Status of Women committee  I'm not able to comment on the training specific to Ontario. I will say that the reason I emphasized the piece around psychiatrists and psychiatry training is that at a bare minimum, I would suggest that all psychiatric residents be required to spend a portion of their training t

Status of Women committee  That's the bare minimum.

Status of Women committee  Do you mean navigators who exist to point people in the right direction? Meaning someone that would be affiliated with primary care—

Status of Women committee  —who could then direct folks? We have a system presently here called Access Mental Health and they are a centralized triaging resource. So my experience with them is that they have been quite helpful because they are a resource that physicians can access by telephone and they're

Status of Women committee  I don't believe it does across the board.

Status of Women committee  I can speak to the treatment piece and say that appropriate treatment, again, starts with the diagnosis. Once you get a diagnosis then what we can do is to start providing at least the bare minimum of maintaining medical stability and preventing further deterioration. The quest

Status of Women committee  There's a variety of different things that come to mind as soon as you say that, and of course, because I'm a clinician I think immediately of the clinical context. I think about the fact that we have anywhere up to 10 individuals at any given time who are severely ill and at ris

Status of Women committee  Yes.

Status of Women committee  Yes. By real treatment I mean hospital-based capacity, designated beds.

Status of Women committee  What I'm looking for here...and I'm really pleased, Dr. Rice, that you spoke the way you did, because I agree with you wholeheartedly that we don't have a lock on how to treat these conditions. When I say evidence-based what I'm talking about is applying a standard that we can

Status of Women committee  Thank you. Sorry. I didn't want to step on toes. I think the underlying problem is the cognitive and emotional issues that compel a person to stop eating. Thereafter it becomes a reciprocal process because the more a person engages in restricted eating, the more cognitively impa

Status of Women committee  I think you've really hit the nail on the head there. I think we have to be really careful about looking at these illnesses as being about food. The restriction of food is a symptom of some underlying, more complex, as I said, kind of cognitive or emotional problem or dilemma.

Status of Women committee  I'm certainly not an expert in this, and I'm not an expert in the research in this field, but I think when we overemphasize the role of media, we miss the bigger picture. Obviously I'm in support of not progressing towards increasingly severe emaciation and the other things we

Status of Women committee  It's a good question and you're absolutely right, we work with individuals from those communities. I have to say that we don't feel, or I certainly can speak for myself and say I don't feel like I approach those women in a vastly different way. I meet with every individual as an

Status of Women committee  Would you like me to answer that?