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My Wellness BinderJourney of Discovery

Child & Adolescent Mental Health Unit

AcknowledgementsThank you to the Patient Advisors who volunteered to review this binder and who graciously provided their feedback. We greatly appreciate your involvement and support during the development of this patient binder.

About this BinderThe intent of this binder is to provide patients who are receiving care at the Owen Sound Regional Hospital, Unit 3-1, with information that may be helpful during their stay.

If you have questions or concerns related to the content inside of this binder, please notify a staff member – preferably a member of your Care Team.

CHAPTER 1................................................1Welcome to Our Unit.............................1Who We Serve................................................1Services Provided............................................1What to Expect...............................................2General Information.......................................2Questions?......................................................3

CHAPTER 2................................................4Recovery................................................4Recovery Model..............................................510 Principles of Recovery................................6What Does Recovery Mean to Me?................7Healthy Coping Strategies..............................8Activities.........................................................9

CHAPTER 3..............................................11About Me.............................................11My Story.......................................................12Your Health Care - Be Involved!....................26

CHAPTER 4..............................................29Unit 3-1 Information...........................29Clothing and Personal Care………………………..30Contraband..................................................30Code of Conduct...........................................31Rules and Expectations.................................31Confidentiality..............................................31Routine.........................................................32Level of Observation.....................................34Meals............................................................34Medications..................................................34Music, Cell Phones and Equipment...............34Passes...........................................................35Room Care....................................................36Smoking/Vaping...........................................36Telephone.....................................................37Valuables......................................................37Visiting Hours...............................................37

Table of Contents

CHAPTER 5 .............................................39Information for Family Members........39Information for Family Members..................40Patient and Family Advisory Committee.......41

CHAPTER 6..............................................42Laws and Legislation...........................42Information Guides.......................................43Voluntary Patients........................................46Involuntary Patients.....................................50Privacy..........................................................59Restraints.....................................................61

CHAPTER 7..............................................63Owen Sound Regional Hospital Information 63Food and Drink.............................................64Library..........................................................64Multi-Faith Chapel........................................64Parking.........................................................64Spiritual Care................................................65

CHAPTER 8..............................................67Community & Discharge Resources.....67Keystone.......................................................68Free Food Programs.....................................68Important Telephone Numbers/Links...........68Your Discharge.............................................69

Chapter 1

Welcometo Our UnitThis binder is for patients who are receiving care at Grey Bruce Health Services (GBHS)’s Adolescent Mental Health Unit, which is also referred to as Unit 3-1. This secure inpatient unit is on the third floor of the Owen Sound Regional Hospital and provides short-term stabilization and support to youth at risk who are under 18 years of age. The Unit has room to care for two patients at a time.

Who We Serve Our adolescent mental health inpatient program provides mental health services primarily to youth who live in Grey and Bruce counties. Our specialized care system is available to youth who are experiencing acute mental health difficulties and illnesses.

Services ProvidedOur inpatient mental health program offers short-term admissions for crisis stabilization, assessments of a variety of mental health illnesses and coordination with community resources for follow-up treatment and support after discharge.

Patients receive consultation and assessment by the psychiatric care team. Patients may participate in activities that focus on promoting recovery and wellness. Our inpatient unit also offers a wide variety of activities designed to support each patient’s recovery.

1This binder is for you. Staff are available if you want to check in.

What to Expect

You will receive care from a team that will work with you to support you in your recovery.

This team of professionals may include psychiatrists, paediatricians, pharmacists, nurses, CYWs (spell out) and social workers. Access to occupational therapy and tele-psychiatry will be arranged as required. The adolescent mental health program works in partnership with Keystone Child Youth & Family Services.

Staff collaborate with other mental health and addictions programs across the region to maximize each patient’s care experiences and outcomes.

Treatment will typically begin with meetings between you and the members of your Care Team. These meetings will focus on developing treatment and recovery goals geared to your needs and aim to ensure your stay is as helpful and brief as possible. Your nurse and CYWs are available to speak with you daily and generally, your psychiatrist will be as well.

General InformationAddressGrey Bruce Health Services, Owen Sound Regional HospitalAdolescent Mental Health Unit Unit 3-11800 8th Street EastOwen Sound, ON N4K 6M9Phone(519) 376-2121 ext. 2599

Websitewww.gbhs.on.ca

Questions?The contents of this binder aim to provide you, and the members of your family, with helpful information related to our practices, services, rules and regulations. We have also included information on services and supports that are offered by local


http://www.gbhs.on.ca/

community partners, which you may find helpful during and after the time that you spend in hospital.

If you cannot find something that you are looking for, or you have any questions, please notify a member of your Care Team.

We wish you well on your journey to recovery.


Chapter 2

RecoveryThis chapter outlines the Recovery Model and the 10 Principles of Recovery. In addition, this section lists some of the activities that are available for patients to participate in.

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What’s in this Chapter? Recovery Model 10 Principles of Recovery Healthy Coping Strategies Activities


Recovery Model GBHS uses the recovery model of care throughout its Mental Health and Addiction Services. Recovery oriented practice is based on the principles of empowerment, hope, collaboration, identity, self-responsibility and meaning in life. This model builds on current treatment models through a holistic person-centered approach.

Our health care team aims to promote personal recovery through inclusion and empowerment of individuals with a diagnosis of mental illness, and provides individual treatment options to support the journey to recovery.

Components of Recovery

* Image taken from American Psychological Association


10 Principles of RecoveryRecovery means finding your path to a meaningful life. It puts you in control of your life and helps you gain self-confidence and respect for yourself. The Principles of Recovery can be used to help patients who have been diagnosed with a variety of mental health conditions such as post-traumatic stress disorder (PTSD), anxiety and depression.

There are 10 principles of recovery. Put this list where you will see it every day, such as on the white board in your room.

1. Your recovery is self-directed. You find your way to recovery through personal control, good decision-making, and independence. The choices you make are yours and yours alone.

2. Your path is based on your personal needs, likes, and experiences. If you see your recovery as an ongoing journey, you will be able to find the best physical and mental health.

3. Your recovery empowers you. You are the only person who can turn your decisions into actions.

4. Your recovery includes your mental, physical, and spiritual needs. It includes your family, friends, job, and community.

5. Your recovery will have ups and downs. It is not a step-by-step process. It is a long-term process where you grow and build on your successes and setbacks.

6. Your recovery is based on your ability to bounce back, cope, and make use of other talents. Value yourself and build on these strengths.

7. Your recovery includes support from others. Make friends and build relationships. Join groups where you can help others and find purpose for yourself.

8. Your recovery lets you respect yourself. Believe in yourself and meet your goals. Accept and take pride in what you can do.

9. Your recovery shows that you take responsibility for yourself. Find the courage to work toward your goals.

10. Your recovery gives you hope. You can overcome your problems.


*This content has been adapted from the U.S. Department of Health and Human Services (2006), National Consensus Statement on Mental Health Recovery


What Does Recovery Mean to Me? Please use this section to outline what recovery means to you and what areas of recovery are the most important for your journey to recovery and wellness.


