JOURNAL TRANSCRIPT
University of Toronto
Department of
Psychiatry 2004–2005 annual report
Contents Chair’s Report Research Report Report of the Vice-Chair Types of Funding Received Sources of Funding Received
Education Report Report of the Vice-Chair Undergraduate Education Postgraduate Education Continuing Mental Health Education Fellowship Program
Programs and Divisions Addiction Psychiatry Program Culture, Community, & Health Studies Program Division of Child Psychiatry Division of General Psychiatry Ontario Psychiatric Outreach Program Division of Geriatric Psychiatry Law and Mental Health Program Health Systems Program Mood and Anxiety Disorders Program Neuroscience Program Psychiatry, Health, and Disease Program Psychotherapy Program Research, Innovation, & Scholarship in Education (rise) Program Schizophrenia Program Women’s Mental Health Program
1 11 11 12 12
14 14 16 19 24 29
33 33 35 39 42 45 48 51 55 59 61 63 66 69 71 74
Fully Affiliated Settings Baycrest Centre for Geriatric Care Centre for Addiction and Mental Health Hospital for Sick Children Mount Sinai Hospital St. Michael’s Hospital Sunnybrook & Women’s College Health Sciences Centre University Health Network
Partially Affiliated Settings George Hull Centre Hincks-Dellcrest Centre North York General Hospital St. Joseph’s Health Centre Surrey Place Centre
77 77 80 84 88 91 95 99
102 102 104 106 107 109
Administration
111
Fast Facts
112
Faculty List
113
Project Funding Received
135
Publications
183
Refereed Articles Books and Reports Book Chapters
183 207 207
Chair’s Report The Department of Psychiatry was extremely successful in pursuit of its academic and clinical goals.
D
uring the academic year 2004–2005, the Department of Psychiatry was extremely successful in pursuit of important goals. Details of the department’s activities are outlined in the body of this report. I will emphasize the outstanding achievements of a number of individuals and groups and report on progress in several key areas. I would like to acknowledge the very substantial support provided by members of the Departmental Executive Committee and the Senior Advisory Committee and by the administrative staff of the department. Also, as this was the final year of my first term as chair, I will summarize results of the Five Year Review covering the 2000–2005 period. Susan Goldberg was the recipient of the 2005 Bowlby-Ainsworth Award for her singular contributions to the field of attachment theory and research. Selections for this prestigious award are made by the Awards Committee of the New York Attachment Consortium and the Center for Mental Health Promotion, in consultation with distinguished international colleagues. This award recognizes Susan’s groundbreaking work on links between secure attachment and better general
health in chronically ill children. Shitij Kapur was co-recipient along with Philip Seeman of the Canadian College of Neuropsychopharmacology Innovation in Neuropsychopharmacology Research Award for developing a new basis for atypical antipsychotic action. Sid Kennedy was selected by the Canadian Psychiatric Association Scientific and Research Standing Committee as the 2004 recipient of the J. M. Cleghorn Award for Excellence in Leadership in Clinical Research in recognition of his many contributions to the field of mood disorders. David Streiner received the 2004 Alexander Leighton Award from the Canadian Academy of Psychiatric Epidemiology and the Canadian Psychiatric Association. This award is for his continuous, innovative, and inspirational teaching of methods relevant to psychiatric epidemiology, clinical epidemiology, clinical research, and knowledge transfer. David Wolfe received the Donald O. Hebb Award, given by the Canadian Psychological Association, in recognition of his many scientific contributions to the discipline of psychology in Canada. Ivan Silver was appointed associate dean
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Lederman Chair in Psychosocial Oncology and Palliative Care at the University Health Network. This chair will support Gary’s role in promoting a wide range of academic activities in psychosocial oncology and palliative care. After a rigorous external review, Paula Goering had her Canadian Health Services Research Foundation Chair renewed for a second five years. This is in recognition of Paula’s leadership in ensuring that mental health policy in Canada is informed by evidence and her success in the translational research field. Similarly, following a five-year review, Bob Zipursky has been renewed as the Tapscott Chair in Schizophrenia Studies. This renewal indicates the excellence of Bob’s work in areas such as first episode psychosis, brain imaging studies, and the development of services for individuals with schizophrenia. Cheryl Grady was awarded a Tier 1 Canada Research Chair in Neurocognitive Aging. Cheryl’s work demonstrates whether functional adaptation in the brain, such as plasticity, improves memory in older adults. In a very important development, Sean Rourke was appointed scientific and executive director of the Ontario hiv Treatment Network. This is an extremely significant appointment, as the Ontario hiv Treatment Network is one of Canada’s leading institutions devoted to cutting-edge hiv research. Finally, after a five-year review, Howard Barbaree was reappointed as head of the Law and Mental Health Program. The reviewers emphasized the very strong and progressive leadership provided by Dr. Barbaree in a very challenging field! This year marked the end of Allan Kaplan’s extremely successful 11-year tenure as director of postgraduate education in the Department of Psychiatry. In carrying out this role, which is so central to the life of our department, Allan brought passion, competence, commitment, and dedication to the training of future psychiatrists. Under Allan’s leadership, our program received full accreditation by the Royal College of Physicians and Surgeons on two occasions. A pgy1 program was developed and implemented; psychiatric research opportunities for residents were expanded; training programs in Northern Ontario were established for compulsory Royal College core rotation, the first of their kind in Ontario; and a clinician scientist program was implemented. All resident and supervisor evaluations are now completed online at all sites in our department. Recruitment and selection of residents improved dramatically, and in 2004, Allan
for continuing education in the Faculty of Medicine and was named Educator of the Year by the Association for Academic Psychiatry. That association also bestowed Junior Faculty Development Awards on Bruce Ballon and John Teshima. Jodi Lofchy was awarded the Paul Patterson Education Leadership Award by the Canadian Psychiatric Association for her very significant contributions to undergraduate education. She also was selected as recipient of a Nancy Roeske Certificate of Recognition for Excellence in Medical Student Education by the Committee on Medical Student Education of the American Psychiatric Association. Susan Lieff was chosen as one of the recipients of the first annual Irma Bland Awards for Excellence in Teaching Residents given by the American Psychiatric Association and its Council on Medical Education and Lifelong Learning. This award recognizes Susan’s outstanding and sustaining contributions to teaching and mentoring. I would like also to congratulate our colleagues who were promoted this year. Progress through the ranks is the best indicator of the strength and vitality of a university department. Promoted to full professor was Mary Vachon; to associate professor, Jacqueline Carter, Eva Chow, Jonathan Hunter, Fang Liu, Jeffrey Meyer, Allan Peterkin, Michael Seto, Tony Toneatto, and Nicholaas Verhoeff; and to assistant professor, Suzanne Allain, Ahmed Boachie, Pier Bryden, John Court, Corrine Fischer, William Gnam, Raed Hawa, Leora Pinhas, and Jiahui Wong. Once again, all of the candidates put forward by our Departmental Promotions Committee were successful. I would like to thank Gary Rodin, who chairs our committee, and the committee members for their excellent work. I would like also to acknowledge the terrific job done by Kathy Ostaff in supporting the promotions process. Also this year, after an extensive international search, the Sandra A. Rotman Chair in Geriatric Neuropsychiatry was awarded to Bruce Pollock. Dr. Pollock, who will succeed Nathan Herrmann as head of the Division of Geriatric Psychiatry, is an international leader in the field of geriatric psychopharmacology. He will be joined by an equally distinguished colleague, Benoit Mulsant, who will be head of the Geriatric Psychiatry Program at the Centre for Addiction and Mental Health. These recruits represent a very significant “reverse brain drain” from the United States to Canada. Gary Rodin has been awarded the Harold and Shirley
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down from his position as head of the Neuroscience Program, and Shitij Kapur has assumed the position of acting head until a permanent successor is appointed. Franco made many important contributions both to the Department of Psychiatry and to the Centre for Addiction and Mental Health, and his new appointment may create an unprecedented opportunity to build linkages between psychology and psychiatry at the University of Toronto. As noted in the outset of this report, the Department of Psychiatry underwent an external review in September 2004. This review was carried out by Russell Joffe and Emmanuel Persad. A great deal of preparatory work was required, and I would like to thank in particular Eva Wong, our business
was awarded the Faculty of Medicine Postgraduate Education Award for Program Development, Administration, and Innovation in recognition of his overall excellence. We have all admired and treasured Allan as a truly inspirational colleague, and we look forward to continuing work with him in a number of important roles. Dr. Kaplan will be succeeded as director of postgraduate Education by Ari Zaretsky, who brings to the position a keen scientific intelligence, a high level of energy, and a great deal of enthusiasm! In addition to the change in postgraduate education, Franco Vaccarino has left the Department of Psychiatry to assume the position of chair of the Department of Psychology at the University of Toronto. Dr. Vaccarino thus stepped
2004–2005 Awards and Honours Ofer Agid received a NARSAD Young Investigator Award in March 2005.
Anne-Claude Bedard (PhD candidate, supervisor—Rosemary Tannock) received the J. C. Laidlaw Manuscript Competition First Prize—Clinical Sciences for her project, “Methylphenidate Effects on Visual Memory in Children with Attention Deficit Hyperactivity Disorder (ADHD).”
Suzanne Allain will be promoted to the rank of assistant professor, effective July 1, 2005. Paul Arnold has been awarded the Gregory M. Brown Graduate Scholarship for 2004–2005. He also received the Travel Award from the Department of Psychiatry Fellowship Program, University of Toronto, and the American College of Neuropsychopharmacology Travel Award.
Shree Bhalerao was selected by the Fitzgerald Academy students as recipient of a Fitzgerald Academy Outstanding Clinical Teacher Award for 2004/2005. Ray Blanchard assumed the office of president of the International Academy of Sex Research, a closed organization that elects members on the basis of their publication histories.
Bruce Ballon was awarded the Stepping Stones Teacher Training Certificate given by the Centre for Faculty Development at its inaugural graduation ceremony on September 28, 2004. He also received a Junior Faculty Development award from the Association for Academic Psychiatry.
Ahmed Boachie will be promoted to the rank of assistant professor, effective July 1, 2005. Morton Beiser was the nominated principal applicant for a CIHR grant in support of the New Canadian Children and Youth Study. The NCCYS project involves the Montreal, Toronto, Prairies, and Vancouver Metropolis centres and is a longitudinal study of the health and development of immigrant and refugee children in 16 different ethnocultural communities across Canada.
Howard Barbaree has been re-appointed head of the Law and Mental Health Program for a five-year term commencing July 1, 2005. Melanie Barwick was the recipient of a 2004 Knowledge Brokering Demonstration Site Grant from the Canadian Health Services Research Foundation. Anne Bassett was elected as a member of the American College of Psychiatrists. She was also invited to join the 22q11 Deletion Foundation Medical Expert Panel, which comprises distinguished international medical experts on 22q11.2 deletion syndrome. She was also identified as one of the top researchers in the City of Toronto’s Discovery District.
Bruna Brands was invited to be a member on the consensus panel at the “Western Canadian Conference on Methamphetamine” (November 2004), Vancouver. The primary goal of the summit was to bring together health workers, law enforcement officers, policy makers, academics, and social service providers to develop a collaborative approach to address methamphetamine use and production in Canada. Vancouver Coastal Health, with support from Health Canada and others, hosted the conference.
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program, and continuing emphasis on the scholar role in postgraduate education. With regard to accomplishments over the five-year period, the department has established 14 strong academic divisions or programs and is situated primarily in seven fully affiliated teaching hospitals. There is a strong Executive Committee in place as well as an effective Senior Advisory Committee consisting of hospital chiefs, program heads, and departmental officers. During the reporting period, 197 new faculty appointments were made, 112 of whom were female. A number of important standing committees have been established, and administrative support for the department has been significantly expanded. The operating budget of the
officer, Kathy Ostaff, administrative coordinator, members of the Departmental Executive, and officers of the department for their very conscientious work in preparing essential materials. The review was extremely positive. The reviewers pointed out that the culture of the department “has shifted from one of isolated silos to a broad departmental vision.” They found that “people are enthusiastic and excited about the focus on educational excellence and a drive for greater research focus, as well as other initiatives such as international outreach and community service.” For the future, areas requiring attention include the further development and integration of neuroscience within the department, a reassessment and focusing of the fellowship
2004–2005 Awards and Honours (continued) Gregory Brown was inducted into the Royal Society of Canada as a new fellow. The Royal Society recognizes leading academics from the full range of scholarly disciplines.
Carole Cohen was given a Special Recognition Award from Senior Peoples’ Resources in North Toronto Inc. John Court was awarded the Stepping Stones Teacher Training Certificate given by the Centre for Faculty Development at its inaugural graduation ceremony on September 28, 2004. He will also be promoted to the rank of assistant professor, effective July 1, 2005.
Pier Bryden will be promoted to the rank of assistant professor, effective July 1, 2005. Jacqueline Carter will be promoted to the rank of associate professor, effective July 1, 2005. Alice Charach received her master of science degree from the Department of Health Policy, Management, and Evaluation. She also, with co-investigators, received a CIHR grant for the project entitled “Attention Deficit Hyperactivity Disorder and Development: The Role of Genetic and Cognitive Predictors of Outcome.”
Sandra Cunning was appointed director of research at the George Hull Centre in March 2004.
Amy Cheung received the Beatrix A. Hamburg Award for Best New Research Poster by a Child and Adolescent Psychiatry Resident for her poster titled “Current Trends in Youth Suicide and Firearms Regulations,” at the American Academy of Child and Adolescent Psychiatry’s Annual Meeting in October 2004 held in Washington, DC. She also was given the Brain Star Award for her project, “Impact on Cost Estimates of Differences in Reports of Service Use among Clients, Caseworkers, and Hospital Records” from the Institute of Neurosciences, Mental Health, and Addiction, CIHR in September 2004.
Ian Dawe received a Friends of the Fitzgerald Academy Award for his work with undergraduate medical students in the Psychiatric Emergency Service at St. Michael’s Hospital. He also received a 2004 Volunteer Service Award from the Government of Ontario for “individuals, non-profit organizations, or businesses which have made exceptional volunteer contributions to their communities.” This award was accompanied by a separate, special citation from George Smitherman, minister of health, recognizing his volunteer contributions to St. Jude Community Homes over the past eight years.
Eva Chow will be promoted to the rank of associate professor, effective July 1, 2005. She was also selected to present her work on the psychosocial and occupation functioning in adults with 22q11 deletion syndrome as a platform presentation at the American Society of Human Genetics Annual Meeting in October 2004.
Claire De Souza was awarded the Stepping Stones Teacher Training Certificate given by the Centre for Faculty Development at its inaugural graduation ceremony on September 28, 2004.
Jeff Daskalakis received Dean’s Fund seed money for his project, “Exploring N-Methyl-D-Aspartate (NMDA) Receptor Function in Schizophrenia through Transcranial Magnetic Stimulation Induced Paired Associative Stimulation.”
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department has been enhanced by the addition of a number of endowed chairs and also by successful competition for external research funds. At the end of the reporting period, there were 54 scientists in the Department of Psychiatry holding career awards to support academic endeavours. Finally, in 2003, each practice plan in the department received an allocation of funds, through a hospital-based governance structure from the Ministry of Health and Long-term Care Phase 1 Alternate Funding Plan. Faculty development has been recognized as a key activity in the department. In partnership with the Centre for Faculty Development, led by Ivan Silver, a senior member of our department, a Teaching Scholars Program was launched to enrich
the entire educational enterprise in the department. As well, a new program to support educational scholarship in the department (rise) was established. With regard to academic promotions, 75 faculty members were promoted during the reporting period, 27 females and 48 males. Twentyseven promotions were to assistant professor, 26 to associate professor, and 22 to full professor. Educational programs have been directed by very strong leaders who comprise the members of the Education Council, headed by Brian Hodges, vice-chair education. Throughout most of the reporting period, Allan Kaplan has been postgraduate director; Jodi Lofchy has been undergraduate director; Sagar Parikh has been director
2004–2005 Awards and Honours (continued) Carolyn Dewa was asked to serve as the research manager of the Taskforce on the Implementation of the Canadian Institutes of Health Research Research Agenda on Workplace Mental Health. She also, in collaboration with Alain Lesage, Jean-Yves Savoie, Remi Quirion, and John Frank, coedited a special issue of Healthcare Papers on mental health in the workplace.
Paula Goering’s CHSRF/CIHR Chair’s Program in Health Services Research “Generating and Disseminating Best Practices in Mental Health and Addiction” was renewed for an additional 6 years. She also was invited by the lieutenant governor of Ontario to speak on poverty, discrimination, and mental health on March 25, 2004 as part his Shared Citizenship Public Lecture Series.
Benedikt Fischer was one of 15 invited participants in the November 2004 symposium “Leaders of Tomorrow,” hosted by the Partnership Group from Science and Engineering in collaboration with the major federal research granting councils (CIHR, NSERC, SSHRC) in Ottawa.
Susan Goldberg was the recipient of the 2005 Bowlby-Ainsworth Award for her contributions to the field of attachment theory and research. This was given by the Awards Committee of the New York Attachment Consortium and the Centre for Mental Health Promotion in consultation with international colleagues.
Corrine Fischer was awarded the Stepping Stones Teacher Training Certificate given by the Centre for Faculty Development at its inaugural graduation ceremony on September 28, 2004. She will also be promoted to the rank of assistant professor, effective July 1, 2005.
Ben Goldstein was awarded a Lilly Travelling Fellowship to the 6th International Conference on Bipolar Disorder. Cheryl Grady was awarded a Tier 1 Canada Research Chair in Neurocognitive Aging.
Luis Fornazzari was awarded the Trayectoria. This is a life achievement award given annually by Award Somos (“we are” in Spanish), which symbolizes the accomplishment of Latin Americans in Canada.
Mark Halman was a visiting professor at the University of Witswatersrand in South Africa, where he provided technical assistance to psychiatrists dealing with psychiatric aspects of the HIV/AIDS epidemic.
Rose Geist was elected to the American College of Psychiatrists at the college’s annual meeting in La Jolla, California, in February.
Hayley Hamilton received Dean’s Fund seed money for her project, “Pathways and Adherence to Care among Children in Mental Health Treatment.” She also received funding from the Joint Centre of Excellence for Research on Immigration and Settlement (CERIS) for her project entitled “Immigrant Children in Treatment: Pathways and Adherence to Care in Community Agencies.”
William Gnam will be promoted to the rank of assistant professor, effective July 1, 2005.
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patients and Observed Structured Clinical Examinations in psychiatric undergraduate education. As well, we have established and evaluated an annual Psychiatric Institute for Medical Students considering training in psychiatry. Our educators have received many prestigious awards. Both Brian Hodges and Ivan Silver have received 3M Teaching Awards for their outstanding work as educational leaders. The residency training program is the largest postgraduate education program in psychiatry in the world, with approximately 130 residents. The program receives 100 to 120 applications in the
of continuing mental health education, and Brenda Toner more recently has been appointed director of the Fellowship Program. The department has been very involved in undergraduate education, contributing approximately 8,000 hours of teaching in the pre-clerkship period and a six-week rotation in the third year of the clerkship. In an institutional self-study carried out in 2004 in preparation for accreditation of the undergraduate medical curriculum, the clerkship program in psychiatry received very high ratings. Our department has been a local, national, and international leader in the use of standardized
2004–2005 Awards and Honours (continued) Raed Hawa was awarded the Stepping Stones Teacher Training Certificate given by the Centre for Faculty Development at its inaugural graduation ceremony on September 28, 2004. He will also be promoted to the rank of assistant professor, effective July 1, 2005.
Violet Kaspar became a member of a Peer Review Committee of the National Institute of Mental Health, evaluating grant applications submitted to the NIMH Minority Research Infrastructure Support Program. She also received a CIHR New Investigator Award.
Daniela Hlousek won an Ontario Graduate Scholarship in Science and Technology for 2005–2006.
Martin Katzman is chair of the Scientific Advisory Committee for the Anxiety Disorders Association of Canada.
Brian Hodges was appointed chair of the Evaluation Committee of the Royal College of Physicians and Surgeons of Canada for a tw-year term. The Evaluation Committee develops standards and policies, performs annual reviews, and determines standards and methods for examinations and in-training evaluations for all 60 specialties and subspecialties of the Royal College.
Sid Kennedy was selected by the Canadian Psychiatric Association (CPA) Scientific and Research Standing Committee as the 2004 recipient of the J. M. Cleghorn Award for Excellence and Leadership in Clinical Research. The award was presented at the CPA’s annual banquet on October 16, 2004 in Montreal. Krista Lanctot was given a Salary Support Award from Ontario Mental Health Foundation starting July 2004.
Sylvain Houle was appointed to the National Research Council Advisory Committee on TRI-University Meson Facility. He was invited to speak at the Annual Meeting of the Canadian Nuclear Medicine Society on “Illustrating the Potential: Pharmacokinetic Research.” He was also proud to announce the installation of the new Biograph 16 High Resolution whole body PET/CT scanner acquired as part of the CAMH/GSK collaboration.
John Langley received a Values in Action Award in the category of Social Responsibility Award from St. Michael’s Hospital for his Transitional Age Youth Assessment & Referral Project. Arlette Lefebvre received the Paul Steinhauer Award for Advocacy from the Canadian Academy of Child and Adolescent Psychiatry. She also received the Hospital for Sick Children Psychiatry 2004 Undergraduate Teaching Award.
Jonathan Hunter will be promoted to the rank of associate professor, effective July 1, 2005.
Molyn Leszcz was elected to the Board of Directors of the American Group Psychotherapy Association.
Abel Ickowicz shared the Hospital for Sick Children Psychiatry Postgraduate Teaching Award. He also, with co-investigators, received a CIHR grant for the project entitled “Attention Deficit Hyperactivity Disorder and Development: The Role of Genetic and Cognitive Predictors of Outcome.”
Robert Levitan received an Intermediate Investigator Award from the Ontario Mental Health Foundation. Susan Lieff was awarded a First Annual Irma Bland Award for Excellence in Teaching Residents by the Council on Medical Education and Lifelong Learning of the American Psychiatric Association.
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the Department of Psychiatry has had a very strong presence in continuing medical education. For several years, the Department of Psychiatry was the largest provider of cme events in the Faculty of Medicine. The department has led a very significant shift away from single-event cme to courses and programs and innovative techniques, including the development of educational games. Ivan Silver, as director of cme in the department from 1998 to 2003, played a major role in the development of the Royal College Maintenance of Certification Program. The Department of Psychiatry is a major contributor to the research enterprise in the Faculty
CaRMS Match for 23 positions and fills in the first iteration. Roughly 60% of residents in psychiatry are female. In 2002, a new clinician scientist stream was introduced, and in 2003 a fully electronic postgraduate evaluation system was implemented. We are also full participants in the new Ontario International Medical Graduates Program. Both Allan Kaplan and Susan Lieff have won Faculty of Medicine Excellence in Postgraduate Medical Education Awards. The Fellowship Program has expanded continuously during the reporting period. Of the 69 fellows enrolled in 2004, 13 were enrolled in graduate degree programs. Throughout the reporting period,
2004–2005 Awards and Honours (continued) Elizabeth Lin was one of two principal investigators selected to lead the Ontario component of “Closing the Implementation Gap,” a national project funded by Health Canada to develop quality measures for mental health care delivered in primary care.
Jeffrey Meyer will be promoted to the rank of associate professor, effective July 1, 2005.
Fang Liu will be promoted to the rank of associate professor, effective July 1, 2005. She also received the American College of Neuropsychopharmacology/European College of Neuropsychopharmacology Exchange Award in Stockholm in October 2004.
Samuel Noh and the Culture, Community, and Health Studies section, co-sponsored with the University of Manchester, the first Conference of Cultural and International Mental Health Research, July 2–3, 2004.
Jodi Lofchy was selected as a recipient of the Fourteenth Annual Nancy C. A. Roeske Certificate of Recognition for Excellence in Medical Student Education awarded by the American Psychiatric Association’s Committee on Medical Student Education. She was also awarded the Paul Patterson Education Leadership Award from the Standing Committee on Education of the Canadian Psychiatric Association.
Allan Peterkin will be promoted to the rank of associate professor, effective July 1, 2005.
Carles Muntaner was the recipient of the Wade Hampton Frost Lectureship Award from the American Public Health Association.
Sagar Parikh received the Colin R. Woolf Long-term Contribution to Continuing Education Award from the Faculty of Medicine.
Leora Pinhas will be promoted to the rank of assistant professor, effective July 1, 2005. Arun Ravindran was elected to fellowship in the Royal College of Psychiatrists of Britain. He also won the R. O. Jones Award for Best Research Paper from the Canadian Psychiatric Association.
Julie Maggi, with co-authors, received the Best Poster Award by a Trainee at the Academy of Psychosomatic Medicine Annual Meeting held in November 2004 for a poster entitled “The Impact of Attachment and the Physician– Patient Relationship on Adherence to Medication Treatment in HIV Disease.”
Paula Ravitz received a Physicians’ Services Incorporated Foundation Grant for her project, “Improving Doctor– Patient communication by New Family Physicians in Difficult Treatment Situations: Coaching Communication Using Simulated Encounters.” She also was awarded the Association for Academic Psychiatry 2005 Teaching Award for the Canadian Region.
Katharina Manassis was promoted to senior associate scientist, Research Institute at the Hospital for Sick Children. Barry Martin became coordinator of electroconvulsive therapy for the Department of Psychiatry. Rosemary Meier was elected to the American College of Psychiatrists at the college’s annual meeting in La Jolla, California, in February 2005.
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led by senior scientists supported by endowments in recognition of their excellence. Currently there are 22 endowed chairs and professorships in the Department of Psychiatry. In 2001, as a result of comprehensive, inclusive planning, the Department of Psychiatry produced a Five-Year Strategic Plan. This plan was reviewed in 2004 in relation to a new University of Toronto Academic Plan and found to be evolving successfully and to be consistent with the new university vision. The department’s Academic Plan, in keeping with the Academic Plan of the Faculty of Medicine, emphasizes five key areas: building our faculty;
of Medicine, accounting for approximately 17% of research funding. Total funding for research has increased from $20,865,077 in 1999/2000 to $41,682,667 in 2003/2004. Faculty members are involved in 107 cihr operating grants totalling $17,301,960. Publications in the department increased from 410 in 1999/2000 to 542 in 2003/2004. Science identified progress in understanding the genetics of mental illness as the second most important area of scientific progress in 2003, and two papers produced by Jim Kennedy and colleagues were cited as key contributions. Programs of research within programs and divisions are often
2004–2005 Awards and Honours (continued) Jurgen Rehm, with colleagues, won first prize in the public health category of the British Medical Association’s book awards for 2004 for Alcohol: No Ordinary Commodity. He also participated in a study on “Burden on Death, Disease, and Disability due to Alcohol in New Zealand.”
Peter Selby led the Tobacco Use in Special Populations Program, in collaboration with the Canadian Tobacco Control Research Initiative, Ontario Tobacco Research Unit, and CIHR Strategic Training Program in Tobacco Research to organize the 1st Annual Invitational Meeting of Tobacco Control Investigators and Trainees: Building a Research Community, on December 2 and 3, 2004.
Johanne Roberge shared the Hospital for Sick Children Psychiatry Postgraduate Teaching Award.
Michael Seto will be promoted to the rank of associate professor, effective July 1, 2005.
Gary Rodin was awarded the Harold and Shirley Lederman Chair in Psychosocial Oncology and Palliative Care at the University Health Network.
Kenneth Shulman was named to the Faculty of Medicine 2004/2005 Decanal Promotions Committee.
Sarah Romans was admitted to membership in the American College of Psychiatrists at the annual meeting of the College in La Jolla, California, in February 2005.
Ivan Silver was appointed as the Faculty of Medicine’s associate dean, Continuing Education. His five-year term will be from September 1, 2005, to June 30, 2010.
Lori Ross was appointed associate member, Institute of Medical Science. She also received a Career Scientist Award, Ontario Ministry of Health and Long-term Care, Ontario Women’s Health Council.
Robyn Stephens was awarded a prestigious Hospital for Sick Children/CIHR grant. Vicky Stergiopoulous received a recognition award from the Ontario College of Family Physicians for her work with homeless and insecurely housed individuals.
Sean Rourke received, with co-authors, the Best Poster Award by a Trainee at the Academy of Psychosomatic Medicine Annual Meeting held in November 2004 for their poster entitled “The Impact of Attachment and the Physician– Patient Relationship on Adherence to Medication Treatment in HIV Disease.”
John Strauss received his master of science from the Institute of Medical Science. He was also awarded a National Alliance for Research on Schizophrenia and Depression (NARSAD) Young Investigator Award.
Brian Rush was awarded the Merit for Life Valuing Award from the National Anti-Drug Secretary in recognition of his significant contribution to the reduction of drug demand in Brazil.
David Streiner received the 2004 Alexander Leighton Award from the Canadian Academy of Psychiatric Epidemiology and the Canadian Psychiatric Association. Denise Tomkins was an invited member of the Fitness-inTreatment Research and Advisory Panel at CAMH in August 2004.
Russell Schachar, as principal investigator, received a CIHR grant for the project entitled “Attention Deficit Hyperactivity Disorder and Development: The Role of Genetic and Cognitive Predictors of Outcome.”
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Susan was an internationally renowned researcher in the area of attachment in child psychiatry. Shortly before her death, she was awarded the Bowlby-Ainsworth Award for her contributions to the field of attachment theory and research. She will be sorely missed. The department sponsored a number of events this year. The Fourth Annual Summerfest was held on July 14 and was extremely well attended. Shree Bhalerao did his usual excellent job as master of ceremonies, and Kathy Ostaff organized the event with her usual high level of competence. The Chair’s Welcome Reception was held on September 14, and the Holiday Reception was held on December 15. Both were well attended. The 31st Annual Harvey Stancer Research Day, on June 16, was extremely successful. This year’s focus was on the training of clinician scientists, with Remi Quirion from the Canadian Institutes of Health Research as keynote
enriching the student experience; strengthening our academic program; enhancing our relationships and extending our reach; and strengthening our infrastructure and resource base. In addition to working to achieve the overall goals of the university and the Faculty of Medicine, the Department of Psychiatry identified six new initiatives to guide academic activities: (1) development of a clinician scientist training program; (2) establishment of a program of educational scholarship; (3) expansion of international mental health outreach; (4) development of a population health framework; (5) support for encouraging diversity; and (6) coordination of clinical service. Significant progress has been made in all six areas. Sadly this year, a very senior member of our department passed away. Susan Goldberg, a full professor who was extremely active in our department, died after a long illness on June 14, 2005.
2004–2005 Awards and Honours (continued) Tony Toneatto will be promoted to the rank of associate professor, effective July 1, 2005. He was also appointed to the CAMH Research Ethics Board.
Jessica Warner published her book The Incendiary. Donald Wasylenki has been appointed to second five-year terms as chair, Department of Psychiatry and as psychiatristin-chief at St. Michael’s Hospital, effective July 1, 2005.
Ty Turner was presented with the Jane Chamberlain Award for contributions to General Hospital Psychiatry by the Association of General Psychiatric Services at the annual meeting of the Ontario Psychiatric Association in January 2005.
David Wolfe was selected to receive the Donald O. Hebb Award. This is the most prestigious scientific award given by the Canadian Psychological Association and it is for his many contributions to psychology in Canada.
Thomas Ungar received the Dr. John Armstrong Award for Excellence in Teaching in Addictions and Mental Health. This is an award voted on and selected by the family practice residents at North York General Hospital.
Albert Wong received a NARSAD Young Investigator Award in March 2005. Jiahui Wong will be promoted to the rank of assistant professor, effective July 1, 2005.
Franco Vaccarino has been appointed chair of the Department of Psychology at the University of Toronto effective July 1, 2005.
Trevor Young was admitted to membership in the American College of Psychiatrists, conferred at the annual meeting of the College in La Jolla, California, in February 2005.
Mary Vachon will be appointed to the rank of full professor, effective July 1, 2005.
Ari Zaretsky was appointed director of postgraduate education for the Department of Psychiatry for a five-year term to commence July 1, 2005.
Neil Vasdev received Dean’s Fund seed money for his project, “Synthesis of Carbon-11 Labeled ARA014418: A Potential Probe for Imaging Glycogen Synthase Kinase-3 with Positron Emission Tomography.”
Robert Zipursky has been renewed as Tapscott Chair in Schizophrenia Studies for a second five-year term commencing July 1, 2005.
Hubert Van Tol became a member of the editorial board of the journal Synapse. Nicholaas Paul Verhoeff will be promoted to the rank of associate professor, effective July 1, 2005.
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MD, and Abraham Snaiderman, MD. Atalay Alem, MD, Wolde Tensai Araya, MD, and Greg Dubord, MD, were all recruited by the Research, Innovation, and Scholarship in Education Program. The Schizophrenia Program added Ofer Agid, MD, to their staff. Catherine Classen, PhD, joined the Women’s Mental Health Program. We regret the loss of Stephen Baxter and Susan Goldberg, who passed away this year. They will be sorely missed by their friends and colleagues. I would like to thank all members of the Department of Psychiatry for their energy, enthusiasm, and support throughout my first term as chair. It has been a very great privilege to lead such an exemplary academic organization.
speaker. Once again, an excellent program was organized by Sean Rourke, Bob Zipursky, Joanne Bedasie, and Sarah Lyons, along with Trevor Young and Allan Kaplan. This year as well there were two professorial lectures given by Nathan Herrmann and Anthony Levitt. A number of outstanding new faculty members from several disciplines have joined the department this year. The Division of Child and Adolescent Psychiatry has recruited Marianne Gocker, MD. A new addition to the Culture, Community, and Health Studies Program is Carles Muntaner, MD, PhD. Barbara Crawford, MD, Antonia Seli-Uzelac, MD, Adam Waese, MD, and Jon Novick, MDcm, joined the Division of General Psychiatry. In the Health Systems Program a new staff member is Joan Nandlal, PhD. The Mood and Anxiety Disorders Program welcomed Alexandra Bottas, MD, and Stephen Stokl, MD. New staff in the Psychiatry, Health, and Disease Program include Julie Maggi,
Donald A. Wasylenki, md, frcpc Professor and Chair Department of Psychiatry
10
research
Report of the Vice-Chair The Department of Psychiatry is home to an extensive range of research programs that reflect the diversity of our clinical programs and our commitment to conceptualizing the determinants of psychiatric disease.
T
he Department of Psychiatry is home to an extensive range of research programs that reflect both the diversity of our clinical programs and our commitment to broadly conceptualizing the determinants of psychiatric disease. In addition to the research carried out within our clinical programs, the Department of Psychiatry supports specialized research programs in areas that cut across our clinical programs: the Neuroscience Program, the Psychotherapy Program, the Health Systems Program, and the Culture, Community, and Health Studies Program. The commitment that our department has to understanding the broadly defined determinants of mental illness is also consistent with the perspective that has been adopted by our major external funding agency, the Canadian Institutes of Health Research (cihr). The
cihr is devoted to the support of multidisciplinary health research that addresses four broad themes: bio-medical research; clinical research; research in health systems and services; and research into the health of populations, societal, and cultural dimensions of health, and environmental influences on health. The organization of our research activities in the Department of Psychiatry dovetail very well with the priorities of the cihr and their interest in facilitating research that brings multiple perspectives to improving the health of Canadians. A major challenge for biomedical research in the field of psychiatry has been to translate findings from the laboratory to the patient care level. Molecular genetics and brain imaging are two rapidly evolving fields that have been particularly actively developed in our Department
2 0 0 4 – 2 0 0 5 de pa rt m e n t o f p s yc h i at ry a n n ua l r e p ort
Types of Funding Received 2002–2003
2004–2005
2003–2004
Operating
$
28,122,981
$
30,788,013
$
40,456,070
Personnel
$
2,341,389
$
2,067,196
$
1,218,462
Contracts
$
5,383,748
$
8,750,241
$
12,229,150
Travel/Conference
$
59,583
$
77,217
$
1,507
$
35,907,701
$
41,682,667
$
53,905,189
Total
Sources of Funding Received 2002–2003
2004–2005
2003–2004
Federal
$
19,989,375
$
22,120,525
$
29,903,102
Provincial
$
6,784,198
$
6,485,884
$
8,295,694
Industrial
$
1,533,557
$
1,239,043
$
6,655,330
US
$
4,437,210
$
6,311,163
$
6,407,080
International
$
1,150,102
$
3,382,300
$
258,401
Miscellaneous Agencies
$
2,013,259
$
2,143,752
$
2,385,581
$
35,907,701
$
41,682,667
$
53,905,188
Total
Types of Funding Received (in $ millions)
Sources of Funding Received (in $ millions)
60
60
50
50
40
402002–2003
30
30
20
20
10
10
0
0
2004–2005
2002–2003
2003–2004
2002–2003
2004–2005
12
2003–2004
Total
Agencies
International
US Funding
Industrial
Provincial
Federal
Total
Travel / Conference
Contracts
Personnel
Operating
2003–2004
2004–2005
research
sibility for overseeing the planning of the department’s annual Harvey Stancer Research Day. This year we were honoured to have our keynote address delivered by Remi Quirion, scientific director of the Institute of Neuroscience, Mental Health, and Addiction of the cihr. Over the past three years, we have used the Research Day program to highlight our newest programs including Population Health, and the Research, Innovation, and Scholarship in Education program. This year’s focus was on our newly developed Clinician Scientist Program. Dr. Quirion’s address was followed by a discussion on the challenges of developing a new generation of clinician scientists for psychiatry in Canada. As the training required to carry out competitive medical research has become more intensive, new mechanisms are required to facilitate our psychiatrists-intraining to pursue careers in psychiatric research. This development will likely require added flexibility in their residency training so that research involvement can be stimulated throughout their specialty clinical training. The Department of Psychiatry continues to expand its research activities across a broad range of questions and a diverse array of research methodologies. We are striving to enhance the integration of our evolving research programs with our extensive clinical services so that our research discoveries can be successfully translated into improvements in clinical care.
of Psychiatry, as we believe that they hold great potential for understanding the biology of mental illness and for the development of better approaches to treatment. This year, a new high-resolution whole body pet-ct scanner was installed at the Vivian M. Rakoff pet Centre at camh. This scanner, together with our new high-resolution dedicated head pet scanner, which was installed two years ago, will greatly increase our capacity to carry out innovative pet research aimed at increasing our understanding of mental illness and addictions. Research Funding Funding for research in the Department of Psychiatry has continued to grow rapidly over the past year. The accompanying tables and figures describe the types and sources of funding received by our department over the past three years. Our total research funding has risen by 29% in the past year and 50% over the past two years to over $50 million in this past year. This includes an increase in our funding from federal and provincial sources of 34% in the past year. Within our department, 147 of our faculty serve as principal investigators on funded projects. These projects include 136 projects funded through cihr, 30 projects funded through the Ontario Mental Health Foundation, 17 from the U.S.-based National Institutes of Health, 15 grants from the Social Sciences and Humanities Research Council of Canada, 12 grants from the Canadian Psychiatric Research Foundation, and 12 from the U.S.-based National Alliance for Research on Schizophrenia and Depression. The office of the vice-chair research has respon-
Robert B. Zipursky, md, frcpc Vice-Chair, Research
13
education
Report of the
Vice-Chair The past academic year has been a time of tremendous change in the Faculty of Medicine.
T
he past academic year has been a time of tremendous change in the Faculty of Medicine, with a turnover of all the education associate deans. Jay Rosenfield, a developmental pediatrician and experienced educator, assumed the position of associate dean of undergraduate education. He replaced Rick Frecker, who stepped down after a very successful term during which he led the University of Toronto Undergraduate Medical Program through two outstanding accreditations. In the Postgraduate domain, Sarita Verma comes to Toronto from a previous position as a vice-dean for education at Queen’s University. Dr. Verma, a lawyer and family physician by training, is a talented educator and a strong advocate for social responsibility in education. Dr. Verma is taking over from Murray Urowitz, who has completed an exceptional ten years as associate dean of postgraduate education. During Dr. Urowitz’s term there was tremendous expansion, centralization, and reform of postgraduate programs across the university. In
the Continuing Education domain, we are very pleased to celebrate the appointment of Ivan Silver, a highly regarded educator from the Department of Psychiatry, as the new associate dean of continuing education. Dr. Silver will remain director of the university-wide Centre for Faculty Development and also continue to be the co-head of the Department of Psychiatry’s rise Program (Research, Innovation, Scholarship in Education). Dr. Silver replaces Dave Davis, who has been an international leader in the area of best practices in continuing education. These changes come at a time when the medical school is facing enormous pressures from several sources. One of the most important is the anticipated expansion of the Undergraduate Medical Program. In the coming years, it is very likely that the Faculty of Medicine will add a fourth academy for the training of medical students, as well as additional expansion throughout the partially affiliated hospitals in the Greater Toronto Area. Further, a significant expansion of
education
However, Dr. Zaretsky is himself an outstanding educator and member of the department’s Education Scholars Program. Members of the department are very excited to have such an enthusiastic and accomplished educator taking the helm of Postgraduate Education. In Continuing Education, Sagar Parikh continues to provide inspired leadership, motivating our hospitals and programs to develop new and innovative programs of education for physicians in practice. Under Dr. Parikh’s leadership, the Department of Psychiatry continues to be one of the top providers of Continuing Education in the Faculty of Medicine. Finally, Brenda Toner is in her second year of leadership in the Fellowship Program and has now established a host of new activities and programs. Fellows are travelling internationally to present their work as well as attending regular academic sessions here in Toronto. As the Fellowship Program continues to grow, Dr. Toner is launching an internal review for presentation in the fall of 2005. Throughout the year, the Education Council has continued to set policy on educational issues, to review the educational budgets, and to share ideas and solve problems across the portfolios. In addition to skillful management of educational administrative tasks, many members of the Undergraduate, Postgraduate, Continuing Education, and Fellowship portfolios also participate in the new rise Program. This program is described further in the section on Programs and has become an academic and scholarly home for many of our faculty who are developing scholarship in education.
training for international medical graduates at both undergraduate and postgraduate levels will create new educational challenges. Within the Department of Psychiatry, Jodi Lofchy continues to be an exceptional leader. As one of the more experienced undergraduate directors in the Faculty of Medicine, she is widely respected for her leadership in education and oversaw the tremendously successful accreditation process that recognized the Department of Psychiatry as a major contributor to our excellent undergraduate program. At the Postgraduate level, Allan Kaplan completed his second term, capping off an outstanding career as postgraduate director. Dr. Kaplan completely reformed and reinvigorated our Residency Program over his 11 years in this position. He put in place a formalized residency matching system, a new evaluation system, new core curriculum, and worked to fully integrate and address new guidelines for training from the Royal College of Physicians and Surgeons of Canada. Importantly, he adapted the postgraduate program to meet the societal needs of patients and families in under-serviced populations in Toronto and in the rural and remote areas of Ontario. In particular, Dr. Kaplan was a major leader, together with the University of Toronto Psychiatric Outreach Program, in establishing the first core rotations in Northern Ontario for psychiatric residents. The result has been recruitment of a cohort of new psychiatrists where they are desperately needed. The residents and faculty of the Department of Psychiatry are enormously grateful to Allan for his outstanding leadership in Postgraduate Education. Coming into the role of director of postgraduate education, Ari Zaretsky has enormous shoes to fill.
Brian Hodges, md, frcpc Vice-chair, Education
15
Undergraduate Education The Undergraduate Education Committee oversees the development and implementation of the psychiatry components in pre-clerkship and clerkship Faculty of Medicine training.
Introduction
T
he Undergraduate Education Committee, led by Jodi Lofchy, oversees the development and implementation of the psychiatry components in pre-clerkship and clerkship Faculty of Medicine training. With over 8,000 hours a year of undergraduate teaching, members of the Department of Psychiatry make a significant contribution to the training of medical students and have a strong presence in the Art and Science of Clinical Medicine I and II, the Foundations of Medical Practice, Brain and Behaviour, Determinants of Community Health, the Psychiatry Clerkship, the Ambulatory Community Experience, and the Electives Program.
Administration In November 2004, Kelly Killip was welcomed to the undergraduate administrative team. As administrative coordinator, Ms. Killip has taken on undergraduate and vice-chair responsibilities. In June 2005 the office was fortunate to have Ksenija Hotic
join as the administrative assistant with her focus on the Recruitment portfolio.
Pre-Clerkship ascm ii After two dedicated years, Vicky Stergiopoulos stepped down as ascm ii coordinator in April 2005. Though she remains in the position of acting coordinator, the Department of Psychiatry would like to express gratitude to Dr. Stergiopoulos for her many contributions. Dr. Stergiopoulos made great progress with syllabus revisions, introduced case and evaluation write-ups, and initiated planning of a revised ascm ii course video. Mara Goldstein continues her role as the electives coordinator. She continues to maintain and update the undergraduate website and its elective descriptions. She is currently organizing half day electives across various sites for clerks in the sixth week of their rotation, after their osce.
education
Foundations Course
developing the Developmental Disabilities Syllabus. Elspeth Bradley and Susan Dundas have led the Department of Psychiatry to develop an Adult and Child Developmental Disabilities Day for the thirdyear Psychiatry Clerkship program. Commencing January 2006, the Department of Psychiatry will offer “a day in the life span” of patients with developmental disabilities at Surrey Place in the sixth week of the clerkship block. Psychiatry clerks will complete full-day seminars and workshops focusing on child and adult developmental disabilities, gaining exposure to all aspects of developmental disabilities.
Mark Katz maintains the psychiatry coordinator role for the Foundations course. Recently, Dr. Katz revised the psychiatry component for the course, updating the learning objectives, restructuring the psychiatry week with a continued focus on tutor recruitment. The evaluations for the psychiatry components of this course have been very positive, contributing to the high level of satisfaction with Foundations reported by the students.
Brain and Behaviour Albert Wong continues as the Brain and Behaviour Psychiatry coordinator for this year. The psychiatry component of Brain and Behaviour is one of the most highly rated parts of the course. Dr. Wong looks forward to strengthening the psychiatry component of the course, creating an innovative interactive experience for the Psychiatry Brain and Behaviour Discovery Lab.
Clerk Crisis Clinic The Clerk Crisis Clinic will be reintroduced centrally and piloted across the city in all teaching sites in the 2005–2006 academic year. This program was originally implemented at the Centre for Addiction and Mental Health—Clarke Site by Jodi Lofchy. The Clerk Crisis Clinic will give the clerks opportunities for one-on-one patient experiences, by assigning a patient from the Emergency, In-patient, or Outpatient services, thus exposing clerks to all aspects of a therapeutic relationship.
Clerkship Clinical Based Seminars Paul Kurdyak remains the literary consultant, updating the list of articles for clerks for the 2005–2006 academic year. At a recent retreat, the Undergraduate Education Committee updated the learning objectives and case materials for the following weekly seminars: Mood, Psychosis, Personality Disorders, Anxiety Disorders, Cognitive Impairment, and Substance Abuse.
Recruitment The Recruitment Committee continues a dedicated effort to attract the best and the brightest to the University of Toronto Residency Program. In his third year as chair of the Recruitment Committee, Mark Katz encouraged the committee to review strategies and make improvements in the organization of recruitment events. As in previous years, recruitment activities were geared to all levels of medical student training. Medical students had the opportunity to learn about career opportunities in psychiatry and the nature of the Psychiatry Residency Program through a variety of experiences organized by the committee, including career nights, career lunches, and medical student dinners featuring prominent guest speakers: Susan Dundas and Mark Sanford, Lisa Andermann and Andrea Bernston. The evening events were well attended, increasing student interest and awareness of careers in psychiatry. This year’s Eleventh Annual Psychiatry Institute for Medical Students was very successful, with the largest number of applicants to date, sparking an interest in psychiatry residency among many attendees.
Clerkship Examination In November 2004, Block-1 students were introduced to a new osce format. Post-Encounter Probes were added to the third-year Clerkship osce exam, consisting of a five-minute question-and-answer upon completion of the 13-minute interview at the five osce stations. Clinical and written exams are now taken on two separate days and marked independently. Feedback is given to the clerks about their overall exam performance prior to the completion of the sixth week.
Development Disabilities Day: Sixth Week Clerkship For the 2005–2006 academic year, the Department of Psychiatry—along with Developmental Paediatrics and Family Medicine—will be responsible for 17
2 0 0 4 – 2 0 0 5 de pa rt m e n t o f p s yc h i at ry a n n ua l r e p ort
American College of Psychiatrists Award for Creativity in Education
• American Psychiatric Association’s Nancy C. A. Roeske, md, Certificate of Recognition for Excellence in Medical Student Education: Jodi Lofchy • Canadian Psychiatric Association’s Paul Patterson Education Leadership Award: Jodi Lofchy
With the successful completion of the eleventh year of the Psychiatry Institute for Medical Students, Dr. Lofchy and the Undergraduate Recruitment Committee have been nominated and shortlisted for the prestigious American College of Psychiatrists Award for Creativity in Psychiatric Education.
Future Directions Our department will face challenges in providing excellent undergraduate training in psychiatry. Priorities have been defined and included in the department’s strategic plan: • Increase number of teaching sites to accommodate a growing number of medical students • Create a more standardized approach to teaching and evaluating intenational medical graduate students, exploring a parallel track of education with a designated coordinator • Take curriculum and evaluation system online with medsis • Continue to address the problem of teacher recruitment and equitable remuneration across teaching sites • Create multiple-choice questions for written examinations • Continue to attract the best and the brightest medical students to careers in psychiatry through recruitment and liaison with the Postgraduate Education Office • Implement the Clerk Crisis Clinic for all sites created by Jodi Lofchy Among the many challenges that lie ahead, one of the most pressing is the increasing number of medical students. Though in the planning stage, teaching sites and staff must be established to accommodate students. Faculty will also need to be informed of changes to curriculum and evaluation procedures. Ongoing modifications and improvements to our clerkship syllabus and evaluation process are paramount. In response to final clerkship evaluations, subcommittees led by Edred Flak and Mark Katz have assembled to develop and modify the clinical and written examinations. We continue to look at innovative ways to administer the curriculum to our students who must travel beyond the downtown core. Suggestions include placing more of the curriculum and evaluations online and using tele-video conferencing to facilitate communication between the Undergraduate Office and increasingly distant teaching sites.
Undergraduate Retreat In June 2005 Jodi Lofchy hosted the Annual Undergraduate Committee Retreat, with this year’s focus on learning objectives, syllabus revision, and the evaluation process for undergraduate teaching. The committee was fortunate to have Milena Forte, family medicine–obstetrics academic director and educational coordinator at Mount Sinai Hospital, present “Teaching Psychiatry to Non-Psychiatrists: What Do They Really Need To Know?” The committee began developing a bank of multiple-choice questions to accompany short-answer questions for the 2005–2006 written examinations.
The Examination and Students Examination Assessment Committee (esac) Jodi Lofchy and Tina Martimianakis presented a Psychiatry Clerkship overview to the Examination and Student Assessment Committee (esac) in April 2004. Richard Pittini recently met with Jodi Lofchy, Tina Martimianakis, and Kelly Killip to review the esac findings. The esac was very pleased with the Psychiatry Clerkship Report, which highlighted the consistent feedback and observation given to psychiatry clerks. The following areas were assessed: clarity of weightings, standardized supervision, osce station allocation, and midpoint feedback. Overall, the esac review of the Department of Psychiatry and presentation by Dr. Lofchy and Ms. Martimianakis was well received by esac.
Awards We are pleased to announce the recipients for the following 2004–2005 Undergraduate Education Awards: • Abraham Miller Award: Shelley Brook • Resident Teaching Award: Kien Dang • Dr. Benjamin W. Appleton Prize in Psychiatry: Alexandra Stefan
Jodi Lofchy, md, frcpc Director, Undergraduate Medical Education 18
Postgraduate Education The director of postgraduate education and the Postgraduate Education Committee focused on several areas as priorities during the 2004–2005 academic year.
T
he director of postgraduate education and the Postgraduate Education Committee (pgec) identified the following priorities and focused on them during the 2004–2005 academic year.
New Royal College Examination Requirements The pgec spent a great deal of time organizing the required oral examinations for the pgy5 residents according to the new requirements of the Royal College. These stipulate that each graduating resident pass at least two out of four Royal College– type oral exams within one year of submission of the Final In-Training Evaluation Reports (FITERs). During the summer, a task force established the format and guidelines for these exams, which, for our program, meant that at least two oral exams had to be organized for each of the 27 graduating residents between September 2004 and February 2005. A training workshop was also held to familiarize
examiners with the exam standards and procedures. A mock oral exam was conducted by Drs. Voore and Kaplan with a patient, and a dvd was made of this exam and distributed to all pgy5 resident and faculty examiners. The examinations generally went smoothly, with few residents requiring more than the minimum of two oral exams. With the new Royal College oral exam now consisting of a series of phenomenology, diagnosis, and management (pdm) stations, the pgec also organized as part of the pgy5 curriculum a pdm training course. It was agreed that an assigned resident and faculty member would develop a pdm station each week, and on each Wednesday two residents would take the new pdm station as practice for the new Royal College oral exams. In December 2004 a pdm training workshop was held for residents and faculty to review the content of these PDMs and the process for the pdm practice sessions. This process occurred weekly from January through April 2005 and was generally well received by both residents and faculty involved.
2 0 0 4 – 2 0 0 5 de pa rt m e n t o f p s yc h i at ry a n n ua l r e p ort
Residents and Level of Training 2004–2005 Name
Level
Abi-Jaoude, Elia Aggarwal, Dhiraj AlKhadhari, Sulaiman Al-Shamma, Abdullah Ameis, Stephanie Amiri, Leena Bakshi, Neely Balaban, Kayli Baluyut, Crystal Barlas, Joanna Beach, Craig Benedek, Lana Berntson, Andrea M. Blumberger, Daniel Bordbar, Kamran Borst, Sjoerd Arnold Brar, Simuran Kaur Braverman, Jennifer Bruno, Deanna Chandler, Gregory Chatterjee, Sumeeta Chopra, Kevin Kumar Cochrane, Katherine A. Crawford, Allison Dang, Chi Bao Dang, Kien Trung Darani, Shaheen Alicia Davison, Kristina Duggal, Vikas Fefergrad, Mark Fischler, Ilan Flett, Heather Foussias, George
1 2 2 4 1 3 1 1 3 5 2 2 3 2 2 1 5 1 2 2 5 5 4 5 3 4 5 5 4 4 3 2 1
Name
Level
Fung, Wai Lun Alan Gandhi, Jasmine Garcia, Carla Susana Geagea, Justin Gelber, Stephen Ghaffar, Omar Giacobbe, Peter Gill, Jasbir Kaur Goldstein, Benjamin I. Golts, Marina Gotowiec, Andrew Gratzer, David G. Grewal, Seena S. K. Guan, Brian Guimond, Tim Hadlock, Shane Hales, Sarah Anne Hamidi, Jinous Hershler, Abby Hlousek, Daniela B. Horowitz, Glenda Iosif, Alina Rodica Israel, Aliza Jericho, Monique C. Johnson, Pamela Joy Kahn, Alan Kaicker, Navin Keyhan, Nicola Kim, Donna Korczak, Daphne J. Korostil, Michele Koutsoukos, Georgios Krieger, Deborah
Name
1 5 5 5 5 3 4 5 4 2 2 5 4 5 2 1 5 4 1 5 1 4 1 2 3 1 1 5 1 5 5 4 3
Level
Kulkarni, Chetana 3 Kumar, Sameer 2 Law, Andrew 5 Ledger, Gabrielle 2 Leung, Debbie 1 Levinson, Andrea 5 Levy, Matthew 2 Li, Madeline T-Y 5 Liu, Regina Ching-Yin 4 Lorefice, Sylvia Elizabeth 3 Maal-Bared, Haya 2 MacKenzie, Susan 1 MacPherson, Colin 3 Mangar, Mohini 5 Mansour, Ahmed M. 4 Mcdonough, Erin T. 3 McIntosh, Christopher 4 McPherson, Alexandra 5 Meerdaula, Nazly Nasim 5 Moniwa, Emiko 1 Moulden, Drew 3 Neilsen, Philip D. 3 Oskin, Oleg Alec 5 Pearce, Mark A. 3 Peck, Jared 1 Peters, Lynne Susan 5 Petruccelli, Karen 2 Quesnel, Susan D. 3 Ravindran, Lakshmi 4 Rawkins, Sian Rhiannon 4 Robertson, David Walter 3 Rogers, Anna Ewa 5 Santoro, Dino 3
Recruitment of Residents and Selection of CaRMS Applicants The psychiatry residency program had its most successful CaRMS match ever, with the 23 pgy1 entry positions filled with the top 45 ranked applicants. The applicants (number matched) came from the 20
Name
Level
Shetty, Maithili 1 Shin, Karen Hope-Yin 3 Sockalingam, Sanjeev 2 Srivastava, Anil 2 Stein, Debra G. 3 Stejar, Dana 1 Sunderji, Nadiya 2 Sussman, Jillian 2 Svihra, Martin 2 Szmuilowicz, Sharon 1 Tait, Glendon 1 Tam, Christopher 3 Tan, Andriene O. 3 Tennen, Gayla 3 Thompson, Sarah Jane 5 Truong, Hau Van 3 Tseng, Michael 3 Vandenberg, Lynn 3 Vienneau, Theresa L. 5 Vigod, Simone 2 Vijay, Nishka R. 3 Villella, John Giovanni 3 Voineskos, Aristotle 2 Waddell, Andrea 2 Wallenius, Samantha 2 Watson, Priya Niharika 5 Weinberg, Eitan 1 Wesson, Virginia Ann 3 Wiesenthal, Stephanie R. 2 Wilkie, Treena Dawn 5 Yarkoni, Daniel 3 Zarb, Therese A. 5
following medical schools: Toronto (6); McMaster (4); Queen’s (3); Dalhousie (2); Western (2); Ottawa (1); Calgary (1); Saskatchewan (1); UBC (1); Alberta (1); Unites States (1). In addition, the program accepted 2 residents who transferred from other programs and 1 visa sponsored resident, bringing the total number of residents in the program as of
education
Resident Research Rotations and Electives Name
Start Date
Supervisor
Area of Research
Abi-Jaoude, Elia
September 2004
Paul Sandor
Functional Imaging of Children and Adults with Tourette Syndrome
Aggarwal, Dhiraj
November 2003
M. Katzman
Use of the Healing Breath Program in the Treatment of Generalized Anxiety Disorder
Bakshi, Neely
July 2004
Jeff Meyer
Study Major Depression using PET and MRI
Baluyut, Crystal
July 2004
Robert Zipursky
Clinical Investigation of the Prodromal Phase of Schizophrenia
Bernston, Andrea
July 2004
Claire Pain
Toronto Addis Ababa Research
Borst, Sjoerd
January 2005
Namta Gupta
CLC Model for Delivering Primary Care CLSC, Quebec
Chopra, Kevin
July 2003
Trevor Young
First-Episode Mood Disorders
Crawford, Allison
January 2004
Mary Jane Esplen
Attachment and Gender in Chronic Pelvic Pain
Foussias, George
July 2004
Gary Remington
Functional Outcomes of Patients Treated for a First Psychotic Episode
Fung, Alan
July 2004
James Kennedy
Neurogenetics
Giacobbe, Peter
January 2004
Alistair Flint
Association of Depression, Anxiety, and Sleep Disorders
Ghaffar, Omar
July 2003
Anthony Feinstein
Functional Neuroanatomy of Sensory Conversion Disorder
Goldstein, Benjamin
July 2003
Anthony Levitt
Early-Onset Mood Disorders & Association between Alcohol and Mood Disorders
Guimond, Tim
July 2003
Paula Goering
Club Drug Use
Hales, Sarah
January 2004
Gary Rodin
Impact of Gender and Family Functioning on Psychosocial Adjustment and Metabolic Control in Adolescents with Newly Diagnosed Type 1 Diabetes
Hlousek, Daniela
January 2004
Albert Wong
Genetics of Schizophrenia
Kahn, Alan
July 2004
Shitij Kapur
Psychotherapy and Brain Imaging
Kaicker, Navin
July 2004
Peggy Richter
Mood Disorders
21
2 0 0 4 – 2 0 0 5 de pa rt m e n t o f p s yc h i at ry a n n ua l r e p ort
Resident Research Rotations and Electives (continued) Name
Start Date
Supervisor
Area of Research
Levinson, Andrea
July 2003
Trevor Young
Study of Neural Plasticity and Cortical Inhibition in Bipolar Disorder Using TMS
Li, Madeline
October 2004
Robert Zipursky
Schizophrenia
Quesnel, Susan
July 2003
Anthony Feinstein
Alcohol Use and Mental Health Outcomes in Patients with Multiple Sclerosis
Robertson, David
July 2003
Brian Hodges
Research on a “Patient-Centred” Medical School Curriculum
Sockalingam, Sanjeev
July 2005
Paul Links
A Psychosocial-Psychoeducational Intervention for Suicidal Young Adults: A Pilot Project
Tait, Glendon
July 2004
Brian Hodges
Medical Education
Tam, Christopher
November 2003
Anthony Feinstein
Suicidal Intent among Patients with Mild to Moderate Traumatic Brian Injury
Tan, Adrienne
February 2003
Gary Rodin
Interpersonal Processes in Palliative Care: An Attachment Perspective
Tennen, Gayla
January 2004
Anthony Feinstein
Predictors of Risk-Taking Behaviour in Students of Journalism
Thompson, Sarah
July 2004
Nathan Herrmann
Risk-Benefit Effects of Cholinesterase Inhibitors in Alzheimer’s Disease
Tseng, Michael
July 2004
Trevor Young
Mood Disorder: Studies Using Post-mortem Brain Samples and Identifying Patterns of Gene Expression Using DNA Arrays
Vigod, Simone
July 2003
Donna Stewart
Urinary Incontinence and Depression in Women
Voineskos, Aristotle
July 2003
Shitij Kapur
Serotonin Transporter Using PET
Waddell, Andrea
July 2003
Brian Hodges
Evaluation of Relative-Ranking Model for Medical Student Self-Assessment in the Psychiatry Clerkship
22
education
July 1, 2005, to 131, the largest number of residents ever registered in the program.
four entering pgy1 residents accepted into the css for 2005–2006 academic year.
