TRAUMA THERAPY PROGRAM

Orientation Meeting

Before we start

• Welcome! Please check in at one of the kiosks in the main lobby or at the front desk on the 7th Floor, then take 1 copy of the Intake Questionnaire on the table next to the podium.

• Please DO NOT COMPLETE the Intake Questionnaire today, details to follow later. Just sit back and relax.

• There’s a side table to your right please feel to use it, if need be.

Introduction

• Sushma Persaud, MSW, RSW• Registered Social Worker, Psychotherapist

• Deanna Berry-Alexander, RSSW• Registered Social Service Worker

• Dr. Dana Ross, MD, MSc, FRCPC• Staff Psychiatrist

Today’s Agenda

• Introductions

• Overview of our Trauma Therapy Program and what we offer and expect

• Question and Answer Period

• Option to sign up for MyHealthRecord

• Note: You will find a summary of this presentation on our website.

Purpose of this Orientation Session

• Provide you with information about the Trauma Therapy Program (TTP)

• Clarify program guidelines and expectations and discuss what we can and cannot offer

• Guide you in deciding if this is the right program and the right time for you

• Provide you with resource information to help you in your healing process

Important GuidelinesConfidentiality• We kindly ask that you respect each others confidentiality• Any information shared by others should not be shared outside of here• Please don’t discuss your personal trauma history with others here today

Your personal health information• The hospital is guided by the Personal Health Information Protection Act

(PHIPA) and provincial child protection laws.• If a child is at risk or you are a risk to yourself or others, confidentiality

may be breached in the interest of safety. Other exceptions apply which will be discussed in full in your R&R assessment.

Our two identifier policy• The hospital complies with regulations by asking each person for 2

identifiers including your Health Card and another piece of identifying information (i.e., name and date of birth) to make sure you are the person who is scheduled to receive the treatment by each health practitioner.

Introducing the Trauma Therapy TeamA team of therapists from varying professional backgrounds offers our program, often in combination with each other. You may encounter:• Art Therapists• Social Workers• Social Service Workers• Psychologists• Psychiatrists• Psychotherapists • Learners in these professions

We meet weekly to discuss our work in order to provide the best possible care and to continue to improve the quality of our program.

The Trauma Therapy Program ComponentsTRAUMA THERAPY PROGRAM

WRAPOrientation Meeting

Resourced & Resilient Assessment & Group Building Resources

Group

WRAP Intensive day treatment

Exit interview

Discharge or further recommendations

Healing through Pathway GroupsCommunity options Discharge

Underlying principles:

We are committed to these principles:• respect for diversities and differences• empowerment • authenticity • mutuality • non-judgmental and • open communication

What do we offer in our program?

• Time-limited trauma-focused therapy

• We offer groups that are either:- Just for people who identify as women

or- All-gender groups

• We offer the opportunity to do “a piece of work”

What are the Goals of Trauma Therapy?

• To gain some new skills and resources to manage the impact of trauma

• To get a better understanding of your symptoms and relational patterns

• To reduce the troubling effects of trauma in your present life

Trauma Therapy is not about:

- a quick cure that will make it all go away- the recovery of lost memories- digging for facts about the abuse

It’s important to know that Trauma Therapy is not jumping into the deep end of the pool without a proper life jacket.

Expectations

• You are an active partner in your therapy process

• Attend sessions regularly and on time

• If you do not have a family physician we recommend that you arrange this before beginning treatment. The Ontario government’s ‘Health Care Connect’ website can be helpful for finding a family physician near you.

ExpectationsPsychotherapy works best for you when you

• are open to be observant and curious about your own process and willing to learn new skills

• have the courage to try on some new habits and coping strategies

Policies • The Women’s Mental Health Program aims to reduce the effects of

violence, discrimination and harassment for all our clients and our staff. Violent, harassing and discriminatory outbursts and behaviours may lead to removal from the premises and barring from our services

• We encourage those coming here for services to embrace our values of respect for everyone regardless of background, social location and appearance

• We expect you to treat all our staff and volunteers and each other in the way you would like to be treated

Policies

Please call in a timely manner if cancelling, or if late for an appointment. If lateness or frequent absences are an issue, this may lead to discharge from our program.

Hospitals and doctors are paid through OHIP, and cancellations and absences have an impact on the hospital budget and physician’s direct income. In some cases you may be charged for missed sessions or sessions not cancelled with 48 hours notice.

Please observe the hospital’s fragrance free policy: do not wear perfumes or heavily scented personal care products

Over one million Canadians feel sick when exposed to fragrances.

That’s why, at Women’s College Hospital, we have a fragrance-free policy.

Please respect it.

Wear fragrance-free antiperspirant, lotion, after shave and hair products while at Women’s College Hospital, and please do not wear perfume or cologne. Thank you. FRAGRANCES DON’T SMELL

BEAUTIFUL TO EVERYONE.

We need to ensure that the hospital’s infection control guidelines are followed:

If you have symptoms of flu or a cold, or another infection please inform your therapist before coming in to the hospital. You may be advised not to come in to your session.

Women’s College is a teaching hospital. Students who are already well qualified and closely supervised, may be involved in the provision of group and individual therapy.

