Transcript Slide 1

Governance to Governance &
Leadership Forum
WELCOME!
February 28, 2014
Agenda
12:00 – 12:30
12:30 – 12:50
12:50 – 1:00
1:00 – 1:15
1:15 – 2:00
2:00 – 2:30
2:30 – 3:00
3:00 – 3:30
3:30 – 4:30
4:30 – 4:55
4:55 – 5:00
Buffet-style lunch
Welcome and sharing among provider organizations
Mental health and addiction services and IHSP3
Jason Dulac, Consumer-Survivor, Volunteer Representative and
past Board Chair, Friends & Advocates Peel
Uppala Chandrasekera – Vice-Chair, Mental Health Commission
of Canada
Sheree Davis, Director, Community and Population Health
Branch, Ministry of Health and Long-Term Care
David Kelly, Executive Director, Addictions and Mental Health
Ontario
Sandy Milakovic, Past Chief Executive Officer, CMHA
Peel Branch
Table Discussion
Speakers Panel - Qs and As
Acknowledgements and Wrap-up
Welcome & Sharing
MARIA BRITTO
Board Chair, Central West LHIN
Welcome & Sharing
Tough Mudders!
Our topic today
Mental Health &
Addictions Services
Stories
Stories
Organizational Developments
Welcome & Sharing
Scott McLeod
CEO, Central West LHIN
Mental Health and Addictions, and the
Central West LHIN’s Integrated Health Services Plan 3
IHSP 3 and the LHIN’s Strategic Imperatives
Improving Access to Care…
Improve access to mental health and
substance abuse services, with a
focus on youth.
The LHIN will work with community partners
to increase capacity for community-based
programs and to improve early intervention
for youth-at-risk. This work will align with
Ontario’s Comprehensive Mental Health and
Addictions Strategy and its early focus on
children and youth.
Welcome & Sharing
Jason Dulac
Consumer Survivor & Volunteer
Dealing with the System
Consumer-Survivor Perspective
Welcome & Sharing
Susan Hall
Director, Central West LHIN Board of Directors
Mental Health: Starting the Conversation
Presentation to Central West LHIN
G2G & Senior Leadership Forum
February 28, 2014
Presented by
Uppala Chandrasekera , M.S.W, RSW
Director, Public Policy, Canadian Mental Health Association, Ontario
Vice-Chair, Mental Health Commission of Canada
According to a
Canadian Medical
Association survey,
46% of Canadians
think that mental
illnesses offer an
excuse for poor
behaviour and
personal failings.
They assume that
people with mental
illnesses have a
choice, and if they
tried hard enough,
they could just “snap
out of it.”
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According to a
Canadian Medical
Association survey,
11% of Canadians
think that depression
is not a mental
illness and 50% think
it’s not a serious
condition.
/ 13
Mental Health Affects Us All
• One in three Canadians experience a mental health issue
within their lifetime
• Currently more than 6.7 million people are living with a
mental health condition in Canada
• More than 28% of people aged 20-29 experience a mental
illness in a given year
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/ 15
Mental Health Affects Us All
•Economic cost to Canada is at least $50 billion per year, which
represents 2.8% of Canada’s 2011 GDP
• Cost to businesses in 2011 was $6 billion in lost productivity
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Mental Health Affects Us All
• 21.4% of the working population currently experience mental
health conditions
• Mental health conditions account for approx. 30% of shortand long-term disability claims and are rated one of the top
three drives of such claims by over 80% of employers
• If unaddressed, will cost $198 billion over the next 30 years
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Mental Health Affects Us All
There is no health without mental health.
Mental health affects us all.
Mental health is everyone’s business.
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Positive Mental Health
“Mental health is the capacity of each and all of us to feel,
think, and act in ways that enhance our ability to enjoy life
and deal with the challenges we face.
It is a positive sense of emotional and spiritual well-being that
respects the importance of culture, equity, social justice,
interconnections and personal dignity.”
Public Health Agency of Canada.
Developing an Operational Definition of Positive Mental Health.
Final Report, 2009.
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Key Concepts in Metal Health Promotion
• Moving beyond categorization of mentally healthy vs. mentally ill
• Individuals can experience
positive mental health
in spite of a diagnosis
• Individuals can be free of a
diagnosis and have poor mental health
• Mental health can be
conceptualized and measured along a continuum:
from flourishing  languishing (Keyes, 2007)
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Life Stressors Affect Our Mental Health
• Life stressors are the events in a person’s life that bring about
significant anxiety and stress
• Stress is caused by negative and unpleasant life events, such