Modification of Call Guidelines
Transition of Leadership in the Postgraduate Office
For the first time, the Modifications of Call Subcommittee and the pgec developed principles and guidelines to deal with requests by residents to modify their on-call duties. Briefly, these guidelines require a resident requesting a modification of call for a period longer than three months to meet with the postgraduate director and possibly the Modification of Call Subcommittee, and to submit a letter from a physician specialist detailing the reason for the request. Depending on the nature of the request, the resident may or may not be required to make up call missed during the period in question.
During the fall of 2004, the department conducted a search for the new postgraduate director, and Ari Zaretsky was chosen as of July 1, 2005, succeeding Allan Kaplan, who had served as director since October 1, 1994. From January 1, 2005 until June 30, 2005, Dr. Zaretsky worked closely with Dr. Kaplan to facilitate this transition of leadership. Dr. Kaplan wishes the best of luck and success to Dr. Zaretsky in his new role.
New Members of the pgec for 2004–2005
Modifications to Addiction Psychiatry Training and Training in Cultural Competence
The pgec welcomed several new members to the committee: Goran Eryavec, postgraduate coordinator, North York General Hospital; Ayal Schaffer, Mood and Anxiety Disorders Program representative; Amy Cheung, Health Systems Program representative; and Kenneth Fung, Culture, Community, and Health Studies Program representative. The pgec thanked the outgoing prat Executive for their hard work this year: Drs. Grewal, Kulkarni, Dang, Wesson, Krieger, Tseng, Flett, and Rawkins. We also welcome the new prat Executive: Drs. Flett, Sussman, Levy, Peck, Svihra, Benedek, Bordbar, Leung, Rawkins, and Kulkarni.
Under the direction of Bruce Ballon, a new clinical training program in addiction psychiatry was approved by the pgec and introduced into the pgy1 year during this academic year. Under the leadership of Ken Fung, the pgec approved changes to the Resident Evaluation Form and oral examination scoresheet, which reflected the resident’s awareness of cultural considerations in his or her treatment of patients. In addition, the pgec approved the integration of training in attitudes, skills, and knowledge about culturally specific aspects of the CanMEDs roles.
Faculty of Medicine Postgraduate Issues The major Faculty of Medicine pg development was the retirement on June 30 of Murray Urowitz as associate dean for postgraduate affairs and the appointment of Sarita Verma as the new pg dean. In addition, the faculty continued to struggle with the increasing expansion of the Ontario International Medical Graduate (IMG) Program and the need to assess and evaluate increasing numbers of applicants for the various specialties. For psychiatry, the five Ontario program directors in psychiatry reviewed 24 applications for the IMG Program, interviewed and examined seven applicants, and accepted one applicant into the program, who will begin training at McMaster in July.
Review of the Clinician Scientist Program Three years after its introduction, the pgec decided to review the Clinician Scientist Stream/Program during its annual retreat, focusing on its impact on clinical training for the css/csp residents. A number of recommendations resulted from discussion with the css/csp residents, csp Director Trevor Young, and the pgec. These included development of an individualized approach to clinical training for the residents in the css/csp, and better communication between local pg coordinators, the central pg office, and the css/csp office to assure that css/csp residents have their clinical needs met without sacrificing the half-day per week allocated to research. The csp had another successful recruitment, with
Allan Kaplan, md, frcpc Director, Postgraduate Education
23
Continuing Mental Health Education The Continuing Mental Health Education Committee thrives in coordinating and targeting continuing education activities for health professionals.
T
he Continuing Mental Health Education Committee (cmhe) continues to thrive in coordinating and targeting continuing education activities for health professionals, with a primary emphasis on educating psychiatrists, family physicians, and pediatricians. Continuing Education (ce) activities remain largely decentralized, with hospitals, programs, and divisions providing their own administrative support. The cmhe Committee comprises representatives from hospitals, programs, and divisions within the department, all of whom foster ce activities and directly lead and teach in a majority of the department’s programs. Thanks to the presence of a formal cme office as well as wellequipped meeting room space, the Centre for Addiction and Mental Health (camh) provides more than half of the Department of Psychiatry ce programs.
The Department of Psychiatry uses the term Continuing Mental Health Education (cmhe) rather than the more common term Continuing Education. Ultimately, the department’s mandate flows from the mission and vision articulated by the Faculty of Medicine.
Mission Statement Continuing Education of the Faculty of Medicine, University of Toronto, is dedicated to Canadian and international multi-professional education and related research. Using innovative, evidence-based educational activities we develop, provide, and evaluate learning opportunities and resources for health professionals, thereby contributing to improved health outcomes.
education
CME Major Events Date
Conferences and Workshops
Sponsor
August 12–14, 2004
Interpersonal Psychotherapy Training Institute 2004
CAMH
August 14–15, 2004
Optimizing Mental Health in Women: What’s New
UHN
September 11, 2004, July 30, 2005
Methadone Treatment Workshop
CAMH
October 2004– May 30, 2006
Certificate Program in Primary Mental Health Care
CAMH, UHN
October 12– December 14, 2004
Intermediate Cognitive Therapy Course
CAMH
October 20, 2004– March 16, 2005
Toronto Advanced Psychopharmacology Course for Psychiatrists
CAMH
October 21, 2004
A Day in Applied Psychoanalysis: Telling Stories; The Use of Narrative in Art, Psychoanalysis, and Medicine
Department of Psychiatry
October 25, 2004– April 18, 2005
Fundamentals of Psychotherapy Course
UHN
October 27, 2004– May 25, 2005
Primary Care Psychiatry Course: Part 1
CAMH
October 29, 2004
Fourth Annual KLARU Conference: Improving Quality of Life in Long-term Care
Baycrest Centre
October 29, 2004
Challenges for In-patient Mental Health Services: Striving for Best Practices in the Twenty-First Century
St. Michael’s Hospital
November 6, 2004
Treating Borderline Personality Disorders: The Basics
CAMH
November 18, 2004
IPT for Postpartum Depression: Faculty Development
SWHSC, CAMH
November 19, 2004
Psychogeriatic Update: Late Life Mood Disorders
Baycrest Centre
November 19, 2004
IPT for Post-partum Depression Workshop
SWHSC
December 2, 2004
Current Perspectives on Child and Adolescent Disorders (Fifteenth Annual Update in Child and Adolescent Psychiatry)
Child Psychiatry Division, CAMH
January 3, 2005– June 20, 2005
Management of Children with Neuropsychiatric Disorders
Child Psychiatry Division. CAMH, Youthdale Treatment Centre, UHN
January 13–14, 2005
Structured Clinical Interview for Diagnosis Training Institute
CAMH
February 24, 2005
Child Psychiatry Day 2004: Clinical Aspects of Child & Adolescent Sexuality; Experience, Motivation, Behaviour, and Awareness
Child Psychiatry Division, CAMH, HSC
March 31, 2005, April 1, 2005
Annual Day in Child Psychotherapies: Self-Harm in Adolescence
Child Psychiatry Division, CAMH, HSC
March 5, 2005
Fifth Annual Toronto Psychopharmacology Update Day
CAMH, UHN
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CME Events (continued) Date
Conferences and Workshops
Sponsor
April 12, 2005– October 25, 2005
Doctors for Doctors: Advanced Workshops for Physicians Treating Other Physicians
Ontario Medical Association
April 14, 2005
Second Annual Women’s Mental Health Research Day
Women’s Mental Health Program, Department of Psychiatry
April 16, 2005– June 19, 2005
Achieving and Sustaining Psychotherapy Effectiveness (includes Optional Certificate of Completion)
Mount Sinai Hospital
May 5–6, 2005
Cognitive Behaviour Therapy with Children
CAMH, HSC
May 6–7, 2005
The Psychotherapy Checklist
CAMH
May 24, 2005– November 30, 2005
Research Transfer Training Program
CAMH
May 27–28, 2005
Third Annual Global Health Research Conference: Trauma and Global Health
University of Toronto, University of Manchester (UK)
June 2, 2005
2005 CMHE Committee Annual Retreat: Using Scholarship in CME To Develop and Advance an Academic Career
Department of Psychiatry
June 10, 2005
Faculty Retreat: New Developments in Postgraduate Clinical Education
Child Psychiatry Division, CAMH
June 10, 2005
Mood and Anxiety Forum
UHN, CAN‑MAT
June 16, 2005
Harvey Stancer Research Day 2005
Department of Psychiatry
June 17, 2005
Doctors for Doctors II: Therapeutic and Practical Challenges in Treating Physicians
Ontario Medical Association
June 22, 2005
Update on Neurobiological and Treatment Outcome Findings on Developmental Reading Disabilities
Child Psychiatry Division, HSC
June 2–25, 2005
Cognitive Therapy Summer Training Institute 2005
CAMH
Vision
optimal health care outcomes. This report is organized along lines familiar to clinical programs: clinical activity, education, and research. The clinical activity of cmhe is the production and delivery of actual education programs; education encompasses the actual teaching about teaching—how to deliver ce more effectively—and the scholarly creation of new programs. Research in ce encompasses actual studies of outcome of educational events, study of the needs of learners, of educational methodologies, of determinants of
To learn, to teach, to facilitate life-long learning in order to improve health professionals’ competence and health care outcomes.
Goal To provide leadership in continuing education (ce) by stimulating continuous, practical, evidence-based learning, in order to maintain and improve the competence of health professionals, and to achieve 26
education
Education Activities of cmhe
outcomes, and of theoretical models of learning as relevant to adult learners.
Here the term Education Activities refers to faculty development and scholarship around the creation and execution of ce programs. Frequently, cmhe committee meetings, annual retreats, and ce conferences at other venues (such as the annual Alliance for cme meeting) also cultivated faculty interest and skill. Many departmental members contribute to, and attend, specialized teacher training programs at the Centre for Faculty Development for the Faculty of Medicine, which is led by psychiatrist Ivan Silver. External recognition of the scholarly work of department members include the Association of Academic Psychiatry Regional Teacher’s Award going to Paula Ravitz, the Dr. John Armstrong Award for Teaching in Mental Health and Addictions—North York General Hospital going to Tom Ungar, and the Faculty of Medicine Colin Woolf Award for Long-term Contributions to ce going to Sagar Parikh.
Clinical Activity of cmhe The first business of cmhe is the production of accredited learning events. Since 1999, the Department of Psychiatry has consistently been the largest producer of ce events in the Faculty of Medicine. In the past academic year, 34 official events were held, including courses, conferences, workshops, and retreats. Five events were courses, with a model of small, fixed groups of ten to twenty learners, having four to ten sessions during the academic year. Such programs represent the educational format most likely to change clinical outcomes in patients. Another four programs were intensive training institutes lasting two to three days, imparting skills in psychotherapies that are outlined in manuals, such as cognitive behaviour therapy. The remainder of the educational offerings in ce included traditional conferences, half- or one-day workshops, research training events, and very limited Internet-related teaching. A deliberate decision was made to deemphasize conferences, since meta-analyses of effectiveness in ce (Davis et al., Journal of the American Medical Association 1995, 1999, for instance) have repeatedly shown that conferences do not result in change in clinical behaviour of health professionals or change in clinical outcomes in patients. At the same time, the lessons of evidence-based education have been applied to all types of educational events; ce leaders in the department have insisted that even conferences have multiple formats and techniques to induce interactive learning and incorporate case-based learning, where possible. Finally, increased efforts have been made to design and implement education events for a variety of health professionals. One major development was the launch of several “certificate programs,” which are specially accredited programs in a topic that incorporates 40 to 80 hours of formal activities and two examinations, much like a mini-degree. Individuals who attend the sessions and pass the exams receive a University of Toronto Certificate of Continuing Education in that topic. Programs approved in this academic year include (1) Primary Mental Health Care (2) Cognitive Behaviour Therapy, and (3) Achieving and Sustaining Psychotherapy Effectiveness.
cmhe Award: Ivan Silver Continuing Education Award Three nominations were received for the 2004–2005 Ivan Silver Continuing Education Award. As always, all nominees were of extremely high quality. This year’s award recipient was Paula Ravitz for her project “Achieving and Sustaining Psychotherapy Effectiveness.” Other nominees included Paul Sandor and Tatyana Barankin for a longitudinal course on neuropsychiatric disorders in children, and Ken Balderson for an innovative conference on challenges for in-patient mental health units.
cmhe Retreat The purpose of cmhe retreats is to foster the development of academic leaders in continuing education. Following discussion of a needs survey by members of the cmhe Committee, a novel accredited event was developed: “Using Scholarship in cme To Develop and Advance an Academic Career.” Three outstanding faculty—Dave Davis, associate dean for ce at the university, Brian Hodges, director of the Wilson Centre for Research in Education, and Susan Lieff, director of the Teaching Scholars Program at the Centre for Faculty Development at the University of Toronto—provided guidance on research and education scholarship, as well as on career development. Under the direction of Jamie MacFarlane, Rima Styra, and Sagar Parikh, the 27
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meeting of the Canadian Psychiatric Association. One peer-reviewed publication and several non-peerreviewed publications of cmhe research were noted in this academic year. Finally, funded research in ce included two peer-reviewed grants, numerous small grants from local agencies, as well non-peerreviewed funds from the Ministry of Health and other such sources. The pharmaceutical industry also has provided significant unrestricted educational grants to assist the ce enterprise.
program was planned, more than fully subscribed, and extremely well received, with evaluations showing a significant enhancement of the participants’ abilities to put on ce events and increased interest in pursuing ce as a stream for academic promotion.
Research Activities of cmhe Research activities in ce encompass studies of outcome of educational events, study of the needs of learners, of educational methodologies, of determinants of outcomes, and of theoretical models of learning as relevant to adult learners. Such activity may be gauged in three ways: presentations of research at scholarly meetings, publications in peer-reviewed journals, and peer-reviewed funding. Faculty presented research findings at national and international conferences such as the Association for Academic Psychiatry Annual Meeting and the Congress for cme, as well as local meetings such as the Harvey Stancer Research Day and the annual
Future Activities of cmhe Key directions for the future include expansion of the number of certificate programs, enhancement of research productivity in ce, and recruitment of residents to join in cmhe activities. Sagar Parikh, md, frcpc Director, Continuing Mental Health Education
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Fellowship Program The Fellowship Program provides an opportunity for advanced academic training in specific clinical and/or research areas in psychiatry.
T
he Fellowship Program provides an opportunity for advanced academic training in specific clinical and/or research areas in psychiatry. Ideally fellowships are undertaken for two years, although a small number of candidates choose a oneyear fellowship. In general there are three different types of fellows in the department: clinical-research fellows, research fellows, and clinical fellows. The Fellowship Program receives applicants from within the department, as well as nationally and internationally. There is a standard application process, and each fellow works with a primary supervisor in a specific program within the department. Each fellow must submit an annual report on his or her scholarly activities, and an award is offered each year on the basis on this report. The Fellowship Program has undergone some significant structural changes in recent years. The director reports directly to the vice-chair, Education, and sits on the Education Council. The Fellowship Executive consists of representation from hospital sites as well as representation from programs and fellows.
Events and Achievements in 2004–2005 Committee Membership Membership in the Fellowship Executive Committee has expanded this year to include representatives from hospital sites in addition to representation from programs and fellows within the department. The Executive Committee includes the following members: B. Toner (chair), D. Blumberger, E. Chow, J. Daskalakis, J. de Groot, S. Grigoriadis, J. Hunter, J. Jones, P. Kurdyak, R. Levitan, E. Lin, P. Links, K. Manassis, J. Meyer, R. Nissim, T. Ornstein, M. Rapoport, A. Rummens, and R. Schachar.
Awards Available to Fellows and Supervisors This was a very busy year for organizing competitions and offering awards and developing new awards. Fellows had the opportunity to nominate supervisors for the Paul E. Garfinkel Award for Best Fellowship Supervisor online, producing several nominations this year. We continued to offer Best Accomplishment by a Fellow Award, which is based on the best submission of an annual report from a fellow in the program.
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Number of Fellows by Division and Program
Number of Fellows by Source of Funding
Division
Type of Funding
Number
Number
Child Psychiatry
11
Peer-Reviewed Institution
General Psychiatry
6
Out-of-Province
5
Geriatric Psychiatry
2
Local Institutional—Fixed Funding
4
Local Institutional—Occasional Funding
Program
Other
Addiction Psychiatry
4
Culture, Community and Health Studies
2
Health Systems
3
Mood and Anxiety
6
Neuroscience
4
Psychiatry, Health, and Disease
11
Psychotherapy
5
RISE
2
Schizophrenia
8
Women’s Mental Health
2
Total
24
24 1
Number of Fellows by Degree Degree
66*
*Total exceeds our fellows complement of 59 because several fellows have dual sponsorship.
We were pleased to offer several travel awards this year to fellows who were presenting their research at scientific meetings. This is an important development within the Fellowship Program, and the support for this initiative will be reviewed from year to year. This year’s recipients were Rinat Nissim, Paul Arnold, Jelena King, and Todd Girard.
Number
MD
27
PhD
17
Enrolled in Graduate Program (non-MDs)
5
Enrolled in Graduate Program (MDs)
5
Master’s
5
Total
59
Number of Fellows by Activities
Events
Activity
The Fellowship Program hosted a fellows’ reception on September 21, 2004. This reception provided the opportunity for fellows from all hospital sites to meet one another. In addition, fellows had the opportunity to meet and exchange ideas about the program with the director, Executive Fellowship Committee, Education Council, and chair of the department. During this year, we are planning events based on feedback from fellows, as well as events that received positive feedback in past years. We had two successful Fellowship Presentation 30
Number
Clinical-Research-Teaching
23
Clinical-Research
23
Clinical-Teaching
2
Research-Teaching
1
Research
10
Total
59
education
Fellows Name
Program/Division
Name
Program/Division
Adler Nevo, Gili
Child Division
McNaughton, Nancy
RISE
Alikouzehgaran, Maryam Psychotherapy
Menezes, Natasja
Schizophrenia
Agid, Ofer
Schizophrenia—PET Centre
Milani, Ali-Reza
Health Systems
Arnold, Paul
Neurogenetics—Child—Mood & Anxiety
Millar, Golden
Addiction Psychiatry
Mizrahi, Romina
Barlas, Joanna
General Psychiatry
General Division, Schizophrenia Program
Buttar, Kulwant
Women’s Mental Health
Nissim, Rinat
Carlisle, Corine
Child Division
General/Psychiatry, Health and Disease
Carney, Colleen
Psychotherapy
Novak, Marta
Psychiatry, Health and Disease
Chaudhuri, Bob
General Psychiatry
Ornstein, Tisha
Child Division
Cho, Brian
Culture, Community and Health
Ostolosky, Lara
Psychiatry, Health and Disease
Clark,Stewart
Schizophrenia/Neurosciences Program
Paupst, Millie
Psychiatry, Health and Disease
Peleg-Soreni, Noam
Child Division
Cormier, Holly
Women’s Mental Health
Pei, Lin
Neurosciences/Schizophrenia
Cummings, Joanne
Psychotherapy
Pham, Hoa Cong
General Psychiatry
De Luca, Vincenzo
Neurosciences
Praschak-Rieder, Nicole Mood & Anxiety Disorders
de Souza, Minella
Psychiatry, Health and Disease
Roscoe, Clare
Child Division
Fell, Annabelle
Child Div. Mood & Anxiety
Rybak, Iouri
Mood and Anxiety Disorders
Fernandes, Cheryl
Psychiatry, Health and Disease
Sanchez, Raul
Figueroa, Max
Child Division
General Division, Mood and Anxiety Disorders
Garbharran, Hari
Child Division
Girard, Todd
Schizophrenia
Harrington, Sarah
Division of Beh.&Hlth Sciences
Jung, Sun Min
Mood & Anxiety Disorders
Scalco, Andreia, Zavaloni Psychiatry, Health & Disease
Kanagaratnam, Pushpa Culture, Community and Health King, Jelena
Schizophrenia
Kovacs, Adrienne
Psychiatry, Health & Disease
Kurdyak, Paul
Health Systems/Mood & Anxiety Disorders
Stachon, Caroline
Addiction Psychiatry
Steele, Leah
Health Systems
Sullivan, Arthur
Psychiatry, Health & Disease
Suo, Satoshi
Neurosciences/Schizophrenia
Vettese, Lisa
Addiction Psychiatry
Vohra, Anita
Addiction Psychiatry
Warwar, Serine
Psychotherapy
Willeit, Matthaeus
Schizophrenia
Lebel, Sophie
Psychiatry, Health & Disease
Wongpakaran, Nahathai Geriatric Division
Lodenquai, Gregory
Child Division
Wongpakaran, Tinakon Psychotherapy
Martimianakis, Tina
RISE
Yaghoub Zadeh, Zohreh Child Division
McCabe, Laura
Geriatric Division
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occurs in the life of a fellow post-graduation. We are in the process of creating an alumni database, with the intention of surveying our graduates over the past five years. The Fellowship Executive Committee is currently investigating how to best facilitate linkage between the Clinician Scientist Program and the Fellowship Program. We are pleased that Jeffrey Meyer, Fellowship Executive Committee and Clinician Scientist Program member, will now serve as a liaison between both programs.
half-day events on November 4, 2004, and May 12, 2005. These events gave fellows the opportunity to present their scholarly work to other fellows and supervisors and to receive constructive feedback on their presentations from members of the Fellowship Executive Committee, while also providing a forum for academic and social exchange among fellows.
TOEFL and TSE As mandated by the Executive Fellowship Committee, now all prospective fellows whose native language is not English and the language of their instruction during postgraduate studies was not in English, will be required to successfully complete the Test of English as a Foreign Language (TOEFL) and the English language proficiency test, Test of Spoken English (TSE), prior to commencing fellowship training.
Fellows This year our program flourished, registering a record 59 fellows in the Department of Psychiatry Fellowship Program. Please refer to the adjacent tables for a listing of fellows by program or division, degree, site, and source of funding. Brenda Toner, PhD Director, Fellowship Program
Works in Progress The Fellowship Committee has recently approved a research survey that will endeavour to discover what
32
programs and divisions
Addiction Psychiatry Program The mission of the Addiction Psychiatry Program is to provide academic leadership and scholarship in addictions.
T
he mission of the Addiction Psychiatry Program is to provide academic leadership and scholarship in addictions.
Program Description The Addiction Psychiatry program was started in 1996 with the mission to provide academic leadership and scholarship in addictions. Its goals are to establish and maintain exemplary clinical services for individuals with psychoactive substance-use disorders; provide multidisciplinary education and training of high-quality undergraduate, postgraduate, and continuing education levels; and to stimulate and foster research and scholarly work in the area of addictions within the Department of Psychiatry. An overarching principle guiding the program is that a comprehensive understanding of addictions and experience in working with individuals and families with psychoactive substance use disorders is an integral component of comprehensive psychiatric care and needs to be achieved in a psychiatry training program.
Organization and Functions The Addiction Psychiatry Program has its primary Centre for Excellence at the Centre for Addiction and Mental Health (camh), with 22 faculty having primary appointments at that site. Two faculty have their primary appointments at St. Michael’s Hospital, one has a primary appointment at the Hospital for Sick Children, one has an appointment at Humber River Regional, and one has an appointment at St. Joseph’s Health Centre, for a total of 27 faculty. Peter Selby is the program head, while Bruna Brands is the acting research head. Addiction Psychiatry education is coordinated by Bruce Ballon and the office of education within the Addictions Program at camh. Patrick Smith moved to British Columbia to assist the Ministry of Health with the integration of mental health and addiction services.
Centre of Excellence: camh The Centre for Addiction and Mental Health now has an integrated Addictions program under the leadership of Peter Selby. The
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tinued to improve. This rotation is rated highly by residents. Dr. Vohra completed her fellowship in addiction psychiatry and joined camh as a full-time staff psychiatrist in February 2005.
services range from assessment, withdrawal management, brief treatment, intensive treatment, day treatment, short-term residential treatment, pharmacotherapy, specialized psychosocial interventions, individual and/or group therapy, to services for a variety of special populations. All substances of abuse are treated, including tobacco use and treatment for gambling disorders. Special populations served include people of First Nations living offreserve, women, gays, lesbians, bisexuals, transgendered, transsexuals, queers, and other diverse communities. These services are offered at the Brentcliffe site and the Russell Street Site, and some services are offered in community offices in the city. The Addiction program had over 10,000 visits in 2004–2005, the majority due to alcohol problems.
Continuing Education The Addictions Program staff continue to offer training across the province and internationally. Dr. Jiwa, a family physician practising in First Nations and Inuit communities across Canada, completed a tailored fellowship in addictions with a focus on Aboriginal issues.
Research Activities There has been tremendous growth in research activities by faculty. All indicators of research excellence such as peer-reviewed publications, the number of presentations and symposia presented, and grants awarded point to the growth within the program. Faculty members have been involved in hosting several interdisciplinary meetings and workshops with funding from public agencies both in the United States and Canada. The operating grants within the program are primarily in the areas of tobacco research and gambling. Many of the awardees at the Harvey Stancer Research Day in 2005 are members or students in the division. A workshop on publication in scientific journals was well received.
Program Development Clinical Service A new multidisciplinary Concurrent Disorders Consultation and Liaison treatment service was launched in March 2005 with Anita Vohra, who completed her addiction psychiatry fellowship at camh last year. She also manages four concurrent disorder beds at the Clarke Site. Bruna Brands was appointed the acting head of the Clinical Trials Unit in the Addictions Program to help foster and mentor young investigators in addictions research. Her expertise is in clinical pharmacology and clinical trials design, and knowledge transfer.
Peter Selby MBBS, CCFP Head, Addiction Psychiatry Program
Postgraduate Education Under the able leadership of Dr. Ballon, the training experiences in addictions for all residents con-
34
Culture, Community, & Health Studies Program The cchs Program provides academic leadership and scholarship in cultural and community mental health.
Program Description
T
he mission of the Culture, Community, and Health Studies (cchs) Program is to provide academic leadership and scholarship in cultural and community mental health. The goals of the program are to integrate social diversity and cultural processes into the clinical practice and training of mental health care providers; to establish an exemplary program of cultural and community mental health research focused on the exploration of ways culture and community contexts affect the mental health and the course of patient care; and to provide an interdisciplinary postgraduate education program of cultural and community psychiatry.
Function of the Program The cchs Program operates through its Steering Committee that consists of department faculties, residents, and site representatives including Centre
for Addiction and Mental Health (camh), University Health Network (uhn), Mount Sinai Hospital (msh), St. Michael’s Hospital, Sunnybrook Hospital, Sick Children Hospital, Women’s College Health Sciences Centre, and other hospitals and community-based facilities. The camh has been the program’s hub, providing administrative resources for the program development and research. The Steering Committee plans and manages business related to all program developments. In the last two years, the committee has concentrated on the development of the postgraduate curriculum, including core lectures, a multi-site research seminar and clinical rounds series, and elective and rotation programs. Lisa Andermann, Kenneth Fung, and Ted Lo led the development of postgraduate curriculum for cultural psychiatry. Kenneth Fung worked as the cchs representative to the Postgraduate Education Committee. Members of the cchs Program provide
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appropriate distress relief, and reached consensus on implications for mental health research, policy, and practice in Canada. Presenters included Jose Bertolote, World Health Organization (Geneva); Daya Somasundarum, Department of Psychiatry, University of Jaffna (Sri Lanka); Jack Saul, International Trauma Studies Program, New York University (United States), and Patience Onyut, Vivo (Uganda) and University of Kostanz (Germany). Clare Pain, Mount Sinai Hospital (Toronto), was a discussant.
cultural and ethnic-specific psychiatry services at diverse sites. Under the leadership of Dennis Kussin, the uhn Toronto Western Hospital (twh) has been running the Community Mental Health Program. Through the Collaborative Care Model, psychiatrists work closely with trained clinicians to provide culturally and linguistically appropriate outpatient mental health services to a diverse population. To better serve several larger minority groups, language-specific mental health care programs have been developed to specifically serve Chinese-, Korean-, Portuguese-, and Spanish-speaking populations. Jose Silveira directs the Portuguese Mental Health and Addictions Services, consisting of Portuguese-speaking clinicians from diverse Portuguese communities from Brazil, Angola, Mozambique, mainland Portugal, Azores, and Cape Verde. Kenneth Fung and Brian Cho are directing the Asian Initiative in Mental Health Program (aim) to serve Chinese-(Mandarin and Cantonese) and Korean-speaking populations. In partnership with the Hong Fook Mental Health Association, the aim also provides culture-appropriate services to Vietnamese and Cambodian Canadians. The Spanish Mental Health Program, established and directed by Esther Elliott, serves Spanish-speaking immigrants from 21 Latin American countries living in the Greater Toronto Area and Southwestern Ontario. The twh site also offers bi-weekly clinical rounds, as a part of the cchs Research Colloquium and Clinical Rounds Series. At Mount Sinai Hospital, Lisa Andermann and Ted Lo offer cultural consultation services and direct care to clients from diverse cultural and ethnic heritages. The msh site also offers monthly cultural consultation case presentations, as a part of the cchs Research Colloquium and Clinical Rounds Series. Samuel Law and Lisa Andermanm direct the msh Assertive Community Treatment (act) team, serving patients from Asian communities. In response to the December 2004 tsunami in Asia, cchs faculty members Simich, Lo, Andermann, and Rummens conducted a workshop that brought together international experts in trauma and mental health, Toronto Tamil mental health and settlement service providers and physicians, and federal and municipal public health agency officials. Workshop participants discussed the current international mental health debate over the role of trauma counselling in community-based, culturally
Education and Training Throughout 2004, a working group (Lisa Andermann, Kenneth Fung, Ted Lo, and Samuel Noh) has been focusing on the enhancement of cultural issues in the residency curriculum. The working group proposed at the May 2005 Postgraduate Education Committee Retreat an integrative vision of cultural competence training for the psychiatry residents, and set out the curriculum objectives in accordance with CanMEDs roles. It also produced draft documents suggesting that CanMEDs incorporate basic principles of cultural psychiatry, and provide material related to cultural psychiatry for modifications of the oral examination evaluation form used in the Department of Psychiatry. Currently, the cchs is expanding the core curriculum lectures at the pgy1 and pgy2 levels. The education initiatives and the suggested model of integrating culture and diversity in the CanMEDs roles will be presented by Lisa Andermann at the Royal College of Physicians Meeting in September 2005. The program offers a Research Colloquium and Clinical Rounds Series, organized by Violet Kaspar, with presentations and rounds held at three Toronto locations: camh—Research Colloquia (Violet Kaspar), msh—Cultural Consultation Rounds (Lisa Andermann and Ted Lo), and uhn/twh—Cultural and Community Psychiatry Rounds (Kenneth Fung). The Series serves as a means for dissemination of research results, and for clinical and educational training on topics related to social and cultural determinants of mental health. Sessions led by research and clinical faculty as well as invited speakers are held weekly. The Sunnybrook Hospital is integrating cultural and community psychiatry in its clinical round series. Faculty of the cchs Program also contribute to the undergraduate, graduate, and postgraduate curricula offered by the Department of Psychiatry, the 36
programs and divisions
economic position and mental health. More recently, cchs research has extended its boundaries with a strong emphasis on cultural and diversity issues directly related to psychiatric and mental health care. New research focuses on understanding the use and experiences of alternative care and medicine among psychiatric patients. Another new direction of research is the assessment and education of clinical cultural competence. Several research projects will be addressing research questions on race, immigration, and pathway to psychiatric care among adults and children receiving mental health care; community-based hiv/aids intervention and evaluation research; and longitudinal studies of psychiatric disorders in racial and ethnic minority youth. Researchers in cchs are well represented in national and international organizations, serving on grant review panels of various programs, including regular and strategic grant competitions of the cihr, nih, nichd, and nimh. They also served on committees for the World Health Organization, and on national advisory committees for Canada’s national surveys.
Institute of Medical Sciences (ims), and other university departments. The cchs Program offers resident and medical student training, as well as training in research methodologies for graduate students and post-doctoral fellows through thesis supervision and opportunities for involvement in cchs research projects. Brian Cho is a research and clinical fellow within the program, supervised by Kenneth Fung and Samuel Noh. Puspha Kanagaratnam, University of Bergen, Norway, was an international fellow. Anneke Rummens supervises Nalini Pandalangat, doctoral candidate, Institute of Medical Sciences. Educational initiatives include a collaborative network with the Division of Social and Transcultural Psychiatry and the Advanced Study Institute of McGill University (asi). In April 2005, a group of cchs members participated in the international conference. As a faculty member of the asi, Samuel Noh delivered a presentation at the summer institute on social exclusion and mental health. Collaborations between the two programs include the developments of joint research and education programs.
Research The cchs Program comprises researchers and clinicians from psychiatry, anthropology, sociology, clinical and developmental psychology, social epidemiology, demography, medicine, nursing, and public health. The program faculty and scientists receive funding through the Canadian Institutes of Health Research, the Social Sciences and Humanities Research Council, Citizenship and Immigration Canada, Health Canada, Human Resources and Development Canada, and Canadian Heritage in support of its research initiatives. For many years, research in the cchs Program has concentrated on the epidemiology of immigrant mental health, including the psychosocial adjustment of immigrant children. Ongoing research projects include the long-term mental health impact of exposure to traumatic stress for racial minority adolescents; multicultural meanings of social support among immigrants and refugees; settlement issues and social determinants of health among immigrants and refugees; identity, diversity, mental health, and well-being within marginalized populations; socio-cultural meanings of war trauma; race and health; the health and development of immigrant and refugee children; work organization and depression among home care assistants; job stress among medical laboratory workers; and socio-
International Initiatives The international initiatives led by cchs scientists and faculty include diverse research and clinical projects. Haile Fenta is co-directing the Psychiatry Residency Training Program in Addis Ababa, Ethiopia. Drs. Andermann and Law have each spent one month in Addis Ababa teaching in the residency program. Carles Muntaner, Violet Kaspar, and Samuel Noh of the cchs program are working with Joan Benach of the University Pompeu Fabra (Occupational Health Research Unit, Department of Experimental and Health Sciences, Barcelona, Spain), developing a research program for the study of precarious work in migrant workers in Canada and Spain. Samuel Noh and Edward Adlaf, in collaboration with Dr. Shimizu of Nara Women’s University and Dr. Kim of Tokyo University of Social Welfare, are studying cross-cultural variations in drinking, using national sample data in Japan and provincial sample data in Ontario. Seong Ho Min from Yonsei University, Korea, has been working on the impacts of problem drinking on health in rural communities. He spent his sabbatical year with the cchs Program (2004–2005). Another cchs initiative in international outreach led to a joint Cultural and International Mental 37
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Toronto, along with the Centre for International Health, in cooperation with the Joint Centre for Bioethics. Ted Lo and Kenneth Fung represented the cchs Program as members of the organization committee.
Health Conference at the University of Toronto and the University of Manchester. The first conference was held at the University of Manchester, July 3–5, 2004. Faculty members Lisa Andermann, Morton Beiser, Samuel Noh, and Ted Lo participated in the conference, representing the cchs Program. The second conference, Trauma and Global Health, May 27–28, 2005, was hosted by the University of
Samuel Noh, PhD Head, Culture, Community, and Health Studies Program
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Division of
Child Psychiatry The goal of the Division of Child Psychiatry is to provide exemplary research, training, and patient care in children’s mental health.
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he goal of the Division of Child Psychiatry is to provide exemplary training, research, and patient care in children’s mental health.
Organization The Division of Child Psychiatry includes five component sites: The Department of Psychiatry at the Hospital for Sick Children (hsc), the Child, Youth, and Family Program (cyf) at the Centre for Addiction and Mental Health (camh), Youth Services at Sunnybrook & Women’s College Health Sciences Centre, and two community-based settings, the George Hull Centre and the Hincks-Dellcrest Centre. The head of the Division of Child Psychiatry based at the cyf Program at the Centre for Addiction and Mental Health and is also theclinical director of that program. The Department of Psychiatry at the Hospital for Sick Children and the Child
Psychiatry Program at the Centre for Addiction and Mental Health continue to function as complementary and collaborative components of the division. At camh, there are services for children and adolescents with antisocial and aggressive behaviour disorders, ranging from setting fires to being adjudicated by the courts. There is a short-term day treatment program for children six to eight years of age. Other services include the gender identity clinic, early onset childhood psychoses, pervasive developmental disorders, and a cross-site collaborative mood anxiety program. Youth Addictions, the Substance Abuse Prevention Program for AfricanCanadian and Caribbean Youth, and the Child Psychiatry Program at camh have amalgamated under the clinical leadership in Child Psychiatry. This program is now called the Child, Youth, and Family Program (cyf). At hsc, clinical services comprise the psychiatric emergency program,
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and all will be working in the Toronto region. There continues to be a good participation by division faculty and residents in teaching programs of the Department of Pediatrics, and reciprocal training of psychiatry residents in pediatrics. The division continues to attract residents to the career child psychiatry training program, making it the biggest child psychiatry training program in the country and one of the largest in North America. The Postgraduate Education (pge) Committee in the division has focused on expanding teaching in selected areas in the core and career-track teaching streams (e.g., evidence-based medicine, psychopharmacology and neuroscience, developmental psychology) and over the next year will focus on strengthening teaching in normal child development and community child psychiatry. The core seminars were well attended, and the faculty contribution was highly rated by residents. Sessions in library skills and online searching were added, as well as sessions on critical appraisal of the child psychiatric literature. We are still exploring the best methods to teach these content and skill areas, and this review will remain a focus for development over the next year. The journal club for career track residents was successful and will be increased in frequency to fortnightly during this next academic year. Jean Wittenberg and the Divisional Psychotherapy Committee have been revising psychotherapy learning objectives for core and career track residents to bring these in line with the current needs of our trainees. Another important initiative was a program of faculty development sessions at hsc (spearheaded by Pier Bryden) that will further strengthen teaching skills in the division. The academic year finished on a high note with an excellent faculty development day focused on postgraduate education, planned by the pge Committee and the Continuing Education Committee led by Tatyana Barankin. Finally, Pier Bryden was recognized for her excellent contribution to postgraduate education as the recipient of the Paul Steinhauer Award for Best Teacher in the Division of Child Psychiatry, while among the residents, Ben Goldstein was awarded the Liz Gillespie Prize for best academic paper in child psychiatry for a paper co-authored with Anthony Levitt on the clinical features of early-onset bipolar disorder in an epidemiologic sample.
an acute in-patient unit, a medical psychiatry consultation service, infant psychiatry, an eating disorders program, and neuropsychiatry. Clinical programs comprise the full range of services in children’s mental health. However, the Division of Child Psychiatry operates within a system that includes other hospitals and community agencies. To facilitate collaboration between the child and adolescent in-patient units, the division has chaired meetings of the heads of each of the Child and Adolescent in-patient units. Meetings have centred on sharing information and in identifying common issues in training and admission, discharge, and length of stay. A “bed board” is in place to facilitate transfers and admissions to each of the criteria units. Tony Pignatiello has been appointed medical director of the Telepsychiatry program. The mandate continues for the hub site to provide service and education to named children’s mental health centres in rural and northern Ontario. John Teshima continues in his role as education coordinator.
Undergraduate The Undergraduate Committee of the Division of Child Psychiatry has had a busy year. We would like to welcome the North York General Hospital as a new site for the teaching of Child Psychiatry clerks starting in September 2005. The syllabus is being reviewed and revised once again to include learning objectives. The committee is supporting the addition of a Day in Developmental Disabilities across the Lifespan to the psychiatry curriculum. One half day of the child teaching time will be set aside so that clerks will be able to attend this experiential teaching day starting as a pilot in January 2006. This change resulted from the recommendations from the External Review Committee. We continue to provide teaching at all other sites. Marianne Gocker has been appointed the undergraduate coordinator at George Hull this year, and we welcome her to the committee.
Postgraduate The division has had an excellent year in providing high-quality training in child psychiatry for career trainee child psychiatry residents and for general psychiatry residents completing their core child psychiatry placements. This year, four residents completed their required training in child psychiatry,
Fellowship Program Our division enjoys one of the largest fellowship 40
programs and divisions
on postgraduate education. Continuing Medical Education collaborated with other departments and organizations, such as with Pediatrics on the Pediatric Update, with the Youthdale Treatment Centre in providing a Longitudinal Course in Neuropsychiatry for Primary Care Physicians, and Psychopharmacology Update with General Psychiatry. For the first time we held a Symposium on Learning Disabilities.
programs in child and adolescent psychiatry in North America. Fellows in the division pursue various clinical, educational, and research interests. Several fellows receive joint supervision with experts from outside of the division. Fellows have been funded by a wide range of local hospital, provincial, national, and international agencies. Several fellows were enrolled in graduate programs typically at the Institute of Medical Science. Fellows had diverse educational backgrounds. The program showed a steady increase in the number of international fellows and fellows from other Canadian universities. Fellows have presented at many prestigious meetings and achieved several honours. Our annual fellowship prize for the best poster was won by Corine Carlisle for her poster entitled “Continuity of Care, Emergency Department Visits, and Readmission: A Proposal for a Propensity Score Matched Retrospective Cohort Study of Ontario Adolescents.”
Research Activities The academic year 2004–2005 has seen another year of achievement and growth in the research activities of the members of the division. We have seen progress in all the formal indicators of scientific excellence, such as number of scholarly manuscripts published, number of presentations and symposia presented, number and value of external grants awarded, and invitations to present at national and international meetings. There has also been growth in the number of collaborative, multidisciplinary grants involving members of our faculty. Faculty have received important operating grants to study gene-environment interactions in infant development, the genetics of neuropsychiatric disorders, cognitive deficit in psychiatric disorders, language development and disorder over the lifespan, and a Randomized Prevention Trial focusing on adolescent dating violence and risk behaviours. Faculty in the division have maintained their leadership in areas such as genetics of adhd. The anxiety disorders group continues to set the pace in research on this common and impairing disorder, with particular focus on cognitive behavioural interventions. And the division has developed a research focus on the biological, psychological, and social factors contributing to aggression. Neuroimaging is developing into a successful scientific program and is now attracting trainees, collaborators, and funding. The Research Committee has focused on mentoring and grant writing for faculty development.
Continuing Medical Education (cme) The Division of Child Psychiatry continues to lead the Department of Psychiatry in providing accredited cme events of high effectiveness. Our profile in the Department of Psychiatry, Department of Pediatrics, Department of Family Medicine, and the community enjoys considerable visibility. The significant accomplishments include (1) a vibrant and creative cme Committee, (2) an increase in the number and quality of cme events, (3) improved continuing education collaboration with the Department of Pediatrics, Department of Family Medicine, and Department of Psychiatry, (4) development of a cadre of effective cme faculty, (5) ongoing faculty development, and (6) strategic leadership. Educational events in the 2004–2005 academic year included the Sixteenth Annual November Update Series in Child and Adolescent Psychiatry, and the Child Psychiatry Day, which was devoted to Family Perspectives in Child and Adolescent Psychiatry. During the spring we launched the third Cognitive Behavioural Institute for Children. The Annual Divisional Faculty Retreat was focused
Joseph Beitchman, md, frcpc Head, Division of Child Psychiatry
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Division of
General Psychiatry The division is the academic home of acute care psychiatry, involving the continuum of care from psychiatric emergency services, to in-patient services, to outpatient care.
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he Division of General Psychiatry is the largest division/program within the Department of Psychiatry at the University of Toronto. It is the academic home of acute care psychiatry, involving the continuum of care from psychiatric emergency services, to in-patient services, to outpatient care. The division provides core training in psychiatry for residents and framework for clinical and academic coordination across a range of sites within Toronto. Major sites include St. Michael’s Hospital (the Centre of Excellence for General Psychiatry within the department), the University Health Network, Sunnybrook & Women’s Health Sciences Centre, the Centre for Addiction and Mental Health, and Mount Sinai Hospital. St. Joseph’s Health Science Centre and North York General Hospital are active as secondary division sites. Members of the division—over 100 strong— model and promote broad-based and integrative teaching, research, and clinical care in an era that
emphasizes sub-specialization. Within the division, advanced work in suicidology, emergency psychiatry, psychological trauma, cross-cultural health, integrated therapy, and in-patient psychiatry is carried out. Research in diverse areas such as inner-city health, suicide, dual disorders, clinical treatments, population health, ethics, and integrative psychotherapy/medication models is pursued. The purpose of the division is to foster the many roles of the academic generalist. In keeping with departmental priorities, the division’s commitment to nurturing clinical excellence and comprehensive responsiveness to the needs of society is demonstrated by the wide array of clinical services that also includes the University of Toronto Psychiatric Outreach Program, which provides services across Ontario.
Events and Achievements The Mental Health Service at St. Michael’s Hospital provides a range of high-quality
programs and divisions
brain injuries, and dementia at the Sunnybrook site, as well as psychological trauma and reproductive mental health at the Women’s College Ambulatory Care Centre. Departmental pgy2 residents continue to take advantage of an innovative integrated experience of in-patients and outpatients throughout the year, in a rotation that continues to be novel and well evaluated. New to the rotation this year is the opportunity for experience in day treatment under the supervision of Sammy Barakat. Residents training in emergency psychiatry have the opportunity of working with a full Crisis Team, a Mobile Crisis Unit, as well as a Crisis Follow-up Clinic. On-site expertise in cognitive behaviour therapy as well as interpersonal, short-term, psychodynamic, family, and couple therapy maintains Sunnybrook and Women’s reputation as a location sought after for psychotherapy training. There are additional opportunities in assertive community treatment and shared care. Jay Moss received funding this year to expand the Shared Care initiative to the Women’s College campus. Senior residents have been able to individualize rotations consisting of a combination of in-patients, specialty clinics, outpatients, emergency services, consultation liaison, and psychotherapy and psychopharmacology experiences. General Psychiatric Services at Mount Sinai Hospital are defined by close integration between Ambulatory, In-patient, and Psychotherapy programs. Ambulatory services include Assessment and Outpatient Treatment Services, Assertive Community Treatment Team, Court Support program, Crisis Intervention Service, Couple and Family Services, Geriatric Service, Day Treatment Service, Psychological Trauma Service, Panic Disorder Service, hiv Service, Group Therapy Service, and Personality Disorder Service. The General Psychiatry Program at the Centre for Addiction and Mental Health (camh) focuses on providing acute care services for clients presenting with a full range of mental health and addictions issues. Components of the program include Ambulatory Services; In-patient services: General Psychiatry Unit (5gpu) and Acute Care Unit (5ACU); Emergency Crisis Service; Ontario Psychiatric Outreach Service; and Client Employment Initiative. Patient care is delivered by a multidisciplinary staff of clinicians including nurses, psychiatrists, social workers, and occupational therapists. As well, the camh General Psychiatry Program serves as a teaching site for students and trainees of all disci-
mental health programs to residents of southeast Toronto and is an integral part of the Inner City Health Program at St. Michael’s. Integrated, model, best-practice programs in psychiatric emergency, inpatient, and community mental health services define modern general psychiatry, and students and trainees in all professional disciplines find them consistently appealing. St. Michael’s Hospital clinicians provide exceptional experiences in the diagnosis and treatment of a wide range of psychiatric disorders, with specific focus on the mental health care needs of the inner-city population. Clinical and scholarly foci include hiv/aids, assertive community treatment, suicide, psychiatric emergency services, and mobile crisis intervention. Activities in general psychiatric research remain extremely active under the leadership of Sean Rourke, who continues as a career scientist and the director of research of the Ontario hiv Treatment Network, and Paul Links, who is in his second five-year term as the Arthur Sommer Rotenberg Chair in Suicide Studies. General Psychiatry at the University Health Network (uhn) is located across the three sites of Canada’s largest Health Sciences Centre: Toronto General Hospital (tgh), Toronto Western Hospital (twh), and Princess Margaret Hospital (pmh). The General Psychiatry Program delivers a full spectrum of services including emergency assessment and intervention, acute in-patient care, and a number of community and addictions outpatient programs. The Psychiatric Emergency Service has a crisis team and four short-stay holding beds in the Emergency Room, and an Urgent Care Clinic (ucc) at twh. A twenty-two-bed In-patient Program (including six acute care beds) is based at tgh. The Assertive Community Treatment team and Community Outpatient Mental Health programs provide shared care and outreach services. Cultural and language-specific programs are offered to the Portuguese, Hispanic, Italian, and Asian communities. The Addictions program consists of a women’s withdrawal-management service, an acupuncture program, and aftercare programs. Psychiatric residents enjoy training in a wide range of hospital-based and community-based services that span the gamut of diagnoses, cultures, and treatment modalities. The General Division at Sunnybrook & Women’s College Health Sciences Centre continues to be strong as it works alongside interdisciplinary expertise in mood disorders across the lifespan, traumatic 43
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a variety of practice settings across a range of communities, from urban to rural, general to specialized practices, small to large practices, and average and special populations. Psychiatric Services at North York General Hospital focus on the management of severe illnesses such as depression, anxiety, and schizophrenia, in the north part of the city. The 35-bed In-patient Unit, the Day Hospital, and the Outpatient Service all provide comprehensive psychological and psychopharmacological assessment and management, as well as individual and group therapy, marital and family counselling, work counselling, stress management, and education about mental health problems to clients, as well as consultation to family physicians. Highly regarded specialty services in Child and Adolescent Mental Health and Geriatric Psychiatry also exist at North York General. Programs at St. Joseph’s Health Centre include a 31-bed in-patient unit, a Shared Mental Health Care program, a Day Hospital, a 24-hour Emergency Psychiatry team, an Assertive Community Treatment Team (actt), a Withdrawal Management Service, Child and Adolescent Mental Health—which includes a 6-bed in-patient unit and a care transition service—and a Women’s Health Centre. The Shared Care program works with 225 family physicians in the west part of Toronto so that care can be provided right in the community. Program staff provide assessments and treatments, and work with community physicians to deliver ongoing patient care and follow-up to help reintegrate clients into the community following hospitalization. Divisional priorities for the coming year, in keeping with the department’s overall strategic plan include: • Establishing an identity as a unique sub-specialty • Fostering and capitalizing on Clinician-Scientist stream opportunities • Continuing recruitment and retention of best faculty • Harmonizing increasing clinical activities with rising academic expectations • Enabling busy clinicians to participate in scholarly activities • Balancing local and provincial needs with national and international outreach
plines and at all levels, including core and elective rotations for pgy2 residents and Senior Selective Rotations for residents from the department. The program continues to make significant changes in keeping with the strategic and functional plans of camh and in accordance with the provincial mandate of the organization, as well as the Ministry of Health and Long-term Care and Health Service Restructuring Commission directives. The General Psychiatry Program continues to transform itself into the Consultation, Assessment, Triage, and Support Program (cats). The new program will improve patient access to the specialty services of camh and provide organization-wide coordination to ensue that clients are linked with the most appropriate services within a timely fashion. It is hoped that this exciting transformation will lead to an improved “front door to camh,” enhanced clientcentred care, increased treatment options for clients, linked programs and services, and more effective partnerships with other hospitals and community primary health clinicians. The division is proud to play a strong and visible role in the evolving Mental Health and Addictions Emergency Room Alliance as part of its mandate to improve patient care, clinical coordination, and communication across the system. This collaboration involves a new relationship with the specialty resources of camh and the broad-spectrum expertise of the downtown general hospitals and their emergency rooms. As we seek to continually improve the experiences and opportunities offered to our trainees and students, the division is excited to welcome North York General Hospital and St. Joseph’s Hospital to the departmental fold this year as Partially Affiliated Hospitals for training departmental pgy2 residents. Trainees who receive core training at these community institutions have the potential to (1) see higher volumes of patients across diverse illnesses/conditions, and have more hands-on experiences without competing with other trainees, (2) access more one-on-one teaching with experienced practitioners, (3) see patients across the continuum of health, prevention and screening, illness and treatment and rehabilitation, (4) gain heightened exposure to the interface of primary and secondary care and the linkages to community-based care, (5) appreciate broad segments of the health system and social support system, with a focus on the broader determinants of health, and (6) realize exposure to
Ian Dawe, md, frcpc Head, Division of General Psychiatry
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Ontario Psychiatric Outreach Programs We have worked hard to gain the confidence and support of a strong network of institutional and professional associates.
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wo thousand and five marks a pivotal year in the history of Ontario Psychiatric Outreach Programs (opop). We are now five years old. During this time, we have worked hard to gain the confidence and the support of a strong network of institutional and professional associates to whom we are indebted for helping us begin to realize our ambitious mission: to provide one, integrated, and coordinated home for the thoughtful planning of education, clinical services, and evaluation of psychiatric outreach services in Ontario. Our evolution has been steady, with the seeds for success planted more than a decade ago. In 1994, the University of Toronto Psychiatric Outreach Program (one of the three partners that created opop) grew out of a departmental committee set up to examine how the university might best address the needs of under-serviced communities in Ontario. Beginning modestly, the program started a weekly clinic in Kenora, a town of 10,000 near the Manitoba border on the shores of the Lake of the Woods. Very quickly, the program expanded, adding one under-serviced community after another. Similarly the other two opop founding partners, the North-
ern Ontario Francophone Psychiatric Program and the Extended Campus Program, began modestly with the dedicated effort of a small number of committed faculty and have grown by leaps and bounds. I am often asked why these universities ever got involved in the delivery of service to communities that are hundreds of miles away from the large urban centres. My response derives from my understanding of the mission of a modern university. Far from being an isolated ivory tower, today’s universities must be concerned with the most critical issues facing the societies they serve. For some people, one of the most troublesome problems in mental health care has been the disparity of service available in rural and urban areas. This is particularly unfortunate because there is ample evidence that one of the main solutions to the dilemma is within the purview of the universities—and this is the exposure of students to rural and remote practice settings. We are enormously proud of our accomplishments to date, and this annual report once again outlines the outstanding achievements of our opop partner programs. At the same time, while we are committed to reflecting on and
Outreach Programs (OPOP)
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Ontario Psychiatric Outreath Programs Ontario Ministry of Health and Long-Term Care
Northern Academic Health Science Network (NAHSN) Northeastern Ontario Medical Education Corporation (NOMEC) Northwestern Ontario Medical Programme (NOMP)
Ontario Psychiatric Outreach Programs (OPOP) Director: Dr. Brian Hodges
University of Toronto Psychiatric Outreach Program @ the Centre for Addiction and Mental Health Director: Dr. Robert Cooke
Extended Campus Program @ the University of Western Ontario Acting Director: Dr. Sandra Fisman
Northern Ontario Francophone Psychiatric Program @ the University of Ottawa Director: Dr. André Côté
James Bay Psychiatric Outreach Program @ McMaster University Director: Dr. Gary Chaimowitz
Queen’s Psychiatric Outreach Program @ Queen’s University Director: Dr. Melissa Andrew
Sites
Sites
Sites
Sites
Sites
Northeastern North Bay Sault Ste Marie Sudbury
Northeastern Chapleau,Cochrane, Elliot Lake, Englehart Hearst, Kapuskasing, Smooth Rock Falls Mattawa, Matheson/ Iroquois Falls, New Liskeard/ Kirkland Lake Timmins/Sturgeon Falls
Northeastern Moose Factory, Moosonee Fort Albany Kashechewan Attawapiskat
Kingston Hastings & Prince Edward Counties (based in Belleville) Blackburn Mews (Kingston)
Northeastern New Liskeard North Bay Parry Sound Sault Ste Marie Timmins, Wawa
Northwestern Atikokan, Kenora Thunder Bay Sioux Lookout & 26 outlying First Nations
Northwestern Thunder Bay
Southeastern/ Southwestern Campbellford Cobourg Peterborough Uxbridge Elora, Fort Erie
North of Superior Community Mental Health Program Marathon/ Manitouwadge Nipigon/Red Rock Geraldton/Longlac Terrace Bay/Schreiber
OPOP, formed in 1999, is a collaborative and dynamic network of dedicated academics and practitioners in the psychiatric field, sharing expertise and resources to deliver clinical services and education to Ontario’s rural, remote and under-serviced areas, thereby, contributing to their well-being. The chart above illustrates the intricate web of partners and initiatives that continue to build this organization.
documenting our successes retrospectively, we must also be proactive and seek areas we can improve. Consequently, our Steering Committee has dedicated the year 2005–2006 to an internal self-study and an external review of opop and affiliated programs. All three core activities—clinical services, education, and research—are being targeted, with a focus on the following questions: Is there anyone in the North without access to psychiatric care? Are we training residents who will meet the needs of the North? Are we conducting and evaluating research that makes a meaningful contribution to the communities we serve? I am pleased to report that we are already well under way with the self-study. The strides we have continued to make in the past
year toward meeting our mission have been significant. A new and important opop subcommittee was launched, the Access to Clinical Services Committee (acsc). Under the leadership of Jean-Guy Gagnon and opop Policy and Program Developer Sandy Parker, the committee will review resources for providing psychiatric outreach in the province and begin to cultivate a compelling and evidence-based vision for best practices in psychiatric care. The acsc will explore nurturing partnerships with the Local Health Integration Networks of the Ministry of Health and Long-term Care. These networks are a new initiative, the goal of which is to coordinate the delivery of local health care services. As well, the committee will consider how best to influence 46
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Also in the past year, Sandy Parker and I completed site visits with our partner programs at the University of Western Ontario, the University of Toronto, the University of Ottawa (Francophone Program), and Queen’s University. Visits to McMaster University and nosm are being scheduled over the summer. Discussions have been highly productive, helping us focus on establishing a vision and a mission for each of the programs, forging a common understanding about collaboration between programs with opop, and opening up new and exciting possibilities for education, research, and clinical services in Ontario. I believe psychiatry is leading the way among health professionals devoted to providing equitable and timely access to health care in Ontario, regardless of geography. We continue to be leaders in encouraging and sustaining high-quality education outside of urban centres, and we are starting to support critical research and evaluation that will demonstrate our effectiveness in meeting the mental health needs of the people of Ontario, identify areas for strengthening our work, and allow us to profile our community-service orientation to those who deliver psychiatric services. All of these efforts reinforce our mandate to coordinate psychiatric services across the province efficiently and effectively, which is the essence of our existence.
policy and practice through clinical service delivery, faculty development, and other means. Another opop subcommittee, the Ontario Postgraduate Psychiatric Education Network, has undertaken an essential project this year in the creation of core competencies related to the Royal College of Physicians and Surgeons of Canada CanMEDs (Canadian Medical Education Directions for Specialists) roles. In place since 1996, CanMEDs form the basis of the accreditation standards for the college, which was first in the world to implement a national educational framework of core competencies. As the Royal College Specialty Committee in Psychiatry moves to defining core competencies more clearly, the opop family sees an important opportunity to reinforce the role of general psychiatry and specifically the unique learning opportunities related to rural and remote psychiatry and outreach work. A highlight of 2004–2005 was the opop Annual Retreat in Thunder Bay, where we were warmly received by our hosts, including the Northwestern Ontario Medical Programme. We were very pleased to meet with representatives from the six medical schools, including the Northern Ontario School of Medicine (nosm), as well as the Nodin Counselling Services from Sioux Lookout, who provided the momentum to explore setting up an Aboriginal elective at the sites of Kenora and Thunder Bay, and several divisions of the Ministry of Health and Long-term Care.
Brian Hodges, md, frcpc Director, Ontario Psychiatric Outreach Programs
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Division of
Geriatric Psychiatry The Division of Geriatric Psychiatry strives for excellence in research into mental disorders in late life and the education of health care practitioners who treat elderly patients.
Program Description Mission
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he Division of Geriatric Psychiatry strives for excellence in research into mental disorders in late life and the education of health care practitioners who treat elderly patients. As service providers to a growing and relatively under-serviced patient population, we also act as advocates for these individuals in the area of health policy.
