Category: Mental Health

EP239-3 - Exploration and Assessment of a Unique Model of Care in Secondary Level Adult Schedule 1 Psychiatry Unit in ON Canada

Friday, Nov 24
1:55 PM – 2:10 PM


Purpose: To explore, document and assess a unique model of care for patients admitted to a secondary level schedule 1 adult psychiatry unit
Background: At the opening in 2006 of the Regional Schedule 1 Adult Mental Health Unit in Orillia Soldiers Memorial Hospital (OSMH) a unique model of primary care psychiatric hospitalist was established.
Literature from 2008 indicated that a model involving Family Physicians in the medical care of inpatients improved length of stay, decreased rate of medical specialists referrals and improved staff satisfaction.
The Orillia model is distinctly different from those described in the literature.
The model established at OSMH involves Family Physicians as the Most Responsible Physician (MRP). They act as ‘admission gate-keeper’ for all unattached patients who are admitted to the psychiatry in-patient unit.
Throughout the admission, the psychiatric hospitalist maintains clinical responsibility for all medical issues and provides concurrent/supportive care for the patient’s psychiatric issues. The psychiatrist, however, drives the psychiatric management.


Method:
A Pub-Med, Ebsco, OVID medline, Embase, CINAHL and Web of Science database review of the last 10 years (2006-2016) was undertaken. A satisfaction survey was undertaken using a five option Lickert scale to determine satisfaction of allied health personnel, physicians and patients with the primary care psychiatric hospitalist program.

Outcomes:
The literature review found additional articles indicating that Family Physicians who had access to collaborative care with mental health services were significantly more satisfied with mental health services reporting greater knowledge, skills and comfort level.

Rose Zacharias

Lead Psychiatry Hospitalist
Orillia Soldiers Memorial Hospital
orillia, Ontario, Canada

Dr. Rose Zacharias is a graduate of the McMaster Medical School Class of 1999. She completed her Family Medicine Residency at the University of Western Ontario in 2001. Her medical career consists of Emergency Room work as well as 12 years of work as a hospitalist. Life is busy and wonderful for Rose, as a mother to four young children and the wife of a paediatrician. She is also a marathoner and podcast host.

Rose Zacharias

Lead Psychiatry Hospitalist
Orillia Soldiers Memorial Hospital
orillia, Ontario, Canada

Dr. Rose Zacharias is a graduate of the McMaster Medical School Class of 1999. She completed her Family Medicine Residency at the University of Western Ontario in 2001. Her medical career consists of Emergency Room work as well as 12 years of work as a hospitalist. Life is busy and wonderful for Rose, as a mother to four young children and the wife of a paediatrician. She is also a marathoner and podcast host.

Rose Zacharias

Lead Psychiatry Hospitalist
Orillia Soldiers Memorial Hospital
orillia, Ontario, Canada

Dr. Rose Zacharias is a graduate of the McMaster Medical School Class of 1999. She completed her Family Medicine Residency at the University of Western Ontario in 2001. Her medical career consists of Emergency Room work as well as 12 years of work as a hospitalist. Life is busy and wonderful for Rose, as a mother to four young children and the wife of a paediatrician. She is also a marathoner and podcast host.