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Cumulative Risk Diagnostic Clinic   at
Calgary 3820 24 Avenue NW
Connect Care Specialty: Developmental and Behavioural Pediatrics
Connect Care Department: CGY CDC CUMULATIVE RISK
Estimated time to routine appointment: Within 9 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Cumulative Risk is a specialized collaborative clinic that provides diagnostic and functional assessment, inter-professional case consultation and treatment recommendations for children and youth with complex behavioural profiles in the context of multiple adverse exposures.Services include diagnostic queries for Fetal Alcohol Spectrum Disorder. The clinic mandate does not include ongoing case management and treatment, but seeks to support referring physicians with recommendations to support long-term community care. All children will receive the assessments needed to arrive at the appropriate diagnostic conclusion. Recent assessments completed in the community may be incorporated into our diagnostic process. Not all children will receive a multidisciplinary assessment.

Please note:

Children from birth to 6 years of age are encouraged to receive services from resources such as Program Unit Funding (PUF) programs, Early Childhood Rehabilitation Services, Pediatric Community Rehab Services or Collaborative Mental Health Care to address any developmental and / or behavioural needs prior to a referral to this clinic.

Children must be 7 years of age or older at the time of referral to be considered for a Fetal Alcohol Spectrum Disorder assessment.

We provide diagnostic assessment and do not provide assessment, diagnosis, or treatment for mental health disorders.
Cumulative Risk is a specialized collaborative clinic that provides diagnostic and functional assessment, inter-professional case consultation and treatment recommendations for children and youth with complex behavioural profiles in the context of multiple adverse exposures.Services include diagnostic queries for Fetal Alcohol Spectrum Disorder. The clinic mandate does not include ongoing case management and treatment, but seeks to support referring physicians with recommendations to support long-term community care. All children will receive the assessments needed to arrive at the appropriate diagnostic conclusion. Recent assessments completed in the community may be incorporated into our diagnostic process. Not all children will receive a multidisciplinary assessment.

Please note:

Children from birth to 6 years of age are encouraged to receive services from resources such as Program Unit Funding (PUF) programs, Early Childhood Rehabilitation Services, Pediatric Community Rehab Services or Collaborative Mental Health Care to address any developmental and / or behavioural needs prior to a referral to this clinic.

Children must be 7 years of age or older at the time of referral to be considered for a Fetal Alcohol Spectrum Disorder assessment.

We provide diagnostic assessment and do not provide assessment, diagnosis, or treatment for mental health disorders.
ROUTINE REFERRAL PROCESS
Non-Connect Care Users: Complete the referral form and send it to the service using the contact information in this profile.

Connect Care Users: Use the Ambulatory Referral Order to the respective specialty in Connect Care.
Referrals are accepted from:
  • Pediatricians
  • Pediatric Specialists/Sub-Specialists (e.g. Child Psychiatrists)
Referrals are triaged by Calgary Zone Child Development Services Central Access and Triage (CAT).
Non-Connect Care Users: Complete the referral form and send it to the service using the contact information in this profile.

Connect Care Users: Use the Ambulatory Referral Order to the respective specialty in Connect Care.
Referrals are accepted from:
  • Pediatricians
  • Pediatric Specialists/Sub-Specialists (e.g. Child Psychiatrists)
Referrals are triaged by Calgary Zone Child Development Services Central Access and Triage (CAT).
URGENT REFERRAL PROCESS
Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. Patients with potentially life threatening conditions should immediately phone 9-1-1.
Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. Patients with potentially life threatening conditions should immediately phone 9-1-1.
EMERGENCY REFERRAL PROCESS
Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. Patients with potentially life threatening conditions should immediately phone 9-1-1.
Direct patients to the nearest Emergency Department if they are experiencing a serious illness or injury. Patients with potentially life threatening conditions should immediately phone 9-1-1.
ELIGIBILITY REQUIREMENTS
Child Development Services Criteria and Forms located on the Family Community Resource Centre (FCRC)