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Healthy Coping Strategies Breathe deeply. Take 10-20 deep breaths, breathing in and out slowly.

Listen to music or sing a song.

Write about your feelings in a journal.

Go for a walk, bike ride, jog or run.

Play a sport you enjoy.

Focus on good feelings. Think of five things that make you happy or focus on five positive memories.

Take a one-minute vacation. Imagine you are going on a trip or doing a fun activity.

Take a quiet break.

Yell out loud into your pillow.

Read a good book.

Play your favourite video game.

Play with your pet.

Do a fun activity with a friend or family member.

Watch your favourite movie.

Talk to someone you trust about how you feel. This could be a teacher, friend, family member, babysitter, neighbour, minister, counselor, social worker, guidance counselor, family doctor, police officer, children’s aid society, etc.

Draw or create something to help get your feelings out.

Play a musical instrument.

Take up a hobby.

Punch a punching bag.

Shred/crumple paper.

Bake.


Activities Participating in the activities offered on the Unit can help you in your recovery. Activities can help to promote co-operation, resilience, and self-awareness.

Discharge Planning

The focus of discharge planning sessions is to develop, improve and increase the skills that are required for you to successfully leave the hospital. Community services that may be available to you after discharge from hospital will be reviewed.

Introduction to Cognitive Behavioural Therapy (CBT) CBT will help you to take charge of thoughts, feelings and behaviours to bring

about changes to improve your mood, relationships and life.

Introduction to Dialectical Behavioural Therapy (DBT) DBT will teach skills to help with emotions, relationships and behaviours as

well as helping people to better understand and value themselves and others.

Life SkillsLearn more about anxiety, stress or anger management, healthy relationships, budgeting and goal setting, and applying CBT.

Medications Learn more about your medications and what it means to lead a healthy lifestyle.

Academic Studies Focusing on school work provides structure and focus to your day. It also

ensures you continue to learn skills that will be useful as you get older.

Relaxation Group Learn about ways to reduce stress and anxiety.

Occupational Therapy

Fun and artistic activities, including:

o Wood, leather workso Puzzles o Painting

o Knittingo Bakingo Other fun skills


Chapter 3

About MeIn this chapter, we encourage you to use the workbook sections in this binder to record a variety of items related to your care and recovery. This area of the binder can help you to track questions that you would like to ask a member of your Care Team, medication(s) prescribed by your physician, notes, and more. You can share the sections of this binder with a member of your Care Team or keep it private – it is completely up to you.

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What’s in this Chapter? My Story

Your Health Care

Your Health Care – Be Involved


My Story The purpose of this section is to provide patients with a space for reflection. This process can enable healing and recovery. The following series of questions will assist you in joining or re-joining your path to recovery. This document will not be a part of your health care record. It is your decision to share it if you wish.

Coming to Hospital

“Don’t let anyone tell you that you are not worth it, you are! Recovery is possible, just believe in yourself.”

-Mary Sundermeier

1. The main reasons I came to hospital are:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. The people important to me feel that I should be in hospital because:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. The person who is the most concerned about me right now:________________________________________________________________________________________________________________

4. The things that are going well in my life are:________________________________________________________________________________________________________________________________________________________________________________________________________________________________


5. The things that are not going well in my life are:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. I deal with my problems by: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. The people who are helping me with my problems right now are:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. They help me by:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. If I had 3 wishes they would be:

1 ______________________________________________________________________________________________________________

2 ______________________________________________________________________________________________________________

3 ______________________________________________________________________________________________________________

10. If these wishes come true, my life would be better because:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


11. While I’m in hospital, I want to work on:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

12. Things I hope will change because I came to hospital are:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

13. What movie or book left an impression on me?________________________________________________________________________________________________________________

14. Imagine for a moment that you are out on a stormy sea. How would you get back to land?________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

15. Who are the people I call when I need help? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


About Me Right NowIn this section, rate how you feel about things in your life right now, by highlighting the most accurate response:

StronglyDisagree Disagree Neutral Agree Strongly

Agree

I have good relationships with others

I am able to connect with a sense of calm when needed

I feel content with my sexual orientation

I have a strong faith to support me

I feel physically safe

I feel emotionally safe

I feel sexually safe

I have a healthy appetite

I maintain a healthy body weight

I am hopeful about my future

I can identify early warning signs of becoming unwell


StronglyDisagree

Disagree Neutral AgreeStrongly

Agree

I hear just enough voices to hallucinate in safe ways

Voices can be a problem for me

I use natural ways to get happy

I can manage stress without the use of substances


About My Life“One of the happiest moments in life is when you find the

courage to let go what you can’t change”

1. I live with:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. My relationship with them is : ⃝V Great V OK V Bad

3. People who are a part of my chosen family include:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. The people I am closest to in my family are: ________________________________________________________________________________________________________________

Because:____________________________________________________________________________________________________

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5. What I like most about my family is:________________________________________________________________________________________________________________

6. What I wish I could change about my family is:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


About Me

“Everything you’ve been through, all the times you have pushed on, even when you felt you couldn’t. All the mornings you got out of bed, no matter how hard it was. All the times you wanted to give up but you got through another day. Never forget how

much strength you have learned and developed”

1. What I like most about myself is:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. What I would most like to change about myself is:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. My family sees me as:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. My friends see me as:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. What I wish people would understand about me is:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Things I do for fun (e.g. hobbies, interests, organized activities)________________________________________________________________________________________________________________________________________________________________________________________________________________________________


7. Things I’m good at:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Things other people say I’m good at:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. The most important things to me in life are:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


About My Future“Reach out to make a difference; the light in each of us is important.

Each of us has a lot to offer” -Melanie Knapp

What I hope my life will look like…

1. One month from now:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. One year from now:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Five years from now: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Thank you for taking the time to fill out YOUR Story!


My Medications

Medication Name and Purpose

Date Started

Dosage (how much)

When do I take it?

Reactions/Side Effects

Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped



Date Started

Dosage (how much)

When do I take it?


Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped


Date Started

Dosage (how much)

When do I take it?


Date Stopped


My Notes


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My Questions

Date

Question

Answer

Answered By

Date

Question

Answer

Answered By

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Question

Answer

Answered By

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Question

Answer

Answered By

Date

Question

Answer

Answered By

Date

Question

Answer

Answered By


Your Health Care - Be Involved!1. Be involved in your health care. Speak up if you have questions about your care.Be an active member of your health care team. A member of your health care team is anyone who is assisting you with your care inside or outside of your home. Take part in every decision about your care. Ask questions so you can make informed choices. Know what to do when you go home. If you don’t feel your concerns are being heard, ask again.

What you should know:You should understand as much as you can about:

Your health problem or your diagnosis The care you will need Medicine you should take and how to take it

Here are some good ways to ask questions:

What is my care plan? Can you tell me more about my health problem? Are there any other options? What can I do at home to help my progress?

