Health committee  You know, we speak a lot about the social and physical environment elements that underlie health. If people don't have the basics of what they need, then it's very difficult. Even in my practice in downtown Toronto, if somebody comes to me saying that she doesn't have enough food

Health committee  Absolutely.

Health committee  The idea is that it will be available across. We've actually finished the clinical trial now, so we're talking with the Quebec government about French translations, and we're talking now about how we can start getting it out sustainably. Hopefully, we will have it available prett

Health committee  You know, there is a little bit in the core curriculum in medical training. Dr. Montreuil might be able to talk about psychological training, and Dr. Hippman about genetic counsellor training. I would say that there is a paucity of hours, relative to the proportion of the populat

Health committee  We've talked a lot about perinatal mental health today. From my point of view, we should be talking about women's mental health across the lifespan and all of those different, unique issues, because they're all related to each other. For women to even know that, biologically, if

Health committee  I was listening to the simultaneous translation. You asked about risk factors for mental health across a woman's life, and whether they change over menstruation, pregnancy, postpartum and menopause. I think it is true that having a history of depression, a family history of depr

Health committee  I will say again that the biggest thing we can do federally is to help women understand what they could face so that they know what they can expect from their mental health and from their treatment, and understand that there are some very specific things. There are different ways

Health committee  I can try, and then maybe my colleagues will help me with that a little bit. The whole concept of stepped care is the idea that, if people have very mild symptoms, you want to be able to give them the least invasive treatments first and the ones that are most easily available. T

Health committee  Can I jump in? Is that okay?

Health committee  If you go on PubMed and you type in “antidepressants in pregnancy”, you'll get like 80 articles a year. It is practically impossible for practitioners to go through that. Then, when patients type it into the Internet, it's the same. A number of years ago, we created an online pa

Health committee  Sure. It's my pleasure. Dr. Van Lieshout actually referred to these guidelines. This is a partnership between Women's College Hospital and an organization called CANMAT, the Canadian Network for Mood and Anxiety Treatments, which has been doing the guidelines for depression and

Health committee  I'm sorry if I took too long.

Health committee  As we know, health care services are organized by province. What we should be able to do with these guidelines is say, this is the recommendation for treatment, and these treatments are all available in Canada. I'm talking about therapies and medications and how quickly someone s

Health committee  I can start a little bit, if you'd like.

Health committee  As a psychiatrist, I have lots of colleagues who are family physicians, many of whom refer to me. The thing about having a family physician, especially when we're thinking about women, is that a family physician follows you throughout your whole lifetime. They know you. They know