Family medicine | |
Personnel | |
Cultural training | Refugee-focused didactic sessions throughout family medicine resident physicians’ second year (eg, grand round lectures, workshops and informal meetings that focus on cultural practices of different refugee groups).
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Services | |
Behavioural health* |
Personnel | Attending clinical psychologists. Doctoral students in clinical psychology. One second-year family medicine resident physician at a time (all are required to rotate for 4 weeks). Up to one fourth-year medical student at a time (option to rotate for 2 or 4 weeks).
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Cultural training | |
Services | |
Developmental Screeners | A 60 min session completed for infants and toddlers prior to well child check-ups. If areas of developmental concern are identified (ie, delayed speech, limited fine motor movement, suspected autism spectrum disorder), referrals are placed to further assessment and/or intervention recommendations are provided to parents.
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Behavioural health appointments | A targeted, 30–60 min brief intervention. Focused on identifying and intervening on a specific aspect of the patient’s life that is troubling them the most (eg, low mood, psychosomatic headaches, stress, insomnia, parenting difficulties, difficulty communicating with spouse, smoking). Up to five behavioural health appointments are available to each IFMC patient each year.
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Ongoing psychotherapy | Recurring, 50 min individual, couples or family therapy. Duration and frequency of the treatment, along with treatment goals, are collaboratively determined between patient and provider.
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Psychiatry | |
Personnel | |
Cultural training | Extensive didactics on cultural psychiatry. Monthly journal club that focuses on issues involving culture and psychiatry/evaluation. Weekly group supervision to collaboratively discuss new intakes and the ongoing care needs of established patients.
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Services | Medication management. Integrated psychiatry and psychotherapy services. Medication consultation services for family medicine providers. Typically serving patients who: Failed pharmacotherapy initiated by the family medicine providers. Have more severe or persistent symptoms. Who appear not to be adjusting months-to-years after resettlement and are suspected of experiencing depression or some other psychiatric concern.
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