Are you drinking TOO much?
Alcohol is the most commonly used potentially addictive substance in our society. Alcohol is responsible for over half of the $267 million dollars of substance related hospital costs in Canada. Problematic alcohol use significantly impacts individuals, families, and our community, but many struggle to know if they have a problem and where to go for help.
Learn more: http://www.theroyal.ca/mental-health-centre/news-and-events/newsroom/13411/alcohol-how-much-is-too-much/
Supporting the mental health and wellbeing of Anaesthetists. What can the workplace do? Presentation by Hunter Institute of Mental Health Director, Jaelea Skehan.
Presentation by Hunter Institute of Mental Health Projects Coordinator Ellen Newman for Thrive 2016, weaving wellness and wellbeing conference. This presentation is about mental health literacy and strategies for supporting children’s mental health and wellbeing.
presentation at Minorities in Clinical Psychology Training ConferenceRichard Pemberton
Presentation at Minorities in Clinical Psychology Training Conference Birmingham 6th May 2014 Slide preparation was supported by Celia Smith assistant psychologist. An article written by her about this subject will be appearing in Clinical Psychology Forum in the near future.
Are you drinking TOO much?
Alcohol is the most commonly used potentially addictive substance in our society. Alcohol is responsible for over half of the $267 million dollars of substance related hospital costs in Canada. Problematic alcohol use significantly impacts individuals, families, and our community, but many struggle to know if they have a problem and where to go for help.
Learn more: http://www.theroyal.ca/mental-health-centre/news-and-events/newsroom/13411/alcohol-how-much-is-too-much/
Supporting the mental health and wellbeing of Anaesthetists. What can the workplace do? Presentation by Hunter Institute of Mental Health Director, Jaelea Skehan.
Presentation by Hunter Institute of Mental Health Projects Coordinator Ellen Newman for Thrive 2016, weaving wellness and wellbeing conference. This presentation is about mental health literacy and strategies for supporting children’s mental health and wellbeing.
presentation at Minorities in Clinical Psychology Training ConferenceRichard Pemberton
Presentation at Minorities in Clinical Psychology Training Conference Birmingham 6th May 2014 Slide preparation was supported by Celia Smith assistant psychologist. An article written by her about this subject will be appearing in Clinical Psychology Forum in the near future.
This workshop was presented at the Queensland Mining Industry Health and Safety Conference 2014 and presents progress on the Working Well Program and ways to support mental health in the workplace.
'If we lose our friends, we're done': mental health and psychosocial wellbein...Ruth Evans
Presentation by Fiona Samuels, Research Fellow, ODI, at workshop "Putting the 'social' back into young people's psychosocial wellbeing, care and support", hosted by ODI and the University of Reading, London 22 November 2016.
In 2015, at the NAFSA Region V conference, Jennifer Frankel (from International Student Insurance), Justin Osadjan (from Roosevelt University) and Colleen Seaton (from Northwestern University) presented on the topic of "Improving Mental Health Awareness Among International Students"
This workshop was presented at the Queensland Mining Industry Health and Safety Conference 2014 and presents progress on the Working Well Program and ways to support mental health in the workplace.
'If we lose our friends, we're done': mental health and psychosocial wellbein...Ruth Evans
Presentation by Fiona Samuels, Research Fellow, ODI, at workshop "Putting the 'social' back into young people's psychosocial wellbeing, care and support", hosted by ODI and the University of Reading, London 22 November 2016.
In 2015, at the NAFSA Region V conference, Jennifer Frankel (from International Student Insurance), Justin Osadjan (from Roosevelt University) and Colleen Seaton (from Northwestern University) presented on the topic of "Improving Mental Health Awareness Among International Students"
Not Criminally Responsible. You may have heard this term used in the news or in movies but what does it really mean? At our most recent Conversations at The Royal lecture, we answered this and many other questions about what it means to be a forensic client.
The evening was presented by Dr. Diane Hoffman-Lacombe, Dr. Anik Gosselin, and Raphaela Fleisher, from the Integrated Forensic program at The Royal.
Psychological and Behavioral Implications in Older Adults with CancerSpectrum Health System
Through Case Presentation and Dydactics, participants will gain an understanding of the psychological and behavioral impact cancer has on older adults.
The Mental Health Commission of NSW, Australia hosted a public lecture on 21 March 2016 by US-based psychiatrist and advocate for “more humble, humane and honest” psychiatry, Dr Sandra Steingard.
The lecture was held in Sydney and focused on ‘slow psychiatry’, which Dr Steingard describes as the integration of ‘need-adapted’ models of mental health care such as Open Dialogue with the use of psychoactive agents in a “cautious and humble way”.
