLe and PsycLE Students (e.g. 1st & 2nd year U of T medical students)
4
Hospital Department Overview The Department of Psychiatry at the Hospital for Sick Children espouses these values through a variety of services and programs addressing the mental health care and needs of children, youth and their families, aligned with its academic affiliation with the University of Toronto. Clinically, patient care is provided through a variety of hospital based programs (Consultation-Liaison; Crisis; Inpatients and Day Hospital; and Eating Disorders), specialized outpatient programs (Anxiety Disorders; Neuropsychiatry; Infant Mental Health), and via videoconferencing with the TeleLink Mental Health Program. Clinically, patient care is provided through a variety of hospital based programs (Consultation-Liaison; Crisis; Inpatients and Day Hospital; and Eating Disorders), specialized outpatient programs (Anxiety Disorders; Neuropsychiatry; Infant Mental Health), and via videoconferencing with the TeleLink Mental Health Program. In the year 2013-2014, there were 6,843 Outpatient Clinic visits, and 96 admissions to the three 3 voluntary inpatient psychiatric beds. Working in collaboration with the Division of Adolescent Medicine the Eating Disorders Program
FULLY AFFILIATED SITES cared for 125 inpatient admissions in 2013-14, and 1, 338 ambulatory visits. SickKids is also actively sought after as a training site for local and international medical students, residents, observerships, and medical and post doctoral fellowships. In this last year Sickkids trained three research fellows and two clinical/research fellows in the Department of Psychiatry. Six core PGY 3 residents are placed within the Department, and with the newly created sub-specialty designation of Child and Adolescent Psychiatry with the Royal College of Physicians and Surgeons of Ontario, SickKids provides specialty training to two sub-specialty PGY 5 or PGY 6 residents. Medical staff cannot work in isolation, especially in child/adolescent psychiatry. The clinical and academic successes of the Department of Psychiatry could not been achieved without the active and passionate contributions of psychologists, registered nurses, nurse practitioners, clinical nurse specialists, child and youth councilors, , social workers, dietitians and skilled administrative support staff.
Governance and Leadership The Department is led by an Executive which consists of Dr. Szatmari, Dr. Pignatiello, Ms Liz Ferguson Manager (Director, Centre for Brain & Mental Health, Trauma, Adolescent Medicine, and Inpatient Surgical Specialties) , Dr Suneeta Monga (Director of Scholarship & Professional Development) and Dr. Paul Arnold (Director of Scientific Development & Innovation) who recently took over from Dr Schachar who held the position (formerly known as Head of Research) for many years. The Department also has several committees which provide administrative leadership to the various clinical and academic activities. These include: Executive, Centre for Brain and Mental Health; Sickkids Mental Health Advisory Resources Team (SMART); Executive, Division of Child & Adolescent Psychiatry; Canadian Academy of Child & Adolescent Psychiatry Executive, including Chairs of Research & Scientific Committee and Subspecialty review course committee; Coalition for Children & Youth Mental Health; Provincial Council
65 for Maternal and Child Health; Board of Directors, Hincks-Dellcrest Centre; Advisory Committee for Telepsychiatry, Ministry of Child & Youth Services; Chair, TC LHIN task force on Transition Aged Youth. Practice Plan Overview The psychiatric staff at SickKids are compensated via an Alternate Payment Plan (AFP), disbursed via the Psychiatric Association. All members of the Associates are medical staff. The AFP provides protected time for education, research and academic compensation.
Strategic Plan Overview The Department of Psychiatry is currently undergoing a review of its strategic plan and a “reimagining” of its clinical services. Our aim is to provide a single point of access for all mental health inquiries both inside and outside the hospital, and to provide developmentally sensitive, evidence based mental health care to children and adolescents with complex mental health challenges in collaboration with community partners (including primary health care providers). The Department will continue its strong focus on educating students from many health care disciplines and on promoting both basic and clinical research into the psychopathology of development. The Department is very closely aligned with the Centre for Brain and Mental Health. Since its inception in 2007, the Hospital’s Centre for “Brain & Behaviour” has undergone significant growth and development. As a core component of the centre’s strategic focus, child and youth mental health now features prominently in its activities and collaborations. Following months of discussions amongst the Centre Executives to both better represent our constituents, and our focus –– particularly with the recent addition of Psychology and Social Work to our Executive Committee –– the former Centre for Brain and Behaviour at The Hospital for Sick Children (SickKids) has undergone a name change and now exists as the Centre for Brain & Mental Health. The Centre for Brain & Mental Health strives to globally extend its reputation as innovators in paediatric neurosciences and mental health care, through the promotion and
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execution of interdisciplinary and interprofessional activities both at SickKids and within the greater community. The Centre has now become the focal point of the Department’s clinical, research and teaching activities. The Vision of the Centre is; “Every child deserves a healthy start, a strong mind, and a bright future.” This will be accomplished by; •
Cultivating opportunities that bring leading brain & mental health clinicians, educators and researchers together
•
Translating discoveries that accelerate improved brain & mental health outcomes
•
Implementing new paradigms to treat and prevent injury, disease and mental health conditions
•
Inspiring, educating and mentoring future generations of brain & mental health leaders
Innovations and Major Accomplishments As a testament to academic productivity in 20132014, SickKids staff published 39 peer-reviewed journal articles, and attracted more than $38, 377, 105 in grant monies from Federal, provincial (i.e. CIHR, the Ontario Brain Institute) US (NIH) and other funding bodies. Doctors Arnold, Schachar, Szatmari, and Crosbie as Lead Investigators received a renewal of their POND study (Province of Ontario Neuro-developmental Disorders Network) for a period of 5 years following a successful 18 month initial funding phase. Dr. Szatmari was also co-PI along with Dr. Steve Scherer in a Genome Canada grant studying the genetics of autism. Dr. Arnold received funding as a co-PI on two new international collaborative studies focused on the genetics of child neuropsychiatric traits, one from the National Institute of Mental Health in the US and another jointly funded by CIHR and the European agency ERA-Net Neuron.. Other world class research which has become synonymous with SickKids Department of Psychiatry includes Cognitive Behavior Therapy across ages and environment for anxiety disorders,
neuro-imaging and genetics of Obsessive Compulsive Disorder, neurobiology and genetics of ADHD, and Tourette’s Disorder, and the use of telepsychiatry as a viable venue for service delivery It should also be noted that scientists in our department submitted two large grants over the past year to fund multi-site research networks. First, the “YouthCan” proposal led by Dr. Szatmari was among the final three proposals considered in the first Strategy for Patient-Oriented Research (SPOR) competition. This first SPOR was co-sponsored by CIHR and the Graham Boeck Foundation and provided $25 million for transforming youth mental health. Although YouthCan was not selected in the end, Dr. Szatmari is pursuing many of the initiatives outlined in YouthCan with other support. The second network grant submitted this past year was to support a Network of Centres of Excellence (NCE) entitled “PEGASYS”. PEGASYS (Phenomic, environmental and genomic approaches to psychopathology), led by Dr. Schachar, is a network of Canada’s leading scientists and researchers from 20 universities in 8 provinces dedicated to expanding our understanding of the origins of mental illness in children and youth and to speed translation of new discoveries into practices, policies and inventions that will improve the social and economic well being of Canadians. This application has successfully made it to the final round of review following a very competitive first round of proposals. In addition, the Hospital for Sick Children was the recipient of a major gift of $6 million to establish a “Medical Psychiatry Alliance” with CAMH, Trillium Health Foundation. The objective of the gift was to improve clinical care among children and adolescents with combined physical and mental health challenges, to educate health care professionals on the specific challenges that this population faces and to encourage research into the complex interplay between mental and physical health. The Department of Psychiatry “re-imagine” is proceeding well, with specific focus on improved access and transition into/out of our services, refocused attention of clinical services with greater flexibility of referrals, integrated teaching and research models that will enable increased productivity, active fostering of partnerships across
FULLY AFFILIATED SITES the Division of Child/Adolescent Psychiatry and community service providers, and attention to positive patient experiences Link to Hospital Department Annual Report http://www.sickkids.ca/annualreport/index.html
Summary Through commitment to advocacy and excellence, the Department of Psychiatry at The Hospital for
67 Sick Children is well poised to continue to be an international leader in service, scientific development and scholarship in child, youth and family mental health and to function as an important focal point for the Department of Psychiatry as it rolls out its strategic plan with its emphasis on “Human Development�.
Mount Sinai Hospital OVERVIEW 2013-14 The Mount Sinai Hospital (MSH) Department of Psychiatry is an integral component of the University of Toronto Department of Psychiatry, active in the Divisions of Adult Psychiatry and Health Systems; Geriatric Psychiatry; Psychotherapies, Humanities and Educational Scholarship (PHES); Consultation Liaison Psychiatry and, Equity, Gender and Population. We are committed to outstanding clinical care; training, academic scholarship and research. MSH Faculty members provide leadership in a number of University Divisions. Jon Hunter is the Director of the Division of Consultation Liaison Psychiatry; is the Associate Director of the Division of PHES, leading the Psychotherapies academic stream and Allan Peterkin leads the Health Arts and Humanities academic stream. Clare Pain is the Coordinator of the Toronto Addis Ababa Psychiatry Program (TAAPP) and the Toronto Addis Ababa Academic Collaboration. Lisa Andermann is co-lead of the Dialogue Pillar for the University Department of Psychiatry Strategic Plan. Lesley Wiesenfeld is the Associate Director of Postgraduate Education and serves as the University Vice-Chair, Clinical. The MSH psychiatry department has grown to 28 full-time psychiatrists; 18 part-time psychiatrists; and an outstanding complement of allied mental health professionals including nursing, social work, and occupational therapy, along with 18 mental health clinicians working in community programs. There is
a strong commitment to interprofessional practice and the provision of patient and family centered care. is the Psychiatrist-in-Chief and Lesley Wiesenfeld is the Deputy Psychiatrist-in-Chief. Sami Beth Kuchar is the Administrative Director (AD). Carrie Haines served very effectively as the AD during Sami Kuchar’s leave. A key committee is the Psychiatry Advisory Committee which consists of the program leaders in the department, responsible for implementation of our operations and strategic plan.
ORGANIZATION The department is composed of a number of integrated clinical and research programs. The Adult General Psychiatry Program includes a range of services covering inpatient care; day treatment; transitional care; ambulatory; crisis; trauma; along with shared care and collaborative mental health services. The Inpatient Unit lead by Greg Chandler is a 15 bed unit and the ambulatory department led by Sian Rawkins sees 800 new psychiatry consultations, 220 crisis cases and provides 35,000 ambulatory visits annually. Emergency services are provided with CAMH in a joint emergency program. We are part as well of the growing Mental Health and Addictions Acute Care Alliance. Our trauma work includes ongoing collaboration with the Canadian Centre for Victims of Torture, The Psychotherapies academic area has broad presence in practice, teaching and research in the contemporary psychotherapies and is led by , the
FULLY AFFILIATED SITES Morgan Firestone Chair in Psychotherapy. The Health Arts and Humanities academic area is an interdisciplinary program with broad university wide collaboration addressing the reciprocal impact of the humanities and patient care, led by Allan Peterkin. In collaboration with community partners such as Hong Fook Mental Health Association and Yee Hong Centre for Geriatric Care the department’s ACT Team and Wellness Program have developed comprehensive community-based culturally and language specific mental health programming addressing the needs of the seriously and persistently mentally ill; forensic patients; and the elderly. Under the leadership of Joel Sadavoy, The Sam and Judy Pencer Chair in Applied General psychiatry, the community mental health programs continue to expand with innovative programs to improve access to care Joel Sadavoy also leads the Geriatric Psychiatry Program which has used the generous support of the Reitman Family to establish the Cyril & Dorothy, Joel & Jill Reitman Centre for Alzheimer’s Support and Training. Partnering with support from the TCLHIN; the MOHLTC and Human Resources and Skill Development Canada, the Reitman Centre provides intensive training and support in the management of patients with dementia to both family and professional caregivers. Lesley Wiesenfeld leads a comprehensive psychogeriatric consultation and liaison program with geriatric medicine in the hospital, a key hospital wide program priority. Consultation Liaison Psychiatry is a large program focused broadly on coping and adaptation to serious medical illness collaborating with key hospital clinical programmatic areas. This program receives over 800 patient consultation requests annually and is involved in the care of 15% of all patients receiving care in the hospital at any moment in time. HIV psychiatry, led by Peter Deroche is broadly engaged with community partners to deliver comprehensive psychosocial care. The Women’s Mental Health Program led by Ariel Dalfen provides ambulatory and inpatient consultation to 800 new referrals annually and has expanded its reach into the care of women along the reproductive life span along with a growing community perinatal mental health outreach. Active research collaboration is underway
69 in each of these areas. directs the department’s research activities and Andrea Lawson is Senior Research Coordinator for the department. The educational activities of the Department of Psychiatry cover the breadth of undergraduate, postgraduate, fellowship and continuing professional and community educational events including the highly successful Mount Sinai Psychotherapy Institute. Our faculty members are active in the entirety of the core curriculum teaching. We train 16 PGY 2-5 and 6 PGY 1 residents annually. Residents can train in core and selective rotations in General Adult Psychiatry; Geriatric Psychiatry; Consultation Liaison Psychiatry; Women’s Mental Health and in senior selectives emphasizing the psychotherapies, at times blended with Adult Psychiatry or with Consultation Liaison Psychiatry. We provide training to medical students through year I and year II of the Art and Science of Clinical Medicine, Determinants of Community Health, Foundation of Medical Practice. We train 36 clinical clerks each year along with a large number of elective students from the of and across . Two key committees meet regularly with broad department impact. The Quality Improvement Committee, chaired by Lesley Wiesenfeld focuses on development of improvements in clinical care and evaluation. This work is informed by the second committee, the Critical Incident Committee, chaired by Sami Kuchar, focused on comprehensive review of untoward clinical events. We seek to integrate the flow of information between these two committees.
YEAR IN REVIEW The department continues to grow in alignment with the hospital’s strategic plan which emphasizes patient centered integrative care in acute and chronic illness including mental illness. This shapes our programs with regard to emphasizing access, collaboration and community integration. This also affords opportunity to expand the reach of mental health within the hospital as we improve value and quality of patient care. The MSH strategic planning process includes a strong emphasis on mental health as part of its chronic disease management focus along with emphases on collaborative care; perinatal mental
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health and geriatric psychiatry. MSH’s internal review and clinical realignment has highlighted the central role psychiatry plays as we implement our hospital mental health strategy. This strategy includes integration of mental health care in every aspect of care the hospital provides; hospital staff training along with wellness and resilience interventions for staff; and early recognition and prevention of patient behavioral difficulties. Advanced practice nurses in our department work closely with Lesley Wiesenfeld in advancing an early recognition/prevention program across the hospital. This innovative work was awarded $200,000 from the MOHLTC to expand the early recognition/intervention program in the Safe Patient, Safe Staff initiative, which is garnering growing interest from the community sector interested in models of staff training that demonstrate improved quality of care and improved staff satisfaction in dealing with the difficult patient behaviors that at times accompany dementia and delirium. Sarah Colman has completed a fellowship in geriatric psychiatry that is developing a geriatric psychiatry home visit program. The Reitman Centre has expanded its clinical and educational programs in collaboration with CCAC, the Ontario Behavioral Support Network and the Alzheimer’s Society. The Reitman team has provided intensive training workshops across Canada in culturally competent seniors Mental Health Care and caregiver training. Caregiver trainings have also been provided in community settings and at the Hospital for Sick Children. This program has been awarded $2.8M in funding from the federal Department of Human Resources and Skill Development to develop an innovative, Working CARERS program partnering with Ceridian, an EAP provider and BMO to develop training programs to support employees caring for family members with dementia. This work has been recognized with leading awards in continuing professional education from both the Faculty of Medicine and the Department of Psychiatry. Two AFP Innovation projects awarded to Joel Sadavoy and to Ginny Wesson for projects in training health professionals to deliver problem solving techniques to informal caregivers of clients with dementia living in the community, were
selected competitively for presentation at the provincial AFP innovation showcase in November adding scope to the transformational training reach of the Centre. We have also redeveloped our Community Wellness Program with a move to a more accessible community location. The General Psychiatry Program held a day long retreat to refocus attention on advancing gains we have made in access, flow and quality. We emerged with a commitment to improve transitional care and case management; centralized access to our services; enhanced urgent care capacity; and building deeper community collaborations. We have recruited Andrea Berntson to lead our transitional care programs Mark Halman to lead our shared and collaborative ambulatory care programs. Debbie Nacson has joined our department and is developing shared care in the hospital’s Vaughan campus. Bob Maunder and Lesley Wiesenfeld are leading the development of our Patient Value Initiative, aimed at employing standardized measurement of each patient who enters the department for care, using the K10 and WHODAS as a standard of care as a way of tracking impact of care. Under the leadership of Sian Rawkins, Head of the Ambulatory Program and Jared Peck, the Associate Head, we have expanded our assessment and treatment capacity emphasizing focal biopsychosocial treatments, medication management and the brief psychotherapies. The Mount Sinai Psychotherapy Institute lead by Paula Ravitz provided a series of intensive training opportunities addressing psychotherapy effectiveness; mindfulness; trauma; and narrative interventions. A related and very successful conference was held focused on Psychotherapy Supervision. Over 300 faculty, residents and other registrants attended the conference featuring Clara Hill, John Norcross and UT faculty in an outstanding day of plenary and simulation sessions. We also hosted the annual postgraduate Group Day and Family Therapy Day. Paula Ravitz and Bob Maunder have completed a series of instructional texts for frontline practitioners. Using texts and DVDs, this series employs evidence based education in the evidence based psychotherapies - IPT for depression; CBT for depression; CBT for anxiety; Motivational Interviewing; DBT and under the banner of
FULLY AFFILIATED SITES Psychotherapy Essentials to Go. A book launch was celebrated and the books’ authors were featured on an OHA Webcast. A sixth book is in press focused on psychotherapy effectiveness. Lead by Greg Chandler, we have realigned our inpatient services with great attention paid to improving patient flow and reducing length of stay and have improved flow and volumes by more than 20% while also improving patient satisfaction with continuity of care as reflected by recent CIHI data. A series of key recruits to the interprofessional team have contributed substantially to these advances. We have also responded to flow pressures with the CAMH/MSH joint emergency psychiatry program with greater direct response and admissions. Clare Pain continues her leadership of the Toronto Addis Ababa Psychiatry Program (TAAPP) and has assumed leadership of a broad allied health training interest group linking University of Toronto Faculty with Ethiopia – the Toronto Addis Ababa Academic Collaboration (TAAAC). Clare Pain and Paula Ravitz, Dawit Wondimagegn and colleagues in Ethiopia continue to operationalize a $1M award from Grand Challenges Canada to fund The Biaber Project, a scaling up national project aimed at training providers in IPT and anti-stigma programs. The Health, Arts and Humanities academic area continues to develop with innovative programs fostering reflective capacity in psychiatry residents and medical students and university wide interdisciplinary integration, linked to both patient and health care worker wellbeing. Partnerships with Massey College, the Jackman Institute and the AGO are all underway and the program been authorized to establish an EDU-D this year. Innovative programs including a literary companion for undergraduate medical students have been developed. Ars Medica, the journal published by the MSH psychiatry and humanities group continues to flourish and has moved to an electronic platform published by Simon Fraser University Press. Allan Peterkin has been appointed as Humanities Lead for the Undergraduate Medical Education at the Faculty of Medicine. The Health Arts and Humanities activity has also served as a platform for the expansion of our hospital Mental Health Strategy focusing on staff wellness and
71 resilience. Partnering with occupational health, nursing and organizational development, we have developed a number of programs to foster coping and reflection; and reduce stigma around mental health thru innovative multimedia and contact education. Rona Bloom has been appointed as Poet in Residence and was awarded an Ontario Arts Council Grant to support her writing and narrative workshops with staff. Bob Maunder and Bill Lancee have created a health care worker online stress and resilience training program, The Stress Vaccine modeled after the successful Pandemic Influenza Stress Vaccine. The Stress Vaccine was launched successfully and was awarded the international Ted Freedman Award for Excellence in Education. The Women’s Mental Health group has established an urgent care clinic to expedite access. Sharon Szmuilowicz and colleagues have developed an AFP Innovation Grant to develop community based reproductive mental health collaborations. Lead by Ariel Dalfen and with the recruitment of Sue Biglieri, an advanced practice level nurse we have partnered with Public Health and community agencies to improve access to mental health care for marginalized pregnant women. This program also has received funding from the TCLHIN and nursing secretariat to develop an urban telepsychiatry program that will expand reach and access into the community and partner with community providers A range of new group interventions are now being provided to address postpartum depression; psychosocial impact of high risk pregnancies and late loss in pregnancy. Jennifer Hirsch has been recruited to the perinatal mental health team to expand our group and brief therapy capacity. The Consultation Liaison Psychiatry group has expanded its clinical care and research collaborations with ongoing CIHR funded projects evaluating the psychosocial effects of an ICU admission and the relational factors associated with clinical outcomes in CHF. Other investigations of the impact of relatedness on sarcoma and on diabetes are underway. Stacey Hart, Associate Professor of Psychology at Ryerson University and Associate Scientific Staff at MSH continues to develop our research collaboration in the area of cancer genetics and IBD with new funded research. Bob Maunder and Jon
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Hunter have created a YouTube series of videos about attachment and health. Mary Preisman joined the department expanding our clinical and academic CL program with a particular emphasis on the ICU. Mary has also established an ambulatory CL clinic expanding our collaborative care capacity and will also take on the role of the university PGY1 coordinator. Department faculty members were active presenters in academic meetings over the last year, including a number of keynote lectures and visiting professorships internationally. Members of the department had their work published in a broad range of journals and the department has also been very active in the area of the scholarship of discovery as noted elsewhere. Our research funding and support for PIs and Co-investigators exceeded $2M for the year. In addition to the research noted above Paula Ravitz and Molyn Leszcz are involved in the Psychotherapy Practice and Research Network, PPRN, led by George Tasca, University of Ottawa, and aimed at knowledge translation of evidence based psychotherapy across the country We continue
research collaborations with colleagues in China, Japan and as noted Ethiopia. This past year was a very productive year with regard to prominent hospital, university and international awards received by MSH faculty and programs noted elsewhere in this report. These awards include awards for academic excellence in creative professional activity, the psychotherapies, geriatric psychiatry, educational scholarship and teaching, resident advocacy; as well as the humanities and medicine. In addition, three of our colleagues were promoted to senior ranks - Bob Maunder and Allan Peterkin were promoted to Professor; Lisa Andermann was promoted to Associate Professor and Greg Chandler and Chris Ulic were promoted to Assistant Professor. Molyn Leszcz, MD, FRCPC Psychiatrist-in-Chief Mount Sinai Hospital Professor and Vice Chair, Clinical University of Toronto Department of Psychiatry
St. Michael’s Hospital Overview of the Hospital St. Michael’s Hospital, founded by the Sisters of St. Joseph in 1892, is known as Toronto’s Urban Angel and has a proud heritage and a distinct culture that sets us apart from many other hospitals. We fulfill two distinct but complementary missions: As a teaching and research hospital, we provide training for 26 different health disciplines and conduct cutting edge research. The Li Ka Shing Knowledge Institute, the Applied Health Research Center and the Center of Excellence for Economic Evaluation allow St. Michael’s to be a global resource for leading-edge research. We also have a continuing role as a community hospital serving the inner city. In addition to ground breaking research, our health-care teams have a unique ability to reach out to people in need throughout our community.
Organization of the Mental Health Service The goals of St. Michael’s Mental Health Service are to contribute to the academic mission of the Department of Psychiatry and St. Michael’s Hospital and to lead the development of programs focusing on people with complex mental health needs. The Mental Health Service has been restructured to include five main components: Acute Mental Health Care, Addictions, Ambulatory Care, Medical Psychiatry / Consultation Liaison and Outreach Community Mental Health.
Within Acute Care, the Psychiatric Emergency Service is a highly rated training site and includes an interdisciplinary Crisis Service, a three-bed Crisis Stabilization Unit and a Mobile Crisis Intervention Team. The 33 bed Inpatient Psychiatric Service serves individuals with complex care needs. More patients with psychotic disorders and more homeless individuals are admitted and discharged from St. Michael’s than any other Inpatient Unit in Canada. Roughly, there were 550 discharges this year with an average length of stay of 22 days. The Inpatient Service, a highly rated training site for residents, emphasizes general psychiatry and provides expertise in addiction psychiatry, HIV-related disorders, severe mental illness and multi-morbidity. The Addictions service, developed in partnership with the Departments of Family and Community Medicine, Medicine and Emergency Medicine, serves people with Addictions throughout the Hospital. Three Addictions Psychiatrists, a nurse practitioner, a community case manager and Addiction Medicine physicians participate in bot inpatient consultation and management, provision of Ambulatory Rapid Access Clinics and low access barrier Group Psychotherapy. The Ambulatory Care Service includes a General Assessment Clinic, an Urgent Care Clinic, the primary care based Collaborative Assessment Consultation and Treatment Program, the WREP program for people with chronic psychotic and severe mood disorders, and a range of individual and
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group psychotherapy programs. The Medical Psychiatry / Consultation Liaison Service provide healthcare services throughout the medical and surgical units at St. Michael’s. Areas of particular focus include neuro-trauma, respirology, cardiology, diabetes, women’s health and HIV. An advanced nurse practitioner enhances the functioning of this service. A distinct Geriatric Psychiatry Program provides inpatient consultations, a Memory Disorders Clinic and outreach to local nursing homes. The Outreach Community Mental Health Service carries a considerable volume of outpatient and outreach work. There is a strong emphasis on developing partnerships with front-line social service agencies in Toronto’s inner-city. This service includes several components: an assertive community treatment team (CONTACT); the Community Connections Intensive Case Management Program; the STEPS for Youth Early Intervention Program; and an outreach program which provides services at front-line community agencies, hostels and shelters throughout Toronto. Our model of front-line community outreach has been recognized by the Canadian Health Services Research Foundation as a model for dissemination to the rest of Canada.
Year in Review Our ambitious new strategic plan, ‘Leading the Way to Recovery in Inner City Mental Health and addictions ’, is well under way, with a number of initiatives igniting scholarship, innovation, and physician leadership at St. Michael’s.
Education The Mental Health Service trains students of all professional disciplines. The majority of psychiatric residency training focuses in general adult psychiatry, community and addictions psychiatry, geriatric psychiatry and consultation liaison. Career clinical and research rotations are available in a number of areas focusing on suicide studies, social psychiatry and mental health services research. In the 2013/14 academic year we offered training to 9 PGY1 residents and 30 PGY-2 to PGY-5 residents
pursuing core rotations, senior selective, career track and research rotations. On the undergraduate front we offered core rotations to 46 clinical clerks training at the Fitzgerald Academy and an additional 27 elective rotations for medical students. To continue advancing Academic Excellence, a working group focused on education scholarship was developed and the department continued to develop an inter-professional Inner City Mental Health Curriculum. St. Michael’s has remained a popular choice for training of psychiatry residents at the University of Toronto. The mean Rotation Effectiveness Score (RES) in 2012/2013 was 4.40, which is significantly higher than the mean of all the hospitals offering rotations in Psychiatry (4.01) and higher than the score from the 2011-2012 academic year, which was 4.33. The mean Teacher Effectiveness Score (TES) was 4.62, which is significantly higher than the mean of all the hospitals offering rotations in Psychiatry (4.32) and higher than the score from the 2011-2012 academic year, which was 4.58.
Research Scholarly activities are concentrated in a numbers of areas. St. Michael’s is home to the Arthur Sommer Rotenberg (ASR) Chair in Suicide Studies, focusing on research and clinical program development related to suicide and suicide prevention. This year saw the appointment of Dr. Sid Kennedy to the ASR Chair. Dr. Sean Rourke continues to lead research in HIV psychiatry and neuropsychology and directs an extensive array of research activities in his role as Executive and Scientific Director of the Ontario HIV Treatment Network. Dr. Corinne Fischer is an active member of St. Michael’s Neuroscience Research Program while additional areas of focus are Social Psychiatry and Mental Health Services Research. Based at the Center for Research in Inner City Health, several intervention studies led by Dr. Stergiopoulos are underway as are a number of studies addressing the health, mental health and addiction treatment needs of individuals who are homeless and those who are frequent users of mental health services. In 2013-2014 St. Michael’s physicians and scientists
FULLY AFFILIATED SITES held 25 ongoing research grants as principal or coprincipal investigator for a total value of $14,617.290. Our scientists and medical staff published 14 peer reviewed articles and a book chapter as principal or senior authors and coauthored 25 additional peer-reviewed manuscripts.
75 and quality of care to vulnerable and underserved individuals with complex health needs. •
The Acute Care Service, led by Dr. Ken Balderson, redesigned the inpatient unit to increase secure bed capacity by four beds and worked on the design of a self-contained Psychiatric Emergency Service as part of St. Michael’s ED redevelopment.
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The Ambulatory Care service, led by Dr. Nadiya Sunderji, continued to develop an urgent care program and surveyed TCLHIN stakeholders on preferred options for coordinating access to such care. Furthermore, additional collaborative care clinics were developed to meet primary care unmet mental health needs and Innovation Funds were received to develop quality indicators for collaborative mental health care.
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The Medical Psychiatry Consultation Liaison Service, led by Dr. Adriana Carvalhal, continued to expand the number of dedicated outpatient medical psychiatry clinics and developed an integrated hospital community model of care for people with HIV/AIDS as well as quality indicators for medical psychiatry.
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The Addiction Service, led by Dr. Adam Quastel, launched Rapid Access Clinics and continued working towards the development of a comprehensive addictions strategy at St. Michael’s, including inpatient and emergency department consultations, group psychotherapies and community addictions case management.
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The Outreach Community Mental Health service, led by Dr. John Langley, undertook a review of access and flow through our intensive case management and assertive community treatment programs. The Service received funding to implement the first Flexible Assertive Community Treatment in the province and design a model for hospital community integration.
Our major contributions to research include: •
The At Home/ Chez Soi Research Demonstration Project on Homelessness and Mental Health, informing national and provincial policy on how best to address the needs of the growing number of homeless people across the country
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The Coordinated Access to care for the Homeless and Coordinated Access to Care for Frequent ED users clinical trials, informing policy and practice nationally and internationally
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Our leadership at the Ontario HIV Treatment Network through Dr. Sean Rourke, its scientific and executive director. Dr. Rourke has been the recipient of several large research grants, including a $1,750,000 CIHR training grant in HIV/AIDS health research, a $1,500,000 CIHR operating grant for a national community based participatory center in HIV/AIDs and more recently a $2,498,494 CIHR operating grant to help advance primary care in HIV/AIDS across Canada.
Clinical Programs With regards to the Patient Experience, we undertook a major training and service improvement initiative to reduce restraints and restructured our Mental Health and Addictions Community Advisory Panel (CAP), to include 1/3 consumer members. Our CAP is undertaking the drafting of our patient Bills of Rights to invigorate our commitment to an outstanding patient experience as the cornerstone of our work. Finally, two inter-professional research projects were launched, studying the experience of violence in the Acute Care Service and the experience of coercion in the Community Mental Health Service. With regards to Clinical Innovation, the Department continued to work on improving access
Leadership Our department succeeded in attracting funds through both our local health network, our hospital and our foundation, including a $1M investment in
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our outreach community mental health programs, a $250,000 annual investment to support our newly developed addictions service, as well as two generous gifts, a $750,00 donation over five years to support the integration of peer support in our acute setting, and a $10M endowment, the Urban Angel Fund for Homeless People, to develop an incubator of innovation in inner city mental health. This year say the launch of the inaugural project, the STAR learning center, modeled after recovery colleges and aimed at supporting transitions and recovery for people with experienced of homelessness and mental illness.
Finally, in terms of leadership, St. Michael’s physicians continue to offer system leadership recognized by a number of local, national and international awards and distinctions, giving St. Michael’s national leadership in inner city mental health and facilitating the creation of a local incubator of innovation to develop and disseminate evidence based practice for disadvantaged groups. Vicky Stergiopoulos, MSc, MD, MHSc, FRCPC Psychiatrist-in-Chief, St. Michael’s Associate Professor, University of Toronto
Sunnybrook Health Sciences Centre OVERVIEW Integrating brain, mind and body, the Sunnybrook Department of Psychiatry promotes discovery and learning and provides exemplary care to improve the lives of patients and their families. Within the brainmind-body continuum, the Department has two special areas of focus: complex mood and anxiety disorders across the lifespan and neurodegenerative disorders. The Sunnybrook Health Sciences Centre Department of Psychiatry has three Divisions:Youth; General and Geriatrics. The Department has a 36bed inpatient unit, which includes a six-bed Psychiatric ICU. The Youth Division has a special day treatment program in a classroom setting and an active ambulatory program. The General Program includes the Mood and Anxiety Disorders Program, The FW Thompson Anxiety Disorder Centre focusing on OCD spectrum illnesses, the CBT Clinic, the Women’s Mood and Anxiety Clinic, the Neuropsychiatry Program, SUNPACT (an ACT team), a Crisis team in the ER and also provides Consultation/Liaison services to the inpatient services in the hospital. The Department has also developed an active Shared Care service to Family Practice. The Geriatric Program has a four-bed inpatient service, an extensive community outreach program (CPSE), a consultation/liaison program and an active outpatient program that works very closely with cognitive neurology and neuroimaging. The Department currently has 41 Psychiatrists, five
Fellows, two Research Scientists and one Clinical Associate.
LEADERSHIP Dr. Anthony Levitt was appointed Chief of the Brain Sciences Program, succeeding Dr. Ken Shulman after 10 years of outstanding leadership. Dr. Shulman continues to be the co-Lead on the Department of Psychiatry Strategic Plan Brain initiative and, together with Dr. Sandra Black, is proceeding with the development of a Royal College Diploma Course in Brain Medicine. Dr. Ben Goldstein completed a stellar year of research and was appointed the new Sunnybrook Department of Psychiatry Director of Research, succeeding Dr. Anthony Levitt. Dr. Mark Fefergrad continues to provide outstanding leadership as the U of T Director of Postgraduate Education and was the winner of the 2014 Association of Academic Psychiatry Early Career Development Award. Dr. John Teshima is the Director of Faculty Development for the University Department and, over the past year, has organized outstanding workshops on various topics such as senior faculty promotion, new faculty orientation as well as the Don Wasylenki Education Day. Dr. Amy Cheung is the co-Lead on the Development initiative pertaining to the Department of Psychiatry strategic plan. Dr. Ari Zaretsky was appointed the Sunnybrook Vice Chair of Education and won the 2014 PGME Award for Excellence in Postgraduate Education-Innovation
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and Development.
DIVISONS & PROGRAMS YOUTH DIVISION The Youth Division sees youth ages 14-18 with complex mood disorders and anxiety disorders. Dr. David Kreindler has officially assumed the role of Head of the Youth Division and has continued to provide strong leadership for the Division. The Youth Bipolar Centre under the leadership of Dr. Ben Goldstein has seen many outstanding accomplishments over the past year. In 2014, Dr. Goldstein was the recipient of a CIHR New Investigator Award, a NARSAD Independent Investigator Award, a large CIHR operating funds award and a Ministry of Research and Innovation Early Research Award. Dr. Amy Cheung officially became the inaugural Bell Chair in Youth Mental Health and, in addition to her research, has focused her attention on community outreach and LHIN engagement. One of the major highlights of the past year was the launch in September 2013 of the RBC Run for the Kids. Four thousand people participated in this event organized by the Sunnybrook Foundation and over one million dollars was raised with major support from RBC for the Family Navigation Project in the Sunnybrook Department of Psychiatry. The Family Navigation Project is an innovative program developed by families specifically to help other families of youth suffering from mental illness and addiction issues to effectively navigate the complex mental health system. Officially launched in April 2014, the Family Navigation Project has already served over 400 families and has received enormous attention from the media. The Medical Director of the Family Navigation Project is Dr. Anthony Levitt and in 2014 Dr. Levitt was the winner of the Rose Award to honour his outstanding record of fundraising at Sunnybrook.
GENERAL PSYCHIATRY DIVISION The General Psychiatry Division at Sunnybrook Health Sciences Centre continues to be strong as it works alongside interdisciplinary expertise in mood disorders, neuropsychiatry, CBT, and Psycho-
oncology. The division continues to partner with Women’s College Hospital to accommodate a PGY2 resident who is part of a Sunnybrook/Women’s College rotation, spending six months at Sunnybrook for inpatients, and six months at Women’s College for outpatients. Experiences in General Consultation, Mood Disorders, and the CBT Assessment Clinic are essential elements of the PGY-2 year. All PGY-2s do so as part of the requirement for a longitudinal experience with a patient who has a severe and persistent mental disorder. The General Division also provides training in Emergency Psychiatry, for PGY1s, Family Practice residents, and Clinical Clerks. There are opportunities of working with a full Crisis Team, a Crisis Follow-up Clinic, as well as a Mobile Crisis Team. PGY-4 Residents can complete their Chronic Care rotation in SUNPACT under Dr. Cliff Posel’s supervision. In March 2014, under the leadership of Drs. Ari Zaretsky and Janet Ellis, the Sunnybrook Department of Psychiatry Patient and Family Advisory Committee was launched. This new advisory committee has representation from both Sunnybrook patients and their families and will provide constructive input and feedback to the Department on all aspects of research, education and especially clinical care. In the last year Dr. Steven Selchen has greatly expanded clinical activity in mindfulness for many patients suffering from mood and anxiety disorders. Dr. Selchen has also expanded the CBT Clinic and played an instrumental role in the highly successful interdisciplinary Sunnybrook Brain Sciences Day. Dr. Selchen was the winner of the inaugural Sunnybrook Department of Psychiatry Clinical Excellence Award. Dr. Nik Grujich has continued to develop the Shared Care experience for PGY-4s and has initiated telepsychiatry consultations with northern rural Ontario communities. Dr. Janet Ellis has developed strong integration with the Odette Cancer Centre and has effectively championed patient and family education as well as trauma-informed psychotherapy for this emotionally vulnerable population. Dr. Justin Weissglas has continued to excel both as a postgraduate and undergraduate teacher. Drs. Saulo Castel, Nik Grujich, Anthony Feinstein, Eileen
FULLY AFFILIATED SITES Lacroix and Justin Weissglas were all nominated by Sunnybrook psychiatry residents for the 2014 Robin Hunter Award. Dr. Nik Grujich won the Department of Psychiatry Undergraduate Teaching Excellence Award and Dr. Saulo Castel won the Department of Psychiatry Postgraduate Teaching Excellence Award. Dr. Eileen Lacroix was promoted to Assistant Professor, effective July 1, 2014, and was also accepted into the Education Scholars Program.
MOOD AND ANXIETY DISORDERS PROGRAM The Mood and Anxiety Disorders Program at Sunnybrook Health Sciences Centre focuses on mood and anxiety disorders across the lifespan - to both inpatients and outpatients. The FW Thompson Anxiety Disorders Centre, under the outstanding leadership of Dr. Peggy Richter (Head), Neil Rector (Director of Research) and Marci Rose (Administrative Lead) has continued to build a strong research enterprise. Patient and family education have been expanded and, in partnership with the Toronto Central-LHIN, a pilot study involving clinical treatment for hoarding in the community was also launched. Drs. Amy Cheung, Sophie Grigoriadis, Ben Goldstein, David Kreindler, Anthony Levitt, Neil Rector, Mark Sinyor and Ayal Schaffer continue highly productive scholarly programs that merge clinical care, research productivity and education opportunities in mood and anxiety disorders. Drs. Schaffer and Goldstein are each chairing special research initiatives of the International Society of Bipolar Disorder devoted to suicide and youth bipolar disorder respectively. Dr. Sinyor won a Career Development Travel Award from the Anxiety and Depression Association of America. Dr. Grigoriadis together with new recruits Joanna Mansfield, Amanda Sullovey and Cara Brown (who all returned from maternity leave this past year), have provided examplary care to patients with psychiatric illness in the Women’s and Babies Program. Dr. Grigoriadis’ scholarly research has focused on the relative medical risks associated with antidepressant pharmacotherapy during pregnancy and the development of decision-making tools to assist
79 clinicians and their patients. Dr. Grigoriadis won the 2014 Paul Wender Award from the American Society for Clinical Psychopharmacology.
NEUROPSYCHIATRY PROGRAM Clinical work within the Neuropsychiatry Program focuses on multiple sclerosis, traumatic brain injury and Conversion Disorder. Dr. Feinstein has been renewed as Chair the Medical Advisory Committee for the MS Society of Canada. Dr. Scott McCullagh moved to McMaster University and his position in the Traumatic Brain Injury Clinic will soon be filled by Dr. Angelica Staniloiu, a neuropsychiatrist recruited from Germany.
NEUROPSYCHOPHARMACOLOGY PROGRAM The Clinical Neuropharmacology laboratory is codirected by Drs. Krista Lanctôt and Nathan Herrmann. The research foci of the lab include optimizing the management of neuropsychiatric symptoms (e.g. apathy) associated with Dementia, Coronary Artery Disease and Stroke. The lab currently trains one postdoctoral fellow, one PhD, and five MSc students from the University of Toronto’s Department of Pharmacology, as well as one-four undergraduate students at any point in time. This group has had another extremely successful year with regards to research. Drs. Herrmann and Lanctôt won large grants from the Canadian Consortium on Neurodegeneration and Aging and, in collaboration with Dr. Benoit Mulsant at CAMH, Dr. Herrmann is now the Co-PI on a $10 million multi-site grant from Brain Canada focusing on the prevention of dementia. Educational activities of this group have included the organization of Brain Sciences Day for family physicians and community psychiatrists together with Dr. Steve Selchen, the Department of Psychiatry’s annual Psychopharmacology Crash Course for residents, weekly interdisciplinary Brain Science rounds, and an undergraduate course in Neurosciences at the University of Toronto’s Scarborough College entitled “Diseases of the Brain and Mind: A Clinical Perspective.”
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GERIATRIC PSYCHIATRY DIVISION The Division of Geriatric Psychiatry consists of five full-time Geriatric Psychiatrists and provides clinical services including dedicated inpatient beds, outpatient clinics, consultation/ liaison, and the Community Psychogeriatric Services for the Elderly (CPSE). There are also specialty clinics for Affective Disorders, Head Injury, Stroke Psychiatry, and a Multidisciplinary Memory Clinic. Research foci include psychopharmacology, driving, and medicolegal issues. The Division trains medical students, residents, fellows and graduate students. Dr. Carole Cohen has played a pivotal leadership role in the coordination of services for the elderly in the North East Health Link. Drs. Herrmann, Shulman and Cohen were all actively involved in teaching in the Canadian Academy of Geriatric Psychiatry’s Review Course for the Royal College certification
examination for Geriatric Psychiatry, organized and overseen by Dr. Mark Rapoport, who completed his two year term as President of the Canadian Academy of Geriatric Psychiatry. Dr. Rapoport won the 2014 Sunnybrook Education Advisory Council AwardEducating Beyond Sunnybrook as well as the Canadian Psychiatric Association-COPCE Award for Most Outstanding Continuing Psychiatry Education Activity in Canada. Dr. Gayla Tennen returned from maternity leave and Dr. Damien Gallagher, a geriatric psychiatrist from Ireland, was recruited as a new clinician scientist working closely with Drs. Herrmann, Lanctôt, Shulman and Cohen. Ari Zaretsky, MD, FRCPC Psychiatrist-in-Chief
Women’s College Hospital 1.OVERVIEW OF THE HOSPITAL For more than 100 years Women’s College Hospital (WCH) has been dedicated to groundbreaking advances in health care. Today, this legacy continues. WCH is delivering health system solutions by creating new models of ambulatory care and improving access. As a teaching hospital affiliated with the University of Toronto, Women’s College Hospital is also training the health professionals of the future to work in ambulatory settings. Women’s College Research Institute (WCRI) is tackling the greatest health challenges of our time. It is dedicated to developing medical insights that enhance the health of women and improve healthcare options for all. And by translating research findings into better clinical care, WCRI scientists are having an impact in Toronto, across Canada and around the world.
psychiatric sequellae of early life exposure to trauma and the Mental Health in Medicine (MHM) program, which addresses psychiatric sequellae of chronic medical and surgical conditions. The program is currently the largest it has ever been and now includes 18 full-time psychiatrists, a number of part-time staff and a large compliment of allied health professionals that all work together to create a dynamic clinical, educational and research milieu Things that may surprise you about the psychiatry department at Women’s College Hospital: •
We do not exclusively treat women. While a priority of WCH is ensuring that the unique health care needs of women are addressed, the hospital does not exclusively treat females and a significant proportion of clients seen in the mental health program are men.