as the death of loved one,
loss of a job or divorce
• Positive and pleasant life changes
may also cause significant anxiety,
such as marriage, pregnancy,
and a change in career
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Social Determinants of Health
The social determinants of health are broadly defined as the
economic and social conditions that influence the health of
individuals and communities.
Dennis Raphael, 2004
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3 Key Determinants of Mental Health
1.
Social inclusion
2.
Freedom from discrimination and violence
3.
Access to economic resources
Canadian Mental Health Association Ontario, et. al, 2008.
Mental Health Promotion: A Call to Action.
/ 24
Looking at Stigma and Discrimination
Stigma is the negative attitude based on assumptions,
misperceptions and stereotypes.
Overt discrimination often takes the form of individual acts
of differential treatment of one person by another.
Covert discrimination or systemic discrimination is often
invisible and embedded into institutions and society at large,
and serves to exclude or impose restrictions upon groups of
individuals.
/ 25
Socioeconomic
Status
Environmental
Exposure
Stress
Discrimination
Racism
Health Behaviors
Access To Health
Services
Access to Testing
and Screening
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Health
Outcomes
3 Key Determinants of Mental Health
1. Social inclusion
Ensure access to social capital, social networks, social
belonging
2. Freedom from discrimination and violence
Support self-determination, human rights, safety
3. Access to economic resources
Ensure access to material resources
/ 27
Background
2006: Senate Committee publishes
Out of the Shadows at Last – first
and largest national study on mental
health, mental illness and addictions
2007: The MHCC is created by the
Government of Canada
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2006: Senator Michael Kirby, Chair of the
Standing Senate Committee on Social
Affairs, Science and Technology
Mandate
The MHCC is a non-profit organization charged with
collaborating with stakeholders and partners to help spark
change and to transform the Canadian mental health
landscape.
•
Change attitudes and behaviours
•
Support system change and improvements to services and
supports
/ 29
Three Strategic Priorities
1.
To Be a Catalyst
MHCC is a catalyst for system and social change that leads to improved
mental health for Canadians.
2.
To Collaborate
The MHCC collaborates and partners with people and organizations that
have a role to play in transforming the mental health system to accelerate
change.
3.
To Ensure Sustainability
Financial, Organizational, Social
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Structure
The Commission’s activities
are governed with input from
4 major groups
Board of
Directors
Advisory
Council
Youth Council
Executive
Leadership
Team
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Major Initiatives
2007-2012
Mental Health
Until recently, the
Commission has
concentrated on 4
strategic initiatives
Strategy for
Canada
Knowledge
Exchange
Centre
At Home/Chez
Soi
Opening
Minds
/ 32
Mental Health
Strategy
Strategic Priorities
2013-2017
Going forward, the
Commission will
concentrate on 6 areas
with the greatest
opportunity for impact.
Workplace
Mental Health
Antistigma/antidiscrimination
Mental Health
First Aid
Suicide
Prevention
Housing and
Homelessness
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THE FOUNDATION
Mental Health Strategy for Canada
The foundational document – all MHCC activities
correspond to the Strategy
Five years in the making – introduced in 2012
A blueprint for renewing Canada’s mental
health system
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THE FOUNDATION
Mental Health Strategy for Canada
A strategy for all people living in Canada
• Across the lifespan
• Promotion and prevention
• Mental health and health systems but also
education, justice, corrections, social policy, etc.
Builds on existing initiatives to set common
priorities
• Sets out recommendations for action that are
ambitious, yet practical and adaptable in each
jurisdiction
Focus on recovery
• Everyone can enjoy a life of meaning and purpose
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Strategic Directions
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1.
Promoting mental health and preventing mental
illness
2.
Fostering recovery and upholding rights
3.
Providing access to the right services, treatments
and supports
4.
Reducing disparities and addressing diversity
5.
Working with First Nations, Inuit and Métis
6.
Mobilizing leadership and fostering collaboration
Psychological Health and Safety in the Workplace
• Launched in January 2013, the Workplace Standard is
intended to guide organizations in improving
workplace psychological health and safety