You also may or may not be asked if you’d like to participate in research projects. It is completely fine if you would prefer not to participate.

The Trauma Therapy Program ComponentsTRAUMA THERAPY PROGRAM

WRAPOrientation Meeting

Resourced & Resilient Group

Healing Through The Body

Healing Through The

Arts

Healing Through The Mind

Exit interview

Discharge (1 year)

Re-referral and Assessment

Couples TherapyGroupsIndividual

Therapy

Couples Bootcamp

Healing Through

Relationships

Resourced & Resilient (R&R)(an 8 week group that runs once weekly for 1 hour and 45 minutes. Dates and time of day vary)

• Stages of Trauma Therapy• Understanding PTSD and complex PTSD• The Window of Tolerance model• Self soothing, relational soothing• Grounding and coping skills• The neurobiology of trauma• Fight/Flight/Freeze/Collapse responses• Trigger Scale model• Parallel Lives model• Cognitive Behaviour Therapy introduction• Challenging cognitive distortions and the inner critic• Working with re-enactments and understanding the relational grid• Karpman’s Triangle model• Understanding Boundaries along with specific interpersonal skills

What can I expect after completing the Resourced and Resilient Group

• An exit interview with the group facilitators to determine, together with you, what the best next step is for you

• Recommendations to either further therapy within our program or accessing other community resources with the support from our TTP RSSW.

• Further therapy in this program consists of a number of options of 8-week group healing pathways.

Our 4 Healing Pathways (which are all are 8 week groups that run once weekly for 1 hour and 45 minutes)

Healing Through the MindFocuses on developing knowledge and skills from a cognitive-behavioural therapy approach to challenge trauma-based thinking patterns.

Healing Through the BodyFocuses on developing awareness and skills from a sensorimotor therapy approach to support self-regulation of trauma-based body responses.

Healing Through the ArtsFocuses on using art and creativity to discover and pursue themes to do with creating lives after trauma.

Healing Through RelationshipsFocuses on exploring and healing relationship difficulties with self and others that have been shaped by trauma.

What can I expect after completing 2 of the Healing Pathways groups?

• After completing the Resourced & Resilient group, and 2 of the Healing Pathways groups, you will be discharged from our program for a year to work on consolidating the skills you have learned.

• After a year you are welcome to be re-referred to our program to either complete the remaining two Healing Pathways group, or to go on stage 2 groups or time-limited individual trauma therapy if you ready at that time.

Next Steps

• Please attend your appointment at the appointed time or call to reschedule the appointment

• Arrive at least 20 minutes prior to the appointed time on 7th floor or at the kiosks in the main lobby, check in with your Health Card and wait in the waiting area

• Questionnaires may be handed to you when you check in for your intake appointment, and are required to be filled out prior to the appointment

Final thoughts:

Please update us with current contact information so we don’t lose touch with you. If after 2-3 attempts we cannot get in touch with you, you may be discharged from our waitlist.

Our secretaries are not permitted to communicate with clients by email, however you may want to sign up for myHealthRecord (also known as “MyChart”) and be able to communicate electronically through this secure site.

Following the TTP Orientation there will be a short presentation by an EMR Support Analyst to provide you with information and the benefits of signing up with myHealthRecord, Q & A, and registration support.

Thank you for coming today!

We look forward to seeing you in our program.

What is myHealthRecord?

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myHealthRecord is a customizable web application that gives patients easy access to their medical records.

Benefits of using myHealthRecord: • Strengthens the patient to provider

relationship through two-way communication (secure messaging)

• Gives you the ability to self-manage your own health (e.g. reviewing allergies and medications)

• Gives the opportunity to access your own health information (Test Results/Imaging/Labs)

https://www.wchchart.ca

What is myHealthRecord?

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The following are a few examples of how WCH Patients/clients can self-manage their health through myHealthRecord:

• View upcoming appointments• Request/cancel appointments• View test results• Ask for medical advice from their

clinical care team

• View their health summary and update medicine and allergies

• eCheck-in using WCH Kiosks

What is myHealthRecord?

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Secure Messaging• Allows for two-way

communication• Helps develop client-centred

care• Questions about new treatment

plan• Is not a substitute for an office

visit/emergency contact (Please dial 911 for Emergency Medical Services)

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Marketing• Waiting Room Posters• Check-In Posters• Table Poster Stands• Brochures at Check-In and in Waiting Area• Business Cards in exam rooms & at the front

lobby information booth

myHealthRecord

myHealthRecord Patient Quotes31

“I have been very impressed by the friendly, helpful, and quick service of all the staff at WCH! Great experience from booking with the MRI staff and the turn around to get me set up to access my record!”

“I’ve successfully registered on myHealthRecord. Obviously, this is such a wonderful service!”

“ 🙏👍✌ ”

myHealthRecord Support• WCH Support•All patient requests can be emailed directly to: • myHealthRecord@wchospital.ca• myHR Support Line at (416) 323 - 6205

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myHealthRecord Support

•Questions

•Contact Us•myHealthRecord@wchospital.ca•(416) 323 - 6205

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