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WCH has no inpatient beds. It is an outpatient hospital and has been tasked to examine ways to help move procedures away from overnight stays in a hospital
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WCH is very invested in research, especially as it pertains to the care of women and new ways to examine health care delivery
2. OVERVIEW OF THE DEPARTMENT OF PSYCHIATRY The WCH Department of Psychiatry is working to address the key mandates set for it by the Ministry of Health while staying true to the core values and strategic direction of the department of Psychiatry at the University of Toronto. The department has three strategic programs: The Reproductive Life Stages (RLS) program which offers psychiatric care across the spectrum of a woman’s reproductive life, a Trauma Therapy (TT) program focusing on the adult
3. DESCRIPTION OF GOVERANCE AND LEADERSHIP The Department is led by Physician-in-Chief, Dr. Valerie Taylor.
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Each program is led by staff that report to the Physician-in-chief. The head of the Reproductive Life Stages Program is Dr. Diane Meschino, Dr. Deanna Bruno is head of the Mental Health and Medicine/General Psychiatry Program and the Trauma Program is co-led by Dr. Nancy McCallum and Anne Fourt •
Specialty programs exist within the core care areas; Child Psychiatry is led by Drs. Aliza Israel and Cintia Padoin while Addictions is led by Dr. Inbal Gafni. Collaborative care programming is run by Dr. Joanna Barlas.
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Education is embedded in all activities of the program. Dr. Inbal Gafni is the Under Graduate Education coordinator and represents the department on matters pertaining to the training of medical students. Dr. Lori Wassermann is our Post-Graduate Coordinator and is involved with coordinating activities related to resident trainees. Dr. Renu Gupta is the programs Fellowship coordinator and is involved with educational activities for both international trainees and local physicians who are interested in getting specialty training in some aspect of women’s mental health.
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The financial activities of the program, known as the Practice Plan, are run by the department’s financial director, Dr. Simone Vigod.
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Dr. Catherine Classen is the research coordinator for the program.
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The Shirley Brown Research Chair in Women’s Mental Health is held currently by Dr. CindyLee Dennis.
Administratively, 4 administrative staff are responsible for patient flow, supported by triage personal within each of the 3 programs. Pam Kavanagh serves as the Departments Business Manager and Debbie Belne is the Educational Administrative Coordinator. Cris Barret is the Department’s Clinical Director, Catharine Fox is the Clinical Manager and Lynn Foerster is the Program Coordinator.
4. INNOVATIONS AND STRATEGIC PARTNERSHIPS
Education •
The educational offerings at WCH continue to grow under the leadership of Dr. Lori Wasserman (post-graduate director) and Dr. Inbal Gani (Under-graduate director). We currently take residents in PGY 1, 2, 4 and 5 and have worked closely to create sought after educational experiences. In addition to offering many electives and senior selectives in RLS, trauma, collaborative care and research, WCH is also core site for collaborative care training. The program also continues to expand its senior selective offerings, now offering cross-cultural psychiatry, child psychiatry and parenting, an outpatient day program, addictions and a newly created disorders of sexual development program. We have also developed a women’s mental health fellowship at Women’s College Hospital, creating a structured training program on the assessment and treatment of psychiatric symptoms linked with reproductive cycle transitions by applying research findings to clinical practice and teaching evidence-based interventions. To this end we have been invited to be the only Canadian partner in the newly formed Women’s Mental Health Fellowship Committee in the U.S to develop guidelines that represent the minimum components of all education in perinatal mental health and suggest ways of implementing these on a national level.
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The program also accepts residents and graduates students for research training.
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The psychotherapy offerings now include Cognitive Behavioral Therapy (group and individual), Interpersonal Psychotherapy, Dynamic Psychotherapy, Narrative Based Psychotherapy, Mindfulness Based Stress Reduction and Mindfulness Based Cognitive Therapy. We have also created a new women’s mental health weekly seminar series that covers topics from critical analysis, treating bipolar disorder and addictions in pregnancy to IPT for post partum depression. This compliments our weekly trauma seminar series which is open to learners and staff and weekly grand rounds. We also have a number of undergraduate educational offerings, providing both didactic teaching and
FULLY AFFILIATED SITES observerships to medical students. •
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A significant amount of work has also been placed into the development of a women’s mental health educational institute. This institute is being designed to offer on line training to health care practioners in the community around areas in which there is expertise at WCH, beginning with trauma and mental health and addictions during pregnancy. A trauma manuel designed to translate trauma care into a non-hospital environment was also produced and a much anticipated book launch is set to occur shortly.
83 supported to take on leadership roles. Dr.Valerie Taylor is co-lead of the University Division of Equity, Gender and Population and directs the educational institute with Dr. Diane Meshino. Dr. Taylor has also taken on a role as chief of General Psychiatry and Adult Health Systems at CAMH, linking it to WCH around issues relevant to Women’s Mental Health. New faculty are encouraged to take leadership training opportunities such as the stepping stones program and to avail of regular mentorship opportunities created within the program.
Clinical Programs Research •
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Our main research themes include health systems research, secondary data base analysis related to women’s mental health that includes topics such as pharmacotherapy, pregnancy and health services utilization, randomized control trials looking at innovative care models such as phone IPT or online programs for support after a cancer diagnosis and biological work looking at new treatment options. Work is also ongoing to evaluate some of our clinical programs as well. There has been significant growth in research at WCH and we have been fortunate to have received a number of peer-reviewed grants. Dr. Cindy-Lee Dennis, the holder of our Shirley Brown research chair has successfully funded a number of large research trials and Dr. Simone Vigod, who holds both the Shirley Brown Fellowship and a research fellowship from OMHF, has received a number of peer-reviewed grants. The research lead for the program, Dr. Catherine Classen, also received a number of large grants to examine online based tools to support patients with cancer and diabetes and continues to do innovative work on trauma. She was recently asked to speak at the UN on this work, highlighting the importance of wok occurring at WCH.
Leadership There is an emphasis on leadership and innovation in psychiatry at WCH and staff are encouraged and
We aim to reach underserviced and marginalized populations with increased focus on the refugee population. We have expanded child psychiatry, welcoming Dr Cintia Padoin and under the leadership of Dr Aliza Israel are in the early phase of expanding our parenting program for parents with mental health issues. Further innovation included an online therapy group for postpartum mothers under the leadership of Maura O’Keefe and Greer Slyfield-Cook (MSW’s) and a hospital based parenting program, Triple P parenting, led by Dr. Aliza Israel. New to our department is a novel addictions service and an innovative transitional care program being developed in partnership with CAMH. Responding to a significant gap in the health system, we now also provide psychiatric care to patients with Disorders of Sexual Development in partnership with the hospital for Sick Children, creating a program for adults. The TT program has continued its robust partnerships with community agencies including Jean Tweed and the YWCA and a new initiative with these community partners has received LHIN funding to pilot collaborative services to address ongoing waitlist and access concerns. We also launch our Day Treatment Program, an initiative of the general psychiatry program and have also created an outpatient refugee clinic in partnership with the Crossroads clinic, a large family practice refugee program. All new programs are available for residents. Valerie H. Taylor MD, PhD, FRCPC Psychiatrist-in-Chief
Community Sites
George Hull Centre Overview The George Hull Centre for Children and Families is an accredited children’s mental health centre serving children and youth, from birth to age 18 and their families. The Centre has a formal affiliation agreement with the University of Toronto and offers placements for trainees at the Faculty of Social Work and the Faculty of Medicine, Department of Psychiatry. The Centre provides psychiatric assessment and treatment, comprehensive child and family-centered treatment and groups, as well as health promotion services for over 5,000 families annually. The Centre endorses a strong multi-disciplinary approach through attending and presenting at provincial, national, and international conferences and ongoing student and staff seminar learning experiences. The development of high quality, universal, targeted and evidenced informed clinical programs coupled with the work of our department of research and evaluation, characterize the Centre.
Organization Ontario Early Years Centre Over 1000 children and parents/caregivers participate in OEYC programs annually. Workshops are offered on behaviour management, storytelling and a 5-week family math program. 121 professionals participate in programs designed to prepare young children emotionally, socially,
academically for the larger school age system.
Toronto Preschool Speech and Language Services Provides community based speech and language services to over 400 children and their families annually. Services include assessment, group and individual treatment as well as support and training for parents and professionals.
COMMUNITY CLINIC The Community Clinic offers clinical services to families with children and youth from birth through 18 who are experiencing significant emotional, behavioural, developmental and/or psychiatric difficulties. The Clinic Staff, comprised of psychiatry, social work and child and youth work, believe in finding family strengths and promoting positive outcomes for children and adolescents through comprehensive assessment, consultation and treatment. In addition to counseling services, the Centre has specific programs targeted at high need areas: 1
Student Priority Access Program (SPA): This initiative is a partnership between children’s mental health agencies and two Toronto school boards (TDSB, TCDSB) designed to support school-aged children and youth who have identified mental health concerns. The SPA
COMMUNITY SITES social workers provide prioritized access to clinical services with a flexible, outreach approach. 2
Trauma Assessment and Treatment: Trauma assessments are completed with the use of standardized questionnaires and clinical interviews. Trauma Focused CBT (TF-CBT) is the main treatment modality. Clinicians at the GHC regularly attend a monthly peer support network meeting with a local expert in trauma treatment.
3
Short Term Intervention Program (4 sessions or less) is a program introduced and evaluated with a grant from the Ontario Provincial Centre of Excellence. It identifies families with relatively few presenting problems and works from a strengths based approach.
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Children at Risk for Entering Care (CARE): A collaboration which provides prioritized mental health services for children at risk of entering care with the Children’s Aid Society and Catholic Children’s Aid Society. An exciting development within the past year has been the expansion of the collaboration to include adult mental health service providers, to address the needs of the parents.
RESIDENTIAL AND DAY TREATMENT SERVICES Residential treatment is provided to boys, ages 1216, in the Boys House and to girls, ages 12-17, in Libby’s Place. The Boys House and Libby’s Place are long term, adolescent residential treatment programs. The clients have a variety of presenting difficulties ranging from major mental health difficulties (OCD, Schizophrenia, personality traits), family difficulties, child welfare involvement, substance use and academic difficulties. The School Program Day Treatment Program, in partnership with the Toronto District School Board and the Toronto Catholic District School Board, provide therapeutic and academic programming to adolescents who struggle in regular community schools. The partnership between the teacher and the child and youth workers is exemplary and essential.
87 Clear Directions, in partnership with Breakaway and the Toronto District School Board, provides an adolescent substance abuse day program. The multidisciplinary team, working with a harm reduction philosophy, engages youth by acknowledging and building on strength.
Governance and Leadership Dr Greg Lodenquai is the current Psychiatrist-inChief and Clinical Director. He is the postgraduate site coordinator and represents the Centre at the Division of Child Psychiatry. Dr Lodenquai also chairs the Centre’s Education Committee which coordinates and organizes monthly rounds during the academic year. Dr Lodenquai has participated in the Ontario Centre of Excellence for Child and Youth Mental Health’s Learning and Development Collaborative Network as part of their knowledge exchange initiatives Dr Chetana Kulkarni is the psychotherapy site coordinator for the psychiatry residents and coordinates the assessments for the birth to 6 population, with a special interest in Autism Spectrum Disorders and Immigrant and Refugee Health. Dr Kulkarni also represents the Centre on the Continuing Professional Development (CPD) Committee, Division of Child Psychiatry and is the local Psychotherapy site coordinator. Dr. Taylor Armstrong is the undergraduate medical student coordinator and runs a multidisciplinary teaching seminar for MSW interns and psychiatry residents during the academic term. Dr Armstrong has been involved in the development and teaching of the child psychiatry subspecialty educational curriculum. The role of Educational Coordinator has been formalized at the Centre and Reem Abdul Qadir, MSW, RSW in the current role. She coordinates the family therapy training program and supervision of the MSW interns and psychiatry residents during their placements. The family therapy training program combines didactic sessions as well as live supervision of families.
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Strategic Plan Overview
II) Staff Development
The Centre has experienced significant changes over the past year. The two residential program and the day treatment school programs, formerly housed on the Thistletown Regional Centre grounds were transitioned into new community locations. The day treatment programs were separated into the Latency Age Classroom at Dixon Grove Junior Middle School, while the 2 Adolescent classrooms and the substance abuse day treatment program were integrated into Western Technical and Commercial School. The Boys residential program is now located in the Bloor West Village and the Girls residential program is in the Islington City Centre West area.
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Communication strategy to keep stakeholders and staff apprised of ongoing changes
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Maintain commitment to staff and student training and development
The main office site currently located at 600 The East Mall will be moving in June-July 2014 to a new location at 81 The East Mall. Our Ontario Early Years Centre and programs will also be leaving the 600 The East Mall site but moving to a separate location.
In April 2014, the outpatient and residential clinical staff will be engaged in an intensive two year training program with Dr Daniel Hughes, in Attachment Focused Family Therapy (AFFT). Dr Hughes developed his AFFT model to help treat children and youth in adopted or foster care who have experienced trauma, neglect and attachment disruptions. The training consists of 8 days of inperson training and supervision with Dr Hughes over the next year, followed by bi-weekly videoconferencing supervision in the following year. Part of the training program will involve an evaluation of staff knowledge and competencies in core components of the AAFT model as well as some preliminary research on the effectiveness of the model in a community based population sample.
These changes have presented many challenges but also have given the Centre an opportunity to look at service delivery, programs and community engagement. The Strategic Priorities of the Centre include:
I) Continuum of Services: -
Address service gaps and expand service delivery in the community
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Reducing wait times
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Increased youth engagement
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Program Evaluation and use of Evidence Informed Practice
III) Sustainability -
Diversity funding sources and formalize a coordinated fundraising plan
Innovations and Major Accomplishments
Dr. Greg Lodenquai
Humber River Hospital The coming 15 months marks a period of transition for the Humber River Hospital Department of Psychiatry. We are preparing for the move to our new facility in the fall of 2015, North America’s first “fully digital hospital”, where our mental health program will occupy the 5th floor across both new buildings. As we review existing programs, we are also planning strategically to enhance collaborations with the rest of medicine in the new site. Our program is also seeing a transition in leadership, as I have the privilege of joining the strong HRH team built under 14 years of Dr. George Awad’s steady leadership as Department Chief. I would like to thank Dr. Awad for his guidance and wish him the best for all future endeavours. Our program’s 20132014 activities are outlined in his report below. K. Sonu Gaind, MD, FRCP(C), FCPA Chief of Psychiatry / Medical Director of Mental Health Program, Humber River Hospital At present, the department provides services through a broad range of general and specialized programs that cover life-span, from child and adolescent to adult and geriatric populations. The inpatient program at present includes fifty inpatient beds, with four beds dedicated to medical withdrawal. The future expanded inpatient program will add more beds, which will include eight to twelve beds dedicated for elderly care. The Child and Adolescent Program in the new facility will continue to include six inpatient beds, extensive transition as well as outpatient services. Emergency services will
continue to be provided on a 24-hours/7 days a week basis by a dedicated emergency psychiatric team based in the Emergency Room, and includes four psychiatric emergency beds. The Consultation Liaison services are going to expand, as a result of the significant enhancement of medical surgical beds. The innovative approach of specialized psychiatric clinics housed within the medical and surgical programs will continue in dialysis and nephrology, bariatric surgery, psycho-geriatrics, and psychooncology programs. With the recent successful recruitment of a neuropsychiatrist, discussions for the development of a “Memory Clinic”, jointly between Psychiatry and Geriatric Medicine are underway. The Outpatient Services will continue to provide a broad range of general and specialized clinics that include mood and anxiety, psychosis, early intervention in psychosis, psychopharmacology and a regional clozapine clinic, psychogeriatrics, general psychiatric clinics and a day program. The addiction and concurrent disorder programs will continue to provide a wide range of in-hospital and communitybased services that also include the inpatient medical withdrawal beds.
ACITIVITIES AND ACCOMPLISHMENTS 2013-2014 ORGANIZATION As indicated above, the department is currently involved in a review of the model-of-care delivery. Though the current model, which organizes
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
activities under inpatient/outpatient, emergency and consultation liaison services, has served its purpose, newer models are under consideration, such as a programmatic organization. Such development can create areas of concentration by allowing programs to be responsible for integrated care from inpatient to outpatient, and the community. A number of large programs in our department have the critical mass and expertise to be considered for such a programmatic organization, which include mood and anxiety, child and adolescent, psychogeriatric, addictions...etc. Such a model can pool expertise, provide integrated patient-centered services, as well as enhance the academic mission.
EDUCATION The Department of Psychiatry at present is providing training and educational programs for a variety of professionals, including elective psychiatry residents, physician assistants, family medicine residents, as well as for nurses, social workers and psychologists, medical students rotating in paediatrics, as well as approved medical students from out of the province and out of the country. The department provides an annual Clinical Day, which this year celebrated its twelfth anniversary. As in previous years it has attracted a number of wellknown speakers and is widely attended by community professionals. The department provides two grand rounds and one case presentation on a monthly basis, covering a broad range of psychiatric and addiction topics.
RESEARCH The Department of Psychiatry continues to build research capabilities, particularly in areas such as outcomes research, psychopharmacology, schizophrenia and addictions. Additionally, the department is collaborating with other academic programs for joint protocols, as well as accepting graduate students from the Institute of Medical Science. It is hoped that by already establishing a strong clinical base, research activities will be facilitated.
LEADERSHIP The Department of Psychiatry at Humber River Hospital is one of the largest departments in a community-based general hospital in the GTA, and is providing leadership in exploring innovative approaches to delivery of service as well as education and training. The department has taken a leadership role recently in exploring and coordinating approaches to inpatient bed utilization, as well as standardizing the medical assessment of emergency psychiatric patients in collaboration with the West Central LHIN. Two years ago, the department had dedicated a full year to launch an anti-stigma campaign among health professionals.
CLOSING REMARKS The Department of Psychiatry and Mental Health & Addictions at Humber River Hospital is proud of its significant accomplishments, not only has it consolidated all of its programs at one site, but also has managed to add new programs, such as “early psychosis”, psychogeriatric outreach and police/nurse community crisis team. Moving to the new expanded facility in the fall of 2015 will add more strength and position the department to play a stronger role in the provision of psychiatric care; as it also expands its training, education and research mission. As this is my final report, after serving the department as the Psychiatrist in Chief for the last fourteen years, I would like to pay tribute to all our staff who made significant contributions. As I will continue my academic role and serving as a clinical consultant, I look forward to my continued contribution to the Department of Psychiatry at both Humber River and the University department, as well as the Institute of Medical Science. Finally, as Dr. Sonu Gaind has been chosen to succeed me in the role of Psychiatrist in Chief, effective April 1st 2014, I am confident that he will be able to add more strength to enhance the mission of the department, both clinically and academically. Congratulations and best wishes for him. Dr. A. George Awad
HincksDellcrest Centre OVERVIEW/ORGANIZATION The Hincks-Dellcrest Centre is a community-based multi-disciplinary children’s mental health treatment, research, and teaching centre. Its mission is to be a leader in the provision of mental health care for children by combining prevention, treatment, research and education. It helps more than 8,000 children and families each year, and is funded by the Ministry of Children and Youth, the United Way, businesses, and individuals. A comprehensive range of services is offered at various locations in Toronto and a residential component is located near Collingwood, Ont. Inter-professional education is offered at undergraduate, postgraduate, and advanced (Fellowship) levels to students in psychiatry, psychology, social work, nursing, child/youth work, expressive arts and other allied health disciplines.
ORGANIZATION The centre is undergoing a Clinical Transformation exercise whose goals are to improve system integration, build capacity, improve accessibility, and enhance outcome evaluation
YEAR IN REVIEW EDUCATION A strong Fellowship program accepted candidates
from Quebec & Thailand. The Centre contributed to the first Program review of the Child Psychiatry subspecialty. Hincks-Dellcrest staff took part in “Leaders for Success” training, collaborating with George Brown College, Central Toronto Youth Services, Turning Point Youth Services, and Oolagen, to support leadership development in Toronto’s children’s mental health sector. Hincks-Dellcrest was chosen as the 2013 recipient of the Greer Memorial Award for Outstanding Contribution to Publicly Funded Education in Ontario, presented annually by the Ontario Teachers’ Federation. Teaching the importance of play in the West Bank: Rochelle Fine (Program Manager - Community Prevention Program, Growing Together, and Healthy Babies Healthy Children) facilitated Learning Through Play training in the West Bank, teaching local World Vision home visitors about the importance of play, child development, and parentchild attachment. Supporting child development in Cambodia: Miriam Reesor (Manager, Learning Through Play International) provided training to help the Adventist Relief and Development Agency integrate Learning Through Play into its CIDA-funded Cambodia child development program. Facilitating work with infants and families in Lithuania and the Ukraine: Elizabeth Tuters (Child,
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014
Adolescent, and Adult Psychoanalyst; Infant and Preschool Team Leader) and Sally Doulis (Psychoanalytic Child Therapist) presented “Challenges working with infants and their families: Two approaches to working with troubled parentinfant relationships” at University of Lithuania, as well as “Attachment theory and two infant parent approaches” in Kiev, Ukraine. Training World Association of Mental Health affiliates in Turkey: Elizabeth Tuters and Dr. Susan Yabsley (Psychology Training Leader and Head of Infancy Training) presented “Attachment theory: A move to representation” for World Association of Infant Mental Health affiliates at Yeditepe University in Istanbul, Turkey.
RESEARCH Dr. Nancy Cohen, with Bonnie Pape and Dr. Fataneh Farnia, have evaluated a mental health promotion training program for parents and caregivers of young children living in communities at risk for mental health problems, called Handle with Care. Based out of the Hincks-Dellcrest Centre, the project involved 430 participants in more than 16 communities across Canada in Prince Edward Island, Ontario, Manitoba and the Yukon. The program is currently being adapted by Dr. Farnia to work with transition age youth. Dr. Nancy Cohen and Dr. Fataneh Farnia are completing a follow-up study of girls adopted from China who were first studied as infants when newly arrived to Canada. They are looking at language, cognitive and social emotional behaviour in these children who are now 10-12 years old. Dr. Cohen and her collaborators Drs. Fataneh Farnia, Nancie Im-Bolter and Marshall Korenblum continue to analyze data from a CIHR and CHEO funded study on higher order language in adolescents presenting for psychiatric service. Dr. Cohen is also involved in an international study of the infant-parent program, Learning Through Play with Alfredo Tinajero of the Hincks-Dellcrest Centre, Dr. Nusrat Husain from the University of Manchester, partly funded with a seed grant from Grand Challenges, Canada, and Dr. Phil Tanner from the Christian Children’s Fund of Canada. Adolescent Language Study: Dr. Nancy Cohen
(Director of Research) and Dr. Fataneh Farnia (Associate Director of Evaluation, Handle with Care) presented a paper based on findings from the Adolescent Language Study, co-authored by Dr. Fataneh Farnia and Dr. Nancie Im-Bolter, as part of a symposium at the meeting of the Scientific Studies of Reading in Montreal, Quebec. Two manuscripts arising from this study were published in the Journal of Child Psychology and Psychiatry. Conference presentations were made at the Brain and Behaviour Conference mounted by the Hospital for Sick Children and by the World Association of Infant Mental Health. Developing an Early Child Development Index: Alfredo Tinajero (Program Evaluation Services) and Anaïs Loizillon published “Review of Care, Education and Child Development Indicators in Early Childhood”, commissioned by UNESCO within the framework of the Holistic Early Child Development Index.
CLINICAL PROGRAM Dr. Korenblum spearheaded a public education initiative in which information vignettes on children‘s mental health were posted on You Tube. A clinic for families experiencing stress related to immigration was launched. Launch of Espace Jeunesse (“Youth Space”), an innovative partnership between The Hincks-Dellcrest Centre and Centre francophone de Toronto, provides French language mental health services for ages 7 to 18. Launch of Hincks-Dellcrest’s Parent Advisory Committee, the first in Toronto to be created in partnership with Parents for Children’s Mental Health. Hincks-Dellcrest is recognized for the third consecutive year at the Krista Sepp Memorial Awards for child and youth workers and counselors in Ontario. HDC was re-accredited by the Council on Accreditation, confirming that all programs meet the highest standards of practice.
COMMUNITY SITES
LEADERSHIP Dr. Freda Martin, founder of the Hincks-Dellcrest Institute, and former Chief-Psychiatrist, retired in June, 2014. Sadly, Dr. E. Broder, senior psychiatrist and Family Therapy Educator, passed away. Dr. M. Patel was hired to lead a new Youth Justice Clinical/Educational Program.
93 A New Transcultural/Migration-Related Team was launched under the leadership of Drs. Priya Raju and Debra Stein. Dr. Marshall Korenblum, MD., F.R.C.P.(C) Psychiatrist-in-Chief
North York General Hospital Overview North York General Hospital is a vibrant community academic hospital affiliated with the University of Toronto, and home to the regional Genetics Program. The hospital strategy focus is on Excellence in Integrated Patient centred care, and in developing our academic mission by training health providers of the future, as well as translational Research and Innovation at the forefront of health care delivery. The hospital is well recognized for innovating and helping develop best practices, quality improvement and innovative models of care. The hospital has recently established Canada’s first the Chair in Family Medicine (the Gordon Cheesborough Chair) , and has become the host location for the University or Toronto’s PBRN -Practice Based Research Network, linking all U of T Family Medicine clinic practice data thereby enabling large epidemiologic primary care research and inquiry. The hospital has also been a founding partner of the Joint Centres for Innovation in Transformative Health Care, a collaboration of six large community hospitals in a unique position to contribute to knowledge, quality improvement and innovation at the forefront of health care delivery. With a collegial and innovative culture we are one of Canada’s most sought after training sites for family medicine resident for over 40 years. In addition to psychiatry residents it provides rotations for residents in emergency medicine, paediatrics, surgery, radiology, and obstetrics and gynaecology and many
inter-professional health care team professionals from a variety of institutions. A newly renovated resident lounge, on call rooms, academic centre, weekly grand rounds, library services, and subway access have benefited trainees. Patient care comes first in as community hospitals deliver the majority of mental health care to the public. Caring for children of all ages, adolescents, adults and seniors the department is recognized for offering a wide range and scope of mental health services. The multidisciplinary team includes nurses, social workers, psychologists, occupational and recreation therapists, nutritionists, administrative professionals and psychiatrists. The program includes; emergency services, inpatient, partial hospitalization, psychosomatic consultation liaison general hospital service, subspecialty psycho-oncology service, ambulatory care and outreach, ACTT (Assertive Community Treatment Team), adult and adolescent eating disorders outpatient and day programs, addictions, outpatient, day hospital, transitional age youth and concurrent disorders, mental health and justice treatment and support program, intensive case management program, housing support intensive case management, CBT and MBSR groups. The adult outpatient program includes the full breadth of conditions for assessment and care, often as people’s first contact with mental health services. Strong linkages exist with community partners, and the over 400 hospital affiliated family physicians, shared collaborative mental health program and FHT.
COMMUNITY SITES The Mental Health Program provided approximately 70,000 outpatient visits in 2013/2014. In 2012, the department opened an urgent care clinic available to see patients within a 48 hour period. Starting in 2009 the department collaborated with one of NYGH’s family physicians to run a Reversed Shared Care clinic and has recently published this pilot model of care to address a gap and improve the physical health of mental health patients along with their mental health care. One of our family physicians delivers care from this Reversed Shared Care clinic, offering care to mental health patients who would not otherwise have access to family doctors. The inpatient units focus on acute stabilization, crisis management and short-term treatment through individual, family and group modalities. Each unit works according to as an interdisciplinary team, with links to aftercare. In 2013 the inpatient capacity increased to a total of 50 inpatient beds; 6 child and adolescent, 34 adult, 10 geriatric beds, including a Psychiatric Intensive Care Area (PICA) and a short stay service. The Adult Day Hospital Partial Hospitalization Program serves individuals experiencing acute emotional distress who have enough support to continue living at home, with the focus being on transitional care, and re-integrating into the community in collaboration with partnered community agencies. The Child and Adolescent Mental Health Team provide care to all ages of children through family therapy, individual counselling, group therapy and psychiatric/psychological assessments with Ontario’s
95 second busiest obstetrics centre and a paediatrics program. The hospital serves children from infancy onwards including a six bed Schedule 1 inpatient service, day hospital, multidisciplinary outpatient child and adolescent mental health clinic, and consultation service to inpatient paediatrics, NICU, and adolescent eating disorder program. Geriatric Psychiatry includes a 10 bed inpatient unit, inpatient consultation service, outpatient clinics, memory clinic, community outreach, and nursing home outreach services. A multidisciplinary team and highly collaborative relationship and partnership with Geriatric Medicine provide care to patients. The hospital has a long and proven history as an innovative, highly regarded training and education facility. The department of psychiatry continues to develop in its scholarly innovation and research activity. The successful academic micro-grants project is enabling scholarship, projects and research in areas such as psycho-genetics, cultural psychiatry, sports psychiatry, spirituality and mental health care interface, collaborative shared mental health care, and anti-stigma activities and knowledge translation. New initiatives for 2014 include renovations in the Emergency Department including a new mental health emergency assessment area and ambulatory care services review and planning. Thomas Ungar MD, M. Ed, CCFP, FCFP, FRCPC, DABPN Chief of Psychiatry and Medical Director Mental Health Program Chair of Medical Advisory Committee North York General Hospital
Ontario Shores Overview Ontario Shores Centre for Mental Health Sciences (Ontario Shores) is a public teaching hospital providing a range of specialized assessment and treatment services to those living with complex and serious mental illness. Exemplary patient care is delivered through safe and evidence-based approaches. Successful outcomes are achieved using best clinical practices and the latest advances in research. Patients benefit from a recovery-oriented environment of care built on compassion, inspiration and hope. The Organization shares its expertise, knowledge and experiences, through research, education and advocacy initiatives and provides leadership to healthcare providers, community partners, policy makers and social sectors to strengthen and advance the mental health care system. Ontario Shores embraces the opportunity to raise awareness of mental illness, educate healthcare practitioners and train the next generation of mental health care specialists. As advocates, Ontario Shores champions and supports the efforts of patients, professionals and policy makers to ensure individuals with mental illness have access to care and the opportunity to fully participate in society.
the current iteration is dated June, 2013. We joined Peters-Boyd Academy in 2013, and now have University of Toronto medical students doing core rotations here. We also have approximately 80 other affiliation agreements with post-secondary institutions, serving our academic work in various disciplines, including medicine, psychology, social work, rehabilitation therapy, dental hygeine, dentistry, therapeutic recreation, pharmacy, and other disciplines. We host almost 400 students yearly. We have also created a new interprofessional learning centre, an academic space that support the education arm of our mission well, co-locating students of various disciplines in an attractive new environment. We have Royal College subspecialist physicians in each of the three newly created disciplines, including child and adolescent psychiatry (1), geriatric psychiatry (3), and forensic psychiatry (8).
Clinical Programs Ontario Shores provides a range of highly specialized clinical programs, including inpatient and outpatient geriatric psychiatry, forensic psychiatry, and adolescent psychiatry, along with general psychiatry. Clinical highlights include
Department Overview
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The centrepiece of our academic plan is our community affiliation with the Unversity of Toronto;
The only dedicated neuropsychiatry unit in the Central East LHIN region
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The only unit dedicated to management of the
COMMUNITY SITES behavioral and psychological symptoms of Dementia in the region (Geriatric Dementia Unit) •
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•
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We are now a training site for physician assistants, and we now employ two physician assistants working exclusively in mental health care We have opened a Prompt Care clinic, which uses a multi-disciplinary team to generate high volume urgent consults on short turnaround times We have opened manualized PTSD and BPD clinics, excellent settings for learners using Cognitive Processing and Dialectical Behavioural Therapies respectively. We are opening an adolescent inpatient eating disorders service, in October 2013, the only one of its kind in Ontario
Governance and Leadership Our University of Toronto affiliation agreement is signed by our President and CEO and has been approved by our Board of Directors. The complete academic portfolio is headed by a triumvirate that includes Dr. Barbara Mildon (Vice-President of Practice, Research, Human Resources and Chief Nurse Executive). Dr. Ian Dawe (Physician-inChief), and Dr. Phil Klassen (Vice-President, Medical Affairs). Dr. Hoa Pham is our Lead, Undergraduate Education, and Dr. Tim Gofine is our Lead, Postgraduate Education. We have an academic department that is comprosed of, amongst others, a Director, and a research planning strategist; we are adding several additional positions this year.
Academic Plan Overview Ontario Shores launched its second five-year Academic Plan entitled Advancing a Culture of Innovation and Discovery in 2012. The plan builds on the momentum from the first academic plan to further the goal of becoming a dynamic academic and research environment. Direction #1: Solidify Research Enterprise through Focused
97 Initiatives Direction #2: Leverage Teaching and Learning Opportunities Direction #3: Extend Impact through Leadership, Creative Professional Activity and Engagement Direction #4: Enabling the Academic Mandate Our commitments to interprofessional care as an organization are key success factors of our new academic plan. The implementation of applied research in clinical practice requires the expertise, collaboration and dedication of all health disciplines coming together with a shared goal to enhance care for patients. Our psychiatrists, nurses, therapeutic recreationists, occupational therapists, psychologists, child and youth counsellors and many others will be translating the knowledge we gain through research and applying it to their clinical practices.
Key Academic Accomplishments include: 1. Creation of a second 5-year academic plan (2012-2017) that is embedded within the overarching organizational Strategic Plan. 2. The establishment of the Research and Academics Office in 2013-14 and the installation of leadership and strategic support services personnel to build Ontario Shores’ research capacity. 3. Development of roles in Education, increased academic affiliates and the expansion of medical learning which includes Community Affiliate status with University of Toronto in 2009 and the addition of Peters-Boyd academy in 2013. 4. Creation of an Academic Council to oversee academic plan execution and identify opportunities to advance Ontario Shores’ research and education portfolio. 5. Funding and recruiting the Ontario Shores Research Chair in Community Management of Dementia, one of three planned academic chair
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UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 positions.
An academic scorecard was developed in 2013 to monitor indicators attainment of strategic and academic plan goals (see below). The outputs for the current year, as summarized below, speak to the early success of Ontario Shores’ academic endeavours: 335 field placement students 100 medical learners 27 regular academic affiliates Grant applications valued at $9.4M
Sincerely, Dr. Ian Dawe Physician-in-Chief, Ontario Shores Centre for Mental Health Sciences Associate Professor of Psychiatry, University of Toronto
St. Joseph’s Health Centre Hospital Overview
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Emergency, Mental Health & Addictions
St. Joseph’s Health Centre is a 382-bed accredited Catholic community teaching hospital affiliated with the University of Toronto, serving half a million people living in Toronto’s west end communities. St. Joseph’s Health Centre has served the health care needs of the diverse communities of South West Toronto for more than 90 years providing care that reflects our universal value of respect, dignity and compassion.
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Medicine & Seniors Care, Surgery & Oncology
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Diagnostic & Therapeutics (Diagnostic Imaging,Laboratory Services, Pharmacy)
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Interprofessional Practice
St. Joe’s Vision is to be Canada’s Best Community Teaching Hospital. Students from a wide variety of health care professions choose St. Joe’s for the unique learning opportunities. Our staff endeavours to support and encourage students as they learn how to deliver the best care to meet the needs of our patients, their families and the communities that we serve. SJHC team of 2,568 employees, 400 physicians, more than 1,000 students and 250 volunteers care for more than 100,000 visits to our emergency department, treat 271,000 ambulatory care visits, perform more than 30,000 surgeries and deliver more than 3,100 babies every year. SJHC is an organization proudly united in our Vision to be Canada’s Best Community Teaching Hospital, providing patient care through our core program areas: •
Women, Children, Family Health and Chronic Disease Management
Hospital Department Overview The St. Joseph’s Health Centre Department of Psychiatry is a comprehensive program providing services spanning the life cycle. In addition, addiction services at SJHC are grouped with mental health to create a Mental Health and Addictions Program. The grouping of the Department of Psychiatry with Addictions Services under a single program fosters integration of mental health and addictions services across the life cycle. Interprofessional care is a cornerstone of the department. Highly skilled providers work collaboratively internally and with the community to provide community based case management, recovery support, shared care and crisis intervention. The department is composed of 3 key components: Emergency mental health and addiction services; Psychiatry Inpatient and Residential Withdrawal Management services; and Ambulatory services. The SJHC emergency department is one of the busiest in Canada and as such the volume of patients presenting with psychiatric and addiction emergencies is one of the highest in Canada. The
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Emergency Psychiatry Team (EPT) is an interprofessional team including both adult and child crisis workers that service the emergency room 24 hours/day. SJHC is an active part of the Acute Care Mental Health Alliance. The department has a 35 bed adult inpatient unit including a 6 bed psychiatric intensive care unit; a 6 bed adult short stay unit; a 6 bed Child and Adolescent inpatient unit (for a total of 47 beds) and an adult day hospital. Ambulatory services are organized into a unique open access system which enables the emergency department, inpatient units and consultation liaison service to electronically book patient’s for consultation in realtime and reduce wait time for follow-up. The cornerstone of the ambulatory services is 4 teams composed of 2 psychiatrists and 3 clinicians from a variety of disciplines working collaboratively both internally and externally to manage episodes of care cross-sectionally and to be responsible for the patient’s longitudinal care within our catchment area. In addition, our ambulatory services include a concurrent disorder service, and a geriatric psychiatry service. The geriatric psychiatry service provides consultation-liaison services to the hospital as well as to long-term care facilities in the community. The department also provides a general consultation-liaison service to all other services in the hospital. Addiction services span both the departments of Family Medicine and Psychiatry but are integrated with multiple programs throughout the hospital. Addiction services include emergency addiction crisis workers, addiction medicine consultationliaison service, addiction medicine physicians and an extensive harm reduction program.
Descriptions of Governance and Leadership It is important to note that the department of psychiatry is within the mental health and addictions program but that the program is led clinically by the psychiatrist in chief and medical director. Another key aspect of the program is that the administrative director and the medical director co-lead the program in order to model interprofessional care throughout the program and to set the tone of
integration of both the administrative and clinical activities throughout the program. The Department of psychiatry has been re-organized into 3 services. Each of these services will have a service head. Our services have been organized according to patient flow rather than subspecialty in order to ensure optimal integration of clinical services around patient needs and to optimize continuity of care for the community that we serve. The 3 services and Service Heads are as follows: 1. ADULT AFTERCARE AND COMMUNITY SERVICES 2. ADULT PSYCHIATRY ACUTE CARE 3. CHILD AND ADOLESCENT PSYCHIATRY SERVICE The department has articulated a new strategic plan of creating an integrated network with community mental health and primary care services within its geographical area. The goal is to serve its population using an organized “web” that clearly fosters the sharing of patients’ care along the entire continuum of community and hospital based care, including primary care. Toward this end, formal partnerships have been developed with an extensive array of both primary care and community mental health agencies. St. Joe’s leadership role in the South Toronto Health Link with the mandate to focus on Mental Health provides system level support for our strategic direction. In order to monitor the achievement of our aim the department has selected an outcome measure that is dependent upon the integration of both hospital and community-based care. We have selected our 30 day inpatient readmission rate as the primary indicator of our success in achieving our aim.
Innovations and Major Accomplishments •
Integration of ambulatory care with emergency and inpatient service.
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Development of an open access model to facilitate timely access to transitions in care from emergency and inpatient services to ambulatory services.
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Recruitment and retention of new staff with
UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 focus on education and scholarship. We have increased teaching staff from 5 in 2009 to 15 at the time of this report. •
Creation of new psychotherapy supervision coordinator.
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Establishing Education as a key pillar in the strategic plan of the department in alliance with the hospital vision.
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The addition of a core rotation in geriatric psychiatry at SJHC.
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The supervision of fellowship subspecialty trainees in Child and Adolescent Program.
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Coordination of community CHCs into collaborative care service.
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In 2013 SJHC has been selected as the Lead agency for the South Toronto Health Link within TCLHIN with a mandate of focusing on Mental Health
Year in Review Education Successful completion of our 1 year offering a core rotation in geriatric psychiatry
ii)
Excellent resident reviews of the inaugural core rotation in geriatric psychiatry
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Creation of a psychotherapy supervision coordinator
iv)
Dr. Howlett and Dr. Kathleen Broad work collaboratively with the Department of family and community medicine at St. Joseph’s health center to completely reorganize education in psychiatry for family medicine residents at St. Joseph’s health center.
v) vi)
Dr. Nagy Ghabbour won the Resident Education Award at SJHC. Both Dr. Ghabbour and Dr. Ty Turner were independently nominated for the University of Toronto excellence in resident supervision in a community hospital.
Research i)
has been involved in the development of the Fathers’ Mental Health initiative, which has included a CIHR Research Planning Grant, received in 2013, the establishment of the Fathers’ Mental Health Network, the primary site for the Expectant Fathers: Screening for Depression Study currently underway, and a novel Fathers’ Mental Health Consultation and Treatment Service.
Clinical Programs i)
Development and implementation of the 1st hospital-based mindfulness-based relapse prevention program in Ontario for patients in withdrawal management services
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The successful recruitment of Dr. Justin Delwo to lead our emergency crisis services.
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The successful recruitment of Dr. Erin Carter into our adult inpatient unit.
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The successful recruitment of Dr. Iram Ahmed into our adult inpatient unit.
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The successful recruitment of Dr. Marijana Drandic into our collaborative care clinic.
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The successful recruitment of Dr. Colman Nefsky as our full-time geriatric psychiatrist.
st
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Under Dr. Howlett’s leadership our program
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vii) Dr. Richard Stall, successfully completed his sub-specialty fellowship exam in the subspecialty of geriatric psychiatry. viii) We have restructured our adult inpatient unit to incorporate an interprofessional care model. ix)
The successful development and implementation of a child and adolescent day hospital program to complement the inpatient school program.
Leadership i)
Congratulations to Dr. Tara Burra was the successful candidate to participate in IDEAS for the purpose of developing expertise in quality assurance evaluation.
ii)
Congratulations again to Dr. Tara Burra for being the successful candidate as the 1st Head of our newly created ambulatory and
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iii)
Congratulations to Dr. Nagy Ghabbour for being the successful candidate as the 1st Head of the Child and Adolescent’s Service
Surrey Place Centre Overview Surrey Place Centre (SPC) is a community affiliated teaching site within the University of Toronto. As an interdisciplinary community-based agency, SPC delivers a broad range of specialized clinical services and programs to enhance the health and well-being of people of all ages living with intellectual (developmental) disabilities (ID), with and without autism (ASD), in keeping with the standards of Accreditation Canada.
Programs and Services SPC www.surreyplace.on.ca offers interdisciplinary assessment, diagnostic and treatment services to children and adults with developmental disabilities, autism spectrum disorder and visual impairments. Programs and services are organized by age group (Infancy & Early Childhood, Children & Youth and Adults) for persons with ID, their families and caregivers living in the Toronto area as well as extensive education and consultation services to community agencies.
one of four provincial Networks of Specialized Care, serving adults with co-existing mental health and/or behavioural issues. •
Is the Developmental Services Ontario (DSO) access point for the Toronto Region.
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Is the lead agency for the delivery of Applied Behavioural Analysis (ABA) supports and services for children and youth with autism living in the Toronto Region.
Other specialized services at SPC include: •
An Augmentative Communication and Writing Aids Program (ACWA) serviced through an interdisciplinary clinic designed to promote clients’ communication.
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Interdisciplinary Fetal Alcohol Spectrum Disorder clinics, one for children and one for adults.
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A multidisciplinary team offering home and school-based assessments and interventions to children up to 18 yrs presenting with complex mental health and behavioural concerns (BMACKE - Behavioural Medical Assessment of Complex Kids and their Environment).
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A Low Vision Program which provides early intervention support to children birth to age 6 with a diagnosed visual impairment.
The Centre also: •
Provides specialized clinical and mental health consultation to adults in remote northern Ontario communities via video conferencing.
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Is the co-lead in the Tri-Region Alliance (Central Ontario Network of Specialized Care),
In addition SPC:
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•
UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 Is the research and clinical hub for the Autism Treatment Network – ATN Toronto site of a North America-wide program (SPC lead Dr Alvin Loh, developmental pediatrician – http://www.autismspeaks.org/science/resourcesprograms/autism-treatment-network ).
selectives in ID to medical clerks, residents and fellows in psychiatry, developmental pediatrics and family medicine, MSc students in Genetic Counselling and other health trainees. •
Together with Faculty working in The Dual Diagnosis Program, Centre for Addiction and Mental Health (Drs Desarkar, Lunsky, Palucka), The Hospital for Sick Children (Dr Ameis), senior residents (Drs Boyle, Sawyer) and SPC staff (Dr Janet Vogt), core curriculum teaching in ID psychiatry is now offered to psychiatry residents during their first (Seminar: ID in the Emergency Room), second (Clinical half day at SPC; Seminars on: Introduction to ID and ASD) and third (Seminars on: ID in children; ASD, ID and psychosis) residency years. Tools, many accessible online, to support this teaching and clinical practice have been developed and assembled by the SPC Psychiatry education team.