• A voluntary tool – not a legal framework or regulation
• It responds to the fact that the people who are the
most at risk of mental illness spend most of their
waking hours at work
• The Standard touches on policy, planning,
implementation, evaluation, as well as continual
improvement
• It can be downloaded for free:
http://www.mentalhealthcommission.ca/English/node/5346
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At Home/Chez Soi
• At Home/Chez Soi was a five-city research
demonstration project involving housing and
services for 2000 homeless people with severe
mental health conditions
• It was based on the “housing first” approach
which provides people with housing along with
support services tailored to meet their needs
• Lessons learned will help inform planning and
policy development across the country
• “Here At Home” is a web documentary created
by the National Film Board of Canada about the
MHCC’s At Home/Chez Soi project
http://athome.nfb.ca
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Ontario’s Mental Health and Addictions Strategy
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Canadian Mental Health Association Ontario
Our Mission
To Make Mental Health Possible for All
CMHA Ontario is a charitable organization that achieves its
mission through public education, projects, applied research and
policy analysis, and advocating for healthy public policy and an
effective and efficient health system.
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Public Policy Work at CMHA Ontario
Health Systems
Development
Equity and
Social Inclusion
Criminal Justice
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Housing,
Employment &
Social Determinants
of Health
Health Promotion
Across the Lifespan
Supporting Health Systems Development
Quality Improvement:
• CMHA Ontario & AMHO joint initiative
• Developed a draft Quality Improvement Plan (QIP) template
to support community-based mental health and addictions
organizations to enhance QI
• QIP serves as a generic template of QI; Organizations can
selectively use measures suitable to their unique mandate
• QIP template is a valuable tool to measure QI on a yearover-year basis
• QIP template aligns with framework used by HQO and
Excellent Care for All Act (ECFAA)
/ 42
Supporting Health Systems Development
QI Template Quality Dimensions:
Safe: Keeping people safe
Accessible: Providing timely and equitable services
Client-Centred: Putting clients and families first
Integrated: Experiencing coordinated and seamless services
Effective: Doing the right thing to
achieve the best possible results
Appropriately Resourced/
Work-Life Balance
/ 43
Addressing Social Determinants of Health
Employment:
• Convene the Provincial Mental Health Employment Supports
Network
• Network comprised of over 60 specialized employment service
providers
• Enhance the delivery of employment supports to individuals
with mental health and addictions needs
/ 44
Addressing Social Determinants of Health
Concurrent Disorders:
• CMHA Ontario & AMHO joint initiative
• Agenda-setting report released (2013)
• Outlines 12 priority issues that need attention regarding the
planning, delivery and monitoring of services for people with
concurrent disorders
• Recommendations currently being developed for release in
Summer/Fall 2014
/ 45
Enhancing Mental Health Promotion
Accessibility:
Develop and provide tailored advice and resources for public,
private and not-for-profit stakeholders to increase mental
health-related accessibility
Support implementation Accessibility for Ontarians with
Disabilities Act (AODA)
- Enabling Minds (www.enablingminds.ca)
- Think Outside the Box (launch in 2015)
- Mental Health Works (www.mentalhealthworks.ca)
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Enhancing Mental Health Promotion
Physical Activity & Mental Health:
• Enhance capacity within the community mental health and
addictions system to promote physical activity, healthy eating
and social inclusion for people living with a mental illness or
addiction issue
- Minding Our Bodies (www.mindingourbodies.ca)
- Mood Walks (www.moodwalks.ca)
- Living Life to the Full (www.llttf.ca)
/ 47
Collaborating on Criminal Justice
Police, Courts, Corrections:
• Partnership with Provincial Human Services and Justice
Coordinating Committee (www.hsjcc.on.ca)
• Provide staffing resources, strategic policy advice and project
management for a range of issues:
- Police-emergency department wait times
- Offender belongings retrieval and risk assessment
- Enhancing communication between community agencies and correctional
service providers
/ 48
Collaborating on Criminal Justice
Privacy & Police Records:
• Co-Chair Police Records Check Coalition
(www.mentalhealthpolicerecords.ca)
• Advocating to prevent the disclosure of mental health police
records that can lead to discrimination of Ontarians with mental
