{"id":229006,"date":"2025-07-16T09:04:46","date_gmt":"2025-07-16T13:04:46","guid":{"rendered":"https:\/\/www.ottawahospital.on.ca\/?p=229006"},"modified":"2025-09-16T12:05:18","modified_gmt":"2025-09-16T16:05:18","slug":"ontrack-program-helps-young-adults-experiencing-psychosis-find-their-footing","status":"publish","type":"post","link":"https:\/\/www.ottawahospital.on.ca\/en\/healthy-tomorrows\/ontrack-program-helps-young-adults-experiencing-psychosis-find-their-footing\/","title":{"rendered":"OnTrack program helps young adults experiencing psychosis find their footing"},"content":{"rendered":"\n<p>Psychosis is a health condition that can be challenging to deal with alone.<\/p>\n\n\n\n<p>Neurological symptoms like hallucinations, delusions and paranoia can make it hard to distinguish between what\u2019s real and not \u2014 which can, in turn, make seeking treatment for yourself or a loved feel overwhelming.<\/p>\n\n\n\n<p>To help lessen this load, The Ottawa Hospital runs a program for young adults between the ages of 16 to 35 experiencing their first episode of psychosis \u2014 the only service of its kind in the Champlain region.<\/p>\n\n\n\n<p>Celebrating its 20<sup>th<\/sup> anniversary this year, the <a href=\"https:\/\/www.ottawahospital.on.ca\/en\/clinical-services\/deptpgrmcs\/programs\/champlain-district-regional-first-episode-psychosis-program\/\">OnTrack: Champlain District Regional First Episode Psychosis Program<\/a> is a voluntary rehabilitative program that reduces barriers to accessing care for psychotic disorders, ensuring individuals get the support they need as soon as possible.<\/p>\n\n\n\n<p>One way that OnTrack does this is by using an open referral system. This means anyone can call and refer themselves, or someone they know, to the program \u2014 no family doctor or ER visit required.<\/p>\n\n\n\n<p>\u201cPeople can be afraid to seek help,\u201d says Kaywana Malcolm, a registered nurse and a member of OnTrack\u2019s multidisciplinary health-care team. \u201cBecause you can self-refer, we\u2019re removing one of those major barriers.\u201d<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"900\" height=\"600\" src=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Registered_Nurse_Kaywana_Malcolm_The_Ottawa_Hospital.jpg\" alt=\"Kaywana Malcolm standing in the hallway of the OnTrack program\u2019s office.\" class=\"wp-image-229011\" srcset=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Registered_Nurse_Kaywana_Malcolm_The_Ottawa_Hospital.jpg 900w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Registered_Nurse_Kaywana_Malcolm_The_Ottawa_Hospital-300x200.jpg 300w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Registered_Nurse_Kaywana_Malcolm_The_Ottawa_Hospital-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><figcaption class=\"wp-element-caption\">Kaywana Malcolm is a registered nurse and a member of OnTrack\u2019s multidisciplinary health-care team.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">The importance of early intervention<\/h3>\n\n\n\n<p>Psychosis often emerges in late adolescence or early adulthood \u2014 a period when the brain is still maturing and may be more vulnerable to stress and neurobiological disruption,\u201d explains Dr. Mary Marquardt, a neuropsychologist with the OnTrack program since 2011. \u201cIf you\u2019re experiencing symptoms of psychosis, it\u2019s important to get help as soon as possible to avoid any long-term cognitive, behavioural, emotional and functional impacts.\u201d<\/p>\n\n\n\n<p>Early intervention is also critical because successfully treating psychosis is a marathon, not a sprint. For example, it can take weeks just to find the right medication, at the right dose, with minimal to no side effects, to manage someone\u2019s symptoms.<\/p>\n\n\n\n<p>As a result, everyone admitted into the OnTrack program is followed for up to three years by a dedicated multidisciplinary team of health-care professionals \u2014 including dieticians, nurses, occupational therapists, psychologists, psychiatrists, recreational therapists and social workers \u2014 all working together to develop effective, long-term treatment plans for their clients.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"900\" height=\"600\" src=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Neuropsychologist_Mary_Marquardt_The_Ottawa_Hospital.jpg\" alt=\"Dr. Mary Marquardt stands in front of some colourful, therapeutic artwork created by clients in the OnTrack program.\" class=\"wp-image-229013\" srcset=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Neuropsychologist_Mary_Marquardt_The_Ottawa_Hospital.jpg 900w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Neuropsychologist_Mary_Marquardt_The_Ottawa_Hospital-300x200.jpg 300w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/Neuropsychologist_Mary_Marquardt_The_Ottawa_Hospital-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><figcaption class=\"wp-element-caption\">Early intervention and treatment are key to reducing the long-term cognitive impacts of psychosis, according to OnTrack neuropsychologist Dr. Mary Marquardt.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">A whole-body approach to cognitive health<\/h3>\n\n\n\n<p>Medication and symptom management are just one part of OnTrack\u2019s approach to cognitive health. Therapeutic group interventions, art therapy and a peer support program are all offered with the goal of equipping clients \u2014 and their loved ones \u2014 with the education and support they need to feel more like themselves again and get back to their day-to-day lives.<\/p>\n\n\n\n<p>\u201cAfter three years, you really get to know your clients and their families,\u201d says Julie Daly, a registered nurse who\u2019s been with the program since its launch in 2005. \u201cSometimes they\u2019ll call after they\u2019ve left the program and let us know how they\u2019re doing \u2014 that they\u2019re heading to university or starting a new job.\u201d<\/p>\n\n\n\n<p>Julie notes that there is unfortunately still a lot of social stigma around psychotic disorders, which can make it hard for people to come to terms with their diagnosis.<\/p>\n\n\n\n<p>\u201cYou just don\u2019t hear all the stories about people with psychosis or schizophrenia going on to achieve their short-term and long-term goals, like returning to school and completing their educations, securing employment and having fulfilling relationships,\u201d she says. \u201cBut we celebrate those successes with our clients all the time.\u201d<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ottawahospital.on.ca\/en\/clinical-services\/deptpgrmcs\/departments\/mental-health\/our-services\/on-track-first-episode-psychosis-program\/\">Learn more<\/a> about OnTrack: Champlain District Regional First Episode Psychosis Program.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"900\" height=\"600\" src=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/On_Track_Program_artwork_The_Ottawa_Hospital.jpg\" alt=\"Some of the colourful, therapeutic artwork created by clients in the OnTrack program.\" class=\"wp-image-229015\" srcset=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/On_Track_Program_artwork_The_Ottawa_Hospital.jpg 900w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/On_Track_Program_artwork_The_Ottawa_Hospital-300x200.jpg 300w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2025\/07\/On_Track_Program_artwork_The_Ottawa_Hospital-768x512.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><figcaption class=\"wp-element-caption\">Some of the colourful, therapeutic artwork created by clients in the OnTrack program.\u00a0<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A unique program run by The Ottawa Hospital is celebrating 20 years of providing care and support to young adults navigating their first episode of psychosis.<\/p>\n","protected":false},"author":25,"featured_media":229007,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[422,276],"class_list":["post-229006","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-tomorrows","tag-integrated-care","tag-mental-health"],"acf":[],"wps_subtitle":"","_links":{"self":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts\/229006","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/comments?post=229006"}],"version-history":[{"count":0,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts\/229006\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media\/229007"}],"wp:attachment":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media?parent=229006"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/categories?post=229006"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/tags?post=229006"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}