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A new teaching module half day has been developed for the Transition to Residency medical clerks. Over 200 trainees participated in a packed agenda that included small group problem based learning supported by teaching faculty from several teaching sites and the assistance of people with ID (leads: Drs Loh and Isaacs).
Is home to the Developmental Disability Primary Care Initiative (DDPCI), (Director Dr William Sullivan, SPC family physician) an initiative jointly funded by the Ministries of Health & Long Term Care and Community & Social Services and the Surrey Place Centre Charitable Foundation and aimed at enhancing the health, social inclusion, and quality of life of persons with DD/ID by improving their primary care. Canadian Primary Care Guidelines were updated in 2011 and in this academic year further tools were developed. Both Guidelines and Tools can be accessed at http://www.surreyplace.on.ca/primary-care
Physicians at SPC (representing psychiatry, family medicine, developmental pediatrics, neurology, and audiology) work collaboratively, together with SPC teams and programs, to provide consultation in response to referrals around physical and mental health concerns. Psychiatry at SPC provides consultation to the BMACKE, DDPCI and Children and Youth and Adults SPC Programs. Medical subspecialties represented at SPC, working within multidisciplinary teams, permit a broad range of specialist clinical exposure for medical undergraduates and postgraduate trainees in psychiatry, neurology, genetics, developmental pediatrics and family medicine; SPC is unique in the community of Toronto in being able to provide collaborative, subspecialty medical training and exposure to health and ill-health across the life span of people with ID; as well as working within a model of shared health care with the medical community e.g., family doctors and specialists.
The Primary Care Initiative (spearheaded by Dr Sullivan) activities included: •
Development of Tools for Caregivers: e.g. Transition, Caregiver Health Assessment, Seizure and other monitoring tools; Tools for the Primary Care Provider of People with Developmental Disabilities (DD), including Health Watch Tables (HWT) for conditions such as FASD, Fragile X and Angelman syndromes, CP and autism spectrum disorder (ASD leads Dr Bradley & Korossy). HWTs are a collaboration with invited reviews by community practitioners from a variety of disciplines in addition to medicine (psychology, speech-language, OT) working with people with ID. Digital versions available on the SPC website.
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Family Medicine Curriculum Resource
Year in Review Education •
We continue to offer core training, electives and
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development in partnership with the DD Special Interest Program, College of Family Physicians of Canada;
successful in a less intensive programmed educational setting, and to enhance the family support capacities.
DD E-Learning Course in partnership with the CME Department, Centre for Addiction and Mental Health.
Leadership
Research Medical staff is involved in several activities through the ATN and DDPCI as well as several on-going collaborative projects with colleagues in Toronto and the UK.
Psychiatry faculty has: • served on the International Advisory Board for the DM-ID-2 adaptation of the new DSM-5 for use with individuals with ID (Motor Disorders and Assessment and Diagnostic Procedure Work Groups). •
presented at the European Association of Mental Health in Intellectual Disability, Portugal and the NADD, International Congress, Miami on various aspects of ASD and mental health.
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Participated in The Royal College of Psychiatrists Volunteer Scheme fund raising trek in Burma
Clinical Programs New this year is the Surrey Place Centre/TREADD program. This has developed following the divestment of Thistledown Regional Centre and associated Treatment Research and Education for Autism and Developmental Disorders (TRE-ADD) Program. SPC/TRE-ADD provides comprehensive day treatment services for children and youth with autism and related developmental disorders with multiple and complex needs and their families. The primary focus is on preparing the child/youth to be
http://www.rcpsych.ac.uk/workinpsychiatry/interna tionalaffairsunit/fundraisingtrektoburma.aspx Elspeth Bradley, BSc, MB BS, PhD, FRCPC, FRCPsych Psychiatrist-in-Chief on behalf of the team at SPC 11 June 2014
Toronto East General Hospital The Toronto East General Hospital (TEGH) Mental Health Service was founded 30 years ago and our mission is “to work in partnership to provide quality mental health services which respond to our clients and community.� We value excellence, respectful relationships, personal growth, the unique contributions of all, and creativity. We offer inpatient, outpatient, emergency and community outreach services. The Department Service is fully aligned with the vision of the hospital with a continued focus on providing the highest standard of patient care, teaching, innovation, community partnership, and accountability. Our goal is to optimize patient outcomes while working to increase the capacity of community clinicians to treat psychiatric patients. We strive to serve the community of East York and the TEGH catchment area by providing a variety of Psychiatric and Mental Health services through a mix of hospital inpatient, outpatient, community based programs and through partnerships with community agencies. The Department and Service continue to be one of the busiest in the city with a large number of patients being seen in the emergency, outpatient, 40-bed inpatient program, through our extensive Aftercare program and in our community programs. We average 3,500 to 4000 outpatient visits per month. There is an important focus on the TEGH Emergency Department. We typically average >200
adult emergency crisis visits in the ED per month. The data gathered by the Emergency Alliance has demonstrated that we have one of the busiest emergency departments in the city for psychiatric patients. The Toronto East General Education Initiative (TEGEI) has contributed to teaching through its city, province and more recently outside Ontario telemedicine lecture series hosted at the TEGH that has featured both local and international experts in the field. We are relatively unique in having a full Withdrawal Management Services program consisting of several service arms. Residential Withdrawal Management is a nonmedical, crisis intervention, brief counselling, referral, resource and education program. This is a 30 bed residential service providing physical care for the adult male in an acute state of intoxication or withdrawal from alcohol and other addictive substances. The Day Withdrawal management program at our Danforth site provides clients with an effective and less intrusive method of managing withdrawal symptoms than is offered in the residential withdrawal management program by providing a full day of programming that consists of acupuncture, a psycho-educational component, a living skills component and relaxation therapy. The program focuses primarily on the late stages of acute
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withdrawal and the early stages of post acute withdrawal.
department. The teams have been fully operational since April 2013.
The Aboriginal Day Program provides culturally appropriate addiction services to Aboriginals in the Greater Toronto Area. The program is designed to increase access to continuity of care through our various referral sources. The focus is on helping the client remain stable in the community while awaiting future intensive residential treatment. The program is an innovative approach in the delivery of services that meet the special needs of the Aboriginal Community.
The Department continues to focus on enhancing its Child and Adolescent Mental Health Service in spite of limited finances. Our Child inpatient volumes have increased significantly. Our Child inpatient team has been an active participant in the Ideal Patient Experience process and has been able to streamline admission and care delivery processes, while including patients and families more actively in the process. A parenting group was started to support the parents of current and past inpatients, as well as parents of children and youth who have come through the emergency department and urgent care service.
Community Withdrawal Management Service is a non intrusive approach that primarily helps clients who abuse alcohol and drugs to improve their quality of life regardless of what stage of change they happen to be in. A community withdrawal counselor can ascertain where each specific client is at and their needs at the time. In addition to expanding counseling services to those with addictions, family members of clients are also being assisted and counseled. Case Management provides continued support to clients to follow, assist, and support clients through the system. This continued support bridges the clients through the cracks in the system with uninterrupted support, assistance and advocacy. We maintain communication with clients in case mgmt for up to 3 months. This process often keeps clients from using the emergency department or re-entering the embedded wm system. TEGH was provided with HSIP funding from the TC LHIN to initiate an Mobile Crisis Intervention Team for TEGH in partnership with Divisions 54 and 55 of the Toronto Police Services. Two teams consisting of RN and Police constable work 10 hours a day 7 days a week to address calls related to situations with an emotionally disturbed person. The goal of the team is to provide early intervention and to minimize unnecessary visits to the emergency
Links have been strengthened with the newly established youth mental health ‘walk-in clinics’ at East Metro Youth Services in Scarborough and Oolagen Community Services downtown. These walk-in clinics are now available between 20 to 30 hours a week and can serve as an alternative to the emergency department for many youth mental health crises. Our Child Building Bridges Day Treatment classroom has developed an increasing profile in the community. Our Child outpatient Anxiety Clinic has worked collaboratively with the community-based Child Development Clinic to deliver an evidence-based parent group for inhibited preschoolers that has been demonstrated to reduce the incidence of anxiety disorders up to three years later. The TEGH Department of Psychiatry and Mental Health Service is one of the busiest department/services in the city. Our goal is to optimize patient outcomes while working to increase the capacity of community clinicians to treat those with psychiatric problems. Dr. M Rosenbluth, Psychiatrist-in-Chief, Medical Director, Mental Health Service
Trillium Health Partners OVERVIEW
Organization
Trillium Health Partners (THP) is a newly merged Community Hospital affiliated with the University of Toronto. It is one of the largest Community Hospitals in Ontario and is comprised of Credit Valley Hospital, Mississauga Hospital and Queensway Health Centre. The Department of Psychiatry is one of the priority Programs within the 13 Programs of THP. Our department is informed by the strategic goals of the Hospital which include a focus on access, quality and sustainability as well as by the four pillars of the Department of Psychiatry at the University of Toronto. We aim to create an innovative, interdisciplinary program which emphasizes partnering and collaborative approaches to care. We continue to partner with our colleagues in the Mississauga Halton LHIN as well as community Mental Health agencies, Family Health Teams, the Department of Psychiatry, University of Toronto, the MOHLTC and the Ministry of Child & Youth Services. We are an active teaching site and are now welcoming 9 clinical clerks, from the Mississauga Academy of Medicine, who will be located at all three sites. We have a teaching cadre of 22 psychiatrists actively involved in the teaching program and who are credentialed in the Department of Psychiatry at the University of Toronto.
Our organizational structure for the Mental Health Program was constructed to bring together the cultures of the different hospitals and sites following the merger. It is composed of 5 areas, referred to as Pillars, which cross all three sites: The Acute Adult Mental Health Programs Pillar (Mental Health ER services, Urgent Care Services and Inpatient Units), The Ambulatory Adult Mental Health Programs Pillar, The Seniors’ Mental Health Program Pillar, The Medical Psychiatry and Specialized Services Pillar, as well as the Child and Adolescent Mental Health Programs Pillar. The goal of this structure was to harmonize and bring together the three Sites to create the new Trillium Health Partners Mental Health Program. We have moved forward in the development of new collaborative relationships amongst the psychiatrists, our allied health and mental health professionals. Our combined inpatient services include 83 beds for general adult mental health patients as well as specialized services for 10 seniors’ mental health beds at the M-Site and a 4 bed eating disorders unit at CVH. We have psychiatrists attending in the ER from 8:30 a.m. to 4:30 p.m., 4 days per week, and a 72 hour urgent response service at both sites. We have a large ambulatory program across the lifespan with specialty clinics in Women’s Reproductive Program, Addictions and Concurrent Disorders, Schizophrenia, Child and Adolescent
COMMUNITY SITES Services, Outreach Services for youth and seniors, ACTT teams, Case Management and Housing.
YEAR IN REVIEW Clinical Programs This year has been an exciting period of opportunity, collaboration and partnership. Our mental health program has partnered with the MOHLTC, a very generous donor, the University of Toronto, CAMH and the Hospital for Sick Children. This partnership, known as the Medical Psychiatry Alliance (MPA), has resulted in an exciting new initiative for patients with medical and psychiatric comorbidities and medically unexplained symptoms across the lifespan. Over the next 6 years, a multi-million dollar grant provided by the partners, will support a dramatic change in how health services are delivered to this population. We will create new models of partnered, collaborative and integrated care. We are poised to create new curriculums, develop continuing professional education opportunities as well as initiate and continue to develop research in outcomes and mechanisms of illness and health. Another extremely important partnership has been created with the Mental Health Commission of Canada. This relationship has resulted in our new product, Mental Health First Aid for Seniors; the first of its kind in the world, led by Dr. Richard Shulman, the Medical Director of our Seniors Mental Health Pillar. We are now developing an adaptation of the Mental Health First Aid curriculum to be used by our high school youth. We have also been funded by one of the Financial Institutions, to create an after school program for youth in mental health crises. We continue to be very committed to education. The psychiatrists have worked closely together to develop our teaching program for the University of Toronto medical clinical clerks, 54 of whom were trained at
109 THP, beginning in September, 2013. We will be providing training for selectives for geriatric medicine residents as well as a child and adolescent mental health resident and a 6 month block for seniors’ mental health resident education. We continue to develop our collaborative care models with the Family Health Teams as well as primary care physicians and pediatricians. We continue to provide interdisciplinary and multidisciplinary teaching programs for our medical students, family practice residents and learners across all services.
Research THP will be starting a new Research Direction in the next year. It has announced the new Research Institute for Better Health. Our mental health program is an integral member of this Research initiative.
Summary It has been a pleasure to work with so many committed mental health staff at Trillium Health Partners. It is especially exciting to work with a Hospital Administration who continues to be so committed to Mental Health care. We look forward to another year of innovation, collaboration and partnerships which have resulted in success and new possibilities for improving the care of our patients. Dr. Rose Geist Program Chief and Medical Director Department of Mental Health Trillium Health Partners Mississauga Academy of Medicine Associate Professor of Psychiatry University of Toronto
United Health Network (UHN) Overview The University Health Network (UHN) is compromised of four hospitals with a total of eight geographic locations across the city – Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre and Toronto Rehab. The TGH Department of Psychiatry was the first general hospital ambulatory psychiatric clinic in 1909 and established a department of psychiatry in 1967. It has grown since that time into a robust academic department with active clinical, educational and research programs. UHN prides itself on the spectrum of services it provides from primary care through to cutting edge tertiary and quaternary care. As part of the UHN program in Medical and Community Care Program, UHN Mental Health and Addictions provides service to the seven other UHN programs including the Arthritis Program, Krembil Neuroscience Centre, Multi-Organ Transplant, Peter Munk Cardiac Centre, Princess Margaret Cancer Centre, Surgery and Critical Care and Toronto Rehab in addition to primary care and community agencies.
Organization & Activities The UHN Department of Psychiatry has 47 fulltime psychiatrists and 49 part-time psychiatrists as well as over 200 staff in varied disciplines contributing to the care of our patients and families. The UHN Department of Psychiatry is presently
undertaking a strategic planning exercise to articulate clear, actionable goals and objectives moving forward. The strategic plan is being developed with the assistance of a consultancy group and includes a robust series of interviews with internal and external stakeholders, a survey of all staff members and staff focus groups. There are currently three Divisions within the Department - Medical Psychiatry and Psychosocial Oncology, Neurosciences and Psychiatry, and General and Community Psychiatry and Special Programs. There may be some realignment of these divisions depending upon the outcome of the strategic plan that is currently underway.
Medical Psychiatry The Division of Medical Psychiatry and Psychosocial Oncology has continued to advance the psychiatric care of individuals with medical and surgical illnesses through robust scholarship disseminated through national and international venues and exemplary clinical care. At TGH, individual psychiatrists and psychologists focus their clinical, teaching and research activities in nephrology, hepatology, pulmonary hypertension, cardiology and cardiovascular surgery, congenital cardiac disease, intensive care and transplantation. At TWH, there is a focus of specialized teaching and research collaborations in the areas of neurological disorders, arthritis and general medical disorders. At both TGH
UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 and TWH there is a general consultation liaison (CL) inpatient teaching service that focuses on education across the spectrum from clinical clerks on their core psychiatric rotation through to fellows learning about the administrative and educational aspects of running a CL service. The inpatient consult services at TG and TW have grown 22.5% over the past year with almost 1500 individual patients receiving direct service, in addition to many more whose care was positively influenced through liaison teaching and scholarly activities. The Psychosocial Clinic in Bariatric Surgery at TWH provides pre surgical assessment and follow-up care for bariatric surgery patients. The group has developed, with the surgeons and other team members, an integrated synoptic note and quality dashboard that are exemplars of advanced clinical documentation and provide ongoing real time outcome data to guide clinical care and service development. The use of telepsychiatry continues to expand. Studies on e-based interventions in self-management of hypertension and heart failure and transition of congenital cardiac patients from pediatric to adult care are attracting wide interest. In the newest area of activity, members of the program are active in developing services for Hospital for Sick Children specialty medical and surgical patients transitioning to adult care. Princess Margaret Cancer Center is now amongst the top five cancer centers in the world and the Psychosocial Oncology and Palliative Care (POPC) at PMH is receiving international accolades for its high level of academic performance and groundbreaking research in psychosocial aspects of palliative care. The Kensington Hospice, a ten bed residential hospice for end of life care operated jointly by Kensington Health Centre and PMH/POPC is receiving local and international praise for its clinical care, research and educational opportunities. The brief psychotherapeutic intervention for patients with advanced cancer developed at PMH, Managing Cancer and Living Meaningfully (CALM), continues to be evaluated through a CIHR grant and receives international interest with psychosocial oncology clinicians coming from around the world to attend
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PMCC-POPC training courses in this new modality. The UHN/PMH-Kuwait Cancer Control Centre (KCCC) Cancer Care Partnership, continues with members of the POPC team visiting Kuwait to provide consultation regarding development of psychosocial oncology and palliative care at the KCCC. There is a new art therapy program.
Neurosciences and Psychiatry The division of Neurosciences and Psychiatry incorporates Neuropsychiatry, Mood Disorders and Geriatric Psychiatry. Psychiatrists work with neurologists, neurosurgeons and other disciplines to provide care for patients with Movement Disorders, Epilepsy, Stroke and Neurodegenerative Disorders. The Acquired Brain Injury (ABI) Clinic at TWH, has expanded its focus to include ABI rehabilitation through linkage with the ABI program at TR. The Sleep and Alertness Clinic provides training in sleep medicine and has collaborative research links with the Departments of Anaesthesia and Ophthalmology. The Tourette’s Clinic at TWH and Youthdale has strong academic and service commitments. The Mood Disorders Psychopharmacology Unit operates at TWH and TGH, providing clinical care, research and education in depression and bipolar disorder, with research emphasis on biomarkers, neuroinflammatory mechanisms, and metabolic consequences of mood disorders. Investigative studies on novel agents targeting inflammatory mechanisms in mood disorders and rapid interventions such as ketamine are underway. The Repetitive Transcranial Magnetic Stimulation (rTMS) Clinic continues to receive generous funding from the Buchan Foundation to expand its clinical activity and explore novel targets and indications for rTMS. Exciting new work this year has included rTMS in refractory bulimia using the novel target of the DMPFC and pilot work in the use of rTMS in military PTSD. Strong collaboration continues between Psychiatry and the Division of Neurosurgery in deep brain stimulation (DBS) in treatment refractory mood and eating disorders as well as Alzheimer’s disease. The Geriatric Psychiatry Program has an emphasis on mood and cognitive disorders in older adults. Members continue to provide leadership and support to the UHN Memory Clinic. The Bitove Wellness
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academy, a collaborative venture between UHN, the York University School of Nursing and Geriatric Psychiatry, continues to grow as it provides an innovative, holistic and arts-based day program for individuals with mild to moderate dementia. The TR and TWH psychiatric outreach programs are merging and continue to offer comprehensive care to elders in nursing homes and specialized facilities.
General and Community Psychiatry and Special Programs The division of General and Community Psychiatry and Special Programs provides the full spectrum of acute and community services. Care has been enhanced throughout the program through new intranet based point of care evidence-based guidelines. Emergency and outpatient services are delivered at TWH. Our Psychiatric Emergency Services Unit (PESU) is a nationally recognized model for service delivery and has quality metrics that significantly exceed our LHIN comparators for return visits and multiple return visits to the ER thanks in large part to the active Urgent Care Clinic and clinicians. Health equity measures continue to demonstrate positive results. Ambulatory services grew by 8.9% with 84,650 visits last year. In addition to general ambulatory services, we focus on addictions in women, as well as language specific mental health services for the Asian and Portuguese communities. Our addictions program continued to provide both direct care and highly valued support to community agencies. The Portuguese program launched their family education video providing culturally sensitive guidance for family members on dealing with psychosis in loved ones. TCLHIN funding was received for innovative programming for the Asian and Portuguese programs using an Integrated Behavioural Group Therapy model that also helped to build capacity in community agencies. The community ACT team continued to provide outstanding clinical care to some of our most challenging and vulnerable patients. Withdrawal management services are offered through Ossington Men’s Detox and Women’s Own
Detox. The integration of the Ossington Men’s Detox with the St. Michael’s unit is moving forward. Inpatient services at TGH include a psychiatric intensive care unit, a general psychiatry inpatient unit, as well as specialized programs for geriatric and eating disorder patients. The inpatient services had a 5.2% growth with 385 patients and quality metrics better than our comparators with 1% return within one week and a 30 day readmission rate 30% lower than our collaborators. The Behavioural Activation Communication Model of Care is being introduced on the unit with excellent feedback from patients, families and staff. A “Welcome to 8ES” booklet includes tools for collaborative goal setting and discharge planning that patients can work through over the course of their stay. The Eating Disorders Program offers outpatient and inpatient treatment with a strong emphasis on education and research. It offers ambulatory and day hospital services including a community MED ACT team, and an intensive inpatient program focusing on individuals with anorexia nervosa. It houses the National Eating Disorder Information Centre (NEDIC), which developed provincial curriculum for positive body image and anti-bullying. We are also the home for the Provincial Outreach Service, which delivered early intervention training for 68 school boards and 14 mental health nurses as well as advising the Ministry of Education regarding integration of weight bias into the health curriculum. The Women’s Mental Health Program at the TGH site has a focus on mood disorders related to the reproductive cycle, and also offers support to women who have experienced sexual assault, stalking, and intimate partner violence. UHN has strong clinical programming in mindfulness interventions across the divisions with a Mindfulness-Based Stress Reduction program at TGH, a Mindfulness-Based Cognitive Therapy Program for Cancer at PMH and a MindfulnessBased Cognitive Therapy Program for Anxiety at TWH.
Research UHN has extensive research and scholarly activities
UNIVERSITY OF TORONTO PSYCHIATRY • ANNUAL REPORT 2013-2014 that are listed in this Departmental Annual Report. Highlights include leadership of CAN-BIND (Canadian Biomarker Integration Network In Depression) that has received grants from the Ontario Brain Institute, the Canadian Institutes of Health Research, industry partners and the TG and TW Foundation, rTMS and DBS work in depression and eating disorders, novel psychopharmacologic approaches to treatment resistant depression, psychotic depression in the elderly and the impact of psychopharmacology on fall risk in the elderly, eating disorders research ranging from neuromodulatory approaches through to family therapy, psychosocial aspects of palliative care, involvement in an NIH study on psychiatric aspects of living liver donation, e-approaches to self-management of chronic medical conditions, outcomes following bariatric surgery and sleep. Education scholarship remains an important focus of academic work.
Education Our department was very active in assuming leadership of the three workgroups of the crossinstitutional Delirium Innovation Project, an IPC approach to assessment, treatment and prevention of delirium. Working groups developed assessment tools, held hospital wide and unit specific educational events, developed a video and smart phone applications, and are now at work on electronic chart order sets. We educate undergraduate students in a range of health science related disciplines from core rotations through to elective/personalized rotations to support individual learning objectives. UHN provided leadership in development of the highly acclaimed undergraduate medical school elective, MEET (Making Every Encounter Therapeutic). We are a major postgraduate psychiatry residency training site and also provide clinical rotations for MSW and psychology PhD students. Our department members are active in continuing professional development activities. The Department of Psychiatry Public Education Committee has instituted a series of public presentations that this year included, “Anxiety and Mindfulness”, “Blood tests, brain scans and self screening: Searching for a test for depression,
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”Portuguese Mental Health – Psychosis: A Guide for Families. A video for patients and families “ (available in both Portuguese and English and posted to Youtube) and a celebration for the Chinese community organized by the Asian Initiative in Mental Health that had the English title “Courage Lives Here “. Held in Mandarin and Cantonese, it included mental health and recovery journey success stories, Chinese community resources and Chinese music and traditional dance. Department members contributed to a wide variety of public educational offerings provided by community agencies.
Leadership The year saw a transition in senior leadership. Dr. Sidney Kennedy completed his second term as Psychiatrist-in-Chief and Dr. Sagar Parikh completed his second term as Deputy Psychiatrist-in-Chief. Drs. Kennedy and Parikh were recognized and thanked by both the hospital and the Department of Psychiatry for their leadership and commitment to advancing the academic mission. Over Dr. Kennedy’s two terms, the Department more than doubled in size, significantly grew in academic stature, established internationally recognized programs in mood, psychosocial oncology and education. Dr. Susan Abbey was appointed the new Psychiatristin-Chief and in turn appointed Dr. Raed Hawa Deputy Psychiatrist-in-Chief for the Toronto Western and Toronto Rehab sites and Dr. Sanjeev Sockalingam for the Toronto General and Princess Margaret Cancer Centre sites. Jan Lackstrom , our Senior Director of Operations, completed her term as co-chair of the Mental Health and Addictions Acute Care Allliance Management Committee and was recognized for her important contributions to the group. Gail Robinson, a senior departmental member was awarded the Order of Ontario for her contributions in women’s mental health. UHN looks forward to completing its strategic plan early in the coming academic year and building on its successes to date. Susan Abbey, MD, FRCPC Psychiatrist-in-Chief
Publications
Publications Abraham AG, Strickler HD, Jing Y, Gange SJ, Sterling TR, Silverberg M, Saag M, Rourke SB, Rachlis A, Napravnik S, Moore RD, Klein M, Kitahata M, Kirk G, Hogg R, Hessol NA, Goedert JJ, Gill MJ, Geno K, Eron J, (2013). Invasive cervical cancer among HIV-infected women: A North American multi-cohort collaboration prospective study. Journal of the Acquired Immune Deficiency Syndrome, 62(4), 405-413. Abrams K, Abrams K, Robinson GE, (2013). Stalking by Patients: Doctors’ Experiences in a Canadian Urban Area Part II - Physician Responses. The Journal of Nervous and Mental Disease, 201(7), 560-566. Adedinsewo DA, Fleming AS, Steiner M, Meaney MJ, Girard AW, (2014). Maternal anxiety and breastfeeding: findings from the MAVAN (Maternal Adversity Vulnerability and Neurodevelopment) Study. Journal of Human Lactation, 30(1), 102-109. Adler Nevo G, Nefsky C, (2014). Mind Over PMDD: A Glimpse into the Process of Psychotherapy-Pharmacotherapy combination Treatment. Journal of The Canadian Academy of Child and Adolescent Psychiatry, 23(2), 146-150. Afshin-Pour B, Grady CL, Strother SC, (2014). Evaluation of multivariate functional connectivity techniques for group analysis of resting state data sets. Neuroimage, 87(2), 363-382. Afzal Z, Muntaner C, Chung H, Mahmood Q, Ng E, Schrecker T, (2013). Complementarities or contradictions? Scoping the health dimensions of ‘flexicurity’ labor market policies. Int J Health Services, 43(3), 473-482. Agid O, Schulze L, Arenovich T, Sajeev G, McDonald K, Foussias G, Fervaha G, Remington G, (2013). Antipsychotic response in first-episode schizophrenia: efficacy of high doses and switching. European Neuropsychopharmacology, 23(9), 1017-1022. Agid O, Siu C, Pappadopulos E, Vanderburg D, Remington G, (2013). Early prediction of clinical and functional outcome in schizophrenia. European Neuropsychopharmacology, 23(8), 842-851. Agid O, Siu CO, Potkin SG, Kapur S, Watsky E, Vanderburg D, Zipursky RB, Remington G, (2013). Meta-regression analysis of placebo response in antipsychotic trials, 1970-2010. American Journal of Psychiatry, 170(11), 13351344. Alaggia R, Mishna F, (2014). Self psychology and male child sexual abuse: Healing relational betrayal. Clinical Social Work Journal, 42(1), 41-48. Albert D, Fortin R, Lessio A, Herrera C, Riley B, Hanning R, Rush BR, (2013). Strengthening chronic disease prevention programming. The Towards-Evidence Informed Practice (TEIP) Program Assessment Tool. Chronic Disease Prevention, 10, e87. Albert M, (2013). La définition des critères de scientificité: un débat philosophique et sociologique. Recherche Qualitative, (15), 55-59. Alda M, Shao L, Wang JF, Lopez de Lara C, Jaitovich-Groisman I, Lebel V, Sun X, Duffy A, Grof P, Rouleau GA, Turecki G, Young LT, (2013). Alterations in phosphorylated cAMP response element-binding protein (pCREB) signaling: an endophenotype of lithium-responsive bipolar disorder. Bipolar Disorders, 15(8), 824-831.
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ARTICLES (continued) Almeida KM, Nery FG, Moreno RA, Gorenstein C, Lafer B, (2013). A Sib-Pair analysis of impulsivity in bipolar disorder type I. Comprehensive Psychiatry, 54(8), 1148-1152. Ameis SH, Corbett-Dick P, Cole L, Correll CU, (2013). Applying Guidelines in the Real World: Decision Making and Antipsychotic Medication Treatment for Youth with Autism Spectrum Disorders. J Clin Psychiatry, 74(10), 10221024. Anderson JL, Sellbom M, Bagby RM, Quilty LC, Veltri COC, Markon KE Krueger RF, (2013). On the convergence between PSY-5 domains and PID-5 domains and facets: Implications for assessment of DSM-5 personality traits. Assessment, 20(3), 286-294. Andrade BF, Tannock R, (2014). Sustained Impact of Intattention and Hyperactivity-Impulsivit on Peer Problems: Mediating Roles of Prosocial Skills and Conduct Problems in a Commnity Sample of Children. Child Psychiatry and Human Development, 45(3), 318-328. Andrade DM, Krings T, Chow EWC, Kiehl TR, Bassett AS, (2013). Hippocampal malrotation is associated with chromosome 22q11.2 microdeletion. Canadian Journal of Neurological Sciences, 40(5), 652-626. Andreazza AC, Wang JF, Salmasi F, Shao L, Young LT, (2013). Specific subcellular changes in oxidative stress in prefrontal cortex from patients with bipolar disorder. J Neurochem, 127(4), 552-561. Antonelli F, Ko JH, Miyasaki J, Lang AE, Houle S, Valzania F, Ray NJ, Strafella AP, (2014). Dopamine-agonists and impulsivity in Parkinson’s disease: impulsive choices vs. impulsive actions. Hum Brain Mapp, 35(6), 2499-2506. Ashcroft R, Silveira J, Rush BR, McKenzie K, (2013). Incentives and disencentives for the treatment of depression and anxiety: A scoping review. Canadian Journal of Psychiatry, 59(7), 385-392. Astell A, Alm N, Dye R, Gowans GM, Vaughan P, Ellis M, (2014). Digital video games for older people with cognitive impairment. ICCHP 2014, 1(8547), 264-271. Atkinson L, Gonzalez A, Kashy DA, Basile V, Masellis M, Pereira J, Levitan RD, (2013). Maternal Sensitivity and Infant and Mother Adrenocortical Function across Challenges. Psychoneuroendocrinology, 38(12), 2943-2951. Ayas N, Skomro R, Blackman A, Curren K, Fitzpatrick M, Fleetham J, George C, Hakemi T, Hanly P, Li C, Morrison D, Series F, (2014). Obstructive sleep apnea and driving: A Canadian Thoracic Society and Canadian Sleep Society position paper. CANADIAN RESPIRATORY JOURNAL, 21(2), 114-123. Ayearst LE, Sellbom M, Trobst KK, Bagby RM, (2013). An evaluation of the interpersonal content of the MMPI-2-RF interpersonal scales. Journal of Personality Assessment, 95(1), 187-196. Azin A, Cassin SE, (2014). Body contouring surgery after bariatric surgery: A study of cost as a barrier and impact on psychological well-being. Plastic and Reconstructive Surgery, 133(6), 776e-782e. Bagby RM, (2013). Introduction to Special Issue on the Personality Inventory for DSM-5 (PID-5). Assessment, 20(3), 267-268. Bagby RM, Ayearst LA, Morariu RA, Watters C, Taylor GJ, (2014). The Internet administration version of the 20-item Toronto Alexithymia Scale. Psychological Assessment, 26(1), 16-22.
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ARTICLES (continued) Bagby RM, Sellbom M, Ayearst LE, Chmielewsk MS,Anderson JL, (2014). Exploring the hierarchical structure of the MMPI-2-RF Personality Psychopathology Five in psychiatric patient and university student samples. Journal of Personality Assessment, 96(2), 166-172. Bagha SM, Macedo A, Jacks LM, Lo C, Zimmermann C, Rodin G, Li M, (2013). The utility of the Edmonton Symptom Assessment System in screening for anxiety and depression. European Journal of Cancer Care (Engl), 22(1), 60-69. Baker JH, Sisk CL, Thornton LM, Brandt H, Crawford S, Fichter MM, Halmi KA, Johnson C, Jones I, Kaplan AS, Mitchell JE, Strober M, Treasure J, Woodside DB, Berrettini WH, Kaye WH, Bulik CM, Klump KL, (2014). Primary amenorrhea in anorexia nervosa: impact on characteristic masculine and feminine traits. Eur Eat Disord Rev, 22(1), 32-38. Baldwin DS, Aitchison K, Bateson A, Curran HV, Davies SJ, Leonard B, (2013). Benzodiazepines: Risks and benefits. A reconsideration. Journal of Psychopharmacology, 27(11), 967-971. Baldwin DS, Anderson IM, DJ Nutt DJ, Allgulander C, Bandelow, B, den Boer JA, Christmas DM, Davies S, Fineberg N, Lidbetter N, Malizia A, McCrone P, Nabarro D, O’Neill C, Scott J, van der Wee N, Wittchen HU, (2014). Evidencebased pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology. Journal of Psychopharmacology, 28(5), 403-439. Ballester J, Goldstein B, Goldstein TR, Yu H, Axelson D, Monk K, Hickey MB, Diler RS, Sakolsky DJ, Sparks G, Iyengar S, Kupfer DJ, Brent DA, Birmaher B, (2014). Prospective longitudinal course of aggression among adults with bipolar disorder. Bipolar Disorders, 16(3), 262-269. Bance S, Links PS, Strike C, Bender A, Eynan R, Bergmans Y, Hall P, O’Grady J, Antony J, (2014). Help-seeking in transit workers exposed to acute psychological trauma: a qualitative analysis. Work (Reading, Mass.), 48(1), 3-10. Banerjee N, Sinha VK, Jayaswal M, Desarkar P, (2013). The Contingent Negative Variation in Remitted Paediatric Bipolar Patients: No Evidence of Abnormality. Psychiatry Investigation, 10(2), 196-199. Bani-Fatemi A, Gonçalves VF, Zai C, de Souza R, Le Foll B, Kennedy JL, Wong AH, De Luca V, (2013). Analysis of CpG SNPs in 34 genes: association test with suicide attempt in schizophrenia. Schizophr Res, 147(23), 262-268. Bawor M, Dennis B, Anglin R, Steiner M, Thabane L, Samaan Z, (2014). Sex differences in outcomes of methadone maintenance treatment for opioid addiction: a systematic review protocol. Systematic Reviews, 3(1), 45-0. Beckstead JW, Pezzo MV, Beckie TM, Shahraki F, Kentner AC, Grace SL, (2014). Physicians’ tacit and stated policies for determining patient benefit and referral to cardiac rehabilitation. Medical Decision-Making, 34(1), 63-74. Bedard M, Marshall S, Man-Son Hing M, Weaver B, Gelinas I, Korner-Bitenski N, Mazer B, Naglie G, Porter M M, Rapoport MJ, Tuokko H, Vrkljan B, (2013). It is premature to test older drivers with the SIMARD-MD. Accident Analysis & Prevention, 61, 317-321. Bedi R, Muller TR, Classen CC, (2013). Cumulative risk for deliberate self-harm among treatment-seeking women with histories of childhood abuse. Psychological Trauma: Theory, Research, Practice & Policy, , . Bekele T, Rourke, SB, Tucker R, Greene S, Sobota M, Koornstra J, Monette L, Byers S, Rueda S, Bacon J, Watson J, Hwang SW, Ahluwalia A, Dunn J, Guenter D, and the Positive Spaces Healthy Places Team, (2013). Direct and Indirect Effects of Social Support on Health-Related Quality of Life among Persons Living with HIV: Results From the Positive Spaces Healthy Places Study. AIDS Care, 25(3), 337-346.
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ARTICLES (continued) Benhabib H, Lanctôt KL, Eryavec GM, Li A, Herrmann N, (2013). Responsiveness of the QUALID to improved neuropsychiatric symptoms with Alzheimer’s disease. Can Geriatr J, 16(4), 180-185. Bennett K, Manassis K, Walter, Cheung A, Wilansky-Traynor P, Diaz-Granados N, Duda S, Rice M, Baer S, Barrett P, Bodden D, (2013). Cognitive Behavioral Therapy Age Effects in Child and Adolescent Anxiety: An Individual Patient Data Meta-analysis. Depression and Anxiety, 30(9), 829-841. Benoit AC, Light L, Burchell AN, Gardner S, Rourke SB, Wobeser W, Loutfy M R, OHTN Cohort Study Team and the Ontario CHIWOS Research Team, (2014). Demographic and clinical factors correlating with high levels of psychological distress in HIV-positive women living in Ontario, Canada. AIDS Care, 26(6), 694-701. Berman H, Mason R, Hall J, Rodger S, Classen CC, Evans MK, Ross L, Mulcahy GA, Carranza , Al-Zoubi F, (2014). Laboring to mother in the context of past trauma: The transition to motherhood. Qualitative Health Research, 24(9), 1253-1264. Bernecker SL, Constantino MJ, Pazzaglia AM, Ravitz P, McBride C, (2014). Patient interpersonal and cognitive changes and their relation to outcome in interpersonal psychotherapy for depression. Journal of clinical psychology, 70(6), 518-527. Berutti M, Nery FG, Sato R, Scippa A, Kapczinski F, Lafer B, (2014). Association between family history of mood disorders and clinical characteristics of bipolar disorder: results from the Brazilian bipolar research network. JOurnal of Affective Disorders, 161(5), 104-108. Bethell J, Bondy S, Lou W, Guttman A, Rhodes AE, (2013). Child and adolescent emergency department presentations for self-harm: Data from Ontario. Canadian Journal of Public Health, 104(2), 124-130. Bhalerao SU, Geurtjens C, Thomas GR, Kitamura CR, Zhou C, Marlborough M, (2013). Understanding the neuropsychiatric consequences associated with significant traumatic brain injury. Brain Injury, 27(7-8), 767-774. Bhattacharya A, Desarkar P, Nizamie SH, (2013). A case of Dandy Walker Variant Disorder Associated with multiple Neuropsychiatric co-morbidities managed with behavior therapy. Journal of Neuropsychiatry and Clinical Neuroscience, 25(3), 3-4. Bieling PJ, Madsen V, Zipursky RB, (2013). A ‘navigator’ model in emerging mental illness. Early Interv Psychiatry, 7(4), 451-457. Bienek AS, Gee ME, Nolan RP, Kaczorowski J, Campbell NR, Bancej C, Gwadry-Sridhar F, Robitaille C, Walker RL and Dai S., (2013). Methodology of the 2009 Survey on Living with Chronic Diseases in Canada—hypertension component. Chronic Diseases and Injuries in Canada, 33(4), 267-276. Bilanovic A, Irvine J, Kovacs AH, Hill A, Cameron D, Katz J, (2013). Uncovering phantom shocks in cardiac patients with an implantable cardioverter defibrillator. PACE, 36(6), 673-683. Birmaher B, Goldstein BI, Axelson DA, Monk K, Hickey MB, Fan J, Iyengar S, Ha W, Diler RS, Goldstein T, Brent D, Ladouceur CD, Sakolsky D, Kupfer DJ, (2013). Mood lability among offspring of parents with bipolar disorder and community controls. Bipolar Disorders, 15(3), 253-263. Bleiker EM, Esplen MJ, Meiser B, Petersen HV, Patenaude AF, (2013). 100 years Lynch syndrome: what have we learned about psychosocial issues. Familial Cancer, 12(2), 325-339.
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ARTICLES (continued) Blom K, Baker B, How M, Dai M, Irvine J, Abbey S, Abramson BL, Myers MG, Kiss A, Perkins NJ, Tobe SW, (2014). Hypertension analysis of stress reduction using mindfulness meditation and yoga: results from the harmony randomized controlled trial. American Journal of Hypertension, 27(1), 122-129. Blom K, Nolan RP, Irvine MJ, Baker B, Abbey SE, Tobe SW, (2013). Evaluating psychosocial variables and their link to hypertension using mindfulness-based stress reduction. Canadian Journal of Cardiology, 29(10), S151-S151. Blumberger DM, Mulsant BH, Daskalakis ZJ, (2013). What is the role of brain stimulation therapies in the treatment of depression. Current Psychiatry Reports, 15(7), 368-368. Bolea-Alamanac B, Davies SJC, (2014). Response to Damkier (letter). British journal of clinical pharmacology, 77(6), 1084-1085. Bolea-Alamanac B, Green A, Verma G, Maxwell P, Davies SJC, (2014). Methylphenidate use in pregnancy and lactation: a systematic review of evidence. British journal of clinical pharmacology, 77(1), 96-101. Boquiren VM, Esplen MJ, Wong J, Toner B, Warner E, (2013). Exploring the influence of gender-role socialization and objectified body consciousness on body image disturbance in breast cancer survivors. Psycho-oncology, 22(10), 2177-2185. Boritz TZ, Bryntwick, E, Angus, L, Greenberg, LS, Constantino, MJ, (2014). Narrative and emotion process in psychotherapy: An empirical test of the Narrative-Emotion Process Coding System (NEPCS). Psychotherapy Research, 24(5), 594-607. Boydell KM, Hodgins M, Pignatiello A, Teshima J, Edwards H, Willis D, (2014). Using Technology to Deliver Mental Health Services to Children and Youth: a Scoping Review. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 23(2), 87-99. Boydell KM, Shaul RZ, D’Agincourt-Canning L, Da Silva M, Simpson C, Czoli CD, Rashkovan N, Kim CC, Levin AV, Schneider R, (2013). Paediatric physician-researchers: coping with tensions in dual accountability. Narrat Inq Bioeth, 2(3), 213-221. Brady S, Purdham D, Oh P, Grace S, (2013). Clinical and sociodemographic correlates of referral for cardiac rehabilitation following cardiac revascularization in Ontario. Heart & Lung, 42(5), 320-325. Brand BL, McNary SW, Myrick AC, Amie C, Classen CC, Lanius R, Loewenstein RJ, Pain C, Putnam FW, (2013). A longitudinal naturalistic study of patients with dissociative disorders treated by community clinicians. Psychological Trauma: Theory, Research, Practice & Policy, 5(4), 301-308. Brandl EJ, Kennedy JL, Müller DJ, (2014). Pharmacogenetics of antipsychotics. Can J Psychiatry, 59(2), 76-88. Brandl EJ, Tiwari AK, Chowdhury NI, Zai CC, Lieberman JA, Meltzer HY, Kennedy JL, Müller DJ, (2014). Genetic variation in the GCG and in the GLP1R genes and antipsychotic-induced weight gain. Pharmacogenomics, 15(4), 423-431. Bravo G, Kim SYH, Dubois M-F, Cohen CA, Wildeman SM, Graham JE, (2013). Surrogate Consent for Dementia Research: Factors Influencing Five Stakeholder Groups from the SCORES Study. IRB: Ethics & Human Research, 35(4), 1-11.
