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The first part of this page contains the information about the variable from the CPHN Guide for Common Indicators for Canadian Physician Health Programs, version v1.0. CPHN is editing the guide and will eventually produce a new version, v1.1. Concurrently, we are also writing a new version of the guide, for use with CiviCase. We will call this stream v2.0.
Case Referral Target
v1.0 (Refers to CPHN indicator 16 "Where referred to for service")
When a client (case) is referred outside the PHP for treatment or service, record it here. A case may be referred to more than one service. This variable does not record the specific treatment provided by the service referred to. For example, a client may be referred for individual counselling or to an addiction treatment program. That referral is recorded here but the specific therapy provided by the therapist or program is not recorded.
Where referred |
Check all that apply (√) |
Sub-category definition |
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Assessment and treatment: |
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1.1 Multidisciplinary assessment service |
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1.2 Problem specific assessment |
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1.3 Inpatient treatment |
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1.4 Outpatient treatment |
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1.5 Other |
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Addiction-related services" |
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2.1 Detox |
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2.2 Caduceus group |
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2.3 12-step group |
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e.g. AA, NA, SA, CA, Adult Children of Alcoholics |
2.4 Self-help group |
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Other than 12-step, e.g. Al-Anon, Narc-Anon, Women for Sobriety |
2.5 Addiction treatment program |
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Multidisciplinary addiction treatment program which may be inpatient, day program, or other outpatient (indicate inpatient or outpatient above in conjunction with this value) |
2.6 Individual Addiction specialist |
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Addiction physician or other health professional who specializes in treating individuals with addiction problems. |
2.7 Therapeutic community |
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Longstanding treatment community e.g. Stonehenge - Guelph |
2.8 Other Addiction-related service |
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Specify |
Medical treatment |
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3.1 Family Physician |
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3.2 Psychiatrist |
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3.3 Other specialist physician |
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3.4 Hospital emergency department |
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3.5 Other medical treatment |
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Counselling and group therapy: |
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4.1 Individual counselling |
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4.2 Group therapy |
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4.3 Couple/family counselling |
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4.4Spousal / partner support group |
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4.5 Non-traditional/alternative healer |
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4.6 Other couselling |
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Other personal services: |
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5.1 Child care assistance |
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5.2 Community agency |
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5.3 Occupational / professional counselling |
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5.4 Legal services |
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5.5 MD management |
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5.6 Financial counselling |
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5.7 Ombudsman |
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5.8 CMPA |
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5.9 Other personal service |
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Assistance from the profession: |
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6.1 Professional Association |
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6.2 Undergrad / postgrad Medical society |
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6.3 Rural Physician Action Plan |
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6.4 Compassionate expense fund |
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6.5 Other professional service- |
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