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Access to Child and Adolescent Psychiatry
Dr. Matthew C. Chow, MD, FRCPCMedical Director, PsychiatryMood Disorders Association of BC
*Rapid
*Disclosures
*I am entirely compensated by public funds*I have no direct investments in any health
care companies, health technology companies, or pharmaceutical companies
*What
• Specialist clinic seeing patients age 0-18• Focus on common mental health
problems (depression, anxiety)• Every patient seen within 2 weeks of
referral• Report written and sent to the referring
clinician within minutes
Mood Disorders Association of
BC
Medical Clinic
Counselling and Wellness CentreSuppo
rt Groups
*How
• “Smart” electronic questionnaire sent before the first visit
• Patients schedule their own appointments online
• Reminders by text, email, and telephone• Reports generated and transmitted
electronically• We communicate with patients by email
and telephone!
*Results
*(compared to typical public clinics)• Assessments take half as long to
complete• Face-to-face visits reduced by 50%• Clinic costs half as much to operate• Physicians costs unchanged• No-show rate reduced to almost zero
*Learnings
• Patients know what they want and need: ask them!
• Emailing with patients does not have to be a chore
• Computers can make your life easier• Think outside the box, the hospital, the
health authority, etc.• Consider partnerships with not-for-profits
*Next Steps
• Hire more staff to meet unmet demand• Telehealth pilot with UBC Okanagan• Clinics inside the YMCA• Satellite clinics in Maple Ridge, Surrey• Partnership with Integrated Youth
Services Initiative
*Thank you
*Psychiatry at MDABCDr. Matthew Chow, Medical Director1450 – 605 Robson StreetVancouver, BC V6B [email protected]