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ARTICLES (continued) Bravo G, Wildeman S, Dubois M-F, Kim SYH, Cohen C, Graham J, Painter K, (2013). Substitute consent practices in the face of uncertainty: a survey of Canadian researchers in aging. International Psychogeriatrics, 25(11), 18211830. Bregman T, Diwan M, Nobrega JN, Hamani C, (2014). Supraorbital stimulation does not induce an antidepressantlike response in rats. Brain Stimulation, 7(2), 301-303. Brown CA, Telio S, Warnock CA, Wong AH, (2013). Clozapine toxicity and hepatitis. J Clin Psychopharmacol, 33(4), 570-571. Brown N, Andreazza AC, Young LT, (2014). An updated meta-analysis of oxidative stress markers in bipolar disorder. Am J Geriatr Psychiatry, 12(1-2), 61-68. Burchell AN, Allen GV, Moravan V, Gardner S, Raboud J, Tan, DHS Bayoumi AM, Kaul R, Mazzulli T, McGee F, Millson P, Remis RS, Rourke SB, OHTN Cohort Study Research Team, (2013). Patterns of syphilis testing in a large cohort of HIV patients in Ontario, Canada, 2000-2009. BMC Infectious Diseases, 28(13), 246-246. Burianova H, Lee Y, Grady CL, Moscovitch M, (2013). Age-related dedifferentiation and compensatory changes in the functional network underlying face processing. Neurobiology of Aging, 34(12), 2759-2767. Burra TA, Hwang, SW, Rourke SB, Stergiopoulos V, (2013). Homeless and housed inpatients with schizophrenia: Disparities in service upon discharge from hospital. International Journal of Mental Health, 10(5), 778-789. Butcher NJ, Kiehl TR, Hazrati, LN, Chow EWC, Rogaeva E, Lang AE, Bassett AS, (2013). Association between earlyonset Parkinson disease and 22q11.2 deletion syndrome: identification of a novel genetic form of Parkinson disease and its clinical implications. JAMA Neurology, 70(11), 1359-1366. Cain R, Collins E, Bereket T, George C, Jackson R, Li A, Prentice T, Travers R, (2014). Challenges to the involvement of people living with HIV in community-based HIV/AIDS organizations in Ontario, Canada. AIDS Care, 26(2), 263266. Cairney J, Veldhuizen S, Vigod S, Streiner DL, Wade TJ, Kurdyak P, (2014). Exploring the social determinants of mental health service use using intersectionality theory and CART analysis. J Epidemiol Community Health, 68(2), 145-150. Callaghan RC, Veldhuizen S, Jeysingh T, Orlan C, Graham C, Kakouris G, Remington G, Gatley J, (2013). Patterns of tobacco-related mortality among individuals with schizophrenia, bipolar disorder, or depression. J Psychiatr Res, 48(1), 102-110. Cameron JI, Stewart DE, Streiner DL, Coyte PC, Cheung AM, (2014). What Makes Family Caregivers Happy During the First 2 Years Post Stroke. Stroke, 45(4), 1084-1089. Campbell KL, Grigg O, Saverino C, Churchill N, Grady CL, (2013). Age differences in the intrinsic functional connectivity of default network subsystems. Frontiers in Aging Neuroscience, 5(73), 1-12. Campbell RM, Klei AG, Hodges BD, Fisman D, Kitto S, (2014). A Comparison of Health Access Between Permanent Residents, Undocumented Immigrants and Refugee Claimants in Toronto, Canada. Journal of Immigrant and Minority Health, 38(1), 165-176.
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ARTICLES (continued) Campbell-Page RM, Tepper J, Klei AG, Hodges B, AlsuwaidanM, Bayoumy DH, Page JA, Cole DC, (2013). Foreigntrained medical professionals: wanted or not? A case study of Canada. Journal of Global Health, 3(2), 020304. Cantor JM, Klein C, Lykins A, Rullo JE, Thaler L, Walling BR, (2013). A treatment-oriented typology of self-identified hypersexuality referrals. Archives of Sexual Behavior, 42(5), 883-893. Caplan RA, Maunder RG, Stempak JM, Silverberg MS, Hart TL, (2014). Attachment, Childhood Abuse, and IBDrelated Quality of Life and Disease Activity Outcomes. Inflammatory bowel diseases, 20(5), 909-915. Carter J, Gerbarg PL, Brown RP, Ware RS, D’Ambrosio C, Anand L, Dirlea M, Vermani M, Katzman MA, (2013). Multicomponent Yoga Breath Program for Vietnam veteran Post Traumatic Stress Disorder: randomized controlled trial. Journal of Traumatic Stress Disorders and Treatment, 2(3), 1-10. Case MG, Karagianis JL, Schuh KJ, Hoffmann VP, (2013). Real-World Use Patterns of Olanzapine Long-Acting Injection in the United States. Current Medical Research and Opinion, 29(111), 1533-1537. Cassin S, Sockalingam S, Hawa R, Wnuk S, Royal S, Taube-Schiff M, Okrainec A, (2013). Psychometric Properties of the Patient Health Questionnaire (PHQ-9) as a Depression Screening Tool for Bariatric Surgery Candidates. Psychosomatics, 54(4), 352-358. Cassin SE, Sockalingam S, Wnuk S, Strimas R, Royal S, Parikh SV, (2013). Cognitive behavioral therapy for bariatric surgery patients: protocol development and pilot study. Cognitive and Behavioral Practice, 20, 529-543. Chagigioris H, Michel S, Seto MC, Laprade K, Ahmed AG, (2013). Assessing short-term, dynamic changes in risk: the predictive validity of the Brockville Risk Checklist. International Journal of Forensic Mental Health, 12(4), 274-286. Chambers LA, Greene S, Watson J, Tucker R, Koornstra J, Sobota M, Hambly K, Hwang S, O’Brien-Teengs D, Walker G, Rourke SB, (2014). Not Just “A Roof over Your Head”: The Meaning of Healthy Housing for People Living with HIV. Housing, Theory and Society, 31(3), 310-333. Chan LF, Zai C, Monda M, Potkin S, Kennedy JL, Remington G, Lieberman J, Meltzer HY, De Luca V, (2013). Role of ethnicity in antipsychotic-induced weight gain and tardive dyskinesia: genes or environment. Pharmacogenomics, 14(11), 1273-1281. Charach A, Carson P, Fox S, Ali M, Beckett J, Lim CG, (2013). Interventions for Preschool Children at High Risk for ADHD: A Comparative Effectiveness Review. Pediatrics, 131(5), e1584-e1606. Charach A, Fernandez R, (2013). Enhancing ADHD medication adherence: challenges and opportunities. Curr Psychiatry Rep, 15(7), 371-371. Chen S, Krupa T, Lysaght R, McCay E, Piat M, (2013). The development of recovery competencies for in-patient mental health providers working with people with serious mental illness. Administration and Policy in Mental Health, 40(1), 96-116. Cheng C, Deruiter W, Howlett A, Hanson MD, Dewa C, (2013). Psychosis 101: evaluating a training program for northern and remote youth mental health service providers. Early Intervention in Psychiatry, 7(4), 442-450. Cherner R, Aubry T, Ecker J, Kerman N, Nandlal J, (2014). Transitioning into the community: Outcomes of a housing program for forensic patients. International Journal of Forensic Mental Health, 13(1), 62-74.
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ARTICLES (continued) Cherner R, Nandlal J, Ecker J, Aubry T, Petty D, (2013). Findings of a formative evaluation of a transitional housing program for forensic patients discharged into the community. Journal of Offender Rehabilitation, 52(3), 157-180. Cheung AH, Kozloff N, Sacks D., (2013). Pediatric depression: an evidence-based update on treatment interventions. Current Psychiatry Report, 15(8), 381-381. Cheung ENM, George SR, Andrade DM, Chow EWC, Silversides CK, Bassett AS, (2014). Neonatal hypocalcemia, neonatal seizures, and intellectual disability in 22q11.2 deletion syndrome. Genetics in Medicine, 16(1), 40-44. Chin-Yee NJ, Costain G, Swaby J-A M, Silversides CK, Bassett AS, (2014). Reproductive fitness and genetic transmission of tetralogy of Fallot in the molecular age. Circulation: Cardiovascular Genetics, 7(2), 102-109. Chiu M, Wesson V, Sadavoy J, (2013). Improving caregiving competence, stress coping, and mental well-being in informal dementia CARERS. World journal of psychiatry, 3(3), 65-73. Chiuccariello L, Boileau I, Guranda M, Rusjan PM, Wilson AA, Zawertailo L, Houle S, Busto U, Le Foll B, (2013). Presentation of smoking-associated cues does not elicit dopamine release after one-hour smoking abstinence: A [C11]-(+)-PHNO PET study. PLoS One, 8(3), e60382-0. Chiuccariello L, Houle S, Miler L, Cooke RG, Rusjan PM, Rajkowska G, Levitan RD, Kish SJ, Kolla NJ, Ou X-M, Wilson AA, Meyer JH, (2014). Elevated Monoamine Oxidase A Binding During Major Depressive Episodes is Associated With Greater Global Severity and the Reversed Neurovegetative Symptoms of Weight Gain, Hyperphagia and Hypersomnia. Neuropsychopharmacology, 39(4), 973-980. Chivers ML, Roy C, Grimbos T, Cantor JM, Seto MC, (2014). Sexual arousal for sexual activities in men and women with conventional and masochistic sexual interests. Archives of Sexual Behavior, 43(5), 931-940. Chowdhury NI, Souza RP, Tiwari AK, Brandl EJ, Sicard M, Meltzer HY, Lieberman JA, Kennedy JL, Mßller DJ, (2014). Investigation of melanocortin system gene variants in antipsychotic-induced weight gain. World J Biol Psychiatry, 15(3), 251-258. Christensen BK, Patrick RE, Stuss DT, Gillingham S, Zipursky RB, (2013). CE verbal episodic memory impairment in schizophrenia: a comparison with frontal lobe lesion patients. Clin Neuropsychol, 27(4), 647-666. Christopher L, Marras C, Duff-Canning S, Koshimori Y, Chen R, Boileau I, Segura B, Monchi O, Lang AE, Rusjan P, Houle S, Strafella AP, (2014). Combined insular and striatal dopamine dysfunction are associated with executive deficits in Parkinson’s disease with mild cognitive impairment. Brain, 137(Pt 2), 565-575. Chun HJ, Ng E, Ibrahim S, Karlsson B, Benach J, Espelt A, Muntaner C, (2013). Welfare state regimes, gender, and depression: a multilevel analysis of middle and high income countries. Int J Environ Res Public Health., 10(4), 13241341. Citrome L, Karagianis J, Maguire GA, Nierenberg AA, (2014). Pharmaism: A tale of two perspectives. International Journal of Clinical Practice, 68(6), 659-661. Clarke TK, Crist RC, Doyle GA, Weiss AR, Brandt H, Crawford S, Crow S, Fichter MM, Halmi KA, Johnson C, Kaplan AS, La Via M, Mitchell JE, Strober M, Rotondo A, Treasure J, Woodside DB, Keel P, Klump KL, Lilenfeld L, Plotnicov K, Magistretti PJ, Bergen AW, (2014). Characterization of genetic variation in the VGLL4 gene in anorexia nervosa. Psychiatr Genet, 24(4), 183-184.
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ARTICLES (continued) Clayton AH, Kennedy SH, Edwards JB, Gallipoli S and Reed CR, (2013). The effect of vilazodone on sexual function during the treatment of major depressive disorder. J Sex Med, 10(10), 2465-2476. Cleary J, Ddungu H, Distelhorst SR, Ripamonti C, Rodin GM, Bushnaq MA, Clegg-Lamptey JN, Connor SR, Diwani MB, Eniu A, Harford JB, Kumar S, Rajagopal MR, Thompson B, Gralow JR, Anderson BO, (2013). Supportive and palliative care for metastatic breast cancer: Resource allocations in low- and middle-income countries: A breast health global initiative 2013 consensus statement. Breast, 22(5), 616-627. Cobigo V, Ouellette-Kuntz H., Balogh R., Leung R., Lin E, Lunsky Y, (2013). Are cervical and breast cancer screening programs equitable? The case of women with developmental disabilities. Journal of Intellectual Disability Research, 57(5), 478-488. Cohen NJ, Farnia F, Im-Bolter N, (2013). Higher order language competence and adolescent mental health. Journal of Child Psychology and Psychiatry, 54(7), 733-744. Colton PA, Dang K, Teshima J, Lofchy J, (2013). Psychiatry Clerkship Core Curriculum Renewal: Assessing the Shift to Larger-Group Learning. Academic Psychiatry, 37(6), 417-420. Colton PA, Olmsted MP, Daneman D, Rodin GM, (2013). Depression, disturbed eating behavior, and metabolic control in teenage girls with type 1 diabetes. Pediatric Diabetes, 14(5), 372-376. Conn DK, Madan R, Lam J, Patterson T, Skirten S, (2013). Program evaluation of a telepsychiatry service for older adults connecting a university-affiliated geriatric center to a rural psychogeriatric outreach service in Northwest Ontario, Canada. Int Psychogeriatr, 25(11), 1795-1800. Constantino MJ, Adams ML, Pazzaglia AM, Bernecker SL, Ravitz P, McBride C, (2013). Baseline patient characteristics as predictors of remission in interpersonal psychotherapy for depression. Psychother Res, 23(2), 190-200. Costain G, Bassett AS, (2014). Individualizing recurrence risks for severe mental illness: epidemiologic and molecular genetic approaches. Schizophrenia Bulletin, 40(1), 21-23. Costain G, Costain G, Bassett AS, (2013). Incomplete knowledge of the clinical context as a barrier to interpreting incidental genetic research findings. American Journal of Bioethics, 13(2), 58-60. Costain G, Esplen MJ, Toner B, Hodgkinson KA, Bassett AS, (2014). Evaluating genetic counseling for family members of individuals with schizophrenia in the molecular age. Schizophrenia Bulletin, 40(1), 88-99. Costain G, Esplen MJ, Toner B, Scherer SW, Meschino WS, Hodgkinson KA, Bassett AS, (2014). Evaluating genetic counseling for individuals with schizophrenia in the molecular age. Schizophrenia Bulletin, 40(1), 78-87. Costain G, Lionel AC, Fu F, Stavropoulos DJ, Marshall CR, Scherer SW, Bassett AS, (2014). Adult neuropsychiatric expression and familial segregation of 2q13 duplications. American Journal of Medical Genetics B Neuropsychiatric Genetics, 165(4), 337-344. Costain G, Lionel AC, Merico D, Forsythe P, Russell K, Lowther C, Yuen T, Husted J, Stavropoulos DJ, Speevak M, Chow EWC, Marsahll CR, Scherer SW, Bassett AS, (2013). Pathogenic rare copy number variants in communitybased schizophrenia suggest a potential role for clinical microarrays. Human Molecular Genetics, 22(22), 44854501.
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ARTICLES (continued) Costain G, McDonald-McGinn DM, Bassett AS, (2013). Prenatal genetic testing with chromosomal microarray analysis identifies major risk variants for schizophrenia and other later-onset disorders. American Journal of Psychiatry, 170(12), 1498-1498. Court JPM, Simpson AIF, Webster CD, (2014). Contesting Mad Versus Bad: Evolution of Law and Mental Health Law in Toronto. Psychiatry Psychology and Law, 21, 1-19. Creed M, Hamani C, Nobrega JN, (2013). Effects of chronic deep brain stimulation on depressive- and anxiety-like behavior in rats: comparing entopeduncular and subthalamic nuclei. Brain Stimulation, 6(4), 506-514. Creed MC, Nobrega JN, (2013). Neurobiological basis of dyskinetic effects induced by antipsychotics: the contribution of animal models. Current Medicinal Chemistry, 20(3), 389-396. Cunningham CE, Barwick MA, Short K, Chen Y, Ratcliffe J, Rimas H, (2014). Modeling the mental health practice change preferences of educators: a discrete-choice conjoint experiment. School Mental Health, 6, 1-14. Cunningham J, Neighbors C, Bertholet N, Hendershot C, (2013). Use of mobile devices to answer online surveys: Implications for research. BMC Research Notes, 6, 258. Curtis C, Davis C, (2014). A Qualitative Study of Binge Eating and Obesity from an Addiction Perspective. Eating Disorders: The Journal of Treatment and Prevention, 22(1), 19-32. Cyr AA, Anderson ND, (2013). Updating misconceptions: Effects of age and confidence. Psychonomic Bulletin & Review, 20(3), 574-580. D’Agostino NM, Edelstein K, (2013). Psychosocial challenges and resource needs of young adult cancer survivors: implications for program development. Journal of Psychosocial Oncology, 31(6), 585-600. Dalton EJ, Greenman PS, Classen CC, Johnson S, (2013). Nurturing connection in the aftermath of childhood trauma: A randomized controlled trial of emotionally focused couple therapy for female survivors of childhood abuse. Couple and Family Psychology: Research and Practice, 2(3), 209-221. Daros AR, Zakzanis KK, Rector NA, (2014). A quantitative analysis of facial emotion recognition in obsessivecompulsive disorder. Psychiatry Research, 215(3), 514-521. Davies SJC, Pollock BG, Kirshner M, Meyers BS, Sorisio D, Mulsant B, (2014). Sertraline Co-administration Increases Olanzapine Clearance in People with Psychotic Depression-A Population Pharmacokinetic Analysis. Biological Psychiatry, 75(9), 124S-125S. Davis C, (2013). A Narrative Review of Binge Eating Disorder and Addictive Behaviors: Associations with Seasonality and Personality Factors. Frontiers in Psychiatry, 4, 183. Davis C, (2013). Compulsive Overeating as an Addictive Behavior: Overlap between Food Addiction and Binge Eating Disorder. Current Obesity Reports, 2(2), 171-178. Davis C, Carter JC, (2014). If Certain Foods are Addictive, How Might this Change the Treatment of Overeating and Obesity. Current Addiction Reports, 1(1), 89-95. Davis C, Levitan RD, Kaplan AS, Kennedy JL, Carter JC, (2014). Food cravings, appetite, and snack-food consumption in response to a psychomotor stimulant drug: the moderating effect of ‘food-addiction’. Front Psychol, 5, 403-403.
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ARTICLES (continued) Davis C, Loxton NJ, (2013). Addictive Behaviors and Addiction-Prone Personality Traits: Associations with a Dopamine Multilocus Genetic Profile. Addictive Behaviors, 38(7), 2306-2312. Davis C, Loxton NJ, Levitan RD, Kaplan AS, Carter JC, Kennedy JL, (2013). ‘Food Addiction’ and its Association with a Dopamine Multilocus Genetic Profile. Physiology & Behavior, 118, 63-69. Davis LK, Yu D, Keenan C, Gamazon E, Konkashbaev A, Derks EM, Neale BM, Yang J, Lee H, Evans P, Barr CL, Bellodi L, Benarroch F, Bienvenu JO, Bloch M, Blom R, Bruun RD, Budman CL, Cath DC, Cavallini MC, Chavira DA, Chouinard S, Conti DV, Cook Jr EH,, (2013). Partitioning the heritability of Tourette Syndrome and Obsessive Compulsive Disorder Reveals Differences in genetic architecture. PLoS Genet, 9(10), 1-14. Dawson DR, Anderson ND, Binns MA, Bottari C, Damianakis T, Hunt A, Polatajko HJ, Zwarenstein M, (2013). Managing executive dysfunction following acquired brain injury and stroke using an ecologically valid rehabilitation approach: a study protocol for a randomized, controlled trial. Trials, 14, 306-306. Day DM, Hart TA, Wanklyn SG, McCay E, Macpherson A, Burnier N, (2013). Potential mediators between child abuse and both violence and victimization in juvenile offenders. Psychological Services, 10(1), 1-11. Day G, Farb NAS, Grady CL, Tang-Wai DF, Masellis M, Black SE, Freedman M, Pollock BG, Chow TW, (2013). Salience network resting-state activity predicts progression in frontotemporal dementia. JAMA Neurology, 70(10), 12491253. De la Fuente-Sandoval C, León-Ortiz P, Azcárraga M, Stephano S, Favila R, Díaz-Galvis L, Alvarado-Alanis P, Ramírez-Bermúdez J, Graff-Guerrero A, (2013). Glutamate in the associative striatum before and after 4 weeks of antipsychotic treatment in first-episode psychosis: a longitudinal proton magnetic resonance spectroscopy study. JAMA Psychiatry, 70(10), 1057-1066. de Melo Ghisi GL, (2014). A systematic review of patient education in cardiac patients: Do they increase knowledge and promote health behavior change. Patient Education & Counseling, 95(2), 160-174. de Melo Ghisi GL, Grace SL, Thomas S, Evans MF, Sawula H, Oh P, (2014). Healthcare providers’ awareness of the information needs of their cardiac rehabilitation patients throughout the program continuum. Patient Education & Counseling, 95(1), 143-150. De Souza MJ, Nattiv A, Joy E, Misra M, Williams NI, Mallinson R, Gibbs JC, Olmsted MP, Goolsby M, Matheson G, (2014). Female Athlete Triad: Consensus Statement on Guidelines for Treatment and Return to Play. British Journal of Sports Medicine, 48(4), 289-309. DeBenedetti A, Ronald S, Rath A, Carroll J, Galiano, F, Kleiner,H, Mathis, J, Dwyer D, Vigod S, (2013). Phenothiazine inhibitors of TLKs affect DSB repair and DDR recovery and potentiate tumor killing with radiomimetic therapy. Genes and Cancer, 4(1-2), 39-53. Deligiannidis KM, Rothschild AJ, Barton BA, Kroll-Desrosiers AR, Meyers BS, Flint AJ, Whyte EM, Mulsant BH, (2013). A Gender Analysis of the Study of Pharmacotherapy of Psychotic Depression (STOP-PD): Gender and Age as Predictors of Response and Treatment-Associated Changes in Body Mass Index and Metabolic Measures. Journal of Clinical Psychiatry, 74(10), 1003-1009. Delio M, Morrow BE, Guo T, McDonald-McGinn D, Zackai E, Herman S, Kaminetzky M, Higgins AM, Coleman K, Chow C, Jarlbrzkowski M, Bearden CE, Bailey A, Vangkilde A, Olson L, Oleson C, Skovby F, Werge T, Templin L, Busa T,
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ARTICLES (continued) Philip N, Swillen A, Vermeesch JR,, (2013). Enhanced maternal origin of the 22q11.2 deletion in velo-cardio facial/DiGeorge/22q11.2 deletion syndrome. American Journal of Human Genetics, 92(3), 439-447. Dembo JS, (2014). The Ickiness Factor: Case Study of an Unconventional Psychotherapeutic Approach to Pediatric OCD. American Journal of Psychotherapy, 68(1), 57-79. Dembo JS, Clemens NA, (2013). The ethics of providing hope in psychotherapy. J Psychiatr Pract, 19(4), 316-322. Dennis C-L, (2013). Psychosocial interventions for the treatment of perinatal depression. Best Practice & Research Clinical Obstetrics & Gynecology, 28(1), 97-111. Dennis C-L, (2014). The process of developing and implementing a telephone-based peer support program for postpartum depression: Results from a randomized controlled trial. Trials, 15, 131. Dennis C-L, Dowswell T, (2013). Interventions (other than pharmacological, psychosocial, or psychological) for treating antenatal depression. Cochrane Database Systematic Review, 7, CD006795. Dennis C-L, Vigod S, (2013). The relationship between postpartum depression, domestic violence, childhood violence, and substance use: Epidemiologic study of a large community sample. Violence Against Women, 19(4), 503-517. Dennis C-L, Vigod S, Coghlan M, (2013). Can we identify mothers at-risk for postpartum anxiety in the immediate postpartum period using the State-Trait Anxiety Inventory. Journal of Affective Disorders, 150(3), 1217-1220. Dere J, Sun J, Zhao Y, Persson TJ, Zhu X, Yao S, Bagby RM and Ryder AG, (2013). Beyond “somatization” and “psychologization”: symptom-level variation in depressed Han Chinese and Euro-Canadian outpatients. Frontiers in Psychology, 4, 377. Deruiter WK, Cheng C, Gehrs M, Langley J, Dewa CS, (2013). Substance Abuse and Smoking Behaviour Among a Canadian Cohort of First Episode Psychosis Patients. Community mental health journal, 49(6), 815-821. Desarkar P, (2014). Transcranial Magnetic Stimulation, Neuroplasticity and Autism Spectrum Disorder. Austin Journal of Psychiatry and Behavioural Sciences, 1(3), 2-3. Devins GM, Payne AY, Lebel S, Mah K, Lee RN, Irish J, Wong J, Rodin GM, (2013). The burden of stress in head and neck cancer. Psycho-Oncology, 22(3), 668-676. DeYoung CG, Quilty LC, Peterson JB, Gray JR, (2014). Openness to experience, intellect, and cognitive ability. Journal of Personality Assessment, 96(1), 46-52. DeYoung CG, Weisberg YJ, Quilty LC, Peterson JB, (2013). Unifying the aspects of the Big Five, the interpersonal circumplex, and trait affiliation. Journal of Personality, 81(5), 465-475. Di Pietro N, Illes J, Canadian Working Group on Antipsychotic Medications in Children, (2014). Rising antipsychotic drug prescriptions for children and youth: cross-sectoral solutions for a multimodal problem. CMAJ, 186(9), 653-654. Dimitropouloulos G, Freeman V, Bellai K, Olmsted M, (2013). Inpatients with severe Anorexia Nervosa and their siblings: Non-shared experiences and family functioning. European Eating Disorders Review, 21(4), 284-293. Din Osmun L, Pillai Riddell R, Flora DB, (2014). Infant pain-related negative affect at 12 months of age: early infant and caregiver predictors. Journal of Pediatric Psychology, 39(1), 23-34.
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ARTICLES (continued) Ding J, Gadit A, (2013). Acute psychosis with attention-deficit/hyperactivity disorder and oppositional-defiant disorder. BMJ Case Reports, 10(10), . Ding J, Muhammad GA, (2014). School refusal in adolescent young man: could this be an idiopathic amotivational syndrome. BMJ Case Reports, 10(4), . Dittrick CJ, Beran T, Mishna F, Hetherington R, Shariff S, (2013). Do children who bully their peers also play violent video games? A Canadian National Study. Journal of School Violence, 12(4), 297-318. Dowlati Y, Segal ZV, Ravindran AV, Steiner M, Stewart DE, Meyer JH, (2014). Effect of Dysfunctional Attitudes and Postpartum State on Vulnerability to Depressed Mood. Journal of Affective Disorders, 161, 16-20. Downar J, Geraci J, Salomons TV, Dunlop K, Wheeler S, McAndrews MP, Bakker N, Blumberger DM, Daskalakis ZJ, Kennedy SH, Flint AJ and Giacobbe P., (2014). Anhedonia and Reward-Circuit Connectivity Distinguish Nonresponders from Responders to Dorsomedial Prefrontal Repetitive Transcranial Magnetic Stimulation in Major Depression. Biological Psychiatry, 76(3), 176-185. Drye LT, Scherer RW, Lanctôt, KL, Rosenberg PB, Herrmann N, Bachman D, Mintzer, JE, (2013). Designing a trial to evaluate potential treatments for apathy in dementia: the Apathy in Dementia Methylphenidate trial (ADMET). American Journal of Geriatric Psychiatry, 21(6), 549-599. Drye LT, Spragg D, Devanand DP, Frangakis C, Marano C, Meinert CL, Mintzer JE, Munro CA, Pelton G, Pollock BG, Porsteinsson AP, Rabins PV, Rosenberg PB, Schneider LS, Shade DM, Weintraub D, Yesavage J, Lyketsos CG for the CitAD Research Group, (2014). Changes in QTc interval in the Citalopram for agitation in Alzheimer’s Disease (CitAD) randomized trial. PLoS One, 9(6), e9842. Du Y, Buchsbaum B, Grady CL, Alain C, (2014). Noise Differentially Impacts Phoneme Representations in the Auditory and Speech Motor Systems. Proceedings of the National Academy of Science, 111(19), 7126-7131. Dubiela FP, Queiroz CM, Moreira KDM, Nobrega JN, Sita LV, Tufik S, Hipólide D, (2013). AMPA receptors mediate passive avoidance deficits induced by sleep deprivation. Behavioural Brain Research, 15(257), 189-196. Dukhovny D, Dennis CL, Hodnett E, Weston J, Stewart DE, Mao W, Zupancic JA., (2013). Prospective economic evaluation of a peer support intervention for prevention of postpartum depression among high-risk women in Ontario, Canada. Am J Perinatol, 30(8), 631-642. Dunn J, van der Meulen E, O’Campo P, Muntaner C, (2013). Improving health equity through theory-informed evaluations: a look at housing first strategies, cross-sectoral health programs, and prostitution policy. Evaluation and Program Planning, 36(1), 184-190. Durno CA, Wong J, Berk T , Alingary N , Cohen Z , Esplen MJ, (2012). Quality of life and functional outcome for individuals who underwent very early colectomy for and functional outcome for individuals who underwent very early colectomy for. Diseases of the colon and rectum, 55(4), 436-443. Dwyer T, Theodoropoulos J, Herold J, Henry P, Wasserstein D, Nurnaghan ML, Wadey V, Hodges B, Semple J, OgilvieHarris D, (2013). Assessing competence of orthopaedic residents: Use of an objective structured clinical examination (OSCE) after a sports medicine rotation. Journal of Bone and Joint Surgery, 95(22), e1771-e1779. Edelstein K, Bernstein L, (2014). Cognitive dysfunction after chemotherapy for breast cancer. Journal of the International Neuropsychological Society, 20(1), 1-6.
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ARTICLES (continued) Eilaghi A, Kassner A, Sitartchouck I, Francis PL, Jakubovic R, Feinstein A, Aviv RI, (2013). Normal-appearing White Matter Permeability Distinguishes Poor Cognitive Performance in Processing Speed and Working Memory. AJNR Am J Neuroradiol, 34(11), 2119-2124. Emlet CA, Brennan DJ, Brennenstuhl S, Rueda S, Hart TA, Rourke SB, OHTN Cohort Study Research Team, (2013). Protective and risk factors associated with stigma in a population of older adults living with HIV in Ontario, Canada. AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV, 25(10), 1330-1339. Ensari I, Motl RW, McAuley E, Mullen SP, Feinstein A, (2014). Patterns and predictors of naturally occuring change in depressinve symptoms over a 30-month period in multiple sclerosis. Multiple Sclerosis Journal, 20(5), 602-609. Esplan MJ, Cappelli M, Wong J, Bottorff JL, Hunter J, Carroll J, Dorval M, Wilson B, Allanson J, Semotiuk K, Aronson M, Bordeleau L, Charlemagne N, Meschino W, (2013). Development and validation of a brief screening instrument for psychosocial risk associated with genetic testing: a pan-Canadian cohort study. BMJ Open, 3(3), 1-10. Esplen MJ, Stuckless N, Gallinger S, Aronson M, Rothenmund H, Semotiuk K, (2011). Development and validation of an instrument to measure the impact of genetic testing on self concept. Clinical genetics, 80(5), 415-423. Esses VM, Medianu S, Lawson AS, (2013). Uncertainty, Threat, and the Role of the Media in Promoting the Dehumanization of Immigrants and Refugees. Journal of Social Issues, 69(3), 518-536. Eynan R, Bergmans Y, Antony J, Cutcliffe JR, Harder HG, Ambreen M, Balderson K, Links PS, (2014). The effects of suicide ideation assessments on urges to self-harm and suicide. Crisis, 35(2), 123-131. Fantus S, Mishna F, (2013). The ethical and clinical implications of utilizing cyber communication in face-to-face therapy. Smith College Studies in Social Work, 83(4), 466-480. Farb NAS, Grady C, Strother S, Tang-Wai D, Masellis M, Black S, Freedman M, Pollock BG, Campbell K, Hasher L, Chow T, (2013). Abnormal network connectivity in frontotemporal dementia: Evidence for prefrontal isolation. Cortex, 49(7), 1856-1873. Farnia F, Geva E, (2013). Growth and predictors of change in English language learners’ reading comprehension. Journal of Research in Reading, 36(4), 0389-0421. Farooq S, Agid O, Foussias G, Remington G, (2013). Using treatment response to subtype schizophrenia: proposal for a new paradigm in classification. Schizophr Bull, 39(6), 1169-1172. Farrokhi F, Abedi N, Beyene J, Kurdyak P, Jassal SV, (2013). Association Between Depression and Mortality in Patients Receiving Long-term Dialysis: A Systematic Review and Meta-analysis. Am J Kidney Dis, 63(4), 623-635. Farzan F, Barr MS, Hoppenbrouwers SS, Fitzgerald PB, Chen R, Pascual-Leone A, Daskalakis ZJ, (2013). The EEG correlates of the TMS-induced EMG silent period in humans. Neuroimage, 83, 120-134. Farzan F, Boutros NN, Blumberger DM, Daskalakis ZJ, (2014). What does the electroencephalogram tell us about the mechanisms of action of ECT in major depressive disorders. Journal of ECT, 30(2), 98-106. Farzan F, Wu Y, Manor B, Anastasio EM, Lough M, Novak V, Greenstein PE, Pascual-Leone A, (2013). Cerebellar TMS in treatment of a patient with cerebellar ataxia: evidence from clinical, biomechanics and neurophysiological assessments. Cerebellum, 12(5), 707-712.
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ARTICLES (continued) Fearing G, Barwick MA, Kimber M, (2014). Clinical transformation: implementation of evidence-based practices from the management perspective. Adm Policy Ment Health, 41(4), 455-468. Feinstein A, (2013). Mexican journalist and journalists covering war: a comparison of psychological wellbeing. Journal of Agression, Conflict and Peace Research, 5(2), 77-85. Feinstein A, Dalgas U, (2014). The benefits of exercise in progressive MS: some cautious optimism. Multiple Sclerosis Journal, 20(3), 269-330. Feinstein A, Lapshin H, O’Connor P, Lanctôt KL, (2013). Sub threshold cognitive impairment in multiple sclerosis: the association with cognitive reserve. Journal of Neurology, 260(9), 2256-2261. Feinstein A, Rector N, Motl R, (2013). Exercising away the blues: Can it help depression in MS patients. Multiple Sclerosis Journal, 19(14), 1815-1819. Ferguson MK, Kovacs AH, (2013). Quality of life in children and young adults with cardiac conditions. Curr Opinion Cardiol, 28(2), 115-121. Fernández-Jiménez E, Pérez-San-Gregorio MA, Taylor GJ, Bagby RM, Ayearst LE, Izquierdo G, (2013). Psychometric properties of a revised Spanish 20-item Toronto Alexithymia Scale adaptation in multiple sclerosis patients. International Journal of Clinical and Health Psychology, 13(3), 226-234. Ferreira GS, Moreira CR, Kleinman A, Nader EC, Gomes BC, Teixeira AM, Rocca CC, Nicoletti M, Soares JC, Busatto GF, Lafer B, Caetano SC, (2013). Dysfunctional family environment in affected versus unaffected offspring of parents with bipolar disorder. Aust N Z J Psychiatry, 47(11), 1051-1057. Fervaha G, Agid O, Foussias G, Remington G, (2013). Impairments in both reward and punishment guiding reinforcement learning in schizophrenia. Schizophrenia Research, 150(2), 592-593. Fervaha G, Agid O, Foussias G, Remington G, (2014). Effect of intrinsic motivation on cognitive performance in schizophrenia: a pilot study. Schizophr Res, 152(1), 317-318. Fervaha G, Agid O, Foussias G, Remington G, (2014). Toward a more parsimonious assessment of neurocognition in schizophrenia: a 10-minute assessment tool. J Psychiatr Res, 52, 50-56. Fervaha G, Agid O, McDonald K, Foussias G, Remington G, (2014). Daily activity patterns in remitted first-episode schizophrenia. Comprehensive Psychiatry, 55(5), 1182-1187. Fervaha G, Agid O, Takeuchi H, Foussias G, Remington G, (2013). Clinical determinants of life satisfaction in chronic schizophrenia: data from the CATIE study. Schizophrenia Research, 151(1), 203-208. Fervaha G, Agid O, Takeuchi H, Foussias G, Remington G, (2013). Life Satisfaction Among Individuals With Schizophrenia in the Clinical Antipsychotic Trial of Intervention Effectiveness (CATIE) Study. American Journal of Psychiatry, 170(9), 1061-1062. Fervaha G, Foussias G, Agid O, Remington G, (2013). Amotivation and functional outcomes in early schizophrenia. Psychiatry Research, 210(2), 665-668. Fervaha G, Foussias G, Agid O, Remington G, (2013). Incentive motivation deficits in schizophrenia reflect effort computation impairments during cost-benefit decision making. Journal of Psychiatric Research, 47(11), 1590-1596.
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ARTICLES (continued) Fervaha G, Foussias G, Agid O, Remington G, (2013). Neural substrates underlying the computation effort in schizophrenia. Neurosci Biobehav Rev, 37(10 Pt 2), 2469-2475. Fervaha G, Foussias G, Siddiqui I, Agid O, Remington G, (2014). Abbreviated quality of life scales for schizophrenia: comparison and utility of two brief community functioning measures. Schizophr Res, 154(1-3), 89-92. Fervaha G, Remington G, (2013). Invalid responding in questionnaire-based research: implications for the study of schizotypy. Psychol Assess, 25(4), 1355-1360. Fervaha G, Remington G, (2013). Neuroimaging findings in schizotypal personality: a systematic review. Prog Neuropsychopharmacol Biol Psychiatry, 3(43), 96-107. Fervaha G, Remington G, (2013). Validation of an abbreviated quality of life scale for schizophrenia. European Neuropsychopharmacology, 23(9), 1072-1077. Fervaha G, Zakzanis KK, Jeffay E, Graff-Guerrero A, Foussias G, Agid O, Remington G, (2014). Amotivation as central to negative schizotypy and their predictive value for happiness. Personality and Individual Differences, 68(1), 37-42. Fink M, Shorter E, (2014). Revive Flurothyl Inhalation Therapy. Psychiatric Times, 31(3), 24G-24G. Fischer B, Ialomiteanu A, Kurdyak P, Mann RE, Rehm J, (2013). Reductions in non-medical prescription opioid use among adults in Ontario, Canada: are recent policy interventions working. Subst Abuse Treat Prev Policy., 14(8), 7-7. Fischer CE, Schweizer TA, (2014). How does speaking another language reduce the risk of dementia. Expert review of neurotherapeutics, 14(5), 469-471. Fitzcharles MA, Ste-Marie PA, Goldenberg DL, Pereira JX, Abbey SE, Choiniere M, Ko G, Moulin D, Panopalis P, Proulx J, Shir Y, (2013). Canadian Pain Society and Canadian Rheumatology Association recommendations for the rationale care for persons with fibromyalgia. A summary report. Journal of Rheumatology, 40(8), 1388-1393. Flint AJ, Iaboni A, Mulsant BH, Rothschild AJ, Whyte EW, Meyers BS on behalf of the STOP-PD Study, (2014). Group Effect of Sertraline on risk of falling in older adults with psychotic depression on olanzapine: results of a randomized placebo-controlled trial. American Journal of Geriatric Psychiatry, 22(4), 332-336. Folkes S, Hilton NZ, Harris GT, (2013). Weapon use increases the severity of domestic violence but neither weapon use nor firearm access increase the risk or severity of recidivism. Journal of Interpersonal Violence, 28(6), 11431156. Fornazzari L, Ringer T, Ringer L, Fischer CE, (2013). Preserved Drawing in a Sculptor with Dementia. Canadian Journal of Neurological Sciences, 40(5), 736-737. Foussias G, Agid O, Fervaha G, Remington G, (2014). Negative symptoms of schizophrenia: Clinical features, relevance to real world functioning and specificity versus other CNS disorders. European Neuropsychopharmacology, 24(1), 693-709. Fracalanza K, McCabe RE, Taylor VH, Antony MM, (2014). The effect of comorbid major depressive disorder or bipolar disorder on cognitive-behavioral therapy for social anxiety disorder. Journal of Affective Disorders, 162, 61-66. Freiler A, Muntaner C, Shankardass K, Mah CL, Molnar A, Renahy E, O’Campo P, (2013). Glossary for the implementation of Health in All Policies (HiAP). J Epidemiol Comm Health, 67(12), 1068-1072.
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ARTICLES (continued) Frey BN, Andreazza AC, Houenou J, Jamain S, Goldstein BI, Frye MA, Leboyer M, Berk M, Malhi GS, Lopez-Jaramillo C, Taylor VH, Dodd S, Frangou S, Hall GB, Fernandes BS, Kauer-Sant’Anna M, Yatham LN, Kapczinski F, Young LT., (2013). Biomarkers in bipolar disorder: a positional paper from the International Society for Bipolar Disorders Biomarkers Task Force. Australia and New Zealand Journal of Psychiatry, 47(4), 321-332. Gagliano SA, Tiwari AK, Freeman N, Lieberman JA, Meltzer HY, Kennedy JL, Knight J, Müller DJ, (2014). Protein kinase cAMP-dependent regulatory type II beta (PRKAR2B) gene variants in antipsychotic-induced weight gain. Human Psychopharmacology: Clinical and Experimental, 29(4), 330-335. Gagnon AJ, Dougherty G, Wahoush O, Saucier J-F, Dennis C-L, Stanger E, Palmer B, Merry L, Stewart DE, (2013). International migration to Canada: The post-birth health of mothers and infants by immigration class. Social Science & Medicine, 76(1), 197-207. Gagnon AJ, Stewart DE, (2013). Resilience in international migrant women following violence associated with pregnancy. Arch Womens Ment Health, 17(4), 303-310. Garcia DL, Radhu N, Farzan F, Daskalakis ZJ, (2014). Characterizing long interval cortical inhibition over the timefrequency domain. PLoS One, 18(3), e92354. Gayner B, Esplen MJ, DeRoche P, Wong J , Bishop S , Kavanagh L , Butler, (2012). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of behavioral medicine, 35(3), 272-285. Gearing RE, Schwalbe CS., MacKenzie, MJ, Brewer KB, Ibrahim RW, Olimat HS, Al-Makhamreh SS,Mian I, AlKrenawi A, (2013). Adaptation and Translation of Mental Health Interventions in Middle Eastern Arab Countries:A Systematic Review of Barriers to and Strategies for Effective Treatment Implementation. International Journal of Social Psychiatry, 59(7), 671-681. Geda YE, Schneider LS, Gitlin LN, Miller DS, Smith GS, Bell J, Evans J, Lee M, Porsteinsson A, Lanctôt KL, Rosenberg PB, Sultzer DL, Francis PT, Brodaty H, Padala PP, Onyike CU, Ortiz LA, Ancoli-Israel S, Bliwise DL, Martin JL, Vitiello MV, Yaffe K, (2013). Neuropsychiatric symptoms in Alzheimer’s disease: Past progress and anticipation of the future. Alzheimers Dement, 9(5), 602-608. Gee BA, Antony MM, Koerner N, (2013). How do people perceive the disclosure of emotion. Cognitive Therapy and Research, 37(3), 579-586. George C, Makoroka L, Husbands W, Adam BD, Remis R, Rourke SB, Read S, (2014). Sexual health determinants in black men-who-have-sex-with-men living in Toronto, Canada. Ethnicity and Inequalities in Health and Social Care, 6(4), 151-162. Georges A, Alterman T, Gabbard S, Grzywacz JG, Shen R, Nakamoto J, Carroll DJ, Muntaner C, (2013). Depression, social factors, and farmworker health care utilization. J Rural Health, 29(1), 7-16. Gerretsen P, Mulsant BH, Liu AY, Granholm E, Menon M, Graff-Guerrero A, Pollock BG, Mamo DC, Rajji TK, (2013). Insight into Illness in Late-Life Schizophrenia: A Function of Illness Severity and Premorbid Intellectual Function. Schizophrenia Research. Schizophrenia Research, 150(1), 217-222. Ghisi GL, (2014). Validation of a Portuguese version of the Information Needs in Cardiac Rehabilitation (INCR) scale in Brazil. Heart & Lung, 43(3), 192-197.
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ARTICLES (continued) Ghisi GL, dos Santos RZ, Aranha EE, Nunes AD, Oh P, Benetti M, Grace SL, (2013). Perceptions of barriers to cardiac rehabilitation use in Brazil. Vascular Health and Risk Management, 9, 485-491. Gigante AD, Lafer B, Yatham LN, (2014). 1)H-MRS of hippocampus in patients after first manic episode. World J Biol Psychiatry, 15(2), 145-154. Gillan C, Abrams D, Harnett N, Wiljer D, Catton P, (2014). Fears and misperceptions of radiation therapy: sources and impact on decision-making and anxiety. Journal of Cancer Education, 29(2), 289-295. Gillis J, Smieja A, Cescon A, Rourke SB, Burchell A, Cooper C, Raboud J, OHTN Cohort Study Group, (2014). Risk of cardiovascular disease associated with HCV and HBV co-infection among antiretroviral-treated HIV infected individuals. Antiviral Therapy, 19(3), 309-317. Gladstone BM, McKeever P, Seeman M, Boydell KM, (2014). Analysis of a Support Group for Children of Parents with Mental Illnesses: Managing Stressful Situations. Qual Health Res, 24(9), 1171-1182. Goldstein BI, Goldstein TR, Collinger KA, Axelson DA, Bukstein OG, Birmaher B, Miklowitz DJ, (2014). Treatment development and feasibility study of family-focused treatment for adolescents with bipolar disorder and comorbid substance use disorders. Journal of Psychiatric Practice, 20(3), 237-248. Goldstein BI, Liu SM, Schaffer A, Sala R, Blanco C, (2013). Obesity and the three-year longitudinal course of bipolar disorder. Bipolar Disorders, 15(3), 284-293. Goldstein BI, Strober M, Axelson D, Goldstein TR, Gill MK, Hower H, Dickstein D, Hunt J, Yen S, Kim E, Ha W, Liao F, Fan J, Iyengar S, Ryan ND, Keller MB, Birmaher B, (2013). Predictors of First-Onset Substance Use Disorders During the Prospective Course of Bipolar Spectrum Disorders in Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 52(10), 1026-1037. Goldstein BI, Young LT, (2013). Toward Clinically Applicable Biomarkers in Bipolar Disorder: Focus on BDNF, Inflammatory Markers, and Endothelial Function. Bipolar Disorders, 15(12), 425-425. Gomez L, Wigg K, Zhang K, Lopez L, Sandor P, Malone M, Barr CL, (2014). Association of the KCNJ5 gene with Tourette Syndrome and Attention-Deficit/Hyperactivity Disorder. Genes Brain Behav, 13(6), 535-542. Gorczynski P, Faulkner G, Cohn T, Remington GJ, (2013). Examining the efficacy of point-of-choice prompts on stair usage in a psychiatric setting. Psych Serv, 64(5), 498. Gorczynski P, Patel H, Ganguli R, (2014). Adherence to diabetes medication in individuals with schizophrenia. Clinical Schizophrenia & Related Psychoses, 4, 1-31. Gorman DA, Abi-Jaoude E, (2013). Managing attention-deficit/hyperactivity disorder. CMAJ, 185(15), E739-E739. Gorman DA, Abi-Jaoude E, (2014). Uncovering the complexity of Tourette syndrome, little by little. British Journal of Psychiatry, 204(1), 6-8. Gosselin C, Graf P, Milev R, Martin BA, (2013). Delivery of electroconvulsive therapy in Canada: a first national survey report on devices and technique. Journal of ECT, 29(3), 225-225. Gottardo A, Javier C, Farnia F, Mak L, Geva E, (2014). Bidirectional cross-linguistic relations of first and second language skills in reading comprehension of Spanish-speaking English learners. Written Language & Literacy, 17(1), 62-68.
