Clinical Support for Occupational Therapists, Physicians & Case Managers

Psychodiagnostic assessment by registered psychologists for clients aged 18 and over, with diagnosis against DSM-5-TR criteria supported by standardized psychometric measures.

Treatment follows directly from the findings, delivered by registered psychotherapists, psychologists, social workers and nurse practitioners. Indicated where a patient presents with PTSD, anxiety, depression or adjustment difficulty following a collision, or where diagnostic clarity is needed before treatment.

EMDR, cognitive processing therapy, prolonged exposure, CBT and more than thirty other modalities across the team, for ages four and up.

Particularly useful for patients whose symptoms have not responded to general supportive counselling, since trauma frequently requires trauma-specific treatment.

Standardized cognitive testing where brain injury is suspected or post-concussive symptoms persist, scored against demographically corrected normative data.

Findings distinguish injury-related impairment from the effects of pain, disrupted sleep, medication and mood, which is often the clinical question you actually need answered.

Whiplash, spinal pain, headaches, post-concussion presentations, chronic pain and deconditioning, with movement and strength measured using FDA-cleared devices rather than estimated.

Available in Grimsby and St. Catharines, and by home visit across Hamilton, Niagara and the surrounding areas.

For digestive injury following seatbelt or abdominal trauma, jaw and TMJ pain limiting oral intake, appetite loss secondary to medication or mood, unintended weight change, and nutritional support for tissue healing. Ages six and up.

Also useful where an existing condition such as diabetes has become harder to manage since the injury.

Transcranial Magnetic Stimulation at our Oakville clinic, for depression that has not responded adequately to pharmacological and psychological treatment.

A reasonable next step before, or alongside, further medication trials in treatment-resistant presentations.

Available at our Oakville clinic, for anxiety, attention difficulties, sleep disturbance and autonomic dysregulation.

Also used therapeutically alongside our Mental Health Driving Anxiety Assessment©, where physiological response is measured directly.

We coordinate the full multidisciplinary assessment, including orthopaedic surgery, neurology, psychiatry, physiatry, neuro-optometry and chronic pain specialists, and conduct the psychological and functional components in-house.

You receive one integrated report rather than a set of disconnected opinions, and your patient is not left arranging specialist appointments while unwell.

Three assessments developed in-house and available through no other provider in Ontario: driving anxiety measured using FDA-cleared virtual reality and biofeedback, The Quantitative Sleep Assessment©, using an FDA-cleared device across three or more nights at home, and the Functional Impact and Barriers to Recovery Assessment© conducted by a Registered Social Worker.

Each produces objective data where the presentation would otherwise rest on self-report alone.

Our clinical records are structured to complement occupational therapy assessments rather than sit apart from them. We document mental health, behavioural, cognitive, and nutritional findings using objective measures and real-world functional examples, so the psychological picture is recorded in the same functional language your reports use.

We document impairment across the four spheres of function, activities of daily living, social functioning, concentration and pace, and adaptation to stress, and we align our records with the AMA Guides and SABS standards where applicable.

Our Clinical Narrative Reports give an OT team the mental health and nutritional context needed to support functional capacity assessments, in-home assessment reports, and Future Cost of Care recommendations. We do not produce Future Cost of Care reports ourselves, and we are available for consultation to the assessor who does, to clarify findings and make sure the full scope of impairment is accurately reflected.

Psychiatry, psychology, psychotherapy, social work, and dietetics all contribute to a single coherent clinical narrative rather than separate files that contradict one another. Gaps and inconsistencies between providers are the first thing an insurer looks for, and a shared record removes them.

Notes are concise, objective, and focused on impairment. We go beyond diagnostic labels to record the specific functional limitations, behavioural changes, and daily difficulties that demonstrate what the injury has actually cost the client.

Our nurse practitioners expedite referrals to OHIP-funded specialists and specialised programmes, including outpatient traumatic brain injury programmes, and order diagnostics such as nerve conduction studies, MRI, and CT.

For an OT, this closes the evidentiary gaps that otherwise sit unresolved for months while a client waits on a family physician referral, and it means the medical record catches up with what you are observing functionally.

Our Registered Social Workers connect clients to the supports that are otherwise left to whoever has the closest relationship with the client, which is frequently the OT. That includes Ontario Works, ODSP, CPP Disability, Employment Insurance sickness benefits, Disability Tax Credit and Canada Caregiver Credit certification, rent-geared-to-income and subsidised housing, supportive and transitional housing, Home and Community Care, Assistive Devices Program, Trillium Drug Program, Legal Aid navigation, Victim Services, employment supports and retraining, food security resources, Indigenous services, and settlement services for newcomers.

We are also an approved provider under the Interim Federal Health Program, administered by Medavie Blue Cross for Immigration, Refugees and Citizenship Canada, so we can serve refugees, refugee claimants, and protected persons, including those without provincial health coverage, and we handle the eligibility and claim submission ourselves.

The practical effect is that the navigation work comes off your desk, and the unmet need identified along the way strengthens the social functioning and daily living evidence on the file.

We prepare the clinical justification responses that challenge OCF-18 denials. Where a plan is denied or delayed, we do not let the client sit idle: we look at extended health benefits to bridge access in the interim, and we offer protected accounts and third-party financing through MediCard and BridgePoint Financial.

Cost should not decide whether a client keeps progressing, and a treatment gap in the record helps nobody.

Once catastrophic impairment is determined, the intensity and coordination required change considerably, and many providers cannot scale to it. We can. Our team delivers the sustained multidisciplinary treatment required post-determination and continues building the clinical record that supports ongoing entitlement and settlement discussions.

We also coordinate and complete the multidisciplinary catastrophic assessment itself, including the psychological and functional components, with medical specialists arranged and findings consolidated into one integrated report.

Biopsychosocial assessment by a Registered Social Worker or psychotherapist, documenting pre- and post-accident function across physical, psychological, social, and occupational domains.

Three proprietary, copyright-protected assessments available nowhere else in Ontario: the Mental Health Driving Anxiety Assessment©, measuring driving and passenger anxiety objectively using FDA-cleared virtual reality and biofeedback rather than interview; The Quantitative Sleep Assessment©, recording sleep physiology over a minimum of three nights in the client’s own home with an FDA-cleared device and grading the severity of daytime impairment; and the Functional Impact and Barriers to Recovery Assessment©, examining nine barrier domains that standard reporting routinely leaves undocumented, recommended at around eighteen months.

Also available: psychological assessment with DSM-5-TR diagnosis, completed virtually, our Neuromuscular and Gait Assessment using FDA-cleared inertial motion analysis and handheld dynamometry, and nutrition assessment by a Registered Dietitian on our team. Where the client consents, assessments include a collateral interview with family or caregivers to corroborate reported limitations.

Four clinics: Oakville inside Oakville Trafalgar Memorial Hospital, St. Catharines inside the Marotta Family Hospital, Grimsby, and Kitchener. In-home and in-community psychotherapy and social work throughout the Greater Toronto Area, Hamilton, Niagara and Waterloo Region. Virtual appointments across Ontario. Dietitian services in person in the Niagara and Hamilton regions and virtually across Ontario.

Interpretation is available on demand in over 300 languages at no additional cost to the client, and where travel is the obstacle we can arrange transportation.

Clients are seen from age four. There is no waitlist, and for accident benefits clients the insurer has ten business days to respond to a funding request, though on a case-by-case basis we may begin sooner.