Overview

CPRI continues to provide services to children, youth and their families during COVID‑19.

If you have questions about the status of our services please call 519-858-2774 ext. 2024.

Get the most up to date information about COVID‑19.

Consultation services for clinicians and physicians

Agency to Agency Community Consultation

For agency staff to consult with CPRI’s clinical team for support, feedback, or further recommendations for a child they are currently working with.

This service will continue to be offered to community agencies by all CPRI outpatient clinics.

Tertiary Medical Consultation

For medical specialists (for example, paediatrician, psychiatrist, neurologist, geneticist). This is a one-time consultation that may require two appointments: a developmental behavioural consultation with a CPRI paediatrician or a consultation with a psychiatrist. It can also include diagnostic opinion/interdisciplinary ASD diagnostic assessment. The child or youth will be required to attend the appointment.

This service will continue to be offered to community agencies by all CPRI outpatient clinics.

CPRI outpatient clinical services

CPRI is continuing to provide outpatient clinical services in-person, by phone, videoconference or through the Ontario Telemedicine Network (OTN). Some services such as assessments have been adapted so they can be partly or fully delivered remotely. CPRI clinicians will determine the clinically appropriate method to deliver the service, aligned with the most up to date guidance from the Ministry of Health and the Public Health Unit.

Learn more details about each program CPRI offers by clicking on the program name.

  • Outpatient services available

Attachment Consultation and Education Service (ACES)

For children and youth up to age 18 who are suspected of having an attachment disturbance or disorder.

Initial interview for new referrals will better determine service needs. Full or partial assessments, consultation and short-term counselling are available by the following disciplines:

  • case management coordinator
  • community behaviour consultant
  • paediatrician
  • psychologist
  • social worker
  • occupational therapist

Brake Shop (disinhibition disorders)

For children and youth age 6 up to age 18 with a diagnosed or suspected tic disorder and those with disinhibition disorders (ADHD, OCD) who may or may not be experiencing tics.

Psychiatric or developmental paediatric assessment, with initial service planning and support from case management coordinator and community behaviour consultant. As appropriate, the following services may be provided:

  • social work assessment/consultation and brief service
  • occupational therapy consultation
  • psychology consultation
  • evidence-based treatment for management of disinhibition, tics, obsessive-compulsive disorder, and anxiety

Dual Diagnosis Behaviour and Anxiety Clinic

For children and youth age 2 up to age 18 who have an intellectual disability along with severe psychiatric concerns, behaviour problems or emotional disorders.

Initial interview for new referrals will better determine service needs. Full or partial assessments and short-term counselling available by the following disciplines:

  • case management coordinator
  • community behaviour consultant
  • paediatrician
  • psychologist
  • psychometrist
  • social worker
  • occupational therapist.

General Clinical Services (GCS)

For children and youth up to age 18 with significantly complex emotional or behavioural needs. These services may include diagnostic clarification, medication management and community consultation or getting a second opinion.

Initial interview for new referrals will better determine service needs. Full or partial assessments, consultation, and short-term counselling available by the following disciplines:

  • case management coordinator
  • community behaviour consultant
  • developmental paediatrician
  • psychiatrist
  • psychometrist
  • psychologist
  • social worker
  • speech language pathologist
  • occupational therapist

Homeshare

Homeshare offers full-time and long-term family placements for children who have developmental delays, along with medical fragility and/or behavioural challenges. Homeshare is a voluntary program and natural parents retain legal guardianship and involvement with their children to the extent they are able.

Homeshare provides supervision of placements, a high level of support to the Homeshare child or adult, Homeshare family and natural family or legal guardian, as well as case management and emergency on-call services.

Preliminary screening will continue in order to respond to urgent requests for placement or emergency placement needs for current Homeshare families. The only Homeshare families that will proceed to the interview process would be those where a match appeared possible, to meet an urgent placement need, either in the community or within the Homeshare program. Support by Homeshare case managers and/or Homeshare coordinator will continue primarily by phone, virtually and only in-person if urgent.

Home Visiting Program for Infants (HVPI)

For children up to age 6 that have or are at risk of having a developmental delay in London-Middlesex, Oxford, Elgin, Huron and Perth counties.

Discipline expertise includes:

  • nurses
  • social worker
  • occupational therapist
  • speech language pathologist
  • physiotherapist
  • psychologist
  • parent infant therapist
  • paediatrician (by request)

Interdisciplinary Autism Service (IAS)

For children and youth up to age 18 with suspected or confirmed complex autism spectrum disorder (ASD).

Using an interdisciplinary clinical model, the following disciplines work together to provide full or partial aspects of the program offerings listed below: case management coordinator, community behaviour consultant, paediatrician, psychiatrist, psychometrist, psychologist, social worker, speech language pathologist, board certified behaviour analyst, and occupational therapist.

  • autism spectrum disorder (ASD) diagnostic clinic
  • interdisciplinary autism service (IAS) clinical consult
  • initial team consultation (ITC) and integrated clinical assessments

Mood and Anxiety Disorders Clinic

For children and youth up to age 18 with complex symptoms that suggest a mood and/or anxiety disorder.

Initial interviews for new referrals will better determine service needs. Full or partial assessments, consultation, and short-term counselling are available by the following disciplines:

  • case management coordinator
  • community behaviour consultant
  • psychiatrist
  • paediatrician
  • psychologist
  • social worker
  • WASHU K-SADS (Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia) will be completed after a psychiatric assessment by request of physician. Interview and review with psychologist will be completed by phone or by videoconference

Sexual Behaviours Team

For children and youth up to age 18 with sexual behaviour problems.

