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Community Services

In March 2017, Eastern Health introduced a number of initiatives designed to increase access to mental health and addictions services, and provide care that is more specific to an individual’s needs. The initiatives were implemented to respond to the growing need for mental health and addictions services by streamlining existing services and introducing new ones throughout the region.
 
They are in keeping with Eastern Health’s focus on mental health and addictions, to both provide more timely support, and to ensure the care is of the highest possible quality for individuals who require it.
 
These initiatives include: 

 
Introduction of Walk-in Services: DoorWays
 
Effective the week of February 27, 2017, Eastern Health introduced “DoorWays,” a mental health and addictions walk-in service, at a number of sites throughout the region. Health-care professionals, including psychologists, nurses, addictions counselors and social workers will offer single-session therapy services on a first-come, first-serve basis to those who feel they need to speak to someone right away. 
 
The walk-in clinics will be available in Clarenville, Ferryland, Harbour Grace, Holyrood, Whitbourne, Marystown, and St. John’s (see below for dates). The clinics will be available to men, women, and children over the age of 12 and they will significantly expand a walk-in service previously piloted in Witless Bay. That service has received a very favourable response, in that is has not only improved access, but also increased client satisfaction.
 
With a single-session walk-in clinic service, there is no triage, no intake process, and no wait list. There is no formal assessment and no formal diagnostic process, just one hour of therapy focused on the clients’ stated needs. Research shows that 45-50 per cent of the people receiving walk in service do not ask for, or require, referral into further services as they report that the one session has been sufficient to assist them in addressing their needs. This, in turn, increases access for others requiring support.
 
Walk-in Services are available, as follows:
 
Harbour Grace 
Location: Taylor Building  
Hours of Operation: First and third Wednesday of each month 8:30 a.m. – 4:30 p.m. (effective March 1, 2017)
Phone Number: (709) 945-6512
 
Whitbourne
Location: Community Services Building
Hours of Operation: Third Monday of each month, 9:30 a.m. – 3:30 p.m. (effective March 13, 2017)
Phone Number: (709) 759-3370
 
St. John’s 
Location: Building 532, Pleasantville (Back of building on Roosevelt Ave)
Hours of Operation: Mondays 8:30 a.m. – 4:30 p.m. (effective March 13, 2017)
Thursdays 11:00 a.m. – 7:00 p.m.
Phone Number: *To be announced when service is operational* 
 
Clarenville 
Location: Coish Place
Hours of Operation: Every second Tuesday 8:30 a.m. – 4:30 p.m. (effective March 14, 2017)
Phone Number: (709) 466-5723
 
Marystown 
Location: Community Services Building
Hours of Operation: Every second Tuesday 8:30 a.m. – 4:30 p.m. (effective March 14, 2017)
Phone Number: (709) 279-7952
 
Ferryland
Location: Ferryland Health & Community Services Clinic
Hours of Operation: Third Wednesday of each month, from 9:00 a.m. – 4:30 p.m. (effective March 15, 2017)
Phone Number: (709) 432-2930
 
Holyrood
Location: Community Services Building
Hours of Operation: Every third Thursday, 9:30 a.m. – 3:30 p.m. (effective March 16, 2017)
Phone Number: (709) 229-1551
 
Witless Bay                                                                           
Location: Community Services Building
Hours of Operation: Third Thursday of each month, from 8:30 a.m. – 4:30 p.m. (effective March 16, 2017)
Phone Number: (709) 334-3941

 
Reorganization of Community Services
 
Effective March 6, 2017, adult mental health and addictions counselling services on the northeast Avalon will be reorganized into four inter-disciplinary teams with a broad professional skill mix, including addictions counselors, nurses, social workers, psychologists, occupational therapists and therapeutic recreation professionals.
 
These teams will be located in the eastern, central and western sections of St. John’s, along with another in Conception Bay South. Services will be accessed through Adult Central Intake, and tailored more closely to an individual’s needs and geographical location, using the ‘stepped care’ model of service delivery. Stepped care is an evidence-based approach to care that involves matching individuals to the most appropriate level of care, based on their specific needs. This approach will be implemented in all community services throughout the eastern region.
 
These urban teams will function similarly to community mental health and addictions teams already in place in other parts of the eastern region, and will enable clients to access a range of services from the one team. Current clients will be notified of any changes by their service provider.
 
Locations of Community Services teams:
  • St. John’s East Team:  Terrace Clinic, Major’s Path
  • St. John’s Centre Team:  3 West, St. Clare’s Mercy Hospital (former START space) and LeMarchant House
  • St. John’s West Team:  Community offices, Mount Pearl Square
  • Conception Bay South Team:  Villa Nova Plaza, Manuels  
As part of this reorganization, the services previously offered by the START program (urgent referrals and brief therapy) and Employment Services will now be available through each of the new geographically-based teams.
 
Access to these services will be facilitated through Adult Central Intake at 709-752-8888.
 
*Please note that current outpatient psychiatry services are not impacted by these changes, and will continue in their existing locations.

 
Recovery Centre Transitions to Medically-Supported Care 
 
In an effort to respond more effectively and safely to the needs of individuals with complex addictions issues, the Recovery Centre in St. John’s has recently transitioned to a medically-supported service.
 
Under the new model, individuals admitted to the Centre may now receive medication to help with their withdrawal symptoms/health complications, and will be monitored around the clock by nursing staff. Previously, the Centre operated as a non-medical, social setting detoxification program where those who underwent detox, did so without any medications or medical support. This was not seen as an optimal approach, and often resulted in individuals having to be transferred to the emergency department or discharging themselves early.
 
The current clinical team includes a nurse practitioner, registered nurses, licensed practical nurses and an addictions counsellor and offers a more comprehensive approach to care by addressing the individual’s physical and mental health needs during their stay.
 
The new model of care has meant a change in the admission process, whereby admissions will now be planned during regular business hours to enable a comprehensive assessment of client needs. Urgent after-hours admissions will be arranged, as necessary.
 
The Mental Health and Addictions staff recognize that detox is often the first step in an individual’s recovery from addiction - and for that reason, want to provide a service that best supports the withdrawal process, and improve access for those who need it most.
 
The Recovery Centre is located at Building 532, Pleasantville in St. John’s:  Phone 709-752-4980 to arrange an initial screening.   

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Updated Mar 16, 2017