SJHC Based Services

St. Joseph's Operational Stress Injury (OSI) Clinic

Located at the at Parkwood Institute, the St. Joseph’s Operational Stress Injury (OSI) Clinic is part of a national network of ten outpatient clinics funded by Veterans Affairs Canada  to provide specialized mental health services to Veterans (and their family), members of the Canadian Forces, and the Royal Canadian Mounted Police (RCMP) with service-related psychological/psychiatric illness.  St. Joseph’s OSI Clinic has two satellite clinics located in Toronto and Hamilton. Together, St. Joseph’s OSI Clinic provides service across Ontario including all Southwest Ontario, the Greater Toronto Area (GTA), Hamilton and Niagara region, and portions of Northern and Western Ontario.


The OSI clinic follows a standardized assessment and treatment protocol, including evidence-based psychotherapy and psychiatric care based on clinical practice PTSD guidelines developed by the Canadian Psychiatric Association, the Australian Centre for Posttraumatic Mental Health, the US DVA/DoD and the American Psychiatric Association. The specialized team of psychiatrists, psychologists, nurse practitioners, mental health nurses, and social workers provides comprehensive assessment and treatment in collaboration with community providers. St. Joseph’s OSI clinic has adopted an electronic treatment outcome monitoring system to further enhance treatment outcomes.


Embedded within a clinical and academic centre, the clinic provides training opportunities for learners, medical students, and residents.  Community education, outreach, and research are also part of the OSI mandate. Currently there is a combined total of eight psychiatrists (part-time and full-time) working at our St. Joseph’s OSI sites in London, Hamilton and Torontoall affiliated with the Department of Psychiatry, working predominantly with younger veterans with a geriatric psychiatrist providing psychiatric services for our older veterans population.


Medical Director, Dr. J. Don Richardson states, “St. Joseph’s OSI clinic will continue to strive to improve services and promote research in posttraumatic stress disorder and other operational stress injuries. With the current pandemic our goal is to enhance virtual care to our patients in the community through the Ontario Telemedicine Network (OTN) and other approved formats, improve outreach services to the GTA, Hamilton and Niagara region and further develop training opportunity for residents and psychiatrists interested in veterans’ mental health.”