Mental Health and Addictions Service

Medical Psychiatric Service

Medical Psychiatry Consultation Service

Beyond the emergency department, we provide psychiatric consults to all the medical, surgical and subspecialty floors and outpatient clinics. We also provide follow up of patients upon discharge, if needed.

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The team consists of:

  • Four full time medical psychiatrists.
  • One full time geriatric psychiatrist.
  • One full time nurse practitioner.
  • One to two psychiatry residents.
  • One to three medical students.
  • Two full time secretaries.

Services offered

  • Comprehensive interprofessional psychiatric assessment
  • Diagnosis information for patients and caregivers
  • Treatment recommendations and medication Monitoring
  • Links to appropriate community support services
  • Short-term psychosocial interventions
  • Psychiatric care through the Ontario Telemedicine Network

How to access the service

You can access the service by directly paging the psychiatrists, nurse practitioner and secretaries for inpatient care or completing the referral form (52 kb pdf file)

For further information contact 416-864-5120.

HIV Psychiatry

The Medical Psychiatry consultation in HIV provides care to people living with HIV who also have mental health concerns.

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Treatment modalities include comprehensive psychiatric care, psychopharmacology and short-term psychotherapeutic services. The service provides integrated mental health outreach services in the Positive Care Clinic (PCC) at St. Michael's Hospital, at Casey House Hospice, primary care at 410 Sherbourne Health Centre and Maple Leaf Clinic and has a partnership with community organizations such as Fife House and McEwan House.  

Services offered

Care is provided by psychiatrists who provide a range of mental health services.

Services include:

  • Diagnostic assessment of psychiatric and substance related conditions.
  • Assessment of neuropsychiatric complications of HIV disease, including HIV-associate Neurocognitive Disorders (HAND)
  • Psychopharmacological management.
  • Time limited psychotherapeutic services.
  • Preparation and facilitation of treatment access for HIV positive patients with concurrent mental health and substance related disorders.

How to access the service

Referrals to ambulatory HIV psychiatry service are made by completing the the referral form (95 kb pdf file)

For further information contact 416-864-5120.

Memory Clinic

Provide comprehensive assessment and follow up of older adults experiencing changes in memory and cognition. Patients referred to the clinic receive comprehensive cognitive screening, diagnostic imaging and are given the opportunity to participate in a wide variety of research studies.

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Services offered

  • Comprehensive interprofessional assessment of dementia
  • Diagnosis information for patients and caregivers
  • Medication Monitoring and follow up
  • Links to appropriate community support services
  • Recommendations for ongoing dementia management

Eligibility criteria

Individuals usually 55 years old and older with dementia, or with new onset of cognitive impairment where the diagnosis is unclear, presentations are unusual or cognitive difficulties may be related to psychiatric disorder, complex medical problems or drug interactions.

How to access the service

To access St. Michael’s Mental Health Ambulatory and Community Mental Health Programs a patient referral form must be completed by a family physician and faxed to 416-864-3091. For further information please call 416-864-5120.

Medical Psychiatric Outpatient Clinics

The Medical Psychiatrist Consultation Service provides care in two different areas:

  1. at the St Michael’s HospitalĀ  Mental Health and Addictions Serviceā€“ 17th Cardinal Carter; and
  2. through integrated clinics in areas of HIV, Head Injury, Cystic Fibrosis; Dialysis, Diabetes, Gynecology and Obstetrics
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Services offered

  • Comprehensive interprofessional psychiatric assessment
  • Diagnosis information for patients and caregivers
  • Treatment recommendations and medication monitoring
  • Links to appropriate community support services
  • Short-term psychosocial interventions

Eligibility criteria

Patients receiving care in medical and surgical clinics are St. Michael’s Hospital or from community partners are eligible.

How to access the service

To access the service, there is one standardized referral form that can be obtained by calling the intake secretary at 416-864-5120.

Integrated clinics: service can be accessed through any clinician from specific programs Psychiatric care through the Ontario Telemedicine Network.