Initial interview for new referrals will better determine service needs. Full or partial assessments, consultation, and short-term counselling are available by the following disciplines:

  • case management coordinator
  • community behaviour consultant
  • psychiatrist
  • paediatrician
  • psychologist
  • social worker

This could include:

  • completion of developmental history and historical review of symptoms
  • preliminary assessment of mental health concerns (for example, review of anxiety, depression, ADHD)
  • review of adaptive functioning and impact of skill profile, trauma, life history
  • recommendations for approaches and responses to take during physical distancing (for example, in relation to developmental level or mental health needs)

Selective Mutism

For children age 4 up to age 18 who are not able to speak in certain situations, like at school, because of anxiety.

Initial interview for new referrals will better determine service needs. Full or partial assessments, consultation, and short-term counselling available via telephone or videoconference by psychologist and speech language pathologist.

CPRI inpatient clinical services

CPRI continues to follow COVID‑19 guidance from the Chief Medical Officer of Health and the Middlesex London Health Unit when considering admitting clients to inpatient services.

CPRI has developed a plan in accordance with available guidelines to safely admit clients onto inpatient units. This plan includes active screening, periods of quarantine, appropriate use of personal protective equipment (PPE) and regular monitoring of clients by CPRI’s medical professionals.

To ensure physical distancing requirements can be maintained with staff and clients, we have determined an appropriate number of staff and clients that can be in each unit at any time, and in each unit spac'se.

CPRI will triage inpatient referrals through assessment and clinical review, considering the client’s needs, level of risk and how their goals of care can best be met by our clinical teams. Admissions into an inpatient unit will be considered on a case by case basis by CPRI interdisciplinary clinical teams, following infection control measures set by Ministry of Health guidelines.

Inpatient teams can also offer remote services to provide support to families and community service providers. We are not an on-call, emergency or crisis management service.

Remote waitlist support and service planning will be done in collaboration with clients, families, community service providers and members of the inpatient teams which may include:

  • community case manager
  • community behaviour consultant
  • child and youth workers
  • psychologist
  • psychiatrist
  • developmental paediatrician
  • psychometrist
  • speech language pathologist
  • physiotherapist
  • occupational therapist
  • recreation therapist
  • educational liaison
  • nurses
  • child life specialist

Remote services could be provided by telephone, teleconference, Ontario Telemedicine Network (OTN), eHUB, and Microsoft Teams. Remote waitlist support and services may include:

  • service needs assessment
  • review of current situation, strategies and supports
  • interdisciplinary file review and case discussion planning for future direct assessments, as clinically indicated
  • indirect assessment such as interviews, questionnaires and remote observation
  • development of an initial individual crisis management plan (ICMP) through file review, consultation notes and family involvement (telephone or video)
  • provide psychoeducation and recommended resources such as handouts, resources, tip sheets and virtual resources
  • general education about:
    • intellectual disability and other diagnoses and the impact on mental health and behaviour
    • causes of behaviour
    • communication
    • motor skills and sensory processing abilities
    • setting up a supportive environment
    • funding and service options
  • psychiatric assessment through videoconference, including review of available referral information, to develop an initial diagnostic formulation and recommendations as appropriate, with a psychiatric report
  • medication review and consultation to families or community doctors
    • referral for bloodwork, ECGs, other medical tests or other medical providers as clinically indicated
  • psychology consultation and psychology assessment report containing a summary of remote services and recommendations as appropriate
  • modified family sessions and counselling support by phone and/or video which explore family/ relational dynamics
  • check-ins with families, including counselling support as needed to assist families in the area of coping and stress
  • consultation with specific disciplines as clinically indicated, and full or partial discipline specific assessments
  • reports and recommendations from specific disciplines, if applicable to the client’s goals of care

Unit 6

The Unit 6 interdisciplinary team serves children and youth between ages 7-13 with diagnosed or suspected Intellectual Disability and significant behavioural or mental health concerns.

Thameswood

The Thameswood interdisciplinary team serves children and youth with diagnosed or suspected Intellectual Disability and significant behavioural or mental health concerns.

Unit 5

The Unit 5 residential program serves children and youth aged 6 to 13 who have complex mental health and/or learning difficulties.

Unit 4

The Unit 4 residential program is typically teen boys with complex mental health and learning needs that cannot be addressed in their community.

Pratten 2 South

The Pratten 2 South Intensive Services team is an interdisciplinary team that provides service to girls from age 8 and up to age 18 who present with severely impairing, complex mental health needs (emotional, behavioural, and learning needs) and complex family dynamics.

Pratten 1

The Pratten 1 team serves children and youth (birth to up to age 18) with complex developmental and medical (including technological dependence) needs. The children and youth on this unit may present with cerebral palsy, developmental delays (in fine motor, gross motor, speech, vision, and/or communication), genetic syndromes, chronic respiratory conditions, neurological disorders and associated difficulties (such as feeding and seizures), sleep disorders, and other significant physical or health related issues.

Remote services unique to Pratten 1 include:

  • developmental paediatric assessment as part of interdisciplinary team assessment to discuss child and family needs/goals and to determine eligibility for Pratten 1 program
  • assessment/consultation by other clinicians as needed example: social work, clinical feeding assessment, etc.
  • external referrals for subspecialist consultation, audio, functional vision assessments, seating and mobility, etc.
  • child life specialist report’s for client at parents request with recommended stimulation/play activity suggestions to enhance child’s development or quality of life
  • physiotherapist may assess overall postural alignment, active range of motion by observation only, gross motor skills, postural reactions (righting reactions, protective reactions) and offer some general intervention strategies.