
Practicum Work
The Operational Stress Injury Clinic
I completed my practicum at the CareWest Operational Stress Injury Clinic (OSIC). Operational Stress Injury Clinics (OSIs) are run through Federal Government Funding and can only be accessed through a referral from Veterans Affairs Canada (VAC). Each OSI provides assessment, treatment, prevention and support to serving CAF members, Veterans and RCMP members and former members. Treatment options at each OSI clinic are on an outpatient basis only and include one-on-one therapy sessions and group sessions to address anxiety, insomnia, anger and other issues that are occurring as a result of a mental health disorder.
OSIC specifically, helps veterans, current and former Canadian Armed Forces (CAF) members and Royal Canadain Mounted Police (RCMP) suffering from an OSI that requires specialized intensive assessment and treatment. OSIC offers psycho-therapy and counseling, as well as medication treatment, skills training, group therapy and educational sessions, relationship and family counseling and consultation and professional education to the community.
My role within the OSIC as a practicum student, was to carry a caseload of clients and complete triage assessments, as well as teach group stabilization classes. I managed a complex caseload of RCMP and veteran clients completing trauma treatment, while also providing group and individual clinical therapy sessions. While at OSIC I also acted as an unofficial liaison for Veteran Affairs Canada, providing direction and guidance around government policies and answering clinician questions related to veteran and RCMP eligibility for federal support. Below I have included some of the learning, my case study specifically related to working with RCMP members and beneficial videos I have found on both populations I work with.

Working with the RCMP
Working with the RCMP can be very complex as many experience years of compounded trauma that builds over time. There is also the added component that most are still serving when engaged in treatment and are therefore at risk of re-traumatization while in therapy, as well as after treatment. When working with RCMP clients it is essential to determine safety factors to ensure that both the client and the public will be safe. Sometimes the clinician must make a recommendation for the client to go on leave while stabilizing. Another important factor when working with RCMP is ensuring that they are able to build their resilience as a way of preventing further OSIs while on the job.
Global News. (2014, March 28). Cost of PTSD in the RCMP [Video]. YouTube. https://www.youtube.com/watch?v=iyJVeu6E7PQ
The Leader-Post. (2020, January 3). A Regina Police Officer Shares his Experiences with PTSD [Video]. YouTube. https://www.youtube.com/watch?v=7n9IwQJ6ohk
RCMP Case Study
Working with the Military
When working with still serving members or veterans there are many things to keep in mind. I would like to highlight the importance of understanding that a members experience varies widely based on their deployments and branch of service. For example, navy members deployed directly after 911 experienced a lot of trauma around the fear of what could happy and the length of deployment as the navy had its longest length of sea time directly after 911. Whereas, Army members deployed to Somalia typically report struggling with survivors guilt and moral injury around what they witnessed and could not prevent while on tour. It is important to understand the different deployments and history of the Canadian Armed Forces as it allows clinicians to explore an normalize what may be coming up for clients.
CityNews Toronto. (2014, January 22). Canadian Military Officers Discuss PTSD [Video]. YouTube. https://www.youtube.com/watch?v=jZLMVlW31bs
The Globe and Mail. (2015, July 21). Life with PTSD: A Canadian Veteran Shares His Story [Video]. YouTube. https://www.youtube.com/watch?v=_R63RlLqLK0