2. Tell your healthcare team about your past illnesses and your current health condition.

You know the most about your health. Tell your health care team everything you can, even if you think they already know. Tell them even if you think it is not important.

Tell them if:

You are not feeling well right now You have been sick or have fallen lately You are taking any medicine You have had surgery or recent visits to the hospital You have seen another doctor or received other healthcare services You have a chronic illness like diabetes or asthma


You have a family history of an illness, such as high blood pressure, heart disease, or cancer

You have a history of tobacco, drug, or alcohol use You have been feeling tired or doing less lately You are not eating well or not feeling hungry You or a family member, have a disease that can spread to others

3. Have all of your medicines with you at every health care appointment.

Some medicines combine with each other in your body and produce bad reactions. To protect you, your healthcare team must know about any prescription drugs you take. They must also know about other medicines you buy, such as:

Vitamins Herbs and herbal remedies Food supplements “Over the counter” medicine you buy at the drugstore

Always keep your medicine in the bottle or packaging that it came in. If you cannot bring all of your medications with you, keep a list of everything you take. Keep this list up to date. Bring it with you when you go to the hospital or to a health care appointment. Your doctor and pharmacist can help you make the list.

*This information was developed by LHIN Home and Community Care


Chapter 4

Unit 3-1 InformationIn this section, you will find information on a wide variety of procedures followed on Unit 3-1. If you have any specific questions, please notify a member of your Care Team.

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What’s in this Chapter? Clothing and Personal Care Contraband Code of Conduct Rules and Expectations Confidentiality Routine Level of Observation Meals Medications Music, Cell Phones and Equipment Passes Room Care Smoking/Vaping Telephone Valuables Visiting Hours

Clothing and Personal Care


When admitted to the Unit, you are required to wear a hospital gown or hospital pajamas. Being able to wear street clothes will be decided on a case-by-case basis. It is important to not lend/give personal belongings to another patient as care requirements vary for everyone.

Patients should bring their own toiletries. If you are in need of something that you do not have, notify your nurse. Please bring only essential items with you to hospital (e.g. toiletries, etc.) as space is limited.

Contraband

This is any item that may be harmful to the patient or others or that encourage violent or illegal activities. Examples of contraband include but are not limited to:

cell phones (must be secured by unit staff) or other electronic or recording devices;

inhalable substances, cigarettes, illicit drugs, alcohol, prescription or over-the-counter medications, and any associated drug paraphernalia such as needles/syringes, lighters, pipes;

hair dryers; curling/straightening irons; hangers; guns, knives or weapons of any kind, including any item that has been

adapted to cause injury; ties, belts, scarves, shoe laces; nail polish and nail polish remover; electric or disposable razors (must be secured by unit staff); sharp objects – knives, scissors, nail files, bobby pins, tweezers, pencil

sharpeners, paper clips, etc. ; pornographic materials; and glass bottles, mirrors, etc.

Showers are available at a time convenient to both you and the staff caring for you. Bathroom facilities are shared between patients.

The Owen Sound Hospital is a scent-free environment. Please do not wear perfume, cologne, strong smelling body wash, hair products, etc.


Please note: All patients will be required to sign a form assuming responsibility for their personal belongings. Personal items must be kept in the locker (locked up) in the patient room or at the nursing station.

Code of Conduct Please show respect and consideration for fellow patients and visitors. All patients are responsible for respecting hospital property and the belongings of others. There is zero tolerance for willful misconduct. Privileges can and will be revoked for violating the code of conduct.

Drugs, alcohol and/or weapons of any kind are not permitted, at any time, on GBHS hospital property. When required, management and police will be contacted if illegal activity is suspected and appropriate action will be taken.

Rules and Expectations No street clothing without physician approval No cell phones (must be secured by unit staff) or other electronic devices No buying things for other patients No trading, sharing or giving away of any personal items to other patients No smoking or vaping anywhere on hospital property

Room and personal searches will be routinely conducted if suspicions arise regarding contraband being kept in room/on person

ConfidentialityPatient information is confidential and is between the patient and the members of their Care Team. Patients and visitors are to leave the nursing station area once they have spoken to a staff member regarding their personal question or concern.

RoutineThe daily routine of the unit is as follows:


Time Program Activity

8:30 a.m. – 9:00 a.m. Wake ups, breakfast and morning routines (shower, dress, brush teeth & hair, etc.)

9:00 a.m. – 9:30 a.m. Daily check-ins, goal setting, mindful minute

9:30 a.m. – 10:30 a.m.

Dr. Muniz daily patient assessmentsSchool work or personal development (i.e. resume writing, study for driver’s license, job search, etc.)

10:30 a.m. - 10:45 a.m.

Break, morning snack

10:45 a.m. – 12:00 p.m.

Therapeutic Activities (OT rooms, life skills, etc.)

12:00 p.m. – 1:00 p.m.

Lunch

1:00 p.m. – 2:00 p.m. One to one work, CBT, DBT, etc.

2:00 p.m. – 2:30 p.m. Recreational Activities (arts & crafts, games, drawing, music, outdoors, etc.)

2:30 p.m. – 3:30 p.m. Snack and individual time, phone calls, electronics time can be earned

3:30 p.m. – 5:30 p.m. Recreational Activities (arts & crafts, games, drawing, music, outdoors, etc.). Visits may occur during this time

5:30 p.m. – 6:30 p.m. Dinner

6:30 p.m.– 8:30 p.m. Down Time (can be spent as a group or individually at staff discretion), homework, phone calls, visits, library, etc.

8:30 p.m. – 9:00 p.m. SNACK and Social time

9:00 p.m. - 9:30 p.m Night time routines (shower, brush teeth, etc.) getting ready for bed

9:30 p.m. - 10:00 p.m.

Quiet time in room (no screens)

10:00 p.m. LIGHTS OUT


**Patients 12 years of age or younger will start their bedtime routine earlier:

8:00 p.m. – 8:30 p.m. Snack and Socializing

8:30 p.m. - 9:00 p.m. Bedtime routines (shower, brush teeth, etc.)

9:00 p.m. - 9:30 p.m. Quiet time in room (no screens)

9:30 p.m. LIGHTS OUT

Level of ObservationYour doctor will determine your level of observation on admission. Only your psychiatrist may change (lower) this level, giving you more privileges. Nursing staff/CYW may increase your level of observation if there is an issue concerning your


safety, thereby restricting your privileges. Your psychiatrist will change (lower) your level of observation as your condition improves. You will need to be accompanied by a nurse/CYW/another approved person once you receive permission to leave the unit.

MealsBreakfast, lunch, dinner and three snacks are provided every day. Dietary staff bring food carts to the Unit. If you have any food allergies, or if you are on a special diet, please notify your nurse as soon as possible.

Medications Medication(s) can be an important component in your recovery.

Patients are not permitted to keep medication(s) at their bedside. If the medication(s) are not supplied by the hospital pharmacy (e.g. birth control pills, certain inhalers, vitamins, etc.), you may need to bring your own. All medication(s) must be given to the nurse to store on your behalf, and require an order from the physician to be distributed.