Organization Nathan Herrmann is head of the division. There are six primary sites: Baycrest Centre for Geriatric Care (head, D. Conn), the Centre for Addiction and Mental Health, Queen Street site (acting head, L. Fornazzari), Mount Sinai Hospital (head, J. Sadavoy), Sunnybrook and Women’s (head, N. Herrmann), the University Health Network/Toronto Rehabilitation Institute (head, A. Flint) and St.
Michael’s Hospital (head, C. Fischer). The designated Centre of Excellence is at Sunnybrook & Women’s College Health Sciences Centre, Sunnybrook Campus.
Functions The division sites provide the full spectrum of clinical services for the management of elderly patients with psychiatric illness. These include in-patient units, outpatient services, day hospital, community psychogeriatric services providing domiciliary visits, and consultation liaison services to both acute-care and long-term facilities. Formal educational activities are provided at the undergraduate, postgraduate, fellowship, and continuing education levels. The undergraduate education subcommittee is chaired by C. Cohen, with division members being active in all aspects of the undergraduate curriculum, which includes the pre-clerkship curriculum,
programs and divisions
Functions
with division members teaching and organizing aspects of the Art and Science of Clinical Medicine, Brain and Behaviour, Foundations of Medical Practice, and Determinants of Community Health. Division members are also involved in teaching and tutoring in the clerkship curriculum, and offering psychogeriatric electives. The postgraduate education subcommittee is chaired by R. Madan. The division trains every single resident in the program in geriatric psychiatry, as mandated by the Royal College requirements. The division also trains residents interested in career paths in geriatric psychiatry. Division members participate in the core curriculum, including a pgy1 session of assessment of the geriatric patient. The fellowship committee is chaired by A. Flint. The division offers fellowships at the University Health Network, Baycrest Centre for Geriatric Care, and Sunnybrook Health Science Centre. Baycrest Centre for Geriatric Care, Sunnybrook and Women’s, and the University Health Network offer fellowship positions funded through their foundations. The Continuing Education Committee was chaired by P. Cooper. The division endeavours to organize a major continuing education event each year, alternating between a target audience of primary care physicians and of geriatric psychiatry subspecialists.
The division trained 26 residents in mandatory training positions and four career-selective residents. For each six-month block, there was a seminar that focused on interviewing and diagnostic skills as well as neurological assessment. The seminars were well attended and well rated. The division successfully trained its first resident in a mandatory training position at North York General Hospital, under the supervision of G. Eryavec and colleagues. Residents training in the division had a successful year. P. Giacobbe was accepted into the Stepping Stones Program of the American Association of Geriatric Psychiatry, and S. Thompson was the recipient of the Division of Geriatric Psychiatry Award of Excellence for her paper titled “The Benefits and Risks Associated with Cholinesterase Inhibitor Therapy in Alzheimer’s Disease” published in Expert Opinion in Drug Safety. There were three fellows training in the dDivision this year. S. Takeshita completed a two-year fellowship supervised by P. Verhoeff, and N. Wongpakaran began a fellowship supervised by R. van Reekum at Baycrest Centre for Geriatric Care. L. McCabe did a fellowship in population health and geriatric Psychiatry at Sunnybrook and Women’s. The division, under the leadership of P. Cooper, organized a ce event in November, 2004, “Psychogeriatric Update 2004: Late-Life Mood Disorders.” This well-attended and well-rated event featured speakers from the division as well a keynote address by Yeates Conwell, professor and associate chair for Academic Affairs, Department of Psychiatry, University of Rochester, on suicide in late life. The event was linked by live telecast to the State University of Rio de Janeiro as part of the division’s ongoing commitment to academic outreach to Latin America. As part of these academic outreach activities, the division also hosted guest geriatric psychiatrists Yap Hwa Ling from Singapore and Valeska Marinho from Rio de Janeiro for clinical observerships. Division members had an extremely productive year. I. Silver was awarded the Association of Academic Psychiatry’s Educator of the Year Award. S. Lieff was awarded the American Psychiatric Association’s Irma Bland Award for Excellence in Teaching Residents. C. Fischer was promoted to assistant professor, and P. Verhoeff was promoted to associate professor. Division members published in a number of peer-reviewed journals, including the British Medical Journal, American Journal of Psy-
Public Policy Division members lead in national (Canadian Academy of Geriatric Psychiatry) and international (International Psychogeriatric Association, American Academy of Geriatric Psychiatry) organizations. Division members have also been active participants in developing health policy.
Program Developments 2004–2005 Organization The division had an extremely successful year with significant activities at all its centres. The major staffing changes that occurred during the academic year included Leslie Wiesenfeld joining the staff at Mt. Sinai Hospital. The division business meetings were held in conjunction with division-wide Grand Rounds held this year at Mt. Sinai Hospital, St. Michael’s Hospital, Baycrest Centre for Geriatric Care, and Sunnybrook and Women’s College Health Sciences Centre.
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Research, and Physician Services’ Incorporated Foundation.
chiatry, American Journal of Geriatric Psychiatry, and Journal of Clinical Psychiatry. Division members held peer-reviewed grants from the National Institute of Mental Health, Alzheimer Society of Canada, Health Canada, the Canadian Institute of Health
Nathan Herrmann, md, frcpc Head, Division of Geriatric Psychiatry
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Law & Mental Health Program The mission of the program is to establish the Faculty of Medicine at the University of Toronto as an international leader in research on the causes and prevention of violence and crime among the mentally ill.
Program Description
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he mission of the program is to establish the Faculty of Medicine at the University of Toronto as an international leader in research on the causes and prevention of violence and crime among the mentally ill by conducting and encouraging research and scholarship through local, national, and international collaborations; to model exemplary, accessible, and comprehensive care to mentally disordered offenders in Ontario; to train students in psychiatry and other mental health disciplines at all stages of career development, including undergraduate, graduate, fellowship, and continuing education; to promote comprehensive and coordinated mental health care for mentally disordered offenders in Ontario; and to promote public safety through best-practice assessment and treatment of mentally disordered offenders in Ontario.
The Law and Mental Health Program’s Centre of Excellence is the Law and Mental Health Program (lamh) at the Centre for Addiction and Mental Health (camh). Services include specialty clinics (e.g., the Sex Behaviours Clinic, the Kurt Freund Laboratory, the Gender Clinic); the Assessment and Triage Unit (28-bed in-patient unit); the Secure Observation and Treatment Unit (sotu; 8-bed inpatient unit); four rehabilitation units (two mediumsecure in-patient units with a total of 40 rehabilitation beds, and two minimum-secure in-patient units with a total of 61 beds); and an outpatient service with a roster of 160 patients. The program faculty are active in other clinical and administrative settings, which include the Mental Health Court at Old City Hall, Toronto; other court settings in Toronto and area, including Scarborough, Etobicoke, North York, and Brampton; the Oak Ridge Division of the Mental Health Centre Penetanguishene; the
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graduate one to two residents per year who have completed at least one rotation in Law and Mental Health.
Forensic Program at the Whitby Mental Health Centre; the Department of Psychiatry at the North York General Hospital; and the Ontario Review Board. Program faculty consult with external agencies and institutions on forensic issues: the National Parole Board; the Correctional Service of Canada; the Ontario Provincial Police; the Metropolitan Toronto Police Department; the Royal Canadian Mounted Police; and Canadian corporations. Faculty in the program conduct 1. forensic assessments for the courts, the Ontario Review Board, the National Parole Board, and other jurisdictional authorities, and assessments may include fitness to stand trial, criminal responsibility, assessments related to Dangerous Offender applications, and risk for violent and sexual recidivism 2. treatment of forensic patients in both in-patient and outpatient settings, where treatments may include drug therapies, cognitive-behavioura treatment with a focus on relapse prevention, social skills training, and psycho-social rehabilitation 3. community reintegration, including case management coordinated with continuing mental health care, as well as assessments of forensic in-patients for their suitability for community release, and information essential to planning for release 4. consultation and liaison with other programs and clinical settings on forensic mental health Students in all mental health disciplines and at all levels of training are invited to participate in regular seminar/lecture series in the following content areas: law and mental health, forensic sexology, and the psychobiology of criminal behaviour, and in electives in aspects of forensic psychiatry and mental health (see Department of Psychiatry Electives Brochure). During electives, students participate in and/or observe assessment and treatment within a forensic setting under the supervision of program faculty. For residents in psychiatry, we offer senior selective and research rotations. Interested students should consult the Department of Psychiatry Brochure on Rotations, or contact the head of the program (Howard Barbaree), or the associate head, Education (Phil Klassen). Students in all mental health disciplines and at all levels of training are invited to participate in research in forensic mental health. For further information, please contact the head of the program. The program’s goal is to
Program Developments The program Centre of Excellence, the Law and Mental Health Program at camh, has undergone significant enhancement and improvement over the past seven years. In 1998, the program conducted an extensive program-planning exercise to identify a number of concerns and realities: (1) the dramatic increase in forensic in-patient admissions to camh Queen Street site and the impact this has on forensic and non-forensic resources, (2) the critical need for special security and housing for female forensic inpatients, (3) the lack of specialized forensic clinical services to address criminogenic needs and risk to public safety in the forensic in-patient population, and (4) safety and security in the physical plant of the Assessment and Triage Unit. The program has implemented all of the recommendations in the program plan. Funding was received from the Ministry of Health and Long-term Care for extensive renovations and security enhancements to Unit 3 at the Queen Street site of camh. On the fifth floor, the Assessment and Triage Unit (formerly metfors) was totally renovated, and security elements were enhanced. A new medium-secure forensic unit was constructed on the third floor. A sally port was constructed to facilitate transfer of patients to and from Unit 3. During this same period, operating funds have been received from the Ministry of Health and Long-term Care to operate a second medium-secure in-patient unit, opened in 2003, and a second minimum-secure unit, opened in 2001. These additional resources bring the total of beds devoted to forensic patients to 129 (28 assessment and triage, 40 medium-secure, and 61 minimum-secure). In addition, the Secure Observation and Treatment Unit (sotu), a nine-bed in-patient unit specializing in the treatment and management of aggressive and difficult-to-manage in-patients, was transferred by camh to the Law and Mental Health Program. The program has received funding from the Ministry of Health and Long-term Care for a six-bed medium-secure unit for female mentally disordered offenders. This unit will provide best-practice mental health services in this specialized field and 52
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Institute of Health Research grant to study the neuropsychology of pedophilia. Collaborators from the Schizophrenia Program are making important contributions to this landmark research. Howard Barbaree, in collaboration with Paula Goering, is completing work on an omhf-funded project, “Evidence-Based Practices in Forensic Mental Health Programs and Services.” This project has involved extensive consultation with experts in forensic mental health services throughout the world.
will act as a provincial resource. It is expected that renovations will be completed and the unit opened sometime in 2007. The program has been under unusual pressure this past year as a result of decisions in a number of court cases. In summary, courts have found that placing mentally disordered accused persons on a waiting list for in-patient assessment and having them detained in a correctional setting pending the availability of a hospital bed is contrary to the Canadian Charter of Rights and Freedoms. Subsequent court cases have found that detaining a mentally disordered offender at maximum security after the Review Board has ordered them to a lower level of security is also unconstitutional. The net result of these rulings is that the lamh program cannot maintain traditional waiting lists and must admit patients “forthwith.” With the most helpful assistance and support of other camh programs, the lamh program has met this challenge quite successfully. In early 2005, the Law and Mental Health Program (both at camh and the university department) was subject to an external review. Two internationally known experts in forensic mental health care (Sheilagh Hodgins and Roy O’Shaughnessy) attended the program sites over two days and submitted a written report in March 2005. The program received high marks in a number of crucial program areas. The quality of research and clinical care in the assessment and treatment of the sex offender was described as world class. The review indicated that the courts and the Ontario Review Board expressed a great deal of confidence in the assessments and recommendations provided by lamh program staff and that they rely heavily on these recommendations. The review encouraged the program to increase research activity on the assessment and treatment of the seriously mentally ill offender. Howard Barbaree was reappointed to a third fiveyear term as head of the Law and Mental Health Program.
Education and Training Students in all mental health disciplines and at all levels of training participated in program activities this past year. During the past year, six undergraduate medical students from throughout the province and a number of students from all pgy levels in the department participated in electives within our forensic settings under the supervision of Phil Klassen and other program faculty. Four residents (Drs. Chattergee, Guan, Oskin, and Wilkie) completed senior selective rotations in lamh during the academic year 2004–2005. Drs. Chattergee and Wilkie have been recruited as program medical staff beginning in July of 2005 and will join the program faculty in the fall. Meridith Cheevers continues with her post-doctoral fellowship under the supervision of Ray Blanchard, funded by the Social Sciences and Humanities Research Council.
Public Policy Program faculty have been involved in the development of mental health services available to persons facing criminal charges in the courts in Toronto and area. First, the program has been instrumental in the development of the Mental Health Court Support Consortium, a cooperative enterprise involving numerous community-based agencies who employ front-line mental health workers in the courts in Toronto. With support from the Law and Mental Health Program at camh, the consortium has worked to improve and standardize court-based mental health services. Second, through a purchaseof-service agreement finalized in the spring of 2004 with the Ministry of the Attorney General, the Law and Mental Health Program at camh now contracts with psychiatrists providing assessment services in the courts. Through a number of quality
Research In the spring of 2005, camh established a formal Research Section in Law and Mental Health, and Ray Blanchard was appointed as head of the Research Section. Ray Blanchard and James Cantor continue to collect data related to their prestigious Canadian 53
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hospital beds for court-ordered assessment is being made more efficient and waiting times for beds is being reduced.
improvement interventions, including the Standards of Practice Manual, psychiatric service in the courts is being improved and standardized across court sites. Finally, through a partnership with the judiciary at the Mental Health Court, the utilization of
Howard Barbaree, PhD Head, Law and Mental Health Program
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Health Systems Program The mission of the Health Systems Program is to facilitate the utilization of scientific information to improve the delivery of mental health and addiction services.
Program Description
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he mission of the Health Systems Program is to facilitate the utilization of scientific information to improve the delivery of mental health and addiction services. The program is directed by Paula Goering and Peter Prendergast. It has as its Centre of Excellence the Health Systems Research and Consulting Unit (hsrcu) at the Centre for Addiction and Mental Health (camh). This focal point conducts research on delivery of service and has had a major impact on provincial and local mental health and addiction-reform initiatives. It includes a consulting practice through which faculty have influenced the delivery of mental health and addiction services in several regions and provinces, and internationally. The Health Systems Program has been successful in developing a cohesive network of sites. Primary sites include the Centre for Addiction and Mental Health, Whitby Mental Health Centre, and St. Michael’s Hospital. Monthly meetings of a core committee are the vehicle for planning and implementing program activities. Collaborations
with other Department of Psychiatry programs have included a shared research seminar, joint grant submissions, and participation in joint educational programs. The objectives of Health Systems Program in clinical services are to support and assist in the development of programs that are communityfocused, target individuals with severe and persistent mental illnesses and/or substance-use disorders, and are integrated into a continuum of care. In education, the program sponsors academic lectures and colloquia. As well, fellows are associated with the program. Seminars for psychiatric residents are presented in the departmental core curriculum, and residents may structure career rotations in the program. In undergraduate education, a half-day workshop on the mental health system is presented in the Determinants of Health course. As well, faculty of the program have been very involved in the Health, Illness, and the Community course. Many of the program’s research activities are carried out by the Centre of Excellence. However, the hsrcu also develops joint projects
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tres that will provide stipends for trainees. Research in Addictions and Mental Health Policy and Services connects our unit with Quebec and British Columbia for routine videoconferences as well as an annual Institute. Scientists are teaching several university courses, and there are numerous educational series available on the unit for trainees and staff.
with other sites within the program network and with other groups in the Department of Psychiatry. In addition to the creation of new knowledge in service delivery, the Health Systems Program emphasizes knowledge transfer and exchange as well as the integration of qualitative and quantitative research methodologies. Members of the program are involved extensively in activities related to public agendas. The program has developed effective working relationships with decision makers at national, provincial, and local levels. Activities include the provision of technical assistance for planning processes, advice and consultation to government departments, commissions, and task forces, and the offer of information to guide development of public policy in mental health.
Linkage and Exchange Our knowledge and exchange activities are well established, and we have been instrumental in activities that include preparing and circulating three provincial reports, helping to sponsor and organize workshops on knowledge brokering, and seniors’ mental health research. Dale Butterill and Paula Goering were invited to present about knowledge translation in several national and international venues.
Program Developments Network Activities
Consultation
In addition to the regular meetings of the core committee, two colloquia were held. In the fall, the biannual S. J. J. Freeman lecture titled “The National Stigma Study—Children: Americans’ Reaction to Children with Mental Health Problems” was given by Bernice Pescosolido from Indiana University. In the spring, Pat O’Campo from the Inner City Health Research Unit presented “Neighbourhood Interventions To Improve Mental Health: Are We There Yet?” In addition to implementing our own Health Systems Strategic Plan, members of the program were actively involved in promoting departmental strategic directions in population health, international development, and clinical coordination.
Our consultation service is busy transferring knowledge and keeping research staff in touch with frontline service delivery issues and problems. A group of core consultants that includes Dianne Macfarlane, Joy Rogers, Peter Prendergast, Janet Durbin, and Dale Butterill work with associates to complete a range of assignments. Planning for children’s and Aboriginal mental health services are new areas of interest. A review of how mental health services fare under regional systems of care was completed with camh’s policy division. We maintain our ongoing consultation with the provincial Drug and Alcohol Treatment Information System and the application of datis information in provincial and local planning. A paper about consulting as a knowledge transfer by Nora Jacobson and others is in press.
Chair Program
Research
The chir/chsrf Health services research chair held by Paula Goering underwent a four-year external review and strategic planning. The positive results of both will set the course for another six years of funding.
The last year was a busy and productive one for the team at the Centre of Excellence who were engaged in research and consulting projects that generated $998,750 in external funding. This work included 28 refereed articles published, as well as multiple reports. Faculty also made numerous presentations at scientific and educational meetings. A brief selection of our research projects follows:
Education and Training We had over 25 trainees supervised by scientists on the hsrcu in the last year. Our very successful summer studentship program, led by Carolyn Dewa, attracted over 60 applications this year for five positions. Two fellows have learned about health services research, as have graduate students from various disciplines. We are involved in three cihr training cen-
Community Mental Health Evaluation Initiative In December 2004, the Community Mental Health Evaluation Initiative, led by Paula Goering and 56
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grams, satellite needle-exchange programs, Ontario public health units, and the Ontario Ministry of Health and Long-term Care. As well, the best practices will be available online to provide access for other harm-reduction programs and advocates.
involving a cadre of scientists and research team members in the hsrcu, completed its assessment of the effectiveness of community-based mental health services and supports. The project has left a legacy of new, Ontario-based evidence to support future decisions about provincial programs and service delivery. In essence the cmhei found that community mental health is making a positive difference in people’s lives. The detailed results of this program of research are well documented in the project’s final report, Making a Difference: Ontario’s Community Mental Health Evaluation Initiative. The report was released in during the fall of 2004, at Canada’s largest mental health and addictions conference, Making Gains, in Toronto. The publication total for this year stands at 20 publications, 17 articles in press, three submissions, and one special issue of the Canadian Journal of Program Evaluation on cmhei research methods. The consumer survivor initiative created a video “story” to take on tour across the province when meeting with consumers and service providers about their study results. One final important piece of the cmhei legacy is the strengthened capacity to conduct collaborative, participatory research in Ontario through the many researcher–stakeholder partnerships that developed and the training platform for budding health-services researchers provided by the initiative.
Continuity of Care In the current complex health-care system environment, continuity of care poses a challenge to individuals managing long-term chronic diseases, including severe and persistent mental illness. This issue was the focus of doctoral research undertaken by Janet Durbin, a unit researcher who embedded her study in a recent provincial planning study completed by the unit. Collaborating with Alberta researcher Carol Adair, Janet tested performance of a new self-report measure of continuity in Ontario, and then examined the association between selected program and system practices and client continuity, using both service-use and self-report measures. The research contributed to better understanding of elements of care that create continuity for clients, and led to publication of three papers.
Evaluation of the Standardized Assessment Tools and Admission and Discharge Criteria for Ontario’s Substance Abuse Services A common package of client assessment tools, as well criteria for client placement and discharge were mandated for use within Ontario’s addiction agencies by the mohltc in 2000. At the time that the tools and criteria were introduced, the mohltc made a commitment to evaluate their impact. In addition, the evaluation of the use and impact of introducing standardized assessment tools is viewed by the mohltc as an important preliminary step towards the development of a province-wide system of outcome monitoring. The evaluation, being led by Brian Rush and initiated in early 2005, is intended to determine the extent to which the tools and criteria are being used; whether they are being used as intended; what their impact is upon local and provincial systems of services; and what the potential is for future development. All addiction agencies in the province have the opportunity to give feedback through a provincial survey aimed at managers and staff. The evaluation plan also includes up to three community case studies that are providing more qualitative input from managers and staff as well as clients. In the fall
Best Practice Recommendations for Needle Exchange Programs in Ontario The best practices project is an initiative to develop a set of practice recommendations to guide needle-exchange program development and evaluation in Ontario. A team of researchers from camh, the University of Toronto, and the University of Ottawa, led by Carol Strike from the hsrcu, are collaborating with the Ontario Needle Exchange Coordinating Committee to develop the parameters and content of the Best Practice Recommendations. Development of the best practices involves a thorough review of the scientific literature and online resources, as well as contributions from current service providers. When completed in the fall of 2005, the Best Practices for Needle Exchange Programs will provide recommendations for all aspects of service, including, for example, exchange and distribution of harm-reduction equipment, service delivery models, health-promotion education, counselling, referrals, and evaluation. The best practices will be disseminated to all needle-exchange pro57
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The coi study is prevalence-based and examines the costs related to mental disorders and substance abuse that occurred in Ontario in 2000. The study adopts two perspectives: societal and governmental. From the societal perspective, all relevant costs related to mental disorders are counted, irrespective of who bears them. From the governmental perspective, the costs of illness are confined to costs (expenditures) borne directly by government for health services, income support, and administrative and capital costs attributable to mental disorders and substance abuse. Where costs from the governmental perspective diverge from societal costs, separate methods of estimation were employed.
of 2005 results of the project will be reviewed by a Project Advisory Committee and recommendations forthcoming to the mohltc about ways to improve the assessment, client placement, and discharge planning among provincial addiction agencies.
Cost of Illness This Cost of Illness (coi) study, soon to be completed, was sponsored by the mohltc and led by William Gnam. Some of the study questions include, What economic costs at the societal level are attributable to mental disorders and substance abuse? Which types of problems (mental disorders, abuse of alcohol, tobacco, or other substances) involve the greatest costs? To the extent that comparable cost estimates for other health conditions are available, how do the costs of mental health problems and substance abuse compare? Which social groups (by age and gender) incur the greatest costs?
Paula Goering, RN, PhD Co-Director, Health Systems Program Peter Prendergast, md, frcpc Co-Director, Health Systems Program
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Mood & Anxiety Disorders Program The Mood and Anxiety Disorders Program continues its long commitment to being an international leader in research, education, and clinical care for patients with mood and anxiety disorders.
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he Mood and Anxiety Disorders Program continues its long commitment to being an international leader in the field of research, education, and clinical care for patients with mood and anxiety disorders. It is committed to understanding the causes of these disorders and understanding how the drugs work, at a basic and at a clinical level. The program continues to be committed to knowledge transfer with the work of many members on national and international advisory boards and on establishing treatment guidelines for these disorders. This program continues to have multiple hospital sites. The Centre of Excellence continues to be at the Centre for Addiction and Mental Health, with very strong programs that continue to develop at the University Health Network and at Sunnybrook and Women’s College Health Sciences Centre. The executive consists of the psychiatrist-in-chief at
the University Health Centre, Sidney Kennedy; at Sunnybrook and Women’s College Health Sciences Centre, Anthony Levitt, psychiatrist-in-chief; and Arun Ravindran, clinical director of the Mood and Anxiety Disorders Program at camh—demonstrating a commitment across the system to a strong focus in mood disorders. Expertise can also be found in all of the other partner hospitals: St. Michael’s Hospital, Hospital for Sick Children, and the Baycrest Centre. This has been a very busy year for camh. The First Episode Program has continued to thrive, while there has been an increased focus on the refractory patients. The in-patient program has a specialized service to deal with patients with obsessive-compulsive disorder, as well as to look after and study patients with complex mood disorders. The transcranial magnetic service is operational and involved in large-scale clinical
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ongoing long-term cases in psychopharmacology and psychotherapy in patients with mood disorders. This continues to be a highly productive research program, with close to $10 million in peer-reviewed grants and more than one hundred publications over the last year. The achievements in research continue to range from the genetics of bipolar disorder, to the basic mechanism of mood stabilizers and antidepressants, to clinical trials and brain-imaging studies in patients with mood disorders. A number of investigators in our program have led in the development of canmat Guidelines for the Treatment of Patients with Mood Disorders across Canada. We continue to develop key departmental priorities. There has been a strong focus on the Clinician-Scientist Program, with a handful of residents in that program being supervised by faculty within the Mood and Anxiety Disorders Program. Population health is being met by an increase in research at Sunnybrook. Our international mission continues to be developed, with members of the program heading up projects in Sri Lanka and India, with the possibility of a project in Beijing, China. Diversity clearly is affected by the ongoing recruitment of women and visible minorities. Clinical coordination continues to be supported by good working relationships among the partner hospitals and for patients within these programs. A good flow of patients for consultation and specialized treatment among sites continues to develop the priority of clinical coordination. The next year will be exciting with the ongoing developments at all sites. A major initiative will be a crystallization of the core educational objectives. We look forward to the implementation of a consistent set of objectives for all residents to learn in the basic years, as well as those over the five-year residency program.
trials to understand the place of this treatment in the management of patients with mood disorders. The research program has been extremely busy in research at multiple levels, from genetics, to the basic science level, including animal models, to research at a clinical level, from brain imaging to clinical trials. Pharmacotherapy and psychotherapy are being studied alone and in combination, for the treatment of depression and bipolar disorder at this very large clinical research program. At uhn the program continues to develop, its major focus on understanding the relationship between medical illness and depression. This program overlaps in a number of places with strong clinical programs in other parts of the hospital. The multicultural focus continues to thrive while maintaining an increased emphasis on workplace health. The Psychopharmacology Clinic continues to be a major focus, conducting important clinical trials and an impressive number of peer-reviewed funded studies. An fMRI program continues to develop, adding a unique aspect to the Mood Disorders Program, which is not found elsewhere in the system. At Sunnybrook and Women’s Health Sciences Centre the program thrives with a continued specialization in youth services, population health, and a renewed interest in women’s mental health, particularly during the prenatal period. This busy consultation service provides an excellent opportunity for residents to engage in hands-on experience with a wide range of patients with mood disorders. Dr. Schaffer continues to excel in his role as the coordinator of education for this program. He is working with the new postgraduate director, Ari Zaretsky, to improve delivery of core lectures to the pgy2s. There has also been development of specific objectives for patients in mood disorders in General Psychiatry in the pgy2 year. Dr. Schaffer continues to discuss with members of the Executive, the postgraduate director, and the Postgraduate Committee, a move towards giving some mood-disorders rotations a chronic-care status as well as looking at
Trevor Young, md, frcpc Head, Mood and Anxiety Disorders Program
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Neuroscience Program The Neuroscience Program focuses on neurobiological mechanisms underlying mental illnesses, addiction, and their respective treatments.
Program Description
U
nderstanding the causes of psychiatric problems and the factors that contribute to relapse to drugs of abuse is crucial for the development of more effective approaches to treatment and prevention. The Neuroscience Program focuses on neurobiological mechanisms underlying mental illnesses, addiction, and their respective treatments. The program benefits from state-of-the-art, in-house research facilities. These facilities include the Positron Emission Tomography (pet) Centre, which allows researchers to scan the brains of live human subjects, and the Transgenic Research Centre, which can alter the genetic makeup of laboratory mice to mimic processes associated with human diseases such as schizophrenia, bipolar disorder, or addiction.
Organization Franco Vaccarino, executive vice-president of programs at the Centre for Addiction and Mental Health (camh) has been the head of the Neuroscience Program since February 1999. Dr. Vaccarino has stepped down from this position to focus on
his new role as chair, Department of Psychology. Membership of the Neuroscience Program is based mainly at the camh but spans other Toronto Academic Health Sciences Council hospitals. As a whole, members represent a broad range of training and expertise that range from molecular to clinical neuroscience. The change is leadership provides a time to assess our progress and choose directions for the next few years. In the next few months the Departmental Executive and Robert Zipursky (vice-chair, research) will be consulting with members of the program and other stakeholders to identify the major issues that confront the program. It is expected that there will be a search for a new head of the program in 2006. In the meanwhile, Shitij Kapur (chief of research at camh) is acting as interim head of the Neuroscience Program.
Programmatic Developments Neuroscience research in the department ranges from very basic science (test-tube) molecular and genetic based approaches, through to investigations employing animal models that mimic aspects of psychiatric disease, and research
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D4 receptors (published in the Journal of Biological Chemistry), while Fang Liu and colleagues have defined how protein–protein coupling/uncoupling between the D2-receptors and the ampa receptors influences glutamate-mediated toxicity. The pet Centre at the camh represents a unique resource at the department—and is a tool that has led to and continues to lead to many translational discoveries. One major finding emerging from the basic scientists at the University of Toronto (Drs. Seeman and George) has been the importance of the “high affinity states” of receptors, in particular the dopamine D2 receptor. Alan Wilson and colleagues at the pet Centre has now made a major breakthrough that carries this discovery from the bench to the clinic. They have defined and implemented a new radioligand—11c-labelled PHNO, a drug that selectively labels the high-affinity states of the dopamine D2 receptor. More recently, along with Drs. Kapur, Ginovart, and Houle, this group has visualized the high-affinity states of the human D2 receptors for the very first time in humans. This opens the possibility of major advances in schizophrenia, Parkinson’s disease, and addiction disorders. By exploring and exploiting research strategies such as these, researchers within the Neuroscience Program broaden our understanding of mental illness and addiction and lay the basis for potential new treatments and diagnostic approaches of the future. We hope these examples showcase the excellence, innovation, breadth, and clinical relevance of these efforts.
focusing directly on human behaviour. The following examples highlight some of the neuroscience research directions. Genetics research (John Vincent et al.) has uncovered the etiologically relevant protein of the gene responsible for Rett syndrome, and suggests, speculatively, that this gene might also be a susceptibility factor for autism and non-specific mental retardation. This protein is already being offered as a possible diagnostic approach to Rett syndrome by Athena Sciences. James Kennedy and his colleagues have discovered that snap25, a synaptic protein, is a predictor of medication response and drug-induced weight gain in schizophrenia—a finding that may some day lead to clinical testing. Paul Arnold has been pursuing the genetics of obsessive-compulsive disorder and has recently discovered an association been a glutamate receptor (GRIN2B) and ocd—a project supported in part by his New Investigator Award from narsad. Our genetics researchers are not only making the exciting discoveries using traditional genetic approaches, but are also at the vanguard of new approaches. James Kennedy has been anchoring the genetics component of a multi-centre nimh genetics-imaging initiative—the first large-scale attempt to merge genetics and imaging. Art Petronis (with major funding from the nimh) is leading one of the first large-scale efforts to examine the epigenetics of human psychosis—using technology developed for this endeavour by his Krembil Family Epigentics Laboratory. At a molecular level—the studies have gone beyond the studies of receptors and their binding—are focusing on how receptors crosstalk to other receptors, how receptors are trafficked into cells, and what determines this turnover. Dr. Van Tol and colleagues have identified “folding efficiency” as a critical determinant of the genesis of surface
Franco J. Vaccarino, PhD Head, Neuroscience Program (2004–2005) Shitij Kapur, md, frcpc Interim Head, Neuroscience Program
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Psychiatry, Health, & Disease Program The focus of the Psychiatry, Health, and Disease Program is on the relationship among psychological, biological, and social factors in the expression of symptoms and disease.
Mission Statement
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he focus of the Psychiatry, Health, and Disease (phd) Program is on the relationship among psychological, biological, and social factors in the expression of symptoms and disease. This program has a mandate to develop and promote research in these areas, to train undergraduate and postgraduate students in the psychiatric care of patients with medical, psychosomatic, and medically unexplained conditions, to establish and communicate standards of care for these populations, and to provide and support continuing education in these areas. The program also has the responsibility to draw the attention of the medical and general community to the significant psychiatric morbidity and psychosocial distress in medical populations, which is often undetected and untreated, and to enhance the services and treatment available for such problems. The phd program is based at four general hospital sites, with psychiatric consultation-liaison clinical and teaching services and specialized clinical and research programs at each site and one pediatric hospital:
The University Health Network (uhn) Medical Psychiatry and Transplantation: Susan Abbey, md Eating Disorders: Allan Kaplan, md Neuropsychiatry and Sleep Disorders: Colin Shapiro, md Behavioural Cardiology: Robert Nolan, PhD Psychosocial Oncology and Palliative Care: Gary Rodin, md Mount Sinai Hospital Medical Psychiatry, Psychosocial Oncology and Pain: Jonathan Hunter, md Gastrointestinal Disease: Robert Maunder, md hiv Psychiatry: Peter de Roche, md Palliative Care Psychiatry: Bill Mah, md St. Michael’s Hospital Medical Psychiatry: Shree Bhalerao, md hiv Psychiatry: Mark Halman, md Neuropsychology: Sean Rourke, PhD Sunnybrook and Women’s College Health Sciences Centre (swchsc) Medical Psychiatry: Robert Jaunkalns, md Neuropsychiatry and Trauma: Anthony Feinstein, MPhil, PhD
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Halman was a visiting professor at the University of Witswatersrand in South Africa where he provided technical assistance to psychiatrists dealing with psychiatric aspects of the hiv/aids epidemic. Rose Geist was elected to the American College of Psychiatrists at the college’s annual meeting in La Jolla, California.
Hospital for Sick Children Medical Psychiatry: Rose Geist, md Eating Disorders: Leora Pinhas, md
Program Organization A program Planning Committee consisting of program director, research director, education director, and the heads of the Medical Psychiatry Program at each site meet regularly. Additional administrative and clinical meetings are held within each of the hospital medical psychiatry and specialized programs. The education director is a member of the Postgraduate Education Committee, and the program head is a member of the University Senior Advisory Committee, the University Department of Psychiatry Research Committee, and the Executive of the University Fellowship Committee. An annual research day is held at which current research findings for all areas of the program are presented.
Education The phd program continued its outreach in Ontario and internationally. Consultation-Liason training sites were approved in both North Bay and Thunder Bay. In addition, an educational exchange program continues with Kyungpook National University Hospital and Wonkwang University Hospital in Taegu, South Korea, and with the Universidade Federal de Minas Gerais medical school in Belo Horizonte, Brazil. The fellowship training program in phd continues to be highly subscribed and successful. There were nine fellows in this program during the past year. Sophie Lebel and Adrienne Kovacs received the Fred Lowy Award 2004–2005 for the greatest contribution to research in psychosomatic medicine by a fellow or resident in psychiatry. Sophie Lebel was also awarded Best Oral Presentation by a student at the Annual Canadian Association of Psychosocial Oncology conference. Sarah Harrington was awarded Best Poster Presentation by a student at the Annual Canadian Association of Psychosocial Oncology conference. Doctoral candidate Rinat Nissim received a University of Toronto Department of Psychiatry Fellowship Travel Award. Julie Maggi received the Best Poster Award by a Trainee at the Academy of Psychosomatic Medicine Annual Meeting held in November, Sarah Hales received a National Cancer Institute of Canada Post-md Research Fellowship to pursue research on adjustment at the end of life and during bereavement, and Madeline Li received a post-doctoral fellowship to develop research on depression and cancer. Marta Novak won an award from the Hungarian Academy of Science for her mentorship of a medical student in psychonephrology. The president of Hungary and the president of the Hungarian Academy of Science will present this award. A number of faculty and students in the program were recognized for outstanding accomplishments in education. Shree Bhalerao was awarded the Fitzgerald Academy Outstanding Clinical Teacher Award for 2004–2005. Claire De Souza and Raed
Program Developments Awards and Honours A number of faculty received recognition for their academic accomplishments during this past year. Gary Rodin was appointed the Joint University of Toronto / University Health Network Harold and Shirley Lederman Chair in Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, and head, Psychosocial Oncology and Palliative Care Research Division, Ontario Cancer Institute. Mary Vachon was promoted to the rank of full professor, Jonathan Hunter, Alan Peterkin, and Jacqueline Carter were promoted to the rank of associate professor, and Leora Pinhas and Raed Hawa to the rank of assistant professor effective. Sean Rourke began his position as scientific and executive director of the Ontario hiv Treatment Network, an $8-million-a-year treatment and research organization funded by the Ontario Ministry of Health aids Bureau. Mary Jane Esplen was awarded a Canadian Institutes of Health Research, Ontario Women’s Health Council / Institute of Gender and Health Mid-Career Award and a Distinguished Alumnae Award, Faculty of Nursing, University of Toronto, and was elected vice-president of the Canadian Association of Psychosocial Oncology (capo). Gerald Devins was elected to the Board of Directors of capo and was appointed chair of its Research Advisory Committee. Lucia Gagliese was a recipient of a York University Merit Award. Mark 64
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Hospital with an academic and clinical focus on the adjustment of individuals who are hiv positive, and Patricia Colton joined the academic and clinical staff in the Department of Psychiatry in the University Health Network in the Eating Disorders program. Ellen Margolese joined the consultationliaison service at Mount Sinai Hospital with a focus on patients with gastrointestinal disorders. The Eating Disorders program, led by Allan Kaplan, has received funding from the Ministry of Health to establish an Assertive Community Treatment team for Eating Disorders. The Department of Psychosocial Oncology and Palliative Care at pmh has received new funding to develop its clinical and research program in cancer survivorship and in the neuropsychology of cancer and its treatment.
Hawa were awarded the Stepping Stones Teacher Training Certificate given by the Centre for Faculty Development at its inaugural graduation ceremony on September 28, 2004. Jane Irvine received the York University, Faculty of Graduate Studies Teaching Award, 2004–2005. Jasmine Gandhi won the Eli Lilly Award for Best Grand Rounds Presentation at Mount Sinai Hospital during her senior selective in Psychiatry, Health, and Disease.
Research The research program in phd continues to grow and to have international impact. Investigators in the program obtained approximately $8.4 million in peer-reviewed grants during the past year in areas including neuropsychiatry and sleep disorders, eating disorders, psychosocial oncology and palliative care, and hiv psychiatry.
Gary Rodin, md, frcpc Head, Psychiatry, Health, and Disease Program
Staff Changes and Program Development Julie Maggi has joined the full-time academic staff in the Department of Psychiatry at St. Michael’s
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Psychotherapy Program The Psychotherapy Program mandate is to offer academic leadership and scholarship in the psychotherapies.
Program Description Mission
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he Psychotherapy Program mandate is to provide academic leadership and scholarship in the psychotherapies. This includes the provision of education and training; exemplary clinical service in the application of the psychotherapies to individuals suffering from a broad range of emotional and mental disorders; and research to enhance applicability, efficiency, and effectiveness of the psychotherapies. An overarching principle that guides the Psychotherapy Program is that the psychotherapies are an integral part of comprehensive and integrated psychiatric care and a central part of the bio-psychosocial model of treatment.
Organization Zindel Segal is the program director, and the associate program director is Daniel Greben. The Centre of Excellence is located at the Mount Sinai Hospital. Important academic psychotherapy activities are present in all of the teaching settings. The Psychotherapy Program Committee is the administra-
tive body of the program and consists of the Psychotherapy Modality Subcommittee chairs; the Psychotherapy Site coordinators, who coordinate psychotherapy activities at the respective sites; and subspecialty and interest group representation. The Psychotherapy Modality Subcommittee chairs include the following: Long-term Dynamic Psychotherapy—Norman Doidge; Brief Dynamic Psychotherapy—Harvey Golombek and Howard Book; Cognitive Behaviour Therapy—Zindel Segal and Ari Zaretsky; Interpersonal Therapy—Paula Ravitz; Family/Couple Therapy—Leo Chagoya; Child and Adolescent Psychotherapy—Jean Wittenberg; Integrative Therapy—Daniel Greben; and Group Therapy—Molyn Leszcz. The site psychotherapy coordinators include: Baycrest Centre—Michael O’Mahony; Centre for Addiction and Mental Health—Jan Malat; Mount Sinai Hospital— Molyn Leszcz; Sunnybrook and Women’s College Health Sciences Centre—Phil Maerov; St. Michael’s Hospital—Harold Spivak; The University Health Network—Sam Izenberg; Division of Child and Adolescent Psychiatry —Jean Wittenberg; University Health Service
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Events and Achievements
—Sandra Yuen; Hincks-Dellcrest Centre—Susan Dundas; Hospital for Sick Children—Mark Hanson; George Hull Treatment Centre—Bill Wehrspann. The remaining committee membership includes Mary Jane Esplen, Psychotherapy Research; Ron Ruskin, Psychiatry and Humanities; Solomon Shapiro, Therapeutic Communication Program for Junior Medical Students coordinator; Marshall Korenblum, Adolescent Psychiatry; and Deborah Krieger, prat representative.
The Psychotherapy Program continues its active commitment to the comprehensive training of residents in the psychotherapies, guided by the Psychotherapy Training Objectives Document. Although demanding in its scope, it is intended to be flexibly applied, and results—evident with the third class to graduate influenced by its mandate—reflect resident achievement of the objectives. Four senior residents pursued senior selective psychotherapy training: Anna Rogers, Mohini Mangar, Jasmine Gandhi, and Theresa Vienneau. The successful blending of psychotherapy foci with addictions, psychosomatics, mood, and women’s mental health, respectively, has also continued. In addition, 15 residents pursued electives in the psychotherapies focused within the areas of cognitive behaviour therapy, interpersonal therapy, group psychotherapy, psychological trauma, and psychiatry and the humanities. Ira Cohen (based at St. Joseph’s Hospital) completed a fellowship in family medicine and psychotherapy. Tinakaon Wongpakaran, a psychiatrist from Thailand, completed the first year of a two-year fellowship in group psychotherapy. The Psychotherapy Program also organized two special academic days for residents that included the Twenty-Second Psychotherapy Day, featuring Jeremy Holmes on “Contemporary Attachment Theory and Its Contribution to Psychiatric and Psychotherapeutic Practice.” This event was very well attended by the residents and fellows, and feedback was very favourable. Leo Chagoya organized the Annual Family/Couple Therapy Day, focusing on “Normal and Pathological Grieving in Families.” Faculty included Leo Chagoya, Charlotte Chagoya, and Leon Sloman. Three awards are given out each year by the Psychotherapy Program. The Psychotherapy Prize is awarded for the best clinical case report by a resident doing a Psychotherapy Senior Selective, and this year’s recipient was Theresa Vienneau. The Allan B. Tennen Award for Excellence in the Teaching and Supervision of Psychotherapy was awarded to Leo Murphy. The Psychotherapy Award for Academic Excellence was awarded to Shelley McMain. Jean Wittenberg has spearheaded an initiative to develop an integrated and comprehensive curriculum for teaching and supervision of psychotherapies for residents training in the Division of Child Psychiatry. The increased attendance and participation from community-based professionals in this year’s
Functions The Psychotherapy Program carries educational responsibility for the training of residents in the psychotherapies and for this purpose has developed an extensive syllabus and implementation protocol for training in the psychotherapies. These objectives encompass the four years of resident training and are intended to ensure that residents receive appropriate training in the utilization of contemporary psychotherapeutic approaches within psychiatry. Educational foci also reflect initiatives at the undergraduate and fellowship levels. Continuing education and continuing professional development reflect a major commitment by the Psychotherapy Program faculty and are offered in courses, workshops, and conferences.
Public Policy The Psychotherapy Program is committed to addressing applicability, accountability, and costeffectiveness of the psychotherapies in order to ensure appropriate access to psychotherapy and a suitable balance and breadth of the psychotherapies available to the community. This commitment encompasses an endeavour to train psychiatrists to be expert practitioners capable of providing direct service, as well as effective consultants, supervisors, and collaborators with non-medical mental health professionals in the provision of indirect service. Public education is an allied component.
Program Developments Organization The Psychotherapy Program is under the leadership under Zindel Segal (Morgan Firestone Chair in Psychotherapy) and Daniel Greben (associate head).
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Association, Society for Psychotherapy Research, International Congress of Constructivist Psychotherapies, International Meeting on Interpersonal Psychotherapy, and Congress of the International Psychoanalytic Association, as well as through invited lectures to psychotherapists in Israel, Belgium, England, France, England, Germany, Japan, Switzerland, and Australia.
Annual Day in Child Psychiatry and the Robert L. Smith Memorial Lecture (with speaker Alec Pollard) is an indicator of the salutary impact of Dr. Wittenberg’s leadership in this area. Research in the Psychotherapy Program continues to expand, addressing particular foci: Optimizing the Teaching of Empathy and Therapeutic Communication (Paula Ravitz, Bill Lancee, and Jiahui Wong received a grant for $105,000 from the Royal College of Physicians and Surgeons), the Psychological and Occupational Impact of the sars Outbreak on Healthcare Workers (Bob Maunder, Bill Lancee, Jon Hunter, Clare Pain, and Rosalie Steinberg received an operating grant for $250,000 from the Canadian Institutes for Health Research), and Psychosocial Treatment of Risk for Breast Cancer (Mary Jane Esplen, Molyn Leszcz, and Jon Hunter received an operating grant for $136,540 from the Canadian Breast Cancer Research Initiative). Program faculty are also involved in several funded, long-term psychotherapy research projects that study comparative outcomes in the treatment of borderline personality disorder (Dr. McMain), psychological prophylaxis of major depressive disorder (Dr. Segal), and psychosocial treatments for bipolar disorder (Dr. Zaretsky). Psychotherapy Program faculty continue to lead in local and international scholarship in the psychotherapies. Drs. Ruskin, Peterkin, Kay, and Crawford have launched Ars Medica, a literary journal with an integrative focus on medicine, the arts, and humanities. Psychotherapy Program faculty have presented their work at the American Psychiatric
Challenges for the Coming Year The foremost challenge for the coming year involves final revision and implementation of the Psychotherapy Program Training Objectives. This past year was devoted to program-wide consultation and discussion, including a departmental retreat, where multiple training-program structures were presented and reviewed. Having decided on a final structure, we now need to present it to the Department of Psychiatry Postgraduate Education Committee for their consideration within the larger matrix of residency training. Implementation of the revised Psychotherapy Program Training Objectives will require more resources for resident supervision in short-term psychotherapies. In the short term, this intent may be addressed through more frequent use of group supervision, but through proactive strategies to train fellows and appoint appropriate program staff we will seek to increase the capacity for individual supervision in these modalities. Zindel Segal, PhD Head, Psychotherapy Program
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Research, Innovation, & Scholarship in Education (RISE) Program Research, Innovation, and Scholarship in Education was created to become the academic home for faculty pursuing scholarship in education.
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esearch, Innovation, and Scholarship in Education was created to become the academic home for faculty pursuing scholarship in education. Although it was created just over a year ago, the program’s activities and appointments have expanded greatly. While the core faculty with primary appointments in rise remains small, this year saw a large number of applications from faculty members in other Department of Psychiatry Programs wishing to have a cross-appointment. We have encouraged this interest enthusiastically, with the idea that the infusion of education scholarship into other areas of enquiry will greatly strengthen our educational activities in the Department of Psychiatry. The rise Program continues to have a strong affiliation with both the Wilson Centre for Research in Education located at the University Health Network and the Centre for Faculty Development located at St. Michael’s Hospital. Through the Wilson Centre for Research in Edu-
cation, the rise Program has two full-time fellows in psychiatry. Tina Martimianakis is undertaking a PhD with a focus on the organization of academic medicine and in particular the role of basic and social sciences in medical education. Nancy McNaughton is also undertaking a PhD, in simulation and use of standardized patients in psychiatry education. Andrea Waddell is a resident in the Clinician Scientist Stream who will enter the Clinician Scientist Program in the next academic year. She is currently working on a number of projects including the innovative use of games in teaching psychiatry, a study of assaults on medical trainees, and some new work in student self-assessment. Finally, Glendon Tait just completed his pgy1 year and is also in the Clinician Scientist Stream and is working on a survey of attitudes and experiences to end-of-life-care in psychiatry. At the Centre for Faculty Development, the Education Scholars Program under the skillful
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asked by the dean to help refine the criteria used for the recognition of educational scholarship across the Faculty of Medicine, and new guidelines are forthcoming. Finally, a whole host of faculty members in the rise Program have won educational awards this year, and these are outlined in the section on Awards and Honours.
leadership of Susan Lieff has continued to flourish. Eight scholars from the Department of Psychiatry as well as eight members of other departments in health professional schools have completed their first year. During this time the scholars have spent one half-day per week studying methods of pedagogy, learning about scholarship in education and undertaking scholarly projects. They will continue in a second-year curriculum, which also emphasizes leadership and more advanced issues of scholarship in education. It is also notable that Susan Lieff was
Brian Hodges, md, frcpc Head, rise Program
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Schizophrenia Program The Schizophrenia Program of the Department of Psychiatry is devoted to increasing our understanding of schizophrenia in order to bring about the greatest degree of recovery for those affected.
Program Description
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he Schizophrenia Program of the Department of Psychiatry is devoted to increasing our understanding of schizophrenia in order to bring about the greatest degree of recovery for those affected by schizophrenia. We are committed to training our students, residents, and fellows in an environment that inextricably weaves together excellence in research and in clinical care. The program provides care for individuals across the range of stages and severity of the illness, which includes an early intervention program with a prodromal schizophrenia clinic (prime Clinic) as well as a First Episode Psychosis Clinic based at the Centre for Addiction and Mental Health (camh). The major emphasis of our program is in providing clinical care to those with the most severe and debilitating forms of this illness. Specialized services based at the Centre for Addiction and Mental Health provide intensive support in the context of a continuing care model to patients who have been seriously disabled by their illness. In the continuing care model of
care, a team of case workers and a psychiatrist work together to provide care to patients, whether they are in the hospital or at home in the community. Care to seriously disabled clients is also provided in Assertive Community Treatment (act) teams based at other University of Toronto–affiliated hospitals including St. Michael’s Hospital, the Toronto Western Hospital, and Sunnybrook and Women’s College Health Sciences Centre.
Program Organization The hub for the Schizophrenia Program is at camh, where the University of Toronto Tapscott Chair in Schizophrenia Studies (Robert Zipursky) also serves as the clinical director for the camh Schizophrenia Program. Two additional research chairs devoted to the study of schizophrenia are also based at camh: Anne Bassett holds the Canada Research Chair in Schizophrenia Genetics, and Shitij Kapur holds the Canada Research Chair in Schizophrenia and Therapeutic Neurosciences. The Schizophrenia Program has a strong tradition in bench-to-bedside research
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General Psychiatry that challenged the long-accepted notion that antipsychotic medications have an onset of action that is delayed for a number of weeks, and demonstrated that the antipsychotic effect is clearly apparent in the first week of treatment. Dr. Agid also provides leadership to our Home Intervention for Psychosis team, which provides communitybased assessment and treatment for patients with a first-episode psychosis in their homes or in the shelter system.
and in the integration of clinical, teaching, and research activities. Research programs have been established early intervention and prevention, brain imaging, genetics, psychopharmacology, neuropsychology, psychotherapy, and electrophysiology. The Schizophrenia Program offers two funded post-doctoral fellowships—the Bebensee Fellowship and the Cleghorn Fellowship—in order to facilitate the research training of psychiatrists and psychologists in schizophrenia. Residents in psychiatric training in our department learn to provide care to individuals with schizophrenia across a range of training sites including camh (Queen St. and College St. sites), St. Michael’s Hospital, and Toronto Western Hospital. Residents also have the opportunity to complete their clinical training in Northern Ontario under the supervision of our clinical faculty based in Thunder Bay, North Bay, and Sault-Ste. Marie.
Highlights of Events and Achievements in 2004–2005 The Schizophrenia Program has been the very fortunate beneficiary of research support for our young investigators from the National Alliance for Research on Schizophrenia and Depression based in the United States. This year, Ofer Agid and Albert Wong were recipients of the prestigious narsad Young Investigator Awards. Dr. Agid was funded to carry out his pet research investigating striatal and extrastriatal dopamine receptor involvement in antipsychotic response. Dr. Wong was funded to study immunological susceptibility mechanisms in schizophrenia. Jeff Daskalakis, a 2004–2006 narsad Young Investigator Awardee, received new grant funding this year from the Ontario Mental Health Foundation to support his innovative research investigating the effects of repetitive transcranial magnetic stimulation for patients with auditory hallucinations that have not resolved with antipsychotic medications. Natasja Menezes was awarded a highly competitive cihr fellowship for her research investigating determinants of clinical outcome from first-episode psychosis. Jean Addington, associate professor of psychiatry, chaired the Fourth International Conference on Early Psychosis held in Vancouver, in September 2004. Dr. Addington, who is the vice-president, North America, for the rapidly developing International Early Psychosis Association, organized an outstanding scientific program tht attracted experts in the field of early intervention from around the world. The Schizophrenia Program, represented by Dr. Zipursky, is a founding member of the Ontario Working on Early Intervention in Psychosis (Ontario Working Group, or owg), which was formed in 1999 to partner with the Ontario Government to improve the early detection and treatment of psychotic disorders in Ontario. Chaired by John
Program Faculty Our faculty are involved in a broad range of research focused on increasing our understanding of schizophrenia. This includes research in clinical psychopharmacology and neurochemical imaging (Shitij Kapur, Gary Remington, David Mamo, Ofer Agid, and Robert Zipursky), structural neuroimaging (Robert Zipursky and Noor Kabani), genetics (Anne Bassett and Albert Wong), cognition (Bruce Christensen), neurophysiology (Jeff Daskalakis), health and nutrition (Tony Cohn and Gary Remington), gender differences (Mary Seeman), treatment resistance and medication side-effects (Gary Remington, C. M. Shammi, and Pablo Diaz), psychosocial interventions (Jean Addington and Elizabeth McCay), and early intervention (Jean Addington, Robert Zipursky, Irvin Epstein, and George Papatheodorou). We were very fortunate to recruit a new clinical investigator to our program this year, Ofer Agid. Dr. Agid joined our fellowship training program in 2001 after completing his psychiatric training at the Hebrew University in Jerusalem. Dr. Agid completed three years of research fellowship training in our program under the supervision of Shitij Kapur and Robert Zipursky. Dr. Agid’s research has focused on characterizing the onset of action of antipsychotic medications and on utilizing pet imaging to understand the mechanisms that underlie antipsychotic response. Dr. Agid authored an important study published in 2003 in the Archives of 72
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to meet the needs of first-episode psychosis patients in Toronto who have an underlying mood disorder. A further goal of our collaboration with cmhaToronto is the development of a Toronto-wide network of hospital and community agencies that will work together to ensure rapid access to comprehensive specialized services for all individuals in our city who develop a first episode of psychosis. We are committed to promoting excellent clinical care and to stimulating innovative clinical research that will increase out understanding of schizophrenia and improve the lives of all those affected by schizophrenia.
Trainor, assistant professor of psychiatry, the owg has been instrumental in facilitating the provincial government’s commitment to developing this critically important group of clinical services. In December 2004, the government of Ontario introduced its Program Policy Framework for Early Intervention in Psychosis as well as funding for first-episode psychosis services across Ontario. This new funding has greatly enhanced the camh-based clinical services that we have available in our Mississauga first-episode psychosis clinic, FACT-PEEL. It has also provided funding for an innovative new collaboration between the camh First Episode Psychosis Program, the camh / University of Toronto Mood Disorders Program, and the Toronto Branch of the Canadian Mental Health Association (cmhaToronto) to develop new community-based services
Robert Zipursky, md, frcpc Head, Schizophrenia Program
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Women’s Mental Health Program The Women’s Mental Health Program is dedicated to advancing the understanding and treatment of women’s mental health problems through an integration of clinical, educational, and research activities.
Mission, Organization, and Functions
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he Women’s Mental Health Program is dedicated to advancing the understanding and treatment of women’s mental health problems through an integration of clinical, educational, and research activities. The goal of the program is to develop mental health care that is more responsive to the needs of women. Its primary mandate is to focus on social, psychological, and biological factors that will further our understanding of the origin, expression, prevention, and clinical treatment of mental health issues in women’s lives. Five main areas of research / teaching activities in the program are violence against women, feminist principles in the understanding and treatment of women, psychosocial issues in medical disorders, reproductive health, and diversity. The Centre of Excellence is located at the Centre for Addiction and Mental Health. In addition to the Centre of Excellence, the
Women’s Mental Health Program has several initiatives located at the other teaching hospitals affiliated with the University of Toronto. There is a broad range of services offered in the program, which include an in-patient unit specifically for women located at the Centre for Addiction and Mental Health. The Trauma Therapy Program, Reproductive Life Stages Program, and Mental Health and Medicine Program are located at the Sunnybrook and Women’s College Health Sciences Centre. Activities within the Women’s Mental Health and Addiction Research Section at camh are increasingly linked with Women’s Mental Health and Addiction Programs within the Clinical Division of camh. The University Health Network continues to focus on clinical, research, and educational activities directed at a variety of women’s health and mental health issues. At the Hospital for Sick Children, we are working
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in depression and anxiety, violence against women, sibling abuse, and violence. The program has been very successful in attracting new faculty over the past year. Catherine Classen, Ellen Rumm, Ariel Dalfen, and Mona Gupta all have primary appointments in Women’s Mental Health, and Eileen Sloan has a secondary appointment in Women’s Mental Health. There has been a renewed interest in planning new initiatives in Women’s Mental Health at all of our hospital sites. In particular, Sunnybrook and Women’s College Health Sciences Centre has recently identified three areas of priority in Women’s Mental Health: Trauma Therapy Program, Reproductive Life Stages Program, and Mental Health in Medicine Program. Over the past year we are pleased to state that we have successfully recruited outstanding leaders in two of these areas: Catherine Classen for the Trauma Therapy Program and Mona Gupta for the Mental Health in Medicine Program. We are currently finalizing leadership for the third new area, Reproductive Life Stages Program. On November 15, the Women’s Mental Health Program hosted a reception for women in psychiatry at the Faculty Club. This was an opportunity for residents, fellows, and graduate students to meet with faculty and discuss opportunities for women in the Department of Psychiatry. In addition, flyers, reports, announcements, newsletters, and booklets were available on educational events, achievements, programs, and electives in the department. It has been another successful year for the citywide Women’s Mental Health Interest Group seminar series. Topics for the year included psychotropic drug use during pregnancy, improving access to and quality of health services for bisexuals, impact of life events and difficulties on the mental health of Chinese immigrant women, hiv-positive women’s perceptions of family influence on nutrition in the food insecure household, supportive-expressive group therapy for women with risk for breast cancer (brca1/2), validity (Vibrant action looking into depression in today’s young women), and pregnancy as a developmental stage: relevance for postpartum depression and infant attachment. The Women’s Mental Health News, the annual newsletter of the Women’s Mental Health Program, continues to enjoy extensive readership. The newsletter is widely distributed to faculty, students, and trainees in the Department of Psychiatry, as well
in partnership with the Division of Child Psychiatry in the area of eating disorders. The Maternal and Infant Mental Health Program at Mount Sinai Hospital has recently recruited new staff with academic appointments within the Women’s Mental Health Program. Research is being formally integrated into many of our clinical services throughout the program. In particular, research efforts are directed at testing the efficacy of treatments that we are offering women who present with a variety of problems, including irritable bowel syndrome, depression, anxiety, breast and colon cancer, history of sexual, physical, and emotional abuse, eating disorders, life stressors, and vocational and employment issues. The program is active in professional training, media presentations, and public forums with a view to influencing the provision of care to women locally and internationally. In particular, the program has been active in teaching and training at undergraduate, graduate, postgraduate, and fellowship levels in Psychiatry as well as other university departments. Communication and networking among staff and students is enhanced through monthly city-wide seminars in women’s mental health and a bi-yearly women’s mental health newsletter.
