About Telemedicine at Mount Sinai

Mount Sinai Hospital-Perinatal Mental Health Program introduces Telemedicine Program

Mount Sinai has the largest perinatal psychiatry program in Canada, serving our in-patients, ambulatory patients and now patients in their own community. The Perinatal Mental Health Team at Mount Sinai Hospital has increased capacity to support women with perinatal mental health problems through the use of advanced video technology.  Using personal videoconferencing software we can deliver the right care, at the right time, in the right place for the patient. We can offer care where and when women need it the most.

Perinatal women may face multiple barriers to access the support that they need. This technology enables the provision of care for women who have mental health concerns but live far from the hospital, have childcare or economic barriers or would otherwise not be able to return for follow-up. Studies of the effectiveness of telemedicine appointments versus traditional face-to-face appointments in psychiatry have found equivalent outcomes in patient satisfaction, adherence and psychological symptom reduction. (O’Reilly, R. et al., 2007; Fortney, J.C., et al., 2007; Kay-Lambkin, F.J., et al., 2009)

We are able to offer consultation, assessment and ongoing patient care, either in a health care provider’s office or in the patient's home via a new program of the Ontario Telemedicine Network called Guest Link.  You do not need to be a registered member of the Ontario Telemedicine Network.  Using mobile technology, we can bring video capability directly to patients within Toronto Central LHIN as needed.

We are able to collaborate with health care providers to support dissemination of evidence-based best practices and assessment tools for early identification and intervention for women experiencing perinatal mental health disorders.

The telemedicine services are:

  • OHIP billable
  • Portable
  • Increase access to perinatal psychiatrists for the most vulnerable of patients


Goals of the Perinatal Mental Health Telemedicine Program:

1. To provide accessible psychiatric consultations to antenatal women with psychiatric concerns in Ontario.

2. To provide psychiatric medication consultations for antenatal women to support primary care providers in Ontario.


The Perinatal Mental Health Program at Mount Sinai Hospital serves patients who are:


Inclusion Criteria

  • Willing to be seen via Telemedicine
  • Preconception, pregnant and within one year postpartum who are at risk of developing psychiatric problems, with a strong history of mental illness, and/or experiencing anxiety or depression
  • 18 years of age or older
  • Has a primary care provider
  • Access to emergency services

 Exclusion Criteria

Patients are not appropriate for our program if they are:

  • Over one year postpartum
  • Currently being followed by a psychiatrist*
  • Evidence of psychotic or manic symptoms
  • Seeking an assessment for legal support, workplace issues and/or parenting capacity
  • Active substance abuse
  • Active violent or self-injurious behavior
  • Under 18 years of age

 *For medication consults, the patients' primary care provider and/or current psychiatrist is required to attend.

*Please note: The program is not a crisis or emergency service.  If the patient is experiencing active suicidal/homicidal/psychotic/manic symptoms, the patient should be directed to the nearest Emergency Department for immediate assessment.   

Referrals can be made to Mount Sinai Perinatal Mental Health Team by:

  • Download Referral Form from:

Perinatal Referral Form

  • Please indicate the referral is for a TELEMEDICINE appointment (if referring site is registered member of OTN, please include videoconferencing site and system number and contact information of telemedicine coordinator)
  • Referral form must be filled out completely including the following information: 1) patients full address 2) valid OHIP number 3) referring care providers billing information 
  • All referrals are to be faxed to 416-586-8596
  • Patient will be contacted for a phone assessment by our Clinical Nurse Specialist/Telemedicine Coordinator
  • Patient must be seen via telemedicine at referring care providers office for the initial assessment. OTN member sites preferred.  


If you have questions about the telemedicine program, please contact Rodea Casam (Clinical Nurse Specialist) at 416 586-4800 x8630. We would be happy to answer any questions.