You will need to take your medication(s) in the presence of a nurse. We can arrange for a pharmacist to speak with you regarding your medication(s).

Music, Cell Phones and EquipmentAs you receive more privileges, you may be able to listen to music on a radio. No other technology is permitted while in the Unit until privileges are earned.

PassesDuring your stay in hospital, the doctor may give you a pass to leave Unit 3-1 for a short time, a few hours or overnight when accompanied by an approved person. Passes are given to patients for many reasons – to go to school, appointments or other important activities. One of the most common reasons for passes is to see how well you cope with stress when you are outside of the hospital.

Before you leave, and when you return to hospital, you AND the person/people who stayed with you must talk to the nurse and/or CYW. This is very important.


We will ask questions about:

Was it stressful being away from the hospital? Did you have any problems taking any of the medications that the doctor

ordered for you? (Please remember to give all unused medications to your nurse upon your return)

Did you feel anxious or upset at any time? Did you think about or try to harm yourself in any way?

This information helps the doctors and nurses know if you are getting the right treatment and when you may be ready to be discharged from the hospital.

If for any reason you or your family feels that it is unsafe for you to remain away from hospital while on a pass, you should return immediately. At any time, you or a member of your family may call the hospital to ask for help, and you can return to Unit 3-1 if needed. Please remember that it is important for you and your family to talk with your nurse and/or CYW before and after you return from your pass.

If you need further information about passes, please let us know.

Room CareYou will be assigned to a room based on patient need and this decision is not based on insurance coverage. You are responsible for making your bed and keeping your room tidy. If you require assistance, please ask your nurse or CYW. Place dirty linen and towels in the white laundry carts at the end of the hall. Do not place personal clothing in the laundry carts as you may not get them back. Please tidy up after yourself in the common area.

Smoking/VapingAdolescent Mental Health Unit – Part of a Smoke-Free Environment


GBHS is a smoke-free/vape-free property. Smoking/vaping is prohibited indoors and outdoors, including on the lawns, walkways, parking lots and in vehicles. Violation of the smoke-free/vape-free policy can have serious consequences for patients and visitors.

Information for Patients Who Smoke/Vape:

Please note smoking/vaping under the age of 18 is illegal in Canada. All smoking/vaping supplies are secured upon admission to the Unit and

returned to the patient at discharge. Family/friends should not bring cigarettes or any other smoking/vaping

supplies to the Adolescent Mental Health unit. Smoking/vaping is not permitted on the patio or anywhere on hospital

property. The Grey Bruce Health Unit Tobacco Enforcement Officer will be called onto the unit if anyone is smoking/vaping, and charges may be laid. The fine is $305.00.

For the health and safety of all patients, staff and visitors, please do not violate our smoke-free/vape-free property policy. Nicotine replacement therapy (NRT) will be available free to all patients as needed. Educational sessions on the proper use of NRT will be provided by the pharmacist. If you require assistance, please speak to your nurse.

TelephoneA phone is available in the unit to make phone calls to family and friends, if you receive approval from the physician. Phone calls will be supervised and limited to 15-30 minutes per call and will be at the discretion of the CYW/nurse.

ValuablesDuring your time in hospital, we ask that you leave all valuables at home. If this is not possible, your nurse will arrange to have the valuables placed in the Business Office, which is accessible Monday to Friday, from 8:30 a.m. to 4:30 p.m.

You are responsible for any belongings kept with you or inside of your room, including money. Lockers will be kept locked at all times and are only accessible with approval.


Visiting HoursVisiting hours are Monday to Friday 3:00 p.m.-8:00 p.m. preferably, as children are involved in therapeutic activities during the day. Flexible visiting is permitted on the weekends. No overnight visitors are permitted on the unit. Visitors are restricted to immediate and extended family. Any visitor under the age of 18 may not be left alone on the unit at any time. Visitors must check in at the nurses’ station prior to seeing patient. Patients may decline visitors. If you do not wish to have certain individuals permitted to visit you, please advise the staff.

Parents/care providers may be asked to attend the hospital for meetings, conferences, etc. at any time.

Visitors who bring drugs, alcohol, weapons or other prohibited items, will have visiting privileges revoked and may face legal consequences.


Chapter 5

Information for Family MembersThis section provides family members and friends with information and resources that they may find helpful while supporting a child or adolescent who is experiencing mental health illness.

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What’s in this Chapter? Information for Family Members Patient and Family Advisory Committee


Information for Family Members

KeystoneKeystone offers parent workshops and youth groups throughout the year.http://www.keystonebrucegrey.org/

Sessions are free, but do require registration. Please call: 519-371-4773

Community Network Support Team & Hope Grey BruceIntroduction to Mental IllnessThis session is for anyone who would like to learn more about mental illness. This session will be of interest to someone with a mental illness, family members, friends, neighbours, social workers, physicians, spiritual care workers, students, teachers and other health and social service workers.

Range of Topics: What is Mental Health? What are Mental Illnesses? What current theories exist about the possible causes of mental health

illness? What does mental illness look like? (schizophrenia, anxiety disorders,

depression, bipolar disorder, borderline personality disorder) What are the options for receiving help within Grey and Bruce counties? What can current research tell us about mental illness? What can I do to help someone who has been diagnosed with a mental

illness?

This series rotates among communities in Grey and Bruce counties throughout the year. The sessions are scheduled in the evenings (usually on a Tuesday or Wednesday) over a four-week period with a different topic presented each week.

To find out the schedule, please call the Community Support Team in Owen Sound at 519- 371-4551.

This series is FREE, but you must pre-register to attend.


http://www.keystonebrucegrey.org/

Community Network Support Team & Hope Grey Bruce

Family Support InitiativeThis session is for family members and friends of someone who is experiencing mental illness

Topics: Receive information and resources to help you understand your role as a

family member or friend Hear about other people’s experiences Experience support from others who understand and can relate Learn how other families and friends cope with mental illness

To preregister and for group location, please call: 519-371-4802

Patient and Family Advisory CommitteeOur Adolescent Mental Health Unit would welcome your participation as a patient and family advisor. If you are interested in volunteering please call 519-376-2121, Ext. 2316.


Chapter 6

Laws and LegislationThis section provides patients with information related to Psychiatric Admissions under the Mental Health Act. It also includes information about the Health Care and Consent Act.

________________________________________________________________________________________________________________

What’s in this Chapter? Information Guides:

o Form 1: Application for Psychiatric Assessmento Voluntary Patientso What Are My Rights as a Voluntary Patient?o Involuntary Patientso What are your rights as a Psychiatric Patient?

Privacy

Restraints


Information GuidesThe following information guides were created by the Ministry of Health and Long-Term Care and can be accessed online at: www.forms.ssb.gov.on.ca.

Form 1: Application for Psychiatric Assessment

This Info Guide has been prepared by the Psychiatric Patient Advocate Office in the Ministry of Health and Long-Term Care for general informational purposes only. It does not contain legal advice. If you have a question, or would like advice about your specific legal situation, you should contact a lawyer.

