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Psychosis is treatable - get help early

Island Health Authority

1. Name of Service

Early Intervention Services (embedded in the Nanaimo Adult Community Support Services Portfolio)
Nanaimo MHSU Island Health

2. Address of Service

203 - 2000 Island Highway,
Nanaimo, BC
V9S 5W3

phone: 250-739-5796
fax: 250-739-5739

3. Hours of Service:

Monday to Friday from 8:30am - 4:30pm

After hours: 7 day a week, additional clinical and rehab supports/programming, holidays, evenings, weekends available through our ACSS program.

Crisis response team 7:00am - 10:00pm via Crisis Line

Nanaimo General Hospital has a psychiatric emergency service available 24/7

4. Who Can Receive Services?

Age range Young adults, 17.5 - 30 years of age. 

Work closely with local MCFD, CYMH & CICAPP services to seamlessly transition youth to adult services and/or accept young adults where the developmental and clinical needs are best met with an adult population / targeted service.

Type of Psychoses or disorders

Any young person experiencing a first break episode (including presumed substance induced episode) or presents with possible prodromal clinical picture.

Catchment areas served Nanaimo
Other criteria

 

5. Do I need A Referral?

Anyone can refer including self-referral. (A third party referral requires client consent)

6. Program Description: 

Basic early psychosis services provided include:

Complete assessment of symptoms and physical functioning
* Provide complete mental health assessment including capacity to offer functional (OT) and psychological and psychiatric assessment.
* Clinicians work with primary care for physical health concerns.
Medication management
Case manager
Family Support and Education
* Offer groups throughout year for family members, individualized support via case managers, partner agencies also offer programming for families – i.e. BCSS
Client education
Treatment of problems in living and other mental health issues

In addition to these basic early intervention services more comprehensive services may be offered including:

Groups (In Partnership with Psychiatric Day Hospital)
* CBT for psychosis
Public education regarding early identification and intervention
Cognitive assessments and rehabilitation
Vocational rehab programs
Medication side effect monitoring, healthy living programs
* includes metabolic monitoring, side effect monitoring, healthy living programs, physical education 1:1 and group
Alumni programs
* paid EIS peer support worker opportunities
Research and opportunities to participate in studies
EIS focused rehab housing
IPS / Competitive employment services

Comprehensiveness and degree of specialization of the service:

Full EPI Program (Level 1)
Developing EPI Program (Level 2)
EPI Informed Care (Level 3)
General Mental Heath Service only (Level 4)

Criteria to help describe level of service.

Full EPI Program (Level 1) with a full range of services and compliance with almost all Standards and Guidelines). Highly specialized program and staff

Developing EPI Program (i.e. Level 2) with most staff who have received specialized EPI training and the service is not at the level of service given by Full programs but certainly exceeds the breadth and intensity of services by EPI-Informed Level 3 services or generic mental health centres.

EPI-Informed Care (Level 3) is characterized by no formal status and reduced scope of services compared to the Standards and guidelines yet there must be a minimum of specialized training or skill working with early psychosis clients and families. This type of service is frequent in rural areas where there may be a sole clinician who has received specialized EPI training who handles first episode clients and works with physicians in the communities in the catchment area.

General Mental health service (Level 4 -No special EPI service) refers to general mental health service without the specialized training, expertise and services concerning early psychosis.