Programs and Services at the Smithville Medical Centre Family Health Team
Addiction Support Services - CASON
We are working with CASON so that our patients have access to comprehensive alcohol, drug and gambling/gaming/internet addiction treatment. These services are available for individuals and their families. An addictions counsellor working in Community Treatment supports individuals through motivational interviewing and solution-focused substance counselling, working collaboratively with clients to develop an individualized plan of care. The addictions counsellor works with individuals who are interested in making changes and whom are also agreeable to briefer, less intensive treatment. The addictions counsellor connects individuals to community referrals and more intensive treatment as needed. An addictions counsellor is located on-site Tuesdays from 8:30-4:30.
To get connected speak with your doctor or contact CASON directly call (905) 684-1183 or email info@cason.ca
Additional groups and programs offered through CASON:
Community Treatment:
- Choices for Change
- SMART Recovery
- Structured Relapse Prevention (SRP)
- Dialectal Behaviour Therapy (DBT)
- GAIN Q3 MI (Assessment) Group
Day Treatment
Addiction Supportive Housing (ASH) Program
Family Services
Youth Services
Outreach Services
Anticoagulant (INR)
About
The INR (anticoagulant) care at the Smithville Medical Centre Family Health Team (SMCFHT) is a physician led program that includes a Registered Nurse Educator who sees a patient for an educational session when you are prescribed to start Coumadin (Warfarin) therapy for INR (anticoagulation). This treatment may be required for many different medical conditions and it is important that you understand how to safely manage this therapy with the support of your medical team.
You will be given written information regarding the medication and dietary considerations and contact information to maintain as a resource. You will then have regular contact by telephone from the Registered Nurse Educator or your Doctor regarding what dosage of Coumadin (Warfarin) medication you should take daily and when to next have bloodwork done. The bloodwork can be arranged with the provision of a requisition at your local lab. If you have not been contacted 24 hours after having the bloodwork done you should contact our office and speak to the Doctor or the Nurse Educator at 905-957-3328.
Chronic Obstructive Pulmonary Disease (COPD) - Best Care Program
About the Best Care Program:
The Smithville Medical Centre Family Health Team has partnered with the Best Care COPD and Asthma Programs. Through this partnership we are able to have a Registered Respiratory Therapist and a Certified Respiratory Educator that run a Best Care clinic weekly here at the Smithville Medical Centre. In collaboration with your primary care provider, they will confirm diagnosis and optimize medication.
Community Health Prosperity Program
Compassion & Connection: A group for parents of kids with ADHD
We will begin hosting group sessions that will be held virtually on Zoom from 6–7pm on Tuesday evenings: Sept 23, Oct 7, Oct 28, Nov 11, Nov 25. Registration is required. Please call us at:(905)957-3328 to speak with a receptionist about registering today.
Diabetes
About
The Diabetes Program at the Smithville Medical Centre Family Health Team (SMCFHT) aims to provide excellence in patient-based diabetes care and follow up, involving regular visits with your diabetes health care team. Your Family Physician and Registered Nurse Educator will see you alternately every 3 months and a Registered Dietitian is available to see you as a consultation and possibly for ongoing follow up appointments based on your specific situation. You are still encouraged to see your Family Doctor, or one of the Nurse Practitioners, for other health concerns aiming to provide good general health follow up. At times, it may be necessary to see other healthcare professionals, such as a counselor.
During your visit with the team, you will review healthy lifestyles. You may discuss things such as healthy eating, physical activity, blood sugar monitoring, foot care and smoking. When coming for a diabetic visit with either the Family Doctor or Registered Nurse Educator it is important that you have bloodwork done a week prior to the visit so that the results can be reviewed for your safety benefit.
Having diabetes usually means changes in your lifestyle, which is not always easy. Your health care team is here to support you as you make these changes and manage your diabetes. Having a support system is an integral part of personal success.
Groups
Group education sessions can be arranged based on demand. Please call Stephanie at 905-957-3328, ext 117, and leave a message with your name, telephone number and topic of interest!
Geriatric
Geriatric Program
About
The Geriatric Program has been developed by the Smithville Medical Centre Family Health Team (SMCFHT) to improve the quality of life of seniors, allowing them to remain as independent and healthy as possible. The Team consists of a Nurse Practitioner working with the patient’s Family Physician to provide a comprehensive assessment; to access other community based home care resources in coordination with the Community Care Access Centre Case Manager and to support care givers enabling them to make informed decisions. The team will work to identify any cognitive impairments that may exist as well as identifying any extra services or support that may be needed. This program has the support of a Registered Dietitian and Mental Health Counselors onsite as well.
