Transcript Quality and Safety Performance October 25, 2011

Contact 2015
Future Forward, Careers by Design
April 22, 2015
Tracy Muggli BA, BSW, MSW
Director of Mental Health & Addiction Services
Mental Health and Addiction Services
Introduction
• Regional health authorities deliver services for those
dealing with a wide variety of mental health or addiction
challenges.
• The services can be difficult to access without system
navigation support.
• This session will provide an overview of the many services
available throughout the continuum of care, including
community services, hospital-based services, residential
addictions programs and more.
• Participants will leave with a good knowledge of how to
access the appropriate services.
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Why understanding mental health
and addiction issues matters
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Quality of life for those affected
Quality of family life
Full participation in community
System costs
– Early identification and treatment
– Evidence-based approach
– accessibility
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Why does mental health matter?
The workplace can play an essential part in maintaining
positive mental health. Yet it can also be a stressful
environment that contributes to the rise of mental health
problems and illness. No workplace is immune from
these risks and we can’t afford to limit our definition of
occupational health and safety to only the physical.
Mental health just as important and must not be
overlooked.
Mental Health Commission of Canada
http://www.mentalhealthcommission.ca/English/issues/workplace
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The Cost of Mental Health
Mental Health Commission of Canada-Feb 8, 2013
http://www.mentalhealthcommission.ca/English/system/files/private/document/Investing_in_Mental_Health_FINAL_Version_ENG.pdf
• The economic cost to Canada is at least $50 billion per year.
• It cost business more than $6 billion in lost productivity (from
absenteeism, presenteeism and turnover) in 2011.
• In any given year, one in five people in Canada experiences a
mental health problem or illness
• More than 6.7 million people in Canada are living with a
mental health problem or illness today. By comparison 2.2
million people in Canada have type 2 diabetes.
• If we include families and caregivers, mental health problems
and illnesses impact almost everyone in some way.
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The Key Barrier: Stigma
• Negative stereotypes
– Experience discrimination in acquiring
employment, housing, access to health care
– Bullying at work, school
– Impacts self-esteem
– Unwilling to seek help
Root Cause Barrier:
• Political will
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What to do about it…..
• Educate
– Become informed about mental health and
addiction signs and symptoms
• Mental Health First Aid Program
• Schizophrenia Society Partnership program
– Support people who are struggling
– Challenge others who stigmatize others
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Provincial Mental Health & Addictions
Action Plan
• Addressing Gaps
• Enhance access and capacity and support recovery in the
community;
• Focus on prevention and early intervention;
• Create person and family-centred and coordinated services;
• Respond to diversities;
• Partner with First Nations and Métis Peoples;
• Reduce stigma and increase awareness; and
• Transform the system and sustain the change
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2014/15 Provincial Mental Health and Addictions
Priorities
Percentage of Mental Health and Addictions clients meeting the wait time
benchmarks based on triage level target for all triage levels is 70%
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Develop and implement strategies to ensure triage benchmark targets for outpatient
mental health and addictions services are met
Monitor 30 day re-admission rates and develop strategies to reduce the number of
individuals re-admitted within 30 days.
Monitor the number of individuals with long stays on inpatient psychiatry and
develop strategies to reduce the number.
Collect data and establish a baseline for wait times for contract and salaried
psychiatrists.
Participate in the development and implementation of an integrated mental health and
addictions information system.
Develop a defined plan for spread of the suicide prevention protocols to other areas
of the health system.
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Accessing Mental Health and Addictions
Services in Saskatchewan
Delivered by
Regional Health Authorities
(13)
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MHAS Integrated Services
• Client-centred and needs based. Services
are coordinated and collaborative.
• Every door is the right door
• Timely response to requests for service
• Commitment to evidenced-based service
delivery
• Co-located and interdisciplinary teams
• Community engagement
Integration model based on The National Treatment Strategy-Tiered Care (2008),
Framework for a Mental Health Strategy (2009), Alberta Health Service Framework (2009)
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A Full Continuum of Care
Inpatient
mental health
Detox and/or
Residential
Addictions
treatment
Outpatient
Counselling
& Recovery
Services
Day
Program,
Outreach
supports
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Programs/Services delivered by SHR-MHAS
Hospital-Based/Residential:
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Adult and Youth Residential Addictions (Calder)
Brief & Social Detox (Larson House)
Dubé Centre for Mental Health
Acute Mental Health Home Care
Bridges
Clozapine Clinic
ER Liaison Nurse (Intake)
Acute Care Psychiatric Consult Liaison Services
Child & Youth Community:
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Centralized Intake
Children’s Services (including school/ daycare
consultation)
Rural Consultation Program
Young Offenders
Youth Community Counselling (including
Outreach)
Youth Day Program
Youth Recreation Therapy Programs
Adult Community:
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Centralized Intake (Assessment & Treatment)
Adult MH Counselling and psychiatry services
Alternatives to Violence Program
Sex Offender Treatment
MH Recovery Services
Early Psychosis Intervention Program
Maternal Mental Health Program
McKerracher Recovery Program & Residential
Services
Seniors Mental Health program
Methadone Assisted Recovery Services
Adult Outreach Services
Community Addiction Services
Tobacco Cessation
Family Program
Concurrent Disorders
Addictions Corrections Initiative
FASD Prevention Program
Problem Gambling Program
Mental Health Court Services
Connecting to Care
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Other publicly provided services, Community
Based Organizations and Private Delivery
• Schools, Justice services, Social Services
• Crisis units
• Counselling agencies (eg Family Service Saskatoon, Catholic
Family Services)
• Canadian Mental Health Association, Schizophrenia Society,
other local services
• Addiction support such as residential treatment centres, AA,
NA, Al-Anon
• Residential supportive living (eg shelters, temporary and longterm housing)
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On-line access
• HealthLine: Call 811
• http://www.saskatchewan.ca/live/health-and-healthyliving/manage-your-health-needs/healthline
• http://www.saskatchewan.ca/live/health-and-healthyliving/provincial-health-system/saskatchewan-healthregions/health-regions-and-servicesmap?userLat=50.454722&userLong=104.606667&searchRadius=25&address=regina
• https://www.onlinetherapyuser.ca/
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Online therapy
• https://www.youtube.com/watch?v=stGQI5
p3CSE
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When should I seek mental health services?
http://www.health.gov.sk.ca/mental-health-faq
• In general it is a good idea to seek professional help for a mental
health problem when:
– A symptom becomes severe or disruptive;
– A symptom becomes a continuous or permanent pattern of
behaviour and does not respond to self-care;
– Symptoms become numerous, affecting many or all areas of
your life, and do not respond to self-care or the help of
others;
– You feel out of control, extremely anxious or deeply
depressed;
– You are thinking about hurting yourself or someone else.
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Questions/Comments?
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