Hospital Programs

Students admitted to hospital are referred to the education program by the professionals in the hospital.

CHEO — Hospital

The McHugh classrooms at CHEO, serve students who are current patients of the Children’s Hospital of Eastern Ontario. The eight McHugh teachers are responsible for using a trauma informed approach when providing services to three main programs within the hospital. All students are admitted by physicians and referred to the education program by the professionals in the various programs with parental consent. Schools and community agencies cannot refer directly to the CHEO hospital programs.

The Care and Treatment programs at CHEO are located in three main areas:

  • Child Life Program

  • In-patient Crisis Psychiatric Unit (6E)

  • Eating Disorders Program

Child Life Program

The Child Life program is also known as the bedside teaching program. Students who are hospitalized for any medical reason for a minimum of three days will receive services from the teachers. Students with chronic conditions or oncology and dialysis patients who require weekly treatments are seen on the days that they are at the hospital in the Medical Day Unit (MDU). The Child Life teachers work one-on-one with a student either at the bedside, in the playrooms or in the McHugh classroom. The teachers liaise with the child’s community school with the focus of keeping the students up with their peers in class. Two elementary teachers and one secondary teacher meet the needs of all students, grades JK-12.

This program is designed to help students who are hospitalized keep up with their school work and normalize their life while they are dealing with an illness and to benefit their social and emotional health. Students are often dealing with long-term, chronic illness such as cancer, cystic fibrosis or rehabilitation after a major injury or shorter term illnesses that involve surgery. Teachers provide highly individualized programming in a variety of settings to best benefit the student.

Referral Process – All students are admitted by physicians. Students 12 and over must consent to participate in the program. Teachers require consent from parents/guardians to communicate with the community school.

Return to Home School – Return to homeschool is based on discharge from the hospital. In some cases, students return directly and in other situations staff try to establish a transition plan. Oncology students are supported in their transitions back to school by the two POGO (Pediatric Oncology Group of Ontario) interlink nurses who work directly with the schools. Child Life teachers will help with transitions if necessary for all other medical patients.

In-patient Adolescent Mental Health Crisis Unit (6E)

Patients on the Adolescent Mental Health In-Patient Crisis Unit (6E), are typically aged 12-17 and are referred to the unit through the emergency department where they are triaged for mental health crises. Those who can’t plan for safety and present with severe symptoms are admitted for stabilization and assessment. Patients who are well enough and have signed a consent to attend will come to the classroom daily for the duration of their stay. These students have an academic period in the morning form 9:30 – 11:00 where they focus on keeping up with their community school work. They have class from 12:30 – 1:30 where they can choose from a number of art activities. This art period helps the teachers connect with those patients who have refused academic support and to discern what some of the difficulties might be surrounding school engagement for these patients and allows the students to practice being in a classroom setting while engaged in a non-threatening activity. Teachers attend daily rounds from 9:00 – 9:30 to review the profiles of newly admitted patients and to receive feedback on the progress of current patients. Teachers contact community school guidance counsellors, collaborate on academic planning and attend discharge planning meetings. They communicate discharge planning details and recommended support to the community school.

Referral Process – All students are admitted by physicians. Students 12 and over must consent to participate in the program. Teachers require consent from parents/guardians to communicate with the community school.

Return to Home School – Return to homeschool is based on discharge from the hospital. In some cases, students return directly and in other situations staff try to establish a transition plan. Teachers are involved in discharge meetings with the clinical staff and school personnel are often invited to attend. McHugh teachers will provide a short-term stay report (Student at a Glance) with strategies that they have found work in the classroom with a student.

Eating Disorders Programs

The Eating Disorders Program (EDP) has two separate groups that participate in school. The In-Patient EDP program is for patients admitted for severe eating disorders and stabilization through the Eating Disorders Outpatient Clinic or Emergency Department. They are medically unstable and the focus is to re-nourish, stabilize and discharge them to home. Students have one period of school in the morning, and the aim is to help them keep up with their work at their school while a longer-term treatment plan is developed for them. The teachers liaise with the community school staff to collaborate on the best academic program for the student. The teachers are also very aware of the cognitive effects of the eating disorder on these students.