The program is structured around three separate visits with the Nurse Practitioner and are usually booked for approximately one hour. The first visit is an individual interview with the client/patient to do some history taking and cognitive assessments. The second visit will be with family members only, without the client/patient present. The third visit is a physical assessment at which time other tests may be ordered. The visits are booked according to a referral from the Family Doctor.
Some of the Initial Discussion will include:
- Current living situation
- Work history
- Hearing
- Vision
- Dental
- Cognition – MMSE: (max 30); MOCA: (max 30)
- Depression – Geriatric depression screen
- Falls/mobility
- Osteoporosis
- Caregiver support
- Continence
- Medications
- Nutrition
- Cardiovascular/stroke risk
- Driving
- Do you have a Power of Attorney? Personal Care?
- Financial care/property?
- Do you have a valid, up to date Will?
- End of Life Care directions?
- Lifestyle issues
- Activities of daily living
Hypertension (HTN)
About
The goal of the Hypertension Program at the Smithville Medical Centre Family Health team is to identify patients with high blood pressure and provide them with education that supports individual learning and self-management.
What can you expect during your blood pressure appointment?
During an appointment with the blood pressure nurse an electronic blood pressure machine is used to do a series of blood pressure readings in order to ensure accurate and consistent readings each time you have your blood pressure checked. We do ask if you have your own electronic blood pressure machine to bring it in to your blood pressure appointment along with any recent home blood pressure readings and any medications you are taking. The blood pressure nurse will also review with you any lifestyle risk factors that may be impacting your blood pressure. The blood pressure appointment offers a great education resource that can help you understand what hypertension is; the risks; and strategies for blood pressure reduction. We can offer you support for lifestyle changes that have been proven to lower blood pressure and reduce your risk of cardiovascular disease. Ultimately, our Hypertension Program belongs to you, the patient, and we are here to facilitate your journey.
Infant Feeding
ABOUT
The Smithville Medical Centre Family Health Team (SMCFHT) recognizes the importance of infant feeding, including both breast and bottle feeding, in relation to health promotion. The focus of the infant feeding program at the SMCFHT is the following:
Education
- to provide information to enable families to make an informed choice about infant feeding and nutrition
Support
- to provide support to families related to bottle feeding and breastfeeding with hands-on assistance and encouragement as needed
Encouragement
- to work with Mom/Dad/baby to achieve their goals
- to make families aware of how we can help and the options available
The lactation consultant provides one-on-one sessions to answer any questions you may have and for in-person lactation support. Appointments can be made for before or after the baby is born.
RESOURCES
Examples of some infant feeding related topics you can see the dietitian for include:
- Education: breast milk, breastfeeding, formula and bottle feeding
- Managing potential problems: sore nipples, sore breast, engorgement, over/undersupply, mastitis, poor weight gain in baby, difficulty latching
- Pumping
- Storage of breastmilk, preparation and safe storage of formula
- Medications and breastfeeding
* Please call the office at 905-957-3328 to book an appointment.
REGISTERED DIETITIAN, Registered lactation consultant
- DAYNA
As a registered dietitian and lactation consultant (IBCLC), I am a licensed health professional that can help support all your nutrition needs from birth to senior years. It is my job to stay up-to-date with the latest nutrition news and to be able to translate the research into our everyday living practices. I look forward to meeting with you and helping you make the changes needed to improve you or your family’s health!
Mental Health
About
Our Mental Health Team provides a range of services to enrolled patients of the Smithville Medical Centre Family Health Team (SMCFHT) by working together with the Family Physicians to help individuals, couples and families deal with issues such as:
- depression
- anxiety
- stress
- marital dysfunction
- family dysfunction
- chronic disease
- anger management concerns
- grief and loss
Access to the Mental Health program is by referral from your Family Physician.
Our Mental Health Counselors are qualified professionals who will work with you in a short-term, focused and confidential way. They also work collaboratively with your Physician to provide care in a respectful and timely manner. They offer support, education and links with other community agencies and services when appropriate.
