Mental Health & Addiction Services Meeting of Extended Action Group Wednesday, December 3rd 2008 9:30 a.m. to 1:00 p.m.
What are our Strategies for Change? Enhanced Integration Better coordinated and better linked services Increased Capacity Adequate level of the right kinds of services and supports Improved Access Timelier, easier access to high quality, clientcentered services
Mental Health and Addiction Services IHSP Action Steps 1. Establish steering committee Established Core Action Group 2. Undertake inventory of services ConnexOntario provides information about mental health and addiction services on a LHIN basis 3. Develop templates and protocols for service agreements Service agreement template and protocols prototypes shared among HSPs
Core Action Group Canadian Mental Health Association Peel Family Transition Place Friends & Advocates Peel Peace Ranch Reconnect Mental Health Services Supportive Housing In Peel (SHIP) William Osler Health Centre Plus: Centre for Addiction and Mental Health Consumer Survivor Network Central West Headwaters Health Care Centre Hope Acres Trellis Mental Health and Developmental Services
Added to Core Action Group Punjabi Community Health Services Caledon Community Services Peel Addiction and Referral Centre
Mental Health and Addiction Services IHSP Action Steps 4. Develop local integrated mental health and addiction services plan Dufferin County project as start-point 5. Examine a common assessment tool for use Provincial Common Assessment Project
Mental Health and Addiction Services IHSP Action Steps 6. Coordinate the shift from the current state to the new model 7. Document performance and monitor performance and change Urgent Priorities Funding / Aging at Home supportive housing in Dufferin and Malton, services to seniors with serious mental illness, services to the south Asian community, addiction funding to Wm Osler HAPS and H-SAAs (hospital MOU) and CAPS and M-SAAs
Message from Minister Caplan It will be important to show meaningful progress in the months and years ahead, so I will focus on three important areas: - Preventing and managing chronic diseases, starting with diabetes - Moving forward with Ontario s ehealth Strategy - Improving mental health issues and addictions services.
Next Steps? Integrated mental health and addiction services planning - 10 Lessons from Dufferin County - Malton next? - the LHIN-wide plan? Responding to the government platform and moving forward in our new fiscal environment Health System Plan
Goal of the Health System Plan? Unprecedented opportunity Develop a vision and plan for a comprehensive and integrated system of community and hospital based health services Set the path for the next 10-15 years (to 2019)
Who did we talk to? Community and Health Service Providers 5 public events held throughout the Central West LHIN 2 sessions with Health Service Providers Peel Memorial Task Force 2 public events 1 session with the South Asian community 1 session with labour 2 sessions with physicians 5 delegations Feedback sessions 3 sessions - Brampton, Orangeville, Rexdale 1 session with Health Service Providers
Population Estimates and Projections 2001 to 2019 1,200,000 1,000,000 933,000 1,021,000 800,000 654,000 779,000 837,000 600,000 400,000 200,000 0 2001 2006 2009 2014 2019 Source: Statistics Canada Population Estimates and Ministry of Finance Population Projections (2007)
What s was said about mental health and addiction services? One of the most frequently discussed areas at public engagement sessions There are gaps in services locally Community-based services prevent hospitalizations Residents should not need to be referred outside the LHIN More services are required locally Solving the shortages of human resources is very difficult
What will health system look like? Community-based health services should be the first point of contact for residents More services that support health and well-being should be provided closer to where people live Health service providers should deliver services locally but manage in an integrated regional model because no one organization can do it all
What do we need in the community? A set of local core services (promotive, preventive, curative, rehabilitative, supportive services) Improved points of access to health system based on the needs of local community to support a holistic approach to health (Health and Care Centres)
What s the role of hospitals? We need to create a fully integrated hospital system that provides a comprehensive range of services to meet LHIN residents needs and support communitybased service We need to build on each hospital s competencies within a system of regional integrated clinical services Mental health and addiction services is one of 8 programs identified that need to be planned and executed at a LHIN wide level to support the delivery of consistent, high quality care in all parts of the LHIN
Regional Mental Health and Addictions The term of "regional centre" is not commonly used William Osler will provide a comprehensive crisis, inpatient, outpatient, after care and outreach service for adults, children and adolescents. As a Schedule 1 program, the imperative is to provide an accessible, integrated and effective continuum of services Services at William Osler are to include: - first line services (crisis service and clinical decision area) - intensive services including schedule 1 inpatient services - consultation liaison to other inpatient programs at WOHC and at Headwaters - partial hospitalization services (day hospital) - outpatient services, focusing on early detection - specialized assessment and urgent care - addiction services
Implications No one organization or sector can individually achieve the Health System Plan goals Separate governance will continue, but planning and delivery of services will be done as though there is one integrated organization with one common goal Quality improvement initiatives cannot be conducted unilaterally as outcomes are not the result of the actions of only one organization Accountability agreements will be a fundamental in the change process The LHIN will continue to consult the community for input and feedback through this process
Last year s meeting? Q. 1 - What are the components of an integrated mental health and addictions services plan? Common vision and common values Needs assessment Inventory of services Identify integration opportunities Formal partnerships Common processes (assessment, referral, intake, standards) Strong consumer view Address diversity Endorsement of the community Did the Dufferin project encompass these components?
Last year s meeting? Q. 2 - What should the Core Action Group's next priorities be? Ensure integration of addiction service organizations into work Already know some needs, address them Undertake Dufferin and Malton study Focus on ensuring access to Schedule 1 beds Maintain and enhance existing services and start to close the gaps Base work on consumers needs Continue these priorities? Others?
Last year s meeting? Q. 3 How can the Extended Action Group best be kept informed? Use of LHIN s website Email agenda and notes to Extended Action Groups members Health Service providers post meeting agenda and notes Keep language understandable Meet face-to-face How can we do better?
Last year s meeting? Q. 4 How often should the Extended Action Group meet? Quarterly 3 times a year Semi-annually As required Depends on type of meeting Annually? December?
Thank You 8 Nelson Street West Suite 300 Brampton, ON L6X 4J2 Main Phone Number: 905.455.1281 Main Fax Number: 905.455.0427 Email: centralwest@lhins.on.ca Website: www.centralwestlhin.on.ca