What is a Form 1?

A Form 1 is also referred to as an Application by Physician for Psychiatric Assessment. The Form 1 allows a doctor to hold you in a psychiatric facility for up to 72 hours in order for you to undergo a psychiatric assessment. This assessment is to determine whether you require the care and supervision that a psychiatric hospital can provide.

A doctor may issue a Form 1, whether you are in the community or in hospital. However, the doctor must have examined you within 7 days before signing the Form 1.

Once a Form 1 is issued, it lasts for 7 days. Within those 7 days, another person, usually a police officer, has the authority to take you immediately to a psychiatric facility. The Form 1 does not allow anyone to detain you in jail or in any institution other than a psychiatric facility. After 7 days have expired, it is no longer in effect and a doctor would have to release you, or re-examine you and issue another Form 1.

If you are the subject of a Form 1, the physician who signed the Form 1 must provide you with written notice setting out the reason for your detention and the fact that you have the right to contact a lawyer.

Once the assessment resulting from the Form 1 is completed, one of three things could happen:o you may be releasedo you may be admitted as a voluntary patient, (with your consent) or


http://www.forms.ssb.gov.on.ca/

o you may be admitted as an involuntary patient (without your consent). To be admitted as an involuntary patient, a second doctor (i.e. a different

doctor than the one who signed the Form 1) must examine you and determine that you meet the criteria under the law. If you are not made an involuntary patient after 72 hours, you are entitled to leave the psychiatric facility.

Can the doctor really keep me in the hospital against my will?

Yes. The Form 1 allows the doctor to keep you in the hospital for up to 72 hours from the time you are detained at the hospital for assessment.

Does it have to be a psychiatrist who signs a Form 1?

No. Any doctor (for example a family doctor or an Emergency Room doctor) can place you on a Form 1. There is no legal requirement for this doctor to be a psychiatrist. However, a doctor must assess you before you can be placed on a Form 1.

Does the doctor have to tell me the reason for keeping me in the hospital?

You have the right to know the reason for your detention and receive a written notice with those reasons. The notice is often provided on a Form 42 (Notice to Person of Application for Psychiatric Assessment) and you have the right to receive it immediately.

Can I contact a lawyer?

Yes., You have the right to retain and instruct a lawyer, without delay. The psychiatric facility has to provide you with the ability to do so (for example, they must allow you access to a phone).

What happens if a doctor doesn’t give me notice?

If you have not been provided with a Form 42, or other written notice about your detention, the legal requirements of the Mental Health Act have not been met and your detention is unlawful.


Can I apply to the Consent and Capacity Board to challenge the Form1?

No. You do not have the right to apply to the Consent and Capacity Board to challenge the doctor's decision to place you on a Form 1.

Do I get rights advice on a Form 1?

No. When you are on a Form 1 you do not receive rights advice.

What happens after the Form 1?

Within the 72-hour period for which you are detained, the doctor must decide to do one of the following:o Release youo Make you an informal or voluntary patient;o Make you an involuntary patient.

If the doctor decides to admit you as an involuntary patient, you will be placed on a Form 3 (Certificate of Involuntary Admission). You will be given a Form 30 (Notice to Patient) which is your notice of a change in your legal status. At this point you will receive a visit from a rights adviser and further information regarding your rights will be provided.

Questions?

If you have questions, contact your local Patient Advocate or Rights Adviser or call the central office of the Psychiatric Patient Advocate Office at 1-800-578-2343.


Voluntary PatientsThis Info Guide has been prepared by the Psychiatric Patient Advocate Office in the Ministry of Health and Long-Term Care for general informational purposes only. It does not contain legal advice. If you have a question, or would like advice about your specific legal situation, you should contact a lawyer.

What does it mean to be a Voluntary Patient?

“Voluntary patient” is not defined in the Mental Health Act. However, the term “voluntary patient” is used in the Mental Health Act, and has been interpreted to mean a patient who is capable of making a decision to stay or leave a psychiatric facility.

A voluntary patient is not:

o an “involuntary patient”, defined in the Mental Health Act to mean a patient who is detained in a psychiatric facility under a certificate of involuntary admission or a certificate of renewal, or

o an “informal patient”, defined in the Mental Health Act as a person who is a patient in a psychiatric facility, having been admitted with the consent of another person under the Health Care Consent Act.

The Mental Health Act does not give a psychiatric facility the authority to detain you as a voluntary patient. In other words, as a voluntary patient, you are allowed to leave the hospital at any time and the hospital cannot restrain you or stop you from leaving.

The hospital should tell you that you are a voluntary patient. As a voluntary patient, you have chosen to be under the care, observation and treatment of a psychiatric facility.


How do I become a voluntary patient?

A voluntary patient agrees to be in the hospital. The doctor should make clear notes in your record of personal health information that you were told that you are a voluntary patient, as well as your agreement to be a voluntary patient.

There are four ways to become a voluntary patient:

1. You are admitted to the hospital as a voluntary patient if a doctor thinks you are in need of observation, care and treatment that can be provided by a hospital.Example: You go to the hospital because you are feeling unwell and the doctor agrees with you that you should be admitted because you need mental health care.

2. You are detained in the hospital on an Application for Psychiatric Assessment (Form 1) or you are an involuntary patient with a certificate of involuntary admission or a renewal (Form 3 or 4) and the Form expires.Example #1: After being detained in the hospital on a Form 1 for 72 hours, the Form 1 expires but the doctor does not complete a certificate of involuntary admission (Form 3).Example #2: You are on a certificate of involuntary admission (Form 3) or a renewal (Form 4) and the doctor does not renew the Form 3 or 4.

3. A doctor changes your status as a patient from involuntary to voluntary (Form 5) before your certificate of involuntary admission is set to expire.Example: You are detained in the hospital as an involuntary patient on a Form 3 which expires on June 15th. However, the doctor decides on June 10th that you no longer meet the criteria to be an involuntary patient. By completing a document called a Form 5, the doctor cancels the Form 3 and you become a voluntary patient.

4. You are admitted to the hospital as a medical patient but the doctor feels that you should also be a psychiatric patient.Example: You go to the hospital because you are having chest pains and you are admitted as a medical patient to the cardiac unit. However, the doctor thinks you also meet the criteria to be a psychiatric patient and informs you of this decision, and you agree to be admitted as a psychiatric patient.


What are my rights as a voluntary patient? Voluntary patients cannot be detained. This means that you should be

informed that you are a voluntary patient and that you must agree to stay in the hospital. Your agreement should be recorded in your record of personal health information.

As a voluntary patient, you are allowed to leave the hospital whenever you choose. You do not need a pass, leave of absence or staff permission to leave the hospital. However, some hospitals have clinical or administrative policies that require patients to be assigned a particular privilege level or be given a pass before they are allowed to leave an inpatient unit or the hospital.