Highlights of Events and Achievements in 2004–2005 Over the past year, faculty and students have published widely in refereed journals and have given numerous presentations including many invited and keynote addresses internationally. Faculty have been very successful in obtaining external peer-reviewed grants from provincial, national, and international sources. Publications, presentations, and grants have included a variety of important areas within women’s mental health. A sampling of areas include post-traumatic stress disorder, war trauma, sexual revictimization, stalking, childhood sexual abuse, infant exposure to tobacco smoke, cardiovascular problems, breast cancer, gynecological cancer, eating disorders, self-harm behaviours, postpartum depression, perinatal health, depression and menopause, intimate partner violence, genetic testing, reproductive health, functional gastrointestinal disorders, mental health in lesbian mothers, postpartum mood problems, work-related factors and well-being, health and mental health in immigrant women, sex differences in medical students, career satisfaction in women physicians, gender differences 75
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ing Health Effects of Domestic Violence, by Gail Robinson; Traumatic Symptom Provocation and Neuroimaging: Heterogeneity of Response in ptsd, by Ruth Lanius; Post-Migration Changes in Gender Relations among Ethiopian Immigrant Couples in Toronto, by Ilene Hyman; The Impact of Prior Abuse on Service Needs and Satisfaction of Female Outpatients, by Andrea Waddell; Broken Hearts: Ischemic Heart Disease, Depression, and Gender, by Donna Stewart; and The Young Women in Transition Study: Preliminary Findings, by Pat Erickson. Those attending gave very positive feedback, and we plan to make this an annual event.
as other researchers, clinicians, and members of the community who have expressed interest in the activities of the Women’s Mental Health Program. Copies of past and current Women’s Mental Health News are available from our office, by emailing
[email protected]. This year, we held our second Women’s Mental Health Research Day. This full-day research and educational event was organized and sponsored by the Women’s Mental Health Program of the Department of Psychiatry on April 14, 2004, and focused on social determinants of women’s mental health. The program committee was chaired by Donna Akman and included Sarah Romans, Lori Ross, Brenda Toner, and Diane Whitney. Professor Connie Guberman gave introductory remarks. There was a variety of speakers and topics includ-
Brenda Toner, PhD Head, Women’s Mental Health Program
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Baycrest Centre for
Geriatric Care The new Baycrest Strategic Plan gives priority to neurobehaviour and mental health, with emphasis on dementia, mood and related disorders, and stroke.
Objectives
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he mission of the Baycrest Centre for Geriatric Care is to provide comprehensive geriatric psychiatry services of the highest possible standard, to maintain and develop excellent and innovative educational programs, to increase academic productivity with particular emphasis on original research, and to balance and to integrate service delivery with the development of research and education.
Program Developments A memorandum of understanding has been signed by Baycrest and the Centre for Addiction and Mental Health, with the intention to pave the way for increased collaboration between the two institutions building on the individual strengths of each. The proposal includes plans for joint research activities and initiatives, as well as the potential for clinical integration. A steering committee and advisory committee will oversee the project. The major program development has been the
first year of operation for the Mood and Related Disorders Clinic, which is part of the new Brain Health Centre Clinics. These clinics also include a Memory Clinic and a Stroke Clinic. The centre is highly integrated and interdisciplinary. Psychiatrists, neurologists, and geriatricians carry out the medical assessments in the clinic. Dr. Conn is codirector of the Brain Health Centre and Medical Director of the Mood Clinic. The Mood Clinic carries out five new assessments per week. There were over 600 visits to the clinic in the first 11 months of operation. The clinic offers both pharmacological and non-pharmacological treatment. Nasreen Khatri, the clinician leader of the Mood Clinic, provides individual cognitive behaviour therapy in the clinic. Baycrest was recently approached by the Ministry of Health and Long-term Care to assist in the development of increased mental health services to nursing homes in Metropolitan Toronto. A proposal has been submitted to the ministry, which would allow for expanded outreach
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Effective Psychiatric Treatments, Cambridge University Press, and was recently named to the committee preparing diagnostic criteria for apathy for the upcoming DSM–V. Diana Clarke is conducting research utilizing one of the department’s databases and exploring issues related to neurobehaviour sequelae of dementia such as apathy. Dr. Conn continues his work as co-chair of the Canadian Coalition for Seniors’ Mental Health. The coalition organized a research workshop with cihr in order to set priorities for geriatric mental health research in Canada. The report of this workshop was recently released. Dr. Conn and colleagues in the coalition obtained a grant from Health Canada for $209,000 to develop national guidelines in seniors’ mental health. The guidelines will be in the areas of depression in the elderly, suicide in the elderly, delirium, and mental health issues in long-term care. These guidelines will be presented in draft form at workshops during the National Best Practices Conferences in Ottawa in September 2005. Dr. Conn is co-investigator of a province-wide study on the use of rai instruments (pi: John Hurdes). Dr. Lieff recently received a Faculty of Medicine Continuing Education Research and Development Grant for $5,000 for the project entitled “Can We Identify Core Competencies for Education Leadership in a Faculty of Medicine?” Drs. Myran and Khatri are carrying out a pilot study on the effects of persistent insomnia on the prognosis of depression in seniors.
services to nursing homes both within and outside of our catchment area. The treatment of more severely ill patients on in-patient units is also being considered.
Staff Changes Paul Verhoeff was promoted to the rank of associate professor. Bruce Pollock, from the University of Pittsburgh, will join the Department of Psychiatry at Baycrest in September 2005. He will hold the Sandra Rotman Chair in Neuropsychiatry in the Rotman Institute at Baycrest and will also be the head of the Division of Geriatric Psychiatry of the University of Toronto. In addition, he will have a senior research position at the Centre for Addiction and Mental Health.
Research Paul Verhoeff received an Alzheimer’s Association New Investigator research grant from 2004 to 2006 (Beta-Amyloid pet Imaging in Alzheimer’s Disease). He also received a Scottish Rite Charitable Foundation grant (2003–2005) and an Alzheimer Disease Association travel fellowship. Dr. Verhoeff had four publications in refereed journals and two book chapters during the past year. One of his papers was published in the American Journal of Geriatric Psychiatry on in vivo imaging of Alzheimer’s disease beta-amyloid with pet scans. Dr. van Reekum continued his research into issues of relevance in geriatric neuropsychiatry. The multi-centre (Baycrest, Sunnybrook, Toronto Rehabilitation Institute, and Hamilton Health Science Centre) randomized controlled trial of donepezil for cognitive and motivational impairments in traumatic brain injury is in the participant-recruitment stage. Dr. van Reekum continues to collaborate with other investigators, including D. Stuss and T. Chow (at grant submission stageon apathy subtypes), D. Clarke (on analyzing and writing up neurobehavioural data in dementia), C. Greenwood (on nutritional issues in dementia), and J. LeGris (IME student working on cognitive issues in borderline personality disorder). Dr. Wongpakaran (fellow supervised by Dr. van Reekum) has completed analyses, employing data from our Day Hospital for Depression database, exploring the possibility that ssris may cause apathy in some depressed patients. Dr. van Reekum has had 11 articles published in 2004–2005 as author or co-author. He is co-editing the “Organic Disorders” section of the upcoming
Education Susan Lieff is director of the Education Scholars Program (previously known as the Teaching Scholars Program). By all accounts, the first year of this program has been extremely successful. Rob Madan, who is the director of Postgraduate Education in the department and also director of Postgraduate Education for the Division of Geriatric Psychiatry, University of Toronto, is a member of the Scholars Program. Dr. Madan has instituted a monthly teaching seminar for staff psychiatrists. Dr. Lieff continues to work both at Baycrest and at the Centre for Faculty Development at St. Michael’s Hospital. Dr. Lieff received an Irma Bland American Psychiatric Association Teaching Award this year. Matt Robillard coordinates undergraduate education in the department. Rob van Reekum coordinates the Research Fellowship Program, and Dr. Conn coordinates Continuing Medical Education. 78
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ing. We trained a record number of residents over the past year: five in each six-month rotation. We currently have two fellows: Nahathai Wongpakaran from Thailand and Kie Honjo from Japan. In addition, we continue to provide education for undergraduate medical, social work, nursing, and occupational therapy students. Family practice residents, postgraduate year-one residents, and geriatric medicine residents are also trained in the department. Members of the department continue to be active in the planning and development of educational programs for the Division of Geriatric Psychiatry.
Dr. Conn continues his work as medical director of Telehealth Services at Baycrest. A growing number of educational programs are being offered through interactive video conferencing. A groundbreaking tele-education event took place on June 22, 2005. Joint psychiatry/neurology rounds were presented simultaneously to two sites in Israel, one in Jordan, one in South Africa, and to the World Health Organization in Geneva, Switzerland. The rounds were sponsored by the Canadian International Scientific Exchange Program. The rounds received widespread attention because this was the first time that Israeli and Jordanian physicians were connected for educational purposes. The department continues to train psychiatry residents for both mandatory and career-path train-
David Conn, MB, frcpc Psychiatrist-in-Chief Baycrest Centre for Geriatric Care
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Centre for Addiction & Mental Health The Centre for Addiction and Mental Health has moved even further towards implementing our Functional Program as part of a redeveloped site that will bring an urban village to the Queen Street location.
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he Centre for Addiction and Mental Health (camh) has had an exceptional year, the sixth year after the merger of its founding partners, the Clarke Institute of Psychiatry, Addiction Research Foundation, Donwoods Institute, and Queen Street Mental Health Centre. We have moved even further towards implementing our Functional Program as part of a redeveloped site that will bring an urban village to the Queen Street location. The Centre for Addiction and Mental Health has had an exceptional year in delivering an extremely large amount of clinical care and achieving a balanced budget and meeting many other targets in research, education, health promotion, and commitment to its provincial role. Last year we treated approximately 20,000 new clients, admitted over 3,000 patients, and provided close to 400,000 outpatient visits, including an increasing number in our Emergency Department. We continue to meet our targeted length of stay, which includes residential and long-stay admissions. We have 250 physicians, almost 1,000 volunteers, and a highly committed staff of approximately 2,700.
Key accomplishments of the last year include the recruitment of Judith Tompkins as the chief of Nursing and Professional Practice, who brings a great deal of expertise to our clinical programs and our professions. We have successfully recruited a new clinical director for our Geriatric Mental Health Program, Benoit Mulsant, from University of Pittsburgh Medical Centre. We have increased our capacity in the Mood and Anxiety Disorders Program with a focus on specialized in-patient care for patients with obsessive-compulsive disorder and chronic refractory depression. A joint program between the Mood and Anxiety Disorders Program and Schizophrenia means an increase in our ability to provide early interventions for patients with psychosis. We implemented a client Bill of Rights, which will help us with our commitment to clientcentred patient care. This was a major accomplishment achieved with the full support of the Board, our clients, our families, and community partnership. Work towards the er Hospital Alliance Partnerships, continued work throughout the province, and programs and publications including Talking about Mental Illness as well
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We continue to be on the leading edge of delivery of service with our very successful transcranial magnetic stimulation program, as well as a focus on mindfulness, which is the subject of clinical practice and a very large-scale research grant, and the development of a Clinical Genetics Service to allow screening for chromosomal and other genetics causes for patients with serious mental disorders and addictions. Our policy work continues to be a major success with our work with the Toronto Drug Strategy Initiative as well as all our help in the proposed changes of Ontario’s Liquor Licensing Laws.
as TAPP-C, an arson-prevention project, furthered the camh mission. Research continues to thrive, with close to $30 million in research funding, and more than 200 grants from agencies including the Canadian Institute for Health Research and the National Institute of Health in the United States. The excellence in our programs is shown by the enormous number of publications generated by our research staff in the Neuroscience Division as well as our Health Policy and Clinical programs. We continue to provide a full range of educational activities from undergraduate teaching to graduate and postgraduate teaching. We have close to 60 psychiatry residents, well over 100 undergraduate medical students, and more than 20 family practice residents in our program at camh. We have more than 200 nursing students as well as pharmacy students, psychology interns, social work students, and occupational therapy students, as well as addiction therapy and dietician students across all programs. Our staff continue to be active in continuing medical education, with over one dozen courses provided to more than 500 physicians and other non-medical professionals. Our provincial mandate is met with our staff involvement in continuing education across the province. At the University of Toronto Department of Psychiatry Annual Dinner, camh had an outstanding showing, with the majority of important departmental awards being obtained by our staff. Chekkara Shammi won the Robin Hunter Postgraduate Teaching Award. David Goldbloom won the inaugural Henry Durost Award for Excellence in Creative Professional Activity in the Department of Psychiatry. Paula Ravitz won the Ivan Silver Award for Excellence in Continuing Mental Health Education. Bruce Christensen won the Paul E. Garfinkel Award for Best Fellowship Supervisor. Shelley McMain won the Allan B. Tennen Psychotherapy Award for Academic Excellence. Todd Girard won the Best Accomplishment by a Fellow Award. Chetana Kulkarni won the Paul E. Garfinkel Caversham Booksellers Prize for Excellence in Resident Leadership. These remarkable achievements re-emphasize the important role played by camh staff, fellows, and residents in the Department of Psychiatry.
Clinical Programs Clinical services are organized into clinical programs led by clinical and administrative directors. The following is a brief description of some of the highlights of each of those programs.
Addictions Program (clinical director: Peter Selby, md; administrative director: Chris Bartha, MSW) This has been an exceptional year in which the Addictions Program has continued to integrate a first-episode program into one large and productive addictions clinical program. There has been an increasing focus on expanding services to the common problems affecting our population, which include nicotine and alcohol. We continue to provide a full spectrum of services with a focus on special populations including visible minorities and the lesbian/bi/gay community.
Child, Youth, and Family Services (clinical director: Joseph Beitchman, md; administrative director: Chris Bartha, MSW) Child, Youth, and Family Services has moved from a successful partnership with Hospital for Sick Children to establish a greater focus on camh, which allows it to move towards implementation of the Functional Program. A major focus is to develop capacity in concurrent disorders, including the opening of in-patient beds for youth with concurrent disorders.
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Dual Diagnosis Program (clinical director: Susan Morris, MSW; administrative director: Gaby Golea, RN, MN)
This continues to be one of the top programs in the academic work in risk assessment as well as sexual offenders. It also provides one of the largest programs for the clinical treatment of patients in mental health and law intersects. We provide clinical assessment to full service outpatient and inpatient treatment from minimum to medium security. This program continues to establish guidelines for the treatment of the dangerously mentally ill.
This program, unique in the province, has focused on the treatment of patients with developmental disabilities in psychiatric disorders or addictions. We continue to have a range of community-based and in-patient care for some of the most severely ill patients across the province. This continues to be an excellent opportunity for teaching of medical students and residents.
Mood and Anxiety Disorders Program (clinical director: Arun Ravindran, md; administrative director: Janine Robb, RN, MSc)
cats (clinical director: Peter Voore, md; administrative director: Linda Vohri, MSW)
The Mood and Anxiety Disorders Program has continued to flourish and implement the Functional Program. The in-patient unit has increased in size and focuses on the treatment of first-episode patients as well as those with chronic refractory illness. It offers an in-patient treatment program for obsessive-compulsive disorder. The outpatient specialty programs offer a full range of services, from specific psychotherapies to treatment of patients with anxiety disorders, depression, and bipolar disorder. Collaboration among the Women’s Program, Schizophrenia and the Addictions Program allows a broader range of services to be delivered across a larger patient population. The early intervention for psychosis partnering with Schizophrenia and the cmha will be an exciting addition to this program.
The General Psychiatry Program has moved into its next phase of development to become the Consultation Assessment and Treatment Service, also known as cats. This program continues to have a broader focus that encompasses the community, other hospitals and our specialty programs. An important development has been the establishment of care facilitators. Also work has been done on establishing the Emergency Room Alliance Project with other hospitals in the Greater Toronto Area.
Geriatric Mental Health Program (acting clinical director: Luis Fornazzari, md; administrative director: Gaby Golea, RN, MN)
Schizophrenia Program (clinical director: Robert Zipursky, md; administrative director: Marilyn Dakers-Hayward, MSW)
This is an exciting time for the Geriatric Mental Health Program, which was the result of merging of a geriatric program and a neuropsychiatry program. It has recruited a leading geriatric psychiatrist from University of Pittsburgh Medical Centre. This program will continue to flourish in its transition from a long-stay in-patient unit to a full-service program that will serve the needs of older adults suffering from psychiatric illness and addictions. We continue to have a unique multilingual and multicultural memory clinic, which continues to be a resource across the Greater Toronto Area and beyond.
This is the largest program at camh. A successful five-year review points out the stature of this program at an international level, being one of the top programs in the world, particularly in the areas of brain imaging as well as first-episode psychosis, while caring for a large number of patients, including those with the most chronic and persistent illnesses. This program provides service from emergency intervention, to home intervention, to residential care, as well as a variety of chronic care teams and case-based work. The program also includes those involved in shared-care models and works with many partnerships throughout the city and the province. This is a very active teaching program and provides the chronic care experience for most residents within the University of Toronto program.
Law and Mental Health Program (clinical director: Howard Barbaree, PhD; administrative director: Shirley Pullan) The Law and Mental Health Program has undergone a five year review with exceptional results. 82
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Women’s Mental Health Program (clinical director: Diane Whitney, RN; administrative director: Janine Robb, RN, MSc)
chotherapy to pharmacotherapy and the ability to look after some of the most complex patients within the system. An initiative of the Addictions Program has allowed the treatment of patients with concurrent disorders as part of the in-patient program to permit concurrent treatment of both addictions and mental health problems.
Although a small program, it continues to be a unique resource to the province and offers multidisciplinary treatment through an in-patient program and transitional care program for women with serious psychiatric disorders and a history of trauma. A multidisciplinary staff provides treatment from psy-
Trevor Young, md, frcpc Physician-in-Chief, camh
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Hospital for Sick Children The Department of Psychiatry at SickKids endorses the promotion of research in children’s mental health and the application of new knowledge to enhance patient care.
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he Department of Psychiatry at SickKids endorses the promotion of research in children’s mental health and the application of new knowledge to enhance patient care. Adhering to an evidence-based model of practice, members of the department are actively involved in the education of future heath practitioners and the promotion of best practices through continuing education initiatives. The department is organized in a matrix system that comprises clinical and academic programs. The clinical programs include Anxiety Disorders, Neuropsychiatry, Infant Psychiatry, Medical Psychiatry, Emergency and Crisis, Assessment and Treatment Unit, and the Eating Disorders Program. Eating Disorders is a joint program with the Division of Adolescent Medicine, Department of Paediatrics. This year, service provided included 106 admissions to our in-patient unit totalling 4,380 hospital days and 8,600 outpatient visits. The Anxiety Disorders team has played a major
role in the development and evaluation of cognitive behaviour treatment (cbt) interventions for children and youth with anxiety disorders. Established cbt interventions are being taught to increasing numbers of community practitioners, while developing and studying new interventions with specific, difficult-to-treat populations (e.g., preschool children, early-onset obsessive-compulsive disorder, selective mutism, or comorbid attention deficit disorder populations). Participants in group treatment generated over 600 children’s group visits and over 700 parent group visits. Clinical and academic interests in the Neuropsychiatry Team centre upon the study and treatment of attention deficit hyperactivity and related disorders. Current academic programs range from studies of molecular genetics and cognitive phenotypes to the evaluation of treatment interventions, adherence to medication treatment, and pharmaco-epidemiology. The Infant Psychiatry Program continues
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tive results. This program is now being considered for different community sites, and an evaluation of usability, efficiency, and effectiveness will be incorporated. Preliminary outcome data are encouraging and client satisfaction remains extremely high, with patients and community clinicians. Day treatment has evolved as a quaternary centre for complicated psychiatric and medical patients who have eating disorders. The in-patient program continues to function as a provincial and national resource and is experiencing high demand for its services. This year also saw the publication of Help for Eating Disorders, co-authored by many of the staff in the program and edited by the program directors. This is a book that is designed to educate and support parents and caregivers of children and adolescents with eating disorders. It has received excellent reviews from the media and praise from consumers. The Medical Psychiatry team has strengthened the network of services offering tertiary care at SickKids and primary and secondary care at community hospitals in Toronto and in rural Ontario. The team has developed a rehabilitation model for chronic unexplained medical symptoms, especially chronic pain, and it includes two virtual beds housed on in-patient Paediatrics. The Medical Psychiatry program has expanded its services to include a psychosocial program consultation to the medical fellows in the Intensive Care Unit. It has also developed a program with the Crisis Response nurses and the Emergency Room to identify young people who present to the Emergency room with chronic unexplained medical symptoms. The service continues to work with the Chronic Pain team at the Hospital for Sick Children in the development of psychosocial assessment instruments for young people and their families with chronic pain. We have also joined the multidisciplinary team that includes Surgery, Paediatrics, Clinical Nutrition at SickKids, and North York General Hospital in order to develop a program for morbid obesity in young people. The Medical Psychiatry Program has also joined the steering group developing a multidisciplinary sleep disorders program for young people and their families.
to develop and evaluate several evidence-based preventive and therapeutic interventions for parents, their infants, and young children. These include individual psychodynamic and parent group interventions that address attachment and relationship problems, disruptive behaviour problems, and anxiety in infants and young children. Collaborators include Health Canada, the First Nations community of Fort Hope, and Toronto Public Health. We are also planning a new intensive therapeutic in-patient intervention to wean infants and young children from tube feeding to full oral feeding in collaboration with Paediatrics and Gastroenterology in the hospital. The Psychotherapies Program has expanded the Annual Day in Child Psychotherapies into a twoday event that is attracting participants from several Canadian provinces and from the United States. The Psychiatry Crisis and Emergency Service continues to provide exemplary care both in the Emergency Room (er) and through its Urgent Care Clinic (ucc). The ucc model allows er pediatricians to discharge from the er those patients requiring urgent—but not emergency—services and at their discretion to book an appointment for the patient within 48 hours. We have extended our community education and have developed medical directives for the program’s clinical nurse specialist–nurse practitioner. The Psychiatry Assessment and Treatment Unit (patu) comprise in-patient and day hospital programs with a focus on early-onset mood and psychotic disorders. We are a part of the Child and Adolescent Mental Health Network for the Greater Toronto Area and also continue to treat patients from throughout the province. The unit serves as a hub of education within SickKids and for health professionals from numerous colleges and universities. The team has further developed safety guidelines, program activities, and milieu treatments. The patu program is also involved in research into psychotic disorders and mood disorders, with a focus in the last year on relapse and treatment adherence. The Eating Disorder Program continues to build on and solidify a number of initiatives that were developed in recent years. The new assessment process has been streamlined allowing seriously ill children to be seen in a more timely fashion. A pilot project of a new family-based intensive intervention developed in the United Kingdom by Eisler and collaborators was completed with extremely posi-
Undergraduate Education As part of their psychiatry training, medical students attend six weekly three-hour sessions in child and adolescent psychiatry at the Hospital for Sick Children. Each week the students are exposed to 85
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research fellowships. The objective of the Fellowship Program is to promote academic excellence within the division and within Canada, and to foster the academic advancement of the division. During this year we had fellows funded by a wide range of local, provincial, and national hospitals. Several fellows were enrolled in graduate programs at the Institute of Medical Science. Fellows had diverse educational backgrounds including psychiatry, psychology, social work, and nursing. The program showed a steady increase in the number of international fellows and fellows from other Canadian universities. Fellows were involved in a wide array of research activities including neurogenetics, neuroimaging, infant psychiatry, psychotherapy, medical psychiatry, psychosis, and eating, anxiety, and learning disorders. Fellows have presented at many prestigious meetings and achieved a number of honours. Our special focus this year was on the mentoring of fellows and training of mentors. Congratulations to all fellows in the division: Corine Carlisle, Joanne Cummings, Colleen Dockstader, Max Figueroa, Tisha Ornstein, Noam Peleg Soreni, Clare Roscoe, Lisa Goos, Gili Adler-Nevo, Paul Arnold, Caroline Stachon, Zohreh Yaghoub Zadeh, and Greg Lodenquai.
a different basic topic such as parenting, developmental disabilities, behavioural disorders including adhd, anxiety,y and mood disorders. The first part of the morning is spent in a didactic seminar followed by a clinical session. One staff member teaches all of the didactic seminars in a block, thus providing continuity and mentorship to the students. The evaluations of these teaching blocks reflect the strong teaching of our department. In addition, medical students wishing to explore further the area of child and adolescent psychiatry often will attend a one- to four-week elective in the department. The majority of these students are considering careers in pediatrics or child psychiatry. Consistently, the evaluations of elective medical students comment on the ease of coordinating elective experiences, the wide range of experiences offered to them, and the quality of teaching and mentorship imparted to them. During this past academic year we had a number of students from Ontario and one from outside of Canada attend electives in the department. Five of the Canadian medical students went on to be accepted to residency programs in psychiatry at the University of Toronto and other Canadian universities.
Postgraduate Education
Professional Development
The Postgraduate Education Program at SickKids continues to provide academic and clinical supervision for 14 psychiatry residents annually, divided into six-month blocks. These blocks constitute either their core training in child psychiatry, or selective rotations for career residents who have chosen to specialize in child and adolescent psychiatry. We also continue to offer elective opportunities to a number of first-year trainees in psychiatry who are exploring a possible career interest in child psychiatry. We also provide observerships and clinical supervision to a number of international medical graduates seeking further training in child psychiatry, as well as to pediatric residents, pediatric fellows, pediatricians, family physicians, and psychiatrists in the community seeking to augment their skills in our field.
We have completed our first year of a monthly professional development seminar for clinical supervisors and seminar leaders in the department, which focuses on honing academic and teaching skills. Faculty attendance and enthusiasm have both been high. Pier Bryden has completed her first year of departmentally funded participation in the Faculty of Medicine’s Education Scholar Program (ESP) and is embarking on a project, supported by the ESP, to assess clinical faculty’s knowledge, skills, and attitudes towards teaching and evaluating professionalism among medical trainees. Our Grand Rounds series has continued to expand in attendance, variety of backgrounds of attendees, and national and international speakers. In the coming academic year, we will be inviting community child and adolescent psychiatrists to participate. We will be incorporating our departmental morbidity and mortality rounds into this series, and thus increase departmental participation in this important quality-assurance project.
Fellowship Program The Department of Psychiatry at SickKids has one of the largest fellowship programs in child and adolescent psychiatry in North America. During the 2004–2005 academic year there were 14 fellows in the division pursuing clinical, educational, and 86
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Honours and Awards
tions, or who has been recognized as consistently providing superior quality care to children and families affected by mental health problems. Since this award is intended to recognize an individual working in the community, individuals associated with academic institutions, teaching hospitals, and university-affiliated centres will not be eligible. An independent advisory board will select the recipient from among nominations solicited across Ontario. The award will be presented at the time of a professional development event hosted by the members of the Department of Psychiatry at SickKids.
Ahmed Boatchie, Pier Bryden, and Leora Pinhas were promoted to the rank of assistant professor. Katharina Manassis was promoted to senior associate scientist, Research Institute. Susan Goldberg was the recipient of the prestigious Bowlby-Ainsworth Award for studies in attachment. Pier Bryden was the recipient of the 2005 Paul Steinhauer Award for excellence in postgraduate education in the Division of Child Psychiatry, University of Toronto. Arlette Lefebvre received the Paul Steinhauer Award for Advocacy from the Canadian Academy of Child and Adolescent Psychiatry, and also received the SickKids Psychiatry 2004 Undergraduate Teaching Award. Johanne Roberge and Abel Ickowicz shared the SickKids Psychiatry Postgraduate Teaching Award. Corine Carlisle was the winner of the division’s Fellowship Award of Merit for her poster presentation entitled “Continuity of Care, Emergency Department Visits and Readmission: A Proposal for a Propensity Score Matched Retrospective Cohort Study of Ontario Adolescents.” Rose Geist became a fellow of the American College of Psychiatrists. Alice Charach completed her master of science degree, Department of Health Policy, Management and Evaluation, Program in Clinical Epidemiolgy and Health Care Research, University of Toronto. Through the generosity of Jaimie and Patsy Anderson, the Susan Bradley Scholarship was created this year. It will provide funding for two summer studentships in child psychiatry at either/or camh or SickKids. Lucia Capano, from Queen’s University, was the first recipient of this award at SickKids. The Department of Psychiatry at SickKids led the creation of the Elizabeth Manson Award for Community Service in Children’s Mental Health. This special award has been established in honour of Liz’s longstanding and exceptional contributions to the field of children’s mental health. Endowed in perpetuity, the award will annually recognize an outstanding person who has been instrumental in the development of new treatment approaches, creative program design, and administrative innova-
Transitions Susan Goldberg passed away on June 14 after a prolonged illness. She joined the SickKids Psychiatry Research Unit in 1981 and was appointed professor of psychiatry and psychology at the University of Toronto in 1987. She made salient original contributions on the psychosocial implications of early medical problems, including prematurity, developmental delay, cystic fibrosis, and congenital heart disease, with emphasis on their impact on parent–infant relationships and their consequences for future emotional and social development. Goldberg influenced the international research agenda as a member of the editorial boards of the Monographs of the Society for Research in Child Development and Infant Behavior and Development and led in fostering a community of Canadian attachment researchers. Pier Bryden stepped down as director of Postgraduate Education effective June 30, 2005. She has assumed the new portfolio of Professional Development, with a mandate to contribute to a culture of evidence-based practice across all professional disciplines. Johanne Roberge has accepted the position of director of Postgraduate Education for our department, beginning July 2005. Abel Ickowicz, md, frcpc Psychiatrist-in-Chief (Interim) The Hospital for Sick Children
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Mount Sinai Hospital The Department of Psychiatry, Mount Sinai Hospital, provides comprehensive general and specialty programs centred in the clinic, education, and research.
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he Department of Psychiatry, Mount Sinai Hospital, provides comprehensive general and specialty programs centred in the clinic, education, and research. It is a university Centre of Excellence for psychotherapy led by the Morgan Firestone Chair in Psychotherapy as well as being a priority area in psychiatric health and disease. The ethnoculturally focused community and research programs are led by the Sam and Judy Pencer and Family Chair in Applied General Psychiatry. Joel Sadavoy is completing his twelfth year as psychiatrist-in-chief of the Department of Psychiatry, and a search committee has been struck to choose a new chief sometime in the next academic year.
Ambulatory Program The Ambulatory Assessment Service had over 350 referrals and 233 crisis referrals for the past academic year. Volumes of patient visits continue to remain high, as this is now one of the largest psychiatric outpatient clinic services in the system. The joint Emergency Program centred at camh continues to work efficiently and collaboratively. Volumes at the Mount Sinai site of the joint Emergency program continue to increase and remain over 2000 annually. As well, the Ambulatory Program provides day treatment, family therapy, psychological trauma services, group therapy, interpersonal therapy, and chronic outpatient groups. Each resi-
dent is supervised by four different supervisors in the Outpatient Assessment Clinic, one of whom serves as the primary supervisor, a model that provides residents with a variety of perspectives. A new computerized mental health wellness-assessment tool research project was initiated along with a new patient-satisfaction survey.
In-patient Program The In-patient Service provides a full range of biological, psychological, and social services to diverse patient populations with a wide range of psychiatric diagnoses. There were 195 admissions in the past year. All modalities of care are delivered by the multidisciplinary mental health team in a manner informed by the principles of psychotherapy. There is a close working relationship with the Ambulatory Service, Day Treatment, and the Mount Sinai Assertive Community Treatment Team. Patients with severe mental illnesses as well as medically ill and obstetrical patients are treated on the Service. There is one bed designated for the Psychological Trauma Program in which about 40 patients are treated annually.
Psychiatry Health and Disease Program The Psychiatry Health and Disease Service has burgeoned in the past academic year with academic promotions for two members,
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communities. There are currently 84 clients in the program. The one-year outcome study “Affective Assertive Community Treatment Targeting Ethnic Minorities with Severe and Persistent Mental Illness” was accepted for publication. The Mental Health Court Support Program provides services to psychiatrically ill offenders at the Old City Hall Mental Health Court using community outreach intensive crisis-intervention models to provide quick response of psychiatric and medical treatment with psychosocial rehabilitation within six months to one year. As well, the Ethnocultural Consultation Service continues to expand its service to practitioners and the community, and to enhance its relationship with the university-wide programs, including seminars in cultural consultation.
Allan Peterkin and Jon Hunter, to the associate professor level, and active teaching at the undergraduate/postgraduate and fellowship levels. The Perinatal Program continues to grow with increasing amounts of in-patient and outpatient referrals. Allison Crawford will join the team in this academic year, specifically to address parenting issues in mothers with post-partum depression/ anxiety. The Perinatal team has strengthened its ties with other departments and programs, including Obstetrics and Gynaecology, Social Work, Neonatal Intensive Care Unit, Genetics, Nursing, and Midwifery. Educational seminars, grand rounds, and other cme activities were provided at msh and other academic centres. Seminars were provided to mothers’ groups across the gta. In the past year, the program participated in the msh Healthy Living Lecture series and developed an educational program in association with the Maternal Infant Program entitled “Baby Blues and Beyond: Adjusting to Parenthood.” The upcoming msh academic day will focus on perinatal and mental health. The program has now acquired two offices within the Maternal and Infant Health Program at the OPG and is now better integrated into the Maternal Infant Program and is seen as an integral part of the obstetrics team. The hiv Program has developed two funded research projects: (1) a randomized controlled trial, the “Mindfulness-Based Stress-Reduction Program Intervention for Men Living with hiv,” and (2) art therapy as a psychotherapeutic support system for persons living with hiv/aids. Work continues with research into the role of narrative therapy in the provision of care to persons living with hiv. The clinical program has expanded its women’s services with the return of Eileen Sloan. The clinic continues to provide comprehensive multidisciplinary mental health services to persons infected and affected by hiv.
Geriatric Program Lesley Wiesenfeld joined the full-time geriatric psychiatry staff responsible for geriatric consultation liaison at Mount Sinai. The msh Wellness Program, in partnership with Yee Hong Centre for Geriatric Care and Hong Fook Mental Health Association (which is a community-based storefront ethno-cultural program located in Scarborough), has been redesigned this year to focus on the geriatric population in the Chinese community. Monthly geriatric psychiatry educational seminars have been initiated for community agency workers dealing with geriatric mental health issues. The College of Family Practice has approved the mainpro Collaborative Mental Health Network Mentoring Program for Family Practitioners, headed by Danny Yeung and Joel Sadavoy, which will include substantial specialized geriatric psychiatry mentorship.
Psychotherapy Program The Psychotherapy Program has been active on a number of important fronts this past year. Psychotherapy Day held at Mount Sinai Hospital featured Jeremy Holmes, one of the pre-eminent British psychiatrists working in attachment-based psychotherapy. In addition, the Mount Sinai Psychotherapy Institute—a cme initiative spearheaded by Paula Ravitz launched in its first year of operation—was awarded the University of Toronto, Department of Psychiatry Continuing Medical Education Award for 2005. Ira Cohen, a family practitioner at St. Joseph’s Hospital, completed a one-year fellowship in psychotherapy in the department. These developments attest to the continuing visibility and pres-
Community and Specialty Programs The three ethnocultural community programs are the Assertive Community Treatment Team (actt), the Court Support Program in partnership with Hong Fook Mental Health Association, and the Wellness Centre in partnership with Yee Hong Centre for Geriatric Care and Hong Fook Mental Health Association. The actt Team focuses primarily on mentally ill clients of ethno-specific backgrounds including Southeast Asian (Chinese and Vietnamese), Tamil, black, and Aboriginal 89
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the third-year clinical clerkship psychiatric rotation took place on the in-patient, consultation liaison, and ambulatory services. Senior medical students participated in a weekly psychotherapy seminar unique to Mount Sinai Hospital within the undergraduate teaching program of the Faculty of Medicine of the University of Toronto.
ence of psychotherapy expertise and excellence that is associated with Mount Sinai Hospital.
Research The research activities by msh continue to flourish, with almost 30 clinicians directly participating in 12 research projects, which include the study of the effect of relationships on the course of disease; randomized trials of psychological intervention; development and testing of a measurement and evaluation tool; formal testing of a coaching-type intervention for the improvement of doctor–patient communication; and determinants of adherence to treatment protocols. All projects have a multidisciplinary perspective, and many projects are collaborations with other local and international groups.
Significant Events The first issue of Ars Medica, a journal of health and humanities, was launched September 30, 2004. This exciting development was initiated with the hard work of Allan Peterkin, Rex Kay, Ron Ruskin, and editors Allison Crawford and Robin Rogers. Bill Lancee, Joel Sadavoy, and K. C. Chan developed a novel computerized self-assessment tool called “the personal wellness assistant,” funded by the Ministry of Health and the ejlb Foundation. Wendy Chow, program manager of the Assertive Community Treatment Team, was selected to receive the msh Karen McGibbon Award of Excellence. The Ninth Annual Day in Applied Psychoanalysis with keynote speakers Jeremy Holmes and Rita Charron was based on the title “Telling Stories: Using Narrative in Art Medicine and Psychoanalysis.” The Mount Sinai Psychiatry Institute launched its new course, Achieving and Sustaining Psychotherapy Effectiveness headed by Paula Ravitz—a highly acclaimed and well-received new initiative. Rosemary Meier was elected a fellow of the American College of Psychiatrists. As well, the Tema Conter Memorial Trust announced the funding of a new research study on the prevention and management of post-traumatic disorders among Emergency Medical Service personnel. This study will be conducted by researchers from the Mount Sinai Hospital, camh, Sunnybrook and Women’s College Health Sciences Centre, and Ryerson University, led by Janice Halpern at Mount Sinai Hospital. Molyn Leszcz is a co-author with Irvin Yalom of the fifth edition of The Theory and Practice of Group Psychotherapy. Joel Sadavoy is senior editor of the Self-assessment Companion to the Comprehensive Textbook of Geriatric Psychiatry. Paula Ravitz has been selected as the Association of Academic Psychiatry Regional Teacher of the Year Award for Region XI—Canada.
Postgraduate Education Sixteen full-time residents were trained in this academic year, with an additional six pgy1 residents. There were nine resident electives, one observership, and two fellowships. Resident training was provided both for core training in general psychiatry, geriatrics, and consultation liaison psychiatry, and for senior selective training in psychotherapy and general psychiatry. Fellows included a psychologist from the Netherlands training in psycho-oncology, a psychiatrist from Thailand training in group therapy, and a family doctor training in psychotherapy. Honours won by residents in 2004–2005 include the Greben/Hahn award for outstanding contribution to the Department of Psychiatry at Mount Sinai Hospital—Sian Rawkins; Senior Undergraduate Teaching Award—Sian Rawkins; Junior Undergraduate Teaching Award—Gregory Chandler; Eli Lilly Award for Best Grand Rounds by a resident—Jasmine Gandhi; and Best Presentation by a Staff Psychiatrist—Bob Maunder. Faculty were nominated for a number of teaching awards including the Robin Hunter Award, Eldred Flak and Molyn Leszcz, and the Allen B. Tennen Award, Rex Kay and Leopoldo Chagoya.
Undergraduate Education Undergraduate education for junior medical students took place in several courses: both years of the Art and Science of Clinical Medicine, Determinants of Community Health, Foundations of Medical Practice, and the elective course, Therapeutic Communication. Teaching of senior medical students in
Joel Sadavoy, md, frcpc Psychiatrist-in-Chief, Mount Sinai Hospital
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St. Michael’s Hospital The goals of the St. Michael’s Hospital Mental Health Service are to provide a range of high-quality, integrated mental health programs to residents of southeast Toronto and to contribute to the academic mission of the Department of Psychiatry.
Introduction
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he goals of the St. Michael’s Hospital Mental Health Service are to provide a range of highquality, integrated mental health programs and to contribute to the academic mission of the Department of Psychiatry. The program model is urban community psychiatry. The Mental Health Service is an integral part of the Inner City Health Program at St. Michael’s Hospital, and clinician scientists participate actively in the Centre for Research in Inner City Health.
Organization The Psychiatric Emergency Service provides crisis management and psychiatric assessment and treatment. It is a highly rated departmental training site. Emergency services are provided 24 hours per day, seven days per week. This year there were 2,837 patient contacts. Roughly 4% of emergency patients are assessed by the Psychiatric Emergency Service, and roughly 24% of patients seen by the service are admitted to hospital. The service also provides a suicide consultant to link the Arthur Sommer
Rotenberg Chair in Suicide Studies with innovative clinical programs. The 33-bed In-patient Service continues to be efficient and effective. This service deals with individuals with complex care needs. There were 619 total discharges this year, and average length of stay was 16.8 days. Discharge planning continues to be an area of emphasis and has improved as a result of the smooth functioning of a community care program. The In-patient Service emphasizes general psychiatry and also provides expertise in addiction psychiatry, hiv-related disorders, and patients with severe and persistent mental illness. Four beds are available for clients of the assertive community treatment team. A considerable volume of work continues to be carried out by the Community Mental Health Service. Total contacts for 2004–2005 were 33,172. The service emphasizes the development of shared care collaborative models with family physicians, and it consists of several components: Extended Care Clinics; the Community Connections Program; the Substance Abuse and Mental Illness Program; the Collaborative Assessment,
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Initiative as well as evaluations of other novel community care programs. As well, survey research has been conducted to identify best practices in meeting the health, mental health, and addiction treatment needs of individuals who are homeless.
Consultation, and Treatment Program; the Transition to Ambulatory Care Program; the Transitional Age Assessment and Referral Program; and an outreach program that provides services onsite at community agencies throughout southeast Toronto. contact is an assertive community treatment team, the first team established in a general hospital psychiatric unit in Canada. Substance abuse, homelessness, and physical illnesses often compound issues related to severe and persistent mental illness in contact service clients. The contact team has led as the assertive community treatment model has developed across Canada by hosting numerous visitors seeking to learn how to implement the contact approach. The Medical Psychiatry Consultation Service functions smoothly. Areas of particular focus involve neurotrauma and cardiac care. An advanced nurse practitioner enhances the functioning of this service. A distinct hiv psychiatry program has been developed, and geriatric consultation liaison services and a memory clinic also are provided. The Mental Health Service trains students in all professional disciplines. The majority of psychiatric residency training is in general psychiatry. Training in community psychiatry is well developed. Residents participate in structured psychotherapy supervision involving individual, marital, and group modalities. Training also is provided in consultation liaison and geriatric psychiatry, and career rotations are available in a number of areas. Fellowships in suicide studies and the St. Michael’s Hospital Community Mental Health Fellowship are situated in the Mental Health Service. The service also trains undergraduate medical students as part of the Fitzgerald Academy. Scholarly activities are concentrated in a number of areas. Paul Links holds the Arthur Sommer Rotenberg Chair in Suicide Studies. He has built a strong academic unit and has recruited several fellows. The unit includes a research associate and a research consultant. Sean Rourke and Mark Halman direct research in hiv psychiatry and neuropsychology. Areas of interest include mood and cognitive disorders, treatment adherence, and rehabilitation. Sean’s Neurobehavioural Research Unit focuses on the interface between brain and behaviour in several key areas. Evaluative studies have included a randomized trial of intensive community treatment as part of the comprehensive provincial Community Mental Health Evaluation
Developments The Psychiatric Emergency Service continues to evolve as a model program embracing best practices in emergency psychiatry. The service consists of psychiatric assessment, triage and brief treatment, an interdisciplinary crisis service, a three-bed Crisis Stabilization Unit, and a Mobile Crisis Intervention Team in partnership with 51 Division and 52 Division of the Toronto Police Service. This year, the police partnership program was presented to the Toronto Police Services Board, and a similar program has been funded at St. Joseph’s Hospital. Staff of the St. Michael’s Hospital Psychiatric Emergency Service served as consultants to St. Joseph’s in helping to plan and implement their new initiative. Ian Dawe and Joanne Walsh have been extremely active in the Toronto er Alliance Project. Ian Dawe has been a member of the Steering Committee as well as co-chair of the System Design Workgroup. Joanne Walsh has also been a member of the Steering Committee as well as being a member of the Human Resources Working Group. In addition, Ian Dawe has been course director of an ongoing Canadian Psychiatric Association annual general meeting course updating developments in the field of emergency psychiatry. This course regularly draws 50 to 60 practitioners and received very positive feedback at the most recent CPA meeting in October 2004 in Montreal. This year the Crisis Intervention Team was awarded a Fitzgerald Academy Teaching Award. As for In-patient Service, a very successful interdisciplinary conference on in-patient psychiatry was organized and implemented in November 2004. In addition to leading the Planning Committee, Ken Balderson was coordinator and co-presenter of a workshop on in-patient treatment of violent patients. The St. Michael’s Hospital general psychiatry rotation, which includes six months on the Inpatient Service, was once again the first choice for residents training in the Department of Psychiatry. The Community Psychiatry Service continues to develop innovative programs with links to the community. Strong partnerships have been developed between the Community Psychiatry Service 92
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aids in Sub-Saharan African under the direction of David Zackus. In the area of scholarship there have been several developments. Harold Spivak has completed the first year as the St. Michael’s Hospital Mental Health Service Education Scholar. He has taken on major responsibilities for the organization of psychotherapy teaching in the Mental Health Service. Several staff have won prestigious awards. Vicky Stergiopoulos received a recognition award from the Ontario College of Family Physicians for her work with homeless and insecurely housed individuals. John Langley received a Values in Action Award from St. Michael’s Hospital in the category of social responsibility. Dr. Langley was nominated by a number of community agencies. Ian Dawe received a Friends of the Fitzgerald Academy Award for his work with undergraduate medical students in the Psychiatric Emergency Service. He also received a 2004 Volunteer Service Award from the Government of Ontario for “individuals, non-profit organizations, or businesses which have made exceptional volunteer contributions to their communities.” Sean Rourke was appointed scientific and executive director of the Ontario hiv Treatment Network effective August 1, 2004. Julie Maggi won the Best Poster by a Trainee Award at the Annual Meeting of the Academy of Psychosomatic Medicine in November 2004 in Fort Myers, Florida. Shree Bhalerao was selected by the Fitzgerald Academy Students as recipient of a Fitzgerald Academy Outstanding Clinical Teacher Award for 2004–2005. Michael Kral received the St. Michael’s Hospital Community Mental Health Fellowship for 2005–2006. Donald Wasylenki was appointed psychiatrist-inchief at St. Michael’s Hospital for a third five-year term effective July 1, 2005, and also reappointed chair of the Department of Psychiatry at the University of Toronto for a corresponding term. With regard to research, there were 23 active grants in the 2004–2005 period totaling $2,226,277. Since 1998, the Mental Health Service has obtained $14,520,784 in external funding. Of this funding, $4,617,238 (32%) is from peer-reviewed grants, $2,693,961 (19%) is from peer-reviewed salary awards and fellowships, $505,675 (3%) is from partnerships with industry, $6,678,910 (46%) is from contracts and mohltc funding, and $25,000 (< 1%) is from St. Michael’s Hospital internal funding. In relation to funding by research foci, hiv/aids-related research, suicide and crisis studies, and training grants con-
and the four Family and Community Medicine teaching sites at St. Michael’s Hospital. This has enabled the development of a shared-care approach to patient care as well as an excellent educational environment for residents. As a result, Lorne Tugg has been invited to become a member of an advisory group to the Ontario Ministry of Health and Long-term Care entitled “Examining the Interaction between Primary Health Care Renewal and Mental Health Service Provision.” In this same context, funding has been obtained for a family health team to serve homeless men at Seaton House, and this has included support for Vicky Stergiopoulos who now provides onsite mental health services at Seaton House. As well, the contact Mental Health Outreach service received a 2004 Values in Action Award from St. Michael’s Hospital. Finally, John Langley, in collaboration with Central Toronto Youth Service, received substantial mohltc funding to establish a mental health service for transitional youth. With regard to the Consultation Service, ongoing relationships have evolved with the Trauma Service at St. Michael’s Hospital and the Cardiology Service. The addition of Julie Maggi has resulted in a more formalized educational experience for residents doing consultation-liaison training. A proposal has been developed to establish a psychogeriatric outreach service under the direction of Corinne Fischer, and this proposal has been looked upon favourably by the Ministry of Health and Long-term Care. The hiv Psychiatry Service has continued to develop. There has been a particular emphasis on international outreach activities. Both Mark Halman and Julie Maggi have provided support to the University of Witswatersrand in South Africa on psychiatric aspects of hiv/aids. Mark Halman continues to provide resident core hiv lectures for the Psychiatry, Health, and Disease Program. Last year Mark was awarded the Ivan Silver Award for Excellence in Continuing Medical Education for his work in South Africa. Dr. Halman was also very involved in the organization of the successful Department of Psychiatry Trauma and Global Health Conference. The hiv Psychiatry Service continues to provide support to Casey House as a significant community partner. Dr. Halman is also involved as a member of the steering committee of the University of Toronto Centre for International Health Initiative on hiv/ 93
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a health economist and mental health systems researcher, has joined the Centre for Research in Inner City Health and the Mental Health Service to help advance the research enterprise in mental health.
tinue to attract significant support. There were 21 peer-reviewed publications, 22 published abstracts, and 119 presentations at scientific meetings made by staff of the Mental Health Service during the reporting period. Once again, Sean Rourke organized a very successful Department of Psychiatry Harvey Stancer Research Day, with an emphasis on the training of clinician scientists. Jeff Hoch,
Donald Wasylenki, md, frcpc Psychiatrist-in-Chief St. Michael’s Hospital
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Sunnybrook & Women’s College Health Sciences Centre The Department of Psychiatry at Sunnybrook and Women’s has had a successful year with continued program development and academic achievement.
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he Department of Psychiatry at Sunnybrook and Women’s College Health Sciences Centre has had a successful year with continued program development and academic achievement. This report will review these achievements based on clinical programs at both the Sunnybrook and the Women’s College Health Science Centre sites.
Sunnybrook Site Child and Youth The program continues to service youth aged 14 to 20 with major mental illness (psychosis, mood disorders, and anxiety disorders) in an eight-bed in-patient unit, Fresh Start day program, and outpatient services. We service our community with outreach to schools, including consultations and educational programs. We also provide tertiary care referrals province-wide. Amy Cheung has developed international consensus-based guidelines for treatment of depression
in adolescents, and will be piloting these guidelines in Texas next year. She has received funding from omhf/Ministry of Health and Long-Term Planning to analyze data from the Canadian Community Health Survey to examine factors that influence service utilization in adolescents with depression. Elyse Dubo is site principal investigator on a cihrfunded trial of continuation treatment for adolescents with depression. David Kreindler received funding from the Hospital for Sick Children to examine evaluation of mood in children using animated characters, and from cihr as co-investigator on mood telemetry in women using hand-held computers. Ben Goldstein completed a research elective in adolescent mood disorder. He received PSI funding, had several manuscripts published, including two in the American Journal of Psychiatry, and received several prestigious awards for the research he has conducted at swchsc.
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Geriatric Psychiatry
sion. Ayal Schaffer recently completed a clinical trial comparing treatments for bipolar depression, and continues to focus on trials in the maintenance treatment of bipolar disorder and unipolar psychotic depression. The population health research focus continues to emerge as a productive area for the mood disorders group. Amy Cheung and Ayal Schaffer have received funding to continue their work on adolescent depression and bipolar disorder, respectively. David Kreindler continues to lead in distance mood monitoring and is continuing this area of study with innovative projects. Educationally, the mood disorders program is very excited about Dr. Zaretsky’s new role as the director of the Postgraduate Education Program. New resident learning objectives for the mood disorders rotations have been developed, and numerous resident electives are in place. The mood disorders group is also providing supervision for the outpatient portion of the pgy2 rotations. Neuropsychiatry Research over the past year has focused on the neuropsychiatry of multiple sclerosis and traumatic brain injury. A grant was obtained from the Multiple Sclerosis Society of Canada in which we will be exploring diffusion tensor imaging mri abnormalities in patients with multiple sclerosis and depression. In the field of traumatic brain injury, we will be shortly publishing a paper showing that routine treatment of patients with mild traumatic brain injury does make a clinical difference. This is the first paper in the literature to demonstrate a positive result with routine treatment and validates the work done at the Mild to Moderate Traumatic Brain Injury Clinic here at Sunnybrook. A final research piece has been the focus on how war affects journalists. A manuscript appeared in the Journal of Traumatic Stress documenting the effects of combat on embedded journalists in the current war in Iraq. Other research goals pursued involve functional mri changes in patients with conversion disorder. This has been completed by Omar Ghaffar. The clinical Neuropsychiatry Service is currently overwhelmed by the volume of referrals from across the province. Main areas of clinical expertise focus on the neuropsychiatry of traumatic brain injury, multiple sclerosis, and conversion disorder. There is an active neuropsychiatry component to resident education at the pgy1, pgy2, and pgy3 levels. This takes the form of didactic lectures and residents joining our outpatient clinics. One stumbling block
The Division of Geriatric Psychiatry at swchsc continues to train psychiatry residents in mandatory training positions, and senior selective residents. The division also hosted a fellow and provided supervision for a psychiatry resident and family practice resident elective, as well as medical student electives. Individual honours included Ivan Silver being selected as the first vice-dean for cme, and Krista Lanctot receiving the inaugural Eli Lilly Fellowship in Neurosciences. Ken Shulman continues as head of the Neurosciences Program at swchsc. Division members (Drs. Herrmann, Rapoport, Shulman, Silver, Cohen, and Lanctot) held a peer-reviewed grant, and reached new volumes of publications, in prominent journals including the American Journal of Psychiatry, British Medical Journal, Archives of Internal Medicine, Neurology, Journal of the American Geriatric Society, and the American Journal of Geriatric Psychiatry.
Adult Services Mood Disorders The 2004/2005 academic year has again been a productive one for the Mood Disorders Program at swchsc. Clinically, the group continues to focus on treatment-resistant depression, bipolar depression, seasonal affective disorder, and cognitive behavioural therapy. The group has been very productive in a variety of research endeavours. Amy Cheung, Ayal Schaffer, Ari Zaretsky, and Anthony Levitt are leading numerous clinical trials funded by the Ontario Mental Health Foundation, PSI Foundation, Canadian Institute of Health Research, and the National Institute of Mental Health. Anthony Levitt continues to be very productive and is the lead investigator on a multi-centre trial of maintenance treatment for adolescents with depression. Amy Cheung has been awarded a prestigious cihr clinical trials mentorship award, and has led the effort to develop treatment guidelines for adolescent depression. The cognitive behaviour therapy group continues to be led by Ari Zaretsky, and this group is completing a trial on adjunctive cbt in major depressive disorder, and has begun a novel study of genetic predictors of response to cbt led by a senior resident, Karen Shin. Dr. Shin was also awarded a resident PSI Foundation grant (supervised by Ayal Schaffer), and is nearing completion of a study on genetic predictors of response in the treatment of bipolar depres96
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Reproductive Life Stages Program
to the further development of the Neuropsychiatry Program has been the difficulty admitting patients with neuropsychiatric disorders to F2. General Division Sammy Barakat established STAGES, a new model of day treatment within our ambulatory care services. In SunPACT (Assertive Community Treatment Teams), the client roster has continued to grow and has reached capacity. In addition to undergraduate training, SunPACT has offered a dynamic educational experience for General Psychiatry senior selective candidates who wish to fortify their clinical skills and gain familiarity with this unique model of intensive community treatment. In Psychiatric Emergency Services (pes), further integration with community-based health care providers has been successful through a formal partnership with Saint Elizabeth Health Care. This unique arrangement has allowed the development of creative models for joint health care in the community. In addition, pes has been involved in the renovation plans for the Emergency Department. The innovative Shared Mental Health Care program was initiated last year at the Sunnybrook site and has been expanded to include the Family Medicine Department at the Women’s College site. In addition to promoting a collaborative model between primary care and mental health providers, it has offered an opportunity for senior psychiatry residents to experience a form of health service delivery that may set the standard for the future. The General Program has developed guidelines for training of “Hospitalists” within the General Program.
Over the past year the program has increased its volume of patients with referrals from Obstetrics and Gynecology (from swchsc and several other hospitals), family medicine, Motherrisk, midwives, community agencies, and public health. We have been active in teaching. We have had a three-month and a six-month senior selective resident as well as several elective and selective students from Psychiatry, Family Practice (fp), and Perinatal and Gynecology Program. We have contributed to the Core Lecture series in fp, to Family Practice obstetrical practitioners Education Day, several residentexpert case-based presentations, and the Women’s Health fp Fellowship Day. We participated in the pgy2 Core Lecture series in psychiatry as well as Obstetrical nursing in-services, and Public Health conferences in York and Durham regions. Furthermore, Dr. Meschino completed several chapters for an Ontario College of Family Physicians manual on postpartum depression. The program developed a new student position that is a joint position between the Trauma Therapy Program and the Restless Leg Syndrome Program. The student will be exposed to the interdisciplinary team approach to intervention in postpartum depression, with a focus on attachment and trauma in the mother. Teaching will focus on the assessment of family dynamics, mother– infant interaction, intrapsychic development during pregnancy, and relevance for attachment, parenting, and reparation or repetition of trauma. We are collaborating in a national study of postpartum depression and a sleep prevention study. Sarah Romans received cihr funding for a study of the epidemiology of menstrual experiences. In addition, the Restless Leg Syndrome Program has been spearheading a gta-wide pilot project to set up mother–baby in-patient psychiatric crisis service.
Women’s College Ambulatory Care Centre Site Trauma Therapy Program The Trauma Therapy Program has taken shape and developed over the past year. The program has a new academic leader, Catherine Classen, who has international stature in the field of group therapy for trauma. Several new projects are planned with Catherine’s guidance. We have designed a study to examine the extent to which attachment style predicts acceptance into Women Recovering from Abuse Day Treatment Program (wrap), treatment completion, and outcome in wrap. A new group intervention, “Trauma and the Body,” was offered and preliminary pilot data collected. A second pilot study was initiated to test the efficacy of this group intervention.
Mental Health in Medicine Program The Mental Health in Medicine Program is a new program emerging at the crossroads of consultation-liaison psychiatry and women’s mental health. As a result, the program is ideally suited to educate and investigate issues at the interface of psychology and medical illness, particularly disorders that affect women differently or disproportionately. The program has begun to develop a senior selective rotation to offer postgraduate trainees experience in this unique area. A pilot study examining the psychological issues faced by women with diabetes 97
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ropsychiatry, and youth psychiatry. This year the Sunnybrook and Women’s Postgraduate Teaching Award was given to Rob Jaunkalns. The Undergraduate Teaching Award was given to Neal Westreich. Gayla Tennen, one of our chief residents, received the Resident Teaching Award. Ari Zaretsky succeeded Alan Kaplan in his appointment as the new central postgraduate education director. In 2004–2005, we continued to collaborate with North York General Hospital in providing rotations for four clinical clerks, with the North York site providing the clinical component and the Sunnybrook site providing the bulk of the seminars. Our residents are continuing to contribute significantly to the teaching program, with several being nominated for teaching awards. As for our staff, Lionel Gerber, Neal Westreich, and Ken Shulman were all nominated for Peters-Boyd Academy teaching awards. Our department also again received the highest student ratings for all clerkship sites for attitude of staff and teachers, and case-based seminars.
will begin in the winter of 2006 and will represent our inaugural research endeavour. In addition, we had two residents from Ottawa who did electives in mhim. Both had a particular interest in the interface of eating disorders, body image and diabetes.
Education The Education Program at Sunnybrook and Women’s continues under the leadership of Elyse Dubo, who is also postgraduate education coordinator. The unique concurrent in-patient/outpatient pgy2 General Psychiatry rotation continues to be the most highly rated pgy2 rotation across all sites. Residents value the opportunity to follow patients longitudinally and to provide continuity of care from inpatient to outpatient treatment settings. In addition, this past year pgy2 residents had the opportunity to follow patients in the day treatment program. All rotations at Sunnybrook and Women’s were in high demand at this year’s Residents’ Match. Sunnybrook’s Geriatrics and Consultation-Liason remain highly sought after rotations. Sunnybrook is attracting increasing numbers of senior selective residents and fellows in response to the numerous subspecialty clinical and research opportunities in mood disorders, cognitive behaviour therapy, neu-
anthony levitt, md, frcpc Psychiatrist-in-Chief Sunnybrook & Women’s College Health Sciences Centre
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University Health Network The Department of Psychiatry at uhn is committed to achieving global impact, and providing exemplary patient care, research, and education.
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he Department of Psychiatry at uhn is committed to achieving global impact, and providing exemplary patient care, research, and education.
Organization Across three hospital sites (Toronto General Hospital, Toronto Western Hospital, and Princess Margaret Hospital) there are approximately 400 Mental Health & Addictions staff and students, who work and receive training in either the Division of General and Special Population Psychiatry or the Division of Medical Illness and Mental Health. The department includes 40 full-time psychiatrists and 13 part-time psychiatrists. Internationally and nationally recognized Special Population services are complemented by a breadth of community and hospital based General Psychiatric Services, including several that are language-specific. There were more than 600 in-patient admissions, 1,300 psychiatric Emergency Room visits, and approximately 60,000 outpatient contacts in 2004.
