Transdisciplinary team for severe behavioural disorders (TGC)
Part of the ultra-specialized services offered by West Montreal Readaptation Centre (WMRC) is the transdisciplinary team of professionals who work with people who have severe behavioural disorders (TGC), their family and, if necessary, people from their substitute living environment to provide an evaluation and treatment respectful of multimodal approach principles. The team's members meet twice weekly to review the user's treatment plan.
The transdisciplinary team is composed of a STEP coordinator, a consulting psychiatrist, a health services professional, a psychologist and the manager of the program's residential resources, joined by the intervention providers and managers from the user's natural environment, a social worker, the user's family and the user him/herself.
The STEP program (Specialized Treatment, Evaluation and Prevention) is a continuum of services for individuals with TGC. This ultra-specialized program complements regular services offered by the establishment when the latter are unable to satisfactorily respond to the user's needs using regular resources.
The program consists of four levels:
- Consultation - The intervention team usually meets with members of the transdisciplinary team with the goal of obtaining an evaluation and an intervention plan. Interventions and evaluation are conducted in the person's natural environment. The transdisciplinary team's support may be short-term, or may cover a longer period.
- Ultra-specialized support services - This is a temporary addition of human resources to the person's natural environment with the goal of preventing or defusing crisis situations. The addition of personnel may also be required to facilitate an intervention plan. The addition to add human resources falls to the transdisciplinary team, and that decision is regularly reviewed in accordance with an evaluation of intervention results.
- Transition intervention resource for crisis situations - This is a resource located in the community staffed 24 hours/day by personnel trained in crisis intervention. With close collaboration from the transdisciplinary team's professionals, specialists conduct observations and apply the intervention plan suggested for the person who is temporarily placed because of his/her difficulties. This measure may be applied for a maximum of 90 days. The objective is to stabilize the person's behaviours so that he/she is able to return to his/her natural environment as soon as possible.
- Hospitalization - This level of interventions is only used if the health and safety of the person with TGC are compromised.