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ARTICLES (continued) Grace SL, Bennett S, Ardern CI, Clark AM, (2014). Cardiac rehabilitation series: Canada. Progress in Cardiovascular Diseases, 56(5), 530-535. Grady CL, Garrett DD, (2014). Understanding variability in the BOLD signal and why it matters for aging. Brain Imaging and Behavior, 8(2), 274-283. Grady CL, Mondloch C, Lewis T, Maurer D, (2014). Early Visual Deprivation from Congenital Cataracts Disrupts Activity and Functional Connectivity in the Face Network. Neuropsychologia, 57(1), 122-139. Graves KD, Sinicrope PS, Esplen MJ, Peterson SK, Patten CA, Lowery J, Sinicrope FA, Nigon SK, Borgen J, Gorin SS, Keogh LA, Lindor NM, (2014). Communication of genetic test results to family and health-care providers following disclosure of research results. Genetics in Medicine, 16(4), 294-301. Gray S, Woltering S, Mawjee K, Tannock R, (2014). The Adult ADHD Self-Report Scale (ASRS): utility in college students with Attention-Deficit/Hyperactivity Disorder. PeerJ, 25(2), e324. Greutmann M, Tobler D, Colman JM, Greutmann-Yantiri M, Librach LS, Kovacs AH, (2013). Facilitators of and barriers to advance care planning in adult congenital heart disease. Congenital Heart Disease, 8(4), 281-288. Grewal S, Jasper K, Steinegger C, Yu E, Boachie A, (2014). Factors associated with successful completion in an adolescent-only day hospital program for eating disorders. Eating Disorders, 22(2), 152-162. Grief C, Grossman D, Rootenberg M, Mah L, (2013). Attitudes of Terminally Ill Older Adults toward Complementary and Alternative Medicine Therapies. Journal of Palliative Care, 29(4), 205-209. Grigoriadis S, VonderPorten EH, Mamisashvili L, Eady A, Tomlinson G, Dennis C-L, Koren G, Steiner M, Mousmanis P, Cheung A, Ross LE, (2014). Prenatal exposure to antidepressants and persistent pulmonary hypertension of the newborn: systematic review and meta-analysis. British Medical Journal, 348, f6932. Gropper R, Gotlieb H, Kronitz R, Tannock R, (2014). Working memory training in college students with ADHD. Journal of Attention Disorders, 18(4), 331-345. Gros DF, McCabe RE, Antony MM, (2013). Using a hybrid model to investigate the comorbidity and symptom overlap between social phobia and the other anxiety disorders and unipolar mood disorders. Psychiatry Research, 210(1), 188-192. Gu J, Fischer CE, Saposnik G, Schweizer TA, (2013). Profile of cognitive complaints in vascular mild cognitive impairment and mild cognitive impairment. ISRN neurology, 2013, 865827. Guaina G, Gupta S, Chiodo D, Davies SJ, Haederle K, Koesters M, (2013). Agomelatine versus other antidpressive agents for major depression. Cochrane Database Systematic Review, 12, CD008851. Guenette MD, Giacca A, Hahn M, teo C, Lam L, Chintoh A, Rarenovich T, Remington G, (2013). Atypical antipsychotics and effects of adrenergic and serotonergic receptor binding on insulin secretion in-vivo: an animal model. Schizophr Res, 146, 162-169. Guenette MD, Hahn M, Cohn TA, Remington GJ, (2013). Atypical antipsychotics and diabetic ketoacidosis: a review. Psychopharmacology, 226, 1-12. Guenette MD, Powell V, Johnston K, Foussias G, Agid O, Hahn M, Hiroyoshi T, Remington G, (2013). Risk of neutropenia in a clozapine-treated elderly population. Schizophrenia Research, 148(1), 183-185.
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ARTICLES (continued) Guild EB, Cripps JM, Anderson ND, Al-Aidroos N, (2014). Recollection can support hybrid visual search. Psychonomic Bulletin & Review, 21(1), 142-148. Guimond T, McMain S, Links PS, Wnuk S, Eynan R, Bergmans Y, Warwar S, (2013). An exploratory study of the relationship between changes in emotion and cognitive processes and treatment outcome in borderline personality disorder. Psychotherapy Research : Journal of the Society for Psychotherapy Research, 23(6), 658-673. Gupta AA, Edelstein K, Albert-Green A, D’Agostino N, (2013). Assessing information and service needs of young adults with cancer at a single institution: the importance of information on cancer diagnosis, fertility preservation, diet, and exercise. Supportive Care in Cancer, 21(9), 2477-2484. Hahn M, Cohn T, Remington G., (2013). Topiramate in schizophrenia: a review of effects on psychopathology and metabolic parameters. Schizophrenia & Related Psychoses, 6(4), 186-196. Hahn M, Guenette MD, Chintoh A, Remington G, (2014). Atypical antipsychotic-induced metabolic disturbances in the elderly. Drugs and Aging, 31(3), 159-184. Hahn M, Remington G, (2014). Off-label antipsychotic use and tardive dyskinesia in at-risk populations: new drugs with old side effects. J Psychiatry Neurosci, 39(1), E1-E2. Hahn MK, Chintoh A, Remington G, Teoa C, Mann S, Arenovich T, Fletcher P, Lam L, Nobrega J, Guenette M, Cohn T, Giacca A, (2014). Effects of intracerebroventricular (ICV) olanzapine on insulin sensitivity and secretion in vivo: An animal model. European Neuropsychopharmacology, 24(3), 448-458. Hahn MK, Wolever TM, Arenovich T, Teo C, Giacca A, Powell V, Clarke L, Fletcher P, Cohn T, McIntyre RS, Gomes S, Chintoh A, Remington GJ, (2013). Acute effects of single-dose olanzapine on metabolic, endocrine, and inflammatory markers in healthy controls. J Clin Psychopharmacol, 33(6), 740-746. Hajek T, Bauer M, Simhandl C, Rybakowski J, O’Donovan C, Pfennig A, König B, Suwalska A, Yucel K, Uher R, Young LT, Macqueen G, Alda M, (2014). Neuroprotective effect of lithium on hippocampal volumes in bipolar disorder independent of long-term treatment response. Psychol Med, 44(3), 507-517. Halman M, Chan Caruson S, Stranks S, Schaefer-McDaniel N, Stewart A, (2014). Complex Care Needs of Patients with late-stage HIV Disease: A retrospective study. AIDS Care, 26(3), 320-325. Halpern J, (2014). Health of Palestinians and chronic humiliation. [letter]. The Lancet, 383(9924), 1206. Halpern J, Halpern SH, (2013). Health in occupied Palestine. [Letter]. The Lancet, 382(9887), 125-126. Halpern J, Maunder RG, Schwartz B, Gurevich M, (2014). Downtime after critical incidents in emergency medical technicians/paramedics. BioMed Research International, 2014(5), 1-10. Hamani C, Nobrega JN, (2013). Deep brain stimulation and memory. Expert Review of Medical Devices, 10(4), 429431. Han A, Stewart DE, (2014). Maternal and fetal outcomes of intimate partner violence associated with pregnancy in the Latin American and Caribbean region. International Journal of Gynecology and Obstetrics, 24(1), 6-11. Hanna, DB, Buchacz K, Gebo KA, Hessol NA, Hornberg MA, Jacobson LP, Kirk Kitahata MM, Korthuis PT, Moore RD, Napravnik S, Patel P, Silverberg MJ, Sterling TR, Willig JH, Lau B, Althoff KN, Crane HM, Collier, (2013). Trends and
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ARTICLES (continued) disparities in antiretroviral therapy initiation and virologic suppression among newly treatment-eligible HIV-infected individuals in North America, 2001-2009. Clinical Infectious Diseases, 56(8), 1174-1182. Hannon B, Swami N, Krzyzanowska MK, Leighl N, Rodin G, Le LW, Zimmermann C, (2013). Satisfaction with oncology care among patients with advanced cancer and their caregivers. Quality of Life Research, 22(9), 23412349. Harkness KL, Theriault JE, Stewart JG, Bagby RM, (2013). Acute and Chronic Stress Exposure Predicts 1-Year Recurrance in Adult Outpatients with Residual Depression Symptoms Following Response to Treatment. Depression and Anxiety, 31(1), 1-8. Harris GT, Rice ME, Cormier CA, (2013). Research and clinical scoring of the Psychopathy Checklist can show good agreement. Criminal Justice and Behavior, 40(11), 1349-1362. Hasan A, Wobrock T, Rajji TK, Malchow B, Daskalakis ZJ, (2013). Modulating neural plasticity with non-invasive brain stimulation in schizophrenia. Eur Arch Psychiatry Clin Neurosci, 263(8), 621-631. Hawley L, Zuroff D, Brozina K, Moon-Ho R, H Dobson KS, (2014). Self-Critical Perfectionism and Stress Reactivity Following Cognitive Behavioural Therapy for Depression. International Journal of Cognitive Therapy, 7(2), 1-31. Hawley LL, Schwartz D, Bieling P, Corcoran K, Irving J, Segal Z, (2014). Mindfulness Practice, Rumination and Symptom Alleviation in Mindfulness-Based Treatment. Cognitive Therapy and Research, 38(1), 1-9. Haydour Q, Alahdab F, Farah M, Barrionuevo M, Nwcombe P, Pringsheim T, Chang A, Rubin B, McGarvet L, Weir K, Altman K; Feinstein A, Murad M, Irwin R, (2014). Management and disgnosis of psychogenic cough, habit cough and tic cough; A systematic review. CHEST, 146(2), 355-372. Hendershot CS, Cunningham JA, George WH, (2013). Deception in human experimental and public health research on alcohol problems. American Journal of Bioethics, 13(11), 48-50. Henderson J, Brownlie EB, Rosenkranz S, Chaim G, Beitchman J, (2013). Addressing the research-practice gap through stakeholder involvement in grant proposal development. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 4(22), 268-274. Henderson J, Sword W, Niccols A, Dobbins M, (2014). Implementing stakeholder-informed research in the substance abuse treatment sector: Strategies used by Connections, a Canadian national knowledge translation and exchange project. Substance Abuse Treatment, Prevention, and Policy, 9, 21. Henderson JL, Brownlie EB, Rosenkranz S, Chaim G, Beitchman JH, (2013). Integrating Knowledge Translation into Grant Development: Addressing the Research-Practice Gap. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(4), 268-274. Henderson LC, Antony MM, Koerner N, (2014). Psychometric properties of the Generalized Anxiety Disorder Inventory (GADI) in a Canadian Sample. Journal of Psychopharmacology, 28(5), 440-448. Hennessey S, Huszti E, Gunasekura A, Salleh A, Martin L, Minkin S, Chavez S, Boyd NF, (2014). Bilateral symmetry of breast tissue composition by magnetic resonance in young women and adults. Cancer Causes and Control, 25(4), 491-497.
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ARTICLES (continued) Hensel J M, Lunsky Y, Dewa C S, (2014). The mediating effect of severity of client aggression on burnout between hospital inpatient and community residential staff who support adults with intellectual disabilties. Journal of Clinical Nursing, 23(9-10), 1332-1341. Hercz G, Novak K, (2013). The challenges presented by the non-compliant patient. CANNT J, 23(4), 30-30. Hercz G, Novak M, (2014). Addressing quality of life and end-of-life decisions with patients. CANNT J, 24(1), 34-34. Herrmann N, Chau S., Hussman J.M., Lanctôt K.L., (2013). Dimebon for Alzheimer’s disease. Cochrane Collaboration, 30, 19-22. Herrmann N, Gauthier S, Boneva N, Lemming OM, (2013). A randomized, double-blind placebo-controlled trial of memantine in a behaviorally enriched sample of patients with moderate-to-severe Alzheimer’s disease. International Psychogeriatrics, 25, 919-927. Herrmann N, Hogan D, Lanctôt KL, (2013). Pharmacological recommendations for the symptomatic treatment of dementia: The Canadian Consensus Conference on the diagnosis and treatment of dementia 2012. Alzheimer’s Research and Therapy, 5(suppl 1), 55-55. Herrmann N, Marras C, Fischer HD, Wang X, Anderson GM, Rochon PA, (2013). Management of neuropsychiatric symptoms in long-term care residents with Parkinson’s disease: a retrospective cohort study. Drugs and Aging, 30, 19-22. Hettige NC, Kennedy JL, De Luca V, (2014). Does a history of suicide attempt predict higher antipsychotic dosage in schizophrenia. Psychopharmacology (Berl), 231(12), 2507-2513. Hickey A, Weegar K, Yara K, Gagnon S, Marshall S, Myers A, Tuokko H, Bedard M Gelinas I, Man-Son-Hing M, Mazer B, Naglie G, Porter M, Rapoport M, Vrkljan B for the Candrive Research Team., (2013). The impact of subclinical sleep problems on self-reported driving patterns and perceived driving abilities in a cohort of active older drivers. Accident Analysis & Prevention, 61, 296-303. Hicks JW, Parkes J, Sadovski O, Tong J, Houle S, Vasdev N, Wilson AA, (2013). Synthesis and preclinical evaluation of [C11-carbonyl]PF-04457845 for neuroimaging of fatty acid amide hydrolase. Nucl Med Biol, 40(6), 740-746. Hillgrove-Stuart J, Pillai Riddell R, Horton R, Greenberg S, (2013). Toy-mediated distraction: Clarifying the role of the agent of distraction and pre-needle distress. Pain Research and Management, 18(4), 197-202. Hilton NZ, Popham S, Lang C, Harris GT, (2014). Preliminary Validation of the ODARA for Female Intimate Partner Violence Offenders. Partner Abuse, 5(2), 189-203. Hobbs D, Karagianis J, Treuer T, Raskin J, (2013). An In Vitro Analysis of Disintegration Times of Different Formulations of Olanzapine Orodispersible Tablet: A Preliminary Report. Drugs in R & D, 13(4), 281-288. Hodges BD, Martimianakis MA, McNaughton N, Whitehead C, (2014). Medical Education...Meet Michel Foucault. Medical Education, 48(6), 563-571. Hodges BD, (2013). Assessment in the post-psychometric era: learning to love the subjective and collective. Medical Teacher, 35(7), 564-568.
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ARTICLES (continued) Hodges BD, Hollenberg E, McNaughton N, Hanson M, Regehr G, (2014). The Psychiatry OSCE: A 20-year Retrospective. Academic Psychiatry, 38(1), 26-34. Hodgins M, Boydell KM, (2014). Interrogating ourselves: Reflections on arts-based health research. Forum Qualitative Sozialforchung/Forum: Qualitative Social Research, 15(1), . Hogan ME, Probst J, Wong K, Riddell RP, Katz J, Taddio A, (2014). A randomized controlled trial of parent-led tactile stimulation to educe pain during infant immunization injections. The Clinical Journal of Pain, 30(3), 259-265. Hopcroft L, Bester L, Clement D, Quigley A, Sachdeva M, Rourke SB, Nixon SA, (2013). “My body’s a 50 year-old but my brain is definitely an 85 year-old”: Exploring the experiences of men aging with HIV-associated neurocognitive changes. Journal of the International AIDS Society, 16, 18506. Howe AS, Leung T, Bani-Fatemi A, Souza R, Tampakeras M, Zai C, Kennedy JL, Strauss J, De Luca V., (2014). Lack of association between dopamine-ß hydroxylase gene and a history of suicide attempt in schizophrenia: comparison of molecular and statistical haplotype analyses. Psychiatr Genet, 24(3), 110-115. Hower H, Case BG, Hoeppner B, Yen S, Goldstein T, Goldstein B, Birmaher B, Weinstock L, Topor D, Hunt J, Strober M, Ryan N, Axelson D, Kay Gill M, Keller MB., (2013). Use of mental health services in transition age youth with bipolar disorder. Journal of Psychiatric Practice, 19(6), 464-476. Hum KM, Manassis K, Lewis MD, (2013). Neural mechanisms of emotion regulation in childhood anxiety. Journal of Child Psychology and Psychiatry, 54(5), 552-564. Hunt JI, Case BG, Birmaher B, Stout RL, Dickstein DP, Yen S, Goldstein TR, Goldstein BI, Axelson DA, Hower H, Strober M, Ryan N, Swenson L, Topor DR, Gill MK, Weinstock LM, Keller MB., (2013). Irritability and elation in a large bipolar youth sample: relative symptom severity and clinical outcomes over 4 years. Journal of Clinical Psychiatry, 74(1), e110-e117. Husbands W, Makoroka L, Walcott R, Adam B, George C, Remis RS, Rourke SB, (2013). Black gay men as sexual subjects: Race, racialization and the social relations of sex among Black gay men in Toronto. Culture, Health & Sexuality, 15(4), 434-449. Huzayyin AA, Andreazza AC, Turecki G, Cruceanu C, Rouleau GA, Alda M, Young LT, (2014). Decreased global methylation in patients with bipolar disorder who respond to lithium. International Journal of Neuropsychopharmacology, 17(4), 561-569. Hyman I, Gucciardi E, Patychuk D, Rummens JA, Shakya Y, Kljujic D, Bhamani M, Boqaileh F., (2014). Selfmanagement, health service use and information seeking for diabetes care among Black Caribbean immigrants in Toronto. Can J Diabetes, 38(1), 32-37. Illman S, O’Campo P, Spence, S Kirsh, B, (2013). Exploring the occupations of homeless adults living with mental illnesses in Toronto. Canadian Journal of Occupational Therapy, 80(4), 215-223. Im-Bolter N, Cohen N, Farnia F, (2013). I thought we were good: Social cognition, figurative language, and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 54(7), 724-732. Inslegers R, Megnack R, Ooms E, Vanheule S, Taylor GJ, Bagby RM, De Fruyt F, Demet M, (2013). The Dutch language version of the Toronto Structured Interview for Alexithymia: Reliability, factor structure and concurrent validity. Psychologica Belgica, 53(1), 93-116.
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ARTICLES (continued) Isaranuwatchai W, Coyte P, McKenzie K, Noh S, (2014). Impact of 2004 Tsunami on Self-reported Health in Thailand: Two Years Later. American Journal of Public Health, 103(11), 2063-2070. Islam F, Khanlou N, Tamim H, (2014). South Asian populations in Canada: Migration and mental health. BMC (BioMed Central) Psychiatry, 14(154), 1-13. Ismail Z, Fischer C, McCall V, (2013). How is late life depression defined. Psychiatric Clinics of North America, 36(4), 483-496. Ismail Z, Malick A, Smith E, Schweizer T, Fischer C, (2014). Depression versus dementia: is this construct still relevant. Future Medicine: Neurodegenerative Disease Management, 4(2), 119-126. Ismail Z, Mulsant BH, Herrmann N, Rapoport M, Nilsson M, Shulman K, (2013). Canadian academy of geriatric psychiatry survey of brief cognitive screening instruments. Canadian Geriatric Journal, 16(2), 54-60. Jang RW, Burman D, Swami N, Kotler J, Banerjee S, Ridley J, Mak E, Bryson J, Rodin G, Le LW, Zimmermann C, (2013). Impact of an oncology palliative care clinic on access to home care services. American Journal of Hospice Palliative Care, 30(5), 425-431. Joel I, Begley AE, Mulsant BH, Lenze EJ, Mazumdar S, Dew MA, Blumberger D, Butters M, Reynolds CF 3rd, IRL GREY Investigative Team, (2014). Dynamic prediction of treatment response in late-life depression. Am J Geriatr Psychiatry, 22(2), 167-176. Johnson J, Sharman Z, Vissandjée B, Stewart DE, (2014). Does a change in health research funding policy related to the integration of sex and gender have an impact. PLoS One, 9(6), e99900. Jonas W, Mileva-Seitz V, Girard AW, Bisceglia R, Kennedy JL, Sokolowski M, Meaney MJ, Fleming AS, Steiner M, MAVAN Research Team, (2013). Genetic variation in oxytocin rs2740210 and early adversity associated with postpartum depression and breastfeeding duration. Genes Brain Behav, 12(7), 681-694. Jones JM, Cheng T, Jackman M, Walton T, Haines S, Rodin G, Catton P, (2013). Getting Back on Track: Evaluation of a brief group psychoeducation intervention for women completing primary treatment for breast cancer. PsychoOncology, 22(1), 117-124. Jones JM, Lewis FM, Griffiths K, Cheng T, Secord S, Walton T, Bernstein LJ, Maheu C, Catton P, (2013). Helping Her Heal-Group: A pilot study to evaluate a group delivered educational intervention for male spouses of women with breast cancer. Psycho-Oncology, 22(9), 2102-2109. Justice AC, Modur S, Tate JP, Althoff KN, Jacobson LP, Gebo K, Kitahata M, Horberg M, Brooks J, Buchacz K, Rourke SB, Rachlis A, Napravnik S, Eron J, WIllig JH, Moore R, Kirk GD, Bosch R, Rodriguez R, Hogg RS, (2013). Predictive accuracy of the Veterans Aging Cohort Study (VACS) index for mortality with HIV-infection: A North American cross cohort analysis. Journal of the Acquired Immune Deficiency Syndrome, 62(2), 149-163. Kanter C, D’Agostino NM, Daniels M, Stone A, Edelstein K, (2014). Together and apart: providing psychosocial support for patients and families living with brain tumors. Supportive Care in Cancer, 22(1), 43-52. Karagiannidis I, Dehning S, Sandor P, Tarnok Z, Rizzo R, Wolanczyk T, Madruga-Garrido M, Hebebrand J, Nöthen MM, Lehmkuhl G, Farkas L, Nagy P, Szymanska U, Anastasiou Z, Stathias V, Androutsos C, Tsironi V, Koumoula A, Barta C, Zill P, Mir P, Müller N, Barr C, Paschou P, (2013). Support of the histaminergic hypothesis in Tourette Syndrome: association of the histamine decarboxylase gene in a large sample of families. J Med Genet, 50(11), 760-764.
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ARTICLES (continued) Karas DJ, Costain G, Chow EWC, Bassett AS, (2014). Perceived burden and neuropsychiatric morbidities in adults with 22q11.2 deletion syndrome. Journal of Intellectual Disability Research, 58(2), 198-210. Kaspar V, (2013). Long-term depression and suicidal ideation outcomes subsequent to emancipation from foster care: Pathways to psychiatric risk in the Métis population. Psychiatry Research, 215(2), 347-254. Katzman MA, Pawluk EJ, Tsirgielis D, Anand L, Furtado M, Iorio C, (2014). Beyond chronic pain: how best to treat psychological comorbidities. Journal of Family Practice, 63(5), 260-264. Kenaszchuk C, Rush BR, Wild C, Urbanoski K, (2013). Rasch model of the GAIN Substance Problem Scale among Canadian adults seeking residential and outpatient addiction treatment. Addictive Behaviour, 38(7), 2279-2287. Kennedy JL, Altar CA, Taylor DL, Degtiar I, Hornberger JC., (2014). The social and economic burden of treatmentresistant schizophrenia: a systematic literature review. Int Clin Psychopharmacol, 29(2), 63-76. Kennedy SH, (2013). A review of antidepressant therapy in primary care: current practices and future directions. Prim Care Companion CNS Disord, 15(2), . Keogh LA, Fisher D, Sheinfeld Gorin S, Schully SD, Lowery JT, Ahnen DJ, Maskiell JA, Lindor NM, Hopper JL, Burnett T, Holter S, Arnold JL, Gallinger S, Laurino M, Esplen MJ, Sinicrope PS, (2014). How do researchers manage genetic results in practice? The experience of the multinational Colon Cancer Family Registry. Journal of Community Genetics, 5(2), 99-108. Khanlou N, Wray R, (2014). A whole community approach toward child and youth resilience promotion: A review of resilience literature. International Journal of Mental Health & Addiction, 12(1), 64-79. Khundrakpam B, Reid A, Brauer J, Carbonell F, Lewis J, Ameis S, Karama S, Chen Z, Lee J, Das S, Evans A, (2013). Developmental changes in organization of structural brain networks. Cerebral Cortex, 23(9), 2072-2085. Kiang M, Christensen BK, Zipursky RB, (2014). Event-related brain potential study of semantic priming in unaffected first-degree relatives of schizophrenia patients. Schizophr Res, 153(1), 78-86. Kidd SA, Herman Y, Barbic S, Ganguli R, George TP, Hassan S, Maples N, Velligan D, (2014). Testing a modification of cognitive adaptation training: Streamlining the model for broader implementation. Schizophrenia Research, 156(1), 46-50. Kidd SA, Karabanow J, Hughes J, Frederick T, Aube C, Chwalek M, Fenn K, Naylor T, Quirouette M, Reynolds A, Sullivan K, (2013). Youth pathways out of homelessness – preliminary findings. Journal of Adolescence, 36(6), 1035-1037. Kidd SA, McKenzie K, (2014). Social Entrepreneurship and Services for Marginalized Groups. Ethnicity and Inequalities in Health and Social Care, 7(1), 3-13. Kidd SA, McKenzie K, Collins A, Clark C, Costa L, Mihalakakos G, Paterson J, (2014). Advancing the recoveryorientation of hospital care through staff engagement with former inpatient clients. Psychiatric Services, 65(2), 221-225. Kidd SA, McKenzie K, Virdee G, (2014). Mental health reform at a systems level: Broadening the lens on recovery oriented care. Canadian Journal of Psychiatry, 59(5), 243-249.
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ARTICLES (continued) Kidd SA, Virdee G, Quinn S, Toole L, McKenzie K, Krupa T, (2014). Racialized Women with Severe Mental Illness: An Arts-Based Approach to Locating Recovery in Intersections of Power, Self-Worth, and Identity. American Journal of Psychiatric Rehabilitation, 17(1), 20-43. Kim HK, Andreazza AC, Yeung PY, Isaacs-Trepanier C, Young LT, (2014). Oxidation and nitration in dopaminergic areas of the prefrontal cortex from patients with bipolar disorder and schizophrenia. J Psychiatry Neurosci, 39(1), 130155. Kim I, Noh S, McKenzie K, Muntaner C, (2013). Ethnicity and Postmigration health trajectory in new immigrants to Canada. Am J Public Health, 103(4), 96-104. Kim I, Noh S, Muntaner C, (2013). Emotional demands and the risks of depression among homecare workers in the USA. Int Arch Occup Environ Health, 86(6), 635-644. Kim S, Chen S, Tannock R, (2014). Visual function and color vision in adults with Attention-Deficit/Hyperactivity Disorder. Journal of Optometry, 7(1), 22-36. Kim SS, Muntaner C, Kim H, Jeon CY, Perry MJ, (2013). Gain of employment and depressive symptoms among previously unemployed workers: a longitudinal cohort study in South Korea. American Journal of Industrial Medicine, 56(10), 1245-1250. Kingston DA, Ahmed AG, Gray J, Bradford JMW, Seto MC, (2013). The assessment and diagnosis of Attention Deficit Hyperactivity Disorder in adult forensic psychiatric outpatients. Journal of Psychopathology and Behavioral Assessment, 35(3), 293-300. Kirst M, Zerger S, Wise Harris D, Plenert E, Stergiopoulos V, (2014). The promise of recovery: narratives of hope among homeless individuals with mental illness participating in a Housing First randomised controlled trial in Toronto, Canada. BMJ open, 4(3), e004379. Kitto S, Bell M, Goldman J, Peller J, Silver I, Sargeant J, Reeves S, (2013). (Mis)perceptions of continuing education: insights from knowledge translation, quality improvement, and patient safety leaders. Journal of Continuing Education Health Profession, 33(2), 81-88. Kitto S, Bell M, Peller J, Sargeant J, Etchells E, Reeves S, Silver I, (2013). Positioning continuing education: boundaries and interections between the domains continuing education, knowledge translation, patient safety and quality improvement. Advances in Health Sciences Education, 18(1), 141-156. KM Mackowick, MS Barr, RA Rabin, VC Wing, C Ouellet-Plamondon, TP George, (2014). Neurocognitive Endophenotypes in Schizophrenia: Modulation by Nicotinic Receptor Systems. Progress in Neuropsychopharmacology and Biological Psychiatry, 52(4), 79-85. Knight J, Gagliano SA, Barnes MR, Weale ME, (2014). A Bayesian Method to Incorporate Hundreds of Functional Characteristics with Association Evidence to Improve Variant Prioritization. PLoS One, 9(5), e98122. Kocovski N, Fleming J Hawley L Antony M, (2013). Mindfulness and Acceptance-Based group therapy versus traditional Cognitive Behavioral Group Therapy for Social Anxiety Disorder: A Randomized Controlled Trial. Behaviour Research and Therapy, 51(12), 889-898. Koerner N, Antony MM, Young L, McCabe RE, (2013). Changes in beliefs about social competence of self and others following group cognitive-behavioral treatment. Cognitive Therapy and Research, 37(2), 256-265.
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ARTICLES (continued) Koo K, Zhang L, DasGupta T, Vachon MLS, Holden L, Jon F, Chow, E, Di Prospero L, (2013). Comparison and Literature Review of Occupational Stress in a Palliative Radiotherapy Clinic’s Interprofessional Team, the Radiation Therapists and the Nurses at an Academic Cancer Centre. Journal of Medical Imaging and Radiation Sciences, 44(1), 14-22. Korczak DJ, Lipman E, Morrison K, Szatmari P, (2013). Children and adolescents with psychiatric illness: At risk for increased future body weight? A systematic review. Dev Med Child Neurology, 55(11), 980-987. Korczak DJ, Szatmari P, Morrison K, Duku E, Lipman E, (2014). Child and adolescent psychopathology predicts increased adult BMI: Results from a prospective community sample. Journal of Developmental and Behavioral Pediatrics, 35(2), 108-117. Kosny A, Lifshen M, Pugliese D, Majesky G, Kramer D, Steenstra I, Soklaridis S, Carrasco C, (2013). Buddies in bad times? The role of co-workers after a work-related injury. Journal of Occupational Rehabilitation, 23(3), 255-262. Kovacs AH, Landzberg MJ, Goodlin SJ, (2013). Advance care planning communication with adults with congenital heart disease. World J Ped Cong Heart Surg, 4(1), 62-69. Kovacs AH, Moons P, (2014). Psychosocial functioning and quality of life in adults with congenital heart disease and heart failure. Heart Failure Clin, 10(1), 35-42. Kowalyk T, Davis C, Wattie N, Baker J, (2014). No Link between Date of Birth and Attention-Deficit Hyperactivity Disorder Symptoms in Adults. Journal of Attention Disorders, 18(1), 73-81. Kozloff N, Cheung AH, Ross LE, Winer H, Ierfino D, Bullock H, Bennett KJ, (2013). Factors influencing service use among homeless youths with co-occurring disorders. Psychiatric Services, 64(9), 925-928. Kral MJ, (2013). Book review of Inuit Shamanism and Christianity: Transitions and Transformations in the Twentieth Century. Anthropologica, 53(2), 195-197. Kral MJ, (2013). The Weight on our Shoulders is Too Much, and We’re Falling: Suicide among Inuit Male Youth in Nunavut, Canada. Medical Anthropology Quarterly, 27(2), 63-83. Krpan KM, Anderson ND, Stuss DT, (2013). Obstacles to remediating coping following traumatic brain injury. NeuroRehabilitation, 32(4), 721-728. Krupp DB, Sewall LA, Lalumière ML, Sheriff C, Harris GT, (2013). Psychopathy, adaptation, and disorder. Frontiers of Evolutionary Psychology and Neuroscience, 4, 139. Kundu PS, Sinha VK, Paul SE, Desarkar P, (2013). Current social functioning in adult-onset schizophrenia and its relation with positive symptoms. Industrial Psychiatry Journal, 22(1), 65-68. La Rocque C L, Harkness KL, Bagby RM, (2014). The differential relation of childhood maltreatment to stress sensitization in adolescent and young adult depression. Journal of Adolescence, 37(6), 871-882. Lam D, Gorman DA, Patten S, Pringhseim T, (2013). The pharmacoepidemiology of selective serotonin reuptake inhibitors for children and adolescents in Canada from 2005 to 2009: a database analysis. Paediatr Drugs, 15(4), 319-327.
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ARTICLES (continued) Lam RW, Parikh SV, Ramasubbu R, Michalak EE, Tam EM, Axler A, Yatham LN, Kennedy SH, Manjunath CV, (2013). Effects of combined pharmacotherapy and psychotherapy for improving work functioning in major depressive disorder. British Journal of Psychiatry, 203(5), 358-365. Lanctôt KL, (2014). Effect of methylphenidate on attention and association with apathy in AD patients in a randomized, placebo-controlled trial. Int Psychogeriatr, 26(2), 239-246. Lanctôt KL, O’Regan J, Schwartz Y, Swardfager WL, Saleem M, Oh PI, Herrmann N, (2014). Assessing cognitive effects of anticholinergic medications in patients with coronary artery disease. Psychosomatics, 55(1), 61-68. Lanktree MB, Zai G, Vanderbeek LE, Giuffra DE, Smithson DS, Kipp LB, Dalseg TR, Speechley M, Kennedy JL, (2014). Positive perception of pharmacogenetic testing for psychotropic medications. Hum Psychopharmacol, 29(3), 287291. Lapshin H, Audet B, Feinstein A, (2013). Detecting cognitive dysfunction in a busy MS clinical setting: a computer generated approach. European Journal of Neurology, 21(2), 281-286. Lapshin H, Lanctôt KL, O’Connor P, Feinstein A, (2013). Assessing the validity of a computerized cognitive screening instrument for patients with multiple sclerosis. Mult Scler, 19(14), 1905-1912. Law S, (2013). Social realities in China today. [Letter to the Editor]. Psychiatric services, 64(10), 1065. Le Foll B, Guranda M, Wilson AA, Houle S, Rusjan PM, Wing VC, Zawertailo L, Busto U, Selby P, Brody AL, George TP, Boileau I, (2014). Elevation of dopamine induced by cigarette smoking: novel insights from a [C11]-(+)-PHNO PET study in humans. Neuropsychopharmacology, 39(2), 415-424. Lee J, Lee T, Remington G, (2014). Schizophrenia: no health without physical health. Am Acad Med Singapore, 43(5), 248-249. Lee J, Nurjono M, Tay YH, Lee TS, Remington G, (2014). A comparison of cardio-metabolic risk between the deficit and non-deficit subtypes of schizophrenia. Schizophr Res, 153(1-3), 246-247. Lee J, Powell V, Remington G, (2014). Mean platelet volume in schizophrenia after 1 year of clozapine exposure. Schizophr Res, 157(1-3), 134-136. Lee J, Remington G, (2014). Adequate dosing for second-generation antipsychotics in establishing treatment resistance in schizophrenia. American Journal of Psychiatry, 171(1), 118-119. Lee J, Takeuchi H, Remington G, (2014). Comparing dopamine D2 receptor occupancies for use in clinical practice: attractive proposition but fraught with pitfalls. J Clin Psychopharmacol, 34(4), 530-532. Lee SH, Ripke S, Neale BM, Faraone SV, Purcell SM, Perlis RH, Mowry BJ, Thapar A, Goddard ME, Witte JS, Absher D, Agartz I, Akil H, Amin F, Andreassen OA, Anjorin A, Anney R, Anttila V, Arking DE, Asherson P, Azevedo MH, Backlund L, Badner JA, Bailey AJ,, (2013). Genetic relationship between five psychiatric disorders estimated from genome-wide SNPs. Nat Genet, 45(9), 984-994. Lee TC, Dupuis A, Guberman C, Jones E, Herbert M, Manassis K, (2013). Effects of Age and Subtype on Anxious Children’s Emotional Recognition: Implications for Cognitive-behavioural Therapy. Canadian Journal of Psychiatry, 58(5), 283-290.
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ARTICLES (continued) Lee TC, Herbert M, Manassis K, (2014). Do anxious boys and girls differ in emotion recognition accuracy: disgust recognition implicated. Journal of the Canadian Academy of Child & Adolescent Psychiatry, 23, 61-64. Lee TY, Kurtz Landy C, Wahoush O, Khanlou N, Liu YC, Li CC, (2014). A descriptive phenomenology study of newcomers’ experience of maternity services: Chinese women’s perspectives. BMC (BioMed Central) Health Services Research, 14(114), 1-9. Lee Y, Smith CR, Grady CL, Hoang N, Moscovitch M, (2014). Broadly Tuned Face Representation in Older Adults Assessed by Categorical Perception. Journal of Experimental Psychology: Human Perception and Peformance, 40(3), 1060-1071. Leen J, Soczynska JK, Gallaugher LA, Woldeyohannes HO, Alsuwaidan MT, Cha DS, Dale RM, Muzina DJ, Kennedy SH and McIntyre RS, (2013). The Effect of Personality Dimensions on Functional Outcomes in Mood Disorders. Adv Ther, 30(7), 671-683. Legido-Quickley H, Urdaneta E, Gonzalez A, La Parra D, Muntaner C, Alvarez-Dardet C, Martin-Moreno JM, McKee M, (2013). Erosion of Universal Coverage in Spain. Lancet, 382(9909), 1977-1977. LeMoult J, Rowa K, Antony MM, Chudzik S, McCabe RE, (2014). Impact of comorbid depression on cognitive behavioral group treatment for social anxiety disorder. Behaviour Change, 31(1), 53-64. Leszcz M, (2014). The Effective Group Psychotherapist. The Dutch association of group dynamics and group psychotherapy magazine- GROUPS., 9(2), 9-20. Letendre S, Grant I, Rourke SB, et al (Mind Exchange Working Group )., (2013). Assessment, diagnosis and treatment of human immunodeficiency virus (HIV)-associated neurocognitive disorders (HAND): A consensus report of the Mind Exchange program. Clinical Infectious Diseases, 56(7), 1004-1017. Lett TA, Voineskos AN, Kennedy JL, Levine B, Daskalakis ZJ, (2014). Treating working memory deficits in schizophrenia: a review of the neurobiology. Biological Psychiatry, 75(5), 361-370. Leung A, He Y, Grady CL, Alain C, (2013). Age differences in the neuroelectric adaptation to meaningful sounds. PLoS One, 8(7), 1-11. Leung V, Gillis J, Raboud J, Cooper C, Hogg RS, Loutfy MR, Machouf N, Montaner JSG, Rourke SB, Tsoukas C, Klein MB, CANOC Collaboration, (2013). Predictors of CD4:CD8 Ratio Normalization and Its Effect on Health Outcomes in the Era of Combination Antiretroviral Therapy. PLoS One, 8(10), e77665. Leung YW, Li M, Devins G, Zimmermann C, Rydall A, Lo C, Rodin G, (2013). Routine screening for suicidal intention in patients with cancer. Psycho-Oncology, 22(11), 2537-2545. Levaot Y, Sinyor M, Feinstein A, (2013). Trauma and psychological distress observed in journalists: A comparison of Israeli journalists and their Western counterparts. Isreal Journal of Psychiatry, 50(2), 118-121. Levitan RD, Wendland B, (2013). Novel Thrifty Models of Increased Eating Behaviour. Current Psychiatry Reports, 15(11), 408. Lev-Ran S, Le Foll B, McKenzie K, George TP, Rehm J, (2013). Bipolar disorder and co-occurring cannabis use disorders: characteristics, co-morbidities and clinical correlates. Psychiatry Research, 209(1), 459-465.
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ARTICLES (continued) Lev-Ran S, Le Foll B, McKenzie K, George TP, Rehm J, (2013). Cannabis use and cannabis use disorders among individuals with mental illness. Comprehensive Psychiatry, 54(6), 589-598. Lev-Ran S, Roerecke S, Le Foll B, George TP, McKenzie K, Rehm J, (2014). The Association between Cannabis Use and Depression: a Meta-Analysis of Longitudinal Studies. Psychological Medicine, 44(1), 797-810. Lin E, Balogh R, Cobigo V, Ouellette-Kuntz H, Wilton A, Lunsky Y, (2013). Using administrative health data to identify individuals with intellectual and developmental disabilities: A comparison of algorithms. Journal of Intellectual Disability Research, 57(5), 462-477. Links P, Kolla N, Guimond T, McMain S, (2013). Prospective risk factors for suicide attempts in a treated sample of patients with Borderline Personality Disorder. Canadian Journal of Psychiatry, 58(2), 99-106. Lionel AC, Tammimies K, Vaags AK, Rosenfeld JA, Ahn JW, Merico D, Noor A, Runke CK, Pillalamarri VK, Carter MT, Gazzellone MJ, Thiruvahindrapuram B, Fagerberg C, Laulund LW, Pellecchia G, Lamoureux S, Deshpande C, ClaytonSmith J, White AC, Leather S, Tro, (2014). Disruption of the ASTN2/TRIM32 locus at 9q33.1 is a risk factor in males for autism spectrum disorders, ADHD and other neurodevelopmental phenotypes. Hum Mol Genet, 23(10), 27522768. Lipscombe LL, Austin PC, Alessi-Severini S, Blackburn DF, Blais L, Bresee L, Filion KB, Kawasumi Y, Kurdyak P, Platt RW, Tamim H, Paterson JM, (2014). Atypical antipsychotics and hyperglycemic emergencies: Multicentre, retrospective cohort study of administrative data. Schizophr Res, 154(1-3), 54-60. Lipsman N, Sankar T, Downar J, Kennedy SH, Lozano AM, Giacobbe P, (2013). Neuromodulation for treatmentrefractory major depressive disorder. CMAJ, 186(1), 33-39. Lipsman N, Woodside DB, Giacobbe P, Hamani C, Carter JC, Norwood SJ, Sutandar K, Staab R, Elias G, Lyman CH, Smith GS, Lozano AM, (2013). Subcallosal cingulate deep brain stimulation for treatment refractory anorexia nervosa: a phase 1 pilot trial. The Lancet, 381(9875), 1361-1370. Lipsman N, Woodside DB, Giacobbe P, Lozano AM, (2014). Neurosurgical treatment of anorexia nervosa: review of the literature from leucotomy to deep brain stimulation. Eur Eat Disord Rev, 21(6), 428-435. Lipsman N, Woodside DB, Lozano AM, (2014). Trends in anorexia nervosa research: An analysis of the top 100 papers in the field. Eur Eat Disord Rev, 22(1), 9-14. Lisi D, Campbell L, Pillai Riddell R, Garfield H, Greenberg S, (2013). Naturalistic parental pain management during immunizations over the first year of life: Observational norms from the OUCH Cohort. Pain, 154(8), 1245-1253. Lister J, Nobrega JN, Fletcher P, Remington G, (2014). Oxidative stress and the antipsychotic-induced vacuous chewing movement model of tardive dyskinesia: evidence for antioxidant-based prevention strategies. Psychopharmacology, 231(11), 2237-2249. Liu AY, Rajji TK, Blumberger DM, Daskalakis ZJ, Mulsant BH, (2014). Brain stimulation in the treatment of late-life severe mental illness other than unipolar nonpsychotic depression. Am J Geriatr Psychiatry, 22(3), 216-240. Liu S, Dunford SD, Leung YW, Eysenbach G, Thomas SG, Brooks D, Nolan RP, (2013). Reducing blood pressure using internet-based interventions: Meta-analysis. Canadian Journal of Cardiology, 29(5), 613-621.