Dr. Sandra Steingard is Medical Director at Howard Center, a community mental health organisation where she has worked for the past 17 years. Named among the “Best Doctors in America", she is also clinical Associate Professor of Psychiatry at the College of Medicine at the University of Vermont. For more than 20 years, her clinical practice has primarily included patients who have experienced psychosis. She regularly writes for Mad in America, an online resource and community for those interested in rethinking psychiatric care in the United States and abroad. Dr. Steingard is Board Secretary for the Foundation for Excellence in Mental Health Care.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. Click to edit Master subtitle style
Click to edit Master title
style
David Oddie, BSc, MA, MSW, RSW
Social Determinants of Health (SDH) Service
Access and Transitions Program
Centre for Addiction and Mental Health
Mental illness
What is it?
Myths and facts
Accommodation
Recovery
2. Agenda
• Mental Illness
• Myths and Facts
• Accommodating People’s Needs
• Recovery
• Centre for Addiction and Mental Health
4. Mental Illness
Mental illness encompasses a wide range of
illnesses that can affect a person’s:
• mood
• thoughts
• perceptions
• behaviour
5. Diagnosis
• Based on observation of behaviours
• Requires no x-ray, blood test, CAT scan, swab, etc.
• Diagnostic and Statistical Manual of Mental
Disorders (DSM)
• can help to identify common
patterns and support
research with the goal of
providing relief
• does not predict a person’s
ability to function at work or
school
• may imply a greater
understanding of the condition
than actually exists
7. Mood disorders
Depression
prolonged feelings of sadness
and despair
sense of hopelessness and
helplessness
fatigue, lack of energy
slowed thinking
forgetfulness
loss of interest in activities
changes in eating and
sleeping patterns
agitation
affects 10-25% of women and
10-15% of men
Bipolar disorder
mania
depression
mixed state
hypomania
affects 1-2% of the population
Dysthymia
chronic, mild depression
affects about 1.5% of the
population
(U.S. National Institute of Mental Health)
8. Schizophrenic disorders
• Involve a problem with brain
chemistry/development
• Affect men and women equally
• Genetic predisposition
• Appear in cycles of remission and relapse
• Treated with medication, therapy,
psychosocial rehabilitation
• Affect about 1% of the population
9. Anxiety disorders
• Involve anxiety that is disproportionate to
reality
• Undermine a person’s ability to do everyday
activities
• May accompany other psychiatric disorders
• Often appear in adolescence or early
adulthood
• Affect more than 12% of the population
Examples:
• panic disorder
• generalized anxiety
disorder
• obsessive
compulsive disorder
• phobias
• post-traumatic
stress disorder
10. Personality disorders
• Include many forms; often a secondary diagnosis
• Involve patterns of behaviour, thoughts, feelings,
relationships that differ significantly from those
of the culture
• Feature inflexibility, difficulty with interpersonal
relationships
• Appear during adolescence or early childhood
• Affect 4-14% of the population; up to 50% in
prison populations
Examples:
• paranoid personality
disorder
• antisocial personality
disorder
• borderline personality
disorder
• narcissistic personality
disorder
11. Common associated issues
• Pharmacological side-effects
o cognitive delay, lethargy/drowsiness, weight
gain, fatigue
o frustration with drugs and side-effects
• Secondary disability
o loss of vocational trajectory
o loss of family/friend networks
o feeling trapped by the system
• Poverty
12. Summary
• Mental illness is about mood, thoughts,
perceptions and behaviour
• Mental illnesses can have few or many
symptoms
• Symptoms can have varying degrees of
intensity, from negligible to extreme
• The impact of mental illness on people’s lives
varies
14. Myths and facts
• 1 in 5 people in Ontario will experience some
form of mental illness
• Only about 30% seek assistance
15. Fact: Reasons people don’t access support
• No insight into own mental illness
• Don’t know who to tell or how to access support
• Try to handle symptoms on their own
• Feel ashamed or embarrassed about needing help
16. Fact: Difficulties with disclosure
• Experiencing stigma
• Feeling different/not belonging
• Not wanting to be labeled
• Fear of rejection, discrimination
• Concerns about confidentiality
• Fear of not being treated with compassion
• Fear that this will become their identity
17. Myth
Recovery from mental
illness is not possible.
Fact
Most people with
mental illness show
genuine improvement
over time and go on to
lead stable, productive
lives.
More myths and facts
18. Myth
All people with
mental illness are
unpredictable,
violent and
dangerous.
Fact
The vast majority of
people with mental
illness are not
dangerous or violent.
Myth sensationalized
by the media.
Incidence of dangerous or
violent behaviour by a person
with schizophrenia is the same
as for the general population.
People with schizophrenia are
3x more likely than members
of the general population to
be victims of violence.
More myths and facts
19. Myth
Employees with
mental illness are
second-rate
employees.
Fact
Employers report higher-
than-average attendance
and punctuality among
employees with mental
illness.