Research University Health Network research activities continue to expand. Grant funding administered at uhn has increased from $3.8 million in 2001–2002 to $5.3 million in 2002–2003, with 133 currently active Research Ethics Board protocols. Among members of the Department, 77% have published peer-reviewed articles in the past two years. All departments at uhn undergo an evaluation involving benchmarking to internationally recognized external institutions. The uhn was compared to Massachusetts General Hospital (Harvard University) and New York Presbyterian Hospital (Columbia and Cornell Universities) in the past two years. The comparison examines number of publications, journal impact factors, and citation indices. Last year uhn, Department of Psychiatry investigators (66) published 352 papers, compared to 234 for New York Presbyterian and 500 for Massachusetts General Hospital. The “papers per investigator” rate at uhn was higher than at either of the comparator sites. Journal Impact Factor (jif) provides a quantitative measure of the perceived importance
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at uhn, with many psychiatrists providing accredited continuing education at University of Toronto events as well as national and international events. The department at uhn is committed to maintaining its leadership in all these levels of education.
of a journal within a particular research area. Journals with an impact factor of 5 or more are generally considered to accept papers of higher quality for publication. The accompanying table displays the number of publications per investigator at uhn and documents the increase in publications in highimpact journals between 2000/01 and 2002/03.
Awards The Department is proud to acknowledge the following individuals who have received special recognition in 2004: Shelley Brook received the Abraham Miller Undergraduate Teaching Award for Excellence in Undergraduate Education from the University of Toronto. Jacqueline Carter was promoted to associate professor effective July 1, 2005. Gerald Devin was appointed chair of the Research Advisory Committee of Psychosocial Oncology and elected member of the Board of Directors, Canadian Association of Psychosocial Oncology. Mary Jane Esplen received the cihr Ontario Women’s Health Council / Institute of Gender & Health Mid-Career Award & was elected vice-president, Board of Directors of the Canadian Association of Psychosocial Oncology. Lucia Gagliese was the recipient of the York University Merit Award. Peter Giacobbe was awarded the Stepping Stones Award by the American Association for Geriatric Psychiatry. Brian Hodges received the Wightman-Berris Individual Teaching Award for Undergraduate Medical Education for his outstanding work in teaching the first year Brain and Behaviour Course and was appointed chair of the Evaluation Committee of the Royal College of Physicians and Surgeons of Canada for a two-year term. Sidney Kennedy received the John M. Cleghorn Award for Excellence and Leadership in Clinical Research presented by the Canadian Psychiatric Association. Jodi Lofchy received the Paul Patterson Education Leadership Award from the Canadian Psychiatric Association and the Nancy C. A. Roeske Certificate of Recognition for Excellence in Medical Student Education from the American Psychiatric Association. Sagar Parikh received the Colin Woolf Award for Long-term Contribution to Excellence in Continu-
Research Benchmarking Mood disturbance and mood disorders have been identified as a common feature in many clinical populations at uhn. These include the mood response in patients with heart disease, cancer, and many other disabling medical conditions, as well as classical mood disorders. The establishment of an across-disciplines multi-departmental centre for the study of mood regulation and mood disorders is a priority in the department at uhn.
Education In 2004 uhn psychiatrists provided more than 1,100 dedicated hours of undergraduate teaching and a further 1,000 hours of integrated ward and clinic supervision. Several staff participated as “week managers” in the curriculum. There have also been extensive innovations to the Residency Program with changes to the Grand Rounds format, in addition to new “Evidence-Based Psychotherapy” and “Advances in Psychopharmacology” seminar series. The Fellowship Program has also increased its profile, growing from 6 to 11 fellows in 2004. The uhn Fellowship brochure has been widely circulated and has attracted several international fellows. Continuing education is also a priority for the department
Research Benchmarking UHN NYPH
MGH
Papers per investigator
1.3
0.6
1.1
Journal Impact Factor (2002–2003)
3.1
4.5
3.5
Journal Impact Factor (2000–2001)
2.5
3.9
3.5
Percentage with JIF > 5 (2002–2003)
4.2
8.5
4.7
100
f u l ly a f f i l i at e d s e t t i n g s
Scientist Award, Ontario Ministry of Health & Long-term Care, Ontario Women’s Health Council. Jianhua Shen was awarded the John M. Cleghorn Award for Excellence as a Newly Established Researcher from the University of Toronto at the Harvey Stancer Research Day. Jose Silveira was accredited by the American Society of Medicine. Robyn Stephens was awarded a Hospital for Sick Children/cihr grant.
ing Medical Education and was nominated for the Robin Hunter Award for Excellence in Teaching Psychiatry Residents. Gary Rodin was appointed Joint University/ uhn Harold and Shirley Lederman Chair in Psychosocial Oncology and Palliative Care and was appointed head of Psychosocial Oncology and Palliative Care Research Division, Ontario Cancer Institute. Sarah Romans was admitted to membership in the American College of Psychiatrists at the annual meeting of the college in La Jolla, California. Lori Ross was appointed associate member, Institute of Medical Science. She also received a Career
sidney Kennedy, md, frcpc Psychiatrist-in-Chief University Health Network
101
pa rt i a l ly a f f i l i at e d s et t i n g s
George Hull Centre for Children & Families The George Hull Centre is an accredited children’s mental health centre, serving children and youth, from birth to age 18, and their families.
Program Description
T
he George Hull Centre is an accredited children’s mental health centre serving children and youth, from birth to age 18, and their families. The centre provides assessment, diagnosis, consultation, and comprehensive child and family-centred treatment to over 1,300 families annually. The George Hull Centre integrates a range of child-psychiatry teaching with a wide experience of treatment modalities, such as individual, family, and group, as well as systemic collaborative mental health partnerships with the community. The services range from early intervention and prevention for the early years, through to outpatient work with school-aged children, to treatment for the very disturbed adolescents who are admitted to the school program, Boys House, Girls House, and substance
abuse program. The development of high-quality, universal, targeted, and clinical programs for primary, secondary, and tertiary intervention characterize the centre alongside of the Department of Research.
Events and Achievements Family Group Conferencing The Toronto Family Group Conference Project, a collaboration between children’s mental health and child welfare, based at the George Hull Centre, operated with a three-year grant of $200,000 from the Ontario Trillium Foundation. The foundation’s three-year commitment enabled the project to prove the value of involving the extended family in planning for the care of children in need of protection and to expand the focus to
pa rt i a l ly a f f i l i at e d se t t i ng s
Highfield Community Enrichment Project
include children’s mental health referrals. Hedge Funds Care awarded the project a grant of $50,000 in recognition of an innovative child welfare initiative. The Ontario Ministry of Children and Youth Services awarded the project $26,000 to train coordinators from diverse communities. The project has been approved for $100,000 in annual ministry funding. To date, 2,580 have attended presentations and training.
The Highfield Community Enrichment schoolbased and community-run project, using an ecological model, demonstrates child health interdependence with community health. The project is part of a 25-year longitudinal research study, by Queen’s University and Wilfrid Laurier University. The short-term results from the first five years of the project were the best of the nine Better Beginnings, Brighter Futures sites in the province. Wilfrid Laurier will be publishing a book outlining the research on the Highfield Project in the fall of 2005.
Groups Program New outreach for extended service featured therapeutic groups for parents and children across all programs, from early years through to late adolescents. The medley of groups included Preschool Language Play Group, Mothers & More, Parenting Challenging Children, Parenting Adolescents, Boys to Men, and Girls Helping Girls. Information workshops addressed such topics as blended families, kids and bullying, mothers and daughters, kids on computer—Internet safety, and angry parents— angry children.
Research The Research Department is completing an evaluation of the Etobicoke Brighter Futures Coalition, funded by Health Canada. A research grant of $25,000 from the Centre of Excellence for Child Welfare, Bell Canada Research Unit, University of Toronto, was awarded to the centre for evaluation of long-term outcomes of family group conferencing.
Clear Directions Outreach Program
Teacher Training and Partnership Program
Eight hundred and sixty youth participated in this new program, which implemented time-limited funding from the Ministry of Children and Youth Services. It offers four substance-abuse education seminars to youth age 13 to 18 in their schools. The program is universal in its delivery to whole classrooms. It is experiential and interactive, using current movie clips and experiments to show the effects of substances on the brain and nervous system. In conjunction with the program, a six-session parents’ substance-abuse education group was held. The evaluation of the program indicated a very high level of satisfaction from the youth, the parents, and the teachers. It was particularly striking how appreciative the youth were and how ill-informed they had been about the dangers of alcohol and drugs.
The Reframing Friendship resource manual and video for teachers and mental health personnel is a cutting-edge resource tool dealing with aggressive and at-risk children. It continues to focus on information transfer through website access to training tools. This program will be featured in a media presentation at the 2005 joint meeting of the American and Canadian Academies of Child and Adolescent Psychiatry. Ruth Stirzinger, md, frcpc Psychiatrist-in-Chief The George Hull Centre for Children and Families
103
Hincks-Dellcrest Centre The Hincks-Dellcrest Centre is a community-based, multi-disciplinary children’s mental health facility.
Program Description
T
he Hincks-Dellcrest Centre is a communitybased, multidisciplinary children’s mental health facility. Its mission is to promote optimal mental health in children (from birth to 18 years of age) and their families and to contribute to the achievement of healthy communities. It is funded by the Ontario Ministry of Community, and Family and Children’s Services, as well as by the United Way, businesses, and individuals. A comprehensive range of services is offered, from primary prevention, early intervention, outpatient, and day treatment, to long-term residential and mandated (Young Offender) services. Patients are seen at locations in Toronto, and a rural treatment program is located near Collingwood.
Events and Achievements The centre had one psychiatry fellow, who studied the effects of mentorship on recruitment into child psychiatry. He is also developing research questions about the centre’s Intake Program, with a view to enhancing continuous quality improvement. Diane Philipp returned from sabbatical at the
Centre d’Étude de la Famille in the Department of Psychiatry, University of Lausanne. She has applied the Triadic Play Paradigm, which is an evaluation and treatment tool used with children and mothers who have had post-partum psychosis. She will join D. Mescino in a new departmental initiative to coordinate and improve research and clinical service in infant psychiatry. Susan Dundas spent one month in Ethiopia, helping to set up a child psychiatry curriculum at the University in Adis Ababa, in keeping with the department’s International Outreach Strategic Goal. Marshall Korenblum appeared on a panel with David Healy, discussing the use of ssris in children and adolescents; he also did a public education show on the significance of childhood to adult mental health and illness. Both events were broadcast on tvo. He was an expert witness at a coroner’s inquest (his third), exploring the causes of suicide in incarcerated youth. And he participated in a groundbreaking conference on Working with HighConflict Families, which was funded by three government ministries, and run under the leadership of Jewish Family and Child Services.
pa rt i a l ly a f f i l i at e d se t t i ng s
Research Training at Hincks-Dellcrest
Research
Zohreh Yaghoub Zadeh is a research fellow at hdc as well as in the Department of Psychiatry. Under the supervision of Nancy Cohen, she is extending work on the association between language impairment and child psychopathology. Dr. Cohen also has an adjunct appointment to the graduate faculty at oise/ut and is supervising two doctoral students: Mirella Pugliese is studying the process of attachment formation in infants adopted from China during their first six months in their adoptive family. And Elif Gocek is studying emotional availability and use of mental state language in mothers with their infants in a sample presenting because of infant mental health problems. There are also two oise graduate students doing a research internship. Julaine Brent is setting up a database to code interviews with patients who have adopted children from China. Andrea Breen is helping to design a study of language and social cognitive competence in adolescents referred for psychiatric assessment and treatment. For the third year running, Hincks-Dellcrest has a summer student funded by the Canadian Language and Literacy Research Network.
Nancy Cohen continues to be an active member of the Canadian Language and Literacy Research Network and has recently completed a follow-up study of young children enrolled in a national prevention initiative. She also continues collecting data for a cihr-funded longitudinal study of infants adopted from China. Further, in collaboration with the Canadian Mental Health Association, and funded by Human Resources Development Canada, Dr. Cohen has written a report on strategies for promoting mental health in community-based childcare centres and a companion booklet to make practical suggestions to early child care educators to use evidence-based approaches to promote mental health on young children. Over 15,000 of these booklets have been distributed across Canada. Dr. Cohen is also collaborating with Jean Hughes and Elizabeth Raining-Bird of Dalhousie University on an evaluation of communicative developments in children enrolled in Growing Together, a community-based program for families with young children operating in both Toronto and Darmouth, ns (funded by the Nova Scotia Health Research Foundation). Marshall Korenblum, md, frcpc Psychiatrist-in-Chief, Hicks-Dellcrest Centre
105
North York General Hospital North York General Hospital is a large community teaching hospital in the north end of Toronto.
N
orth York General Hospital is a large community teaching hospital in the north end of Toronto. The Department of Psychiatry has a large variety of general psychiatric services including adult and child psychiatry, inpatient units, day hospital, and day treatment programs and outpatient services. We also have a variety of specialized services including an act team, alcohol- and substance-abuse program, outpatient court support program, and community outreach.
Academic Accomplishments In the last academic year, the department has continued to provide psychiatric educational experiences for family practice residents and clinical clerks
in addition to students of non-medical disciplines including social work, psychology, and occupational therapy. We plan to begin to take pgy2 residents in psychiatry in the next academic year. We have provided continuing education experiences in mental health for family physicians, community psychiatrists, and the mental health staff of community agencies through large conferences and workshops. The department has a modest research component, often collaborating with larger academic centres including Sunnybrook Hospital. Brian F. Hoffman, md, frcpc Chief of Psychiatry North York General Hospital
St. Joseph’s Health Centre Our community houses one of the highest concentrations of seriously mentally ill people in Canada, and we are constantly evolving and growing to meet their needs.
W
orking with our community partners, we are committed to offering an exceptional mental health program, which is responsive and accessible to all. Our community houses one of the highest concentrations of seriously mentally ill people in Canada, and we are constantly evolving and growing to meet their needs.
Organization With an emphasis on general psychiatry, our clinical mission is inclusionary, delivering care across the age spectrum. We provide a continuum of specialized acute-care programs and selected tertiary services, including a 24-hour Emergency Psychiatric Team; Urgent Care (Adult, Child, and Adolescent); In-patient Services, with a 33-bed Adult Unit and a 6-bed Child and Adolescent Unit; Consultation Liaison Team; Residential Withdrawal Management; Transitional Support; Day Hospital; Shared Care; Child and Adolescent Services; Community-Focused Services, which include Shared Care, Assertive Community Treatment, Recovery Support (rehabilitation), Outpatient Clinic, and Women’s Health Centre. The Emergency Psychiatric Team assessed 2,693
patients during 2004–2005. Of these, 27% were brought by police, 46% were placed on a Form 1, and 23% were admitted indicating high acuity level. The Adult In-patient Unit is a General Psychiatry Program, which manages patients with complex care needs. Over 2004–2005, 620 patients were discharged with an average length of stay of 21 days. Eighty-one per cent of admissions were involuntary, reflecting a high prevalence of severe illness. Closely linked, we have an act Team and Day Hospital providing state-of-the-art care for severely ill patients. The Shared Care program leads in promoting collaboration with family physicians. Last year the interdisciplinary team worked closely with 500 family physicians; 1,104 patients were seen for 1,361 visits. A busy Women’s Health Centre (over 10,500 visits last year) provides a non-medical model of care, with priority given to women who face multiple barriers: poverty, mobility, language, sexual or cultural affiliation, multiple diagnoses, and homelessness. Services offered include individual and group counselling, health promotion and education, as well as community mobilization initiatives and training for service providers in
2 0 0 4 – 2 0 0 5 de pa rt m e n t o f p s yc h i at ry a n n ua l r e p ort
trauma, violence, maternal support, and mental health in women’s lives. A Level II Withdrawal Management Service, with 1,387 annual admissions, is provided in Glendale House on the St. Joseph’s campus. Additionally, almost 12,000 visits were provided during 2004–2005 to include consultation, brief therapy, and post-discharge follow-up. An interdisciplinary Recovery Support Program provides rehabilitative interventions highly linked to the community. Based on a recovery model of care, it served 399 patients. A Schedule I Child and Adolescent Mental Health Program, serving the west and south quadrants of the city, provides a 24-hour er crisis service, a six-bed in-patient unit (141 patients discharged), an urgent care service, and a transitional outpatient support component.
state of the art facility. An innovative six- to eightbed Short Stay Unit will open shortly to alleviate er “admit no bed” status. A mobile crisis/police team is being added to the Emergency Psychiatry Service to provide interventions in the community.
Education St. Joseph’s Hospital is a teaching site for general psychiatry at the University of Toronto. Electives in shared care, in-patient general psychiatry, and emergency psychiatry are offered to psychiatric residents as well as medical students. The Emergency Psychiatry Service is highly rated and valued by family medicine residents who learn emergency assessment and intervention over one-month rotations. As a matter of fact, David Gotlib, medical director of the service, earned the 2004 Excellence in Teaching Award from the residents.
Events
Tyrone Turner, md, frcpc Psychiatrist-in-Chief, St. Joseph’s Health Centre
The Adult Inpatient Unit will be moving in October 2005 from its current location to a newly renovated
108
Surrey Place Centre Surrey Place Centre provides a full range of interdisciplinary community-based services and interventions that are tailor-made to meet the needs of persons with intellectual disabilities of all ages.
Description of Site/Program
Events and Achievements
urrey Place Centre (spc) provides a full range of interdisciplinary community-based services and interventions that are tailor-made to meet to needs of persons with intellectual disabilities of all ages. Surrey Place Centre is affiliated with the universities of Toronto, York, and Guelph, and other teaching institutions; it is accredited with the Canadian Council on Health Services Accreditation. In the past two years, clinical service has been delivered via four quadrants—north, south, west, and east Toronto. Satellite offices have been established in west and east quadrants, with north quadrant pending, affording more accessible services to clients within their communities. Medical staff provide consultation to quadrant teams and also to a developing centre-wide Mental Health Team. Surrey Place Centre is the lead Toronto agency in a community partnership offering innovative early intervention for the treatment of autism in children under the age of six years.
The year was marked by the anticipated and then actual departure of Elspeth Bradley on leave of absence to the United Kingdom, largely to renew and update her academic, research, and clinical skills in intellectual disability psychiatry. This area, currently referred to in the United Kingdom as learning disability psychiatry, a specialty area of the Royal College of Psychiatrists (with a membership of 900), involves three years of training, leading to specialist certification. Specialists in the terrain enjoy a high-calibre continuing professional development program in support of their clinical practice and academic and research pursuits. In partnership with the Centre for Addiction and Mental Health, Dual Diagnosis Program (camh dd), spc provides outreach consultation (psychiatry, psychology, behaviour therapy) to Northern Ontario (Dryden, Sioux Lookout, and their catchment areas) via video conferencing. Service focus is on adults with developmental disabilities and mental health issues. The project, funded by
S
2 0 0 4 – 2 0 0 5 de pa rt m e n t o f p s yc h i at ry a n n ua l r e p ort
equity for persons with intellectual disabilities and with investigators at camh dd, on (a) psychosis and intellectual disability and (b) dual diagnosis (intellectual disability and mental health problems) in tertiary care; (5) epidemiological research on mental and behavioural disturbances in persons with intellectual disability with and without autism; and (6) community consultation / teaching (monthly seminars at camh dd) and policy development (in a project to support Assertive Community Teams in Toronto provide service to persons with dual diagnosis). Teaching is offered to undergraduates, psychiatry residents, fellows, and students in the Master of Science Program in Genetic Counselling. Also a monthly program of Continuous Professional Development for physicians (accredited by rcpsc) and other health care workers is offered. For further information see www.utpsychiatry .ca/settings/surreyplace.asp.
the Ministry of Community and Social Services, also offers a college-affiliated certificate program in dual diagnosis to care providers in these remote communities. Successful recruitment of a family physician and nurse practitioner (affiliated with St. Michael’s Hospital) gave substance to the identification, during the 2003–2004 medical review, of developmental pediatrics, psychiatry, and family medicine as the three core areas of medicine represented at Surrey Place Centre. This paves the way for the provision of primary care support to this vulnerable and inadequately served population. Medical assessment at spc should identify those in need of full genetics assessment in the health sector. Medical staff have been involved in (1) invited participation in an international group to develop a research proposal to investigate comorbidity in autism (UK); (2) chapter contributions to several international texts on aspects of mental health and intellectual disability; (4) collaborative research with investigators across Canada on health-care
Robin Brooks-Hill, md, FRCPC Acting Psychiatrist-in-Chief, Surrey Place Centre
110
a d m i n i s t r at i o n
Administration Office of the Chair Dr. Donald Wasylenki Ms. Kathy Ostaff Ms. Diane Granato / Ms. Eva Wong Mr. Vince Chan Mr. Howard Chow
Chair Assistant to the Chair Acting/Business Officer Finance & HR Assistant Information Technology Administrator
416-979-6949 416-979-6948 416-979-6893 416-979-4275 416-260-4141
Programs and Planning Dr. Paula Goering Vice-Chair
416-979-6844
Research Dr. Robert Zipursky Ms. Joanne Bedasie
Vice-Chair Administrative Assistant
416-979-6916 416-979-4276
CAMH Dr. Trevor Young Vice-Chair
416-979-4749
Clinical Affairs Dr. Peter Prendergast Vice-Chair
905-430-4019
Education Dr. Brian Hodges Ms. Kelly Killip
Vice-Chair Administrative Assistant
416-340-4451 416-979-6838
Postgraduate Education Dr. Allan Kaplan Ms. Marie Mara Ms. Irene Ly
Director Administrative Coordinator Administrative Assistant
416-979-4734 416-979-6911 416-979-4280
Undergraduate Education Dr. Jodi Lofchy Ms. Kelly Killip
Director Administrative Coordinator
416-603-5500 416-979-6838
Continuing Mental Health Education Dr. Sagar Parikh
Director
416-603-5734
Fellowship Program Dr. Brenda Toner
Director
416-979-4271
111
fa st fac ts
Fast Facts Department of Psychiatry Sites
Faculty Full-time Part-time Total
180 519 699
Full Professors Associate Professors Assistant Professors Lecturers Administrative Staff
72 99 268 260 9
Baycrest Centre for Geriatric Care Centre for Addiction and Mental Health George Hull Centre Hincks-Dellcrest Centre Hospital for Sick Children Lakehead Psychiatric Hospital Mount Sinai Hospital North Bay Psychiatric Hospital North York General Hospital Penetanguishene Mental Health Centre Sault Area Hospitals Scarborough General Hospital St. Joseph’s Health Centre St. Michael’s Hospital Sunnybrook and Women’s College Health Sciences Centre Surrey Place Centre University Health Network
Education Medical Students Residents Fellows IMGs Electives CMHE events
212 131 59 22 6 36
Research Funding Sources (in $ millions) Federal Provincial Industry US International Miscellaneous Total
29.9 8.3 6.6 6.4 0.3 2.4 53.9
Total Number of Awards Canada Research Chairs Endowed Chairs Endowed Professorships
547 4 14 2
Divisions and Programs Addiction Psychiatry Child and Adolescent Psychiatry Culture, Community, and Health Studies General Psychiatry Geriatric Psychiatry Health Systems Law and Mental Health Mood and Anxiety Disorders Neuroscience Psychiatry, Health, and Disease Psychotherapy Research, Innovation, and Scholarship in Education Schizophrenia Women’s Mental Health
Outreach Program Consultants Trips Days on Sites Telepsychiatry Sessions Short Electives Residents Resident Trips Resident Days on Sites Core Rotations Resident Core Rotations Rotation Days Distance Education Sessions
49 465 947 78 22 35 166 7 1281 272
112
fac u lt y l i s t
Faculty List Last Name
First Name
Site Affiliation
Abbey
Susan E.
UHN—Toronto General Hospital
Associate
Abouelnasr
Wahid A.
Whitby Mental Health Centre
Lecturer
Abrams
Karen M.
UHN—Toronto General Hospital
Assistant
Addae
Gina A.
Private Practice
Lecturer
Addington
Jean
CAMH—College Street Site
Associate
Adlaf
Edward
CAMH—Russell Street Site
Associate
Agid
Ofer
CAMH—College Street Site
Assistant
Albert
Mathieu
UHN—Toronto General Hospital
Assistant
Alem
Atalay
Amanuel Hospital
Lecturer
Ali
Faizal
Archway
Assistant
Allain
Suzanne
Lakehead Psychiatric Hospital
Assistant
Alter
Howard M.
Private Practice
Lecturer
Andermann
Lisa
Mount Sinai Hospital
Assistant
Anderson
Nicole Dianne
Baycrest Centre for Geriatric Care
Assistant
Andrew
Melissa
Kingston Geriatric Psychiatry Outreach
Assistant
Araya
Wolde Tensai
St. Paul’s Hospital, Addis Ababa University
Lecturer
Armstrong
Harvey
Private Practice
Associate
Atkinson
Leslie R.
CAMH—College Street Site
Associate
Awad
George
Private Practice
Associate
Bagby
R. Michael
CAMH—College Street Site
Full Professor
Bagheri
Aghdas-Aida
CAMH—Queen Street Site
Assistant
Baker
Brian
UHN—Toronto Western Hospital
Associate
Balderson
Ken
St. Michael’s Hospital
Lecturer
Ballon
Bruce
CAMH—Russell Street Site
Assistant
Barakat
Sammy
SWCHSC—Sunnybrook Site
Assistant
Barankin
Tatyana
CAMH—College Street Site
Assistant
Barbaree
Howard E.
CAMH—Queen Street Site
Full Professor
Barbera
Joseph
UHN—Toronto Western Hospital
Lecturer
Barr
Cathy
UHN—Toronto Western Hospital
Associate
Barrenechea
Ana M.
Private Practice
Assistant
Barsoum
Amir
Toronto East General Hospital
Lecturer
Bart
Catherine
SWCHSC—Women’s College Site
Lecturer
Bartha
Christina
CAMH—Russell Street Site
Lecturer
Barwick
Carmelina S. L.
Private Practice
Assistant
113
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Barwick
Melanie A.
Hospital for Sick Children
Assistant
Bassarath
Lindley E.
CAMH—College Street Site
Assistant
Bassett
Anne S.
CAMH—Queen Street Site
Full Professor
Beiser
Morton
CERIS
Full Professor
Beitchman
Joseph H.
CAMH—College Street Site
Full Professor
Ben-Aron
Mark H.
Private Practice
Assistant
Benazon
Nili Rebecca
CAMH—College Street Site
Assistant
Benes
Catherine
Archway
Lecturer
Benoit
Diane
Hospital for Sick Children
Associate
Berber
Mark
Markham Stouffville Hospital
Lecturer
Berdichevsky
Raul G.
St. Michael’s Hospital
Assistant
Bergmans
Yvonne
St. Michael’s Hospital
Lecturer
Bhalerao
Shree
St. Michael’s Hospital
Assistant
Bhide
Devayanee
CAMH—College Street Site
Lecturer
Bishop
Scott
Private Practice
Assistant
Blackburn
Janice
Paterson, MacDougall
Lecturer
Blackman
Adam
UHN—Toronto Western Hospital
Lecturer
Blanchard
Ray
CAMH—College Street Site
Full Professor
Bloom
Hyman
Private Practice
Assistant
Bluestein
Marilyn
University Health Service, UofT
Lecturer
Boachie
Ahmed
Hospital for Sick Children
Assistant
Bodnar
Ana
CAMH—Russell Street Site
Lecturer
Book
Howard E.
CAMH—College Street Site
Associate
Bottas
Alexandra
CAMH—College Street Site
Lecturer
Boulos
Carolyn
SWCHSC—Sunnybrook Site
Assistant
Boydell
Katherine Mary
Hospital for Sick Children
Associate
Bradley
Elspeth A.
Surrey Place Centre
Associate
Bradley
Susan J.
Hospital for Sick Children
Full Professor
Brandes
Jack S.
Private Practice
Assistant
Brandys
Clare
Private Practice
Assistant
Broder
Elsa A.
Hincks-Dellcrest Centre
Associate
Brook
Shelley C.
UHN—Toronto General Hospital
Lecturer
Brooks-Hill
Robin W.
Surrey Place Centre
Assistant
Bruun-Meyer
Sturla E.
CAMH—College Street Site
Assistant
Bryden
Pier
Hospital for Sick Children
Assistant
114
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Buckingham
Robert A.
UHN—Toronto General Hospital
Associate
Burgoyne
Robert W.
UHN—Toronto General Hospital
Lecturer
Burhan
Amer
Mount Sinai Hospital
Assistant
Burnham
W. McIntyre
Department of Pharmacology, UofT
Full Professor
Busto
Usoa E.
CAMH—Russell Street Site
Associate
Butany
Vidya
CAMH—Queen Street Site
Assistant
Butterill
Dale
CAMH—College Street Site
Lecturer
Byers
Jean E. F.
Whitby Mental Health Centre
Assistant
Byrne
Miriam R.
Private Practice
Assistant
Cairney
John
CAMH—Russell Street Site
Assistant
Cardish
Robert J.
CAMH—Queen Street Site
Assistant
Carlier
Michelle
Lakeshore Outpatient & Community Clinic
Lecturer
Carr
Melanie L.
Private Practice
Assistant
Carter
Jacqueline
UHN—Toronto General Hospital
Associate
Cashman
Frank E.
St. Michael’s Hospital
Assistant
Casola
Paul G.
St. Michael’s Hospital
Lecturer
Caspary
Arthur
Hincks-Dellcrest Centre
Lecturer
Cassidy
Keri-Leigh
Private Practice
Lecturer
Castel
Saulo
Whitby Mental Health Centre
Assistant
Catz-Biro
Laura
CAMH—Brentcliffe Site
Lecturer
Cava
Josefina M.
CAMH—Queen Street Site
Lecturer
Cavacuiti
Chris
CAMH—Russell Street Site
Assistant
Cavanagh
Patricia
UHN—Toronto Western Hospital
Lecturer
Chad
Lawrence L.
Toronto East General Hospital
Lecturer
Chadda
Tina
Private Practice
Lecturer
Chagoya
Charlotte A.
Mount Sinai Hospital
Lecturer
Chagoya
Leopoldo
Mount Sinai Hospital
Associate
Chakrabarti
Anita
Lakehead Psychiatric Hospital
Lecturer
Chamberlain
Clive G.
CAMH—Russell Street Site
Associate
Charach
Alice
CAMH—College Street Site
Assistant
Charach
Ronald
Private Practice
Lecturer
Cheng
Ambrose
University Health Service, UofT
Lecturer
Cheok
Andy A. S.
University Health Service, UofT
Lecturer
Cheung
Amy
SWCHSC—Sunnybrook Site
Assistant
Chow
Eva W.
CAMH—Queen Street Site
Associate
115
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Chow
Wendy
Mount Sinai Hospital
Lecturer
Choy
Alberto L.
CAMH—College Street Site
Lecturer
Christensen
Bruce
CAMH—College Street Site
Assistant
Clark
Carrie C.
CAMH—Queen Street Site
Assistant
Classen
Catherine
SWCHSC—Women’s College Site
Associate
Cochrane
David
North Bay Psychiatric Hospital
Lecturer
Cohen
Carole
SWCHSC—Sunnybrook Site
Associate
Cohen
Nancy J.
Hincks-Dellcrest Centre
Full Professor
Cohn
Tony
CAMH—Queen Street Site
Lecturer
Colleton
Michael
CAMH—Queen Street Site
Lecturer
Collins
Evan J.
Hassle-Free Clinic
Assistant
Collins
Peter I.
CAMH—College Street Site
Associate
Colton
Patricia
UHN—Toronto General Hospital
Assistant
Conn
David Keith
Baycrest Centre for Geriatric Care
Associate
Cooke
Robert G.
CAMH—College Street Site
Associate
Coolbear
Jennifer L.
Hospital for Sick Children
Assistant
Cooper
J. P.
UHN—Toronto General Hospital
Assistant
Cossette
Nadine
Mount Sinai Hospital
Lecturer
Cote
Isabelle
Private Practice
Lecturer
Courbasson
Christine
CAMH—Russell Street Site
Assistant
Court
John P. M.
CAMH—Queen Street Site
Assistant
Craigen
Gerard P.
Private Practice
Lecturer
Crawford
Barbara
Ranger Mental Health Clinic
Lecturer
Crocker
Thomas C.
St. Michael’s Hospital
Lecturer
Cunning
Sandra
George Hull Centre
Lecturer
Cunningham
Alastair J.
UHN—Princess Margaret Hospital
Full Professor
Czukar
Gail
CAMH—Queen Street Site
Lecturer
Dalfen
Ariel
Mount Sinai Hospital
Lecturer
Darby
Padraig L.
CAMH—Queen Street Site
Assistant
Daskalakis
Zafiris Jeffrey
CAMH—College Street Site
Assistant
Davis
Caroline A.
UHN—Toronto General Hospital
Associate
Dawe
Ian
St. Michael’s Hospital
Assistant
Day
Rod
SWCHSC—Women’s College Site
Lecturer
De Roche
Peter L.
Mount Sinai Hospital
Assistant
De Souza
Claire M.
Hospital for Sick Children
Lecturer
116
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
DeGroot
Janet M.
UHN—Princess Margaret Hospital
Assistant
Denisoff
Eilenna
CAMH—College Street Site
Assistant
Desai
Devanshu D.
St. Joseph’s Healthcare
Lecturer
Deutsch
James W.
Hospital for Sick Children
Lecturer
Devins
Gerald M.
UHN—Toronto General Hospital
Full Professor
Dewa
Carolyn S.
CAMH—Russell Street Site
Associate
Diaz
Pablo
CAMH—Queen Street Site
Assistant
Dickey
Robert
CAMH—College Street Site
Assistant
DiGiacomo
Dan
CAMH—Russell Street Site
Lecturer
Dionne
Marie France
North York Hospital—Branson Division
Lecturer
Dixon
David J.
Private Practice
Assistant
Doan
Richard
CAMH—College Street Site
Assistant
Doidge
Norman R.
Private Practice
Assistant
Dorenbaum
David
Private Practice
Assistant
Dorian
Barbara J.
CAMH—College Street Site
Assistant
Doyle
Christopher S.
CAMH—Russell Street Site
Lecturer
Driver
Kelly
St. Joseph’s Health Centre
Lecturer
Dubo
Elyse D.
SWCHSC—Sunnybrook Site
Assistant
Dubord
Greg
Private Practice
Lecturer
Ducharme
Joseph
Ontario Institute for Studies in Education of the UofT
Associate
Duchen
Suzanne
Baycrest Centre for Geriatric Care
Lecturer
Dudek
Malgorzata
Archway
Lecturer
Dunbar
Christine
Private Practice
Assistant
Dundas
Susan
Hincks-Dellcrest Centre
Lecturer
Dunn
Edward
CAMH—Queen Street Site
Associate
Durbin
Janet
CAMH—Russell Street Site
Assistant
DuVal
Gordon
CAMH—College Street Site
Assistant
Eayrs
Gertrude E. (Beth)
CAMH—Queen Street Site
Lecturer
Edelstein
Kim
UHN—Princess Margaret Hospital
Assistant
Edye
Frances F. W.
Psychiatric Outreach Program
Lecturer
Eisen
Joel N.
Private Practice
Assistant
Elliott
M. Esther
UHN—Toronto General Hospital
Lecturer
Elliott
Mary E.
UHN—Princess Margaret Hospital
Lecturer
Emmott
Shelagh
CAMH—College Street Site
Assistant
Ennis
Jon D.
UHN—Toronto General Hospital
Assistant
117
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Epstein
Irvin
CAMH—College Street Site
Assistant
Erlich
Murray
Private Practice
Lecturer
Eryavec
Goran
Senior Health Centre
Assistant
Esplen
Mary Jane
UHN—Toronto General Hospital
Assistant
Evans
Kenneth R.
AXON Clinical Research
Lecturer
Everett
Barbara
Private Practice
Assistant
Farcnik
Karl D.
Private Practice
Assistant
Farewell
John C.
Private Practice
Lecturer
Farvolden
Peter
CAMH—College Street Site
Assistant
Feder
Victor
North York Hospital—Branson Division
Assistant
Feinstein
Anthony
SWCHSC—Sunnybrook Site
Full Professor
Feldmann
Joseph
Private Practice
Assistant
Fenner
Danuta
CAMH—Queen Street Site
Lecturer
Fenta
Haile
CAMH—College Street Site
Lecturer
Ferguson
Anne
North York General Hospital
Lecturer
Ferguson
Bruce
Hospital for Sick Children
Full Professor
Ferguson
Ian D.
Providence Healthcare
Lecturer
Finkel
Richard M.
Private Practice
Lecturer
Fischer
Corinne C. E.
St. Michael’s Hospital
Assistant
Fish
Arthur
Private Practice
Assistant
Fishell
Alicja
SWCHSC—Women’s College Site
Lecturer
Fitzpatrick-Hanly
Margaret
Private Practice
Lecturer
Flak
Edred A.
Mount Sinai Hospital
Associate
Fleming
Jan
CAMH—College Street Site
Associate
Fleming
Russell, L.
Penetanguishene Mental Health Centre
Lecturer
Fleming
Sandford, R.
Private Practice
Associate
Fletcher
Paul J.
CAMH—College Street Site
Associate
Flint
Alastair J.
UHN—Toronto General Hospital
Full Professor
Fornazzari
Luis
CAMH—Queen Street Site
Assistant
Fornazzari
Ximena
CAMH—Queen Street Site
Assistant
Franche
Renee-Louise
Private Practice
Assistant
Fraser
David M.
Private Practice
Lecturer
Frayn
Douglas H.
Private Practice
Associate
Freire
Marlinda
Hospital for Sick Children
Assistant
Friedland
Judy
Dept. of Occupational Therapy, UofT
Associate
118
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Fung
Kenneth
UHN—Toronto Western Hospital
Lecturer
Furukawa
Yoshiaki
CAMH—College Street Site
Associate
Futerman
David H.
CAMH—College Street Site
Lecturer
Gagliese
Lucia
UHN—Toronto General Hospital
Assistant
Gaind
Karandeep Sonu
UHN—Princess Margaret Hospital
Assistant
Gallop
Ruth
Faculty of Nursing, UofT
Full Professor
Gangbar
Randy
Private Practice
Assistant
Garfinkel
Paul E.
CAMH—Queen Street Site
Full Professor
Geist
Rose G.
Hospital for Sick Children
Associate
Gemar
Michael
CAMH—College Street Site
Lecturer
Genik
Jeffrey, L.
Private Practice
Lecturer
Gerber
Lionel
SWCHSC—Sunnybrook Site
Assistant
Ghabbour
Nagi
St. Joseph’s Health Centre
Lecturer
Gilbert
Barry
CAMH—College Street Site
Assistant
Gillies
Laurie A.
Private Practice
Assistant
Ginovart
Nathalie
CAMH—College Street Site
Assistant
Ginsberg
Leonard S.
CAMH—Queen Street Site
Assistant
Gnam
William
CAMH—Russell Street Site
Assistant
Gocker
Marianne
George Hull Centre
Lecturer
Goering
Paula N.
CAMH—Russell Street Site
Full Professor
Gofine
Timothy
CAMH—Queen Street Site
Lecturer
Gojer
Julian A.
CAMH—College Street Site
Assistant
Goldberg
Susan
Hospital for Sick Children
Full Professor
Goldbloom
David S.
CAMH—College Street Site
Full Professor
Goldhamer
Paul M.
Private Practice
Assistant
Goldstein
Mara S.
St. Michael’s Hospital
Lecturer
Golombek
Harvey
Private Practice
Full Professor
Goodwin
Grainne
St. Michael’s Hospital
Lecturer
Gorman
Howard E.
Private Practice
Lecturer
Gourlay
Douglas
CAMH—Russell Street Site
Lecturer
Grady
Cheryl
Baycrest Centre for Geriatric Care
Full Professor
Greben
Daniel H.
CAMH—College Street Site
Assistant
Green
Robin
Toronto Rehabilitation Institution
Assistant
Grief
Cindy
Baycrest Centre for Geriatric Care
Lecturer
Grigoriadis
Sophie
UHN—Toronto General Hospital
Assistant
119
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Guimond
Marie-Claude
North York General Hospital
Lecturer
Guttman
Mark
CAMH—College Street Site
Assistant
Hackett
Andrew
North Bay Psychiatric Hospital
Associate
Haggarty
John (Jack)
Lakehead Psychiatric Hospital
Assistant
Halman
Mark H.
St. Michael’s Hospital
Assistant
Halpern
Janice
Private Practice
Lecturer
Hamilton
Hayley
CAMH—College Street Site
Lecturer
Hanson
Mark D.
Hospital for Sick Children
Assistant
Harris
Grant
Penetanguishene Mental Health Centre
Associate
Haskell
Lori
Private Practice
Assistant
Hastings
Tom J.
Halton Healthcare Services Corporation
Lecturer
Hawa
Raed Jad
UHN—Toronto Western Hospital
Assistant
Heber
Alexandra
Canadian Mental Health Association
Assistant
Henderson
D. James
Private Practice
Associate
Herrmann
Nathan
SWCHSC—Sunnybrook Site
Full Professor
Hershkop
Susan
SWCHSC—Sunnybrook Site
Lecturer
Hidvegi
Sylvia
Private Practice
Lecturer
Higgins
Darren S.
CAMH—College Street Site
Lecturer
Hildebrand
Anne M. E.
Private Practice
Assistant
Hill
Robert W.
Private Practice
Assistant
Hilton
Zoe
Penetanguishene Mental Health Centre
Assistant
Hodges
Brian D.
UHN—Toronto General Hospital
Associate
Hoffman
Brian F.
North York General Hospital
Associate
Holtby
Joanne Lee
North Bay Psychiatric Hospital
Lecturer
Homatidis
Soula
York Catholic District School Board
Assistant
Hood
Eric
Private Practice
Assistant
Hopgood
Derek
Sault Area Hospitals
Lecturer
Horodezky
Lawrence S.
Mount Sinai Hospital
Assistant
Hou
Feng
Private Practice
Assistant
Houle
Sylvain
CAMH—College Street Site
Associate
Hucker
Stephen J.
Private Practice
Full Professor
Hunter
Jonathan J.
Mount Sinai Hospital
Associate
Husain
Nusrat
CAMH—College Street Site
Assistant
Husted
Janice
University of Waterloo
Lecturer
Hutchinson
Lois
Lakehead Psychiatric Hospital
Assistant
120
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Ickowicz
Abel
Hospital for Sick Children
Assistant
Ikizler
Yasemin
CAMH—Russell Street Site
Lecturer
Irvine
Marilyn Jane
UHN—Toronto General Hospital
Associate
Izenberg
Samuel O.
UHN—Toronto General Hospital
Assistant
Jacobson
Nora
CAMH—Russell Street Site
Assistant
Jacques
Ian
Penetanguishene Mental Health Centre
Lecturer
Jain
Umesh R. K.
CAMH—College Street Site
Assistant
Jasper
Karin R.
Hospital for Sick Children
Assistant
Jaunkalns
Robert
SWCHSC—Sunnybrook Site
Assistant
Jeavons
Michael
Private Practice
Lecturer
Jeffries
Joel
CAMH—College Street Site
Associate
John
Verghese
Penetanguishene Mental Health Centre
Lecturer
Johnston
Anita G.
Private Practice
Lecturer
Johnston
Elizabeth
CAMH—Queen Street Site
Lecturer
Johnston
Paul
Thunder Bay Regional Health Sciences Centre
Lecturer
Johnston
William
Private Practice
Lecturer
Jones
Brian
Penetanguishene Mental Health Centre
Assistant
Jones
Jennifer
UHN—Princess Margaret Hospital
Assistant
Joseph
Llewellyn W.
Humber River Regional Hospital
Associate
Kajander
Ruth
Lakehead Psychiatric Hospital
Lecturer
Kaplan
Allan S.
UHN—Toronto General Hospital
Full Professor
Kaplansky-Gold
Cathy S.
University Health Service, UofT
Lecturer
Kapur
Shitij
CAMH—Russell Street Site
Full Professor
Kaspar
Violet
CAMH—College Street Site
Assistant
Katz
Mark R.
UHN—Princess Margaret Hospital
Assistant
Katzman
Martin A.
START Clinic
Assistant
Kay
Rex L.
Mount Sinai Hospital
Lecturer
Kayumov
Leonid
UHN—Toronto Western Hospital
Assistant
Keating
Dan
University of Michigan
Full Professor
Keefe
Peter H.
Mount Sinai Hospital
Assistant
Keesari
Manohar
George Hull Centre
Assistant
Keleher
Gary
Sault Area Hospitals
Lecturer
Kennedy
James L.
CAMH—College Street Site
Full Professor
Kennedy
Sidney H.
UHN—Toronto General Hospital
Full Professor
Keren
Ron
UHN —Toronto Western Hospital
Assistant
121
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Kerr
Ann G.
Sheena’s Place
Assistant
Khanlou
Nazilla
Faculty of Nursing, UofT
Assistant
Khorasani
Kasra
St. Michael’s Hospital
Lecturer
Kindler
Alan R.
Private Practice
Assistant
King
Eric J.
Hincks-Dellcrest Centre
Lecturer
Kingstone
Edward
St. Michael’s Hospital
Full Professor
Kiraly
Leslie T.
East Toronto Health Centre
Lecturer
Kirsh
Bonnie
Department of Occupational Science and Occupational Therapy, UofT
Assistant
Kirsh
Shari G.
SWCHSC—Women’s College Site
Assistant
Kish
Stephen J.
CAMH—College Street Site
Full Professor
Kiss
Ivan
Private Practice
Assistant
Klassen
Philip E.
CAMH—College Street Site
Lecturer
Kleinman
Irwin
Mount Sinai Hospital
Assistant
Kljenak
Diana
UHN—Toronto Western Hospital
Lecturer
Klukach
John
CAMH—College Street Site
Lecturer
Kohl
Jack H.
Private Practice
Lecturer
Korenblum
Marshall S.
Hincks-Dellcrest Centre
Associate
Korman
Lorne Maxwell
CAMH—Russell Street Site
Assistant
Kreindler
David
SWCHSC—Sunnybrook Site
Assistant
Krisman
Avery A.
Private Practice
Lecturer
Kroft
Frederick
Private Practice
Lecturer
Kuch
Helga E.
Private Practice
Assistant
Kuch
Klaus
CAMH—College Street Site
Associate
Kugelmass
Michael I.
CAMH—Queen Street Site
Assistant
Kulesha
Denis
UHN—Toronto Western Hospital
Assistant
Kussin
Dennis J.
UHN—Toronto Western Hospital
Associate
La Croix
Eileen
SWCHSC—Sunnybrook Site
Lecturer
Lackstrom
Jan J.
UHN—Toronto General Hospital
Assistant
Lalumiere
Martin
University of Lethbridge
Associate
Lancee
Wilhelmus J.
Mount Sinai Hospital
Associate
Lanctot
Krista
SWCHSC—Sunnybrook Site
Associate
Landy
Sarah
Hincks-Dellcrest Centre
Assistant
Langevin
Ronald A.
Private Practice
Associate
Langley
John
St. Michael’s Hospital
Assistant
Langton
Calvin M.
CAMH—College Street Site
Assistant
122
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Lau
Mark
CAMH—College Street Site
Assistant
Law
Samuel
St. Michael’s Hospital
Lecturer
Lazar
Cynthia
CAMH—College Street Site
Lecturer
Lazenby
Anne Louise
Hospital for Sick Children
Lecturer
Lazor
Alina
Whitby Mental Health Centre
Lecturer
Le
Dzung Anh
CAMH—Russell Street Site
Assistant
Lefebvre
Arlette M.
Hospital for Sick Children
Associate
Leibow
Deborah F.
SWCHSC—Sunnybrook Site
Lecturer
Leith
Mark
SWCHSC—Sunnybrook Site
Lecturer
Lemmens
Trudo
Faculty of Law, UofT
Assistant
Lester
Michael
CAMH—Russell Street Site
Lecturer
Leszcz
Molyn
Mount Sinai Hospital
Associate
Leung
Henry H.
Sault Area Hospitals
Assistant
Levac
Anne Marie
CAMH—College Street Site
Lecturer
Levene
Judith E.
Private Practice
Lecturer
Levine
Deborah
University Health Service, UofT
Lecturer
Levitan
Robert D.
CAMH—College Street Site
Associate
Levitt
Anthony J.
SWCHSC—Sunnybrook Site
Full Professor
Lewis
Ralph
SWCHSC—Sunnybrook Site
Assistant
Li
Peter Pun
CAMH—College Street Site
Associate
Lieff
Susan J.
Baycrest Centre for Geriatric Care
Associate
Likwornik
Victor
University Health Service, UofT
Assistant
Lin
Elizabeth
CAMH—College Street Site
Assistant
Links
Paul S.
St. Michael’s Hospital
Full Professor
Liu
Fang
CAMH—College Street Site
Associate
Llewellyn-Thomas
Hilary
Dartmouth Medical School
Full Professor
Lo
Hung-Tat (Ted)
Private Practice
Assistant
Lofchy
Jodi S.
UHN—Toronto Western Hospital
Associate
Lojkasek
Miroslav
Hincks-Dellcrest Centre
Lecturer
Lowe
Alan
UHN—Toronto Western Hospital
Assistant
Lunsky
Yona
CAMH—Queen Street Site
Assistant
Macciardi
Fabio
CAMH—College Street Site
Associate
MacFarlane
Dianne
CAMH—College Street Site
Assistant
MacKay
Sherri
CAMH—College Street Site
Assistant
MacPhee
David
Sault Area Hospitals
Lecturer
123
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
MacQueen
Glenda
McMaster University
Associate
Madan
Robert
Baycrest Centre for Geriatric Care
Lecturer
Maerov
Phillip
SWCHSC—Sunnybrook Site
Lecturer
Magder
David M.
CAMH—College Street Site
Assistant
Maggi
Julie
St. Michael’s Hospital
Assistant
Mah
William
Mount Sinai Hospital
Lecturer
Maharaj
Sherry
UHN—Toronto General Hospital
Lecturer
Malat
Jan
CAMH—Russell Street Site
Lecturer
Malcolmson
Samuel A.
Private Practice
Associate
Mamelak
Mortimer
Baycrest Centre for Geriatric Care
Associate
Mamo
David
CAMH—College Street Site
Assistant
Manassis
Katharina
Hospital for Sick Children
Associate
Mandelman
Krystyna
Private Practice
Assistant
Margittai
Katalin
Private Practice
Assistant
Margolese
Ellen
Mount Sinai Hospital
Lecturer
Margulies
Alfred I.
Private Practice
Assistant
Marks
Saul
UHN—Toronto General Hospital
Lecturer
Martin
Barry A.
CAMH—College Street Site
Associate
Massabki
Albert
Lakeridge Mental Health
Assistant
Masson
Jacqueline E.
University Health Service, UofT
Lecturer
Maunder
Robert G.
Mount Sinai Hospital
Associate
Mayberg
Helen
Baycrest Centre for Geriatric Care
Full Professor
McBride (Cristi)
Carolina
CAMH—College Street Site
Assistant
McCallum
Nancy
SWCHSC—Women’s College Site
Lecturer
McCay
Elizabeth A.
Ryerson University
Assistant
McCullagh
Scott
SWCHSC—Sunnybrook Site
Assistant
McCurley
Robert
CAMH—Queen Street Site
Assistant
McDonald
Angus
CAMH—Queen Street Site
Assistant
McDonough
Hanna
CAMH—College Street Site
Lecturer
McFarlane
Traci
UHN—Toronto General Hospital
Assistant
McIntyre
Roger S.
UHN—Toronto Western Hospital
Assistant
McKercher
Grant
North Bay Psychiatric Hospital
Lecturer
McLean
Linda
UHN—Princess Margaret Hospital
Lecturer
McMain
Shelley
CAMH—Russell Street Site
Assistant
McMaster
Jeff
CAMH—Queen Street Site
Lecturer
124
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
McNeely
Heather
St. Joseph’s Healthcare
Assistant
Meen
Richard
Kinark Child and Family Services
Assistant
Meier
Rosemary
Mount Sinai Hospital
Assistant
Melnyk
Tatiana
UHN—Princess Margaret Hospital
Lecturer
Menchions
Bruce
CAMH—Queen Street Site
Lecturer
Mendlowitz
Sandra
Hospital for Sick Children
Assistant
Menuck
Morton N.
Private Practice
Assistant
Menzies
Peter
CAMH—Russell Street Site
Lecturer
Meschino
Diane
SWCHSC—Women’s College Site
Lecturer
Meyer
Jeffrey
CAMH—College Street Site
Associate
Mian
Irfan
Hospital for Sick Children
Lecturer
Minsky
Samuel
University Health Service, UofT
Lecturer
Mishna
Faye
Faculty of Social Work, UofT
Lecturer
Molleken
Lynda L.
UHN—Toronto General Hospital
Lecturer
Moller
Henry
UHN—Toronto Western Hospital
Lecturer
Monga
Suneeta
Hospital for Sick Children
Assistant
Moran
Peter I.
Mount Sinai Hospital
Assistant
Morris
Susan S. J.
CAMH—Queen Street Site
Lecturer
Moss
Jay H.
SWCHSC—Sunnybrook Site
Assistant
Muglia
Pierandrea
CAMH—College Street Site
Assistant
Mundo
Emanuela
Dipartmento di Scienze Cliniche
Assistant
Muntaner
Carles
CAMH—College Street Site
Full Professor
Murphy
Leo
St. Michael’s Hospital
Assistant
Myran
David
CAMH—College Street Site
Assistant
Nandlal
Joan
CAMH—Queen Street Site
Lecturer
Naranjo
Claudio A.
SWCHSC—Sunnybrook Site
Full Professor
Nobrega
Jose N.
CAMH—College Street Site
Associate
Noh
Samuel
CAMH—College Street Site
Full Professor
Nolan
Robert
UHN—Toronto General Hospital
Assistant
Nussbaum
David
CAMH—Queen Street Site
Assistant
Nyhus
Nadine
Private Practice
Lecturer
Offman
Hilary
Private Practice
Lecturer
Oguntoyinbo
Funmi
Private Practice
Lecturer
O’Halpin
Helen
Hincks-Dellcrest Centre
Lecturer
Oldershaw
Lynn
Private Practice
Assistant
125
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Olive
Christopher
Private Practice
Lecturer
Olmsted
Marion P.
UHN—Toronto General Hospital
Associate
Oluboka
Oloruntoba
North Bay Psychiatric Hospital
Lecturer
O’Mahony
Michael
Baycrest Centre for Geriatric Care
Lecturer
Owens
Mary C.
Hospital for Sick Children
Lecturer
Ozersky
Sam
UHN—Toronto General Hospital
Lecturer
Packer
Samuel
CAMH—Queen Street Site
Associate
Pain
Clare
Mount Sinai Hospital
Assistant
Pallandi
Derek
CAMH—Queen Street Site
Lecturer
Papatheodorou
George
CAMH—College Street Site
Assistant
Parikh
Sagar V.
UHN—Toronto Western Hospital
Associate
Pasricha
Suvercha
CAMH—College Street Site
Lecturer
Paterson
Andrew
Hospital for Sick Children
Assistant
Pearce
Michelle
UHN—Toronto Western Hospital
Lecturer
Peltz
Louis
Hospital for Sick Children
Lecturer
Perez
Edgardo
Homewood Health Centre
Full Professor
Peterkin
Allan
Mount Sinai Hospital
Associate
Petersen
Maxine
CAMH—College Street Site
Lecturer
Petronis
Arturas
CAMH—College Street Site
Associate
Petter
Tanya
Hincks-Dellcrest Centre
Lecturer
Philipp
Diane A.
Hincks-Dellcrest Centre
Lecturer
Pignatiello
Antonio
Hospital for Sick Children
Lecturer
Pinhas
Leora
Hospital for Sick Children
Assistant
Pistor
Lino
Sault Area Hospitals
Lecturer
Polivy
Janet
Department of Psychology, UTM
Associate
Pollock
Daniel C.
Private Practice
Assistant
Pollock
Nathan
Private Practice
Assistant
Portigal
Terryl
George Hull Centre
Lecturer
Posel
Clifford H.
SWCHSC—Sunnybrook Site
Lecturer
Prendergast
Peter J.
Whitby Mental Health Centre
Associate
Quastel
Adam
St. Michael’s Hospital
Lecturer
Rahi
Kahn S.
Private Practice
Lecturer
Rahman
Shafiqur
CAMH—Russell Street Site
Assistant
Rakoff
David
Private Practice
Lecturer
Rakoff
Vivian M.
CAMH—College Street Site
Professor Emeritus
126
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Ralph
Martin R.
Department of Psychology, UofT
Assistant
Ramsay
Douglas John
Private Practice
Lecturer
Ramshaw
Lisa
CAMH—Queen Street Site
Lecturer
Rapoport
Mark
SWCHSC—Sunnybrook Site
Assistant
Rapp
Morton S.
Scarborough General Hospital
Associate
Raskin
Joel
Eli Lilly Canada
Lecturer
Ravindran
Arun V.
CAMH—College Street Site
Full Professor
Ravitz
Paula
CAMH—College Street Site
Assistant
Read
Nancy
St. Michael’s Hospital
Lecturer
Rector
Neil
CAMH—College Street Site
Associate
Regehr
Glenn
UHN—Toronto General Hospital
Associate
Rehm
Jurgen
CAMH—Russell Street Site
Associate
Rehman
Mujeebur
CAMH—Queen Street Site
Lecturer
Reichmann
Jaak T.
Private Practice
Lecturer
Reinish
Lawrence
UHN—Toronto Western Hospital
Lecturer
Reiter
Sharon R.
SWCHSC—Sunnybrook Site
Assistant
Remington
Gary J.
CAMH—College Street Site
Full Professor
Reznek
Lawrie R.
SWCHSC—Sunnybrook Site
Associate
Rhodes
Anne E.
St. Michael’s Hospital
Assistant
Rice
Marnie Elizabeth
Penetanguishene Mental Health Centre
Full Professor
Richter
Peggy Margaret
CAMH—College Street Site
Associate
Ridgely
Elizabeth
George Hull Centre
Lecturer
Ritvo
Paul
University of Toronto
Assistant
Rivers
Stephen M.
Hospital for Sick Children
Lecturer
Roberge
Johanne
Hospital for Sick Children
Lecturer
Robillard
Matthew T.
Baycrest Centre for Geriatric Care
Assistant
Robinson
Gail E.
UHN—Toronto General Hospital
Full Professor
Rockman
Patricia
UHN—Toronto Western Hospital
Assistant
Rodin
Gary M.
UHN—Princess Margaret Hospital
Full Professor
Rogers
Joy
Private Practice
Assistant
Roher
Luna
Private Practice
Lecturer
Rolin-Gilman
Cheryl
CAMH—College Street Site
Lecturer
Romach
Myroslava K.
Ventana Clinical Research Corporation
Associate
Romans
Sarah
Centre for Research in Women’s Health
Full Professor
Rootenberg
Jonathan H.
CAMH—College Street Site
Lecturer
127
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Rosenberg
Marsha
Baycrest Centre for Geriatric Care
Lecturer
Rosenbluth
Michael B.
SWCHSC—Sunnybrook Site
Assistant
Ross
Lori E.
CAMH—College Street Site
Assistant
Rotzinger
Susan
CAMH—College Street Site
Assistant
Rourke
Sean B.
St. Michael’s Hospital
Associate
Rumm
Ellen
CAMH—College Street Site
Lecturer
Rummens
Joanna Anneke
Hospital for Sick Children
Assistant
Rush
Brian
CAMH—Russell Street Site
Associate
Ruskin
Ronald
Mount Sinai Hospital
Assistant
Sadavoy
Joel
Mount Sinai Hospital
Full Professor
Sagman
Doron
Toronto East General Hospital
Lecturer
Saltzman-Benaiah
Jennifer
UHN—Toronto Western Hospital
Assistant
Salvendy
John T.
Private Practice
Full Professor
Sandor
Paul
UHN—Toronto Western Hospital
Associate
Sanford
Mark
CAMH—College Street Site
Associate
Sanhueza-Luco
Pablo
Private Practice
Lecturer
Scapillato
Donna
Hospital for Sick Children
Lecturer
Scappatura
Sharon
North Bay Psychiatric Hospital
Lecturer
Schabas
Patti-Anne
CAMH—College Street Site
Lecturer
Schachar
Russell J.
Hospital for Sick Children
Full Professor
Schachter
Debbie C.
CAMH—College Street Site
Assistant
Schaffer
Ayal
SWCHSC—Sunnybrook Site
Assistant
Schmidt
Nancy
Private Practice
Lecturer
Schneider
Richard
Private Practice
Assistant
Schofield
Sally
North York General Hospital
Lecturer
Schogt
Barbara
Baycrest Centre for Geriatric Care
Lecturer
Schuller
Deborah R.
CAMH—College Street Site
Assistant
Schwartz
Ken M.
Baycrest Centre for Geriatric Care
Assistant
Scroggie
David G.
Pace East
Assistant
Seeman
Mary V.
CAMH—College Street Site
Professor Emeritus
Seeman
Philip
UHN—Toronto General Hospital
Professor Emeritus
Segal
Zindel V.