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ARTICLES (continued) Lo C, Calzavara A, Kurdyak P, Barbera L, Shepherd F, Zimmermann C, Moore MJ, Rodin G, (2013). Depression and use of health care services in patients with advanced cancer. Canadian Family Physician, 59(3), e168-e174. Lo C, Hales S, Braun M, Rydall AC, Zimmermann C, Rodin G, (2013). Couples facing advanced cancer: Examination of an interdependent relational system. Psycho-Oncology, 22(10), 2283-2290. Lo C, Hales S, Jung J, Chiu C, Panday T, Rydall AC, Zimmermann C, Rodin G, (2014). Managing Cancer And Living Meaningfully (CALM): a phase 2 pilot study of a brief individual psychotherapy for patients with advanced cancer. Palliat Med, 28(3), 234-242. Lobo DS, Quilty LC, Martins SS, Tavares H, Vallada H, Kennedy JL, Bagby RM, (2014). Pathological gambling subtypes: A comparison of treatment-seeking and non-treatment-seeking samples from Brazil and Canada. Addictive Behaviors, 39(7), 1172-1175. Loiselle G, Peters O, Haase K, Girouard L, Koerner A, Wiljer D, Fitch M, (2013). Virtual navigation in colorectal cancer and melanoma: An exploration of patients’ views. Supportive Care in Cancer, 21(8), 2289-2296. Loutfy MR, Wu W, Letchumanan M, Bondy L, Antoniou T, Margolese S, Zhang Y, Rueda S, McGee F, Peck R, Binder L, Allard P, Rourke SB, Rochon PA, (2013). Systematic review of HIV transmission between heterosexual serodiscordant couples where the HIV-positive partner is fully suppressed on antiretroviral therapy. PLoS One, 8(2), e55747. Lowther C, Costain G, Melvin R, Stavropoulos DJ, Lionel AC, Marshall CR, Scherer SW, Bassett AS, (2014). Adult expression of a 3q13.31 microdeletion. Molecular Cytogenetics, 7(1), 23-23. Lunsky Y, Balogh R, Sullivan WF, Jaakkimainen RL, (2014). Periodic health examinations for adults with developmental disabilities. Canadian Family Physician, 60(2), 109-110. Lunsky Y, Tint A, Robinson S, Gordeyko M, Ouellette-Kuntz H, (2014). System-wide information about family carers of adults with intellectual/ developmental disabilities - A scoping review of the literature. Journal of Policy and Practice in Intellectual Disabilites, 11(1), 8-18. Lyketsos C, Shade D, Devanand D, Mintzer J, Rosenberg P, Pollock BG, Porsteinsson AP, Schneider LS, Yesavage J, Weintraub D, Lyketsos C,Carlson A, Avramopoulos D, Munro C, Rabins P, Shade D, Casper AS, Drye L, Frangakis C, Jenkins G, Meinert C, Pan HM, To, (2014). Effect of citalopram on agitation in Alzheimer disease: the CitAD randomized clinical trial. Journal of the American Medical Association, 311(7), 682-691. Lykins AD, Cantor JM, (2014). Vorarephilia: A case study in masochism and erotic consumption. Archives of Sexual Behavior, 43(1), 181-186. Lyons K, Meisner BA, Sockalingam S, Cassin SE, (2014). Body image after bariatric surgery: A qualitative study. Bariatric Surgical Practice and Patient Care, 9(1), 41-49. MacDonald DE, McFarlane TL, Olmsted MP, (2014). “Diagnostic shift” from eating disorder not otherwise specified to bulimia nervosa using DSM-5 proposed criteria: A clinical comparison with DSM-IV bulimia. Eating Behaviors, 15(1), 60-62. MacDonald EM, Koerner N, Antony MM, (2013). Modification of interpretive bias: Impact on anxiety sensitivity, information processing and response to induced bodily sensations. Cognitive Therapy and Research, 37(4), 860-871.
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ARTICLES (continued) MacIntosh BJ, Swardfager WL, Crane D, Ranepura N, Saleem M, Oh PI, Stefanovic B, Herrmann N, Lanctôt KL, (2014). Cardiopulmonary fitness is associated with regional cerebral grey matter perfusion and density in adults with coronary artery disease: an exercise and neuroimaging study. PLoS One, 9(3), e91251. Madigan S, Atkinson L, Laurin K, Benoit D, (2013). Attachment and internalizing behavior in early childhood: A metaanalysis. Developmental Psychology, 49(4), 672-689. Mah L, Grossman D, Grief C and Rotenberg M, (2013). Association between patient dignity and anxiety in geriatric palliative care. Palliative Mediciine, 27(5), 478-479. Mah L, Hart M, (2013). Gabapentin withdrawal: Case report in a geriatric patient and review of the literature. J Am Geriatr Soc, 61(9), 1635-1637. Mahar I, Bambico FR, Mechawar N, Nobrega JN, (2014). Stress, serotonin, and hippocampal neurogenesis. Neuroscience and Biobehavioral Reviews, 38, 173-192. Mahmood Q, Muntaner C, (2013). Politics, class actors, and health sector reform in Brazil and Venezuela. Globalizations, 20(1), 59-67. Maier F, Lewis CJ, Horstkoetter N, Eggers C, Kalbe E, Maarouf M, Kuhn J, Zurowski M, Moro E, Woopen C, Timmermann L, (2013). Patients’ expectations of deep brain stimulation, and subjective perceived outcome related to clinical measures in Parkinson’s disease: a mixed-method approach. J Neurol Neurosurg Psychiatry, 84(11), 1273-1281. Maier F, Merkl J, Ellereit AL, Lewis CJ, Eggers C, Pedrosa DJ, Kalbe E, Kuhn J, Meyer TD, Zurowski M, Timmermann L, (2014). Hypomania and mania related to dopamine replacement therapy in Parkinson’s disease. Parkinsonism Relat Disord., 20(4), 421-427. Malachowski C, Kirsh B, (2013). Workplace Anti-Stigma Initiatives: A Scoping Study. Psychiatric Services, 64(7), 694-702. Malik AI, Zai CC, Berall L, Abu Z, Din F, Nowrouzi B, Chen S, Beitchman JH, (2014). The role of genetic variants in genes regulating the oxytocin-vasopressin neurohumoral system in childhood-onset aggression. Psychiatr Genet, 24(5), 201-210. Mallinson RJ, Williams NI, Olmsted MP, Scheid JL, Riddle ER, De Souza MJ, (2013). A case report of recovery of menstrual function following a nutritional intervention in two exercising women with amenorrhea of varying duration. Journal of the International Society of Sports Nutrition, 10(34), 1-12. Manassis K, (2013). CBT increases remission of child or adolescent anxiety disorders compared with waitlist control. Evidence Based Mental Health, 16(4), 124-124. Manassis K, Avery D, (2013). SSRIs in a case of selective mutism. Journal of Psychiatry & Neurosciences, 38(1), e1-e2. Manassis K, Hum K, Lee TC, Zhang G, Lewis MD, (2013). Threat Perception Predicts Cognitive Behavioral Therapy Outcomes in Anxious Children. Open J Psychiatry, 3, 141-148. Manassis K, Mendlowitz S, Dupuis A, Kreindler D, Lumsden C, Monga S, Guberman C, (2013). Mood Assessment via Animated Characters: an instrument to access and evaluate emotions in young children. Open J Psychiatry, 3, 149157.
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ARTICLES (continued) Manassis, K, (2013). Cognitive findings in childhood anxiety: translations for clinical practice. Translational Neuroscience, 4(1), 88-95. Mann S, Chintoh A, Giacca A, Fletcher P, Nobrega J, Hahn M, Remington G, (2013). Chronic olanzapine administration in rats: effects of route of adminstration on weight, food intake and body composition. Pharmacol Biochem Behav, 130(4), 717-722. Maoz H, Goldstein T, Axelson DA, Goldstein BI, Fan J, Hickey MB, Monk K, Sakolsky D, Diler RS, Brent D, Iyengar S, Kupfer DJ, Birmaher B, (2014). Dimensional psychopathology in preschool offspring of parents with bipolar disorder. Journal of Child Psychology and Psychiatry, 55(2), 144-153. Markon KE, Quilty LC, Bagby RM, Krueger RF, (2013). The development and psychometric properties of an Informant-Report Form of the PID-5. Assessment, 20(1), 370-383. Markoulakis R, Kirsh B, (2014). The nature of difficulties encountered by university students with mental health problems: A critical interpretive synthesis. The Review of Higher Education, 37(1), 77-100. Marras C, Hincapei CA, Kristman VL, Cancelliere C, Soklaridis S, Li A, Borg J, af Geijerstam JL, Cassidy JD, (2014). A systematic review of the risk of Parkinson’s disease after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP). Archives of Physical and Rehabilitation, 95(3), 238-245. Marshall C, Henderson J, (2014). The influence of family context on adolescent depression: A literature review. Canadian Journal of Family and Youth, 6(1), 163-187. Marshall S, Man-Son-Hing M, Bedard M, Charlton J, Gagnon S, Gelinas I, Koppel S, Korner-Bitensky N, Langford J, Mazer B, Myers A, Naglie G, Polgar J, Porter M, Rapoport MJ, Tuokko H, Vrkljan B, Woolnough A, (2013). Protocol for Candrive II/Ozcandrive, a multicentre prospective older driver cohort study. Accident Analysis & Prevention, 61, 245252. Martin MS, Colman I, Simpson AIF, MacKenzie K, (2013). Mental health screening tools in correctional institutions: a systematic review. BMC Psychiatry, 13, 275-275. Martin MS, Dorken SK, Colman I, McKenzie K, and Simpson AIF, (2014). The Incidence and Prediction of Self-Injury Among Sentenced Prisoners. Canadian Journal of Psychiatry, 59(5), 259-267. Martin MS, Wamboldt AD, O’Connor SL, and Simpson AIF, (2013). Comparing Scoring Models for Computerized Mental Health Screening for Federal Prison Inmates, Criminal Behaviour, and Mental Health. Criminal Behaviour and Mental Health, 23(1), 6-17. Martinez-Ortega JM, Goldstein BI, Gutierresz-Rojas L, Sala R, Wang S, Blanco C, (2013). Temporal sequencing of nicotine dependence and bipolar disorder in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Journal of Psychiatric Research, 47(7), 858-864. Mathewson KJ, Schmidt LA, Miskovic V, Santesso DL, Duka E, McCabe RE, Antony MM, Moscovitch DA, (2013). Does respiratory sinus arrhythmia (RSA) predict anxiety reduction during cognitive behavioral therapy (CBT) for social anxiety disorder (SAD). International Journal of Psychophysiology, 88(2), 171-181. Matthews BA, Kish SJ, Xu X, Boileau I, Rusjan PM, Wilson AA, Digiacomo D, Houle S, Meyer JH, (2013). Greater Monoamine Oxidase A Binding in Alcohol Dependence. Biological Psychiatry, 75(10), 756-764.
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ARTICLES (continued) Mazereeuw G,, Herrmann N, Bennett SAL, Swardfager WL, Xu H, Valenzuela N, Fai S, Lanctôt KL, (2013). Platelet activating factors in depression and coronary artery disease: a potential biomarker related to inflammatory mechanisms and neurodegeneration. Neurosci Biobehav Rev, 37(8), 1611-1621. McAuley T, Crosbie J, Charach A, Schachar R., (2014). The persistence of cognitive deficits in remitted and unremitted ADHD: a case for the state-independence of response inhibition. J Child Psychol Psychiatry, 55(3), 292300. McCormick PN, Wislon VS, Wilson AA, Remington G, (2013). Acutely administered antipsychotic drugs are highly selective for dopamine D2 over D3 receptors. Pharmacol Res, 70(1), 66-71. McFarlane TL, MacDonald DE, Royal S Olmsted MP, (2013). Rapid and slow responders to eating disorder treatment: A comparison on clinically relevant variables. International Journal of Eating Disorders, 46(6), 563-566. McGrath LM, Yu D, Marshall C, Davis LK, Thiruvahindrapuram B, Li B, Cappi C, Gerber G, Wolf A, Schroeder FA, Osiecki L, O’Dushlaine C, Kirby A, Illmann C, Haddad S, Gallagher P, Fagerness JA, Barr CL, Bellodi L, Benarroch F, Bienvenu OJ, Black DW, Bloch MH, Bruun RD,, (2014). Copy number variation in obsessive-compulsive disorder and tourette syndrome: a cross-disorder study. J Am Acad Child Adolesc Psychiatry, 53(8), 910-919. McIntyre RS, Alsuwaidan M, Soczynska JK, Szpindel I, Bilkey TS, Almagor D, Woldeyohannes HO, Powell AM, Cha DS, Gallaugher LA and Kennedy SH, (2013). The effect of lisdexamfetamine dimesylate on body weight, metabolic parameters, and attention deficit hyperactivity disorder symptomatology in adults with bipolar I/II disorder. Hum Psychopharmacol, 28(5), 421-427. McKee SA, Harris GT, Cormier CA, (2013). Implementing residential integrated treatment for co-occurring disorders. Journal of Dual Diagnosis, 9(4), 249-259. McLean LM, Walton T, Rodin G, Esplen MJ, Jones JM, (2013). A couple-based intervention for patients and caregivers facing end-stage cancer: Outcomes of a randomized controlled trial. Psycho-Oncology, 22(1), 28-38. McMain S, Links PL, Guimond T, Wnuk S, Eyman R, Bergmans Y, Warwar S, (2013). The Relationship between emotion and cognitive change processes and clinical outcome in the treatment of Borderline Personality Disorder. Psychotherapy Research, 23(6), 658-673. McQueen D, Cohen S, St John-Smith P, Rampes H, (2013). Rethinking Placebo in Psychiatry. How and why placebo effects occur. Advances in Psychiatric Treatment, 19, 171-180. McQueen D, Cohen S, St John-Smith P, Rampes H, (2013). Rethinking Placebo in Psychiatry. The range of placebo effects. Advances in Psychiatric Treatment, 19, 162-170. McQueen K, Montelpare W, Dennis CL, (2013). Breastfeeding and Aboriginal women: Validation of the Breastfeeding Self-Efficacy Scale - Short Form. Canadian Journal of Nursing Research, 45(2), 58-75. Mehdipanah R, Malmusi D, Muntaner C, Borrell C, (2013). An evaluation of an urban renewal program and its effects on neighborhood resident’s overall wellbeing using concept mapping. Health and Place, 23(1), 9-17. Meijer A, Conradi HJ, Bos EH, Anselmino M, Carney RM, Denollet J, Doyle F, Freedland KE, Grace SL, Hosseini SH, Lane DA, Pilote L, Parakh K, Rafanelli C, Sato H, Steeds RP, Welin C, de Jonge P, (2013). Adjusted prognostic association of post-myocardial infarction depression with mortality and cardiovascular events: An individual patient data meta-analysis. British Journal of Psychiatry, 203(2), 90-102.
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ARTICLES (continued) Meijer A, Roseman M, Delisle VC, Milette K, Levis B, Syamchandra A, Stefanek ME, Stewart DE, de Jonge P, Coyne JC, Thombs BD, (2013). Effects of screening for psychological distress on patient outcomes in cancer: A systematic review. Journal of Psychosomatic Research, 75(1), 1-17. Meyer JH, (2013). Neurochemical imaging and depressive behaviours. Curr Top Behav Neurosci, 14, 101-134. Mishna F, Van Wert M, Asakura K, (2013). The best kept secret in social work practice: Empirical support for psychodynamic social work practice. Journal of Social Work Practice, Special Edition, 27(3), 289-303. Misra S, Meiyappan S, Heus L, Freeman J, Rotstein L, Brierley JD, Tsang RW, Rodin G, Ezzat S, Goldstein DP, Sawka AM, (2013). Patients’ experiences following local-regional recurrence of thyroid cancer: A qualitative study. Journal of Surgical Oncology, 108(1), 47-51. Mitchell RHBM, Goldstein BI, (2014). Inflammation in Children and Adolescents With Neuropsychiatric Disorders: A Systematic Review. Journal of the American Academy of Child and Adolescent Psychiatry, 53(3), 274-296. Mizrahi R, Kenk M, Suridjan I, Boileau I, Rusjan P, George TP, McKenzie KM, Wilson AA, Houle S, (2014). Stressinduced dopamine response in subjects at clinical high risk for schizophrenia with and without concurrent cannabis use. Neuropsychopharmacology, 39(4), 1479-1489. Mizrahi R, Rusjan P, Suridjan I, Kenk M, George TP, Wilson AA, Houle S, (2013). Dopamine response to psychosocial stress in chronic cannabis users: A PET study with [11C]-(+)-PHNO. Neuropsychopharmacology, 38(4), 673-682. Mizrahi R, Rusjan PM, Vitcu I, Ng A, Wilson AA, Houle S, Bloomfield PM, (2013). Whole body biodistribution and radiation dosimetry in humans of a new PET ligand [18F]-FEPPA to image translocator protein (18 kDa). Mol Imaging Biol, 15(3), 353-359. Montoya A, Tannock R, (2014). A cluster-randomized, controlled 12-month trial to evaluate the effect of a parental psychoeducation program on medication persistence among children with attention-deficit/hyperactivity disorder. Neuropsychiatric Disease and Treatment, 10(1), 1081-1092. Morariu RA, Ayearst, LE, Taylor, GJ, Bagby, RM, (2014). Development and validation of a Romanian adaptation of the 20-Item Toronto Alexithymia Scale (TAS-20-RO). Romanian Journal of Psychiatry, 15(4), 155-159. Moriguchi S, Bies RR, Remington G, Suzuki T, Mamo DC, Watanabe K, Mimura M, Pollock BG, Uchida H, (2013). Estimated dopamine D2 occupancy and remission in schizophrenia: analysis of the CATIE data. J Clin Psychopharmacol, 33(5), 682-685. Morisano D, Wing VC, Arenovich T, Sacco KA, George TP, (2013). Neuropsychological Performance in Schizophrenia and Other Psychiatric Disorders in Comparison to Non-Psychiatric Controls: Effects of Smoking Status. American Journal of Addictions, 22(1), 46-53. Morrison JA, Farzan F, Fremouw T, Sayegh R, Covey E, Faure PA, (2014). Organization and trade-off of spectrotemporal tuning properties of duration-tuned neurons in the mammalian inferior colliculus. Journal of Neurophysiology, 111(10), 2047-2060. Moscovitch DA, Rowa K, Paulitzky JR, Ierullo MD, Chiang B, Antony MM, McCabe RE, (2013). Self-portrayal concerns and their relation to safety behaviors and negative affect in social anxiety disorder. Behaviour Research and Therapy, 51(8), 476-486.
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ARTICLES (continued) Moss J, Li A, Tobin J, Weinstein IS, Harimoto T, Lanctôt KL, (2014). Predictors of readmission to a psychiatry inpatient unit. Comprehensive Psychiatry, 55(3), 426-430. Mucsi I, Ujszaszi A, Czira ME, Novak M, Molnar MZ, (2013). Red cell distribution width is associated with mortality in kidney transplant recipients. Int Urol Nephrol, 43(3), 641-651. Muntaner C, (2013). Democracy, authoritarianism, political conflict, and population health: a global, comparative, and historical approach. Soc Sci Med, 86(8), 107-112. Muntaner C, (2013). On the future of social epidemiology—a case for scientific realism. Am J Epidemiology, 178(6), 852-857. Muntaner C, Ng E, Paez Victor, Benach J, Chung H, (2013). Egalitarian policies and social determinants of health in Bolivarian Venezuela. Int J Health Services, 43(3), 137-149. Musa R, Roszaman R, Yazmie AWA, Khadijah MBS, Hayati MY, Midin M, Jaafar NRN, Das S, Sidi H, Ravindran A, (2014). A preliminary study of the psychological differences in infertile couples and their relation to the coping styles. Comprehensive Psychiatry Supplement 1, 55(Suppl 1), S65-S69. Nakajima S, Gerretsen P, Takeuchi H, Caravaggio F, Chow T, Le Foll B, Mulsant B, Pollock B, Graff-Guerrero A, (2014). The potential role of dopamine D3 receptor neurotransmission in cognition. European Psychopharmacology, 23(8), 799-813. Nakhost A, Perry JC, Simpson AI, (2013). Community treatment orders for patients with psychosis. Lancet, 382(9891), 501-501. Nandlal J, Palarchio N, Dewa C, (2010). Continuity of care in early intervention programs and court support programs: Giving voice to service recipients and their families. Canadian Journal of Community Mental Health, 29(1), 41-51. Navarini A, Simpson M, Weale M, Knight J, Carlavan I, Reiniche P, Burden D, Layton A, Bataille V, Allen M, Pleass R, Pink A, Creamer D, English J, Munn S, Walton S, Willis C, et al, (2014). Genome-wide association study identifies three novel susceptibility loci for severe acne vulgaris. Nature Communications, 5, 4020. Nazeri A, Chakravarty MM, Felsky D, Lobaugh NJ, Rajji TK, Mulsant BH, Voineskos AN, (2013). Alterations of Superficial White Matter in Schizophrenia and Relationship to Cognitive Performance. Neuropsychopharmacology, 38(10), 1954-1962. Nelson AL, Vorstenbosch V, Antony MM, (2014). Assessing fear of storms and severe weather: Validation of the Storm Fear Questionnaire (SFQ). Journal of Psychopathology and Behavioral Assessment, 36(1), 105-114. Nelson G, Nelson G, Stefancic A, Rae J, Townley G, Tsemberis S, Macnaughton E, Aubry T, Distasio J, Hurtubise R, Patterson M, Stergiopoulos V, Piat M, Goering P, (2014). Early implementation evaluation of a multi-site housing first intervention for homeless people with mental illness: a mixed methods approach. Evaluation and program planning, 43, 16-26. Nery FG, Miranda-Scippa A, Nery-Fernandes F, Kapczinski F, Lafer B, (2014). Prevalence and clinical correlates of alcohol use disorders among bipolar disorder patients: Results from the Brazilian Bipolar Research Network. Comprehensive Psychiatry, 55(5), 1116-1121.
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ARTICLES (continued) Nery GF, Monkul ES, Lafer B, (2013). Gray matter abnormalities as brain structural vulnerability factors for bipolar disorder: A review of neuroimaging studies of individuals at high genetic risk for bipolar disorder. Aust New Zealand Journal of Psychiatry, 47(12), 1249-1262. Neuwald MF, Agranonik M, Portella AK, Fleming A, Wazana A, Steiner M, Levitan RD, Meaney MJ, Silveira PP, (2014). Transgenerational Effects of Maternal Care Interact with Fetal Growth and Influence Attention Skills at 18 Months of Age. Early Human Development, 90(5), 241-246. Nevatte T, O’Brien PM, Bäckström T, Brown C, Dennerstein L, Endicott J, Epperson CN, Eriksson E, Freeman EW, Halbreich U, Ismail K, Panay N, Pearlstein T, Rapkin A, Reid R, Rubinow D, Schmidt P, Steiner M, Studd J, Sundström-Poromaa I, Yonkers K, (2013). ISPMD Consensus on the management of premenstrual disorders. Arch Womens Ment Health, 16(4), 279-291. Ng L, Davis C, (2013). Cravings and Food Consumption in Binge Eating Disorder. Eating Behaviors, 14(4), 472-475. Nissim R, Rodin G, Minden M, Rydall A, Yuen D, Mischitelle A, Gagliese L, Schimmer A, Zimmermann C, (2014). Finding New Bearings: A Qualitative Study on the Transition from Inpatient to Ambulatory Care of Patients with Acute Myeloid Leukemia. Supportive Care in Cancer, 22(9), 2435-2443. Nissim R, Zimmermann C, Minden M, Rydall A, Yuen D, Mischitelle A, Gagliese L, Schimmer A, Rodin G, (2013). Abducted by the illness: A qualitative study of traumatic stress in individuals with acute leukemia. Leukemia Research, 37(5), 496-502. Nolan RP, Floras JS, Ahmed L, Harvey PJ, Hiscock N, Hendrickx H, Talbot D, (2013). Response to comment from Dr. Sloan: ‘Look what’s going down’. Journal of Internal Medicine, 273, 217-218. Nolan RP, Liu S, Feldman R, Dawes M, Barr S, Lynn H, Gwardy-Sridhar F, Zbib A, Thomas SG, Goodman J, Oh P, Kaczorowski J, Chessex C, (2013). Reducing risk with e-based support for adherence to lifestyle change in hypertension (REACH): protocol for a multicentred randomised controlled trial. BMJ Open, 3(8), e003547. Nolan RP, Payne AY, Ross H, White M, D’Antono B, Chan S, Barr SI, Gwadry-Sridhar F, Nigam, A, Perreault S, Farkouh M, McDonald M, Goodman J, Thomas S, Zieroth S, Isaac D, Oh P, Rajda M, Chen M, Eysenbach G, Liu S and Zbib A An Internet-Based Counseling In, (2014). An Internet-Based Counseling Intervention With Email Reminders that Promotes Self-Care in Adults With Chronic Heart Failure: Randomized Controlled Trial Protocol. Journal of Medical Internet Research- Research Protocols, 3(1), e5. Nona CN, Li R, Nobrega JN, (2014). Altered NMDA receptor subunit gene expression in brains of mice showing high vs. low sensitization to ethanol. Behavioural Brain Research, 260, 58-66. Noor A, Lionel AC, Cohen-Woods S, Moghimi N, Rucker J, Fennell A, Thiruvahindrapuram B, Kaufman L, Degagne B, Wei J, Parikh SV, Muglia P, Forte J, Scherer SW, Kennedy JL, Xu W, McGuffin P, Farmer A, Strauss J, Vincent JB, (2014). Copy number variant study of bipolar disorder in Canadian and UK populations implicates synaptic genes. Am J Med Genet B Neuropsychiatr Genet, 165(4), 303-313. Novoa Pardo AM, Jarauta, Echauri Ozcoidi, González López-Valcárcel, Meneu, Navarro, Benach, Muntaner, (2013). Cómo cambiar comportamientos y no morir en el intento: más entornos favorables y menos educación sanitaria. Gaceta Sanitaria, 27(2013), 75-76.
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ARTICLES (continued) Nowakowski ME, Antony MM, (2013). Reactions to teasing in social anxiety. Cognitive Therapy and Research, 37(6), 1091-1100. O’Brien KK, Davis AM, Gardner S, Bayoumi AM, Rueda S, Hart TA, Cooper C, Solomon P, Rourke SB, Hanna S, (2013). Relationships between dimensions of disability experienced by adults living with HIV: A structural equation model analysis. AIDS and Behavior, 18(2), 357-367. O’Brien KK, Hanna S, Gardner S, Bayoumi AM, Rueda S, Hart T, Cooper C, Solomon P, Rourke SB, Davis AM OHTN Cohort Study Research Team, (2013). Validation of the Episodic Disability Framework with adults living with HIV. Disability and Rehabilitation, 36(4), 319-329. O’Rinn S, Lishak V, Muller R, Classen CC, (2013). Betrayal and its association with memory disturbances among survivors of childhood sexual abuse. Psychological Trauma: Theory, Research, Practice & Policy, 5(4), 343-349. Obeso I, Cho SS, Antonelli F, Houle S, Jahanshahi M, Ko JH, Strafella AP, (2013). Stimulation of the pre-SMA influences cerebral blood flow in frontal areas involved with inhibitory control of action. Brain Stimulation, 6(5), 769-776. Oliffe JL, Han C, Maria ES, Lohan M, Howard T, Stewart DE, MacMillan H, (2014). Gay men and intimate partner violence: a gender analysis. Sociol Health Illn, 36(4), 564-579. Olle-Espluga L, Menéndez-Fuster M, Muntaner C, Benach J, Vergara-Duarte M, Vázquez ML, (2013). Safety representatives’ views on their interaction with workers in a context of unequal power relations: An exploratory qualitative study in Barcelona (Catalonia). Am J Industrial Medicine, 57(3), 338-350. Olmsted MP, McFarlane T, Trottier K Rockert W, (2013). Effectiveness and intensity of day hospital treatment for eating disorders. Psychotherapy Research, 23(3), 277-286. Oremus M, Tarride J-E, Pullenayegum E, Clayton N, Canadian Willingness-to-Pay Study Group, Raina P, (2013). Patients’ willingness-to-pay for an Alzheimer ’s disease medication in Canada. The Patient, 6(3), 161-168. Ostergaard SD, Meyers BS, Flint AJ, Mulsant BH, Whyte EM, Ulbricht CM, Bech P, Rothschild AJ, on behalf of the STOP-PD Study Group, (2014). Measuring treatment response in psychotic depression: The Psychotic Depression Assessment Scale (PDAS) takes both depressive and psychotic symptoms into account. Journal of Affective Disorders, 160, 68-73. Ouellet-Plamondon C, Mohamed N, Sharif-Razi M, Simpkin E, George TP, (2014). Treatment of Tobacco Addiction in People with Co-Morbid Substance Use and Psychiatric Disorders. Current Addiction Reports, 1(1), 61-68. Pacchiarotti I, Bond DJ, Baldessarini RJ, Nolen WA, Grunze H, Licht RW, Post RM, Berk M, Goodwin GM, Sachs GS, Tondo L, Findling RL, Youngstrom EA,Tohen M, Undurraga J, González-Pinto A, Goldberg JF, Yildiz A, Altshuler LL, Calabrese JR, Mitchell PB, Thase ME, Koukopoulo, (2013). The International Society for Bipolar Disorders (ISBD) task force report on antidepressant use in bipolar disorders. THE AMERICAN JOURNAL OF PSYCHIATRY, 170(11), 12491262. Paes B, Lanctôt KL, (2013). Cost-effectiveness of respiratory syncytial virus prophylaxis in premature infants less than 32 weeks gestational age in Turkey [letter]. Turk J Pediatr, 55(5), 564-567. Paes B, Mitchell I, Yi H, Li A, Lanctôt KL, The CARESS Investigators, (2014). Hospitalization for respiratory syncytial virus illness in Down syndrome following prophylaxis with palivizumab. Pediatric Infectious Disease Journal, 33(2), e29-e33.
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ARTICLES (continued) Pandalangat N, Rummens JA, Williams C, Seeman MV, (2013). The social dimensions of health and illness in the Sri Lankan Tamil diaspora – implications for mental service delivery. J Preventive Med, 1(3), 36-42. Papadakos P, Trang A, Wiljer D, Cipolat C, Cyr A, Friedman A, Mazzocut M, Snow M, Raivich V, Catton P, (2014). What criteria do consumer health librarians use to develop library collections? a phenomenological study. Journal of the Medical Library Association, 102(2), 78-87. Parikh SV, Hawke LD, Zaretsky A, Beaulieu S, Patelis-Siotis I, Macqueen G, Young LT, Yatham L, Velyvis V, Bélanger C, Poirier N, Enright J, Cervantes P, (2013). Psychosocial interventions for bipolar disorder and coping style modification: similar clinical outcomes, similar mechanisms. Can J Psychiatry, 58(8), 482-486. Park MT, Pipitone J, Baer LH, Winterburn JL, Shah Y, Chavez S, Schira MM, Lobaugh NJ, Lerch JP, Voineskos AN, Chakravarty MM, (2014). Derivation of high-resolution MRI atlases of the human cerebellum at 3T and segmentation using multiple automatically generated templates. Neuroimage, 95, 217-231. Pascoe R, Rush B, Rotondi NK, (2013). Wait times for publicly funded addiction and problem gambling treatment agencies in Ontario, Canada. BMC Health Services Research, 13, 483. Patry S, Graf P, Delva NJ, Martin BA, (2013). Electroconvulsive therapy teaching in Canada: Cause for concern. Journal of ECT, 29(2), 109-112. Pavisian B, McIntosh B, Szilagyi G, Staines R, O’Connor P, Feinstein A, (2014). The effects of cannabis on cognition in MS patients: a psychometric and MRI study. Neurology, 82, 1879-1887. Payer D, Balasubramaniam G, Boileau I, (2013). What is the role of the D3 receptor in addiction? A mini review of PET studies with [(11)C]-(+)-PHNO. Prog Neuropsychopharmacol Biol Psychiatry, 3(52), 4-8. Payer DE, ehzadi A, Kish SJ, Houle S, Wilson AA, Rusjan PM, Tong J, Selby P, George TP, McCluskey T, Boileau I, (2014). Heightened D3 dopamine receptor levels in cocaine dependence and contributions to the addiction behavioral phenotype: a positron emission tomography study with [C11]-(+)-PHNO. Neuropsychopharmacology, 39(2), 311-318. Peer M, Steiner M, Levitan RD, Streiner D, Soares CN, (2013). Recent Life Stress in Pregnant Immigrant Women and its Association with HPA Axis Activity. Canadian Journal of Psychiatry, 58(10), 579-587. Penney SR, McMaster R, Wilkie T, (2014). Multirater reliability of the Historical, Clinical, and Risk Management-20. Assessment, 21(1), 15-27. Penney SR, Morgan A, Simpson AIF, (2013). Motivational influences in persons found not criminally responsible on account of mental disorder: A review of relevant legislation and research. Behavioral Sciences and the Law, 31(4), 494-505. Peters BD, Voineskos AN, Szeszko PR, Lett TA, Derosse P, Guha S, Karlsgodt KH, Ikuta T, Felsky D, John M, Rotenberg DJ, Kennedy JL, Lencz T, Malhotra AK., (2014). Brain white matter development is associated with a human-specific haplotype increasing the synthesis of long chain Fatty acids. Journal of Neuroscience, 34(18), 6367-6376. Petersen HV, Domanska K, Bendahl PO, Wong J, Carlsson C, Bernstein I, (2011). Validation of a self-concept scale for Lynch syndrome in different nationalities. Journal of genetic counseling, 20(3), 308-313.
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ARTICLES (continued) Petrican R, Todorov A, Grady CL, (2014). Personality at Face Value: Facial Appearance Predicts Self and Other Personality Judgments among Strangers and Spouses. Journal of Nonverbal Behavior, 38(2), 259-277. Petrican R, Moscovitch M, Grady CL, (2014). Proficiency in positive versus negative emotion identification and subjective well-being among long-term married spouses. Frontiers in Psychology, 5(4), 1-11. Pillai Riddell R, (2013). Response to letter to Naturalistic studies of procedural pain management in infants - Is it ethical to not provide pain management. Pain, 154(9), 1896-1897. Pinsonneault JK, Sullivan D, Sadee W, Soares CN, Hampson E, Steiner M, (2013). Association study of the estrogen receptor gene ESR1 with post-partum depression – a pilot study. Arch Womens Ment Health, 16(6), 499-509. Pitzul KB, Jackson T, Crawford S, Kwong JC, Sockalingam S, Hawa R, Urbach D, Okrainec A, (2014). Understanding Disposition After Referral for Bariatric Surgery: When and Why Patients Referred Do Not Undergo Surgery. Obesity surgery, 24, 134-140. Platt J, Baxter N, Jones J, Metcalfe K, Causarano N, Hofer SO, O’Neill A, Cheng T, Starenkyj E, Zhong T, (2013). Preconsultation educational group intervention to improve shared decision-making in postmastectomy breast reconstruction: study protocol for a pilot randomized controlled trial. Trials, 14, 199. Power RA, Wingenbach T, (2013). Estimating the heritability of reporting stressful life events captured by common genetic variants. Psychol Med, 43(9), 1965-1971. Qian W, Schweizer TA, Fischer CE, (2014). Impact of socioeconomic status on initial clinical presentation to a memory disorders clinic. International psychogeriatrics / IPA, 26(4), 597-603. Quilty LC, Avila Murati D, Bagby RM, (2014). Identifying indicators of harmful and problem gambling in a Canadian sample through receiver operating characteristic analysis. Psychology of Addictive Behaviors, 28(1), 229-237. Quilty LC, Ayearst LE, Chmielewski M, Pollock BG, Bagby RM, (2013). The psychometric properties of the Personality Inventory for DSM-5 (PID-5) in an APA DSM-5 Field Trial sample. Assessment, 20(1), 362-369. Quilty LC, DeYoung CG, Oakman JM, Bagby RM, (2014). Extraversion and behavioural activation: Integrating the components of approach. Journal of Personality Assessment, 96(1), 87-94. Quilty LC, MacKew L, Bagby RM, (2014). Behavioural inhibition, behavioural activation, and the mood disorders. Psychiatry Research, 219(1), 219-231. Quilty LC, Mainland BJ, McBride C, Bagby RM, (2013). Interpersonal problems and impacts: Further evidence for the role of interpersonal functioning in treatment outcome in major depressive disorder. Journal of Affective Disorders, 150(2), 393-400. Quilty LC, Robinson JJ, Rolland J, De Fruyt F, Rouillon F, Bagby RM, (2013). The structure of the Montgomery– Åsberg depression rating scale over the course of treatment for depression. International Journal of Methods in Psychiatric Research, 22(3), 175-184. Quinn J, Simpson AIF, (2013). How Can Forensic Systems Improve Justice for Victims of Offenders Found Not Criminally Responsible. Journal of the American Academy of Psychiatry and the Law, 41(4), 568-574.
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ARTICLES (continued) Quraan MA, Protzner A, Giacobbe P, Kennedy SH, Lozano A, McAndrews P, (2013). Power asymmetry and functional connectivity of patients with major depressive disorder after DBS surgery. Neuropsychopharmacology, 39, 1270-1281. Rabin RA, Giddens JL, George TP, (2014). Relationship between Tobacco Use and Cannabis Use Status in Outpatients with Schizophrenia. American Journal of Addictions, 23(2), 170-175. Rabin RA, Zakzanis KK, Daskalakis ZJ, George TP, (2013). A preliminary study of the effects of cannabis smoking status on neurocognitive function in males with schizophrenia. Psychiatry Research, 206(2), 158-165. Raina P, Arenovich T, Jones J, Lunsky Y, (2013). Pathways into the Criminal Justice System for Individuals with Intellectual Disability. Journal of Applied Research in Intellectual Disabilities, 26(5), 404-409. Rajji TK, Miranda D, Mulsant BH, (2014). Cognition and function in patients with schizophrenia: A review of longitudinal studies. Canadian Journal of Psychiatry, 59(1), 13-17. Rajji TK, Sun Y, Zomorrodi-Moghaddam R, Farzan F, Blumberger DM, Mulsant BH, Fitzgerald PB, Daskalakis ZJ, (2013). LTP-like potentiation in the dorsolateral prefrontal cortex in humans. Neuropsychopharmacology, 38(12), 2545-2552. Rao N, Remington G, (2013). Investigational drugs for schizophrenia targeting the dopamine receptor: Phase II trials. Exp Opin Invest Drugs, 22(7), 881-894. Rao N, Remington G, (2014). Targeting the dopamine receptor in schizophrenia: investigational drugs in Phase III trials. Exp Opin Pharmacother, 15(3), 373-383. Rapoport MJ, Herrmann N, Haider S, Zucchero Sarracini C, Molnar F, Frank C, Masellis M, Tang-Wai D, Kiss A, Pimlott N, Naglie G, (2014). Research Letter. Physician sex is a predictor of reporting drivers with mild cognitive impairment and mild dementia to transportation authorities. Journal of the American Geriatrics Society, 62(1), 201202. Rapoport MJ, Naglie G, Weegar K, Myers A, Cameron D, Crizzle A, Korner-Bitensky N, Tuokko H, Vrkljan B, Bedard M, Porter M, Mazar B, Gelinas I, Man-Son Hing M, Marshall S, (2013). The relationship between cognitive performance, perceptions of driving comfort and abilities, and self-reported driving restrictions among healthy older drivers. Accident Analysis & Prevention, 61, 288-295. Rashotte J, Coburn G, Harrison D, Stevens BJ, Yamada J, Abbott LK, Barwick M, Campbell F, Chambers C, Cohen J, Cummings G, Estabrooks CA, Finley GA, Johnston C, Latimer M, Lee S, McGrath P, Sawatzky-Dickson D, Scott SD, Sidani S, Stremle, (2013). Health care professionals’ pain narratives in hospitalized children’s medical records. Part 1: pain descriptors. Pain Research and Management, 18(5), 84-93. Rashotte J, Harrison D, Coburn G, Yamada J, Stevens BJ, Barwick M, Campbell F, Chambers C, Cohen J, Cummings G, Estabrooks CA, Finley GA, Johnston C, Latimer M, Lee S, McGrath P, Sawatzky-Dickson D, Scott SD, Sidani S, Str, (2013). Health care professionals’ pain narratives in hospitalized children’s medical records. Part 2: structure and content. Pain Research and Management, 18(5), 75-83. Ratnasingham S, Cairney J, Manson H, Rehm J, Lin E, Kurdyak P, (2013). The burden of mental illness and addiction in ontario. Can J Psychiatry, 58(9), 529-537. Ravindran AV, da Silva TL, (2013). Complementary and alternative therapies as add-on to pharmacotherapy for mood and anxiety disorders: A systematic review. Journal of Affective Disorders, 150(3), 707-719.
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ARTICLES (continued) Ravitz P, Cooke R, Mitchell S, Reeves S, Teshima J, Lokuge B, Lawson A, McNaughton N, Skinner W, Cooper C, Fefergrad M, Zaretsky Z, (2013). Continuing Education To Go: Capacity Building in Psychotherapies for Front-Line Mental Health Workers in Underserviced Communities. Can J Psychiatry, 58(6), 335-343. Ravitz P, Lancee WJ, Lawson A, Maunder R, Hunter JJ, Leszcz M, McNaughton N, Pain C, (2013). Improving Physician–Patient Communication through Coaching of Simulated Encounters. Academic Psychiatry, 37, 87-93. Razack S, Lessard D, Hodges BD, Maguire MH, Steinert Y, (2014). The more it changes; the more it remains the same: a Foucauldian analysis of Canadian policy documents relevant to student selection for medical school. Advances in health sciences education : theory and practice, 19(2), 161-181. Rector NA, (2013). Acceptance and commitment therapy: Empirical considerations. Behavior Therapy, 44(2), 213217. Rector NA, Man V, Lerman B, (2014). The expanding CBT Treatment umbrella for the anxiety disorders: Targeting unique versus common features. Canadian Journal of Psychiatry, 59(6), 301-309. Reeves S, Leslie K, Baker L, Egan-Lee E, Legare F, Silver, Rosenfield J, Hodges B, Curran V, Armson H, Kitto S, (2013). Study protocol for a pilot study to explore the determinants of knowledge use in a medical education context. Journal of Evaluation in Clinical Practice, 19(5), 829-832. Rehm J, Anderson P, Gual A, Kraus L, Marmet S, Nutt DJ, Room R, Samokhvalov AV, Scafato E, Shield KD, Trapencieris M, Wiers RW, Gmel G, (2014). The tangible common denominator of substance use disorders: A reply to commentaries to Rehm et al. (2013a). Alcohol and Alcoholism, 49(1), 118-122. Rehm J, Kailasapillai S, Larsen E, Rehm M, Samokhvalov AV, Shield KD, Roerecke M, Lachenmeier DW, (2014). A systematic review of unrecorded alcohol with a focus on prevalence of consumption and health. Addiction, 109(6), 880-893. Rehm J, Marmer S, Anderson P, Gual A, Kraus L, Nutt DJ, Room R, Samokhvalov AV, Scafato E, Trapencieris M, Wiers RW, Gmel G, (2013). Defining substance use disorders: Do we really need more than heavy use. Alcohol and Alcoholism, 48(6), 633-640. Rehm J, Samokhvalov AV, Shield KD, (2013). Global burden of alcoholic liver disease. Journal of Hepatology, 591(1), 160-168. Rej S, Segal M, Low N, Mucsi I, Holcroft C, Shulman K, Looper K, (2014). The McGill geriatric lithium- induced diabetes insipidus clinical study. The Canadian Journal of Psychiatry, 59(6), 327-334. Remington G, Agid O, Foussias G, Fergusson L, McDonald K, Powell V, (2013). Clozapine and therapeutic drug monitoring: is there sufficient evidence for an upper threshold. Psychopharmacology, 225, 505-518. Remington G, Fervaha G, Foussias G, Agid O, Turrone P, (2014). Antipsychotic dosing: found in translation. Journal of Psychiatry & Neurosciences, 39(4), 223-231. Remington G, Foussias G, Agid O, Fervaha G, Takeuchi H, Hahn M, (2014). The neurobiology of relapse in schizophrenia. Schizophr Res, 152(2-3), 381-390. Remington G, Foussias G, Agid O, Hahn M, Takeuchi H, Rao N, (2013). Anti-schizophrenia drugs: the next generation. JPPS, 9(2), 49-51.