Among employees with
mental illness, motivation,
quality of work and job
tenure are reported to be
as good as, or better than,
that of other employees.
More myths and facts
20. Points to remember
• Mental illness is treatable, and most people
make a good recovery
• Not everyone with a mental illness takes, or should
take, medication
• There is significant variation in symptoms and degree
of symptom severity within each mental illness
• How people with mental illness cope and how the
illness affects their lives varies significantly
• Each person is the expert on what is problematic for
them
21. Actions to remember
• Don’t assume that you know what a person can or
cannot handle
• Don’t attribute every behaviour to mental illness
• Demonstrate understanding and support, but set
reasonable expectations
• Don’t assume that everyone with mental illness requires
accommodation
• Respect confidentiality – build a trusting relationship
23. Accommodations
• Involve modifications to the school/workplace or
its procedures
• Allow a qualified employee/student with a mental
or physical disability to perform essential tasks
• Minimize or remove barriers to success for a
person with a mental or physical disability
24. Accommodations
• A request for accommodation requires some
degree of disclosure (one of the most difficult
aspects of accommodation)
• The act of disclosure is always assisted by an
explicit discussion of confidentiality
• Accommodation and the process of instituting it
must ensure individual dignity and respect
25. Accommodations
• Costs, if any, are usually quite low (averaging
$500 for non-physical barriers)
• People who need accommodations don’t
necessarily need them all the time
• Accommodations last only as long as they are
needed
26. Examples of accommodations
• Flexible working/classroom hours
• Part-time attendance in workplace/classroom
• Instructions given both orally and in writing
• Longer learning period
• Buddy or mentor
• Assistive devices
27. Examples of accommodations
• Job modification or restructuring
• Training workplace/teaching staff or supervisors
(workplace)
• Modifying exam time and/or environment
• Modifying physical environment (e.g., using
environments with less distraction/stimulation)
29. The recovery framework
“It is important to understand that persons do
not ‘get’ rehabilitated the way that a car ‘gets’
tuned up.”
— Pat Deegan (psychiatrist and consumer-survivor)
30. The recovery framework
Recovery means:
• developing a sense of belonging, meaning and
identity apart from one’s diagnosis or disability
• building or rebuilding a life in the community
• successfully coping with a disability
• redefining treatment as aiming for recovery, not
a “cure”
31. What are people recovering from?
• Loss of self, connection, hope
• Loss of roles, opportunities
• Multiple recurring traumas
• Loss of educational/employment trajectory
• Devaluing programs, practices and environments
• Social discrimination
• Internalized oppression and shame
32. Recovery outcomes
• Gaining/regaining valued roles
• Experiencing success and satisfaction with roles
• Reducing/managing symptoms
• Increased self-esteem and well-being
• Making healthy interpersonal connections
• Experiencing improved physical health
33. Principles of recovery
• Hope
• Self-determination
• Personal empowerment
• Responsibility
• Focus on strengths, not deficits
• Personal choice
• Respect
34. The social determinants of health
• Income and income
distribution
• Education
• Unemployment and job
security
• Employment and
working conditions
• Early childhood
development
• Food insecurity
• Housing
• Social exclusion
• Social safety network
• Health services
• Aboriginal status
• Gender
• Race
• Disability
Mikkonen & Raphael. (2010). The Canadian Facts.
36. The Centre for Addiction and Mental Health
• One of the first organizations to bring mental
health and addiction services together
• Formed in 1998, merging two mental health
and two addiction facilities
• Brings together specialized care, research,
province-wide education, health promotion and
public policy development
• Research and clinical practice are intertwined
37. The Social Determinants of Health Service
• The Social Determinants of Health Service (SDH
Service) of the Access and Transitions Program
(ATP) provides centralized intake and access to
CAMH services and consolidates outreach and
partnerships under one clinical program.
• SDH Service works with CAMH clinicians by
providing ongoing training and consultation in
the areas of housing, income, employment,
education and related supports, engages in
local community development and collaborates
with a network of community, agency,
academic, family and consumer partners.
38. CAMH by the numbers
• 3,052 staff
• 30,729 unique clients
• 482,574 outpatient visits
• 4,476 inpatient admissions
• 7,422 visits to Emergency
• 50.1 average length of stay (days)
• Top 3 diagnostic categories: schizophrenia and
other (31.0%), substance-related disorders
(29.9%), mood disorders (29.2%)
• Top 4 languages at the time of admission (other
than English or French): Spanish, Portuguese,
Italian, Chinese
39. Referral to CAMH
• No referral required for Addictions Assessment
Service
• Clients should contact the general intake
telephone line at (416) 535-8501 , Option 2.
• A physician referral is required for a mental
health assessment. The referral form is available
at www.camh.ca
• Emergency Services–250 College St. do not
require a referral. Short-term follow-up is
provided by the Crisis Clinic