Inclusion Criteria

Referrals must have: 
  • a clear diagnostic question that requires tertiary level assessment or inter-professional consultation. This must include a developmental focus.
  • documented evidence of prenatal alcohol exposure for FASD assessments 
OR
  • documented evidence of at least 2 of the following prenatal or postnatal adverse exposures known to adversely affect child development:
  • Exposure to other teratogens including prescription and non prescription drugs
  • Exposure to postnatal toxic stress. This may include violence, abuse, neglect, multiple caregiver placements or chronic parental mental health or substance use.
  • Known genetic condition or significant chronic health problem
  • The patient must be 0 to 17 years of age at the time of referral
The patient must live within the geographic area served by Calgary Zone

Exclusion Criteria
  • A request for treatment by an Allied Health professional (psychology, SLP, OT, PT, Social Worker, Education Consultant)
  • A request for an isolated query of Attentioned Deficit Hyperactive Disorder (ADHD), Developmental Coordination Disorder (DCD), Learning Disability (LD) or mental health disorders
  • A request for an acute and severe mental health or behavioural presentation
Child Development Services Criteria and Forms located on the Family Community Resource Centre (FCRC)

Inclusion Criteria

Referrals must have: 
  • a clear diagnostic question that requires tertiary level assessment or inter-professional consultation. This must include a developmental focus.
  • documented evidence of prenatal alcohol exposure for FASD assessments 
OR
  • documented evidence of at least 2 of the following prenatal or postnatal adverse exposures known to adversely affect child development:
  • Exposure to other teratogens including prescription and non prescription drugs
  • Exposure to postnatal toxic stress. This may include violence, abuse, neglect, multiple caregiver placements or chronic parental mental health or substance use.
  • Known genetic condition or significant chronic health problem
  • The patient must be 0 to 17 years of age at the time of referral
The patient must live within the geographic area served by Calgary Zone

Exclusion Criteria
  • A request for treatment by an Allied Health professional (psychology, SLP, OT, PT, Social Worker, Education Consultant)
  • A request for an isolated query of Attentioned Deficit Hyperactive Disorder (ADHD), Developmental Coordination Disorder (DCD), Learning Disability (LD) or mental health disorders
  • A request for an acute and severe mental health or behavioural presentation
ADDITIONAL SERVICE DETAILS
COMMUNICATION PROCESS
  • Communication of referral receipt to referral source will occur within 7 calendar days.
  • Communication of appointment details or wait list status to patient and referral source will occur within 14 calendar days.
  • Communication of initial appointment outcomes to referral source will occur within 30 calendar days.
 
PHONE
Main Reception 403-955-5900
FAX
Referral 403-476-7750
REFERRAL FORM

Referral Form
For all other inquiries, please call reception at 403-955-5900.

Prenatal Alcohol Exposure Confirmation Letter (to accompany referrals requesting a FASD assessment): 

Referral Form
For all other inquiries, please call reception at 403-955-5900.

Prenatal Alcohol Exposure Confirmation Letter (to accompany referrals requesting a FASD assessment): 
CLICK + TO VIEW REFERRAL GUIDELINES
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Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Timing
Additional Details
+-
Consultation
A current consultation note from the specialist physician, including: a description of adverse prenatal and postnatal exposures, a developmental review of the child, a current summary of ADHD treatment, and a summary of developmental, behavioral and social/emotional concerns significantly impacting the child's ability to function at home and/or in their community settings
 
At time of referral
A list of past and current medications.
 
At time of referral
Please enter the additional details in the ‘comments’ section of the provincial referral form.

This consultation occurs between referral source and CRDC physician. Topics that may be reviewed can include: 
- help with medical management of child with FASD
- previous referral that wasn’t accepted, and physician wants guidance
- meaning of known exposures to determine next steps in care
- diagnostic and intervention needs for preschool patients
+-
Fetal Alcohol Spectrum Disorder
All new referrals must identify reason for requesting a Fetal Alcohol Spectrum Disorder (FASD) assessment.
 
At time of referral
Completed prenatal alcohol exposure (PAE) form or evidence of prenatal alcohol exposure documented in physician consult notes.
 