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ARTICLES (continued) Remington G, Foussias G, Fervaha G, Agid O, (2014). Schizophrenia, cognition and psychosis. JAMA Psychiatry, 71(3), 336-337. Remington G, Teo C, Mann S, Hahn M, Foussias G, Agid O, (2013). Examining levels of antipsychotic adherence to better understand nonadherence. J Clin Psychopharmacol, 33(2), 261-263. Rhodes AE, Bethell J, Carlisle C, Rosychuk R, Lu H, Newton A, (2014). Time Trends in Suicide-Related Behaviour in Girls and Boys. Can J Psychiatry, 59(3), 152-159. Rhodes AE, Bethell J,Tonmyr L, (2013). Child sexual abuse and youth suicide: A review of the evidence with implications for future research. International Journal of Child, Youth and Family Studies, 1, 113-130. Rhodes AE, Khan S, Boyle MH, Bethell J, Wekerle C, Tonmyr L, Goodman D, Leslie B, Lam K, Manion I, (2013). Sex differences in suicides among children and youth - the potential impact of help-seeking behavior. Canadian Journal of Psychiatry, 58(5), 274-282. Rhodes AE, Skinner R, McFaull S, Katz L, (2013). Canada wide effect of regulatory warnings on antidepressant prescribing and suicide rates in boys and girls. Can J Psychiatry, 58(11), 640-645. Rice ME, Harris GT, Cormier CA, (2014). What does it mean when age is related to recidivism among sex offenders. Law and Human Behavior, 38(2), 151-161. Rice ME, Harris GT, Lang C, (2013). Validation of and revision to the VRAG and SORAG: The Violence Risk Appraisal Guide—Revised (VRAG-R). Psychological Assessment, 25(3), 951-965. Risinger R, Bhagwagar Z, Luo F, Cahir M, Miler L, Mendonza AE, Meyer JH, Zheng M, Hayes W, (2014). Evaluation of safety and tolerability, pharmacokinetics, and pharmacodynamics of BMS-820836 in healthy subjects: a placebocontrolled, ascending single-dose study. Psychopharmacology, 23(11), 2299-2310. Rizvi SJ, Kennedy SH, (2013). Management strategies for SSRI-induced sexual dysfunction. J Psychiatry Neurosci, 38(5), E27-E28. Rizvi SJ, Salomons TV, Konarski JZ, Downar J, Giacobbe P, McIntyre RS and Kennedy SH, (2013). Neural response to emotional stimuli associated with successful antidepressant treatment and behavioral activation. J Affect Disord, 151(2), 573-581. Robinson GE, (2014). Pregnancy Loss. Best Practice & Research Clinical Obstetrics & Gynecology, 28(1), 169-178. Rocha KB, Muntaner C, González Rodríguez MJ, Baksai PB, Vallebuona C, Borrell C, Solar O, (2013). Social class, health inequalities, and health-related behaviors of working people in Chile. Panam J Public Health, 33(5), 340-348. Rocha KB, Pérez K, Rodríguez-Sanz M, Alonso J, Muntaner C, Borrell C, (2013). Inequalities in the use of services provided by psychiatrists in Spain: a multilevel study. Psychiatric Services, 64(9), 901-907. Rodin G, Yuen D, Mischitelle A, Minden MD, Brandwein J, Schimmer A, Marmar C, Gagliese L, Lo C, Rydall A, Zimmermann C, (2013). Traumatic stress in acute leukemia. Psycho-Oncology, 22(2), 299-307. Romans S, Stewart DE, Kreindler D, Einstein G, Laredo S, Asllani E, Petrovic M, Levitt A, Morgan K, Toner B., (2013). Mood and the menstrual cycle. Psychotherapy and Psychosomatics, 82, 53-60.
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ARTICLES (continued) Rosenberg PB, Lanctôt KL, Drye LT, Herrmann N, Scherer RW, Bachman DL, Mintzer J for the ADMET investigators, (2013). Safety and efficacy of methylphenidate for apathy in Alzheimer’s disease: A randomized, placebo-controlled trial. J Clin Psychiatry, 74(8), 810-816. Rosenkranz S, Muller RT, Henderson J, (2014). The role of complex PTSD in mediating childhood maltreatment and substance abuse severity among youth seeking substance abuse treatment. Psychological Trauma: Theory, Research, Practice & Policy, 6(1), 25-33. Rotondi NK, Strike C, Kolla G, Rotondi MA, Rudzinski K, Guimond T, Roy E, (2014). Transition to injection drug use: the role of initiators. AIDS and Behavior, 18(3), 486-494. Rourke S, Zipursky AR, Gogolishvili D, Rueda S, Brunetta J, Carvalhal A, McCombe JA, Gill MJ, Rachlis A, Rosenes R, Arbess G, Marcotte T, (2013). Evaluation of brief screening tools for neurocognitive impairment in HIV/AIDS: a systematic review of the literature. AIDS (London, England), 27(15), 2385-2401. Rousseau C, Laurin-Lamothe A, Rummens JA, Meloni F, Steinmetz N Alvarez F, (2013). Precarious Immigration Status Children at Canadian Paediatric Emergencies: Disparities in Help-Seeking Pathways and Service Delivery. Paediatrics and Child Health, 18(9), 465-469. Rowa K, McCabe RE, Antony MM, Swinson RP, (2014). A preliminary attempt to experimentally induce post-event processing in social anxiety disorder. Behavioural and Cognitive Psychotherapy, 42(2), 238-242. Ruocco A, Lam J, McMain S, (2014). Subjective Cognitive Complaints and Functional Disability in Patients with Borderline Personality Disorder and their Non-Affected First-Degree Relatives. Canadian Journal of Psychiatry, 59(6), 335-344. Rush BR, (2014). Alternative models and measures for evaluating collaboration among substance use services with mental health, primary care and other services and sectors. Nordic Studies on Alcohol and Drugs, 37, 27-44. Rush BR, Castel S, Brands B, Toneatto T, Veldhuizen S, (2013). Validation and comparison of diagnostic accuracy of four screening tools for mental disorders in people with substance use disorders. Journal of Substance Abuse Treatment, 44(4), 375-383. Rush BR, McPherson-Doe C, Behrooz R, Cudmore A, (2013). Exploring core competencies for mental health and addictions work within a Family Health Team setting. Mental Health in Family Medicine, 10(2), 89-100. Rusjan PM, Wilson AA, Miler L, Fan I, Mizrahi R, Houle S, Vasdev N, Meyer JH, (2014). Kinetic modeling of the monoamine oxidase B radiogland [11C]SL25.1188 in human brain with high-resolution positron emission tomography. J Cereb Blood Flow Metab, 34(5), 883-889. Sadavoy J, Bain J, (2014). An open-label, pilot study evaluating the safety and antidepressant effects of rellidep in major depressive disorder. Journal of Clinical Psychopharmacology, 34(2), 230-233. Sadovski P, Hicks JW, Parkes J, Raymond R, Nobrega JN, Houle S, Cipriano M, Fowler CJ, Vasdev N, Wilson AA, (2013). Development and characterization of a promising fluorine-18 labelled radiopharmaceutical for in vivo imaging of fatty acid amide hydrolase. Bioorganic & Medicinal Chemistry, 21(14), 4351-4357. Saini M, Mishna F, Barnes J, Polak S, (2013). Parenting online: Virtual parenting time in the context of separation and divorce. Journal of Child Custody, 10(2), 120-140.
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ARTICLES (continued) Sakurai H, Uchida H, Abe T, Nakajima S, Suzuki T, Pollock BG, Sato Y, Mimura M, (2013). Trajectories of Individual Symptoms in Remitters versus Non-Remitters with Depression. J Affect Disord, 151, 506-513. Sala R, Goldstein BI, Wang S, Flórez-Salamanca L, Iza M, Blanco C, (2013). Increased prospective health service use for depression among adults with childhood onset bipolar disorder. Journal of Pediatrics, 163(5), 1454-1457. Sala R, Strober MA, Axelson DA, Gill MK, Castro-Fornieles J, Goldstein TR, Goldstein BI, Ha W, Liao F, Inyengar S, Yen S, Hower H, Hunt J, Dickstein DP, Ryan ND, Keller MB, Birmaher B, (2014). Effects of Comorbid Anxiety Disorders on the Longitudinal Course of Pediatric Bipolar Disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 53(1), 72-81. Saleem M, Ratnam Bandaru VV, Herrmann N, Swardfager WL, Mielke MM, Oh PI, Shammi P, Kiss A, Haughey NJ, Rovinski R, Lanctôt KL, (2013). Ceramides predicts less improvement in verbal memory performance after cardiac rehabilitation in patients with coronary artery disease. BMC Geriatr, 13(1), 135-135. Salit IE, Blitz S, Collins E, Aggarwal B, Aggarwal, Raboud, Tinmouth J, Kovacs C, Conway D, Hedgcock M, Merkley B, Fletcher D, Calzavara L, (2013). Anal cancer screening in HIV primary care: uptake and outcomes. Sexual Health, 10(6), 588-589. Salomons TV, Dunlop K, Kennedy SH, Flint A, Geraci J, Giacobbe P, Downar J, (2014). Resting-state corticothalamic-striatal connectivity predicts response to dorsomedial prefrontal rTMS in major depressive disorder. Neuropsychopharmacology, 39(2), 488-498. Samji H, Cescon A, Hogg RS, Modur S, Alhoff KN, Buchack K, Burchell AN, Cohen M, Geno KA, Gill MJ, Justice A, Kirk G, Klein MB, Korthuis PT, Martin J, Napravnik S, Rourke SB, Sterling TR, Silverberg MJ, Deek, (2013). Closing the gap: Increases in life expectancy among treated HIV-positive indviduals in the United States and Canada. PLoS One, 8(12), e81355. Samokhvalov AV, Rehm J, (2014). Premature mortality in epilepsy and the role of psychiatric comorbidity. Lancet, 383(9916), 511. Samokhvalov AV, Selby P, Bondy SJ, Chaiton M, Ialomiteanu A, Mann R, Rehm J, (2013). Smokers who seek help in specialized cessation clinics: How special are they compared to smokers in general population. Journal of Smoking Cessation - Online Journal, 1(1), 1-9. Sandler JC, Freeman NJ, Farrell P, Seto MC, (2013). Predicting institutional sexual misconduct by adult sex offenders. Criminal Justice and Behavior, 40(10), 1131-1148. Sawyer A, Lake JK, Lunsky Y, Liu SK, Desarkar P, (2014). Psychopharmacological Treatment of Challenging Behavior in Adults with Autism and Intellectual Disability: A Systematic Review. Research in Autism Spectrum Disorder, 8(7), 803-813. Schachar R, Ickowicz A, (2013). Standing on the Shoulders of our Editors Emeriti. J Can Acad Child Adolesc Psychiatry, 22(4), 259-259. Schachar R, Ickowicz A, (2014). Funding for mental health research: looking ahead. J Can Acad Child Adolesc Psychiatry, 23(2), 84-85. Schacht A, Gorwood P, Boyce P, Schaffer A, Picard H, (2014). Depression symptom clusters and their predictive value for treatment outcomes: Results from an individual patient data meta-analysis of duloxetine trials. J Psychiatr Res, 53, 54-61.
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ARTICLES (continued) Schaffer A, Kreindler D, Reis C, Levitt AJ, (2013). Use of Mental Health Telemetry to Enhance Identification and Predictive Value of Early Changes during Augmentation Treatment for Major Depression. Journal of Clinical Psychopharmacology, 33(6), 775-781. Schaffer A, Parikh S, Kennedy SH, Milev R, Frey BN, Goldstein BI, Beaulieu S, Alda M, O’Donovan C, MacQueen G, McIntyre R, Sharma V, Ravindran A, Young LT, Bond DJ, Lam RW, Yatham LN, (2013). Response to commentaries on the Canadian Network for Mood and Anxiety Treatments/International Society for Bipolar Disorders 2013 updated Bipolar Disorder Guidelines. Bipolar Disorders, 15(3), 338-339. Schaffer A, Streiner DL, (2014). Characterizing suicide in Toronto: an observational study and cluster analysis. Can J Psychiatry, 59(1), 26-33. Schneider M, Van Amelsvoort T, Evers R, Boot E, Shashi V, Hooper SR, Bearden CE, Jalbrzikowski M, Armando M, Vicari S, Murphy DG, Ousley O, Campbell LE, Simon TJ, Eliez S and the International q Deletion Syndrome Consortium, (2014). Psychiatric disorders from childhood to adulthood in 22q11.2 deletion syndrome (22q11.2DS): Results from the International Consortium on Brain and Behavior in 22q11.2DS. American Journal of Psychiatry, 171(6), 627-639. Schottenfeld RS, Chawarski MC, Cubells JF, George TP, Lappalainen J, Kosten TR, (2014). Randomized Clinical Trial of Disulfiram for Cocaine Dependence during Buprenorphine Treatment. Drug and Alcohol Dependence, 136(3), 36-42. Schweizer TA, Li Z, Fischer CE, Alexander M, Smith S, Graham S, Fornazzari L, (2013). From the Thalamus with Love: A Rare Window into the Locus of Emotional Synesthesia. Neurology, 81(5), 509-510. Schwindt GC, Chaudhary S, Crane D, Ganda A, Masellis M, Grady CL, Stefanovic B, Black SE, (2013). Modulation of the default mode network between rest and task in Alzheimer’s Disease. Cerebral Cortex, 23(7), 1685-1694. Scott-Van Zeeland A, Bloss C, Tewhey R, Bansal V, Torkamani A, Libiger O, Duvvuri V, Wineinger N, Galvez L, Kaplan AS, Darst BF, Smith EN, Carson A, Pham P, Phillips T, Villarasa N, Tisch R, Zhang G, Levy S, Berrettini W, Kaye W, Schork NJ., (2013). Evidence for the role of EPHX2 gene variants in anorexia nervosa. Molecular Psychiatry, 19(6), 724-732. Seeman MV, (2013). Loss of libido in a woman with schizophrenia. American Journal of Psychiatry, 170(5), 471475. Seeman MV, (2013). Reunion. Ars Medica, 49(2), 41-43. Seeman MV, (2013). Seasonal gifts. Can Med Assoc J, 185(18), 1603-1603. Seeman MV, (2013). Spotlight on sibling involvement in schizophrenia treatment. Psychiatry, 74(4), 311-322. Seeman MV, (2013). Women and Schizophrenia: New Findings. Neuropsychiatry, 3(4), 423-431. Seeman MV, (2014). Mentally ill and Jewish in World War II. Hektoen International, 5(4), . Seeman MV, (2014). Zofiówka sanatorium. American Journal of Psychiatry, 171(6), 625-626. Seeman MV, Seeman P, (2014). Is schizophrenia a dopamine supersensitivity reaction. Prog Neuropsychopharmacol Biol Psychiatry, 48(3), 155-160.
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ARTICLES (continued) Seitz D, Bell C, Fischer H, Newman A, Herrmann N, Gill SS, Reimer C, Anderson GM, Rochon PA, (2013). Risk of perioperative blood transfusions and postoperative complications associated with serotonergic antidepressants in older adults undergoing hip fracture surgery. Journal of Clinical Psychopharmacology, 33(6), 790-798. Seitz DP, Gill S, Herrmann N, Rapoport MJ, Rines J, Brisbin S, Wilson K, Conn D, LeClair K, (2013). Pharmacological Interventions for Neuropsychiatric Symptoms of Dementia in Long-Term Care: A Systematic Review. International Psychogeriatrics, 25(2), 185-203. Selby P, Andriash K, Zawertailo L, Persad D, Zack M, Busto UE, (2013). Escalating doses of transdermal nicotine in heavy smokers: effects on smoking behavior and craving. J Clin Psychopharmacol, 33(5), 667-674. Sellbom M, Anderson JL, Bagby RM, (2013). Assessing DSM-5 Section III traits and disorders with the MMPI-2-RF. Assessment, 20(6), 709-722. Seto MC, Ahmed AG, (2014). Treatment and management of child pornography use. Psychiatric clinics of North America, 37(2), 207-214. Seto MC, Kingston DA, Bourget D, (2014). Assessment of the paraphilias. Psychiatric clinics of North America, 37(2), 149-161. Shanmugasegaram S, Oh P, Reid RD, McCumber T, Grace SL, (2013). A comparison of barriers to use of home versus hospital-based cardiac rehabilitation and relation to exercise. Journal of Cardiopulmonary Rehabilitation and Prevention, 33(5), 297-302. Shanmugasegaram S, Oh P, Reid RD, McCumber T, Grace SL, (2013). Cardiac rehabilitation barriers by rurality and socioeconomic status: A cross-sectional study. International Journal for Equity in Health, 12(1), 72-72. Shera W, Ramon S, (2013). Challenges in implementing recovery-oriented mental health policy and services: An analysis of developments in England and Canada. International Journal of Mental Health, 42(2), 17-42. Sherry SB, MacKinnon AL, Fossum K, Antony MM, Stewart SH, Sherry DL, Nealis LJ, Mushquash AR, (2013). Perfectionism, discrepancies, and depression: Testing the perfectionism social disconnection model in a short-term, four-wave longitudinal study. Personality and Individual Differences, 54(6), 692-697. Sherry SB, Sherry DL, Macneil MA, Smith MM, Mackinnon SP, Stewart SH, Antony MM, (2014). Does socially prescribed perfectionism predict daily conflict? A 14-day daily diary study of romantic couples using self-and partner-reports. Personality and Individual Differences, 61, 24-27. Shi J, Kirsh B, (2013). Gender differences within online gaming: A systematic scoping review protocol. Psychology and Social Behavior Research, 1(5), 242-246. Shi J, Kirsh B, (2013). The occupational engagement of addicted multi-player online gamers. Journal of Behavioral Addictions, 2(1), PO-24. Shield KD, Samokhvalov AV, Rehm J, (2013). Global burden of tuberculosis and lower respiratory infections attributable to alcohol consumption in 2004. International Journal of Alcohol and Drug Research, 2(1), 11-18. Shikitani BA, Cassin SE, (2014). The impact of cognitive restructuring and mindfulness strategies on postevent processing and affect in social anxiety disorder. Journal of Anxiety Disorders, 28(6), 570-579.
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ARTICLES (continued) Shing EC, Tiwari AK, Brandl EJ, Zai CC, Lieberman JA, Meltzer HY, Kennedy JL, Müller DJ, (2014). Fat mass- and obesity-associated (FTO) gene and antipsychotic-induced weight gain: an association study. Neuropsychobiology, 69(1), 59-63. Shorter E, (2013). Psychiatry and Fads: Why is this field different from all other fields. Canadian Journal of Psychiatry, 58(10), 555-559. Shorter E, (2013). Review of Max Fink, Rediscovering Catatonia: The Biography of A Treatable Syndrome. Journal of ECT, 29(3), 250-251. Shorter E, (2013). Review of Patrrick Kury, Der überforderte Mensch. Gesnerus: Swiss Journal of the History of Medicine and Science, 70(2), 363-364. Shorter E, (2014). The 25th anniversary of the launch of Prozac gives pause for thought: where did we go wrong. British Journal of Psychiatry, 204(5), 331-332. Shorter E, Segesser K, (2013). Traditional Chinese Medicine and western psychopharmacology: building bridges. Phytotherapy Research, 27(12), 1739-1744. Shorter E, Wachtel LE, (2013). Childhood catatonia, autism and psychosis past and present: Is there an ‘iron triangle’. Acta Psychiatrica Scandinavica, 128(1), 21-33. Shulman K, Herrmann N, Walker S, (2013). Current Place of Monoamine Oxidase Inhibitors in the Treatment of Depression. CNS Drugs, 27(10), 789-797. Silveira PP, Portella A, Kennedy JL, Gaudreau H, Davis C, Steiner M, et al, (2014). Association between the SevenRepeat Allele of the Dopamine-4 Receptor Gene (DRD4) and Spontaneous Food Intake in Pre-School Children. Appetite, 73(1), 15-22. Silver I, (2013). Letter in response to Mitchell et?al. ‘Collective amnesia: reversing the global epidemic of addiction library closures’. Addiction, 108(2), 137-137. Simpson AIF, McMaster JF, and Cohen S, (2013). Challenges for Canada In Meeting the Needs of Persons with Serious Mental Illness in Prison: A Selective Review. Journal of the American Academy of Psychiatry and Law, 14(4), 501-509. Siu C, Agid O, Remington G, (2013). Bias in efficacy ranking using indirect comparisons: network structure and placebo. Lancet, 382(9905), 1874. Skilling TA, Sorge G, (2014). Measuring antisocial values and attitudes in justice-involved male youth: Evaluating the usefulness of the Pride in Delinquency and Criminal Sentiments Scale. Criminal Justice and Behavior, 41(8), 9921007. Sloan EP, (2014). Retention in psychiatric treatment in a Canadian sample of HIV-positive women. AIDS Care, 26(7), 927-930. Sloane JA, (2013). Sleep, Death and Rebirth: a relational perspective on sleep in the countertransference. Contemporary Psychoanalysis, 49(4), 509-535.
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ARTICLES (continued) Smith AJ, Marshall S, Porter MM, Ha L, Bedard M, Gelinas I, Man-Son- Hing M, Mazer BL, Rapoport MJ, Tuokko, HA, Vrkljan BH, (2013). Stability of physical assessment of older drivers over 1 year. Accident Analysis & Prevention, 61, 253-260. Soares-Goulart D, Nassif-Sores A, Machado A, Shera W, (2013). Intersectorial support of families of abusers of alcohol and other drugs. Society in Debate, 19(2), 174-208. Sockalingam S, Cassin S, Crawford SA, Pitzul K, Khan A, Hawa R, Jackson T, Okrainec A, (2013). Psychiatric Predictors of Surgery Non-Completion Following Suitability Assessment for Bariatric Surgery. Obesity Surgery, 23(2), 205-211. Sockalingam S, Cassin SE, Hawa R, Khan A, Wnuk S, Okrainec A, (2013). Predictors of post-bariatric surgery appointment attendance: The role of relationship style. Obesity Surgery, 23(12), 2026-2032. Sockalingam S, Stergiopoulos V, Maggi J, Zaretsky A, Stovel L, Hodges B, (2013). Evaluating psychiatry residents as physician managers: the development of an assessment tool. Academic Psychiatry, 37(1), 11-17. Sockalingam S, Tan A, Hawa R, Pollex H, Abbey S, Hodges BD, (2014). Interprofessional Education for Delirium Care: a Systematic Review. Journal of Interprofessional Care, 28(4), 345-351. Soderlund H, Moscovitch M, Kumar N, Daskalakis J, Flint A, Herrmann N, Levine B, (2014). Autobiographical episodic memory in major depressive disorder. Journal of Abnormal Psychology, 123, 51-60. Soeiro-de-Souza MG, Andreazza AC, Carvalho AF, Machado-Vieira R, Young LT, Moreno RA, (2013). Number of manic episodes is associated with elevated DNA oxidation in bipolar I disorder. The international journal of neuropsychopharmacology/official scientific journal of the Collegium Internationale Neuropsychopharmacologicum (CINP), 16(7), 1505-1512. Sparks GM, Axelson DA, Yu H, Ha W, Ballester J, Diler RS, Goldstein B, Goldstein T, Hickey MB, Ladouceur CD, Monk K, Sakolsky D, Birmaher B, (2014). Disruptive mood dysregulation disorder and chronic irritability in youth at familial risk for bipolar disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 53(4), 408-416. Spencer BW, Prainsack B, Rujescu D, Giegling I, Collier DA, Gaughran F, Maccabe JH, Barr CL, Sigurdsson E, Stovring H, Malhotra AK, Curran SR CRESTAR Consortium, (2013). Opening Pandora’s box in the UK: a hypothetical pharmacogenetic test for clozapine. Pharmacogenomics, 14(15), 1907-1914. Spiegel TN, Esplen MJ, Hill KA, Wong J, Causer PA, Warner E, (2011). Psychological impact of recall on women with BRCA mutations undergoing MRI surveillance. Breast, 20(5), 424-430. Srirangsan A, Thavorn K, Moon M, Noh S, (2013). Mental Health Needs in the Thai Immigrants in Toronto, Canada. International Journal of Culture and Mental Health, 6(3), 156-169. Stack S, Kral MJ Borowski T, (2014). Exposure to Suicide Movies and Suicide Attempts: A Research Note. Sociological Focus, 47(2), 61-70. Steensma TD, Zucker KJ, Kreukels BPC, VanderLaan DP, Wood H, Fuentes A, Cohen-Kettenis PT, (2014). Behavioral and emotional problems on the Teacher’s Report Form: A cross-national, cross-clinic comparative analysis of gender dysphoric children and adolescents. Journal of Abnormal Child Psychology, 42(4), 635-647.
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ARTICLES (continued) Steiner M, Li T, (2013). Luteal phase and symptom-onset dosing of SSRIs/SNRIs in the treatment of premenstrual dysphoria: clinical evidence and rationale. CNS Drugs, 27(8), 583-589. Stephens RJ, Chung SA, Jovanovic D, Guerra R, Stephens B, Sandor P, Shapiro C, (2013). Relationship Between Polysomnographic Sleep Architecture and Behavior in Medication-free Children with TS, ADHD, TS and ADHD, and Controls. Dev Behav Pediatr, 34(9), 688-696. Stergiopoulos V, Gozdzik A, O’Campo P, Holtby AR, Jeyaratnam J, Tsemberis S, (2014). Housing First: exploring participants’ early support needs. BMC health services research, 14, 167-167. Stergiopoulos V, Topolovec-Vranic J, Ennis N, Ouchterlony D, Cusimano MD, Colantonio A, Hwang SW, Kontos P, Stergiopoulos V, Brenner L, (2013). Clarifying the link between traumatic brain injury and homelessness: workshop proceedings. Brain Injury, 27(13-14), 1600-1605. Sternat T, Lodzinski A, Katzman MA, (2014). Hedonic tone: A bridge between the psychobiology of depression and its comorbidities. Journal of Depression and Anxiety, 3(1), 1-8. Stevens B, Yamada J, Estabrooks CA, Stinson J, Campbell F, Scott SD, Cummings G, CIHR Team in Children’s Pain, (2014). Pain in hospitalized children: Effect of a multidimensional knowledge translation strategy on pain process and clinical outcomes. Pain, 155(1), 60-68. Stevens M, Nixon S, Kirsh B, (2014). Rehabilitation interventions for children with HIV/AIDS. Disability and Rehabilitation, 36(10), 865-874. Stevens SA, Racine N, Pillai Riddell R, Horton R, Garfield H, Greenberg S, (2013). Infant pain-regulation as an early predictor of childhood temperament. Pain Research and Management, 18(6), 313-318. Stewart SE, Yu D, Scharf JM, Neale BM, Fagerness JA, Mathews CA, Arnold PD, Evans PD, Gamazon ER, Osiecki L, McGrath L, Haddad S, Crane J, Hezel D, Illman C, Mayerfeld C, Konkashbaev A, Liu C, Pluzhnikov A, Tikhomirov A, Edlund CK, Rauch SL, Moessner R, F, (2013). Genome-wide association study of obsessive-compulsive disorder. Mol Psychiatry, 18(7), 788-798. Stortz JN, Lake J K, Cobigo V, Ouellette-Kuntz H, Lunsky Y, (2014). Lessons learned from our elders: How to study polypharmacy in populations with intellectual and developmental disabilities. Intellectual and Developmental Disabilities, 52(1), 60-77. Strauss J, Khare T, De Luca V, Jeremian R, Kennedy JL, Vincent JB, Petronis A, (2013). Quantitative Leukocyte BDNF Promoter Methylation Analysis in Bipolar Disorder. International Journal of Bipolar Disorders, 1, 28. Strauss J, Olbrycht P, Woo V, (2013). Behavioral Health Order Sets in a Hybrid Information Environment. The Open Medical Informatics Journal, 7, 30-33. Strike C, Rotondi M, Kolla G, Roy É, Rotondi NK, Rudzinski K, Balian R, Guimond T, Penn R, Silver RB, Millson M, Sirois K, Altenberg J, Hunt N, (2014). Interrupting the social processes linked with initiation of injection drug use: results from a pilot study. Drug and alcohol dependence, 137, 48-54. Suchman M, Wondimagegn D, Pain C, Alem A, (2014). Partnering with local scientists should be mandatory. Nature medicine, 20(1), 12-12.
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ARTICLES (continued) Summerfeldt LJ, Kloosterman PH, Antony MM, Swinson RP, (2014). Examining an obsessive-compulsive core dimensions model: Structural validity of harm avoidance and incompleteness. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 83-94. Sunderji N, Malat J, Leszcz M, (2013). Group Day: experiential learning about group psychotherapy for psychiatry residents at University of Toronto. Academic Psychiatry, 37(5), 352-354. Suridjan I, Rusjan PM, Voineskos AN, Selvanathan T, Setiawan E, Strafella AP, Wilson AA, Meyer JH, Houle S, Mizrahi R, (2014). Neuroinflammation in healthy aging: A PET study using a novel Translocator Protein 18kDa (TSPO) radioligand, [(18)F]-FEPPA. Neuroimage, 84, 868-875. Suzuki T, Graff-Guerrero A, Uchida H, Remington G, Caravaggio F, Borlido C, Pollock B, Mulsant B, Deluca V, Ismail Z, Mamo D, (2013). Dopamine D(2/3) occupancy of ziprasidone across a day: a within-subject PET study. Psychopharmacology (Berl), 228(1), 43-51. Swardfager W, Herrmann N, McIntyre RS, Mazereeuw G, Goldberger K, Cha DS, Schwartz Y, Lanctôt KL, (2013). Potential roles of zinc in the pathophysiology and treatment of major depressive disorder. Neuroscience and Biobehaviorial Reviews, 37(5), 911-929. Swardfager W, Winer DA, Herrmann N, Winer S, Lanctôt KL, (2013). Interleukin-17 in post-stroke neurodegeneration. Neuroscience and Biobehavioral Reviews, 37, 436-447. Swardfager WL, Herrmann N, Mazereeuw G, Goldberger K, Harimoto T, Lanctôt KL, (2013). Zinc in depression: a meta-analysis. Biological Psychiatry, 74(12), 872-878. Tada M, Uchida H, Suzuki T, Abe T, Pollock BG, Mimura M, (2014). Baseline Difference between Patients’ and Clinicians’ Rated Illness Severity Scores and Subsequent Outcomes in Major Depressive Disorder: Analysis of the analysis of the sequenced treatment alternatives to relieve depression data. J Clin Psychopharm, 34(3), 297-302. Tait GR, Hodges BD, (2013). Residents learning from a narrative experience with dying patients: a qualitative study. Advances in health sciences education : theory and practice, 18(4), 727-743. Tajik-Parvinchi DJ, Sandor P, (2013). Enhanced antisaccade abilities in children with Tourette Syndrome: the Gapeffect Reversal. Frontiers in Human Neuroscience, 7, 768. Takeuchi H, Remington G, (2013). A systematic review of reported cases involving psychotic symptoms worsened by aripiprazole in schizophrenia or schizoaffective disorder. Psychopharmacology, 228(2), 175-185. Takeuchi H, Suzuki T, Bies RR, Remington G, Mamo DC, Pollock BG, Mimura M, Uchida H, (2013). Estimated D2 receptor occupancy from plasma concentrations of atypical antipsychotics and subjective experience/drug attitude in schizophrenia: an analysis of the CATIE data. Schizophr Res, 150(2-3), 373-379. Takeuchi H, Suzuki T, Remington G, Bies RR, Abe T, Graff-Guerrero A, Watanabe K, Mimura M, Uchida H, (2013). Effects of risperidone and olanzapine dose reduction on cognitive function in stable patients with schizophrenia: an open-label, randomized, controlled, pilot study. Schizophr Bull, 39(5), 993-998. Takeuchi H, Suzuki T, Remington G, Watanabe K, Mimura M, Uchida H, (2014). Lack of effect of risperidone or olanzapine dose reduction on metabolic parameters, prolactin, and corrected QT interval in stable patients with schizophrenia. J Clin Psychopharmacol, 34(4), 517-520.
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ARTICLES (continued) Takeuchi H, Suzuki T, Remington G, Watanabe K, Mimura M, Uchida H, (2014). Lack of effect of risperidone or olanzapine dose reduction on subjective experiences in stable patients with schizophrenia. Psychiatr Res, 218(1-2), 244-246. Tan A, Hawa R, Sockalingam S, Abbey S, (2013). (Dis) Orientation of International Medical Graduates: An Approach to Foster Teaching Learning and Collaboration. Academic Psychiatry, 37(2), 104-107. Tang C, Shanmugasegaram S, Chow CM, Cho N, Tan Y, Grace SL, (2014). A comparison of psychosocial health in North American and Chinese-Canadian cardiac patients, and ethnocultural correlates of quality of life. Ethnicity & Disease, 24(3), 302-309. Taras V, Sarala R, Muchinsky P, Kemmelmeier M, Singelis T, Avsec A, Coon H, Dinnel D, Gardner W, Grace S, Hardin E, Hsu S, Johnson J, Karakitapoglu Aygun Z, Kashimima E, Kolstad A, Milfont T, Oetzel J, Okazaki S, Probst TM, Sato T, Shafiro M, Schwartz S, Sinclair, (2014). Opposite ends of the same stick? Multi-method test of the dimensionality of individualism and collectivism. Journal of Cross-Cultural Psychology, 45(2), 213-245. Taylor GJ, Bagby RM, (2013). Psychoanalysis and empirical research: The example of alexithymia. Journal of the American Psychoanalytic Association, 61(1), 99-133. Taylor GJ, Bagby RM, Kushner SC, Benoit D, Atkinson L, (2014). Alexithymia and adult attachment representations: Associations with the five-factor model of personality and perceived relationship adjustment. Comprehensive Psychiatry, 55(1), 1258-1268. Taylor VH, Forhan M, Vigod SN, McIntyre RS, Morrison KM, (2013). The Impact of Obesity on Quality of Life. Clinical Endocrinology & Metabolism, 27(2), 139-146. Thase ME, Larsen KG, Reines E and Kennedy SH, (2013). The cardiovascular safety profile of escitalopram. European Neuropsychopharmacology, 23(11), 1391-1400. Thombs BD, Arthurs E, Coronado-Montoya S, Roseman M, Delisle VC, Leavens A, Levis B, Azoulay L, Smith C, Ciofani L, Coyne JC, Feeley N, Gilbody S, Schinazi J, Stewart DE, Zelkowitz P., (2014). Depression screening and patient outcomes in pregnancy or postpartum: a systematic review. J Psychosom Res, 76(6), 433-446. Thorgeirsson TE, Gudbjartsson DF, Sulem P , Besenbacher S, Styrkarsdottir U, Thorleifsson G, Walters G B, TAG Consortium, Oxford-GSK Consortium, ENGAGE consortium, Furberg H, Sullivan PF, Marchini J, McCarthy MI, Steinthorsdottir V, Thorsteinsdottir U, (2013). A common biological basis of obesity and nicotine addiction. Transl Psychiatry, 3(10), e308. Timilshina N, Breunis H, Brandwein, JM, Minden MD, Gupta V, O’Neil S, Tomlinson G, Buckstein R, Li M, Alibhai SMH, (2014). Do quality of life or physical function at diagnosis predict short-term outcomes during intensive chemotherapy in AML. Annals of Oncology, 25, 883-888. To MJ, Jones J, Emara M, Jadad AR, (2013). Are reports of randomized controlled trials improving over time? A systematic review of 284 articles published in high-impact general and specialized medical journals. PLoS One, 8(12), e84779. Tong J, Meyer JH, Furukawa Y, Boileau I, Chang LJ, Wilson AA, Houle S, Kish, (2013). Distribution of monoamine oxidase proteins in human brain: implications for brain imaging studies. J Cereb Blood Flow Metab, 33(6), 863-871.
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ARTICLES (continued) Topolovec-Vranic J, Ennis N, Howatt M, Ouchterlony D, Michalak A, Masanic C, Colantonio A, Hwang, S, Kontos P, Stergiopoulos V, (2014). Traumatic brain injury amongst three cohorts of men in an urban homeless shelter: An observational study of the rates and mechanisms of injury. CMAJ Open, 2(2), E69-E76. Topor DR, Swenson L, Hunt JI, Birmaher B, Strober M, Yen S, Hoeppner BB, Case BG, Hower H, Weinstock LM, Ryan N, Goldstein B, Goldstein T, Gill MK, Axelson D, Keller M., (2013). Manic symptoms in youth with bipolar disorder: factor analysis by age of symptom onset and current age. Journal of Affective Disorders, 145(3), 409-12. Tran C, Wigg KG, Zhang K, Cate-Carter TD, Kerr E, Field LL, Kaplan BJ, Lovett MW, Barr CL, (2014). Association of the ROBO1 gene with reading disabilities in a family-based analysis. Genes Brain Behav, 13(4), 430-438. Tsuboi T, Bies RR, Suzuki T, Mamo DC, Pollock BG, Graff-Guerrero A, Mimura M, Uchida H., (2013). Hyperprolactinemia and Estimated Dopamine D2 Receptor Occupancy and in Patients with Schizophrenia: Analysis of the CATIE Data. Prog in Neuro-Psychopharmacology & Biological Psychiatry, 45, 178-82. Tuokko H, Myers A, Jouk A, Marshall S, Man-Son-Hing M, Porter M, Bedard M, Gelinas I, Korner-Bitensky N, Mazer B, Naglie G, Rapoport M, Vrkljan B, (2013). Associations between age, gender, psychosocial and health characteristics in the Candrive II study cohort. Accident Analysis & Prevention, 61, 267-271. Ungar TE, Goldman S, Marcus M, (2013). Reversed Shared Care in Mental Health - Bringing Primary Physical Health Care to Psychiatric Patients. Canadian Journal of Community Mental Health, 32(3), 1-16. Urbanoski K, Urbanoski KA, Mulsant BH, Novotna G, Ehtesham S, Rush BR, (2013). Does the redesign of a psychiatric inpatient unit change the treatment process and outcomes. Psychiatric Services, 64(8), 804-807. van der Salm SMA, Hann R, Cath DC, Fleur van Rootselaar A, Tijssen MAJ, (2013). The eye of the beholder: interrater agreement among experts on psychogenic jerky movement disorders. Journal of Neurology, Neurosurgery & Psychiatry, 84(7), 742-747. van Draanen J, Jeyaratnam J, O’Campo P, Hwang S, Harriott D, Koo M, Stergiopoulos V, (2013). Meaningful inclusion of consumers in research and service delivery. Psychiatric rehabilitation journal, 36(3), 180-186. Van Reekum R, (2013). Should posttraumatic headaches be considered a post concussive symptom. Brain Injury, 27(10), 1210-1211. VanderLaan DP, Blanchard R, Wood H, Zucker KJ, (2014). Birth order and sibling sex ratio of children and adolescents referred to a Gender Identity Service. PLoS One, 9(3), e90257. Varpio L, Albert M, (2013). How Pierre Bourdieu’s Theory and Concepts Can Apply to Medical Education. Academic Medicine, 88(8), 1189-1190. Véber O, Lendvai Z, Ronai KZ, Dunai A, Zoller R, Lindner AV, Turányi CZ, Szocs JL, Keresztes K, Tabák AG, Novak M, Molnar MZ, Mucsi I, (2014). Obstructive sleep apnea and heart rate variability in male patients with metabolic syndrome: cross-sectional study. Metab Syndr Relat Disord, 12(2), 117-124. Versace A, Young LT, Fournier JC, Almeida JR, Stiffler RS, Lockovich JC, Aslam HA, Pollock MH, Park H, Nimgaonkar VL, Kupfer DJ, Phillips ML, (2014). Elevated serum measures of lipid peroxidation and abnormal prefrontal white matter in euthymic bipolar adults: toward peripheral biomarkers of bipolar disorder. Mol Psychiatry, 19(2), 200-209.
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ARTICLES (continued) Vigod SN, Dennis CL, Kurdyak P, Cairney J, Guttman A, Taylor V, (2014). Fertility rate trends among adolescent girls with major mental illness: a population-based study. Pediatrics, 133(3), 585-591. Vigod SN, Kurdyak PA, Dennis CL, Gruneir A, Newman A, Seeman MV, Rochon PA, Anderson GM, Grigoriadis S, Ray JG, (2014). Maternal and newborn outcomes among women with schizophrenia: a retrospective population-based cohort study. BJOG, 121(5), 566-574. Vigod SN, Kurdyak PA, Dennis CL, Leszcz T, Taylor VH, Blumberger DM, Seitz DP, (2013). Transitional interventions to reduce early psychiatric readmissions in adults: systematic review. British Journal of Psychiatry, 202, 187-194. Vigod SN, Strasbourg K, Daskalakis JD, Blumberger DM, (2014). Systematic review of gamma-aminobutyric-acid inhibitory deficits across the reproductive life cycle. Archives of Women’s Mental Health, 17(2), 87-95. Vigod SN, Tarasoff L, Bryja B, Dennis C-L, Yudin M, Ross L, (2013). Relation between place of residence and postpartum depression. Canadian Medical Association Journal, 185(13), 1129-1135. Vigod SN, Taylor VH, (2013). The psychodynamic psychotherapist’s guide to the interaction among sex, genes, and environmental adversity in the etiology of depression for women. Psychodyn Psychiatry, 41(4), 541-551. Vigod SN, Taylor VH, Fung K, Kurdyak PA, (2013). Early readmission after discharge from psychiatric hospitalization: rates of readmission to the same versus different institutions across Ontario. Canadian Journal of Psychiatry, 58(8), 476-481. Vigod SN, Taylor VH, Fung K, Kurdyak PA, (2013). Within-hospital readmission: an indicator of readmission after discharge from psychiatric hospitalization. Can J Psychiatry, 58(8), 476-481. Vij A, Kowalkowski MA, Hart T, Goltz HH, Hoffman DJ, Knight SJ, (2013). Symptom management strategies for men with early-stage prostate cancer: results from the Prostate Cancer Patient Education Program (PC PEP). Journal of cancer education: the official journal of the American Association for Cancer Education., 28(4), 755-761. Voineskos AN, Felsky D, Kovacevic N, Tiwari AK, Zai CC, Chakravarty MM, Lobaugh NJ, Shenton ME, Rajji TK, Miranda D, Pollock BG, Mulsant BH, McIntosh AR, Kennedy JL., (2013). Oligodendrocyte genes, white matter tract integrity and cognition in schizophrenia. Cerebral Cortex, 23(9), 2044-2057. Volpe T, Boydell KM, Pignatiello A., (2014). Mental health services for Nunavut children and youth: evaluating a telepsychiatry pilot project. Rural Remote Health, 14(2), 2673-2673. Volpe T, Boydell, KM, Pignatiello A, (2013). Choosing a Career in Child and Adolescent Psychiatry: What Factors Influence Medical Students. Canadian Academy of Child and Adolescent Psychiatry, 22(4), 260-267. Wachtel LE, Dhossche DM, Fink M, Jaffe R, Kellner CH, Weeks H, Shorter E, (2013). ECT for Developmental Disability and Severe Mental Illness. American Journal of Psychiatry, 170(12), 1498-1499. Wachtel LE, Schuldt L, Ghaziuddin N, Shorter E, (2013). The potential role of electoconvulsive therapy in the ‘Iron Triangle’ of pediatric catatonia, autism, and psychosis. Acta Psychiatrica Scandinavica, 128(5), 408-410. Wachtel LE, Shorter E, (2013). Autism plus psychosis: a ‘one-two punch’ risk for tragic violence. Medical Hypotheses, 81(3), 404-409.