The Mental Health Act does not give a psychiatric facility the authority to restrain you as a voluntary patient. However, staff have a duty to restrain if they feel that such immediate action is necessary to prevent serious bodily harm to you or others. But, once you are in restraints, a doctor must promptly assess you to see if the criteria for being an involuntary patient apply to you. If the criteria do not apply, then the restraints should be immediately discontinued.

Can a voluntary patient become an involuntary patient?

Yes, if your doctor feels you meet the requirements set out in the Mental Health Act and he or she completes a certificate of involuntary admission (Form 3)

What will happen to me if I don’t want to stay as a voluntary patient or if I try to leave the hospital as a voluntary patient?

Although you have the legal right not to be detained, the staff may stop you so that the doctor may examine you prior to your departure from hospital to ensure that you do not meet criteria for admission as an involuntary patient. The hospital may have a policy regarding this practice and staff may detain you pending examination by your doctor.

While you may choose to exercise your right to leave hospital without consulting with your doctor or nursing staff, your doctor may issue an Application for Psychiatric Assessment (Form 1) if he or she feels that you meet criteria for continued assessment. If a Form 1 is issued, police may return you to hospital.


There is the possibility that if you do not comply with any of the hospital’s passes and privilege levels policies, the hospital may discharge you, making it difficult for you to obtain help from that same hospital in the future.

Staff may also ask you to sign a document that you are leaving the hospital against medical advice (AMA).

Can I apply to the Consent and Capacity Board if I’m prevented from leaving although I’m a voluntary patient?

No. But you can make an application to the Consent and Capacity Board if the doctor makes you an involuntary patient and places you on a certificate of involuntary admission (Form 3 or 4).

Do I have any legal recourse or options if I was prevented from leaving the hospital although I am a voluntary patient?

This is a complex issue and it is recommended that you talk to a lawyer, if possible.

If you wish to make a complaint about a doctor or nurse, you may choose to contact the College of Physicians and Surgeons of Ontario or the College of Nurses of Ontario.

You could also try to lay a charge under section 80 of the Mental Health Act.

Questions?



Involuntary Patients This Info Guide has been prepared by the Psychiatric Patient Advocate Office in the Ministry of Health and Long-Term Care for general informational purposes only. It does not contain legal advice. If you have a question, or would like advice about your specific legal situation, you should contact a lawyer.

What does it mean to be an “involuntary patient”?

If you are an involuntary patient in a psychiatric facility, you are detained in the facility under a certificate of involuntary admission, a certificate of renewal or a certificate of continuation. This means that you are not free to leave the hospital without permission. If you leave without permission, the doctor can have you returned to the hospital by the police.

How do I become an involuntary patient?

You became an involuntary patient when a doctor assessed you and signed a Certificate of Involuntary Admission (Form 3). Before the Form 3 expires, a doctor may renew the certificate by signing a Certificate of Renewal (Form 4). Additional forms (Form 4 or 4A) may be signed by a doctor before the expiry of the previous form. These forms give the doctor the legal authority to detain you in the psychiatric facility. You must be assessed by a doctor each time a Form 3, 4 or 4A is signed.

The Mental Health Act sets out two reasons that you may be held as an involuntary patient:1. The symptoms of your mental disorder make it likely that you or another

person will suffer harm if you are not detained in a psychiatric facility; or2. You need to be detained in a psychiatric facility to receive treatment for an

ongoing or recurring mental disorder that, when not treated, will likely result in certain harms, but that shows improvement when treated. The specific legal requirements for involuntary admission in the Mental Health Act are very detailed. The Form 30 (Notice to Patient) you will receive will specify the reason the doctor is detaining you as an involuntary patient under Form 3, 4 or 4A.


How long can I legally be kept in the hospital on a Form 3, Form 4 or Form 4A?

As an involuntary patient, you may be detained, restrained, observed and examined in a psychiatric facility:o For not more than two weeks under a Certificate of Involuntary Admission

(Form 3);o For not more than,

one additional month under a first Certificate of Renewal (Form 4); two additional months under a second Certificate of Renewal (Form 4); three additional months under a third Certificate of Renewal (Form 4); For not more than three additional months under a first or subsequent

Certificate of Continuation (Form 4A). After the first and every fourth Form 4A is signed, you will be deemed to have

applied to the Consent and Capacity Board for a review of your involuntary status. The Consent and Capacity Board is a tribunal that is independent of the hospital. You are not required to attend this hearing but you can if you wish. Your doctor may decide at any time that you no longer meet the test for involuntary admission to a psychiatric facility, and may revoke the Form 3, Form 4 or Form 4A.

Does the doctor have to tell me why the Form 3, Form 4 or Form 4A was completed?

Yes. The Mental Health Act states that if the doctor completes a Form 3, a Form 4 or Form 4A for you, you must be advised in writing that your legal status has changed and that you are an involuntary patient. This is provided in a Form 30, "Notice to the Patient". The Form 30 will let you know that you are being detained as an involuntary patient under a Form 3, 4 or 4A, when the Form 3, 4 or 4A was completed, when it will expire, and the reason that your status was changed.

Do I get Rights Advice?

Yes. As soon as the doctor signs a Form 3, a Form 4 or a Form 4A, he or she must "promptly" notify the Rights Adviser of the change in your legal status. The Rights Adviser will receive the Form 30, "Notice to the Patient" and will promptly meet with you to discuss your legal options and rights as an involuntary patient.


How can the Rights Adviser help me?

The Rights Adviser will talk to you about your rights and options. For example, you have the right to apply for a hearing before the Consent and Capacity Board to review your status as an involuntary patient. The Rights Adviser can help you by completing the appropriate application for a Consent and Capacity Board hearing, assist you to apply for Legal Aid, and assist you in contacting a lawyer to represent you. The Rights Adviser will ask you to sign an Authorization Form giving him or her permission to assist you with each of these tasks. Rights Advisers will not choose a lawyer for you but will supply you with a list of lawyers that have special training in mental health law and who accept Legal Aid as payment for their services.

Will the Rights Adviser tell the doctor what we talked about?

No. The Rights Adviser will not tell your doctor what you spoke about or any details of your conversation unless you instruct the Rights Adviser to do so. There are some exceptions when a Rights Adviser may disclose information without consent, for example, if you threaten to harm yourself or someone else or plan to elope. By law the Rights Adviser must leave the doctor a "Confirmation of Rights Advice" form (Form 50). This confirms that rights advice was provided and informs the doctor if you applied for a hearing.

What are my options if I disagree with the doctor’s findings?

You have several options that you can pursue if you disagree with the doctor's findings that you need to be detained in the psychiatric facility as an involuntary patient. First, you can do nothing at all and allow the form to expire. Second, you can talk to the doctor to see if he or she is willing to change your status from involuntary to voluntary after assessing you. Third, you can apply for a hearing before the Consent and Capacity Board to review the doctor's findings.


Can the doctor cancel the Form3, Form 4 or Form 4A?