health issues when they seek volunteering, employment and
travel opportunities
/ 49
Advancing Equity & Social Inclusion
Equity:
• Currently developing framework for equity in mental health
(Spring 2014)
• Increase understanding within health sector for addressing
issues of equity and mental health
• Support implementation of Ministry of Health and Long-Term
Care’s Health Equity Impact Assessment Tool (HEIA)
/ 50
Advancing Equity & Social Inclusion
Equity & Health Systems Issues:
•Leading a Community of Interest on Racialized Populations,
Mental Health & Addictions
•Identify key evidence, policy issues and promising practices
related to racialized populations, mental health and addictions
•Focus on emergency department use in 2013-2014
•Focus on Ontario Common Assessment of Need (OCAN) in
2014-2015
/ 51
Community Mental Health Services
Service Capacity in Ontario:
• 441,027
Number of unique individuals served by community mental
health programs in 2012-2013 using MOHLTC operating funds
• 45,092
Number of unique individuals served by CMHA Branches in
2012-2013 (6 Branches did not report)
/ 52
Community Mental Health Services
Funding in Ontario in 2010:
•$1.781 Billion for hospital and physician-based mental
health services
• $993.6 million for in-patient hospital services
• $787.2 million for physician services
• Ontario spent approximately $138 per capita for in-patient
and physician-based services mental health services
• Ontario spent $51.19 per capita for community mental
health services
/ 53
Thank you!
Contact: [email protected] @UppalaC
Visit: www.mentalhealthcommission.ca @MHCC_
Visit: www.ontario.cmha.ca @CMHAOntario
/ 54
Welcome & Sharing
Lorraine Gandolfo
Director, Central West LHIN Board of Directors
Welcome & Sharing
Sheree Davis
Director, Community and Population Health Branch
Ministry of Health and Long-Term Care
“Open Minds, Healthy Minds”
Provincial Perspective
Comprehensive Mental Health and Addictions
Strategy
Presentation to: Central West LHIN G2G Senior Leadership
Forum
February 28, 2014
(1) Overview and lessons learned from years 1-3
58
Ontario’s Comprehensive Mental Health and Addictions (MHA)
Strategy was developed based on recommendations from key
advisory groups, stakeholders, and the Select Committee
Minister’s Advisory
Group and Theme
Groups
•
•
LHIN and Provincial
Consultations
•
•
•
Inter-ministerial
ADM Committee
•
•
Ministers and
ADMs/Directors
•
Select Committee
All-Party Committee
•
•
•
•
•
Summit (July 2009)
47 written submissions &
15 personal letters
68 Roundtables
Expert Metrics Group
Leadership and accountability
workshop
Quality Improvement Forum
Joint consultation with ministry
and sector leaders (Spring 2010)
Jurisdictional review
30 Public hearings
Testimonies from 230 individuals
& organizations
300 submissions, including written
briefs, news articles etc.
DVDs
59
This culminated in the release of Open Minds, Healthy
Minds in 2011
Vision: “Every Ontarian enjoys good
mental health and well-being throughout
their lifetime, and all Ontarians with
mental illness or addictions can recover
and participate in welcoming, supportive
communities.”
(Open Minds, Healthy Minds, 2011)
60
Years 1-3 have resulted in a number of new initiatives
and successes targeting children and youth mental
health
Provide fast access
to high quality
service
• 260 new workers in
community mental health
agencies
• 21 youth court workers
• 18 Service Collaboratives
implemented
Early identification
and support
• 175 new workers in
schools
• 72 school board mental
health leaders
• 144 nurses working in
schools
Help for vulnerable
children and youth
with unique needs
• Good 2Talk/ Allo
J’écoute Postsecondary
help line
• Eating disorder
programs in six
hospitals
• 19 nurse practitioners
for eating disorders
61
LHINs have done their part with innovative initiatives that
support Open Minds, Health Minds and meet local needs
Central West
System Access
Model
Seniors case
management and
outreach
Concurrent
Disorders Network
South East
Youth Hab—
Transitional Aged
Youth Program
Mental Health
Support Network—
Elephant in the
Room
Waterloo Wellington
Coordinated Access
Project
Enhanced DBT for
persons with
emotional
dysregulation
62
Provincially we have learned lessons about integrating
services across sectors for the benefit of children and
youth mental health
MOHLTC
MCYS
EDU/MTCU
35,000 new children/youth and their families
benefitting from new mental health services and
supports
63
(2) The Next Phase
64
Ontario Mental Health & Addictions Challenge
Missed
prevention
opportunities
Untimely
identification,
intervention
Unmet need,
uncoordinated
service
Funding
unlinked to
need/quality
Last updated February 25, 2014
65
Unpacking Ontario’s Mental Health Challenge (1)
•
1
•
Missed
prevention
opportunities
•
•
Prevention is critical to service continuum. Prevention must be recognized