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ARTICLES (continued) Wachtel LE, Shorter E, (2013). Self-injurious behaviour in children: A treatable catatonic syndrome. Australian and New Zealand Journal of Psychiatry, 47(12), 1113-1115. Wadha D, Burman D, Swami N, Rodin G, Lo C, Zimmermann C, (2013). Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology, 22(2), 403-410. Walker MJ, Davis C, Al-Sahab B, Tamim H, (2013). Reported Maternal Postpartum Depression and Risk of Childhood Psychopathology. Maternal Child and Health Journal, 17(5), 907-917. Warnock CA, Ferguson ID, Lam J, (2014). Psychotropic Drug Prescribing Survey in a Canadian Rehabilitation and Complex Care Facility. The Consultant Pharmacist, 29(6), 387-399. Watkins KE, Way CY, Gregory DM, LeDrew HM, Ludlow VC, Esplen MJ, Dowden JJ, Cox J E, Fitzgerald GWN Parfrey PS, (2013). Development and preliminary testing of the Psychosocial Adjustment to Hereditary Diseases scale. BMC Psychology, 1(7), 1-13. Weiss JA, Robinson S, Fung S, Tint A, Chalmers P, Lunsky Y, (2013). Family hardiness, social support, and selfefficacy in mothers of individuals with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 7(11), 1310-1317. Whitehead C, Hodges BD, Austen Z, (2013). Captive on a carousel: discourses of ‘new’ in medical education 19102010. Advances in health sciences education : theory and practice, 18(4), 755-768. Whitehead C, Hodges BD, Austen Z, (2013). Dissecting the doctor: from character to characteristics in North American medical education. Advances in health sciences education : theory and practice, 18(4), 687-699. Wiess J A, Viecili M A, Sloman L, Lunsky Y, (2013). Direct and indirect psychosocial outcomes for children with autism spectrum disorder and their parents following a parent-involved social skills group intervention. Journal of Canadian Academy of Child and Adolescent Psychiatry, 22(4), 303-309. Wilby KJ, Herrmann N, Mamdani MM, (2013). Cross-national comparison of antidepressant utilization in North America and Europe. Journal of Clinical Psychopharmacology, 33, 585-587. Wiljer D, Urowitz S, Jones J, Kornblum A, Secord S, Catton P, (2013). Exploring the use of the survivorship consult in providing survivorship care. Support Care Cancer, 21(8), 2117-2124. Wiljer D, Walton T, Gilbert G, Boucher A, Ellis PE, Schiff S, Sellick SM, Simunovic M, Kennedy E, Urowitz S, (2013). Understanding the needs of colorectal cancer patients during the pre-diagnosis phase. Journal Cancer Education, 28(3), 402-407. Wilkie T, Penney SR, Fernane S, Simpson AIF, (2014). Characteristics and motivations of absconders from forensic mental health services. BMC Psychiatry, 14, 91-103. Wilson MG, Husbands W, Makoroka L, Rueda S, Greenspan NR, Eady A, Dolan L, Kennedy R, Cattano J, Rourke SB, (2013). Counseling, case management and health promotion for people living with HIV/AIDS: An overview of systematic reviews. AIDS and Behavior, 17(5), 1612-1625. Wing VC, Barr MS, Wass CE, Lipsman N, Lozano A, Daskalakis ZJ, George TP, (2013). Brain Stimulation Methods to Treat Nicotine Addiction. Brain Stimulation, 6(4), 221-230.
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ARTICLES (continued) Wing VC, Rabin RA, Wass CE, George TP, (2013). Correlations between executive function, decision-making and impulsivity are disrupted in schizophrenia versus controls. Schizophrenia Research, 205(1), 168-171. Wing VC, Tang YL, Cubells JF, Sacco KA, George TP, (2013). Effect of COMT Val158Met genotype on nicotine withdrawal-related cognitive dysfunction in schizophrenia and control smokers. Schizophrenia Research, 150(11), 602-603. Wing VC, Wass CE, Bacher IC, Rabin RA, George TP, (2013). Varenicline modulates spatial working memory performance in smokers with schizophrenia. Schizophrenia Research, 149(11), 190-191. Winterburn JL, Pruessner JC, Chavez S, Schira MM Lobaugh NJ, Voineskos AN, Chakravarty MM, (2013). A novel in vivo atlas of human hippocampal subfields using high-resolution 3T magnetic resonance imaging. Neuroimage, 74, 254-265. Witt K, Kuhn J, Timmerman L, Zurowski M, Woopen C, (2013). Deep brain stimulation and the search for identity. Neuroethics, 6, 499-511. Wnuk S, McMain S, Links PS, Habinski L, Murray J, Guimond T, (2013). Factors related to dropout from treatment in two outpatient treatments for borderline personality disorder. Journal of Personality Disorders, 27(6), 716-726. Wong JC, Payne AY, Mah K, Lebel S, Lee RN, Irish J, Rodin G, Devins GM, (2013). Negative cancer stereotypes and disease-specific self-concept in head and neck cancer. Psycho-Oncology, 22(5), 1055-1063. Woolnough A, Salim D, Marshall SC, Weegar K, Porter MM, Rapoport MJ, Man-Son-Hing M, Bedard M, Gelinas I, Korner-Bitensky N, Mazer B, Naglie G, Tuokko H, Vrkljan B, (2013). Determining the validity of the AMA guide: A historical cohort analysis of the Assessment of Driving Related Skills and crash rate among older drivers. Accident Analysis & Prevention, 61, 311-316. Wright L, Lipszyc J, Dupuis A, Thayapararajah SW, Schachar R, (2014). Response inhibition and psychopathology: A meta-analysis of go/no-go task performance. J Abnorm Psychol, 123(2), 429-439. Wright L, Simpson W, Van Lieshout RJ, Steiner M, (2014). Depression and cardiovascular disease in women: is there a common immunological basis? A theoretical synthesis. Therapeutic Advances in Cardiovascular Disease, 8(2), 5669. Wu CS, Desarkar P, Palucka A, Lunsky Y, Liu SK, (2013). Inpatient treatment and hospitalization course of acute bipolar episodes in bipolar patients with intellectual disability. Research in Developmental Disabilities, 34(11), 4062-4072. Xu W, Cohen-Woods S, Chen Q, Noor A, Knight J, Hosang G, Parikh SV, De Luca V, Tozzi F, Muglia P, Forte J, McQuillin A, Hu P, Gurling HM, Kennedy JL, McGuffin P, Farmer A, Strauss J, Vincent JB., (2014). Genome-wide association study of bipolar disorder in Canadian and UK populations corroborates disease loci including SYNE1 and CSMD1. BMC Med Genet, 15, 2-2. Yang L, Neale BM, Liu L, Lee SH, Wray NR, Ji N, Li H, Qian Q, Wang D, Li J, Faraone SV, Wang Y, Psychiatric GWAS Consortium: ADHD Subgroup, Doyle AE, Reif A, Rothenberger A, Franke B, Sonuga-Barke EJ, Steinhausen HC, Buitelaar JK, Kuntsi J, Biederman J, L, (2013). Polygenic transmission and complex neuro developmental network for attention deficit hyperactivity disorder: genome-wide association study of both common and rare variants. Am J Med Genet B Neuropsychiatr Genet, 162B(5), 419-430.
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ARTICLES (continued) Yatham LN, Kennedy SH, Parikh SV, Schaffer A, Beaulieu S, Alda M, O’Donovan C, Macqueen G, McIntyre RS, Sharma V, Ravindran A, Young LT, Milev R, Bond DJ, Frey BN, Goldstein BI, (2013). The evolution of CANMAT Bipolar Disorder Guidelines: past, present, and future. Bipolar Disorders, 15(1), 58-60. Yatham LN, Kennedy SH, Parikh SV, Schaffer A, Beaulieu S, Alda M, O’Donovan C, Macqueen G, McIntyre RS, Sharma V, Ravindran A, Young LT, Milev R, Bond DJ, Frey BN, Goldstein BI, Lafer B, Birmaher B, Ha K, Nolen WA, Berk M., (2013). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013. Bipolar Disorders, 15(1), 1-44. Yilmaz Z, Davis C, Loxton NJ, Kaplan AS, Levitan RD, Carter JC, Kennedy JL, (2014). Overeating Mediates MC4R Polymorphism and Variation in Body Weight. International Journal of Obesity, 07(14), . Yilmaz Z, Kaplan AS, Tiwari AK, Levitan RD, Piran S, Bergen AW, Kaye WH, Hakonarson H, Wang K, Berrettini WH, Brandt HA, Bulik CM, Crawford S, Crow S, Fichter MM, Halmi KA, Johnson CL, Keel PK, Klump KL, Magistretti P, Mitchell JE, Strober M, Thornton LM, et al, (2014). The Role of Leptin, Melanocortin, and Neurotrophin System Genes on Body Weight in Anorexia Nervosa and Bulimia Nervosa. Journal of Psychiatric Research, 55(1), 77-86. Yoshida K, Bies RR, Suzuki T, Remington G, Pollock BG, Mizuno Y, Miniura M, Uchida H, (2014). Tardive dyskinesia in relation to estimated dopamine D2 receptor occupancy in patients with schizophrenia: analysis of the CATIE data. Schizophr Res, 153(1-3), 184-188. Yuen T, Chow EWC, Silversides C, Bassett AS, (2013). Premorbid adjustment and schizophrenia in individuals with 22q11.2 deletion syndrome. Schizophrenia Research, 151(1), 221-225. Zaher E, Mason R, (2014). Saudi Family-Medicine Residents’ Readiness to Manage Intimate Partner Violence: A ?Needs Assessment Study. World Family Medicine Journal, 12(1), 14-20. Zai CC, Tiwari AK, Mazzoco M, De Luca V, Mueller DJ, Shaikh SA, Lohoff FW, Freeman N, Voineskos AN, Potkin SG, Lieberman JA, Meltzer HY, Remington G, Kennedy JL, (2013). Association study of the vesicular monoamine transporter gene SLC18A2 with tardive dyskinesia. J Psychiatr Res, 47(11), 1760-1765. Zai CC, Zai GC, Tiwari AK, Manchia M, de Luca V, Shaikh SA, Strauss J, Kennedy JL., (2014). Association Study of GABRG2 Polymorphisms with Suicidal Behaviour in Schizophrenia Patients with Alcohol Use Disorder. Neuropsychobiology, 69(3), 154-158. Zalcman R, Mann RE, Stoduto G, Nochajski TH, Rush BR, Herie M, Watkin-Merek L, Koski-Jännes A, Christine M, Wickens CM, Rehm, J, (2013). Evidence from regression-discontinuity analyses for beneficial effects of a criterionbased increase in alcohol treatment. International Journal of Methods in Psychiatry, 22(1), 59-70. Zawadski JA, Girard TA, Foussias G, Rodrigues A, Siddiqui I, Lerch JP, Grady C, Remington G, Wong A, (2013). Simulating real world functioning in schizophrenia using a naturalistic city environment and single-trial, goaldirected navigation. Fr Behav Neurosci, 26(7), 180. Zerwas S, Lund BC, Von Holle A, Thornton LM, Berrettini WH, Brandt H, Crawford S, Fichter MM, Halmi KA, Johnson C, Kaplan AS, La Via M, Mitchell J, Rotondo A, Strober M, Woodside DB, Kaye WH, Bulik CM., (2014). Factors associated with recovery from anorexia nervosa. J Psychiatr Res, 47(7), 972-979.
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ARTICLES (continued) Zimmermann C, Swami N, Krzyzanowska M, Hannon B, Leighl N, Oza A, Moore M, Rydall A, Rodin G, Tannock I, Donner A, Lo C, (2014). Cluster randomized trial of early palliative care for patients with advanced cancer. Lancet, 383(9930), 1721-1730. Zimmermann C, Yuen D, Mischitelle A, Minden MD, Brandwein JM, Schimmer A, Gagliese L, Lo C, Rydall A, Rodin G, (2013). Symptom burden and supportive care in patients with acute leukemia. Leukemia Research, 37(7), 731-736. Zipursky RB, (2014). Why are the outcomes in patients with schizophrenia so poor. J Clin Psychiatry, 75(2), 20-24. Zipursky RB, Menezes NM, Streiner DL, (2014). Risk of symptom recurrence with medication discontinuation in first-episode psychosis: a systematic review. Schizophr Res, 152(2), 408-414. Zipursky RB, Reilly TJ, Murray RM, (2013). The myth of schizophrenia as a progressive brain disease. Schizophr Bull, 39(6), 1363-1372. Zorzella KPM, Muller RT, Classen CC, (2014). Trauma group therapy: The role of attachment and therapeutic alliance. International Journal of Group Psychotherapy, 64(1), 24-47. Zucker KJ, (2013). Correcting for continuity in 2 x 2 chi-square tests: Comment on Skagerberg, Parkinson, and Carmichael (2013) [Letter to the Editor]. International Journal of Transgenderism, 14(4), 155-156. Zucker KJ, Cohen-Kettenis PT, Drescher J, Meyer-Bahlburg HFL, Pfafflin F, Womack WM, (2013). Memo outlining evidence for change for gender identity disorder in the DSM-5. Archives of Sexual Behavior, 42(5), 901-914.
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Department of Psychiatry, Annual Report 2013-2014 - Books Beitchman JH, Brownlie EB, Language disorders in children and adolescents, Hogrefe, 2014. Davenport W, Pringsheim T, Gorman DA, Doja A, Robbie’s quick adventure, (Self-published through private donation), 2013. Epstein T, Greene, Ross, The Adventures of Stretch More, Woodbine House, 2014. Fefergrad M, Richter P, Psychotherapy Essentials to Go: Cognitive Behavioral Therapy for Anxiety, Ravitz P, Maunder RG (eds), WW Norton & Company, 2013. Fefergrad M, Zaretsky A, Psychotherapy Essentials to Go: Cognitive Behavioral Therapy for Depression, Ravitz P, Maunder RG (eds), WW Norton & Company, 2013. Fivaz-Depeursinge E, Philipp DA, The baby and the couple: Understanding and treating young famlies, Routledge, 2014. Glancy G, Regehr C, Mental Health Social Work Practice in Canada, 2nd edition, Oxford University Press, 2014. Grabe HJ, Rufer, M, Bagby, RM, Taylor, GJ, Parker, JDA, TSIA: Structuriertes Toronto Alexithymie Interview. German-language adaptation of the Toronto Structured Interview for Alexithymia (Test Manual), Verlag Hans Huber, 2014. Hucker SJ, Webster, CD, Haque, Q, Violence Risk: Assessment and Management (2nd edition), Wiley-Blackwell, 2013. Khenti A, Sapag JC, Mohamoud S, Ravindran AV (eds), Collaborative Mental Health: An Advanced Manual for Primary Care Professionals, Centre for Addiction and Mental Health, 2013. Lunsky Y, Klein-Geltink J E, Yates E A (eds), Atlas on the primary care of adults with developmental disabilities in Ontario, Institute of Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013. McMain S, Wiebe C, Essentials to Go: Dialectical Behavior Therapy for Emotion Dysregulation., Ravitz P, Maunder RG (eds), Norton & Company, 2013. McMain S, Wiebe C, Psychotherapy Essentials to Go: Dialectical Behavior Therapy for Emotional Dysregulation, Ravitz P, Maunder RG (eds), WW Norton & Company, 2013. Mishna F, Van Wert M, Bullying in Canada, Oxford University Press Canada, 2014. Nelson S, Tassone M, Hodges BD, Creating the Health Care Team of the Future: The Toronto Model for Interprofessional Education and Care, Cornell University Press, 2014. Ravitz P, Watson P, Grigoriadis S, Psychotherapy Essentials to Go: Interpersonal Psychotherapy for Depression, Ravitz P, Maunder RG (eds), WW Norton & Company, 2013. Shahid A, Bhurga DK, Syed EU, cultural Aspects of Psychiatry, Joli Joco Publication Inc, 2013. Shorter E, Partnership for Excellence: Medicine at the University of Toronto and Academic Hospitals, University of Toronto Press, 2013. Showraki M, ADHD:Revisited, Amazon Kindle book, 2013. Simich L, Andermann L (eds), Refuge and Resilience: Promoting Resilience and Mental Health among Resettled Refugees and Forced Migrants, Springer, 2014. Skinner W, Cooper C, Psychotherapy Essentials to Go: Motivational Interviewing for Concurrent Disorders, Ravitz P, Maunder RG (eds), WW Norton & Company, 2013. Taylor GJ, Bagby RM, Caretti V, Schimmenti A, La valutazione dell’alessitimia con la TSIA, Cortina Raffaello, 2014.
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BOOK CHAPTERS Albert M, Paradis E, “Social scientists in the health research field: A clash of epistemic habitus” In: Handbook of Science, Technology, and Society, Kleinman D, Moore K. Routledge, 2014, 369-387. Andermann L, “Reflections on Using a Cultural Psychiatry Approach to Assessing and Fortifying Refugee Resilience in Canada” In: Refuge and Resilience: Promoting Resilience and Mental Health among Resettled Refugees and Forced Migrants, Simich L, Andermann L. Springer Netherlands, 2014, 61-71. Bagby RM, Watson C, Ryder AG, “Depressive Personality Disorder” In: Personality Disorders and the Five-Factor Model, Widiger TA, Costa PT. 2013, 179-192. Balogh RS, Wood JR, Lunsky Y, Ouellette-Kuntz HMJ, Wilton AS, CobigoV, Isaacs BJ, Klein-Geltink JE, Lin E, “Chronic disease management” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, Klein-Geltink JE, Yates EA. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013, 92-116. Beiser M, Korczak DJ, “Post-traumatic Stress Disorder in Immigrant and Refugee Children and Youth.” In: Caring for Kids New to Canada, Beiser M, Korczak DJ, Barrozzino T, Hui C (eds). Canadian Paediatric Society, 2013. Bigos KL, Bies RR, Pollock BG, “Pharmacokinetics and pharmacodynamics in late life.” In: Late-Life Mood Disorders, Bigos KL, Bigos KL, Bies RR, Pollock BG, Lavretsky, Sajatovic, Reynolds (eds). Oxford University Press, 2013, 655-674. Blank S, Karan LD, Miller MM, Prochaska J, Hurt RD, Sachs D, Williams JM, Steinberg M, Selby P, Wassum K, Burke M, “Tobacco Use Disorders” In: The ASAM Criteria: Treatment Criteria for Substance-Related, Addictive, and Co-Occurring Conditions, 3rd Edition, David ML. American Society of Addiction Medicine, Inc.;, 2013. Boydell KM, “Using visual arts to enhance mental health literacy in schools” In: Marginalized youth, Boydell KM, Tilleczek K (ed). Wilfrid University Press, 2013. Burchett D, Bagby RM, “Multimethod assessment of distortion: Integrating data from interviews, collateral records, and standardized assessment tools.” In: Multi-method Clinical Assessment, Hopwood CJ, Bornstein RF. 2014, 345-378. Cantor JM, “Gold star pedophiles in general sex therapy practice” In: Principles and practice of sex therapy (5th ed.), Binik YM, Hall K. Guildford, 2014, 219-234. Chaim G, Shenfeld J, “Working with Youth and their Families” In: Fundamentals of Addiction: A Practical Guide for Counsellors, Herie M, Skinner W. CAMH, 2014, 549-580. Charach A, Ickowicz A, “Diagnosis and Assessment of ADHD” In: ADHD: clinical management of Attention Deficit Hyperactivity Disorder, Charach A, Ickowicz A, Hechtman L (ed). Future Medicine, 2013. Chung HJ, Ng E, Ibrahim S, Benach J, Muntaner C, “Welfare State Regimes, Gender, and Depression” In: Proceedings of the 2013 Korean Politics Institute Meeting, Korean Politics Institute. Korean Politics Institute, 2013, 940-956. Cobigo V, Ouellette-Kuntz HMJ, Lake JK, Wilton AS, Lunsky Y, “Medication use” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, Klein-Geltink J, Yates EA. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013, 117-136. Corvin A, Buchanan RW, Carpenter WT Jr, Kennedy JL, Keshavan MS, MacDonald AW III, Sass L, Wessa M – The Ernst Strüngmann Forum, “Which Aspects of Heterogeneity Are Useful to Translational Success?” In: Schizophrenia Evolution and Synthesis, Corvin A, Buchanan RW, Carpenter WT Jr, Kennedy JL, Keshavan MS, MacDonald AW III, Sass L, Wessa M – The Ernst Strüngmann Forum, Silverstein SM, Moghaddam B, Wykes T (eds). The MIT Press, 2013, 77-89. Cote I, “Pilot-Project on Incarcerated Former Military Personnel in Three Ontario Detention Centres 2011-2012” In: Beyond the Line: Military and Veteran Health Research, Aiken AB, Belanger SAH. McGill-Queen’s University Press, 2013, 307-318.
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BOOK CHAPTERS (continued) Davies S, Allgulander C, “Anxiety and Cardiovascular Disease” In: Modern Trends in Pharmacopsychiatry - Anxiety Disorders, Baldwin DS, Leonard B. Karger, 2013, 85-97. Davis DA, Goldman J, Perrier L, Silver IL, “Continuing Professional Development.” In: A Practical Guide for Medical Teachers: 4th Edition, Dent JA, Harden RM. Elsevier, 2013, 46-54. Emerson S, Leszcz M, “Am I Enough?” In: Complex Dilemmas in Group Therapy: Pathways to Resolution, 2nd Edition, Emerson S, Leszcz M, Motherwell L, Shay JJ (eds). Routledge Taylor & Francis Group, 2014, 154-161. Farzan F, “Single-Pulse Protocols and Outcome Measures” In: Transcranial Magnetic Stimulation, Rotenberg A, Cooney Horvath J, Pascual-Leone A. Springer, 2014, 69-115. Fitzgerald P, Li M, Grassi L, Rodin G, “Pharmacotherapy of Depression in Cancer Patients” In: Psychopharmacology in Oncology and Palliative Care, Grassi L, Riba M. Springer, 2014, 145-161. Gee BA, Hood HK, Antony MM, “Anxiety disorders: A historical perspective” In: Abnormal psychology through the ages, Plante TG. ABC-CLIO/Praeger, 2013, 31-47. Ghaffar O, “Cognitive dysfunction in multiple sclerosis” In: The Neuropsychiatry Casebook, Ghaffar O, Hurwitz T, Lee W (eds). American Psychiatric Association Press, 2013. Gill S, Leung J, Oryema N, “Psychiatry” In: Essential Med Notes for Medical Students 2013, Gill S, Leung J, Oryema N, Editorsin-chief: C Woodford, C Yao; Associate Editors: J Lynch, K Bacon; EBM Editor: M Cohen; Staff Editor: J Teshima. Toronto Notes for Medical Students Inc., 2013, PS1-PS52. Goossens E, Kovacs AH, Mackie AS, Moons P, “Transfer and transition in congenital heart disease” In: Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, Goossens E, Kovacs AH, Mackie AS, Moons P. Springer, 2014, 2633-2649. Haji-Khameneh B, George TP, “Non-nicotine medications” In: Interventions for Addiction: Comprehensive Addictive Behaviors and Disorders, PM Miller. Academic Press, 2013, 345-353. Halman M, Halman M, “Psychopharmacology in Psychiatric Co-morbidity.” In: HIV and Psychiatry, Halman M, Joska J, Stein D, Grant I (eds). Wiley and sons, 2014, 199-204. Haque N, Khanlou N, “Overview of cultural competency in Canada” In: Encyclopedia of Human Services and Diversity, Cousins LH. Sage Publications, 2014. Hawa R, Lofchy J, Rappaport M, “The Psychiatric Exam” In: The Essentials of Clinical Examination Handbook, 7th Edition, Hawa R, Lofchy J, Rappaport M. University of Toronto Medical Society, 2013, 317-334. Hilton NZ, Harris, GT Rice, ME, “The actuarial assessment of risk for domestic violence recidivism” In: Domestic assault risk assessment: Predictive validity at the interface of forensic and victimological psychology, Winkel FW, Baldry AC. Wolf Legal Publishers, 2013, 127-144. Hodges BD, “Faculty development for research capacity building” In: Faculty Development in the Health Professions: A Focus on Research and Practice, Steinert Y. Springer Publishing, 2014, 79-96. Hucker SJ, Lykins A, “Treatment of Sexual Masochism” In: Case Studies in Sexual Deviance: Towards Evidence Based Practice, O’Donohue. Routledge, 2014, 102-116. Hucker SJ, Marshall W, Nitschke J, Mokros A, “Sexual sadism” In: Handbook on the Theories, Assessment and Treatment of Sexual Offending, Volume 2, Craig LM, Rettenberger M. Wiley-Blackwell, 1913, 450-469.
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BOOK CHAPTERS (continued) Iaboni A, Fitzgerald P, Rodin G, “Special Issues in Psychopharmacology: the Elderly” In: Psychopharmacology in Oncology and Palliative Care, Grassi L, Riba M. Springer, 2014, 349-368. Isaacs B, Jaakkimainen L, Barnsley J, Klein-Geltink J, Balogh R, Cobigo V, Lin E, Ouellette-Kuntz H, Wilton A, Lunsky Y, “Health services utilization” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Isaacs B, Jaakkimainen L, Barnsley J, Klein-Geltink J, Balogh R, Cobigo V, Lin E, Ouellette-Kuntz H, Wilton A, Lunsky Y, Lunsky Y, Klein-Geltink JE, Yates EA (eds). Institute for Clinical Evaluative Sciences, 2013. Isaacs BJ, Jaakkimainen RL, Barnsley J, Klein-Geltink JE, Balogh RS, Cobigo V, Lin E, Ouellette-Kuntz HMJ, Wilton AS, Lunsky Y, “Health services utilization” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, Klein-Geltink JE, Yates EA. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013, 41-62. Islam F, Khanlou N, “Bangladesh” In: Cultural Sociology of Mental Illness: An A-to-Z Guide, Scull A. Sage Publications, 2014. Islam F, Khanlou N, “Canada” In: Cultural Sociology of Mental Illness: An A-to-Z Guide, Scull A. Sage Publications, 2014. Kaplan AS, Kaplan AS, “Overview of Feeding and Eating Disorders” In: Treatment of Psychiatric Disorders, 5th Edition, Kaplan AS, Gabbard (ed). American Psychiatric Press, 2014. Khanlou N, Shakya YB, Islam F, Oudeh E, “Newcomer youth self-esteem: A community-based mixed methods study of Afghan, Columbian, Sudanese and Tamil youth in Toronto, Canada” In: Refuge and resilience: Promoting resilience and mental health among resettled refugees and forced migrants, Simich L, Andermann L. Springer, 2014, 109-129. Killeen TT, Cassin SE, Geller J, “Motivational interviewing in the treatment of addictions and eating disorders” In: Eating disorders, addictions, and substance use disorders: Research, clinical, and treatment perspectives, Brewerton TD, BakerDennis A. Springer Publishers, 2014, 491-507. Korczak DJ, Beiser M, “Cultural Aspects of Depression” In: Caring for Kids New to Canada, Korczak DJ, Beiser M, Barrozzino T, Hui C (eds). Canadian Paediatric Society, 2013. Kral MJ, “Anthropological Psychology” In: International Encyclopedia of Critical Psychology, Teo T. Springer, 2014, 103-109. Kral MJ, Idlout L, “Well-Being Among Inuit in Nunavut, Canada” In: Encyclopedia of Quality of Lofe Research, Michalos A. Springer, 2013, 100-115. Lachmann M, “Equality and Fear” In: Statistics, Science, and Public Policy: Evidence, Equality, and Policy, Herzberg AM. Queen’s University, 2014, 127-132. Lake JK, Palucka AM, Desarkar P, Hassiotis A, Lunsky Y, “Inpatient mental health services for adults with intellectual disabilities” In: Handbook of Psychopathology in Intellectual Disability, Tsakanikos J, McCarthy J. Springer Science, 2014, 373-386. Leszcz M, “Foreword” In: Group Analytic Psychotherapy: Working with Affective, Anxiety and Personality Disorders, Lorentzen S. Routledge Press, 2013, VIII-XI. Lin E, Selick A, Balogh RS, Isaacs BJ, Ouellette-Kuntz HMJ, Klein-Geltink JE, Cobigo V, Wilton AS, Lunsky Y, “Prevalence, demographic and disease profiles” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, Klein-Geltink J, Yates EA. nstitute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013, 20-40. Lipsman N, Woodside B, Lozano AM, “Evaluating the potential of deep brain stimulation for treatment-resistant anorexia nervosa” In: Handbook of Clinical Neurology, Lozano AM, Hallett M. 2014, 271-276.
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BOOK CHAPTERS (continued) Lunsky Y, Balogh R, Cobigo V, Isaacs B, Lin E, Ouellette-Kuntz H, “Excellent care for all adults with developmental disabilities: Conclusion” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, Klein-Geltink JE, Yates AE. Institute for Clinical Evaluative Sciences, 2013, 137-145. Lunsky Y, Balogh R, Cobigo V, Isaacs B, Lin E, Ouellette-Kuntz H, “Introduction: The H-CARDD Primary Care Project” In: Atlas on the Primary Care of Adults with Developmental Disabilities, Lunsky Y, Balogh R, Cobigo V, Isaacs B, Lin E, Ouellette-Kuntz H, Lunsky Y, Klein-Geltink JE, Yates EA (eds). Institute for Clinical Evaluative Sciences, 2013. Lunsky Y, Balogh R, Cobigo V, Isaacs B, Lin E, Ouellette-Kuntz H, “Putting it all together: Excellent care for all adults with developmental disabilities” In: Atlas on the Primary Care of Adults with Developmental Disabilities, Lunsky Y, Balogh R, Cobigo V, Isaacs B, Lin E, Ouellette-Kuntz H, Lunsky Y, Klein-Geltink JE, Yates EA (eds). Institute for Clinical Evaluative Sciences, 2013. Lunsky Y, Balogh RS, Cobigo V, Isaacs BJ, Lin E, Ouellette-Kuntz HMJ, “Primary care of adults with developmental disabilities in Ontario: An overview” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, KleinGeltink J E, Yates EA. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013, 5-17. Madan R, “Cognitive Behavioural Therapy (Individual and Group)” In: A Community Outpatient Model for the Treatment of Depression: The Baycrest Psychiatric Day Hospital Intervention Training Manual, Madan R, Schwartz K, Madan R (eds). Baycrest, 2013, 31-36. Madan R, “Education” In: A Community Outpatient Model for the Treatment of Depression: The Baycrest Psychiatric Day Hospital Intervention Training Manual, Madan R, Schwartz K, Madan R (eds). Baycrest, 2013, 98-. Madan R, Cohen J, Schwartz K, “Putting It Together: A Case Illustration” In: A Community Outpatient Model for the Treatment of Depression: The Baycrest Psychiatric Day Hospital Intervention Training Manual, Madan R, Cohen J, Schwartz K, Schwartz K, Madan R (eds). Baycrest, 2013, 89-90. Madan R, Conn DC, “Depressive Disorders in Late-Life” In: A Community Outpatient Model for the Treatment of Depression: The Baycrest Psychiatric Day Hospital Intervention Training Manual, Madan R, Conn DK, Schwartz K, Madan R (eds). Baycrest, 2013, 3-7. Madan R, Rosenberg M, “Structure of the Baycrest Psychiatric Day Hospital” In: A Community Outpatient Model for the Treatment of Depression: The Baycrest Psychiatric Day Hospital Intervention Training Manual, Madan R, Rosenberg M, Schwartz K, Madan R (eds). Baycrest, 2013, 8-14. Mainland B, Shulman K, “Clock drawing, in Cognitive Screening Instruments” In: Clock drawing, in Cognitive Screening Instruments, Mainland B, Shulman K, Larmer AJ (ed). Springer, 2013. Manassis K, “Evidence-Based Psychosocial Treatments.” In: Evidence-Based Psychosocial Treatments, Manassis K. 2013. Manassis K, Wilansky-Traynor P, “Special Considerations in Treating Anxiety Disorders in Adolescents” In: Handbook of Treating Variants and Complications in Anxiety Disorders, Storch EA, McKay D. Springer Science and Business Media, 2013, 163-172. Maunder RG, Hunter J, “An attachment perspective on understanding and managing medically unexplained symptoms.” In: In Using Attachment Theory in Adult Mental Health: A Guide to Clinical Practice, Danquah A, Berry K. Routledge, 2013, 145-149. McMain S, Wiebe C, “Therapist Compassion: A Dialectical Behavior Therapy Perspective” In: Transforming Negative Reactions to Clients: from Frustration to Compassion, Wolf AW, Goldfried MR, Muran JC. American Psychological Association, 2013, 163173. Meyer JH, “Monoamine oxidase A and serotonin transporter imaging with positron emission tomography” In: PET and SPECT of Neurobiological Systems, Dierckx R, Otte A, de Vries EFJ, van Wararde A. Springer, 2014, 711-739.
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BOOK CHAPTERS (continued) Mishna F, Van Wert M, “Bullying” In: Handbook of social work practice with vulnerable and resilient populations 3rd Ed, Gitterman A. 2014, 227-247. Morgan C, O’Donovan M, Bittner RA, Cadenhead K, McGrath J, Silverstein SM, Tost H, Uhlhaas P, Jones P, Voineskos A, “How Can Risk and Resilience Factors Be Leveraged to Optimize Discovery Pathways?” In: Ernst Strüngmann Forum: Schizophrenia: Evolution and Synthesis, Morgan C, O’Donovan M, Bittner RA, Cadenhead K, McGrath J, Silverstein SM, Tost H, Uhlhaas P, Jones P, Voineskos A, Silverstein S, Moghaddam B, Wykes T (eds). MIT Press, 2013. Mulsant BH, Pollock BG, “Psychopharmacology” In: Clinical Manual of Geriatric Psychiatry, Mulsant BH, Pollock BG, Thakur ME, Blazer DG, Steffens DC (eds). American Psychiatric Publishing, 2013/10, 17-82. Muntaner C, Ng E, Chung, H, Eaton, WW, “Mental Health” In: Social Injustice and Public Health, Levy B, Sidel V. OUP, 2013, 272285. Muntaner C, Ng E, Vanroelen C, Christ S, Eaton WW, “Social Stratification, Social Closure, and Social Class as Determinants of Mental Health Disparities” In: Handbook of the Sociology of Mental Health, Aneshensel CS, Phelan JC, Bierman A. ASA, 2013, 205-227. Nowakowski ME, Rogojanski J, Antony MM, “Specific phobia” In: Wiley handbook of cognitive behavioral therapy, Hofmann SG. Wiley-Blackwell, 2014, 979-999. Oncken CA, George TP, “Nicotine & Tobacco” In: Clinical Manual of Addiction Psychopharmacology, HR Kranzler, D Ciranulo. American Psychiatric Press Inc, 2014, 71-96. Ouellette-Kuntz HMJ, Cobigo V, Balogh RS, Wilton AS, Lunsky Y, “Secondary Prevention” In: Atlas on the Primary Care of Adults with Developmental Disabilities in Ontario, Lunsky Y, Klein-Geltink JeE, Yates EA. Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health, 2013, 65-91. Pain C, Alem A, “Medical education and global mental health” In: Essentials of Global Health, Okpaku SO. Cambridge University Press, 2013, 391-398. Pain C, Kanagaratnam P, Payne D, “The Debate about Trauma and Psychosocial Treatment for Refugees” In: Refuge and Resilience: Promoting Resilience and Mental Health among Resettled Refugees and Forced Migrants, Editors- Simich L, Andermann L. Springer, 2014, 51-60. Pataky-Forsyth CE, Gerretsen P, Pollock BG, “From the intersection of pharmacology, imaging, and genetics to the advancement of personalized medicine.” In: Handbook of Personalized Medicine: Advances in Nanotechnology, Drug Delivery and Therapy, Pataky-Forsyth CE, Gerretsen P, Pollock BG, Vizirianakis IS (eds). Pan Stanford Publishing, 2014/01, 341-374. Peterkin A, “Foreword.” In: Healthcare Disparities and the LGBT Population., Editors- Harvey VL, Housel TH. Lexington Books, 2014, XI-XIII. Rabin RA, George TP, “Neurobiology of Substance Use Disorders” In: Fundamentals of Addiction: A Practical Guide for Counselors, Herie M, Skinner WJW. Centre for Addiction and Mental Health, 2013, 38-71. Rampes H, Pilkington K, “Chapter 30: Complementary and alternative therapies” In: The Art and Science of Mental Health Nursing: A textbook of principles and practice, 3rd Edition, Norman I, Ryrie I (eds), Norman I, Ryrie I (eds). Open University Press, 2013. Rantanen J, Benach J, Muntaner C, Kawakami T,Kim R, “Work, health and employment” In: Health in All Policies: Seizing Opportunities, Implementing Policies, Leppo K, Ollila E, Pena S, Wismar M, Cook S. Ministry of Social Affairs and Health, 2013, 125-162.
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BOOK CHAPTERS (continued) Ravindran AV, da Silva TL, “Herbal remedies and nutraceuticals as augmentation or adjunct for mood and anxiety disorders: Evidence for benefit and risk” In: Polypharmacy in Psychiatry Practice, Volume II: Use of Polypharmacy in the “Real” World, Ritsner M. Springer, 2013, 191-231. Rector NA, “CBT for medication-resistant psychosis: Targeting the negative symptoms” In: CBT for Schizophrenia: EvidenceBased Interventions and Future Directions, Rector NA, Steel C (ed). Wiley-Blackwell, 2013, 87-108. Rennie D, Nissim R, “The Grounded Theory Method and Humanistic Psychology” In: The Handbook of Humanistic Psychology: Leading Edges in Theory, Practice, and Research, 2nd Edition, Schneider K, Pierson J, Bugental J. Sage, 2015, 297-308. Rice ME, Harris GT, “Psychopathy and violent recidivism” In: Handbook on psychopathy and law, Kiehl KA, Sinnott-Armstrong W. Oxford University Press, 2013, 231-249. Rice ME, Harris GT, “Treatment for adult sex offenders: May we reject the null hypothesis?” In: The Wiley-Blackwell Handbook of legal & ethical aspects of sex offender treatment and management, Harrison, K, Rainey B. Wiley-Blackwell, 2013, 219-235. Rowa K, Hood HK, Antony MM, “Generalized anxiety disorder” In: Psychopathology: History, diagnosis, and empirical foundations, 2nd ed, Craighead WE, Miklowitz DJ, Craighead LW. John Wiley and Sons, 2013, 108-146. Rowa K, Milosevic I, Antony MM, “Cognitive-behavioral therapy for social anxiety disorder: Applying the approach” In: WileyBlackwell handbook of social anxiety, Weeks JW. Wiley-Blackwell, 2014, 498-520. Rummens JA, Sefa Dei GJ, “Chapter 6: Addressing Marginalization Inside Education: Racialized, Immigrant and Aboriginal Youth” In: Marginalized Youth and Contemporary Educational Contexts, Rummens JA, Sefa Dei GJ, Tilleczek K, Ferguson BH (eds). Wilfred Laurier Press, 2013, 115-134. Samokhvalov AV, Farid Araki K, Selby P, Rehm J, “Alcohol-related seizure disorders” In: Borderland of Epilepsy Revisited, Reuber M, Schachter SC. Oxford University Press, 2013, 144-154. Samokhvalov AV, Rehm J, “Heroin Addiction” In: Principles of Addiction. Comprehensive Addictive Behaviours and Disorders, Volume I, Miller PM. Academic press, 2013, 657-667. Samokhvalov AV, Shuper PA, Rehm J, “Infectious Disease” In: Alcohol: Science, Policy, and Public Health, Boyle P, Boffetta P, Lowenfels AB, Burns H, Brawley O, Zatonski W, Rehm J. Oxford University Press, 2013, 300-306. Samokolov AV, Keyghobad FA, Selby P, Rehm J, “Alcohol related seizure disorder” In: Borderland of Epilepsy Revisited, 1st Edition, Reuber M, Schachter SC, Reuber M, Schachter SC (eds). Oxford, 2013, 350-350. Schwartz K, Madan R, “Introduction” In: A Community Outpatient Model for the Treatment of Depression: The Baycrest Psychiatric Day Hospital Intervention Training Manual, Schwartz K, Madan R, Schwartz K, Madan R (eds). Baycrest, 2013, 1-2. Schwartz KM, “Psychology” In: The Encyclopedia of Elder Care, Schwartz KM, Capezuti EA, Malone ML, Katz PR, Mezei MD. 2013. Selby P, Barker M, Herie M, “Treating Tobacco Dependence” In: Alcohol and Drug Problems, 4th Edition, Herie M, Skinner W. 2013, 239-274. Seto MC, Pullman L, “Risk factors for adolescent sexual offending” In: Encyclopedia of criminology and criminal justice, Bruinsma GJN, Weisburd DL. 2013, 4466-4475. Shera W, “International social work and social welfare: North America” In: Encyclopedia of Social Work, Edward R. NASW Press, 2013.
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BOOK CHAPTERS (continued) Shorter E, “The History of DSM” In: Making the DSM-5: Concepts and Controversies, Shorter E, Paris J, Phillips J. Springer, 2013, 3-19. Shorter E, “The History of Pediatric ECT” In: Electroconvulsive Therapy in Children and Adolescents, Walter G, Ghazziuddin N. Oxford University Press, 2013, 1-17. Silver I, “Starting a Program in Faculty Development” In: Faculty Development in the Health Professions, Steinert Y. Springer Publishing Company, 2013, 331-349. Simpson AIF, “Forensic Mental Health Systems: Fitting the Threads Together. Chapter 30” In: Law and Mental Disorder, Simpson AIF, Bloom H, Schneider R (eds). Irwin LAW, 2013. Sinyor M, Schaffer A, Cheung AH, “Means Restriction as a Suicide Prevention Strategy: Lessons Learned and Future Directions” In: Routledge International Handbook of Clinical Suicide Research, Sinyor M, Schaffer A, Cheung AH, Cutcliffe JR, Santos J, Links P, Zaheer J, Harder HG, Campbell F, McCormick R, Harder K, Bergmans Y, Eynan R (eds). Routledge, 2013. Sloane JA, “Reflections on the Failure to Become a Training Analyst” In: Understanding and Coping with Failure: Psychoanalytic Perspectives, Willock B, Curtis RC, Bohm L. Routledge, 2014, 132-142. Soroor W, Khanlou N, “Afghanistan” In: Cultural Sociology of Mental Illness: An A-to-Z Guide, Scull A. Sage Publications, 2014. Srivastava R, “Culture, Religion, and Family-Centred Care” In: Ethics and Law in Paediatric Patient and Family Centred Care, Zlotnik-Shaul R. Springer, 2014, 57-77. Srivastava R, “Health Equity and Cultural Competence” In: Medical-Surgical Nursing in Canada, Third Edition, Barry M, Goldsworthy S, Goodridge D. Mosby, 2014, 20-36. Steiner M, Li T, “Premenstrual syndromes” In: Office Gynecology, 7th Edition, Curtis MG, Linares ST, Antoniewicz L. 2014, 143154. Vachon MLS, “After Death: The Clinical Issues” In: Safe Passgae: A Global Spiritual Sourcebook for Care at the End of Life, McCorkle R, Sulmasy D, Lazenby M. Oxford University Press, 2014, 232-234. Vallabhaneni M, “A Hindu Reading of On Freud’s ‘The Unconscious’” In: On Freud’s “The Unconscious”, Akhtar S, O’ Neil MK. Karnac Books, 2013, 132-159. Vigod SN, Steiner M, “Chapter 17: Conditions Related to the Menstrual Cycle” In: Women’s Health Psychology, Vigod SN, Steiner M, Spiers M, Geller P, Kloss J (eds). John Wiley & Sons, 2013. Vigod SN, Steiner M, “Chapter 2: Biological Changes During Pregnancy and Postpartum – Biomarkers of Perinatal Psychopathology: Are we There Yet?” In: The Oxford Handbook of Perinatal Psychology, Vigod SN, Steiner M, Wenzel A, Stuart S (eds). 2013. Vorstenbosch V, Newman L, Antony MM, “Exposure techniques” In: Wiley handbook of cognitive behavioral therapy, Hofmann SG. Wiley-Blackwell, 2014, 45-65. Watson C, Bagby RM, “Assessment of Narcissistic Personality Disorder” In: The Handbook of Narcissism and Narcissistic Personality Disorder: Theoretical Approaches, Empirical Findings, and Treatment, Cambell WK, Miller JD. Wiley, 2014. Watson CPN, Gilron I, Pollock BG, “Antidepressant Analgesics” In: Wall and Melzack’s Textbook of Pain, 6th Edition, Watson CPN, Gilron I, Pollock BG, McMahon SB, Koltzenberg M, Tracey I, Turk DC (eds). Saunders, 2013, 465-490.
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BOOK CHAPTERS (continued) Zaheer J, Links P, Law S, Shera W, Tsang KT, Cheung C, Fung L, Liu P, “Suicide-related behavior in Chinese women: Illustrating the role of cultural conceptions of gender in understanding and preventing suicide” In: Routledge International Handbook of Clinical Suicide Research, Cutcliffe JR, Santos JC, Links PS, Zaheer J, Harder HG, Campbell F, McCormick R, Harder K, Bergmans Y, Eynan R. Routledge, 2014, 114-126. Zucker KJ, “Gender dysphoria” In: Handbook of developmental psychopathology (3rd ed.), Lewis M, Rudolph KD. Springer, 2014, 683-702. Zucker KJ, “Trajectoires developpementales des enfants ayant un trouble de l’identitie de genre” In: Cerveau, psyche et developpement, Chiland C, Raynaud JP. Odile Jacob, 2014, 121-142. Zucker KJ, Brown N, “Gender dysphoria” In: Principles and practice of sex therapy (Fifth ed.), Binik YM, Hall K. Guilford Press, 2014, 236-262. Zucker KJ, Wood H, VanderLaan DP, “Models of psychopathology in children and adolescents with gender dysphoria” In: Gender dysphoria and disorders of sex development: Progress in care and knowledge, Kreukels BPC, Steensma TD, deVries ALC. Springer, 2014, 171-192.