Nutrition and Lifestyle
Nutrition and Lifestyle Counselling
About
Our Registered Dietitian provides one-on-one counselling to help families and individuals nutritionally manage their health issues such as:
- Diabetes/Pre-Diabetes
- Heart Health (high blood pressure, high cholesterol, congestive heart failure)
- Heartburn, kidney stones, gout
- Polycystic ovarian syndrome
- Inflammatory bowel disease (ie Crohn’s, diverticular disease, ulcerative colitis, etc)
- Paediatric weight management (failure to thrive, picky eaters, etc)
- Anemia (iron and/or B12 deficiency, pernicious anemia)
- Allergies/intolerance to food
- Vegetarianism/vegan diet
- Healthy eating throughout the lifecycle (prenatal, older adults)
The first appointment with the Registered Dietitian lasts about an hour. Follow up appointments last anywhere from half an hour to an hour. During a first appointment, patients will talk about their recent lab results, their usual food intake, and possible changes they can make today to maximize their health and well being. You may book an appointment to see the Registered Dietitian yourself or with a referral from your Doctor or other Health Professional at the Smithville Medical Centre Family Health Team (SMCFHT).
Smoking Cessation
About
The Smoking Cessation program provides a systematic approach to assisting patients when they are ready to quit smoking or wishing to have a reduction in daily cigarettes smoked. The Nurse Educator will provide counseling and education around smoking cessation. The initial appointment is about 60 minutes and will include support with developing a comprehensive personal quit plan when you are ready; ongoing support once you quit to prevent relapse; available support with the Registered Dietitian to discuss healthy eating options; and medication options. The Nurse Educator will call a few days after the quit date to assess withdrawal symptoms and any issues with medications. A follow up appointment 2-4 weeks later will be scheduled to provide further support.
The Smithville Medical Centre Family Health Team (SMCFHT) is partnering with the Centre for Addiction and Mental Health in an initiative that will provide free nicotine replacement therapy for patients wanting to quit smoking.
If you are ready to quit or want more information about quitting, you can call and book an appointment for yourself to see the Nurse Educator or you can be referred by your Family Doctor.
Thank you for your interest in the Smithville Medical Centre Family Health Team STOP Smoking Program. Congratulations on taking this very important first step for your health! The STOP Smoking Program is a province wide initiative that provides 26 weeks of free Nicotine Replacement Therapy (patch, gum, lozenge, inhaler) and counseling by our Nurse Educator in the office.
Please contact the office to clarify any questions that you may have as you begin your quit journey.
Sincerely,
Smithville Medical Centre Family Health Team
in partnership with……..
.
. 
My STOP Portal – Introduction & Instructions
Welcome to My STOP Portal, the STOP Program’s online portal for participants! Congratulations on your decision to quit smoking tobacco, we are happy to support you along this journey. Using My STOP Portal, you can register/enroll in the STOP Program online at any time, and gain access to helpful and relevant information to support your quit attempt.
Info Session Print Outs, links & Additional Info/Resources:
Ask a Dietitian - Youtube Video Links
Buying on a Budget
Buying on a Budget Info Session Print Outs & Additional Info/Resources:
Tips to Spend Less Money on Food
https://www.niagararegion.ca/living/healthy-eating/food-affordability.aspx
Flyers, shopping list and weekly ads with the Flipp App
Eating for Heart Health
Eating for Heart Health Info Session Print Outs & Additional Information/Resources:
Top 10 Tips to Sit Less and Move More
Canada’s Guidance on Alcohol and Health, Public Summary: Drinking Less Is Better (Infographic)
Understanding and measuring your blood pressure
Quit Smoking with STOP on the Net
Blood Pressure Measurement Info Page
The Canadian Society for Exercise Physiology (CSEP) 24-Hour Movement Guidelines
Introductory Resistance Program PDF Document
List of Recommended Devices for Managing Hypertension from Hypertension Canada
Improving Your Health Span
Diabetes Canada – Resistance Exercise Videos
Western CCAA – Active Home Videos
GoodLife Fitness – Live Your Resilient Life YouTube Videos
Diet Review: MIND Diet – The Nutrition Source
Discussing Vitamins and Supplements
Functions and Food Sources of Some Common Vitamins
Functions and Food Sources of Some Common Minerals
Dietary Reference Intakes Calculator from Health Canada
Dietary reference intakes tables: Overview
NIH Office of Dietary Supplements
NIH National Centre for Complementary and Integrative Health
Dietitians of Canada Vitamins and Mineral Supplements
Dietary Intake Reference Tables
St. John’s Wort and Medication Interactions
Dietitians of Canada Vitamin B12
Emotional Eating