CAMH—College Street Site
Full Professor
Selby
Peter
CAMH—Russell Street Site
Assistant
Seli-Uzelac
Antonia
Halton Healthcare Services—Oakville Trafalgar Lecturer Hospital
Sellers
Edward M.
Ventana Clinical Research Corporation 128
Rank
Full Professor
fac u lt y l ist
Last Name
First Name
Site Affiliation
Serin
Ralph
Frontenac Institution
Assistant
Sethna
Rustom H.
Markham Stouffville Hospital
Lecturer
Seto
Michael
CAMH—College Street Site
Associate
Seyone
Chanth
UHN—Toronto Western Hospital
Assistant
Shammi
Chekkera
CAMH—College Street Site
Assistant
Shapiro
Colin M.
UHN—Toronto Western Hospital
Full Professor
Shapiro
Serge
SWCHSC—Women’s College Site
Lecturer
Shapiro
Solomon M.
CAMH—College Street Site
Assistant
Shaw
Brian F.
Hospital for Sick Children
Full Professor
Sheinin
Lisa
George Hull Centre
Lecturer
Shen
Jianhua
UHN—Toronto Western Hospital
Lecturer
Shera
Wesley John
Faculty of Social Work, UofT
Full Professor
Shoichet
Roy P.
Private Practice
Assistant
Shomair
Garry
Private Practice
Lecturer
Shorter
Edward
History of Medicine, UofT
Full Professor
Showraki
Mostafa
Private Practice
Lecturer
Shugar
Gerald
CAMH—College Street Site
Associate
Shulman
Barbara
CAMH—College Street Site
Lecturer
Shulman
Kenneth I.
SWCHSC—Sunnybrook Site
Full Professor
Shulman
Richard
Trillium Health Centre, Queensway Site
Assistant
Silberfeld
Michel
Private Practice
Assistant
Silveira
Jose
UHN—Toronto Western Hospital
Assistant
Silver
Daniel
Mount Sinai Hospital
Associate
Silver
Ivan L.
SWCHSC—Sunnybrook Site
Full Professor
Silverstein
Paul V.
CAMH—College Street Site
Lecturer
Simich
Laura
CAMH—College Street Site
Assistant
Simon
Barry
CAMH—College Street Site
Assistant
Siu
Maurice
CAMH—College Street Site
Lecturer
Skilling
Tracey
CAMH—College Street Site
Assistant
Skinner
Wayne
CAMH—Russell Street Site
Assistant
Skorzewska
Anna
UHN—Toronto General Hospital
Lecturer
Sloan
Eileen P.
Mount Sinai Hospital
Assistant
Sloane
John A.
Private Practice
Assistant
Slonim
Rodney O. N.
Mount Sinai Hospital
Assistant
Small
Fern E.
SWCHSC—Sunnybrook Site
Lecturer
129
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Snaiderman
Abraham
Toronto Rehabilitation Institute
Lecturer
Sokolov
Stephen T.
CAMH—College Street Site
Assistant
Solomon
Leigh
North York General Hospital
Lecturer
Soni
Jorge
CAMH—College Street Site
Assistant
Spivak
Harold
St. Michael’s Hospital
Assistant
Spring
Paul
Hincks-Dellcrest Centre
Assistant
Sproule
Beth A.
CAMH—Russell Street Site
Assistant
Srinivasan
Janaki
CAMH—College Street Site
Lecturer
Staab
Randy
UHN—Toronto General Hospital
Lecturer
Staniloiu
Angelica
CAMH—College Street Site
Lecturer
Steadman
Jennifer H.
Southlake Regional Health Centre
Assistant
Stefaniu
Rodica
CAMH—College Street Site
Lecturer
Stein
Bernard A.
North York General Hospital
Associate
Steinberg
Rosalie
Mount Sinai Hospital
Lecturer
Steingart
Allan B.
Private Practice
Assistant
Stephens
Robyn
UHN—Toronto Western Hospital
Assistant
Stergiopoulos
Vicky
St. Michael’s Hospital
Lecturer
Stewart
Donna E.
UHN—Toronto General Hospital
Full Professor
Stewart
Pamela
CAMH—Russell Street Site
Lecturer
Stirtzinger
Ruth
George Hull Centre
Assistant
Stokl
Stephen B.
Private Practice
Lecturer
Strauss
John
CAMH—College Street Site
Assistant
Streiner
David
Baycrest Centre for Geriatric Care
Full Professor
Strike
Carol
CAMH—Russell Street Site
Assistant
Stuckless
Noreen
CAMH—College Street Site
Assistant
Styra
Rima
UHN—Toronto General Hospital
Assistant
Styrsky
Eva M.
Humber River Hospital
Assistant
Sugarman
Richard
Hospital for Sick Children
Lecturer
Sutton
Peter
Private Practice
Assistant
Svartberg
Martin
Mount Sinai Hospital
Associate
Swayze
Allan G.
North York General Hospital
Assistant
Sy
William
Private Practice
Lecturer
Taerk
Gary
UHN—Toronto General Hospital
Assistant
Tallerico
Teresa
Department of Psychiatry, UofT
Assistant
Tannock
Rosemary
Hospital for Sick Children
Associate
130
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Tarnopolsky
Alex
Mount Sinai Hospital
Full Professor
Taylor
Graeme J.
Mount Sinai Hospital
Full Professor
Teshima
John
SWCHSC—Sunnybrook Site
Lecturer
Thomas
Danielle A.
University Health Service, UofT
Lecturer
Thurairajah
Indranee
CAMH—Queen Street Site
Lecturer
Tolomiczenko
George
St. Joseph’s Health Centre
Assistant
Toneatto
Anthony
CAMH—Russell Street Site
Associate
Toner
Brenda B.
CAMH—College Street Site
Full Professor
Tong
Junchao
CAMH—College Street Site
Assistant
Trainor
John N.
CAMH—Queen Street Site
Assistant
Trepanier
Lisa
Lakeridge Health—Oshawa
Assistant
Tucker
Joan
North York Hospital—Branson Division
Lecturer
Tugg
Lorne
St. Michael’s Hospital
Lecturer
Turner
Robert E.
CAMH—College Street Site
Professor Emeritus
Turner
Tyrone S.
St. Joseph’s Health Centre
Lecturer
Tuters
Kaspars
Private Practice
Assistant
Ulic
Christian
Mount Sinai Hospital
Lecturer
Ungar
Thomas
North York General Hospital
Assistant
Vaccarino
Franco J.
Department of Psychology, UofT
Full Professor
Vachon
Mary L. S.
Private Practice
Full Professor
Vallabhaneni
Madhusudana Rao
Mount Sinai Hospital
Lecturer
Van Reekum
Robert
Baycrest Centre for Geriatric Care
Assistant
Van Tol
Hubert M.
CAMH—College Street Site
Full Professor
Vasdev
Neil
CAMH—College Street Site
Assistant
Verhoeff
Nicolaas Paul
Baycrest Centre for Geriatric Care
Associate
Vincent
John
CAMH—College Street Site
Assistant
Voineskos
George
CAMH—College Street Site
Professor Emeritus
Voon
Valerie
UHN—Toronto Western Hospital
Lecturer
Voore
Peter M.
CAMH—College Street Site
Assistant
Wachsmuth
John R.
Private Practice
Assistant
Waese
Adam
Whitby Mental Health Centre
Lecturer
Waisman
Zohar
North York General Hospital
Lecturer
Walsh
Mary
CAMH—Queen Street Site
Lecturer
Wang
Jun-Feng
CAMH—College Street Site
Assistant
Warme
Gordon
CAMH—College Street Site
Associate
131
Rank
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Last Name
First Name
Site Affiliation
Warner
Jessica
CAMH—Russell Street Site
Assistant
Warsh
Jerry J.
CAMH—College Street Site
Full Professor
Wasylenki
Donald A.
CAMH—College Street Site
Full Professor
Webster
Christopher
Private Practice
Full Professor
Wehrspann
William H.
George Hull Centre
Assistant
Weinstein
Robert
North York General Hospital
Lecturer
Weir
Heather
Private Practice
Lecturer
Westlind
Paul
Mount Sinai Hospital
Lecturer
Westreich
Neal
SWCHSC—Sunnybrook Site
Assistant
Whitney
Diane K.
CAMH—College Street Site
Assistant
Wiebe
Carmen
CAMH—Queen Street Site
Lecturer
Wiener
John
CAMH—College Street Site
Lecturer
Wiesenfeld
Lesley
Mount Sinai Hospital
Lecturer
Wilansky-Traynor
Pamela
CAMH—College Street Site
Lecturer
Wilson
Alan A.
CAMH—College Street Site
Associate
Winocur
Gordon
Baycrest Centre for Geriatric Care
Full Professor
Wisniewska
Anna
Lakehead Psychiatric Hospital
Lecturer
Wittenberg
Jean-Victor
Hospital for Sick Children
Associate
Wolfe
David
CAMH—College Street Site
Full Professor
Wong
Albert
CAMH—College Street Site
Assistant
Wong
Franklin
North York General Hospital
Lecturer
Wong
Jiahui
Mount Sinai Hospital
Assistant
Woo
Vincent
CAMH—Queen Street Site
Lecturer
Woodside
Blake D.
UHN—Toronto General Hospital
Full Professor
Woodside
Scott
CAMH—College Street Site
Lecturer
Yanchyshyn
Gordon
Private Practice
Lecturer
Yeung
Danny
Private Practice
Lecturer
Young
Beverly
SWCHSC—Women’s College Site
Lecturer
Young
Donald
Private Practice
Assistant
Young
L. Trevor
CAMH—College Street Site
Full Professor
Yuen
Sandra
Psychiatric Service—UofT
Lecturer
Yuzda
Edward
North Bay Psychiatric Hospital
Lecturer
Zahlan
Usama
Lake of the Woods District Hospital
Lecturer
Zare-Parsi
Mojgan
North York General Hospital
Lecturer
Zaretsky
Ari
SWCHSC—Sunnybrook Site
Assistant
132
Rank
fac u lt y l ist
Last Name
First Name
Site Affiliation
Zelazo
Philip David
Department of Psychology, UofT
Associate
Zemans
Marcia
CAMH—College Street Site
Lecturer
Zener
Sherry
Baycrest Centre for Geriatric Care
Lecturer
Zielinsky
Ariel
Private Practice
Lecturer
Zikman
Sharon
University Health Service, UofT
Lecturer
Zipursky
Robert B.
CAMH—College Street Site
Full Professor
Zucker
Kenneth J.
CAMH—College Street Site
Full Professor
Zurowski
Mateusz
UHN—Toronto Western Hospital
Lecturer
133
Rank
project funding received
Project Funding Received April 1, 2004, to March 31, 2005
Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Abbey, S.E., Hodges, B.
The Royal College of Physicians & Surgeons of Canada
Is It Feasible and Authentic To Use Standardized Patients Instead of Real Patients in the Royal College Clinical Examinations in Psychiatry?
Addington, J., Zipursky, R., Christensen, B.
National Institutes of Mental Health
Enhancing the Prospective Prediction of Psychosis
Adlaf, E., Gliksman, L., Poulin, C., Wild, C., Demers, A., Kairouz, S.
Alda, M., Turecki, G.X., Young, L.T., Grof, P., Rouleau, G.A.
$8,333 4/1/2003 to 3/31/2004, $25,000 7/1/2001 to 7/1/2004
Type, PI Setting Operating Grant, University Health Network
$192,354 6/1/2003 to 3/31/2004, $1,154,125 6/1/2003 to 2/29/2008
Operating Grant, CAMH
Canadian Social Determinants of Hazardous Institutes of Health Drinking and Other Health Outcomes Research
$192,510 4/1/2003 to 3/31/2004, $616,091 3/1/2003 to 3/31/2006
Operating Grant, CAMH
Canadian Genetic and Molecular Investigations of Institutes of Health Bipolar Disorder Responsive to Lithium Research
$106,303 10/1/2003 to 3/31/2004, $949,328 10/1/2003 to 9/30/2008
Operating Grant, CAMH
$205,573 4/1/2003 to 3/31/2004, $1,081,184 8/1/2001 to 7/30/2006
Operating Grant, CAMH
Allison, K., Adlaf, E., Heart and Stroke Dwyer, J., Goodman, J. Foundation of Ontario
Physical Activity Promotion among Youth
Anderson, N.D.
Natural Sciences and Engineering Council of Canada
Cognitive Mechanisms of Memory Rehabilitation Strategies
Anderson, N.D.
University of Toronto, Dean’s Fund
Recollection and Familiarity in the Frontal Lobes: Effects of Frontal Lobe Tumours
Anderson, N.D., Grady, C.L., Cabeza, R.E., Jennings, J.M., Graham, S.J.
Canadian Memory Interventions for Older Adults Institutes of Health Research
135
$21,000 4/1/2003 to 3/31/2004, $84,000 4/1/2003 to 3/31/2007
Operating Grant, Baycrest Centre for Geriatric Care
$1,994 4/1/2003 to 3/31/2004, $9,972 7/1/2000 to 6/30/2005
Operating Grant, Baycrest Centre for Geriatric Care
$21,051 3/1/2004 to 3/31/2004, $273,665 3/1/2004 to 3/31/2007
Operating Grant, Baycrest Centre for Geriatric Care
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Abbey, S.E., Hodges, B.
The Royal College of Physicians & Surgeons of Canada
Is It Feasible and Authentic To Use Standardized Patients Instead of Real Patients in the Royal College Clinical Examinations in Psychiatry?
Addington, J., Zipursky, R., Christensen, B.
National Institutes of Mental Health
Enhancing the Prospective Prediction of Psychosis
Adlaf, E., Gliksman, L., Poulin, C., Wild, C., Demers, A., Kairouz, S.
Alda, M., Turecki, G.X., Young, L.T., Grof, P., Rouleau, G.A.
$8,333 4/1/2003 to 3/31/2004, $25,000 7/1/2001 to 7/1/2004
Type, PI Setting Operating Grant, University Health Network
$192,354 6/1/2003 to 3/31/2004, $1,154,125 6/1/2003 to 2/29/2008
Operating Grant, CAMH
Canadian Social Determinants of Hazardous Institutes of Health Drinking and Other Health Outcomes Research
$192,510 4/1/2003 to 3/31/2004, $616,091 3/1/2003 to 3/31/2006
Operating Grant, CAMH
Canadian Genetic and Molecular Investigations of Institutes of Health Bipolar Disorder Responsive to Lithium Research
$106,303 10/1/2003 to 3/31/2004, $949,328 10/1/2003 to 9/30/2008
Operating Grant, CAMH
$205,573 4/1/2003 to 3/31/2004, $1,081,184 8/1/2001 to 7/30/2006
Operating Grant, CAMH
Allison, K., Adlaf, E., Heart and Stroke Dwyer, J., Goodman, J. Foundation of Ontario
Physical Activity Promotion among Youth
Anderson, N.D.
Natural Sciences and Engineering Council of Canada
Cognitive Mechanisms of Memory Rehabilitation Strategies
Anderson, N.D.
University of Toronto, Dean’s Fund
Recollection and Familiarity in the Frontal Lobes: Effects of Frontal Lobe Tumours
Anderson, N.D., Grady, C.L., Cabeza, R.E., Jennings, J.M., Graham, S.J.
Canadian Memory Interventions for Older Adults Institutes of Health Research
Arnold, P., Kennedy, J. (Supervisor)
Ontario Mental Health Foundation
Investigation of Serotonin–Dopamine Interaction in Obsessive-Compulsive Disorder: An innovative Strategy Combining Genetics and Neuroimaging
136
$21,000 4/1/2003 to 3/31/2004, $84,000 4/1/2003 to 3/31/2007
Operating Grant, Baycrest Centre for Geriatric Care
$1,994 4/1/2003 to 3/31/2004, $9,972 7/1/2000 to 6/30/2005
Operating Grant, Baycrest Centre for Geriatric Care
$21,051 3/1/2004 to 3/31/2004, $273,665 3/1/2004 to 3/31/2007
Operating Grant, Baycrest Centre for Geriatric Care
**** 4/1/2003 to 3/31/2004, **** 7/1/2001 to 6/30/2004
Fellowship/ Studentship, CAMH
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Atkinson, L., Goldberg, S., Levitan, R., Matthews, S., Kennedy, J., Masellis, M., Basile, V., Leung, E.
Canadian Development of the Cortisol Stress Institutes of Health Response in Infants: Influence of Gene– Research Environment Interaction
Type, PI Setting
$48,911 4/1/2003 to 3/31/2004, $594,172 10/1/2003 to 9/30/2007
Operating Grant, CAMH
Atkinson, L., Levitan, R., Canadian Genetic and Environmental Influences on Matthews, S., Institutes of Health Early Development of the Cortisol Stress Kennedy, J., Research Response Masellis, M., Basile, V., Attia, E.
$170,625 4/1/2003 to 3/31/2004, $682,500 4/1/2003 to 3/31/2007
Operating Grant, Hospital for Sick Children
Kaplan, A.
National Institute of Mental Health
Atypical Antipsychotic Treatment of Anorexia Nervosa
$116,667 4/1/2003 to 3/31/2004, $350,000 4/1/2003 to 3/31/2006
Operating Grant, University Health Network
Bagby, R.M.
Ontario Mental Health Foundation
Patient Dimensions as Predictors of Response, Relapse, and Recurrence Following Cognitive Behavioral Therapy, Interpersonal Psychotherapy, and Pharmacotherapy Treatment of Patients with Major Depression
Bagby, R.M., Harkness, K.
Ontario Mental Health Foundation— Subgrant with Queen’s University
Stress Generation and Recurrent Depression: The Role of Differential Treatment Response
Bagby, R.M., Taylor, G.
Social Sciences and Humanities Research Council of Canada
Development of a Structured Interview to Assess the Alexithymia Construct
Ball, J.
University of Toronto Scholarship in Science and Technology
Dr. Arnie Aberman Graduate
**** 4/1/2003 to 3/31/2004, **** 1/1/2003 to 8/31/2003
Personnel Award, St. Michael’s Hospital
Ball, J.
University of Toronto
Stephen Godfrey Graduate
**** 4/1/2003 to 3/31/2004, **** 1/1/2003 to 8/31/2003
Fellowship/ Studentship Scholarship, St. Michael’s Hospital
137
**** 4/1/2003 to 6/30/2003, **** 7/1/2001 to 6/30/2003
$45,147 10/1/2003 to 3/31/2004, $45,147 10/1/2003 to 3/31/2004
$39,007 4/1/2003 to 3/31/2004, $102,921 6/1/2001 to 3/31/2004
Fellowship/ Studentship, CAMH
Contract, CAMH
Operating Grant, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Barbaree, H., Goering, P., Langton, C., Durbin, J.
Ontario Mental Health Foundation
Evidence-Based Practices in Forensic Mental Health Programs and Services
$21,600 1/1/2004 to 3/31/2004, $43,200 1/1/2004 to 6/30/2004
Operating Grant, CAMH
Barnes, M., Desrochers, A., Tannock, R.
Canadian Language and Literacy Research Network (National Centre of Excellence)
Reading Comprehension in French- and English-Speaking Children: Core Processes and Predictors
$12,846 1/1/2004 to 3/31/2004, $256,910 1/1/2004 to 12/31/2008
Operating Grant, Hospital for Sick Children
Barr, C.L.
Canadian Quantitative Trait Analysis of Cognitive Institutes of Health and Behavioural Phenotypes in Clinical Research, Institute and Population-Based Samples of Genetics Short-term Exchange Grants Competition (CIHR)
$5,217 4/1/2003 to 3/31/2004, $10,000 6/1/2002 to 4/30/2004
Travel/ Conference, University Health Network
Barr, C.L., Humphries, T., Lovett, M., Tannock, R.
Canadian Genetics of Reading Disabilities Institutes of Health Research
$179,729 4/1/2003 to 3/31/2004, $898,643 10/1/2002 to 9/30/2007
Operating Grant, University Health Network
Barr, C.L. , Kennedy, J., Ickowicz, A., Malone, M., Roberts, W.
Canadian Investigation of Genetic Factors of Institutes of Health Attention Deficit Hyperactivity Disorder Research
$220,718 4/1/2003 to 3/31/2004, $662,154 9/1/2002 to 8/31/2005
Operating Grant, Hospital for Sick Children
Barr, C.L., Misener, V., Kennedy, S.
The Krembil Scientific Fund
Investigation of the Inflammatory Development Seed Response System in Risk for Major Depression
$16,667 1/1/2004 to 3/31/2004, $100,000 1/1/2004 to 6/30/2005
Operating Grant, University Health Network
Barr, C.L., Schachar, R., Smith, M.L., Rich, J.B.
Psychiatry Endowment Fund, Hospital for Sick Children
Genetic Variation Influencing VisualSpatial and Verbal Memory in the General Population
$4,967 4/1/2003 to 7/31/2003, $14,902 8/1/2002 to 7/31/2003
Operating Grant, University Health Network
Barwick, M.A., Ferguson, H.B.
Ministry of A Contract between the Ministry of Children andYouth Children and Youth Services and CAFAS Services in Ontario to Implement CAFAS Outcome Assessment in Ontario
$452,766 4/1/2003 to 3/31/2004, $452,766 4/1/2003 to 3/31/2004
138
Contract, Hospital for Sick Children
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Bassett, A.
Canadian Canada Research Chair (Tier I) Institutes of Health Research
Beiser, M., Amrhein, C., Rocha, C., Kilbride, K., Lo, L., Ali, M., Doucet, M., Siemiarycki, M., Khanlou, N., Anisef, P., Murdie, R., George, U., Ratanshi, F., Kwong, W. , Troper, H., Shields, J., Wortley, S.
Social Sciences and Humanities Research Council of Canada
Beiser, M., Fenta, H., Hamilton, H., Khanlou, N.
Canadian Leavers and Stayers: A Comparison of the Institutes of Health Health Development of Ethopian Children Research Growing Up in Toronto and Addis Ababa
Beiser, M., Kaspar, V., Simich, L., Rummens, A., Hamilton, H., Khanlou, N.
Canadian New Canadian Children and Youth Institutes of Health Research Study
Beitchman, J., Johnson, C., Young, A., Atkinson, L., Adlaf, E., Escobar, M., Vohra, S.
**** 4/1/2003 to 3/31/2004, **** 10/1/2002 to 9/30/2009
Type, PI Setting Personnel Award, CAMH
$323,125 4/1/2003 to 3/31/2004, $1,653,750 4/1/2002 to 3/31/2007
Operating Grant, CAMH
$24,018 3/1/2004 to 3/31/2004, $293,337 3/1/2004 to 3/31/2007
Operating Grant, CAMH
$893,329 4/1/2003 to 3/31/2004, $2,467,033 4/1/2001 to 3/31/2005
Operating Grant, CAMH
Canadian The Ottawa Language Study: The Institutes of Health Moderating Effects of Transitional Age Research Outcomes: A 20-Year Follow-up Study
$87,324 4/1/2003 to 3/31/2004, $350,147 10/1/2001 to 3/31/2005
Operating Grant, CAMH
Benazon, N., Baker, B., Goering, L., Sternberg, L.
Canadian Evaluation of the Quality of Care for Institutes of Health Depression in Cardiac Patients Research
$22,732 4/1/2003 to 3/31/2004, $45,464 4/1/2003 to 3/31/2005
Operating Grant, University Health Network
Bennett, J.P., Sekuler, A.B., Grady, C.
Canadian Pattern Recognition and Scene Analysis in Institutes of Health Older Adults Research
$7,515 4/1/2003 to 3/1/2004, $278,040 3/31/2004 to 3/31/2007
Bishop, S.R., Anderson, N.D., Abbey, S.E., Devins, G.M., Segal, Z.V., Lau, M.A.
Canadian Toward a Program of Research in Institutes of Health Mindfulness-Based Stress Reduction: Research Validating and Specifying the Construct of “Mindfullness” and the Development of Self-Report Measure
$62,557 4/1/2003 to 3/31/2004, $171,572 10/1/2001 to 9/30/2004
Joint Centre of Excellence for Research on Immigration and Settlement (CERIS)
139
Operating Grant, Baycrest Centre for Geriatric Care Operating Grant, University Health Network
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Blaine, S., Carroll, J., Worrall, G., Rubenstein, W., Permaul-Woods, J., Gallinger, S., Esplen, M.J., McLaughlin, J.
Canadian Genetic Risk Assessment and Institutes of Health Management of Patients with a Family Research History of Colorectal Cancer: Primary Care Dissemination Project of the CIHR IHRT
Type, PI Setting
$59,784 4/1/2003 to 3/31/2004, $239,135 1/1/2001 to 12/31/2005
Operating Grant, University Health Network
Blanchard, R., Canadian Brain Structure and Function in Pedophiles Christensen, B., Institutes of Health Zipursky, R., Research Mikulis, D., Klassen, P., Dickey, R., Barbaree, H.
$70,970 4/1/2003 to 3/31/2004, $212,910 4/1/2002 to 3/31/2005
Operating Grant, CAMH
Bogo, M., Powe, Regehr, C., Regehr, G.
Social Sciences and Humanities Research Council of Canada
Towards a New Approach for Evaluating Student Field Performance
$33,232 4/1/2003 to 3/31/2004, $99,695 7/1/2002 to 6/30/2005
Operating Grant, University Health Network
Bottorff, J., Esplen, M.J., McCullum, M., Davidson, B.J., Kim-Sung, C., Gelman, K.A., Lamb, S., Kuusk, U.
Canadian Breast Cancer Research Initiative
An Intervention to Support Informed Decision Making about Prophylactic Mastectomy: A Pilot Study
$2,500 4/1/2003 to 6/30/2003, $10,000 7/1/2002 to 6/30/2003
Operating Grant, University Health Network
Bottorff, J., MacCallum, M.K., Balneaves, L.G., Esplen, M.J., Carroll, J.
Canadian Genetic Services and Adult Onset Institutes of Health Hereditary Diseases: Current and Future Research Nursing Roles
$21,719 4/1/2003 to 7/1/2003, $65,158 7/1/2002 to 7/1/2003
Operating Grant, University Health Network
Boydell, K.M., Barwick, M.A., Greenberg, N., Pong, R.
Canadian Knowledge Translation and Exchange Institutes of Health in Children’s Mental Health in Rural Research Communities
$20,978 10/1/2003 to 3/31/2004, $83,911 10/1/2003 to 10/1/2005
Operating Grant, Hospital for Sick Children
Boydell, K.M., Pediatric Greenberg, M., Oncology Group Greenberg, C., of Ontario Speigler, B., Stasiulis, E.
A Participatory Approach to the Development of an Educational Program for Survivors of Childhood Cancer
$12,500 3/31/2003 to 12/31/2003, $15,000 1/1/2003 to 12/31/2003
Contract, Hospital for Sick Children
Boydell, K.M., Greenberg, N., Volpe, T.
The Word on Pediatric Telepsychiatry: Views of Community Practitioners and Consulting Psychiatrists
$12,000 4/1/2003 to 12/31/2003, $12,000 4/1/2003 to 12/31/2003
Contract, Hospital for Sick Children
Ontario Ministry of Community, Family, and Children’s Services
140
project funding received
Investigators
Funding Source
Short Project Title
Award Duration Amount (M/D/Y)
Type, PI Setting
Boydell, K.M., Pong, R.
Canadian Health Services Research Foundation
The Rural Perspective on Continuity of Care: Pathways and Barriers to Care for Children with Emotional and Behavioural Disorders
$51,677 4/1/2003 to 12/31/2003, $178,000 11/1/2001 to 5/15/2004
Operating Grant, Hospital for Sick Children
Boydell, K.M., Trainor, J.
Ontario Ministry of Health and Long Term Care
A Longitudinal Analysis of Family Initiatives in Community Mental Health in Ontario
$48,000 4/1/2003 to 12/31/2003, $368,000 4/1/1998 to 12/31/2003
Operating Grant, Hospital for Sick Children
Bremner, R., Barr, C.L., Eubanks, J., Lozano, A., Guha, A.
The Krembil Scientific Development Seed Fund
A Novel Approach to Identify Elements that Control Gene Expression: Mapping Active Chromatin (MAC)
$50,000 1/1/2004 to 3/31/2004, $300,000 1/1/2004 to 6/30/2005
Operating Grant, University Health Network
Brzustowicz, L., Bassett, A., Cox Matisse, T.
National Institutes of Health
Molecular Genetics of a Schizophrenia Susceptibility
$647,357 4/1/2003 to 3/31/2004, $3,378,876 1/2/2001 to 1/31/2009
Operating Grant, CAMH
Bullock, H., Goering, P.
Canadian Mental Health Association
Mental Health Court Support & Services Operational Policies & Procedures Manual
Busto, U., Mayberg, H.S.
National Institutes of Health
Brain Reward System, Depression and Nicotine Dependence
$121,942 4/1/2003 to 3/31/2004, $365,827 9/1/2001 to 8/31/2004
Operating Grant, Baycrest Centre for Geriatric Care
Busto, U., Naranjo, C., Mayberg, H., Cardenas, L.
National Institute on Drug Abuse
Brain Reward System, Depression, and Nicotine Dependence
$160,500 4/1/2003 to 3/31/2004, $481,500 19/30/2001 to 6/30/2004
Operating Grant, CAMH
Busto, U., Streiner, D., Herrmann, N., Sproule, B.
Canadian The Comparative Pharmacological Effects Institutes of Health of Temazepam, Diphendydramine, and Research Valerian in Elderly Subjects
$53,829 4/1/2003 to 3/31/2004, $173,817 4/1/2001 to 3/31/2004
Operating Grant, CAMH
Butterill, D., Koegl, C., MacFarlane, D., Cripps, M.J., Roberts, A., Schmidt, N.
Resources for Exceptional Children— Durham Region
$59,750 1/19/2004 to 3/31/2004 $59,750 1/19/2004 to 4/30/2004
Contract, CAMH
Resources for Exceptional Children— Durham Region Mobile Crisis Services Program Evaluation
141
$19,280 6/1/2003 to 12/31/2003, $19,280 6/1/2003 to 12/31/2003
Contract, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Butterill, D., Rogers, J., Prendergast, P., Morris, M.
Grand River District Health Council
Towards Meeting the Needs of Residents of Haldimand and Norfolk for Mental Health Acute Care Services
$71,115 10/1/2003 to 3/31/2004, $71,115 10/1/2003 to 3/31/2004
Contract, CAMH
Butterill, D., Rogers, J., Read, N.
Grey Bruce Health Centre
Review of the Schedule 1 Crisis Services at Grey Bruce Health Services
$22,330 2/23/2004 to 3/31/2004, $22,330 2/23/2004 to 5/31/2004
Contract, CAMH
Carlisle, C.
Hospital for Sick Children Research Institute— Research Training Centre
Hospital for Sick Children Research Training Centre RESTRACOMP Award
Carroll, J., Blaine, S., Esplen, M.J., Taylor, D., Summers, A.
Ontario Ministry of Health
Education in Genetics: Education Primary Care and the Public
Carter, J., Olmsted, M.P., Woodside, D.B., Kaplan, A.S.
**** 1/1/2004 to 3/31/2004, **** 1/1/2004 to 12/31/2004
Fellowship/ Studentship, Hospital for Sick Children
$250,000 4/1/2003 to 3/31/2004, $500,000 7/1/2003 to 6/30/2005
Operating Grant, University Health Network
Canadian Relapse in Anorexia Nervosa: A Prospective Institutes of Health Follow-up Study Research
$30,734 4/1/2003 to 3/31/2004, $92,203 4/1/2001 to 3/31/2004
Operating Grant, University Health Network
Castel, S., Rush, B., Toneatto, T.
Canadian Screening and Assessment of Concurrent Institutes of Health Disorders among Clients with Substance Research Use Disorders: The Pilot Project of the Validation of a Self-Assessment Instrument
**** 4/1/2003 to 6/30/2003, **** 7/1/2002 to 6/30/2003
Castellanos, X., Arnsten, A., Gerhadt, G., Tannock, R.
National Institute of Mental Health; Interdisciplinary Research Network on ADHD
Exploratory Analyses of ADHD Dysregulation: Development Project
$41,667 4/1/2003 to 3/31/2004, $125,000 9/1/2002 to 8/31/2005
Cheung, A., Goering, P., Dewa, C.
Ontario Mental Health Foundation
Mental Health Service Utilization by Depressed and Suicidal Youth
$6,516 12/1/2003 to 3/31/2004, $9,774 12/1/2003 to 5/31/2004
Cheung, A., Liu, P., Abramson, B., Stewart, D.E.
Eli Lilly
Clinical Trial of Raloxifene Use in the Heart (RUTH)
142
$25,000 4/1/2003 to 6/30/2003, $500,000 6/30/1998 to 6/30/2003
Fellowship/ Studentship, CAMH
Operating Grant, Hospital for Sick Children
Operating Grant, CAMH
Operating Grant, University Health Network
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Cheung, A.M., Cameron, J., Stewart, D.E., Coyte, P.
Social Sciences and Humanities Council
When Home Care Ends and Institutional Care Begins: A Longitudinal Study of Stroke Survivors and Their Family Caregivers
$40,607 4/1/2003 to 3/31/2004, $121,820 4/1/2001 to 3/31/2004
Operating Grant, University Health Network
Cheung, A.M., Cameron, J.I., Hyman, I., Franche, R.
National Health Research and Program
Development Predicting Emotional Distress in Family Caregivers: Analysis of the Longitudinal National Population Health Survey Data
$1,334 4/1/2003 to 3/31/2004, $24,020 5/1/2000 to 5/1/2003
Operating Grant, University Health Network
Chivers, M.
Social Sciences and Humanities Research Council of Canada
Social Sciences and Humanities Research Council of Canada—Post-doctoral Fellowship Award
Citron, K., Farine, D., Lancee, W., Zaretsky, A., Goldberg, S., Murphy, K.
Canadian Prevention of Postpartum Depression in Institutes of Health Women at Risk: A Randomized Trial of Two Research Prenatal Psychosocial Interventions— Follow-up
Cohen, N.J.
Private
Cohen, N.J., Hughes, J., Raining Bird, E.
Natural Sciences and Engineering Council of Canada
Cohen, N.J., Loikasek, M., Abbey, S.
**** 12/1/2003 to 3/31/2004, **** 12/1/2003 to 11/30/2005
Personnel Award, CAMH
$19,167 4/1/2003 to 8/31/2003, $46,000 9/1/2002 to 8/30/2003
Operating Grant, Mount Sinai Hospital
TLC3: Enhancing the Language and Cognitive Development of Children Aged 0–5 Years
$127,660 4/1/2003 to 3/31/2004, $1,000,000 9/1/1996 to 6/30/2004
Operating Grant, HincksDellcrest Centre
A Longitudinal Study of Children Enrolled in Early Intervention and Prevention Programs: A National Perspective
$32,000 4/1/2003 to 3/31/2004, $71,139 1/1/2004 to 12/31/2004
Operating Grant, HincksDellcrest Centre
Canadian Children Adopted from China: A Institutes of Health Prospective Study of Their Health and Research Development
$73,155 4/1/2003 to 1/31/2004, $219,466 10/1/2002 to 9/30/2005
Operating Grant, HincksDellcrest Centre
Conn, D.K., LeClair, K., Haber, S.
Health Canada— Population Health Initiatives
Canadian Coalition for Seniors’ Mental Health
$125,333 4/1/2003 to 3/31/2004, $188,000 10/1/2002 to 3/31/2004
Operating Grant, Baycrest Centre for Geriatric Care
Court, J., Donsky, J.
Associated Medical Services
2003 Associated Medical Services/Hannah Institute—Archives Internship Award
143
**** 5/1/2003 to 9/1/2003, **** 5/1/2003 to 9/1/2003
Personnel Award, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Short Project Title
Type, PI Setting
Investigators
Funding Source
Cullen, N., Green, R.E.A.
Physicians Services Evaluation of the Model Systems Database Incorporated in Non-Traumatic Brain-Injured Patients
Daskalakis, Z., Kapur, S., Christensen, B., Chen, R.
Canadian A Study of Cortical Inhibition and Plasticity Institutes of Health in Schizophrenia Using Transcranial Research Magnetic Stimulation
****
4/1/2003 to 3/31/2004, **** 4/1/2002 to 3/31/2005
Personnel Award, CAMH
DeLuca, V.
American Foundation for Suicide Prevention
**** 7/1/2003 to 3/31/2004, **** 7/1/2003 to 6/30/2006
Fellowship/ Studentship, CAMH
Devins, G.M., Beiser, M., Siu, L., Rodin, G., Lee, R., Mah, K.
Canadian Cultural Syndromes, Coping, and Institutes of Health the Psychosocial Impact of Illness Research Intrusiveness in Cancer
$192,527 4/1/2003 to 3/31/2004, $941,901 4/1/2001 to 3/31/2006
Operating Grant, CAMH
Dewa, C.
Ontario Ministry of Health and Longterm Care
Dewa, C., Hoch, J., Goering, P.
Canadian The Impacts of Drug Benefit Co-Payment Institutes of Health on the Guideline Recommended Use of Research Antidepressants
$24,887 4/1/2003 to 3/31/2004, $72,159 4/1/2002 to 3/31/2004
Dewa, C., Lesage, A., Savoie, J-Y.
Canadian Interdisciplinary Health Research: 2003 Institutes of Health Subgrant Agreement with the University Research of Toronto
$100,000 4/1/2003 to 3/31/2004, $100,000 4/1/2003 to 3/31/2004
Dewa, C., Lin, E., Gnam, W., Goldner, E., Koehorn, M.
Canadian Psychiatric Disorders, Chronic Physical Institutes of Health Conditions, Workplace Stress, and Research Disability in the Canadian Working Population
$38,398 10/1/2003 to 3/31/2004, $38,398 10/1/2003 to 3/31/2004
Operating Grant, CAMH
Dewa, C., Zipursky, R., Collins, A., Doan, R., Goering, P., Sylvestre, J., Tolomiczenko, G.
Canadian Examining the Cost-Effectiveness and Institutes of Health Effectiveness of a Mobile Treatment Research Approach to Delivering Care for FirstEpisode Psychosis
$19,309 4/1/2003 to 9/30/2003, $123,183 4/1/2002 to 9/30/2003
Operating Grant, CAMH
Suicide Behaviour/Ideation in Schizophrenia and Bipolar Patients: The Role of Serotonergic and Noradrenergic System Genes
$51,759 4/1/2003 to 3/31/2004, $159,589 5/1/2001 to 5/1/2004
**** 4/1/2003 to 3/31/2004, **** 6/1/2001 to 6/30/2006
Career Scientist Award
144
Operating Grant, Others
Personnel Award, CAMH
Operating Grant, CAMH
Contract, CAMH
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Dionne, C., Lesage, N., Dorval, M., Deyo, R.A., Bombadier, C.
Canadian Validity and Applicability of a Predictive Institutes of Health Model of Long-Significant, Back-Related Research Functional Limitations
Djaiani, G., Green, R.E.A.
Canadian Heart and Stroke Foundation
Djaiani, G., Green, R.E.A.
Type, PI Setting
$19,172 4/1/2003 to 3/31/2004, 475,089 2/1/2002 to 12/1/2005
Operating Grant, Others
$86,527 4/1/2003 to 3/31/2004, $266,792 5/1/2001 to 5/1/2004
Operating Grant, Others
Canadian The Impact of Off-Pump Coronary Artery Institutes of Health Bypass Surgery on Development of New Research, RCT Ischemic Brain Infarct, Cognitive Function, and Quality of Life after Cardiac Surgery
$229,632 3/31/2003 to 3/31/2004, $1,000,538 5/1/2004 to 5/1/2009
Operating Grant, Others
Drummond, N., Cohen, C., Currie, G., Dalziel, W., Donaldson, C.
Canadian New Emerging Team Grant: Transitions Institutes of Health and Dementia; Bridging Gaps in Service Research, Institute Provision of Aging
$239,972 4/1/2003 to 3/31/2004, $1,199,859 4/1/2003 to 3/31/2008
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
Dudek, N., Regehr, G., Marks, M.
Royal College of Surgeons of Canada
Duffy, A., Young, T.
Canadian A Longitudinal Study of the Children of Institutes of Health Bipolar Parents Research
Epstein, T., Saltzman-Benaiah, J.
UHN Allied Health Research Grant
Asperger Syndrome Symptoms in Children with Tourette’s Syndrome
Esplen, M.J., DuRoche, P., Bishop, S.
Canadian Foundation for AIDS Research
A Randomzied Controlled Trial of a Mindfulness-Based Stress Reduction Intervention for Men Living with HIV
The Impact of Continuous Flow Cell-Saver on Neurocognitive Decline
Failure to Fail: The Perspectives of Physicians and Clinical Supervisors
145
$8,625 7/1/2003 to 3/31/2004, $11,500 7/1/2003 to 6/30/2004
$90,742 4/1/2003 to 3/31/2004, $272,226 4/1/2001 to 3/31/2004
Operating Grant, University Health Network Operating Grant, CAMH
$1,833 4/1/2003 to 3/31/2003, $2,200 1/1/2003 to 1/1/2005
Operating Grant, University Health Network
$42,603 4/1/2003 to 3/31/2004, $85,205 9/1/2003 to 8/31/2005
Operating Grant, University Health Network
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Esplen, M.J., Leszcz, M., Hunter, J., Glendon, G., Toner, B., Liede, A., Hanna, D., Stuckless, N. , Narod, S., Meschino, W., Bell, M., Warner, E., Wong, J.K., Hoch, J.A.
Canadian Breast Cancer Research Initiative
A Randomized Controlled Trial of a Group Intervention for Women with a Family History of Breast Cancer
Esplen, M.J., Stuckless, N., Berk, T.
National Cancer Development of an Instrument to Measure Institute of Canada Self-Concept in Adults with Familial Adenomatous Polyposis (FAP)
Esplen, M.J., Way, C., Goel, V., Rothenmund, H., Madlensky, L.
Canadian Prospective Longitudinal Study of Institutes of Health Psychosocial and Behavioural Impact of Research Predictive DNA Testing for Hereditary NonPolyposis Colorectal Cancer (HNPCC)
Eva, K.W., Reiter, H., Regehr, G.
Royal College of Physicians and Surgeons of Canada
Farvolden, P., Oakman, J.
Type, PI Setting
$87,272 4/1/2003 to 3/31/2004, $261,815 7/1/2001 to 6/30/2004
Operating Grant, Baycrest Centre for Geriatric Care
$40,000
4/1/2003 to 3/31/2004, $80,000 7/1/2002 to 7/1/2004
Operating Grant, University Health Network
$90,000 4/1/2003 to 3/31/2004, $360,000 1/1/2001 to 12/31/2005
Operating Grant, University Health Network
Knowing When To Look It Up: A New Conception of Self-Assessment Ability
$15,495 7/1/2003 to 3/31/2004, $20,660 7/1/2003 to 6/30/2004
Operating Grant, University Health Network
Social Sciences and Humanities Research Council of Canada
Behavioural Inhibition, Behavioural Activation, Personality, and Novelty
$29,000 4/1/2003 to 3/31/2004, $101,000 4/1/2002 to 3/31/2005
Operating Grant, CAMH
Ferentzy, P., Skinner, W., Antze, P.
Ontario Problem Gambling Research Centre
Exploring Mutual Aid Pathways to Recovery from Gambling Problems and Co-Occurring Gambling and SubstanceAbuse Problems
$130,110 4/1/2003 to 2/1/2004, $152,132 2/1/2003 to 2/1/2004
Operating Grant, CAMH
Fernie, G., Cott, C., Herrmann, N., Jutai, J.
Canadian Enabling Safe, Independent, Powered Institutes of Health Wheelchair Mobility in Long-term Care Research Residents with Cognitive Impairment that Currently Limits Powered Mobility Use
$145,238 4/1/2003 to 3/31/2004, $348,571 10/1/2002 to 9/30/2005
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
Ferrence, R., Cohen, J., Ashley, M.J., Selby, P., Tremblay, P., Broadway, T.
Hospital for Sick Children Foundation
$40,908 4/1/2003 to 12/31/2003, $109,312 1/1/2002 to 12/31/2003
Operating Grant, CAMH
Protecting Children’s Health: The Role of Primary Care Physicians Addressing Environmental Tobacco Smoke (ETS) in Home Environments
146
project funding received
Investigators
Funding Source
Short Project Title
Fischer, B., Brissette, S., Canadian Illicit Opiate Addiction Treatment, Brochu, S., Bruneau, J., Institutes of Health Research and Policy El-Guebaly, N., Research Lauzon, P., Marsh, D., O’Shaughnessy, M., Poulin, C., Rehm, J., Schechter, M., Single, E., Stewart, J., Tyndall, M., Wild, C.
Award Duration Amount (M/D/Y)
Type, PI Setting
$888,307 4/1/2003 to 3/31/2004, $3,191,657 7/1/2001 to 6/30/2005
Operating Grant, CAMH
Fischer, B., Krajden, M., Canadian Priorities-Setting for Socio-Behavioural Rehm, J. Institutes of Health HCV Research Research/Institute of Infection and Immunity and Health Canada
$62,000 4/1/2003 to 9/1/2003, $62,000 10/1/2002 to 9/1/2003
Travel/ Conference, CAMH
Fischer, C.E., Norris, M., Rourke, S.B.
Jansenn Ortho Research Foundation
Predictors of Response to Galantamine among Patients with Alzheimer’s Disease Living in the Inner City of Toronto
$12,000 4/1/2003 to 3/31/2004, $24,000 9/1/2003 to 8/31/2005
Contract, St. Michael’s Hospital
Fischer, C.E., Rourke, S.B., Norris, M.
University of Toronto Dean’s Fund New Staff Grant
Predictors of Response to Cognitive Enhancers in Patients with Alzheimer’s Disease Living in the Inner City of Toronto
$2,000 4/1/2003 to 3/31/2004, $10,000 6/1/2002 to 5/31/2007
Operating Grant, St. Michael’s Hospital
Fletcher, P.
Canadian Serotonin–Dopamine Interactions and Institutes of Health Reward-Related Behaviour Research
$62,200 4/1/2003 to 3/31/2004, $337,826 10/1/1999 to 9/30/2004
Operating Grant, CAMH
Fletcher, P.
Natural Sciences and Engineering Research Council
The Role of the Ventral Pallidum in Mediating Drug Reinforcement
$25,000 4/1/2003 to 3/31/2004, $75,000 4/1/2000 to 3/31/2004
Operating Grant, CAMH
Flint, A., Schaffer, A., Brook, S., Herrmann, N., Levitt, A.
National Institute of Mental Health
Acute Pharmacotherapy of Unipolar Psychotic Depression
147
$836,842 4/1/2003 to 3/31/2004, $954,000 9/1/2002 to 5/31/2007
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Phase II Multicentre, Randomized, Double-blind, Placebo-Controlled Study of the Effect of Daily Treatment with MPC-7869 on Measures of Cognitive and Global Function in Subjects with Mild to Moderate Dementia of the Alzheimer’s Type
$234,630 2/1/2004 to 3/31/2004, $234,630 2/1/2004 to 7/18/2005
Contract, CAMH
The Impact of Multiple Role and Gender Beliefs on Health Behaviours in Parents of Young Children
$52,800 4/1/2003 to 3/31/2004, $198,000 4/1/2001 to 12/1/2004
Operating Grant, Others
Investigators
Funding Source
Short Project Title
Fornazzari, L., Apanasiewicz, N., Nadkarni, S.
Myriad Pharmaceuticals Inc.
Franche, R-L., Minore, B., Mustard, C., Feldberg, G., Roussy, F.
Social Sciences and Humanities Research Council of Canada
Gagliese, L., Moore, M.J., Rodin, G.M., Shepherd, F.A.
Canadian Age Differences in Cancer Pain Institutes of Health Research
$110,425 4/1/2003 to 3/31/2004, $331,275 4/1/2003 to 3/31/2006
Operating Grant, University Health Network
Gagnon, A., Oxman-Martinez, J., Stewart, D.E.
Canadian Pregnancy and Child Bearing in Refugees: Institutes of Health Transitional Health (PACBIRTH) Phase 1 Research
$144,632 4/1/2003 to 3/31/2004, $289,265 4/1/2002 to 3/31/2004
Operating Grant, University Health Network
Gagnon, A.J., Oxman-Martinez, J., Janssen, P.A., Stewart, D.E.
Canadian Development of Migration and Institutes of Health Reproductive Health Studies Research
$91,667 4/1/2003 to 2/28/2004, $100,000 3/1/2003 to 2/28/2004
Operating Grant, University Health Network
Gagnon, N., Flint, A.J.
Toronto Rehabilitation Institute Research Institute
Psychological and Psychiatric Aspects of Fear of Falling in the Elderly
**** 4/1/2003 to 6/30/2003, **** 7/1/2001 to 6/30/2003
Gagnon, N., Flint, A.J., Alibhai, S., Goldlist, B., Naglie, G.
Drummond Foundation
Psychological and Psychiatric Aspects of Fear of Falling in the Elderly
$15,000 4/1/2003 to 3/31/2004, $30,000 4/1/2002 to 3/31/2004
Operating Grant, University Health Network
Gayner, B., Esplen, M., DeRoche, P., Bishop, S.
Canadian Foundation for AIDS Research
A Randomized Controlled Trial of a Mindfullness-Based Stress-Reduction Intervention for Men Living with HIV
$10,375 1/1/2004 to 3/31/2004, $83,000 1/1/2004 to 1/1/2006
Operating Grant, CAMH
148
Fellowship/ Studentship, University Health Network
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Gayner, B., Esplen, M.J., Bishop, S., DeRoche, P.
Canadian Foundation for AIDS Research
A Randomized Controlled Trial of Mindfulness-Based Stress-Reduction to Manage Affective Symptoms and Improve Quality of Life in Men Living with HIV
$23,520 9/1/2003 to 3/31/2004, $84,000 9/1/2003 to 9/1/2005
Operating Grant, Mount Sinai Hospital
Ginovart, N., Kapur, S., Houle, S.
Canadian Imaging Endogenous Dopamine Institutes of Health Levels with In Vivo (11C) Raclopride Research Displacement Studies: Understanding the True Mechanism
$98,050 4/1/2003 to 3/31/2004, $297,550 3/1/2002 to 3/31/2005
Operating Grant, CAMH
Ginsburg, S., Regehr, G., Lingard, L.
National Board of Translating Theory into Practice: Towards Medical Examiners an Authentic Assessment of Professional Behaviour and Reasoning
$26,177 7/1/2003 to 3/31/2004, $69,806 7/1/2003 to 6/30/2005
Operating Grant, University Health Network
Gnam, W.
Workers’ Compensation Board of British Columbia
Profiling the Mental Health and Service Utilization of WCB Claimants
$55,155 4/1/2003 to 3/31/2004, $110,310 9/1/2002 to 8/31/2004
Operating Grant, CAMH
Gnam, W., Mustard, C., Lin, E., Dewa, C., Rush, B.
Ontario Mental Health Foundation
The Economic Costs of Mental Disorders, Alcohol, Tobacco, and Illicit Drugs in Ontario
$159,958 4/1/2003 to 3/31/2004, $319,916 12/1/2002 to 11/30/2004
Operating Grant, CAMH
Goel, V., Gallinger, S., Esplen, M.J., McLaughlin, J.
Canadian Screening in Relatives of Ontario Institutes of Health Colorectal Cancer Patients Research
$28,272 4/1/2003 to 12/31/2003, $75,393 1/1/2001 to 12/31/2003
Operating Grant, University Health Network
Goering, P.
City of Toronto
$77,500 6/6/2003 to 3/31/2004, $77,500 6/6/2003 to 3/31/2004
Contract, CAMH
Goering, P.
Canadian Canadian Health Services Research Institutes of Health Foundation Chair Award Research
Goering, P., Macfarlane, D.
Hotel Dieu Hospital & Niagara Health System
Supporting Communities Partnership Program: Health, Mental Health, and Addiction Treatment Needs of People Who Are Homeless
Mental Health Transition in Niagara
149
**** 4/1/2003 to 9/1/2003, **** 9/1/2000 to 9/1/2003 $10,142 5/1/2003 to 3/31/2004, $10,142 5/1/2003 to 3/31/2004
Personnel Award, CAMH
Contract, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Goering, P., Macfarlane, D., Cheung, A.
Grey Bruce Huron Perth District Health Council
Grey Bruce Health Services: Child & Adolescent Inpatient Psychiatric Services
$13,926 1/15/2004 to 3/31/2004, $13,926 1/15/2004 to 4/15/2004
Contract, CAMH
Grace, S.L., Gucciardi, E., DeMelo, M., Lee, R.
Banting and Best Diabetes Centre
Evaluating Nutritional Outcomes in Portuguese Clients with Type 2 Diabetes Who Attend a Diabetes Interactive Group Education Program
$3,750 4/1/2003 to 6/30/2003, $15,000 7/1/2001 to 6/30/2003
Operating Grant, University Health Network
Grace, S.L., Stewart, D.E., Abramson, B., Brooks, D., Jaglal, S., Scholey, P.
Canadian Health Services Research Foundation
An Evidence-Based Health Services Evaluation of Informational and Management Continuity in Heart Patients
$65,665 4/1/2003 to 3/31/2004, $196,994 6/1/2003 to 5/31/2006
Operating Grant, University Health Network
Grady, C.
Canadian Age-Related Differences in Working Institutes of Health Memory for “What” and “Where” in the Research Auditory System
$4,835 4/1/2003 to 3/31/2004, $178,890 3/1/2004 to 3/31/2007
Operating Grant, Baycrest Centre for Geriatric Care
Grady, C., Mayberg, H.S.
Medical Research Council of Canada
Age-Related Changes in Cortico-Limbic Brain Networks for Episodic Memory
$118,800 4/1/2003 to 3/31/2004, $594,000 3/1/2000 to 2/27/2005
Operating Grant, Baycrest Centre for Geriatric Care
Graham, K., Rehm, J., Demers, A., Nadeau, L., Poulin, C., Dell, C.A., Kairouz, S.
Canadian A Multinational Perspective on Gender, Institutes of Health Alcohol, and Health: GENACIS Canada, Research A National Survey To Be Done in Collaboration with the International GENACIS Project
$282,117 4/1/2003 to 3/31/2004, $1,291,938 3/1/2003 to 3/31/2007
Operating Grant, CAMH
Green, R.E.A.
Canadian Natural History and Mechanisms of Institutes of Health Cognitive and Motor Recovery Following Research TBI: An 18-Month Prospective Study
Greenwood, C., Binns, M., van Reekum, R.
Canadian Food-Intake Patterns in Institutionalized Institutes of Health Seniors with Cognitive Impairment Research
Grigoriadis, S., Kennedy, S.H., Robinson, G.E.
University of Toronto Faculty of Medicine Dean’s Fund
A Preliminary Study of the Effect of the Menstrual Cycle on the Symptoms of Depression and Antidepressant Blood Levels: A Comparison of Premenopausal, Perimenopausal, and Postmenopausal Women
150
$78,332 3/31/2003 to 3/31/2004, $139,878 5/1/2003 to 5/1/2005 $31,135 1/1/2004 to 3/31/2004, $384,000 1/1/2004 to 1/31/2007 **** 6/1/2003 to 3/31/2004, **** 6/1/2003 to 5/31/2008
Operating Grant, Others
Operating Grant, Baycrest Centre for Geriatric Care Fellowship/ Studentship, University Health Network
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Grigoriadis, S., Kennedy, S.H.
C.R. Younger Foundation
Depression in Women
Gurevich, M., Bishop, S., Sanders, L., Stuart, C.
Social Sciences and Humanities Research Council of Canada
Traumatic Stress in Youth in Care: Strengthening Self-Regulation, Competencies, and Identities
$7,000 4/1/2003 to 1/1/2004, $7,000 1/1/2003 to 1/1/2004
Operating Grant, CAMH
Gurevich, M., Rodin, G.M., Devins, G.M., Easson, A., Bishop, S., Stuart, C.
Social Sciences and Humanities Research Council of Canada
Stress Response Syndromes in Breast Cancer: The Moderating Role of MeaningMaking
$5,000 4/1/2003 to 1/1/2004, $5,000 1/1/2003 to 1/1/2004
Operating Grant, CAMH
Guttman, M.
Kyowa Pharmaceutical Inc.
A 12-Week, Double-blind, PlaceboControlled, Randomized, Multicentre Study of the Efficacy of 20 and 60 mg/day KW-6002 as Treatment for Parkinson’s Disease in Patients with Motor Response Complications on Levodopa/Carbidopa Therapy
$144,661 4/1/2003 to 9/1/2003, $144,661 1/13/2003 to 9/1/2003
Contract, CAMH
Guttman, M.
Kyowa Pharmaceuticals Inc.
A 12-Week, Double-blind, PlaceboControlled,Randomized, Multicentre Study of the Efficacy of 40 mg/day KW-6002 as Treatment for Parkinson’s Disease in Patients with Motor Response Complications on Levodopa/Carbidopa Therapy
$70,354 4/1/2003 to 6/1/2003, $209,583 5/1/2002 to 6/1/2003
Contract, CAMH
Guttman, M.
Kyowa Pharmaceuticals Inc.
A Long-term Multicentre, Open Label, Safety Study with a Flexible Dose Range of KW-6002 as Treatment for Parkinson’s Disease in Patients with Motor Response Complications on Levodopa/Carbidopa Therapy
$102,150 4/1/2003 to 3/31/2004, $135,000 7/1/2002 to 6/30/2004
Contract, CAMH
Guttman, M.
National Institutes of Health
PREDICT-HD (Neurobiological Predictors of Huntington’s Disease)
$79,140 4/1/2003 to 3/31/2004, $158,280 9/1/2001 to 8/31/2005
Operating Grant, CAMH
Guttman, M.
National Parkinson Foundation, Inc.
National Parkinson Foundation Centre of Excellence Award
$65,950 4/1/2003 to 9/30/2003, $65,950 10/1/2002 to 9/30/2003
Contract, CAMH
**** 4/1/2003 to 3/31/2004, **** 4/1/2003 to 4/1/2005
151
Personnel Award, University Health Network
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Guttman, M.
Novartis Pharmaceuticals Canada Inc.
A Randomized, Double-blind, PlaceboControlled, Parallel Group, Multicentre, Dose-Ranging, Efficacy and Safety Study of Three Doses of TCH 346 in Patients with Early Parkinson’s Disease
$45,708 4/1/2003 to 3/31/2004, $104,832 3/1/2003 to 11/1/2003
Contract, CAMH
Guttman, M.
Ontario Ministry of Health and Longterm Care
Movement Disorder Multidisciplinary Research Project
$565,660 4/1/2003 to 3/31/2004, $1,715,623 3/1/2002 to 2/28/2005
Contract, CAMH
Guttman, M.
Sanofi-Synthelabo Canada Inc.
A Phase II, Randomized, Multicentre, Multinational, Double-blind, PlaceboControlled Study of the Effect of SR57667B on Dopaminergic Nigro-Striatal Function Assessed by 18F-Dopa PET Imaging in Outpatients with Early Parkinson’s Disease
$5,000 10/1/2003 to 3/31/2004, $193,440 10/1/2003 to 9/30/2006
Contract, CAMH
Halman, M., Maggi, J.
Department of Psychiatry, University of Toronto
Exploration of Collaboration Potentials in HIV Mental Health Care in South Africa
$10,000 4/1/2003 to 3/31/2004, $10,000 1/1/2003 to 12/31/2003
Travel/ Conference, St. Michael’s Hospital
Heinz, L., Russell, A., Lojkasek, M., Cohen, N.
Department of Justice
Program Evaluation of the Boundless Adventures Association’s Early Intervention Pilot Project
$60,000 4/1/2003 to 3/31/2004, $286,400 8/21/2000 to 12/1/2004
Contract, Baycrest Centre for Geriatric Care
Herrmann, N., Lanctot, K.L.
Boehringer Ingelheim Canada
A Phase II Double-blind, Randomized Dose-Ranging, Placebo-Controlled, Multicentre, Safety and Efficacy Evaluation of Three Doses of NS2330 in Patients with Mild to Moderate Alzheimer’s
$99,228 4/1/2003 to 3/31/2004, $107,498 2/1/2003 to 1/31/2004
Contract, Sunnybrook & Women’s College Health Sciences Centre
Herrmann, N., Lanctot, K.L.
Lundbeck
A Randomized, Double-blind, Parallel Group Study Examining the Efficacy and Safety of Memantine on Behavioural Symptoms in Patients with Moderate to Severe Dementia of the Alzheimer’s Type
$12,907 12/1/2003 to 3/31/2004, $116,160 12/1/2003 to 11/30/2006
Contract, Sunnybrook & Women’s College Health Sciences Centre
Herrmann, N., Lanctôt, K.L., Busto, U.E., Moosa, S.