Yes. The doctor can cancel the Form 3, Form 4 or Form 4A if he or she believes that you no longer meet the criteria for admission as an involuntary patient. If the doctor agrees to change your status from involuntary to voluntary, a "Change to Informal or Voluntary Status" form (Form 5) is completed. You should be advised that you are a voluntary patient.

Can I apply to the Consent and Capacity Board?

Yes. You can apply to the CCB once on a Form 3 and then each time a Form 4 or Form 4A is signed. You have the right to only one hearing before the CCB per form.

How long will it take to get a Hearing?

The Consent and Capacity Board must hold the hearing within seven days of receiving your application. The hearing can be held beyond the seven days if you consent to this. For more information about the Consent and Capacity Board visit the website www.ccboard.on.ca or ask your Rights Adviser for additional information.

How long will it take for the Board to make a decision?

The Board will make a decision on your case within one day of the end of your hearing. The Consent and Capacity Board may either “confirm” the doctor’s decision to make you an involuntary patient or “rescind” the involuntary status. If the involuntary status is rescinded, you are a voluntary patient. The decision will be given to you in writing. If you would like to receive "reasons for the decision," you must request these from the Consent and Capacity Board within 30 days of your hearing.


http://www.ccboard.on.ca/

Can I appeal a Consent and Capacity Board decision?

Yes. If you believe that the Consent and Capacity Board has made an error in fact or law, you may appeal the decision to the Superior Court of Justice. You must serve and file your appeal with the Court within seven days of receiving the Consent and Capacity Board decision.

Questions?



What are your rights as a psychiatric patient?This Info Guide has been prepared by the Psychiatric Patient Advocate Office in the Ministry of Health and Long-Term Care for general informational purposes only. It does not contain legal advice. If you have a question, or would like advice about your specific legal situation, you should contact a lawyer.

What are your key legal rights as a psychiatric patient?

You have the right to the same rights and privileges of any person in Ontario, subject to the exceptions specifically set out in the Mental Health Act or other applicable legislation.

You have the right to consent to or refuse to consent to treatment, if you are capable of making treatment decisions.

You have the right to receive information about proposed treatments that is reasonably necessary for you to make informed decisions about your treatment. Healthcare providers must explain the following things to you about the treatment before you make a decision:

o the nature of the treatment;o expected benefits;o material risks;o material side effects;o alternative courses of action; ando likely consequences of not having the treatment.

You have the right not to be detained involuntarily in a psychiatric facility, unless you meet criteria in the Mental Health Act or the mental disorder provisions of the Criminal Code of Canada that provide the authority for you to be detained against your will.

You have the right to leave the hospital and not be restrained if you are a voluntary or informal patient.


You have the right to be informed of the reasons for involuntary detention and receive copies of the relevant documents signed by the doctor if you are an involuntary patient.

You have the right to make decisions about your money and your belongings if you are capable of making decisions about property.

You have the right to consent to the collection, use and disclosure of your personal health information if you are capable of making these decisions.

You have the right to access and correct your personal health information (subject to some exceptions).

You have the right to challenge findings made by your doctor before the Consent and Capacity Board if you are:

o found to be incapable of making treatment decisions;o found to be incapable of making financial decisions;o found to be incapable of making decisions about collection, use or

disclosure of your personal health information;o detained as an involuntary patient in a psychiatric facility;o an informal patient in a psychiatric facility (if you are between the ages of

twelve and fifteen); oro on a community treatment order.

You have the right to receive rights advice if you are admitted in a psychiatric facility and your doctor made a finding that you are:

o incapable of making treatment decisions;o incapable of making financial decisions;o incapable of making decisions about collection, use or disclosure of your

personal health information;o an informal patient (if you are between the ages of twelve and fifteen);o detained as an involuntary patient; oro being considered for issuance or renewal of a community treatment order

while in hospital or living in the community.

You have the right to have a hearing before the Consent and Capacity Board within seven days after the Board receives your application. Additionally:


You have the right to either represent yourself or have a lawyer represent you.

You have the right to receive assistance from Legal Aid Ontario if you have limited financial means and you satisfy certain financial criteria.

You have the right, if you wish, to give evidence at the hearing.

You have the right to call witnesses to support your case at the hearing.

You have the right to choose whether to attend or not to attend the hearing (the Consent and Capacity Board has the power to require you to attend by issuing a summons).

You have the right to receive the Board’s decision within one day after the hearing ends.

You have the right to request from the Board within 30 days of the hearing, written reasons for the Board’s decision.

You have the right to send and receive written communications without interference (subject to some exceptions).

You have the right to vote, if eligible, in any municipal, provincial or federal election.

You have the right to have care provided by regulated health professionals consistent with their professional standards.

You have the right to make complaints about a doctor, nurse, social worker or other regulated health professional to the respective self-regulating college if you think the professional has not acted appropriately toward you.

You have the right to make a complaint to the Information and Privacy Commissioner if you feel your privacy rights have been violated.


The rights listed below are a guide to commonly accepted “rights” based on different sources, including ethical norms, best practices and policies of the various colleges regulating health practitioners. This is not a complete list.

You have the right to be treated with respect and dignity.

You have the right to express opinions and be heard.

You have the right to receive care and treatment in a safe and secure environment free of abuse, neglect, coercion, discrimination and harassment.

You have the right to communicate in a language and manner that allows you to understand the information being given to you.

You have the right to meet with or contact clergy or other spiritual advisers and to participate in religious and spiritual observances.

Questions?


Can I be transferred to another facility?

If the healthcare team determines that you require a different kind of care than can be provided on the adolescent mental health unit, you may be transferred to another unit at Grey Bruce Health Services or to a different facility outside of the local area.


PrivacyProtecting Your Personal Health InformationAt Grey Bruce Health Services, we treat your Personal Health Information with respect and sensitivity. We do so in accordance with the Personal Health Information Privacy Protection Act. If you would like more information visit: http://www.health.gov.on.ca/en/common/ministry/publications/reports/phipa/phipa_mn.aspx

Your health care team will access your Personal Health Information to:

Provide treatment and care for you Comply with legal and regulatory requirements Conduct quality improvement Conduct risk management activities Compile statistics

Who does GBHS Share My Personal Health Information with (unless you tell us not to)?

Other physicians, health care providers and medical facilities that are part of your circle of care

Health agencies (e.g. SOAHAC, Owen Sound Family Health Team) Ontario’s Wait Time Information Systems (WTIS) Your parent or guardian In-hospital Spiritual Care Providers GBHS Foundations to improve our healthcare services

Grey Bruce Health Services has a shared partnership with Keystone and shares information with Keystone accordingly.

Circle of Care “Circle of Care” refers to those in the health care team who are actually involved in the care or treatment of a particular patient. Individuals and/or agencies who are involved in the case of the client but whose primary purpose is not the provision of health care are not considered to be part of


http://www.health.gov.on.ca/en/common/ministry/publications/reports/phipa/phipa_mn.aspx

http://www.health.gov.on.ca/en/common/ministry/publications/reports/phipa/phipa_mn.aspx

the Circle of Care. Ongoing communication and sharing of history and treatment information requires a written, express consent. Information can be shared where required by law or when a risk to self or others exists.