as a strategic priority and core to the mental health & addictions service
continuum.
Supports for youth at risk. Geographic gaps to programs providing mental
health and addictions support for at-risk youth.
Promotion of protective factors (e.g., self-esteem and resiliency) to improve
mental well-being and alleviation of risk factors (e.g., low self-esteem) is
needed.
Mental health and addictions “literacy”. School and workplace supports are
needed to reduce the risk of people’s lives becoming more complex as a
result of mental illness or addictions.
• Early onset  lifelong burden. 70% of mental health problems begin in
childhood or adolescence. The lifelong burden of mental illness & addictions
is 1.5 times that of cancer.
• Lack of treatment. 40-80% of people with mental illness & addictions do not
receive treatment.
• Untreated psychosis  poorer outcomes. A longer duration of untreated
psychosis is associated with poorer outcome once treatment is initiated.
• Unnecessary interaction with the police. The number of people with mental
health or addiction issues remanded into provincial custody has increased by
Last updated February 25, 2014
44% over the last decade.
2
Untimely
identification,
intervention
66
Unpacking Ontario’s Mental Health Challenge (2)
Unmet need,
uncoordinated
service
3
• Service needs not being met. Nearly 1/3 of Canadians seeking mental
health care report that their needs are unmet or partially met. Ontarians
with mental illness & addictions are typically high-user patients (top 5%)
with multiple morbidities.
• Wait times. Adults wait 11 days to be assessed for addictions and 45 days
for mental health counselling/treatment.
• Youth transitions. The transition into the adult mental health system for
youth receiving treatment is often disjointed leading to inappropriate or
ineffective treatment.
• Historical vs. current need. Community mental health and addiction
programs funded based on historical allocations vs. local population
needs/cost per program. Hospital funding through global budgets, also
based on historical expenditure.
• Unexplained cost variation. No cost or volume benchmarks for particular
services. Per capita spending by LHIN for community mental health ranges
from $33 to over $124 and between $3 and $51 for substance abuse.
• Unlinked to quality. Funding to community based mental health and
addiction services is not currently linked to quality standards.
Last updated February 25, 2014
Funding
unlinked to
need/quality
4
67
While improvements have been made, people like Aaron
still face challenges accessing services
Aaron’s experience from 17 to 21 years old
I stopped seeing my
friends and lost interest
in activities that I
previously enjoyed
STRATEGIC
OPPORTUNITIES
Primary care
provider did not
identify emerging
mental illness
A year later, I moved
away to attend
university and I started
smoking a lot of pot
Aaron was not
referred to existing
youth mental health
services
- MCYS Lead Agencies
In my second year, I had
my first psychotic break
and I was diagnosed
with schizophrenia
University health
services did not
identify any
issues, including
excessive use of
pot
- Early psychosis
intervention
- Primary care providers
- University supports
A year later, police
found me in Lake
Ontario in February
and took me to the ED
I entered a psychward and dropped
out of university
Hospital did not refer to
psychiatrist for community
supports, and his family was not
given any information
- Police interaction
- Health Links and Service
Collaboratives
68
There is an opportunity for integrated planning &
execution across government initiatives
Future of
Policing
Employment
and Training
Integration
Social
Assistance
Transformation
Affordable
Housing
Strategy
Action Plan for
Health Care
Mental
Health and
Addictions
Strategy
Modernization
of Gaming
Children and
Youth Mental
Health
Student
Success and
Mental Health
Poverty
Reduction
Strategy
69
Stakeholders have told us the top priorities for the next
phase
Provincial leadership model
needed
Improve coordination of care and
transitions
Enhance role of Primary Care
Enhance role of Public Health
Improve data integration and
sharing across sectors
Improve culturally appropriate
services and tools
Planning for
Next Phase of
Strategy
70
Planning for the next phase, which will expand to
include adults and addictions, is well underway
√ Years 1-3 Children and Youth
Mental Health
√ Stakeholder input
√ Alignment with Government
Priorities
Action Plan for
Next Phase
Next
phase
begins
April 1,
2014
71
Welcome & Sharing
Pardeep Singh Nagra
Director, Central West LHIN Board of Directors
Central West LHIN
G2G & Senior Leadership Forum
Presentation by :
David Kelly
73
February 24, 2014
Addictions & Mental Health Ontario
Changing Directions, Changing Lives
Mental Health Commission of Canada 2012
74
Canada’s 1st Mental Health Strategy
Mental Health Commission of Canada’s Vision:




Mental Health is essential to our Quality of Life
Offer hope and realize ability for recovery
Equitable access to a full range of services and supports
Appreciate those confronting mental health issues as active and
contributing members of the community
Canadian Centre on Substance Abuse
(CCSA)
Comprehensive 10 year pan-Canadian Strategy: Do No Harm:
Responding to Canada’s Prescription Drug Crisis; Collective Challenge
Requires Collective Action
Competencies for Canada’s Substance Abuse Workforce
Canadian Standards for Youth Substance Abuse Prevention
National Treatment Indicators Report
Open Minds, Healthy Minds
75
Ontario’s Comprehensive Mental Health and
Addictions Strategy 2011
Vision

An Ontario where every person enjoys good mental health and
well-being throughout their lifetime, and where all Ontarians with
mental illness or addictions can recover and participate in
welcoming, supportive communities.
Mission

To reduce the burden of mental illness and addictions by ensuring
that all Ontarians have timely access to an integrated system of
excellent, coordinated and efficient promotion, prevention, early
intervention, community support and treatment programs.
Strategy’s 4 guiding goals:
1.
Improve mental health and well-being for all Ontarians
2.
Create healthy, resilient, inclusive communities
3.
Identify mental health and addictions problems early and
intervene
4.
Provide timely, high quality, integrated, person directed health
and other human services
76
Continued implementation of the
Mental Health and Addictions
Strategy –Year 4 through10
NEXT PHASE OF THE 10 YEAR STRATEGY WILL START AS
ANNOUNCED IN PROVINCIAL BUDGET.
 Expect further details to be unveiled soon
2013-14 Ontario Budget suggested:
 Expanding current child/youth focus to improve
services for adults and youth in year 4
 Support for mental health and addictions services
across Ontario including “early intervention,
community-based counseling, employment training,
supportive housing, residential treatment, and
prevention of and treatment for substance abuse and
problem gambling”
77
Health Links
 Announced in December 2012
 Health Links aim to” encourage
greater collaboration between
existing local health care providers,
including family care providers,
specialists, hospitals, long-term care,
home care and other community
supports.”
 Initial focus on top 1-5% of high users
(mainly of emergency rooms or ALC
beds)
 Currently 37 Health Links announced
across the province with many more
in the readiness assessment stage
Health Links
78
 Diverse ‘lead’ agencies, including hospitals, FHTs,
CCACs, CHCs, one CSS
Common ‘core features’
 Person-Centred (high use population of top 1-5%)
 Local Focus (minimum of 50,000 people – problematic for
rural/remote)
 Voluntary Partnerships (at a minimum hospital, CCAC,
primary care, specialists)
 Robust Primary Care Participation (65% or more of
primary care providers)
 Measurement and Results
 Leadership
 e-Health
79
Systems Improvement through
Service Collaboratives (SISC)
The Collaboratives will identify and improve the
processes at key transition points—for example:

Between children/youth and adult services

Between hospital-based and community services

Between the justice system and mental health and
addiction programs
To improve access to services and better integrate the
sectors that provide support to Ontarians living
with mental health and addictions issues.
80
A System for Children and Youth:
Mental Health and Addictions
Vision:
Transforming the experience of children, youth, families and
caregivers by creating pathways to care.
Actions:

Ensuring to connect them to community services early

Establishing transparent and streamlined pathways to care

Generating awareness of services which are available for children
and youth to access

Informed children, youth and families accessing services

Selection of Lead Agencies to be accountable through contracts
with MCYS.

A phased approach will be taken.

Target Timeframes:
 First Communities selected by March 31, 2013
 Lead Agencies identified in communities by April 1, 2014