At time of referral
Current consultation note from the specialist physician, including a developmental review of the child, description of adverse prenatal and postnatal exposures, summary of developmental, behavioral and social/emotional concerns significantly impacting the child's ability to function at home and/or in their community settings.
 
At time of referral
Current medications (dose, frequency) including ADHD and psychiatric medications.
 
At time of referral
Past medical history including past medical conditions such as history of premature birth, chronic health conditions, previous genetic assessment and diagnosis.
 
At time of referral

Identify ADHD medication used and reasons medication management has or has not been successful. 


Evidence of prenatal alcohol exposure in referenced professional documentation may be found in birth history, Children's Services documents or adoption history.
PAE Form

Describe significant patient, family and caregiver dynamics that may affect assessment

Initial Pediatric Kids in Care (PKIC) report, if available.

If available include all past assessment reports including Speech, Occupational, Physical Therapy and Psychology.
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Risk assessment
All new referrals must identify a developmental diagnostic question to be addressed.
 
At time of referral
Current consultation note from the specialist physician, including a developmental review of the child, description of adverse prenatal and postnatal exposures, summary of developmental, behavioral and social/emotional concerns significantly impacting the child's ability to function at home and/or in their community settings
 
At time of referral
Current medications (dose, frequency) including ADHD and psychiatric medications.
 
At time of referral
Past medical history including past medical conditions such as history of premature birth, chronic health conditions, previous genetic assessment and diagnosis.
 
At time of referral
 
Please enter the additional details in the ‘comments’ section of the provincial referral form.

Identify ADHD medication used and reasons medication management has or has not been successful. 


Describe significant patient, family and caregiver dynamics that may affect assessment

Initial Pediatric Kids in Care (PKIC) report, if available.


If available include all past assessment reports including Speech, Occupational, Physical Therapy and Psychology.
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Missed appointments are minimized by requiring a re-referral after two missed appointments (ACH Outpatient Principle in Practice, 6.8)
Missed appointments are minimized by requiring a re-referral after two missed appointments (ACH Outpatient Principle in Practice, 6.8)
 
HOURS OF OPERATION
Monday: 8:00 am - 4:30 pm
Tuesday: 8:00 am - 4:30 pm
Wednesday: 8:00 am - 4:30 pm
Thursday: 8:00 am - 4:30 pm
Friday: 8:00 am - 4:30 pm
   
 
ADDRESS
Suite 200
3820 24 Avenue NW
Calgary Alberta
T3B 2X9
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Clinic is located on the second floor of the Child Development Centre, which is the grey building across the street from the Alberta Childrens Hospital.  Alberta Children's Hospital is located on the corner of 24 Avenue NW and West Campus Drive NW 



Clinic is located on the second floor of the Child Development Centre, which is the grey building across the street from the Alberta Childrens Hospital.  Alberta Children's Hospital is located on the corner of 24 Avenue NW and West Campus Drive NW 



 
PHONE
Main Reception 403-955-5900
PATIENT RESOURCES
 
PARKING INSTRUCTIONS
Alberta Children’s Hospital Parking
Lot #53 is a University of Calgary outdoor, metered parking lot that is east of the CDC building.  Underground parking is also available at the Alberta Children's Hospital. Access is near the main entrance of the hospital.

Alberta Children's Hospital's rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
Alberta Children’s Hospital Parking
Lot #53 is a University of Calgary outdoor, metered parking lot that is east of the CDC building.  Underground parking is also available at the Alberta Children's Hospital. Access is near the main entrance of the hospital.

Alberta Children's Hospital's rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities.Paystations accept Canadian coins, Canadian bills or credit card (Visa, MasterCard, and American Express).
Parking Office and Kiosk accept payment by cash, credit card, debit or cheque.
 
EMAIL
WEBSITE
http://fcrc.ahs.ca/professional/cds/
VIRTUAL APPOINTMENT INFORMATION
 
 
WHEELCHAIR ACCESSIBILITY
Yes

The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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