Your Choice of Access

You may access/copy and/or view your Personal Health Information in certain circumstances and at a cost

Request your Personal Health Information be disclosed to a third party with your written authorization (e.g. insurance company, lawyer)

The GBHS Privacy Office can be reached at:

Telephone: (519) 378-1440

E-mail: [email protected]


mailto:[email protected]

Restraints The use of restraints can be hard on patients and families. This information will help answer questions on the use of restraints.

What are restraints?

A restraint is a method used by staff to restrict a patient’s movement. Sometimes illness, injury, medications or being away from home can cause a patient’s behavior to change. We try very hard to avoid using restraints on a patient. When restraints are used, they are a temporary measure to protect the health and safety of the patient and others

Our policy on restraints

Restraints are used as a last resort Patients, families, substitute decision makers, and health care providers must

work together to decide if and when restraints should be used Hospital staff must get consent for the use of restraints except in an

emergency If restraints are used, our goal is to use the least form of restraint for the

shortest period of time Grey Bruce Health Services’ policy on restraints follows the law - Patient

Restraints Minimization Act, 2001

Definitions of restraints

Mechanical Restraint: Anything which restricts free movement Chemical Restraint: Drug interventions used to control or limit a patient’s

aggressive or agitated behaviour Environmental Restraint: Barriers installed to prevent a patient’s movement

from one location to another

Facts about using restraints

Research indicates that using restraints does not eliminate the risk of injury. Restraints may speed persons to functional decline (i.e. incontinence)

Patients report feeling fearful, angry, and degraded while restrained. These feelings can last for months


Restraints should never be applied without consultation with patient family/substitute decision makers except in an emergency

Myths about using restraints

Restraints prevent falls and injuries Side rails prevent persons from falling out of bed There are no effective alternatives to restraints

Benefits to using restraints

Allows medical treatment to proceed Helps maintain body posture May increase patient feelings of safety and security May provide protection from accident or injury May protect other patients or staff from disturbances or physical harm

Risks to using restraints

Pressure ulcers, infection and the risk of serious injury increase with the use of restraints

Side rails pose a risk of injury and entrapment. Side rails may lead to more serious injury rather than deterring a person from getting out of bed

Other options to reduce the use of restraints

Familiar objects or pictures in the patient’s room helps reduce loneliness Visits from family or friends reduces boredom Adequate fluid intake helps prevent dehydration that can lead to confusion Comfortable seating Safe footwear Regular toileting or a commode available Regular exercise A bed close to the floor


Chapter 7

Owen Sound Regional Hospital InformationThis chapter provides general information about the Owen Sound Regional Hospital.

________________________________________________________________________________________________________________

What’s in this Chapter? Food and Drink Library Multi-Faith Chapel Parking Spiritual Care


Food and DrinkThe Cafeteria and Tim Hortons are located on Level 1.

Hours:Monday – Sunday6:30 a.m. – 6:30 p.m. *Please be advised that these hours may vary during holidays

LibraryThe Library is located on Level 1. All books are $1.00 and there are many free resources available for patients, caregivers, visitors and children. Three computers are available for public use with free internet and free Wi-Fi access for personal devices.

Hours:The Library is open every day from 7:00 a.m. to 4:00 p.m. Child and Youth Workers may bring patients to the library after hours when approved.

Multi-Faith ChapelIf you are looking for a quiet space for prayer, meditation, or just to collect your thoughts, the Multi-Faith Chapel is always open and is located on the main floor of the Owen Sound Regional Hospital across from Registration.

Parking The hospital has wheelchair accessible parking spaces.

Visitor parking is $5.00 per exit. Daily ($8.00), weekly ($20.00), and monthly ($50.00) passes are available at the Business Office. You may pay with cash or credit in the machine at the main entrance (bring your ticket into the hospital with you after parking your car), or you can pay with exact change at the gate when you exit.


Spiritual Care

Spirituality is that part in each of us that seeks to find meaning and purpose in our lives. Spiritual Care connects us with the things that matter deeply to us, which strengthen us, helps us cope, and gives us hope.

While in hospital, patients and families may face unexpected emotions. Spiritual Care supports people during difficult times or simply when a person needs someone to listen or be present. Spiritual Care providers journey with people during these times to provide care and connect them with their personal sense of faith and/or spirituality.

ContactTo reach a Spiritual Care Provider, ask your nurse to contact the Day Chaplain, or call (519) 376-2121, Ext. 2889 or e-mail: [email protected].


mailto:[email protected]

Chapter 8

Community & Discharge ResourcesThis chapter provides community and discharge resources to help you with your recovery once you leave the hospital.

________________________________________________________________________________________________________

What’s in this Chapter? Keystone Child, Youth & Family Services Free Food Programs Important Telephone Numbers/Links Your Discharge


Keystone Child Youth & Family Services

Keystone Child, Youth & Family Services is a voluntary, non-profit prevention and counseling agency. Keystone is the primary child and youth counseling service in Bruce and Grey Counties. Their programs and services reflect a desire to help “Build Futures Together” with an emphasis on listening, partnerships, and creativity. If you’re not currently receiving free services through Keystone after discharge, please contact them at (519) 371-4773

Free Food ProgramsO’Share 946 3rd Ave. EastOwen Sound, ON (519) 376-3899*Please call for up-to-date operating hours

Salvation Army – Owen Sound Family Services & Food Bank(519) 371-0957*Please call for up-to-date operating hours and pick-up instructions.

Good Food Box 519-376-9420https://www.thehealthline.ca/pdfs/Owen%20Sound%20Good%20Food%20Box%20-%20Customer%20Information%20Sheet%20-%20December%202012.pdf

Important Telephone Numbers/Links

Kids Help PhoneFree, 24 hour a day confidential help line: 1-800-668-6868

Keystone Child, Youth & Family ServicesFree, confidential local counseling agency for children and youth: 519-371-4773

ChoicesFree and confidential drug and alcohol counseling for youth: 519-371-5487 or 1-800-264-3133


https://www.thehealthline.ca/pdfs/Owen%20Sound%20Good%20Food%20Box%20-%20Customer%20Information%20Sheet%20-%20December%202012.pdf

https://www.thehealthline.ca/pdfs/Owen%20Sound%20Good%20Food%20Box%20-%20Customer%20Information%20Sheet%20-%20December%202012.pdf

Bruce Grey Child and Family Services519-371-4453 or 1-855-322-4453

Public Health-Sexual Health Clinic519-376-9420

Big White WallAnonymous peer support communityhttps://www.bigwhitewall.ca/v2/Home.aspx?ReturnUrl=%2f

Your Discharge Your health care team will recommend and make referrals for appropriate community follow-up. Please keep in mind that community services change frequently. The team will work with you to ensure you have the resources you need to be successful after discharge


https://www.bigwhitewall.ca/v2/Home.aspx?ReturnUrl=%2F

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