The exact number of communities has not been determined;
probably between 50-60
Regulation of Psychotherapy
81
We want to ensure that the regulation of the
college does not have unintended
consequences on the provision and delivery of
addiction and mental health services.
Psychotherapy
Areas of concern:
•
November 2012; MOHLTC did not accept the designation
of Registered Mental Health Therapists from the college
•
Human Resources Issues: Qualifications & Financial
•
Grandfathering Procedures
•
Cross-over/Classification Difficulties
•
Legal Ramifications
Addictions and Mental Health Ontario have surveyed
member’s to make recommendations regarding the
potential exemption clause. Policy and advice paper has
been submitted.
Continued dialogue with the MOHLTC.
82
Provincial Political
Environment
New Premier for Ontario: Kathleen
Wynne
•
Deb Matthews remains Minister of Health
•
Minority Government
Progressive Conservative Party
•
Want to eliminate LHINs & CCACs
•
Want hospitals as hubs
•
Not supportive of Government
New Democratic Party
•
Also want to eliminate LHINs & CCACs
•
Have supported new budget
Spring budget process will determine when the election will
be held.
83
Ministry Support to
Mental Health and Addictions
 Ministry of Health and Long-Term Care
 Ministry of Children and Youth Services
 Ministry of Community and Social Services
 Ministry of Education
 Ministry of Municipal Affairs and Housing
 Ministry of Training, Colleges and Universities
 Ministry of Community Safety and Correctional
Services
 Ministry of Attorney General
 Ministry of Aboriginal Affairs
LHSIA Review
84
Issue:
On November 7, 2013, the Ontario Legislature authorized the Standing Committee
on Social Policy to conduct a review of the Local Health System Integration Act.
Priority Considerations:

Whether the current LHIN decision-making process incorporates local
representation, accountability and transparency. If not, how and where can they
be better achieved?

Whether or not LHINs have fulfilled their obligations under the Local Health System
Integration Act?

The outcome/response to the recommendations of the 2012 Drummond report as
they relate to the LHINs.
Addictions and Mental Health Ontario’s Priority Areas:
 Accountability
 Collaboration
 System Transformation
 Governance
 MOHLTC & LHINs Collaboration
 Funding
Quality Improvement Project
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 Working collaboratively, the Canadian Mental
Health Association (CMHA), Ontario and
Addictions and Mental Health Ontario (AMHO)
developed a draft Quality Improvement Plan
(QIP) template to support community-based
mental health and addictions organizations to
enhance Quality Improvement.
 QIP template aligns with framework used by
Health Quality Ontario under the legislated
requirements of the Excellent Care for All Act
(2010).
 QIP serves as a generic template of quality
improvement measures and every item on
template will not apply to every organization.
Organizations can selectively use measures
suitable to their unique mandate.
 QIP template is a valuable tool to measure Quality
Improvement on a year-over-year basis.
QI Template Quality Dimensions
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 Safe: Keeping people safe
 Accessible: Providing timely and equitable services
 Client-Centred: Putting clients and families first
 Integrated: Experiencing coordinated and seamless
services
 Effective: Doing the right thing to achieve the best
possible results
 Appropriately Resourced / Work-Life Balance
See:
http://www.addictionsandmentalhealthontario.ca/2/post
/2013/11/quality-improvement-communiqu.html
87
What does Health
Transformation mean for Ontario
Service Providers?
 Results and outcome driven: need for more
evaluation, evidence-based, etc.
 Greater collaboration and partnerships with other
community organizations, hospitals, primary health
care providers, etc.
 Increased accessibility for clients: facilitating transitions
and assisting with navigating broader system for clientcentred needs.
 Greater attention given to high-service users to
reduce emergency wait times , ALC beds, emergency
responders, justice system occurrences, etc.
 Ability to be flexible and meet the new and emerging
funding criteria.
 Continued drive for information on services, wait times,
and access.
Welcome & Sharing
Winston Isaac
Director, Central West LHIN Board of Directors
Welcome & Sharing
Sandy Milakovic
Past CEO, Canadian Mental Health Association
Peel Branch
Local Perspective
Welcome & Sharing
David Colgan
Sr. Director, Health System Integration
Central West LHIN
Table Discussion – Future Opportunities
Future Opportunities
Keeping in mind everything you have heard here today and everything
you already know about Mental Health and Addictions and associated
issues, we want your valuable input. Your ideas on…
? how should we decide to make our next round of
investments in mental health and addiction services.
? what services we should invest in.
Future Opportunities
? how should we decide to make
our next round of investments in
mental health and addiction
services.
Future Opportunities
? what services should we
invest in.
Future Opportunities
Report Back…
Your Thoughts!
Welcome & Sharing
Scott McLeod
CEO, Central West LHIN
Speakers Panel | Reactions and Q&As
Welcome & Sharing
Hon. John McDermid
Vice Chair, Central West LHIN Board of Directors
With thanks to…
Jason Dulac
and…
…to all of you!
THANK YOU!