The EDP Day Program is for those students who are weight restored and focused on recovering from their eating disorder. They are referred from the outpatient clinic and inpatient program. There are 8 spots in the program and, ideally, a student is in the program for 12-16 weeks. Patients participate in a combination of group and individual therapy sessions, nutrition group, art and self-expression group and eat all their meals together. They also receive about 10 hours of school a week in the McHugh classroom with two dedicated teachers. Students are encouraged to focus on 2 credits from their community school and the teachers liaise with the community school on how to best deliver these credits. These students are also offered a chance to earn a food and nutrition credit or learning strategies credit that is co-facilitated by the teachers and the professionals in the program. These students have a transition planning meeting when it is time to return to their community school full-time. Students who require additional support through this transition are offered the outreach services of the McHugh Lead/Transition teacher who can meet with them at their community school and help problem-solve any difficulties and encourage the student to practice the strategies they learned in the program.

Referral Process – All students are admitted by physicians. Students and parents in the EDP Day program must give consent in order for their son/daughter to participate in the school program. Teachers require consent from parents/guardians to communicate with the community school.

Return to Home School – return to homeschool is based on discharge from the hospital. In some cases, students return directly and in other situations staff try to establish a transition plan. Teachers in the Eating Disorders Program are involved in the Transition Plan back to school. Discharge meetings take place at the request of either the therapist or the family. There is also a short-term placement report that can be given to the school with strategies that have worked.

CHEO/Youth Services Bureau — Step Up Step Down

The Step Up Step Down program is a voluntary bilingual live-in treatment program for up to 6 youth between the ages of 12 to 17 years old and offers up to a 30 day stay. Services are provided by an interdisciplinary team including (but not limited to) educators, youth workers, peer supporters (youth and families), psychiatric nurses, psychotherapist, occupational therapist, and a psychologist.

While in the program, students will continue to work on their high-school credits as they work toward their Ontario Secondary School Diploma. A focus on social and emotional learning as well as pathway planning with students is a priority.

Psychiatric consultation will be sought as needed. The overall aims of this service are to:

  • provide short-term (up to 30 days) crisis stabilization and intensive individualized treatment to youth (12 to 17 years) with complex mental health needs and families through a live-in treatment stay to promote recovery and establish a collaborative care plan with community partners of community supports and services to support youth and their families post-discharge

  • support youth and their families in the transition to home from a hospital inpatient stay (step down) or to prevent a hospital admission or readmission (step up)

Referral ProcessThis program is available by referral only to youth who continue to struggle in spite of receiving intensive mental health services. Youth and caregivers should speak to their mental health provider at CHEO, the Royal, YSB, or Le CAP if they feel that Step Up Step Down might meet their treatment needs.

Royal Ottawa Mental Health Centre — Youth Partial Program

The Youth In-Patient and Youth Partial Hospitalization Unit are located on the grounds of the Royal Ottawa Mental Health Centre (ROMHC). This unit offers education services to youth who require comprehensive assessment, treatment or identification of needs, or who experience complex, prolonged or severe emotional or behavioural difficulties that interfere with their functioning at home, in school and in the community.

This program offers specialized mental health services to youth with early-onset major psychiatric disorders and/or complex psychiatric illnesses. A team of professionals with expertise in treating a wide range of mental illnesses with sensitivity to meet the unique needs of youth, work together to achieve the best results for the youth. The team consists of psychiatrists, psychologists, social workers, nurses, child and youth counsellors, occupational therapists, addiction counsellors as well as a McHugh special education teacher. The teacher collaborates with students, both inpatient and outpatient, to work toward obtaining their high school diploma.

The program component at The Royal has 12 beds and is focused primarily on youth from the ages of 16 to 18. However, there is flexibility in the age range and youth below the age of 16 may be served at The Royal, depending on their best clinical interests. Typically youth under 16 years of age receive their treatment at CHEO.

Referral ProcessReferrals to this program are made through other mechanisms that may include, Youth Justice, mental health, or for medical reasons.

External Links: ROHMC Youth Programs