The Consortium of Canadian Centres for Clinical Cognitive Research (C5R)
Development of a Dextroamphetamine Challenge Paradigm To Probe the Role of the Dopaminergic Brain Reward System in Apathy Associated with AD
$5,833 4/1/2003 to 1/31/2004, $7,000 2/1/2003 to 1/31/2004
Contract, Sunnybrook & Women’s College Health Sciences Centre
152
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Herrmann, N., Lanctôt, K.L., Naranjo, C.A.
Janssen Ortho Inc.
Canadian Outcome Study in Dementia (COSID)
Hilton, N.Z., Harris, G.T., Rice, M.E.
Social Sciences and Humanities Research Council of Canada
Prediction and Causation of Wife Assault: Risk Assessment and Health Correlates
$57,924 4/1/2003 to 3/31/2004, $231,695 4/1/2001 to 3/31/2005
Operating Grant, University Health Network
Hodges, B.
University of Toronto, Dean’s Excellence Fund
Linking Clinical Teachers and Basic Scientists: A Quantitative and Qualitative Evaluation of a Pedagogical Partners Program
$10,000 3/31/2003 to 6/30/2003, $30,000 7/1/2002 to 6/30/2003
Operating Grant, University Health Network
Holden, J., Garcin, N., Lewis, M.E.S., Minnes, P., Bradley, E., Hennen, B., Lunsky, Y., Ouellett-Kuntz, H., Mccreary, B., Rajcan-Separovic, E.
Canadian HEIDI: Healthcare Equity for Intellectually Institutes of Health Disabled Individuals Research
$91,667 4/1/2003 to 3/1/2004, $100,000 3/1/2003 to 3/1/2004
Operating Grant, CAMH
Honer, W.G., Phillips, A.G., Thornton, A., Kennedy, J.
Canadian Interactions of Development, Early Institutes of Health Research Life Experience, and Genetic Predisposition in Schizophrenia
$37,000 4/1/2003 to 3/31/2004, $1,178,570 3/1/2002 to 2/28/2007
Operating Grant, CAMH
Houle, S., McIntosh, R.
Ontario Research and Development Fund
BRAIN (Behavioural Research and Imaging Network)
$463,000 4/1/2003 to 3/31/2004, $2,315,000 1/1/2001 to 12/31/2006
Operating Grant, CAMH
Houle, S., Wilson, A., Kapur, S., Meyer, J., Ginovart, N., Bloomfield, P.
GlaxoSmithKline Research & Development Limited
CAMH–GSK Research Collaboration
$3,252,300 11/1/2003 to 3/31/2004, $7,012,504 11/1/2003 to 4/1/2009
Contract, CAMH
Hunter, J., Cohen, L.
National Cancer Institute
Chemotherapy and Mindfulness Relaxation: A Randomized Trial of the National Institute of Health; Community Clinical Oncology Program
$60,000 1/1/2004 to 3/31/2004, $1,000,000 12/18/2003 to 1/1/2008
Operating Grant, Mount Sinai Hospital
153
$8,369 4/1/2003 to 3/31/2004, $33,475 7/1/2000 to 6/30/2004
Contract, Sunnybrook & Women’s College Health Sciences Centre
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Irvine, J., Ritvo, P., Kalman, P.G., McKelvie, R.S., Katz, J.
Heart and Stroke Foundation of Ontario
Home Exercise Training for Patients with Intermittent Claudication
$39,063 4/1/2003 to 3/31/2004, $312,504 7/1/2001 to 6/30/2003
Operating Grant, University Health Network
Jain, U., Barton, R., Jain, P., Bassarath, L.
Janssen-Ortho Inc.
The Effectiveness of Concerta vs. Usual Clinical Care with Immediate Release Methylphonidate (IR-MPH) in Children (6–12 Years) with Attention Deficit Hyperactivity Disorder (ADHD): A Randomized, Open-Label Trial
$30,650 4/1/2003 to 3/31/2004, $30,650 4/1/2003 to 3/31/2004
Contract, CAMH
Kan, P., Petronis, A. (Supervisor)
Ontario Mental Health Foundation
Epigenetic Analysis of Multicopy DNA Elements in Major Psychosis
**** 4/1/2003 to 3/31/2004, **** 7/1/2002 to 6/30/2005
Kaplan, A., Walsh, T., Woodside, B., Olmsted, M., Carter, J.
National Institute of Mental Health
Fluoxetine after Weight Restoration in Anorexia Nervosa
$218,750 4/1/2003 to 3/31/2004, $875,000 4/1/2000 to 3/31/2004
Operating Grant, University Health Network
Kaplan, A.S. , Woodside, D.B.
National Institute of Mental Health
Multi-Site Study: Genetics of Anorexia Nervosa
$130,000 4/1/2003 to 3/31/2004, $650,000 7/1/2002 to 6/30/2007
Operating Grant, University Health Network
Kapur, S.
Canadian Canada Research Chair (Tier II) Institutes of Health Research
Kapur, S., Allison, F.
National Alliance for Research on Schizophrenia and Depression
The Effect of Antipsychotics on Maternal Behaviour: Identifying the Underlying Behavioural and Neurobiological Mechanisms
$64,499 4/1/2003 to 3/31/2004, $128,998 9/15/2002 to 9/14/2004
Operating Grant, CAMH
Kapur, S., Apiquian, R., Ulloa, E., Fresan, A., Nicolini, H.
Stanley Research Foundation
Amoxapine as an Atypical Antipsychotic: A Comparative Study vs. Risperidone
$22,555 4/1/2003 to 10/1/2003, $90,220 10/1/2001 to 10/1/2003
Operating Grant, CAMH
Kapur, S., Fletcher, P., Tallerico, T., Becker, S., Seeman, P.
Ontario Mental Health Foundation
Decoding Schizophrenia: Putting the Neurochemistry, Cognition, Affect, and Neural Networks Pieces Together; Linking Genes
$246,167 4/1/2003 to 3/31/2004, $984,670 9/1/2002 to 8/31/2006
Operating Grant, CAMH
154
**** 4/1/2003 to 3/31/2004, **** 1/1/2001 to 1/1/2006
Fellowship/ Studentship, CAMH
Personnel Award, CAMH
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Kapur, S., Mamo, D.,
Bristol-Myers Squibb Canada Co.
Central 5HT1A, 5HT2A and D2—Receptor Occupancy by Aripiprazole in Patients with Schizophrenia or Schizoaffective Disorder: A PET Study
Kapur, S., McClelland, R.B., Nobrega, J.N., Rompre, P.P.
Type, PI Setting
$322,380 12/15/2003 to 3/31/2004, $322,380 12/15/2003 to 11/15/2004
Contract, CAMH
Canadian The Pharmacological Basis of Atypical Institutes of Health Antipsychotic Activity: A New Hypothesis Research
$153,555 4/1/2003 to 3/31/2004, $767,775 4/1/2001 to 3/31/2006
Operating Grant, CAMH
Kapur, S., Remington, G.
Janssen Pharmaceutical Inc.
$138,320 5/1/2003 to 12/1/2003, $138,320 5/1/2003 to 12/1/2003
Contract, CAMH
Kaspar, V.
Canadian Health and Development of Immigrant Institutes of Health and Minority Children and Youth Research
Kaspar, V., Hou, F., Wickrama, K.
Canadian Trajectories of Mental Disorders for Racial Institutes of Health and Ethnic Minority Youth Research
$85,681 3/1/2004 to 3/31/2004, $1,248,319 3/1/2004 to 3/31/2009
Operating Grant, CAMH
Kaspar, V., Noh, S., Hou, F., Wickrama, K.A.S.
Canadian Racial and Ethnic Disparities in Adolescent Institutes of Health Mental Health Research
$61,612 4/1/2003 to 3/31/2004, $256,342 3/1/2003 to 3/31/2006
Operating Grant, CAMH
Katz, J., Gagliese, L., Snindelaar, D., Stewart, D
Medical Research Council of Canada
$7,500 4/1/2003 to 6/30/2003, $90,000 7/1/200 to 6/30/2003
Operating Grant, University Health Network
Katz, M., Irish, J., Devins, G.M.
National Cancer A Randomized Controlled Trial of Institute of Canada Psychoeducation vs. Standard Care in Oral Cancer Patients
$80,594 4/1/2003 to 3/31/2004, $141,040 6/1/2002 to 3/31/2004
Operating Grant, University Health Network
$26,971 4/1/2003 to 3/31/2004, $80,913 1/1/2002 to 12/31/2004
Operating Grant, University Health Network
Katz, M., Kennedy, S., Organon Canada Abbey, S.E., Warr, D., Ltd. Moore, M., Waldron, J., Caric, Z.
RIS-USA—305 PET Scanning
Gender Differences in Pain and Analgesic Response to Kappu and Mu Opioids after Surgery
A Randomized Controlled Trial of Mirtazapine vs. Citalopram in Depressed Cancer Patients
155
**** 4/1/2003 to 6/30/2003, **** 7/1/2001 to 6/30/2003
Personnel Award, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Kayomiv, L., Lowe, A.
Sanofi-Synthelabo
Zolpidem: Mr. Elderly Insomnia Clinical Trial
$5,000 4/1/2003 to 3/31/2004, $10,000 2/1/2003 to 1/31/2005
Contract, University Health Network
Kayumov, L., Lowe, A.
Cephalon Inc.
A Phase III (R-Modofinil) Multicentre, Randomized, Double-blind, PlaceboControlled, Parallel-Group Study To Evaluate the Efficacy and Safety of 12 Weeks of Study Drug at a Dose TBD as Treatment for Adults with Excessive Sleepiness Associated with Narcolepsy
$80,000 4/1/2003 to 3/31/2004, $80,000 1/1/2004 to 12/31/2004
Contract, University Health Network
Kayumov, L., Lowe, A.
Cephalon Inc.
Study of Patients with EDS Associated with Chronic Shift-Work Sleep Disorder
$100,000 4/1/2003 to 3/31/2004, $100,000 1/1/2004 to 12/31/2004
Contract, University Health Network
Kayumov, L., Lowe, A.
Neurocrine Biosciences Inc.
A Phase III, Randomized, Double-blind, Placebo-Controlled, Outpatient Study to Assess the Long-term Safety and Efficacy of Two Dose Levels of NBI-34060 in Adult Patients with Primary Insomnia, Study No. NBI 34060-IR-0114
$23,077 4/1/2003 to 3/31/2004, $50,000 12/1/2001 to 1/31/2004
Contract, University Health Network
Keating, D.P., Miller, F.K., Sagar, A., Landy, S., Atkinson, L., Bradley, S., Wittenberg, J.V.
Change Foundation
Aggression Problems in Young Children: Early Intervention in a Community-Based Approach
$43,455 4/1/2003 to 11/1/2003, $100,000 11/1/2001 to 11/1/2003
Operating Grant, CAMH
Kennedy, J., Macciardi, F., Bradwejn, J., Koszycki, D.
Canadian Genetic Factors for Panic Disorders Institutes of Health Research
$122,973 4/1/2003 to 3/31/2004, $368,919 4/1/2001 to 3/31/2004
Operating Grant, CAMH
Kennedy, J., Macciardi, F., Wong, A., Muglia, P., Masellis, M.
Canadian Strategies for Gene Discovery in Institutes of Health Schizophrenia Research
$144,141 4/1/2003 to 3/31/2004, $445,141 10/1/2002 to 9/30/2005
Operating Grant, CAMH
Kennedy, J., Muglia, P., Jain, U.
Ontario Mental Health Foundation
$43,622 4/1/2003 to 3/31/2004, $87,244 4/1/2002 to 3/31/2004
Operating Grant, CAMH
ADHD in Adulthood: Identification of Genetic Risk Factors
156
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Khanlou, N.
Social Sciences and Humanities Research Council of Canada
Centre of Excellence for Research on Immigration and Settlement (CERIS) Health Domain Leader Funding
$17,400 4/1/2003 to 3/31/2004, $33,300 4/1/2002 to 3/31/2004
Operating Grant, CAMH
Khanlou, N., Siemiatycki, M., Anisef, P.
Social Sciences and Humanities Research Council of Canada
Immigrant Youth and Cultural Identity in a Global Context
$44,022 4/1/2003 to 3/31/2004, $82,302 4/1/2003 to 3/31/2006
Operating Grant, CAMH
Kish, S.J., Guttman, M., Warsh, J., Saint-Cyr, J., Houle, S., Blake, J., Schapiro, C., Wilson, A.
Michael J. Fox Foundation
PET Neuroimaging Study of the Brain Serotonin Transporter in Parkinson’s Disease
$10,921 4/1/2003 to 5/31/2003, $131,056 5/1/2001 to 5/30/2003
Operating Grant, CAMH
Kish, S.J., Mundo, E., Warsh, J., Saint-Cyr, J., Houle, S., Blake, J., Schapiro, C., Wilson, A.
Canadian Do Serotonin Transporter Gene Institutes of Health Polymorphisms Influence Transporter Research Expression in Human Brain?
$108,495 4/1/2003 to 3/31/2004, $332,882 10/1/2001 to 9/31/2004
Operating Grant, CAMH
Klein, R., Arnell, K., Joannisse, M., Barr, C.L., Tannock, R.
Network Centres of Excellence: Canadian Language & Literacy Research Network
Cognitive Neuroscience of Rapid Naming and Its Contribution to Reading Ability
$43,333 8/1/2003 to 3/31/2004, $260,000 8/1/2003 to 7/31/2007
Operating Grant, Hospital for Sick Children
Klein, R., Barr, C.L., Tannock, R., Joanisse, M., Arnell, K.
Canadian Language and Literacy Research Network (CLLRNet)
Rapid Naming and Its Contribution to Reading Ability: Cognitive Neuroscience and Genetics
$71,567 4/1/2003 to 3/31/2004, $214,700 1/1/2003 to 12/31/2005
Operating Grant, University Health Network
Kocovski, N., Rector, N.A. (Supervisor)
Social Sciences and Humanities Research Council of Canada
Cognitive Models of Social Anxiety: Post-doctoral Fellowship Award
Kotecha, S., Van Tol, H.
Canadian Biophysical and Physiological Institutes of Health Characterization of a Novel Member of the Research TRP Channel Family
157
**** 4/1/2003 to 3/31/2004, **** 9/1/2002 to 8/31/2004
Fellowship/ Studentship, CAMH
$22,167 9/1/2003 to 3/31/2004, $111,500 9/1/2003 to 5/31/2006
Operating Grant, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Kovaks, M., Vetro, A., Kennedy, J.L., Barr, C.L., Devlin, B.
National Institutes of Health (Subgrant Agreement with University of Pittsburgh)
Depression Risk Factors in Childhood Onset
Krahn, M., Holowaty, E., Naglie, G., Irvine, J., Ritvo, P.
Type, PI Setting
$390,412 7/1/2003 to 3/31/2004, $390,412 7/1/2003 to 6/30/2004
Contract, CAMH
Canadian Population-Based Estimates of Cost and Institutes of Health Quality of Life in Prostate Cancer Research
$104,095 4/1/2003 to 3/31/2004, $520,474 4/1/2002 to 3/31/2007
Operating Grant, University Health Network
Krank, M.D., Stacy, A., Wall, A.M., Wekerle, C., Lai, D.
Social Sciences and Humanities Research Council of Canada
A Longitudinal Study of Social Context, Cognition, Risk-Taking Behaviour, and Health Outcomes
$168,278 4/1/2003 to 3/31/2004, $498,884 4/1/2001 to 3/31/2004
Operating Grant, CAMH
Kurdyak, P.
Canadian Psychiatric Research Foundation
Pharmacological Treatment of Depression: Is Guideline-Level Treatment Offset by Reduction in Health Service Utilization
**** 7/1/2003 to 3/31/2004, **** 7/1/2003 to 6/30/2004
Fellowship/ Studentship, CAMH
Lai, J., Li, P. (Supervisor)
University of Toronto
Gs-Mediated Signalling and Apoptosis
**** 9/30/2003 to 3/31/2004, **** 9/30/2003 to 3/31/2004
Fellowship/ Studentship, CAMH
Lalumière, M.L., Coté, K.
Social Sciences and Humanities Research Council of Canada
The Influence of Birth Order on Development: A Study of Adoptees
Lanctôt, K.L., Hemels, M., Oh, P.I.
Workplace Safety & Insurance Board
An Analysis of Concomitant Utilization of Cyclooxygenase-2 (COX-2) Specific Inhibitors and Gastroprotective Agents by WSIB Claimants 2001 to 2002
$31,208 4/1/2003 to 10/31/2003, $53,500 11/1/2002 to 10/31/2003
Contract, Sunnybrook & Women’s College Health Sciences Centre
Lanctôt, K.L., Herrmann, N., Busto, U.E., Black, S.E.
Alzheimer’s Disease Research Program– American Health Assistance System Foundation
Dopaminergic and Apathy in Alzheimer’s Disease
$50,000 4/1/2003 to 3/31/2004, $100,000 4/1/2003 to 3/31/2005
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
158
$49,000 4/1/2003 to 3/31/2004, $165,000 4/1/2001 to 3/31/2004
Operating Grant, CAMH
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Lanctôt, K.L., Herrmann, N., Eryavec, G.M.
Alzheimer Society of Canada
The Role of the GABAergic System in Behavioural Disorders Associated with Alzheimer’s Disease
$49,706 4/1/2003 to 3/31/2004, $99,412 9/1/2001 to 8/30/2003
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
Lanctôt, K.L., Rapoport, M., McCullagh, S., Feinstein, A., Herrmann, N.
Ontario Mental Health Foundation
The Serotonin Transporter Gene Polymorphism and Major Depression following Traumatic Brain Injury
$51,528 5/1/2003 to 3/31/2004, $117,108 5/1/2003 to 5/31/2005
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
Lanctôt, K.L., Rochon, P., Black, S., Freedman, M., Gurwitz, H., Herrmann, N., Streiner, D.
Alzheimer Society of Canada
Interactions between Herbal Medicines and Conventional Drug Therapy
$59,737 4/1/2003 to 3/31/2004, $119,474 4/1/2002 to 3/31/2004
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
Le, A.D., Fletcher, P.
National Institute on Alcohol Abuse and Alcoholism
Role of Serotonin in Stress-Induced Relapse to Alcohol
$185,188 4/1/2003 to 3/31/2004, $740,750 4/1/2002 to 3/31/2006
Operating Grant, CAMH
Lesperance, F., Baker, B.
Canadian A Randomized, Control Trial of Institutes of Health Interpersonal Psychotherapy and Research Citalopram for Depression in Coronary Artery Disease
$191,913 4/1/2003 to 3/31/2004, $1,343,393 9/1/2001 to 9/1/2005
Operating Grant, University Health Network
Levitan, R., Masellis, M., Kaplan, A., Basile, V., Macciardi, F., Kennedy, S., Lam, R.
Ontario Mental Health Foundation
Polymorphisim in Serotonin System Genes: Putative Role in Increased Food Intake in Bulimia Nervosa (BN) and Seasonal Affective Disorder (SAD)
$65,000 4/1/2003 to 3/31/2004, $130,000 4/1/2002 to 3/31/2004
Operating Grant, CAMH
Levitan, R., Masellis, M., Kaplan, A., Basile, V., Macciardi, F., Kennedy, S., Lam, R.
Ontario Mental Health Foundation
Polymorphisim in Serotonin System Genes: Putative Role in Increased Food Intake in Bulimia Nervosa (BN) and Seasonal Affective Disorder (SAD)
**** 4/1/2003 to 3/31/2004, **** 7/1/2002 to 6/30/2005
Fellowship/ Studentship, CAMH
159
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Li, M., Kapur, S. (Supervisor)
Ontario Mental Health Foundation
The Disruptive Effects of Antipsychotics on Maternal Behaviour: Identifying the Underlying Mechanisms
Li, P., Warsh, J.
National Alliance for Research on Schizophrenia and Depression
Calcium and Endoplasmic Reticulum Stress Signalling in Bipolar Affective Disorder
$76,942 9/15/2003 to 3/31/2004, $131,900 9/15/2003 to 9/14/2005
Operating Grant, CAMH
Li, P., Warsh, J.
Ontario Mental Health Foundation
Pathophysiological Significance of Altered cAMP Signalling in Bipolar Affective Disorder
$64,989 4/1/2003 to 3/31/2004, $129,948 4/1/2002 to 3/31/2004
Operating Grant, CAMH
Lin, E., Cairney, J.
Ontario Mental Health Foundation
Research Access and Privacy: The Feasibility of Linking Administrative Data and the Canadian Community Health Survey
$12,877 12/1/2003 to 3/31/2004, $38,630 12/1/2003 to 11/30/2004
Operating Grant, CAMH
Lin, E., Dewa, C., Rhodes, A.E., Andrews, D.F.
Canadian Data Linkage Using Probalistic Population Institutes of Health Estimation: Implications for Mental Health Research and Addictions Services Research
$28,496 10/1/2003 to 3/31/2004, $54,492 10/1/2003 to 9/30/2004
Operating Grant, CAMH
Lin, E., Goering, P., Durbin, J.
Ontario Hospital Association
Ontario Hospital Association Subgrant Agreement with the University of Toronto
$775,350 4/1/2003 to 3/31/2004, $775,350 4/1/2002 to 3/31/2005
Contract, CAMH
Lingard, L., Regehr, G., Baker, R., Orser, B., Doran, D., Reznick, R., Grober, E.
Canadian Team Talk: An Intervention to Structure Institutes of Health Information-Sharing and Promote Patient Research Safety in the Operating Room
$62,459 4/1/2003 to 3/31/2004, $124,918 7/1/2002 to 6/30/2004
Operating Grant, University Health Network
Links, P., Strike, C., Rhodes, A.E., Bergmans, Y., Spence, J.M.
Canadian Suicidal Men, Emergency and Primary Institutes of Health Care Providers: Access and Continuity of Research Care Issues
$41,693 10/1/2003 to 3/31/2004, $114,675 10/1/2003 to 9/30/2005
Operating Grant, St. Michael’s Hospital
Links, P.S.
Arthur Sommer Rotenberg Chair in Suicide Studies
**** 4/1/2003 to 3/31/2004, **** 1/1/2002 to 12/31/2006
Personnel Award, St. Michael’s Hospital
Arthur Sommer Rotenberg Chair in Suicide Studies
160
**** 4/1/2003 to 3/31/2004, **** 7/1/2002 to 6/30/2005
Fellowship/ Studentship, CAMH
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
$4,445 4/1/2003 to 3/31/2004, $160,000 5/1/2000 to 4/30/2003
Operating Grant, St. Michael’s Hospital
$95,197 4/1/2003 to 3/31/2004, $362,280 4/1/2001 to 3/31/2004
Operating Grant, CAMH
Investigators
Funding Source
Short Project Title
Links, P.S., Rourke, S.B., Ferris, L., Dawe, I., Read, N., Wasylenki, D.
Community Mental Health Initiative
Evaluation of Crisis Occurrence and Resolution in Patients with Severe and Persistent Mental Illness
Liu, F.
Canadian Novel Model of G-Protein Coupled Institutes of Health Receptor and Ligand-Gated Ion Channel Research Crosstalk
Liu, F.
Canadian Institutes of Health Research & Canadian Stroke Network & Astrazeneca & Heart & Stroke Foundation
Protein–Protein Interactions in the Regulation of AMPA Receptor-Mediated Neurotoxicity
Liu, F.
Canadian Psychiatric Research Foundation
Dopamine D1:NMDA Receptor Protein: Protein Interactions: Implications for Schizophrenia
$40,000 4/1/2003 to 3/31/2004, $80,000 7/1/2002 to 6/30/2004
Operating Grant, CAMH
Liu, F.
Heart and Stroke Foundation of Ontario
Protein–Protein Interactions in the Regulation of AMPA Receptor-Mediated Neurotoxicity
$46,823 7/1/2003 to 3/31/2004, $124,860 7/1/2003 to 6/30/2005
Operating Grant, CAMH
Liu, F.
National Alliance for Research on Schizophrenia and Depression
Functional Crosstalk between Dopamine D1:NMDA Receptor Implication for Schizophrenia
$29,678 7/1/2003 to 3/31/2004, $79,141 7/1/2003 to 6/30/2005
Operating Grant, CAMH
Liu, F.
National Alliance for Research on Schizophrenia and Depression
Ligand-Gated GABA-A and Dopamine D5 Receptor Protein–Protein Interaction in Post-mortem Schizophrenia Brain
$6,494 4/1/2003 to 6/30/2003, $77,932 7/1/2001 to 6/30/2003
Operating Grant, CAMH
Loisel, P., Franche, R-L.
Canadian Work Disability Prevention CIHR Strategic Institutes of Health Training Research
$354,098 4/1/2003 to 3/31/2004, $1,800,000 9/1/2002 to 9/1/2007
Operating Grant, Others
Lunsky, Y., Goering, P., Bradley, E.
Ontario Mental Health Foundation
**** 4/1/2003 to 3/31/2004, **** 7/1/2002 to 6/30/2005
Fellowship/ Studentship, CAMH
Dual Diagnosis in the Provincial Psychiatric Hospitals: A Population-Based Study
161
**** 7/1/2003 to 3/31/2004, **** 7/1/2003 to 6/30/2006
Personnel Award, Dr. Henry J.M. Barnett Research Award
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Short Project Title
Type, PI Setting
Investigators
Funding Source
Lye, S., Bernstein, A., Pawson, A.J., Rossant, J.
Canadian The Samuel Lunenfeld Research Institute Institutes of Health Interface Training Program Research
Maggi, J., Rourke, S.B.
Ontario HIV Treatment Network
The Impact of Personality Characteristics on Adherence to Medication Treatment in HIV Disease
**** 4/1/2003 to 3/31/2004, **** 9/1/2002 to 8/31/2004
Fellowship/ Studentship, St. Michael’s Hospital
Mah, K.
Medical Research Council Post-doctoral Fellowship
The Impact of Coping Style and Treatment Environment on Patient Self-Concept in Bone Marrow Transplantation Recipients
**** 4/1/2003 to 4/30/2003, **** 5/1/2000 to 4/30/2003
Fellowship/ Studentship, University Health Network
Mainwaring, L., Green, R.E.A.
The Pashby Foundation
The University of Toronto/Toronto Rehab Varsity Athlete Concussion Program
$10,769 3/31/2003 to 3/31/2004, $10,000 5/1/2003 to 5/1/2004
Operating Grant, Others
Martucci, L., Kennedy, J. (Supervisor)
Canadian Pharmacogenetics of Antipsychotic Institutes of Health Medication Response in Schizophrenia Research
Maunder, R., Greenberg, G., Lancee, W., Tannenbaum, D., Nolan, R.
Canadian Identifying a Subtype of Ulcerative Colitis Institutes of Health that Is Sensitive to Stress Research
162
$300,000 4/1/2003 to 3/31/2004, $1,500,000 9/1/2002 to 8/31/2007
**** 4/1/2003 to 3/31/2004, **** 4/1/2001 to 3/31/2004 $85,760 1/4/2003 to 3/31/2004, $257,281 4/1/2001 to 3/31/2004
Operating Grant Applying Genomics to Human Health, University Health Network
Fellowship/ Studentship, CAMH
Operating Grant, Mount Sinai Hospital
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Canadian Psychological and Occupational Impact Institutes of Health of the SARS Outbreak on Healthcare Research Workers
$13,889 3/1/2004 to 3/31/2004, $250,000 3/1/2004 to 8/31/2005
Operating Grant, Mount Sinai Hospital
Mayberg, H.S., Kennedy, S., Segal, Z.
Canadian Limbic-Cortical Metabolic Changes as a Institutes of Health Final Common Pathway of Depression Research Remission: A Comparison of Reboxetine and Cognitive Behavioural Therapy
$109,812 4/1/2003 to 3/31/2004, $439,249 6/1/2001 to 5/31/2005
Operating Grant, Baycrest Centre for Geriatric Care
Mayberg, H.S., Lozano, A., Kennedy, S.
National Alliance for Research on Schizophrenia and Depression
$109,812 4/1/2003 to 3/31/2004, $100,000 5/1/2002 to 4/30/2003
Operating Grant, Baycrest Centre for Geriatric Care
McCay, E., Leszcz, M., Zipursky, R., Roy, P., Andeen, L., Beanland, H., Ryan, K.
Canadian A Group Intervention to Promote Healthy Institutes of Health Self-Concepts and To Mitigate SelfResearch Stigmatization and Engulfment in FirstEpisode Schizophrenia
$50,994 4/1/2003 to 3/31/2004, $152,982 4/1/2003 to 3/31/2006
Operating Grant, Baycrest Centre for Geriatric Care
McIntosh, A.R., Zemel, R.S., Henkelman, R.M., Kapur, S., Fletcher, P.
Canadian Development of Integrative Institutes of Health Computational Neuroscience Program to Research Understand Human Mental Function
$504,167 4/1/2003 to 3/31/2004, $1,210,000 3/1/2002 to 2/28/2007
Operating Grant, CAMH
McLaughlin, J., Gallinger, S., Rahman, P., Green, J., Goel, V., Knight, J., Holowaty, E., Bull, S., Bapat, B., Esplen, M.J., Redston, M.
Canadian Interdisciplinary Studies of the Institutes of Health Determinants, Impact, and Control Research of Colorectal Cancer: A Genetic, Epidemiological, and Population-Based Approach
$1,288,774 4/1/2003 to 3/31/2004, $5,155,094 1/1/2001 to 12/31/2005
Operating Grant, University Health Network
Investigators
Funding Source
Maunder, R., Lancee, W., McGillis Hall, L., Hunter, J., Gupta, M., Rourke, S., Balderson, K., Raymond, G., Nagle, L., Bennett, J., Peczeniuk, S., Petryshe, P., Steinberg, R., Pain, C., Stewart, T., Borgundvaag, B., Fernandes, C., Wasylenki, D., Goldbloom, D., Veldhorst, G., Coke, S.
Short Project Title
Deep Brain Stimulation for Refractory Major Depression
163
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
McMain, S., Gnam, W., Links, P., Cardish, B., Korman, L., Dawe, I., Quastel, A.
Canadian Hope for Chronically Suicidal Patient: Institutes of Health Evaluating the Clinical and Health Services Research Impact of Dialetical Behaviour Therapy in Individuals with Borderline Personality Disorder
McNeely, H.
University of Toronto
McNeely, H., Christensen, B., Lau, M., Alain, C.
Ontario Mental Health Foundation
Meaney, M., Atkinson, L. Evans, C., Fleming, A., Goldberg, S., Ross, L.
Canadian Maternal Adversity, Vulnerability, and Institutes of Health Neurodevelopment (MAVAN) Research
Meyer, J.H.
Canadian 5-HT2A Receptors in Suicidality and Institutes of Health Impulsivity (New Investigator) Research
Meyer, J.H., Houle, S., Ginovart, N., Wilson, A., Young, T.
Canadian Monoamine Oxidose A Before and After Institutes of Health Treatment of Depression Research
Meyer, J.H., Kennedy, S., Houle, S.
Canadian 5-HT2A Receptors in Suicidality and Institutes of Health Impulsivity Research
Millikin, C., Rourke, S.B.
Ontario HIV Treatment Network
Misener, V., Barr, C.L.
Research Training Centre, Hospital for Sick Children
Type, PI Setting
$251,024 4/1/2003 to 3/31/2004, $932,364 10/1/2002 to 9/30/2007
Operating Grant, CAMH
Neurophysiology of Emotion Processing in Major Depressive Disorder
$2,000 4/1/2003 to 3/31/2004, $10,000 7/1/2002 to 6/30/2007
Operating Grant, CAMH
Neurophysiology of Cognitive Inhibition Deficits in Major Depressive Disorder
$47,346 4/1/2003 to 3/31/2004, $93,892 4/1/2003 to 3/31/2005
Operating Grant, CAMH
$519,100 8/1/2003 to 3/31/2004, $3,750,000 8/1/2003 to 7/31/2008
Operating Grant, Hospital for Sick Children
**** 4/1/2003 to 3/31/2004, **** 7/1/2001 to 6/30/2006
Personnel Award, CAMH
$7,288 10/1/2003 to 3/31/2004, $7,288 10/1/2003 to 3/31/2004
Operating Grant, CAMH
$29,151 4/1/2003 to 9/30/2003, $176,406 10/1/200 to 9/30/2003
Operating Grant, CAMH
Neurocognitive Functioning in HIV/AIDS: Impact of HAART and Time-Course of Response
**** 4/1/2003 to 3/31/2004, **** 9/1/2002 to 8/31/2004
Fellowship/ Studentship, St. Michael’s Hospital
Investigation of Key Genes in Dopamine Receptor D1 Signalling Pathways in Attention Deficit Hyperactivity Disorder
**** 4/1/2003 to 3/31/2004, **** 8/1/2002 to 7/31/2004
Fellowship/ Studentship, University Health Network
164
project funding received
Investigators
Funding Source
Short Project Title
Award Duration Amount (M/D/Y)
Type, PI Setting
Misener, V., Barr, C.L., Schachar, R., Cheyne, D., Pérusse, D.
New Emerging Team (NET) Grant Program, CIHR
Inattention, Impulsiveness, and Restlessness in Childhood: Heritability, Genetics, Neuropsychology, and Psychophysiology (KIDNET)
$249,917 4/1/2003 to 3/31/2004, $1,249,585 7/1/2002 to 6/30/2007
Operating Grant, University Health Network
Muglia, P., Kennedy, J., Jain, U., Turner, N.
Ontario Problem Gambling Research Centre
Identification of Genetic Risk Factors for Pathological Gambling
$174,750 4/1/2003 to 2/1/2004, $209,700 2/1/2003 to 2/1/2004
Muller, D., Kennedy, J. (Supervisor)
Canadian Molecular Genetic Studies on Weight Gain Institutes of Health in Antipsychotic Treatment Research
Mundo, E.
National Alliance for Research on Schizophrenia and Depression
Naglie, G., Beattie, B., Bergman, H., Black, S., Borrie, M.F.
Canadian Canadian Alzheimer’s Disease Quality of Institutes of Health Life Study Research
$62,824 4/1/2003 to 3/31/2004, $188,473 4/1/2002 to 3/31/2005
Operating Grant, University Health Network
Naglie, G., Beattie, B., Bergman, H., Black, S., Borrie, M.F.
University Health Network— Toronto
$188,473 4/1/2003 to 3/31/2004, $565,419 10/1/2002 to 9/30/2005
Operating Grant, Baycrest Centre for Geriatric Care
Naranjo, C., Busto, U., Mayberg, H., Herrmann, N.
Canadian Brain Reward System Dysfunction in Institutes of Health Major Depressive Disorder: An fMRI Study Research
$22,655 4/1/2003 to 3/31/2004, $67,964 4/1/2001 to 3/31/2004
Operating Grant, CAMH
Naranjo, C.A., Busto, U.E., Graham, S.J., Mayberg, H.S.
Canadian Brain Reward System Dysfunction in Institutes of Health Major Depressive Disorder: An fMRI Study Research
$62,567 4/1/2003 to 3/31/2004, $218,986 4/1/2001 to 9/30/2004
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
In Vivo Expression of the Serotonin Transporter Gene in Bipolar Disorder Patients with Antidepressant-Induced Mania
Canadian Alzheimer’s Disease Quality of Life Study
165
**** 4/1/2003 to 3/31/2004, **** 10/1/2002 to 9/30/2005 $39,516 4/1/2003 to 3/31/2004, $79,032 7/1/2002 to 6/30/2004
Operating Grant, CAMH
Fellowship/ Studentship, CAMH
Operating Grant, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Naranjo, C.A., Herrmann, N., Busto, U.
Ontario Mental Health Foundation
Central Serotonin Dysfunction and Alcohol Dependence
Ni, X., Kennedy, J. (Supervisor)
Canadian Psychiatric Research Foundation
Searching for Major Susceptibility Genes for Bipolar Disorder Differential Screening of Gene Initiation Sequences
Nicholas, D., Young, N., Boydell, K.M., Hetherington, R., King, G., Lach, L.
Canadian An Evaluation of the Relevance Feasibility Institutes of Health and Validity of Web-Based Data Collection Research for Children
$29,500 2/1/2004 to 3/31/2004, $177,000 2/1/2004 to 1/31/2005
Operating Grant, Hospital for Sick Children
Nobrega, J.
Ontario Mental Health Foundation
Brain Substrates of Persistent Dyskinesia Induced by Antipsychotic Drugs
$66,938 4/1/2003 to 3/31/2004, $133,876 4/1/2003 to 3/31/2005
Operating Grant, CAMH
Nolan, R., Nolan, R.P., Rouleau, J., Franche, R-L., Stewart, D.E., Grace, S.L., Tardif, G.
Heart and Stroke Foundation of Ontario
Community Outreach Heart Health Risk Reduction Trials (COHRT)
$207,761 4/1/2003 to 3/31/2004, $1,160,000 6/1/2001 to 12/1/2006
Operating Grant, Others
Nolan, R.P., Ruckholm, E., Stewart, D.E., Angus, J., Rouleau, J. L., Franche, R-L., Rosser, W.
Heart and Stroke Foundation of Ontario
Community Outreach and Heart Health Risk Reduction Trials (COHRT) Component Study 1: Efficacy of Group Outreach Methodology
$291,071 4/1/2003 to 3/31/2004, $1,164,283 4/1/2002 to 3/31/2006
Operating Grant, University Health Network
Oxman-Martinez, J., Khanlou, N., Weerasinghe, S., Agnew, V., Hanley, J., Poulin De Courval, L.
Canadian Intersecting Barriers to Health Disparities Institutes of Health for Immigrant Women with Precarious Research Status
$100,000 1/15/2004 to 3/31/2004, $100,000 1/15/2004 to 3/31/2004
Operating Grant, CAMH
Palmour, R.M., Vaccarino, F.J., Bateson, A.N., Baker, G.B., Ervin, F., Gutkowska, J., Chaudhuri, A.
Canadian CCK and Anxiety: Neurobiological Institutes of Health Characterization Research
$23,235 4/1/2003 to 3/31/2004, $565,400 9/1/1998 to 9/1/2004
Operating Grant, CAMH
166
$64,790 4/1/2003 to 3/31/2004, $129,580 4/1/2002 to 3/31/2004
**** 4/1/2003 to 3/31/2004, **** 7/1/2001 to 6/30/2004
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre Fellowship/ Studentship, CAMH
project funding received Award Duration Amount (M/D/Y)
Short Project Title
Type, PI Setting
Investigators
Funding Source
Parikh, S.
Canadian Atypical Antipsychotics for Continuation Institutes of Health and Maintenance Treatment after Research an Acute Manic Episode: Subgrant Agreement with UBC
$25,200 4/1/2003 to 11/30/2003, $25,200 12/1/2002 to 11/30/2003
Parikh, S., Zaretsky, A., Canadian Psychoeducation vs. Cognitive Streiner, D., Yatham, L., Institutes of Health Behavioural Therapy in Bipolar Disorder Beaulieu, S., Siotis, I.P., Research Levitt, A.J., Young, T.
$216,400 4/1/2003 to 3/31/2004, $683,300 4/1/2002 to 3/31/2005
Operating Grant, CAMH
Parikh, S.V., Zaretsky, A.
Stanley Research Foundation
Cognitive Behavioural Therapy vs. Psychoeducation in Bipolar Disorder
$17,807 4/1/2003 to 6/30/2003, $142,452 7/1/2001 to 6/30/2003
Operating Grant, CAMH
Petronis, A.
Canadian Psychiatric Research Foundation
Epigenetics of “Junk” DNA: Insights for Finding the Genes of Major Psychosis
$40,000 4/1/2003 to 3/31/2004, $80,000 7/1/2002 to 6/30/2004
Operating Grant, CAMH
Petronis, A.
Crohn’s and Colitis Foundation of Canada
Epigenetic Regulation of the Tumour Necrosis Factor Gene in Crohn’s Disease
$14,810 4/1/2003 to 7/1/2003, $177,714 7/1/2000 to 7/1/2003
Operating Grant, CAMH
Petronis, A.
National Alliance for Research on Schizophrenia and Depression
Epigenetic Studies of Chromosome 22 in Major Psychosis
$38,471 9/15/2003 to 3/31/2004, $131,900 9/15/2003 to 9/14/2005
Operating Grant, CAMH
Petronis, A.
National Alliance for Research on Schizophrenia and Depression
Epigenetic Studies of the Serotonin Receptor 2A Gene in Schizophrenia
**** 4/1/2003 to 6/30/2003, **** 6/1/2001 to 6/30/2003
Personnel Award, CAMH
Petronis, A.
Ontario Mental Health Foundation
Epigenetic Studies of Chromosome 22 in Major Psychosis
**** 7/1/2003 to 3/31/2004, **** 7/1/2003 to 6/30/2005
Fellowship/ Studentship, CAMH
Petronis, A.
Ontario Mental Health Foundation
Epigenetics of Schizophrenia
**** 4/1/2003 to 6/30/2003, **** 7/1/2001 to 6/30/2003
Fellowship/ Studentship, CAMH
Petronis, A., Singh, S., Wong, A., Vincent, J., Macciardi, F.
Ontario Mental Health Foundation
Epigenetic Studies of Chromosome 22 in Major Psychosis
$250,000 4/1/2003 to 3/31/2004, $500,000 7/1/2002 to 6/30/2004
Operating Grant, CAMH
167
Contract, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Ramsay, J.T.
Ontario HIV Treatment Network
Using Functional Magnetic Resonance Imaging (fMRI) to Investigate the Recovery of Neural Substrates in HIV/AIDS
Ravindran, A.
Astrazeneca Canada Inc.
Seroquel as Augmenting Agent in Treatment-Resistant ObsessiveCompulsive Disorder: An Open Study
$96,000 4/1/2003 to 3/31/2004, $496,000 6/1/2002 to 10/1/2004
Contract, CAMH
Ravindran, A.
Ontario Problem Gambling Research Centre
Separate and Combined Effects of Cognitive Behaviour Therapy and Medication on Pathological Gambling
$33,452 4/1/2003 to 6/30/2003, $210,000 2/2/2002 to 6/30/2003
Operating Grant, CAMH
Ravindran, A., Cooke, R.
Hoffman-La Roche
RO 67-5930 in Major Depressive Disorder: A Placebo and Paroxetine Controlled Study of Efficacy and Safety
$160,481 8/1/2003 to 3/31/2004, $160,481 8/1/2003 to 6/30/2004
Contract, CAMH
Rector, N.A., Richter, M., Gemar, M., Denisoff, E.
Canadian Cognitive and Behavioural Treatment Institutes of Health of Obsessive-Compulsive Disorder: The Research Role of Cognitive Factors in Treatment Response and Relapse
$34,963 4/1/2003 to 3/31/2004, $134,963 4/1/2001 to 3/31/2004
Operating Grant, CAMH
Rector, N.A., Richter, M., Gemar, M., Denisoff, E.
Ontario Mental Health Foundation
Cognitive Behavioural Therapy for CoMorbid OCD and Major Depression
$44,504 4/1/2003 to 3/31/2004, $90,545 4/1/2002 to 3/31/2004
Operating Grant, CAMH
Remington, G.
National Alliance for Research on Schizophrenia and Depression
Antipsychotic Medication Extended Closing Study
$64,821 4/1/2003 to 3/31/2004, $129,643 9/1/2002 to 8/30/2004
Operating Grant, CAMH
Remington, G.
Pfizer Canada Inc.
5HT2 Receptor Occupancy of Oral Ziprasidone Hydrochloride in Patients with Schizophrenia
$130,496 5/1/2003 to 3/31/20004, $130,496 5/1/2003 to 3/31/2004
Contract, CAMH
Remington, G., Kapur, S.
Stanley Research Foundation
Augmentation of Clozapine Partial Responders with Tetrabenazine
$75,903 4/1/2003 to 3/31/2004, $227,708 3/1/2002 to 4/30/2005
Operating Grant, CAMH
Remington, G., Turrone, P.
Astrazeneca Canada Inc.
Revisiting the VCM Model of Tradive Dyskinesia to D2 Receptor Occupancy
$9,500 4/1/2003 to 3/31/2004, $19,000 4/1/2003 to 3/31/2004
Contract, CAMH
168
**** 4/1/2003 to 3/31/2004, **** 9/1/2003 to 8/31/2005
Fellowship/ Studentship, St. Michael’s Hospital
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Rhodes, A.E.
Ontario Ministry of Health and Longterm Care
The Population-Based Care of Depression and Suicidal Individuals
Richter, M.A., Kennedy, J., Summerfeldt, L., Mundo, E., Macciardi, F., Arnold, P.
Ontario Mental Health Foundation
OCD: An Innovative Genetic Study Utilizing Genomic Controls and Endophenotypes
Ritvo, P., Fong, G., Krahn, M., Lewellyn-Thomas, H., O’Connor, A., Griffin, D., Irvine, J.
National Centres of Excellence Grant
The Social Science of Novel BioTechnology
Ritvo, P., Keating, A., Nevill, T., Gue, D., Shaw, B.J., Irvine, J., Murray, C., Avery, J., Gary, R., Tomlinson, S., Neitzert, C. Weiser, K., Andrykowski, M.
**** 4/1/2003 to 3/31/2004, **** 7/1/2003 to 6/30/2008 $69,996 4/1/2003 to 3/31/2004, $139,992 4/1/2003 to 3/31/2005
Type, PI Setting Personnel Award, St. Michael’s Hospital Operating Grant, CAMH
$120,500 4/1/2003 to 3/31/2004, $482,000 4/1/2000 to 3/31/2004
Operating Grant, University Health Network
National Cancer Assisting Stem Cell Transplant Patients in Institute of Canada the First Year of Post-Transplant Recovery
$13,167 4/1/2003 to 6/30/2003, $158,000 7/1/2000 to 6/30/2003
Operating Grant, University Health Network
Rockwood, K., McKnight, C., Jarrett, P., Strong, H., Gorman, M.
Canadian Evaluating the Effects of Galantamine Institutes of Health HBr Using Goal Attainment Scaling (GAS) Research in a Placebo-Controlled Trial of Mild to Moderate Alzheimer’s Disease Subjects
$151,800 4/1/2003 to 3/31/2004, $455,399 7/1/2001 to 6/30/2004
Operating Grant, Baycrest Centre for Geriatric Care
Rodin, G., Daneman, D., Olmsted, M., Colton, P.
Canadian A Longitudinal Study of Eating Institutes of Health Disturbances, Psychosocial Functioning, Research and Medical Complications in Adolescent Girls and Young Women with Type 1 Diabetes Mellitus
$59,411 4/1/2003 to 3/31/2004, $178,233 4/1/2003 to 3/31/2006
Operating Grant, University Health Network
Rodin, G., Donner, A., Gagliese, L., Huggins, M.A., Jones, J.
Canadian A Prospective Study of the Will To Live and Institutes of Health the Desire for Death in Patients with Lung Research and Pancreatic Cancer
$65,492 4/1/2003 to 3/31/2004, $245,596 4/1/2003 to 12/31/2006
Operating Grant, University Health Network
Rodin, G.M.
Canadian A Multidisciplinary Approach to Improving Institutes of Health Well-being and Health Care Delivery in Research Individuals with Advanced or Terminal Disease
$5,000 12/1/2003 to 1/31/2004, $5,000 12/1/2003 to 1/31/2004
Operating Grant, University Health Network
169
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Ross, L., Steele, L.
Lesbian and Gay Community Appeal
Emotional Well-being in Lesbian Mothers (Phase 1)
Ross, L., Steele, L., Epstein, R., Strike, C., Toner, B.
Canadian Mental Health in Lesbian Mothers: A Pilot Institutes of Health Study of Preconception through the First Research Postpartum Year
Rotzinger, S., Vaccarino, F. (Supervisor)
Alberta Heritage Foundation for Medical Research
The Role of Glutamate and CRF Projections in the Amygdala in Anxiety
Rourke, S.B.
Health Canada
Adding Life to Years: Building the Community’s Capacity To Identify and Treat Depression in People Living with HIV/AIDS
$124,420 4/1/2003 to 3/31/2004, $134,788 3/1/2003 to 3/31/2004
Operating Grant, St. Michael’s Hospital
Rourke, S.B.
Ontario HIV Treatment Network
Neurobehavioural Program of Research in HIV/AIDS
$117,956 4/1/2003 to 3/31/2004, $353,428 4/1/2002 to 3/31/2005
Operating Grant, St. Michael’s Hospital
Rourke, S.B.
Ontario HIV Treatment Network
Neurobehavioural Program of Research in HIV/AIDS
**** 4/1/2003 to 3/31/2004, **** 4/1/2002 to 3/31/2007
Personnel Award, St. Michael’s Hospital
Rush, B., Adlaf, E., Vincent, S., Corea, L.
Ontario Problem Gambling Research Centre
Assessing the Geo-Spatial Association in Ontario between the Prevalence of Problem Gambling, Treatment Availability, and Help Seeking
$106,821 5/1/2003 to 3/31/2004, $233,064 5/1/2003 to 4/30/2005
Operating Grant, CAMH
Rush, B., Norman, R., Kirsch, B., Wild, C.
Ontario Mental Health Foundation
Assessing the Critical Characteristics of Community Support Programs for People with Severe Mental Illness
$79,361 4/1/2003 to 3/31/2004, $397,697 1/1/1999 to 3/31/2004
Operating Grant, CAMH
Rush, B., Strike, C., Castel, S., Wild, C.T., Somers, J.M.
Canadian Concurrent Substance Use and Mental Institutes of Health Disorders in Canada: Prevalence and Research Impact on Service Utilization
$37,500 10/1/2003 to 3/31/2004, $37,500 10/1/2003 to 3/31/2004
Operating Grant, CAMH
Sadavaoy, J., Lancee, W., Chan, K.C.
EJLB Foundation
Optimizing the Pathway to Healthcare Utilization: A Consumer Decision Support Kiosk
170
$1,310 4/1/2003 to 3/31/2004, $1,310 4/1/2003 to 3/31/2004
Operating Grant, CAMH
$48,601 1/15/2004 to 3/31/2004, $48,601 1/15/2004 to 3/31/2004
Operating Grant, CAMH
**** 4/1/2003 to 6/30/2003, **** 7/1/2000 to 6/30/2003
$35,000 9/1/2003 to 3/31/2004, $60,000 9/1/2003 to 8/1/2004
Fellowship/ Studentship, CAMH
Operating Grant, Mount Sinai Hospital
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Saltzman-Benaiah, J., Sandor, P., McAndrews, M.P.
University of Toronto Faculty of Medicine
Functional Magnetic Resonance Imaging (fMRI) of Rewards-Based Learning in Tourette’s Syndrome
Sandor, P., Barr, C.L.
National Institutes of Health
A Genetic Linkage Study of GTS
$120,951 4/1/2003 to 3/31/2004, $604,753 4/1/2000 to 3/31/2005
Operating Grant, University Health Network
Sandor, P., Barr, C.
National Institute of Mental Health
Molecular Genetics of Tourette’s Syndrome
$102,950 4/1/2003 to 3/31/2004, $604,750 4/1/2000 to 3/31/2005
Operating Grant, University Health Network
Sanford, M., Levitt, A., Dubo, E., Cheung, A., Garland, J., Steele, M., Nixon, M., Santor, D., Besant, J.
Canadian A Double-blind Placebo-Controlled Institutes of Health Discontinuation of Citalopram in Research Adolescents with Major Depression: Subgrant Agreement with Sunnybrook and Women’s College Health Sciences Centre
$50,333 4/1/2003 to 3/31/2004, $50,333 4/1/2002 to 3/31/2005
Contract, CAMH
Santa Mina, E.
Canadian Adult Suicide and Childhood Institutes of Health Maltreatment Research
**** 4/1/2003 to 3/31/2004, **** 4/1/2003 to 3/31/2004
Fellowship/ Studentship, St. Michael’s Hospital
Scalco, M.Z.
Canadian Prediction and Early Treatment of Institutes of Health Alzheimer’s Disease in Depressed Elderly Research, Institute of Aging
**** 4/1/2003 to 3/31/2004, **** 4/1/2002 to 3/31/2004
Fellowship/ Studentship, Baycrest Centre for Geriatric Care
Schachar, R., Ickowicz, A., Perusse, D., Richter, M.A., Barr, C.
Canadian Attention Deficit Hyperactivity Disorder: Institutes of Health Cognitive Deficit and Syndrome Definition Research (5 Years)
$60,864 10/1/2003 to 3/31/2004, $547,780 10/1/2003 to 3/31/2008
Operating Grant, University Health Network
Schachar, R., Manassis, K., Ornstein, T., Arnold, P., Mendolowitz, S., Richter, M.
Hospital for Sick Children— Psychiatry Endowment Fund
$10,287 11/1/2003 to 3/31/2004, $24,689 11/1/2003 to 10/31/2004
Operating Grant, CAMH
Neuropsychological Dysfunction in Children with Obsessive-Compulsive Disorder
171
**** 4/1/2003 to 3/31/2004, **** 1/1/2003 to 1/1/2008
Fellowship/ Studentship, University Health Network
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Short Project Title
Type, PI Setting
Investigators
Funding Source
Schachter, D., Kleinman, I.
Canadian Informed Consent and Stimulant Institutes of Health Medication: Adolescents’ Understanding Research of Information
Schaffer, A., Levitt, A., Young, T., Cooke, R., Sppoled, S.
Ontario Mental Health Foundation
Schaffer, A., Young, T.
Ontario Mental Health Foundation
Schechter, M., Anis, A., Brissette, S., Brochu, S., Fischer, B., Hankins, C., Lauzon, P., Marsh, D., O’Shaughnessy, M., Rehm, J.
Canadian North American Opiate Medication Institutes of Health Initiative: Multicentre, Randomized, Research Controlled Trial of Heroin-Assisted Therapy for Treatment-Refractory Injection Opiate Users
Schneider, B., Grady, C.
Canadian Sensory and Cognitive Aging Institutes of Health Research
$173,388 4/1/2003 to 3/31/2004, $881,390 3/1/2003 to 3/31/2008
Operating Grant, Baycrest Centre for Geriatric Care
Seckaly, R.P., Bleacklye, C., Cohen, E., Davis, H., Gauldie, J.
Networks of Centres of Excellence— Medical Research Council
The Canadian Network for Vaccines and Immunotherapies of Cancer and Chronic Viral Diseases (CANVAC)
$16,000 4/1/2003 to 6/30/2003, $256,000 7/1/1999 to 6/30/2003
Operating Grant, University Health Network
Segal, Z.
Ontario Mental Health Foundation
Predicting Depressive Relapse through Cognitive Changes following Mood Induction
**** 4/1/2003 to 3/31/2004, **** 7/1/2001 to 6/30/2006
Fellowship/ Studentship, CAMH
Segal, Z., Gemar, M., Kennedy, S.H.
Canadian Predicting Depressive Relapse through Institutes of Health Cognitive Changes following Mood Research Challenge
$55,181 4/1/2003 to 3/31/2004, $165,543 4/1/1999 to 3/31/2005
Operating Grant, CAMH
$35,283 12/1/2003 to 3/31/2004, $225,942 12/1/2003 to 9/30/2007
Operating Grant, CAMH
Randomized, Double-blind Study Comparing Add-on Treatment with a Second Mood Stabilizer or an Antidepressant to Depressed Bipolar Patients on Mood Stabilizer Monotherapy
$51,000 4/1/2003 to 3/31/2004, $101,215 4/1/2002 to 3/31/2004
Operating Grant, Sunnybrook & Women’s College Health Sciences Centre
A Randomized Double-blind Study Comparing Add-on Treatment with a Second Mood Stabilizer or an Antidepressant to Depressed Bipolar Patients on Mood Stabilizer Montherapy
$50,108 4/1/2003 to 3/31/2004, $101,216 4/1/2002 to 3/31/2004
Operating Grant, CAMH
$3,623,855 4/1/2003 to 3/31/2004, $8,115,661 10/1/2001 to 9/30/2004
Operating Grant, CAMH
172
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Selby, P.
Health Canada
Web-Assisted Tobacco Intervention: Best Practices Development—Workshop
Selby, P.
National Cancer Institute of Canada— Canadian Tobacco Control Research Initiative
Interdisciplinary Harm-Reduction Institute for Tobacco Abuse and Nicotine Addiction
Selby, P., Smith, P., Tyndale, R., Farvolden, P., Rahman, S.
Canadian Tobacco Use in Special Populations Institutes of Health Research Training Programs Research
Shorter, E.L.
$80,000 7/9/2003 to 3/31/2004, $80,000 7/9/2003 to 3/31/2004
Type, PI Setting Contract, CAMH
$5,000 1/1/2004 to 3/31/200, $5,000 1/1/2004 to 3/31/2004
Operating Grant, CAMH
$240,000 4/1/2003 to 3/31/2004, $1,440,000 4/1/2003 to 3/31/2009
Operating Grant, CAMH
Canadian The Renewal of the Pharmocopocia for Institutes of Health Mood and Anxiety Disorders 1996–2003 Research
$51,963 10/1/2003 to 3/31/2004, $311,775 10/1/2003 to 9/30/2006
Operating Grant, Others
Shorter, E.L.
Scion Natural Science Association
The History of Convulsive Therapy
$33,900 4/1/2003 to 3/31/2004, $33,900 3/1/2004 to 2/28/2005
Operating Grant, Others
Shorter, E.L.
Social Sciences and Humanities Research Council of Canada
Culture, Diagnosis, and the Pscyhopharmacology of Mood Disorders: 1950–present
$17,226 4/1/2003 to 3/31/2004, $68,904 4/1/2003 to 3/31/2007
Operating Grant, Others
Simich, L.
Citizenship and Immigration Canada
Alone in Canada: Mutilingual Translations
$172,260 4/1/2003 to 12/31/2003, $176,260 3/10/2003 to 12/31/2003
Contract, CAMH
Simich, L.
University of Toronto Dean’s Fund
Meanings of Status and Health Security: A Pilot Study of Undocumented Migrants
$2,000 4/1/2003 to 3/31/2004, $10,000 7/1/2002 to 6/30/2007
Operating Grant, CAMH
Simich, L., Fenta, H., Hamilton, H.
Citizenship and Immigration Canada
A Study of Sudanese Settlement in Ontario
$124,344 5/15/2003 to 3/31/2004, $124,344 5/15/2003 to 3/31/2004
Contract, CAMH
173
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort
Investigators
Funding Source
Award Duration Amount (M/D/Y)
Short Project Title
So, J., Li, P. (Supervisor) University of Toronto
Endoplasmic Reticulum Stress Signalling in Bipolar Disorder
Steele, L.
Ontario Mental Health Foundation
Understanding Socioeconomic Disparities in Ambulatory Mental Health Service Use in Ontario
$6,130 12/1/2003 to 3/31/2004, $9,195 12/1/2003 to 5/31/2004
Operating Grant, CAMH
Steiner, M., Ross, L.
Society for Women’s Health Research
Randomized, Double-blind, PlaceboControlled Trial of Low-Dose Transdermal 17B Estradiol Accleration of Escitalopram in Major Depression with Postpartum Onset
$44,923 8/15/2003 to 3/31/2004, $67,385 8/15/2003 to 8/15/2004
Operating Grant, CAMH
Stergiopoulos, V., University of Rourke, S.B., Hwang, S. Toronto, Dean’s Fund
Psychosocial and Neurocognitive Risk Factors for Homelessness among Inpatients and Schizophrenia
$10,000 4/1/2003 to 3/31/2004, $10,000 6/1/2003 to 5/31/2004
Operating Grant, St. Michael’s Hospital
Stewart D.E., Bercovitz, K., Poland, B.D., Cohen, J.E., Selby, P.
Canadian Tobacco Control Research Initiative: SSHRC
Reducing Environmental Tobacco Smoke Exposure in Private Places: A Qualitative Study of Postpartum Women, Partners, and Tobacco Control Advocates
$48,623 4/1/2003 to 3/31/2004, $145,869 8/1/2001 to 7/31/2004
Operating Grant, University Health Network
Stewart, D.E., Robertson, E.K., Weller, I.M.R.
Canadian The Relation between Work-Related Institutes of Health Factors and Mental Health and WellResearch being in Canadian Men and Women
$39,994 4/1/2003 to 3/31/2004, $39,994 11/1/2003 to 10/31/2004
Operating Grant, University Health Network
Stewart, D.E., Gucciardi, E.
Canadian Diabetes Association
Psychosocial Determinants of Attrition in Diabetes Education Service Use and Its Impact on Diabetes Management Outcomes
$43,770 4/1/2003 to 3/31/2004, $87,539 6/1/2003 to 5/31/2005
Operating Grant, University Health Network
Stewart, D.E., Gucciardi, E.
University of Toronto Banting and Best Diabetes Centre
Psychosocial Determinants of Attrition in Diabetes Education Service Use
$9,992 4/1/2003 to 3/31/2004, $19,983 6/1/2003 to 5/31/2005
Operating Grant, University Health Network
174
**** 9/30/2004 to 3/31/2004, **** 9/30/2003 to 3/31/2004
Type, PI Setting Fellowship/ Studentship, CAMH
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Stewart, D.E., Ahmad, F.
Social Sciences and Humanities Research Council of Canada
Popular Health Promotion Strategies among Chinese and East Indian Immigrant Women
Stewart, M., Beiser, M., Simich, L.
Social Sciences and Humanities Research Council of Canada
Multicultural Meaning of Social Support among Immigrants and Refugees
Strauss, J., Kennedy, J.L. (Supervisor)
Canadian Brain Derived Neurotrophic Factor: Institutes of Health A Candidate for Childhood-Onset Research Depression
Strike, C., Millson, M., Fischer, B., Myers, T., Villeneuve, P.
Ontario HIV Treatment Network
Methadone Programs in Non-Traditional Settings: Programs, Policies, and Prevention
Stuss, D., Baum, C., Anderson, N., Black, S., Craik, F., Dawson, D., Grady, C., Hasher, L., Levine, B., Mayberg, H., McIntosh, R., O’Craven, K., Pantev, C., Polatajko, H., Winocur, G., Corbetta, M.
McDonnell 21st Century Award
Brain Recovery: Return of Cognitive and Social Function Collaborative Activity
Sum, C., Van Tol, H. (Supervisor)
Ontario Mental Health Foundation
Mechanisms of Dopamine Receptor: Mediated Receptor Tyrosine Kinase Activation
Suskin, N., Arnold, M., Irvine, J.
Canadian Improving Cardiac Rehabilitation Institutes of Health Participation in Women and Men Research
Sylvestre, J., George, L., Aubry, T., Trainor, J., Durbin, J., Nelson, G.
Ontario Mental Health Foundation
A Proposal to Examine the Housing and Support Service Needs of Persons with Serious Mental Illness in Ontario
175
$7,219 4/1/2003 to 3/31/2004, $57,750 7/1/2001 to 6/30/2003
$55,933 4/1/2003 to 3/31/2004, $184,332 4/15/2002 to 3/31/2004
Type, PI Setting Operating Grant, University Health Network Operating Grant, CAMH
**** 4/1/2003 to 6/30/2003, **** 7/1/2001 to 6/30/2003
Fellowship/ Studentship, CAMH
$44,552 4/1/2003 to 3/31/2004, $115,649 4/1/2002 to 3/31/2004
Operating Grant, CAMH
$800,000 4/1/2003 to 1/31/2004, $2,000,000 1/1/2002 to 1/31/2004
**** 4/1/2003 to 3/31/2004, **** 7/1/2002 to 6/30/2005 $29,618 4/1/2003 to 3/31/2004, $78,714 4/1/2002 to 3/31/2005
$40,000 12/1/2003 to 3/31/2004, $59,996 12/1/2003 to 5/31/2004
Operating Grant, Baycrest Centre for Geriatric
Fellowship/ Studentship, CAMH
Operating Grant, University Health Network Operating Grant, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Tannock, R., Ghelani, K.
University of Toronto
Reading Comprehension in Adolescents with Attention Deficit (ADHD) and Reading Disabilities
Tannock, R., Humphries, T., Ickowicz, A., Jain, U., Weiss, M.
Type, PI Setting
$3,750 4/1/2003 to 3/31/2004, $11,250 4/1/2001 to 3/31/2004
Operating Grant, Hospital for Sick Children
Canadian Working Memory and Inattention in Institutes of Health Children: A Potential Phenotypic Indicator Research of ADHD
$80,072 10/1/2003 to 3/31/2004, $800,720 10/1/2003 to 9/30/2008
Operating Grant, Hospital for Sick Children
Tannock, R., Swanson, J., Lovett, M., Benson, N., Ickowicz, A.
National Institute of Mental Health
Towards Targeted Intervention for Specific Cognitive Deficits in Children with Comorbid ADHD and Reading Disorder: A Development Project
$125,000 4/1/2003 to 3/31/2004, $375,000 9/1/2002 to 8/31/2005
Operating Grant, Hospital for Sick Children
Tannock, R., Westall, C.A.
Psychiatry Endowment Fund, Hospital for Sick Children
Preliminary Investigation of ShortWavelength (Blue Cone) Colour Vision Mechanisms in Attention Deficit Hyperactivity Disorder
$18,750 7/1/2003 to 3/31/2004, $25,000 7/1/2003 to 6/30/2004
Operating Grant, Hospital for Sick Children
Tenn, C., Kapur, S. (Supervisor)
Ontario Mental Health Foundation
An Amphetamine Sensitized-State Model that Links Neurochemical, Cognitive, and Behavioural Changes to Schizophrenia Psychosis
**** 4/1/2003 to 3/31/2004, **** 7/1/2002 to 6/30/2005
Tobe, S., Baker, B.
Heart and Stroke Foundation of Ontario
Double Exposure: Marital and Job Strain, Blood Pressure and LVMI
$21,293 4/1/2003 to 6/30/2003, $170,345 7/1/2001 to 6/30/2003
Operating Grant, University Health Network
Tobe, S., Baker, B., Szalai, J.P.
Heart and Stroke Foundation of Ontario
Double Exposure, Marital and Job Strain and LVMI
$67,454 4/1/2003 to 3/31/2004, $73,075 1/1/2003 to 1/31/2004
Operating Grant, University Health Network
Toner, B., Esplen, M.J., Rolin-Gilman, C., Stuckless, N., Ali, A.
Social Sciences and Humanities Research Council of Canada
Development of a Gender Role Socialization Scale for Women
$38,333 4/1/2003 to 3/31/2004, $115,000 3/1/2002 to 2/28/2005
Operating Grant, University Health Network
Trainor, J., Sylvestre, J., Ilves, P., Hopkins, M., Anucha, U., Ollenberg, M., Ramsunder, N.
Canadian Mortgage and Housing Corporation
Housing Stability Validity Study
$14,977 7/1/2003 to 3/31/2004, $19,969 7/1/2003 to 6/30/2004
176
Fellowship/ Studentship, CAMH
Operating Grant, CAMH
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Troyer, A., Anderson, N.D., Murphy, K., Craik, F., Moscovitch, M., Marziali, E.
Alzheimer Society of Canada
Memory and Lifestyle Intervention for Mild Cognitive Impairment
$38,630 7/1/2003 to 3/31/2004, $103,014 7/1/2003 to 6/30/2005
Operating Grant, Baycrest Centre for Geriatric Care
Turner, N., Jain, U., Toneatto, T.
Ontario Problem Gambling Research Centre
A Research Pilot Study To Evaluate the Effects of Accupuncture on Gambling Behaviour and Anxiety in Problem Gamblers
$168,571 4/1/2003 to 2/1/2004, $202,285 2/1/2003 to 2/1/2004
Operating Grant, CAMH
Tyndale R.F., Sellers E.M.
Canadian Pharmacogenetics: CYP2A6 Genetic Institutes of Health Variants Alter Smoking Research
$166,698 4/1/2003 to 3/31/2004, $842,264 1/1/2002 to 3/31/2007
Operating Grant, CAMH
Vaccarino, F.J., Arifuzzaman, A., Vichnevetski, K., Rayfield, C.
Canadian Intellectual Property Management Institutes of Health Program Research
$100,000 4/1/2003 to 3/31/2004, $300,000 1/1/2002 to 3/31/2004
Operating Grant, CAMH
Vaccarino, F.J., Palmour, R.M., Ervin, F.
Canadian CCK and Anxiety: Neurobehavioural Institutes of Health Characterization Research
$40,897 4/1/2003 to 9/30/2003, $368,073 9/1/1998 to 9/30/2003
Operating Grant, CAMH
Vaccarino, F.J., Rotzinger, S.
Canadian Neurobiology of the Opposing Institutes of Health Motivational Effects of Stress on Research Psychostimulant Self-Administration
$127,319 4/1/2003 to 3/31/2004, $642,431 3/1/2002 to 3/31/2007
Operating Grant, CAMH
Van Tol, H.
Canadian Receptor Tyrosine Kinase Activations by Institutes of Health Dopamine Receptors Research
$72,179 10/1/2003 to 3/31/2004, $721,790 10/1/2003 to 9/30/2008
Operating Grant, CAMH
Van Tol, H.
National Alliance for Research on Schizophrenia and Depression
$119,820 5/1/2003 to 3/31/2004, $130,713 5/1/2003 to 4/30/2004
Operating Grant, CAMH
Van Tol, H.H.M.
Canadian SH3 Domain Interactions in Dopamine Institutes of Health Receptors Research
$52,313 4/1/2003 to 9/30/2003, $523,132 10/1/1998 to 9/30/2003
Operating Grant, CAMH
Celegans and the Identification of Genes Involved in Psychosis
177
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Short Project Title
Type, PI Setting
Investigators
Funding Source
Van Tol, H.H.M.
Canadian Canada Research Chair (Tier I) Institutes of Health Research-Canada Research Chairs Program
Verhoeff, N.P.L.G.
Alzheimer Society of Canada
Imaging Amyloid Plaques with PET in Canada
$25,000 4/1/2003 to 3/31/2004, $50,000 9/1/2002 to 8/31/2004
Vettese, L., Toneatto, T.
Canadian A Mindfullness-Based Intervention for Institutes of Health Youth with Concurrent Disorders and Research Addiction
**** 2/1/2004 to 3/31/2004, **** 2/1/2004 to 1/31/2007
Fellowship/ Studentship, CAMH
Vincent, J.
Canadian Foundation for Innovation
Molecular Genetic Studies of Autism Subgrant with University of Toronto
$171,205 1/1/2004 to 3/31/2004, $285,341 1/1/2004 to 5/31/2004
Operating Grant, CAMH
Vincent, J.
Ontario Innovation Molecular Genetic Studies of Autism Trust Subgrant with University of Toronto
$171,205 1/1/2004 to 3/31/2004, $285,341 1/1/2004 to 5/31/2004
Operating Grant, CAMH
Vincent, J., Petronis, A., Paterson, A.
Hospital for Sick Children Foundation
Epigenetic Approaches to Identifying Autism Susceptibility Genes
$26,990 11/1/2003 to 3/31/2004, $129,500 11/1/2003 to 10/31/2005
Operating Grant, CAMH
Wang, J.F.
University of Toronto Dean’s Fund
Neuroprotective Effects of Mood Stabilizers on Oxidative Stress-Induced Neuronal Cell Damage
$1,500 7/1/2003 to 3/31/2004, $10,000 7/1/2003 to 6/30/2008
Operating Grant, CAMH
Wang, J.F., Young, T.
Ontario Mental Health Foundation
Mood Stabilizers and Neuroprotection
$64,604 4/1/2003 to 3/31/2004, $115,464 4/1/2002 to 3/31/2004
Operating Grant, CAMH
Warner, J., Adlaf, E.
Social Sciences and Humanities Research Council of Canada
Narratives of Gender and Aggression in a Maritime Town
$8,000 4/1/2003 to 3/31/2004, $32,000 4/1/2000 to 3/31/2004
Operating Grant, CAMH
Warriner, E., Rourke, S.B.
Ontario HIV Treatment Network
Endocrine and Immune Correlates of Neurocognitive Impairments in HIV/AIDS
**** 4/1/2003 to 3/31/2004, **** 9/1/2002 to 8/31/2004
Fellowship/ Studentship, St. Michael’s Hospital
178
**** 4/1/2003 to 3/31/2004, **** 7/1/2001 to 7/30/2008
Personnel Award, CAMH
Operating Grant, Baycrest Centre for Geriatric Care
project funding received Award Duration Amount (M/D/Y)
Type, PI Setting
Canadian Calcium Homeostasis and G ProteinInstitutes of Health Coupled cAMP Signalling Disturbances in Research Bipolar Affective Disorder
$140,214 4/1/2003 to 3/31/2004, $724,254 4/1/2001 to 3/31/2006
Operating Grant, CAMH
Warsh, J.J., Li, P.
Canadian Effect of Antibipolar Medications on Institutes of Health Cellular and Molecular Mechanisms Research Modulating Intracellular Calcium Signalling
$80,471 4/1/2003 to 3/31/2004, $260,577 3/1/2002 to 3/31/2005
Operating Grant, CAMH
Warshaw, G., Bragg, E., Lieff, S.
Donald W. Reynolds Foundation
Longitudinal Study of Training and Practice in Geriatric Medicine
$218,086 4/1/2003 to 3/31/2004, $654,259 11/1/2002 to 10/31/2005
Operating Grant, Baycrest Centre for Geriatric Care
Warwar, S.
Department of Psychiatry, University of Toronto
Stephen Godfrey Fellowship
Wasylenki, D.
City of Toronto
Weiner, J., Humphries, T., Malone, M., Tannock, R.
Social Sciences and Humanities Research Council of Canada
Investigators
Funding Source
Warsh, J.J.
Short Project Title
**** 4/1/2003 to 3/31/2004, **** 9/1/2003 to 8/31/2005
Fellowship/ Studentship, St. Michael’s Hospital
Health Needs of Homeless Individuals
$90,000 6/1/2003 to 1/31/2004, $90,000 6/1/2003 to 1/31/2004
Contract, St. Michael’s Hospital
Parents’ and Teachers’ Attitudes and Behaviour towards Children with Attention Deficit Hyperactivity Disorder
$28,491 4/1/2003 to 3/31/2004, $85,474 4/1/2002 to 3/31/2005
Operating Grant, Hospital for Sick Children
Wekerle, C., Links, P., Wall, A.M., Fletl, G., Stewart, S., Conrod, P.
Canadian The Impact of Child Maltreatment on Institutes of Health Adolescent and Adult Health Outcomes Research
$280,000 4/1/2003 to 3/31/2004, $1,295,531 4/1/2003 to 3/31/2008
Operating Grant, CAMH
Wekerle, C., Trocme, N., Macmillan, H., Wolfe, D., Chamberland, C., Tremblay, R., Krank, M.
Networks of Centres of Excellence of Canada
$25,000 11/1/2003 to 3/31/2004, $25,000 11/1/2003 to 3/31/2004
Operating Grant, CAMH
Wekerle, C., Wall, A.M., MacMillan, H., Trocme, N.
Canadian Maltreatment and Adolescent Pathways Institutes of Health (MAP) Project Research
$66,208 4/1/2003 to 3/31/2004, $239,637 4/1/2001 to 3/31/2004
Contract, CAMH
The Canadian Child Welfare Research Network
179
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Type, PI Setting
Investigators
Funding Source
Short Project Title
Wherret, D., Zucker, K.J., Bradley, S.J., Nielson, B.
Hospital for Sick Children Research Institute
Psychosocial Adjustment and Gender Identity in Genetic Males Born with Ambiguous Genitalia
$9,546 4/1/2003 to 11/1/2003, $31,820 11/1/2001 to 11/1/2003
Operating Grant, CAMH
Wong, A.
University of Toronto
14-3-3 mRNA Expression in Schizophrenia
$2,000 7/1/2003 to 3/31/2004, $10,000 7/1/2003 to 3/31/2004
Operating Grant
Wong, A., Van Tol, H., Kennedy, J.
National Alliance for Research on Schizophrenia and Depression
Schizophrenia and Developmental Changes in Gene Expression
$39,570 4/1/2003 to 3/31/2004, $79,140 7/1/2002 to 6/30/2004
Operating Grant, CAMH
Yatham, L., Parikh, S.V., Levitt, A., Kusumakar, V., Sharma, V.
Canadian Atypical Antipsychotics for Continuation Institutes of Health and Maintenance Treatment after an Research Acute Manic Episode
Yatham, L., Ravindran, A.
Stanley Medical Research Institute
A Double-blind Placebo-Controlled Study of Calcitonin in Acute Refractory Mania
$104,425 4/1/2003 to 3/31/2004, $313,276 4/1/2002 to 3/31/2005
Contract, CAMH
Young, N., Williams, J., Boydell, K.M., Law, M., Fehlings, D.
Bloorview Children’s Hospital Foundation
Evaluating the Transition to Adult Health Services among Children with Complex Physical Disabilities: A Look at the Nature, Outcomes, and Determinants
$122,000 4/1/2003 to 3/31/2004, $244,000 4/1/2002 to 3/31/2004
Operating Grant, Hospital for Sick Children
Young, N., Williams, J., Boydell, K.M., Wedge, J., Fehlings, D., Rumney, P., Mukherjee, S., McCormick, A.
Canadian What Is the Health and Quality of Life of Institutes of Health Graduates from Children’s Rehabilitation Research Centres? Are There Characteristic Patterns or Predictors?
$119,000 9/1/2003 to 3/31/2004, $408,000 9/1/2003 to 8/31/2005
Operating Grant, Hospital for Sick Children
Young, T.
Stanley Medical Research Institute
$109,917 6/1/2003 to 3/31/2004, $395,700 6/1/2003 to 5/30/2006
Operating Grant, CAMH
Young, T., Wang, J., MacQueen, G.
Canadian CREB Mediated Signal Transduction and Institutes of Health Neuroprotection in Mood Disorders Research
$96,729 10/1/2003 to 3/31/2004, $341,054 10/1/2003 to 9/30/2006
Operating Grant, CAMH
Stanley Centre of Excellence for Bipolar Disorder
180
$334,000 4/1/2003 to 3/31/2004, $1,670,000 4/1/2002 to 3/31/2007
Operating Grant, University Health Network
project funding received Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Young, T., Wang, J.F.
Canadian Regulation of cAMP Coupled Gene Institutes of Health Expression in Mood Disorders Research
Yu, X.M.
Canadian CIHR Scholarship Institutes of Health Research
Yu, X.M.
Type, PI Setting
$36,858 4/1/2003 to 9/30/2003, $82,182 4/1/2002 to 9/30/2003
Operating Grant, CAMH
**** 4/1/2003 to 6/30/2003, **** 7/1/1998 to 6/30/2003
Fellowship/ Studentship, CAMH
Canadian Direct Binding of Dopamine DS to GABAa Institutes of Health Receptor and Its Function Research
$87,765 4/1/2003 to 3/31/2004, $438,825 4/1/1999 to 3/31/2004
Operating Grant, CAMH
Yu, X.M.
Canadian The Role of Protein Tyrosine Phosphatase Institutes of Health Alpha in the Regulation of NMDA Research Receptors
$94,644 4/1/2003 to 3/31/2004, $294,320 10/1/2001 to 9/30/2004
Operating Grant, CAMH
Yu, X.M.
Ontario Neurotrauma Foundation
Functional Sodium-Calcium Interaction in the Regulation of NMDA Channel Activity
$19,970 4/1/2003 to 6/30/2003, $239,640 7/1/2001 to 6/30/2003
Operating Grant, CAMH
Zack, M., Poulos, C.
Ontario Problem Gambling Research Centre
Dampening Effects of a Dopamine Antagonist on Desire To Gamble and Gambling-Related Semantic Networks in Problem Gamblers
$156,446 4/1/2003 to 3/31/2004, $156,446 4/1/2003 to 3/31/2004
Operating Grant, CAMH
Zack, M., Poulos, C., MacLeod, C.M.
Alcoholic Beverage Medical Research Foundation
Effects of Alcohol on Stress-Induced Memory Activation in Young, High and Low Anxiety-Sensitive Drinkers
$32,200 4/1/2003 to 3/31/2004, $64,400 9/1/2002 to 8/31/2004
Operating Grant, CAMH
Zipursky, R.
Canadian A Screening Strategy for Genetic Subtype Institutes of Health of Schizophrenia—Agreement with Research University of Toronto Subgrant
Zipursky, R.
Canadian Delienating a High-Risk Phenotype Institutes of Health in Familial Schizophrenia—Subgrant Research Agreement with University of Toronto
Zipursky, R.
Ontario Mental Health Foundation
Potential Predictors of Schizophrenia in a Genetic High-Risk Sample—Subgrant Agreement with University of Toronto
181
$6,715 4/1/2003 to 3/31/2004, $6,715 4/1/2003 to 3/31/2004
Contract, CAMH
$134,293 4/1/2003 to 3/31/2004, $134,293 4/1/2003 to 3/31/2007
Contract, CAMH
$22,382 4/1/2003 to 3/31/2004, $22,382 4/1/2003 to 3/31/2004
Contract, CAMH
2 0 0 4 – 2 0 0 5 de pa rt m e n t of p s yc h i at ry a n n ua l r e p ort Award Duration Amount (M/D/Y)
Investigators
Funding Source
Short Project Title
Zucker, K.
North American Task Force on Intersexuality
The Gender Identity Questionnaire for Adults and the Infant Orientation Scale: Psychometric Properties
182
$3,944 3/1/2004 to 3/31/2004, $3,944 3/1/2004 to 3/31/2004
Type, PI Setting Operating Grant, CAMH
publ ications
Publications Refereed Articles No evidence of association or linkage disequilibrium between polymorphisms in the 5 upstream and coding regions of the dopamine D4 receptor gene and schizophrenia in a Portuguese population. American Journal Medical Genetics, 125, 20–24.
Adams, J., Crosbie, J., Ickowicz, A., Pathare, T., Roberts, W., Malone, M., Schachar, R., Tannock, R., Kennedy, J., & Barr, C. L. (2004). Glutamate receptor, ionotropic, Nmethyl D-aspartate 2A (GRIN2A) gene as a positional candidate for attention-deficit hyperactivity disorder in the 16p13 region. Molecular Psychiatry, 9, 494–499.
Ambrosio, A. M., Kennedy, J. L., Macciardi, F., Coelho, I., Soares, M. J., Oliveira, C. R., & Pato, C. N. (2004). Lack of association or linkage disequilibrium between schizophrenia and polymorphisms in the 5-HT1Da and 5-HT1Db autoreceptor gene: Family-based association study. Neuropsychiatric Genetics, 128, 1–5.
Addington, J. (2004). The diagnosis and assessment of individuals prodromal for schizophrenic psychosis. CNS Spectrums, 9, 588–594. Addington, J., van Mastrigt, S., & Addington, D. (2004). Duration of untreated psychosis: Impact on one and two year outcome. Psychological Medicine, 109, 277–284.
Ambrosio, A. M., Kennedy, J. L., Macciardi, F., Coelho, I., Soares, M. J., Oliveira, C. R., Pato, M. T., & Pato, C. N. (2004). Nonparametric linkage analysis between schizophrenia and candidate genes of dopaminergic and serotonergic systems. CNS Spectrums, 9, 302–308.
Addington, J., Williams, J., Young, J., & Addington, D. (2004). Suicidal behavior in early psychosis. Acta Psychiatrica Scandinavica, 109, 116–120. Agras, W. S., Brandt, H. A., Bulik, C. M., Dolan-Sewell, R., Fairburn, C. G., Halmi, K. A., Herzog, D. B., Jimerson, D.C., Kaplan, A.S., Kaye, W.H., le Grange, D., Lock, J., Mitchell, J.E., Rudorfer, M.V., Street, L. L., Striegel-Moore, R., Vitousek, K., Walsh, B. T., & Wilfley, D. E. (2004). Report of the National Institutes of Health Workshop on overcoming barriers to treatment research in anorexia nervosa. International Journal of Eating Disorders, 35, 556–570.
Andreopoulos, S., Wasserman, M., Woo, K., Li, P. P., & Warsh J. J. (2004). Chronic lithium treatment of B lymphoblasts from bipolar disorder patients reduces transient receptor potential channel 3 levels. Pharmacogenomics Journal, 4, 365–373. Anglin, L., Giesbrecht, N., Ialomiteanu, A., Grand, L., Mann, R. E., & McAlister, J. (2004). Serving alcohol at home: What do most people do? Findings from a 2001 Ontario adult survey. Drugs: Education, Prevention and Policy, 11, 21–33.
Ahmad, F., Riaz, S., Barata, P., & Stewart, D. E. (2004). Patriarchal beliefs and perceptions of abuse among South Asian immigrant women. Violence against Women, 10, 262–279.
Arnold, P. D., Rosenberg, D. R., Mundo, E., Tharmalingam, S., Kennedy, J. L., Richter, M. A. (2004). Association of a glutamate (NMDA) subunit receptor gene (GRIN2B) with obsessive-compulsive disorder: A preliminary study. Psychopharmacology (Berl), 174, 530–538.
Ahmad, F., Shik, A., Vanza, R., Cheung, A. M., George, U., & Stewart, D. E. (2004). Popular health promotion strategies among Chinese and East Indian immigrant women. Women and Health, 40, 21–40.
Arnold, P. D., Schachar, R., Chen, S., & Ickowicz, A. (2004). Attention deficit hyperactivity disorder and comorbid obsessive-compulsive behavior: Clinical and cognitive features. Canadian Journal of Psychiatry, 50, 59–66.
Ahmad, F., Shik, A., Vanza, R., Cheung, A. M., George, U., & Stewart, D. E. (2004). Voices of South Asian women: Immigration and mental health. Women and Health, 40, 113–130. Ahmad, F., & Stewart, D. E. (2004). Predictors of clinical breast examination among South Asian immigrant women. Journal of Immigrant Health, 6, 119–126.
Arnold, P. D., Zai, G., & Richter, M. A. (2004). Genetics of anxiety disorders. Current Psychiatry Reports, 6, 243–254.
Ahmed, S., Grace, S. L., Stelfox, T., Tomlinson, G., & Cheung, A. (2004). Gender bias in cardiovascular medical journal advertisements. Journal of Evaluation in Clinical Practice, 10, 531–538.
Arnott, S. R., Binns, M. A., Grady, C. L., & Alain, C. (2004). Assessing the auditory dual pathway model in humans. Neuroimage, 22, 401–408. Asbridge, M., Mann, R. E., Stoduto, G, & Flam-Zalcman, R. (2004). The criminalization of impaired driving in Canada: Assessing the deterrent impact of Canada’s first per se law. Journal of Studies on Alcohol, 65, 450–459.
Ahmed, S. B., Grace, S. L., Stelfox, H. T., Tomlinson, G., & Cheung, A. (2004). Portrayal of female physicians in cardiovascular advertisements. Canadian Journal of Cardiology, 20, 1351–1354.
Awad, A. G. (2004). Antipsychotic medications: Compliance & attitudes towards treatment. Current Opinion in Psychiatry, 17, 75–80.
Ambrosio, A. M., Kennedy, J. L., Macciardi, F., Barr, C., Soares, M. J., Oliveira, C. R., & Pato, C. N. (2004).
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Awad, A. G. (2004). Second generation antipsychotics: Beyond efficacy. Canadian Journal of Psychiatry, 49, 283284.
Beiser, M., Armstrong, R., Ogilvie, L., Oxman-Martinez, J., & Rummens, J. A. (2005). The New Canadian Children and Youth Study: Research to fill a gap in Canada’s children’s agenda. Canadian Issues / Themes Canadiens, 96, 30–35.
Awad, A. G., & Voruganti, L. N. P. (2004). Body Weight, Image and Self-esteem Evaluation (B-WISE) Questionnaire: Development and validation of a new scale. Schizophrenia Research, 70, 63–67.
Beiser, M., & Stewart, M. (2005). Reducing health disparities: A priority for Canada. Canadian Journal of Public Health, 96, 4–7.
Awad, A. G., & Voruganti, L. N. P. (2004). Impact of atypical antipsychotics on quality of life in patients with schizophrenia. CNS Drugs 2004, 18, 877–893.
Beitchman, J. H., Davidge, K. M., Kennedy, J. L., Atkinson, L., Lee, V., Shapiro, S., & Douglas, L. (2004). The serotonin transporter gene in aggressive children with and without ADHD and nonaggressive matched controls. Annals of the New York Academy of Sciences, 1008, 248–251.
Awad, A. G., & Voruganti, L. N. P. (2004). New antipsychotics, compliance, quality of life and subjective tolerability: Are patients better off? Canadian Journal of Psychiatry, 49, 297–302.
Beitchman, J. H., Mik, H., Ehtesham, S., Douglas, L., & Kennedy, J. L. (2004). MAOA and persistent, pervasive, extreme childhood aggression. Molecular Psychiatry, 9, 546–547.
Bagby, R. M., & Marshall, M. B. (2004). Assessing underreporting response bias on the MMPI-2. Assessment, 11, 115–126. Bagby, R. M., Rector, N. A., Bacchiochi, J., & McBride, C. (2004). The stability of the Response Styles Questionnaire Rumination Scale in a sample of patients with major depression. Cognitive Therapy and Research, 28, 527–538.
Bender, A., & Kennedy, S. H. (2004). Mental health and mental illness in the workplace: Diagnostic and treatment issues. HealthcarePapers, 5, 1–17. Bergen, A. W., Yeager, M., Welch, R., Haque, K., Ganjei, J. K., Mazzanti, C., Nardi, I., van den Bree, M. B. M., Fichter, M., Halmi, K. A., Kaplan, A. S., Strober, M., Treasure, J., Woodside, D. B., Bulik, C. M., Bacanu, S. A., Devlin, B., Berrettini, W., Goldman, D., & Kaye, W. H. (2005). Association of multiple DRD2 polymorphisms with anorexia nervosa. Neuropsychopharmacology, 30, 1–8.
Bagby, R. M., Ryder, A. G., Schuller, D. R., & Marshall, M. B. (2004). The Hamilton Rating Scale for Depression: Has the gold standard become a lead weight? American Journal of Psychiatry, 161, 2163–2177. Bagby, R. M., Schuller, D. R., Marshall, M. B., & Ryder, A. G. (2004). Depressive personality disorder: Rates of comorbidity with personality disorder and relations to the five-factor model of personality. Journal of Personality Disorders, 18, 542–554.
Bhalerao S., & Barua, M. (2004). Conversion disorder in a patient with diffuse axonal injury. Canadian Journal of Psychiatry, 49, 217.
Barwick, M., Boydell, K. M., Cunningham, C., & Ferguson, B. (2004). An overview of training and implementation issues in a provincial measurement initiative. Academy of Child and Adolescent Psychiatry Review, 13, 107–109.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.
Bedard, A. C., Ickowicz, A., & Tannock, R. (2004). Methylphenidate improves visual-spatial memory in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 260–268.
Bitar, R., Bezjak, A., Mah, K., Loblaw, A. E., Gotowiec, A. P., & Devins, G. M. (2004). Does tumour status influence cancer patients’ satisfaction with the doctor– patient interaction? Supportive Care in Cancer, 12, 34–40.
Beiser, M. (2005). The health of immigrants and refugees in Canada. Canadian Journal of Public Health, 96, 30–44
Blanchard, R. (2004). Quantitative and theoretical analyses of the relation between older brothers and homosexuality in men. Journal of Theoretical Biology, 230, 173–187.
Beiser, M. (2004). Refugees in Canada. Canadian Issues / Themes Canadiens, 1, 54–57. Beiser, M. (2005). Toronto: Improvised city [Review of a novel by Dionne Brand: What we all long for]. Literary Review of Canada, 2, 17.
Blanchard, R., & Bogaert, A. F. (2004). Proportion of homosexual men who owe their sexual orientation to fraternal birth order: An estimate based on two national probability samples. American Journal of Human Biology, 16, 151–157.
Beiser, M. (2004). Trauma, time and mental health: A study of temporal reintegration and depressive disorder among Southeast Asian refugees. Psychological Medicine, 34, 899–910.
Bogaert, A. F., & Cairney, J. (2004). The interaction of birth order and parental age on sexual orientation: An examination in two samples. Journal of Biosocial Science,
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with bipolar disorder. Journal of Clinical Psychology, 65, 1106–1113.
36, 19–37. Boggild, A. K., Heisel, M. J., & Links, P. S. (2004). Social, demographic, and clinical factors related to disruptive behaviour in hospital. Canadian Journal of Psychiatry, 49, 114–118.
Boyle, M. H., Jenkins, J. M., Hadjiyannakis, K., Cairney, J., Duku, E., & Racine, Y. (2004). Differential parenting: Estimating within and between-family effects. Child Development, 75, 1457–1476.
Bogoch, I. I., Beach, C., Sockalingam, S., Hansen, K., Cheng, A., Kingstone, E., & Bhalerao, S. (2004). Episodic ataxia vs somatization disorder. Canadian Journal of Psychiatry, 49, 787.
Bradley, E., & Lofchy, J. (2005). Learning disability in the accident and emergency department. Advances in Psychiatric Treatment, 11, 45–57.
Borden, A., Kulkarni, C., Krierger, D., & Bhalerao, S. (2004). Depression and Devic’s syndrome. American Journal of Psychiatry, 16, 1128.
Bradley, E. A., Summers, J. A., Wood, H. L., & Bryson, S. E. (2004). Comparing rates of psychiatric and behavior disorders in adolescents and young adults with severe intellectual disability with and without autism. Journal of Autism and Developmental Disorders, 34, 151–161.
Boright, A. B., Paterson, A. D., Mirea, L., Bull, S. D., Mowjoodi, A., Scherer, S. W., Zinman, B., & the DCCT/EDIC Research Group (2004). Genetic variation at the ACE gene is associated with persistent microalbuminuria and severe nephropathy in type 1 diabetes. Diabetes, 54, 1238–1244.
Brands, B., Blake, J., Sproule, B. A., Gourlay, D., & Busto, U. (2004). Prescription opioid use in patients presenting for methadone maintenance treatment. Drug and Alcohol Dependence, 73, 199–207.
Borrell, C., & Muntaner, C. (2004). Social class and selfreported health status among men and women: What is the role of work organization, household material standards and household labor? Social Science and Medicine, 58, 1869–1887.
Broder, E., Manson, E., Boydell, K. M., & Teshima, J. (2004). Use of telepsychiatry for child psychiatric issues: First 500 cases. Canadian Psychiatric Association Bulletin, 36, 11–15.
Borrell, C., Rohlfs, I., Artazcoz, L., & Muntaner, C. (2004). Inequalities in health related to social class in women: What is the effect of the measure used? Gazeta Sanitaria, 18, 75–82.
Brody, A. L., Olmstead, R. E., London, E. D., Farahi, J., Meyer, J. H., & Grossman, P. (2004). Smoking-induced ventral striatum dopamine release. American Journal of Psychiatry, 161, 1211–1218.
Bottorff, J., McCullum, M., Balneaves, L., Esplen, M. J., Carroll, J., Kelly, M., & Kieffer, S. (2004). Proceedings of the Nursing in the Genomic Era: A Canadian planning forum. Canadian Nurse, 100, 24–28.
Bronskill, S. E., Anderson, G. M., Sykora, K., Wodchis, W. P., Gill, S., Shulman, K. I., & Rochon, P. A. (2004). Neuroleptic drug therapy in older adults newly admitted to nursing homes: Incidence, dose and specialist contact. Journal of the American Geriatrics Society, 52, 749–755.
Boydell, K. M., Barwick, M., Ferguson, B., & Haines, R. (2004). Implementation of the Child and Adolescent Functional Assessment Scale in a provincial mental health system: A feasibility study to assess service provider perspectives. Journal of Behavioral Health Services & Research, 32, 105–109.
Brownlie, E. B., Beitchman, J. H., Escobar, M., Young, A., Johnson, C. J., Atkinson, L., Wilson, B., & Douglas, L. (2004). Early language impairment and young adult delinquent and aggressive behaviour. Journal of Abnormal Child Psychology, 32, 453–466.
Boydell, K. M., Greenberg, N., & Volpe, T. (2004). Designing a framework for evaluating a pediatric telepsychiatry program: A participatory approach. Journal of Telemedicine and Telehealth, 10, 165–169.
Brzustowicz, L. M., Simone, J., Mohseni, P., Hayter, J., Hodgkinson, K. A., Chow, E. W. C., & Bassett, A. S. (2004). Linkage disequilibrium mapping of schizophrenia susceptibility to the CAPON region of Chromosome 1q22. American Journal of Human Genetics, 74, 1057–1063.
Boydell, K. M., Jadaa, D., & Trainor, J. (2004). A benefit for everyone: Family–researcher collaboration in the mental health field. Canadian Journal of Program Evaluation, 19, 55–70.
Bulik, C. M., Klump, K. L., Thornton, L., Kaplan, A. S., Devlin, B., Fichter, M. M., Halmi, K. A., Strober, S., Woodside, D. B., Crow, S., Mitchell, J., Rotondo, A., Mauri, M., Cassano, G., Keel, P. K., Berrettini, W. H., & Kaye, W. H. (2004). Alcohol use disorder comorbidity in eating disorders: A multicenter study. Journal of Clinical Psychiatry, 65, 1000–1006.
Boydell, K. M., & Volpe, T. (2004). A qualitative examination of the implementation of a community academic alliance. Journal of Community Psychology, 32, 357–374. Boylan, K. R., Bieling, P., Marriott, M., Begin, H., Young, L. T., & MacQueen, G. M. (2004). Impact of co-morbid anxiety disorders on outcome in a cohort of patients
Burgoyne, R., & Renwick, R. (2004). Social support and quality of life over time among adults living with HIV
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M., Wong, J., Cymerman, U., Paterson, A. D., Mullen, B., & Letarte, M. (2004). Umbilical vein and placental vessels from newborns with Hereditary Hemorrhagic Telangiectasia Type 1 Genotype are normal despite reduced expression of endoglin. Placenta, 25, 208–217.
in the HAART era. Social Sciences and Medicine, 58, 1353–1366. Burgoyne, R., Rourke, S., Behrens, D., & Salit, I. (2004). Long-term quality of life outcomes among adults living with HIV in the HAART era: The interplay of changes in clinical factors and symptom profile. AIDS and Behavior, 8, 151–163.
Charach, A., Ickowicz, A., & Schachar, R. (2004). Stimulant treatment in children with attention deficit hyperactivity disorder over five years: Adherence, effectiveness and side effects. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 559–567.
Cairney, J. (2004). Elderly women are at greater risk of comorbid generalized anxiety and depression than elderly men. Evidence Based Mental Health, 7, 56.
Chen, X., He, Y., De Oliveira, A. M., Lo Coco, A., Zappulla, C., Kaspar, V., Schneider, B., AlvarezValdivia, I., Tse, H. C. H., & DeSouza, A. (2004). Loneliness and social adaptation in Brazilian, Canadian, Chinese and Italian children: A multi-national comparative study. Journal of Child Psychology and Psychiatry, 45, 1373–1384.
Cairney, J., & Boyle, M. H. (2004). Home ownership, mortgages and psychological distress. Housing Studies, 19, 161–174. Cairney, J., Boyle, M. H., Lipman, E., & Racine, Y. A. (2004). Single mothers and the use of professionals for mental health care reasons. Social Science and Medicine, 59, 2535–2546.
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Wong, A. H., Trakalo, J., Likhodi, O., Yusuf, M., Macedo, A., Azevedo, M. H., Klempan, T., Pato, M. T., Honer, W. G., Pato, C. N., Van Tol, H. H., & Kennedy, J. L. (2004). Association between schizophrenia and the syntaxin 1A gene. Biological Psychiatry, 56, 24–29.
Zai, G., Bezchlibnyk, Y. B., Richter, M. A., Arnold, P., Burroughs, E., Barr, C. L., & Kennedy, J. L. (2004). Myelin oligodendrocyte glycoprotein (MOG) gene is associated with obsessive-compulsive disorder. American Journal of Medical Genetics (Neuropsychiatric Genetics), 129, 64–68.
Wood, G. E., Young, L. T., Reagan, L., Chen, B., & McEwen, B. (2004). Stress-induced structural remodeling in hippocampus: Prevention by lithium treatment. Proceedings of the National Academy of Science, 101, 3973–3978.
Zaidi, S. H. E., Peltekova, V., Meyer, S., Lindinger, A., Paterson, A. D., Tsui, L. C., Faiyaz-Ul-Haque, M., & Teebi, A. S. (2004). A family exhibiting arterial tortuosity syndrome displays homozygosity for markers in the arterial tortuosity locus at chromosome 20q13. Clinical Genetics, 67, 183–188.
Woodside, D. B., Bulik, C. M., Thornton, L., Klump, K. L., Tozzi, F., Fichter, M. M., Halmi, K. A., Kaplan, A. S., Strober, M., Devlin, D., Bacanu, S. A., Ganjei, K., Crow, S., Mitchell, J., Rotondo, A., Mauri, M., Cassano, G., Keel, P. K., Berrettini, W. H., & Kaye, W. H. (2004). Personality in men with eating disorders. Journal of Psychosomatic Research, 57, 273–278.
Zimmermann, C., & Rodin, G. (2004). The denial of death thesis: Sociological critique and implications for palliative care. Palliative Medicine, 18, 121–128.
Woodside, D. B., Carter, J. C., & Blackmore, E. (2004). Predictors of premature termination of inpatient treatment for anorexia nervosa. American Journal of Psychiatry, 161, 2277–2281.
Zipursky, R. B., Christensen, B., & Mikulis, D. (2004). Stable deficits in gray matter volumes following a first episode of schizophrenia. Schizophrenia Research, 71, 515–516.
Wunderlich, G. W., Rotzinger, S., Bush, D. E. A., DeSousa, N. J., & Vaccarino, F. J. (2004). Cholecystokinin modulation of locomotor behaviour in rats is sensitized by chronic amphetamine and chronic restraint stress exposure. Brain Research, 1001, 95–107.
Zohar, J., Kennedy, J. L., Hollander, E., & Koran, L. M. (2004). Serotonin-1D hypothesis of obsessivecompulsive disorder: An update. Journal of Clinical Psychiatry, 65, 18–21. Zucker, K. J. (2004). Gender identity development and issues. Child and Adolescent Psychiatric Clinics of North America, 13, 551–568.
Yatham, L. N., Kennedy, S. H., O’Donovan, C., Parikh, S., MacQueen, G., McIntyre, R., Sharma, V., Silverstone, P., Alda, M., Baruch, P., Beaulieu, S., Daigneault, A., Milev, R., Young, L. T., Ravindran, A., Schaffer, A., Connolly, M., & Gorman, C. P. (2005). Guidelines for the management of patients with bipolar disorder: Consensus and controversies. Bipolar Disorders, 7, 5–69.
Zucker, K. J. (2004). [Letter to the editor]. Journal of Psychiatric and Mental Health Nursing, 11, 746–747. Zucker, K. J. (2004). Misheard: Corrective notes to Hirds (2003) A typical gender identity conference? Some disturbing reports from the therapeutic front lines. Feminism and Psychology, 14, 349–350.
Young, K. W. H., Greenwood, C. E., van Reekum, R., & Binns, M. A. (2004). Providing nutrition supplements to institutionalized seniors with probable Alzheimer’s disease is least beneficial to those with low body weight status. Journal of the American Geriatrics Society, 52, 1305–1312.
Zucker, K. J., Bradley, S. J., Oliver, G., Blake, J., Fleming, S., & Hood, J. (2004). Self-reported sexual arousability in women with congenital adrenal hyperplasia. Journal of Sex & Marital Therapy, 30, 343–355.
Young, L. T. (2004). What exactly is a mood stabilizer? Journal of Psychiatry Neuroscience, 29, 87–88.
Zucker, K. J., Bradley, S. J., Oliver, G. D., & Chernick, A. B. (2004). Ablatio penis: More on the John v Joan case [E-letter]. Archives of Diseases of Childhood, 89, 847–847.
Young, L. T., Bezchlibnyk, Y., Chen, B., Wang, J. F., & MacQueen, G. (2004). Amygdala CREB phosphorylation in patients with mood disorders: Effects of diagnosis, suicide and drug treatment. Biological Psychiatry, 55, 570–577. Young, R. C., Gyulai, L., Mulsant, B., Flint, A., Beyer,
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Books and Reports
Simich, L., Hamilton, H., Baya, K., Neuwirth, G., & Loh, B. (2004). The study of Sudanese settlement in Ontario: Final report. Toronto: Citizenship and Immigration Canada Settlement Directorate Ontario.
Anglin, L., Giesbrecht, N., Ialomiteanu, A., Grand, L., Mann, R., & McAllister, J. (2004). Personal experience of problems related to other people’s drinking and public opinion on alcohol policy issues: Findings from a 2003 Ontario adult survey. CAMH Research Document Series No. 202. Toronto: Centre for Addiction and Mental Health.
Simich, L., Mawani, F., Wu, F., & Noor, A. (2004). Meanings of social support, coping and help-seeking strategies among immigrants and refugees in Toronto, working paper #31. Toronto: Centre d’excellence conjoint pour la recherche en immigration et en intégration [Joint Centre of Excellence for Research on Immigration and Settlement].
Atkinson,L., & Goldberg, S. (Eds.). (2004). Attachment issues in psychopathology and intervention. New Jersey: Erlbaum. Flam Zalcman, R., Chipperfield, B. G. A., & Mann, R. E. (2004). Back on Track report no. 5: Evaluation of the Back on Track Assessment Instrument and Process; Data from 2001. Toronto: Centre for Addiction and Mental Health. Flam Zalcman, R., Chipperfield, B. G. A., Mann, R. E., & Suurvali, H. (2004). Back on Track report no. 6: Evaluation of the Back on Track Assessment Instrument and Process; Year 2. Toronto: Centre for Addiction and Mental Health. Jacobson, N. (2004). In recovery: The making of mental health policy. Nashville: Vanderbilt University Press. Keshavan, M. S., Kennedy, J. L., & Murray, R. M. (2004). Neurodevelopment and schizophrenia. Cambridge: University Press. Manassis, K., & Levac, A. M. (2004). Helping your teenager beat depression. New York: Woodbine House. Mann, R. E., Brands, B., Macdonald, S., & Stoduto, G. (2004). Impacts of cannabis on driving: An analysis of current evidence with emphasis on Canadian data. Publication no. TP 14179 E. Ottawa: Transport Canada. Ogborne, A. C., Mann, R. E., Beirness, D. J., Carver, V., Koske R., & Roberts, G. (2004). Best practices: Treatment and rehabilitation of driving while impaired offenders. (Catalogue no. H46-2/04-321E). Ottawa: Health Canada. Peterkin, A. (2004). Staying human during residency training. Toronto: University of Toronto Press. Quinsey, V. L., Skilling, T. A., Lalumière, M. L., & Craig, W. M. (2004). Juvenile delinquency: Understanding individual differences. Washington: American Psychological Association.
Stewart, D. E. (2004). Menopause: A mental health practitioner’s guide. Washington DC: American Psychiatric. Vaccarino, F., & Rotzinger, S. (Eds.). (2004). Neuroscience of psychoactive substance use and dependence. Geneva: World Health Organization. Book Chapters Abrams, R. C., & Sadavoy, J. (2004). Personality disorders. In Comprehensive textbook of geriatric psychiatry (3rd ed.) (pp. 701–722). New York: W. W. Norton. Addington, J., & Addington, D. (2004). Psychosocial interventions in early psychosis. In Best care in early psychosis intervention (pp. 233–240). New York: Taylor & Francis. Addington, J., & Burnett, P. (2004). Working with families in the early stages of psychosis. In Psychological interventions for early psychosis (pp. 99–116). Chichester: Wiley & Sons. Anderson, N. D., & Grady, C. L. (2004). Functional imaging in healthy aging and Alzheimer’s disease. In Interdisciplinary topics in gerontology: Vol. 34. Vision in Alzheimer’s disease (pp. 62–95). Basel, Switzerland: Karger. Atkinson, L., & Golberg, S. (2004). Attachment and psychopathology: The integration of developmental and clinical traditions. In Attachment perspectives on psychopathology and intervention (pp. 3–26). New Jersey: Erlbaum. Babor, T. F., & the Alcohol and Public Policy Group (Babor, T., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, K., Grube, J., Gruenwald, P., Hill, L., Holder, H., Homel, R., Osterberg, E., Rehm, J., Room, R., & Rossow, I.). (2004). Alcohol policy and the public good: As simple as one, two, three? In From science to action? 100 years later; Alcohol politics revisited (pp. 29–47). London: Kluwer Academic.
Romans, S., & Seeman, M. (2004). Women’s mental health: A life cycle approach. Baltimore: Lippincott, Williams, Wilkins. Sadavoy, J. (2004). Psychotropic drugs and the elderly fast facts. New York: W. W. Norton. Sadavoy, J., Jarvik, L. F., Grossberg, G. T., & Meyers, B. S. (2004). Comprehensive textbook of geriatric psychiatry (3rd ed.). New York: W. W. Norton.
Boyd, K., Bassett, A., Zwaigenbaum, L., & Chow, E. (2004). 22q deletion syndrome. In Demystifying syndromes (pp. 139–160). Kingston, NY: NADD Press.
Shaw, B. F., Ritvo, P., & Irvine, J. (2004). Addiction &
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violence. In From enforcement to prevention to community engagement: Research on community safety (pp. 161–194). Toronto: Centre of Criminology, University of Toronto.
Bradley, E. A., Lunsky, Y., & Korossy, M. (2004). Living with intellectual disability. In Women’s mental health: A life-cycle approach (pp. 237–253). Philadelphia: Lippincott Williams & Wilkins.
Esplen, M. J. (2004). Psychological aspects of genetic testing for adult onset hereditary disorders. In Genetic testing, care, consent and liability (pp. 1–350). New Jersey: John Wiley and Sons.
Carter, J. C., McFarlane, T. L., & Olmsted, M. P. (2004). Psychometric assessment of eating disorders. In Clinical handbook of eating disorders (pp. 21–46). New York: Marcel Dekker.
Feinstein, A. (2004). As the smoke clears, the pain goes on. In In dying to tell the story (pp. 208–219). Toronto: International New Safety Institute.
Carvalhal, A. S. (2004). Aspectos neuropsiquiátricos da infecção pelo HIV [Neuropsychiatric disorders in HIV infection]. In Bases biológicas dos transtornos psiquiátricos [Biological bases of psychiatric upheavals] (p. 1). Porto Alegre: Artes Médicas.
Fischer, B., Remis, R., & Haydon, E. (2004). Hepatitis C, illegale Drogen und marginalisierte Populationen in Kanada: Ein kurzer Uberblick zu Epidemiologie, Pravention und Behandlung [Hepatitis C, illegal drugs and marginalized populations in Canada: A short overview to epidemiology, prevention, and treatment]. In Internationalen fachtag zu hepatitis C: Innovative konzepte und praxis von pravention und psychosozialer betreuung bei drogengebrauch [International Day dedicated to hepatitis C: Innovative concepts and prevention practices and psychosocial support with drug use] (pp. 131–144). Berlin: Akzept e.
Castel, S. (2004). Comorbidades: Alcoolismo e abuso de drogas [Comorbidities: Alcoholism and drug abuse]. In Transtornos de ansiedade [Anxiety disorders] (pp. 389– 406). Sao Paulo: Editora Atheneu. Chen, X., & Kaspar, V. (2004). Childhood and adolescence: Cross-cultural perspectives and applications. In Advances in applied developmental psychology (pp. 46–80). Westport, CT: Praeger. Chen, X., Kaspar, V., Zhang, Y., Wang, L. & Zheng, S. (2004). Peer relationships among Chinese boys: A crosscultural perspective. In Adolescent boys: Exploring diverse cultures of boyhood (pp. 197–218). New York : New York University Press.
Hawa, R., Kayumov, L., Lowe, A., & Shapiro, C. M. (2004). Psychopharmacological management of restless legs syndrome and periodic limb movements in sleep. In Sleep and sleep disorders: A neuropsychopharmacological approach (pp. 117–121). N/A: Landes Bioscience.
Conn, D. K. (2004). Other dementias and mental disorders due to general medical conditions. In Comprehensive textbook of geriatric psychiatry (3rd ed.) (pp. 545–577). New York: W. W. Norton.
Heeb, J. L., Gmel, G., Rehm, J., Hussler, G., & Michaud, P. A. (2004). Besteurerung und Spirituosenkonsum in der Schweiz [Tax and liquor consumption in Switzerland]. In Suchtforschung des BAG 1999–2001 [Psychiatric Research of BAG 1999–2001]. Band 2 3 pravention recherches de 10FSP en matiere de dependances 1999–2001 [Band 2 3 Research prevention of the 10FSP as regarding dependences 1999–2001] (pp. 14–17). Bern: Ministry of Health.
DeVoretz, D., Beiser, M., & Pivenko, S. (2005). The economic experiences of refugees in Canada. In Refugee resettlement in the west: Economic, social and cultural aspects (pp. 1–25). N/A: Nova Scientific Publishers. Dewa, C. S., Hoch, J. S., & Goering, P. (2004). Getting men and women on depression-related short-term disability back to work: Where do we begin? In The economics of gender and mental illness (pp. 0–0). New York: Elsevier Science.
Jaffe, P., Wolfe, D. A., Crooks, C., Hughes, R., & Baker, L. (2004). The fourth R: Developing healthy relationships through school-based interventions. In Protecting children from domestic violence: Strategies for community intervention (pp. 200–218). New York: Guilford.
Drucker, E., Nadelman, E., Newman, R. G., McNeely, J., Malinowska-Semprucht, K., Marsh, D. C., Schechter, M., Brands, B., Oscapella, E., & Wodak, A. (2004). Harm reduction: Pragmatic drug policies for public health and safety. In Substance abuse: A comprehensive textbook (pp. 1229–1250). Philadelphia: Lippincott Williams & Wilkins.
Kayumov, L., Hawa, R., Shapiro, C. M., Kurland, H. D., Oster, M., Bornstein, J., & Golbin, A. Z. (2004). Alternative therapies in sleep medicine. In Sleep psychiatry (pp. 379–396). N/A: Parthenon. Korman, L. M. (2004). Treating anger and addictions concurrently. In Treating concurrent disorders: A handbook for practitioners (pp. 215–233). Toronto: Centre for Addiction and Mental Health.
Epstein, T., & Saltzman-Benaiah, J. (2004). Tourette syndrome and Asperger syndrome: Understanding symptom and treatment similarities. In Children, youth and adults with Asperger syndrome (pp. 0–0). London: Jessica Kingsley.
Korman, L. M., Toneatto, T. T., & Skinner, W. J. (2004). Pathological gambling. In Practice guidelines for evidencebased psychotherapy (pp. 0–0). New York: Springer.
Erickson, P., & Butters, J. (2004). Three groups of Toronto youth: Their experiences of guns, other weapons and
Leszcz, M. (2004). Group therapy. In Comprehensive
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textbook of geriatric psychiatry (pp. 1023–1054). New York: W. W. Norton.
Economy of research and research therapy] (pp. 233–244). Berlin: Pabst.
Links, P. S., & Stockwell, M. (2004). Couples therapy with a paranoid personality-disordered client. In Family treatment of personality disorders: Advances in clinical practice (pp. 361–380). New York: Haworth.
Rehm, J., Room, R., Monteiro, M., Gmel, G., Graham, K., Rehn, N., Sempos, C.T., Frick, U., & Jernigan, D. (2004). Alcohol use. In Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors (pp. 959–1108). Geneva: World Health Organization.
Manassis, K. (2004). Child–parent relations: Attachment and anxiety disorders. In Anxiety disorders in children and adolescents (pp. 255–272). Cambridge, UK: Cambridge University Press.
Roberts, M. C., Arias, I., Lutzker, J. R., Walker, L. E. A., & Wolfe, D. A. (2004). Family health through injury and violence prevention at home. In Psychology builds a healthy world: Opportunities for research and practice (pp. 77–104). Washington DC: American Psychological Association.
McFarlane, T. L., Carter, J. C., & Olmsted, M. P. (2004). Eating disorders. In Improving outcomes and preventing relapse following cognitive behavior therapy: A clinical handbook (pp. 0–0). New York: Guilford.
Rodin, G., Nolan, R. P., & Katz, M. R. (2004). Depression (in the medically ill). In Textbook of psychosomatic medicine (pp. 113–217). New York: American Psychiatric Press.
Moller, H. J., Kayumov, L., & Shapiro, C. M. (2004). Effects of psychotropic medications on driving. In Sleep and sleep disorders: Neuropsychopharmacological approach (pp. 121–125). Georgetown, TX: Landes Biosciences.
Sadavoy, J., & Lazarus, L. W. (2004). Individual psychotherapy. In Comprehensive textbook of geriatric psychiatry (3rd ed.) (pp. 993–1022). New York: W. W. Norton.
Muntaner, C., & Navarro, V. (2004). Conclusion: Political and economic determinants of population health; A research agenda. In Political and economic determinants of population health and well-being: Controversies and developments (pp. 551–556). Amityville, NJ: Baywood.
Sanchez-Craig, M., Wilkinson, D. A., & Toneatto, T. (2004). Guidelines for advising on alcohol treatment goals. In Alcohol and drug problems: A practical guide for counsellors (pp. 127–142). Toronto: CAMH.
Muntaner, C., Lynch, J. W., & Hillemeier, M. (2004). Economic inequality, working-class power, social capital, and cause-specific mortality in wealthy countries. In Political and economic determinants of population health and well-being: Controversies and developments (pp. 399– 426). Amityville, NJ: Baywood.
Shen, J., Kayumov, L., & Shapiro, C. M. (2004). Sleep in seasonal affective disorder. In Sleep psychiatry (pp. 239–245). London: Taylor and Francis.
Muntaner, C., Nagoshi, C., & Diala, C. (2004). Racial ideology and explanations for health inequalities among middle-class whites. In Embodying inequality: Epidemiologic perspectives (pp. 183–192). Amityville, NJ: Baywood.
Silver, I., & Herrmann, N. (2004). History and mental status examination. In Comprehensive textbook of geriatric psychiatry (3rd ed.) (pp. 253–280). New York: W. W. Norton. Stewart, D. E. (2004). Introduction to menopause. In Menopause: A mental health practitioner’s guide (pp. 1–4). Washington DC: American Psychiatric Press Inc.
Prazeres, N., Taylor, G. J., & Parker, J. D. A. (2004). Escala de alexitimia de Toronto de Vinte Itens (TAS-20) [Twenty-item scale of alexitimia in Toronto [TAS-20]). In Avaliacao psicologica. Instrumentos validados para a populacao Portuguesa [Instruments validated for the Portuguese population]. Vol. 2 (pp. 87–99). Coimbra, Portugal: Quarteto.
Stewart, D. E. (2004). Women’s gastrointestinal health. In No more digestive problems (pp. 12–28). New York: Bantam Dell. Stewart, D. E., & Khalid, M. (2004). Menopause. In Mental health: A lifestyle approach (pp. 30–45). New York: Williams & Wilkins.
Rehm, J. (2004). Zur vergleichenden Bewertung von Internventionen im bereich Alkohol: Welche Massnahme ist am kosteneffektivsten? [The comparative evaluation of interventions within the range alcohol: Which measure is most cost effective?] In Suchtforschung des BAG Recherches de 10FSP en matiere de dependances 1999–2001. Band 1 [Research prevention of the 10FSP regarding dependences 1999–2001. Band 1] (pp. 115–118). Bern: Bundesamt fur Gesundheit. Rehm, J., Frick, U., & Rischer, B. (2004). Zur Okonomie des Suchtmittelgebrauchs. In Oekonomie der sucht und suchttherapie [The economy of using central research. In
Stotland, N. L., Stewart, D. E., Munce, S. E., & Rolfe, D. E. (2004). Obstetrics and gynecology. In Textbook of psychosomatic medicine (pp. 733–760). Washington DC: American Psychiatric Publishing. Taylor, G. J. (2004). Alexithymia: Twenty-five years of theory and research. In Emotional expression and health: Advances in theory, assessment and clinical applications (pp. 137–153). Hove, UK: Brunner-Routledge. Vachon, M. L. S. (2004). The emotional problems of the patient in palliative medicine. In Oxford textbook of
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palliative medicine (3rd ed.) (pp. 961–985). Oxford: Oxford University Press.
Contemporary issues in road user behaviour (pp. 133–148). Hauppauge, NY: Nova Science.
Vachon, M. L. S. (2004). Stress of caregivers. In Oxford textbook of palliative medicine (3rd ed.) (pp. 992–1004). Oxford: Oxford University Press.
Zucker, K. J. (2004). Dolls. In Treatment companion to the DSM–IV–TR casebook (pp. 127–134). Washington DC: American Psychiatric.
Verhoeff, N. P. L. G. (2004). Ligands for neuroreceptor imaging by positron or single-photon emission tomogrophy. In Nuclear medicine in clinical diagnosis and treatment (3rd ed.) (pp. 1275–1294). New York: Churchill Livingstone.
Zucker, K. J. (2004). Gender identity disorder. In Adult psychopathology case studies (pp. 207–228). New York: Wiley. Zucker, K. J., & Bradley, S. J. (2004). Gender identity and psychosexual disorders. In Textbook of child and adolescent psychiatry (3rd ed.) (pp. 813–835). Washington DC: American Psychiatric.
Verhoeff, N. P. L. G., Wilson, A. A., Kung, H. F., Hussey, D., Trop, L., & Houle, S. (2004). B-Amyloid imaging in vivo and its possible implications for Alzheimer’s disease. In Nuclear medicine in psychiatry (pp. 191–199). Heidelberg: Springer. Vingilis, E. R., Seeley, J., McLeod, A. I., Mann, R. E., Stoduto, G., & Beirness, D. (2004). Road safety impact of the extended drinking hours policy in Ontario. In
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