CNA Webinar Series: Progress in Practice Moving forward on mental health and substance abuse: The time is now! Louise Bradley President & CEO, Mental Health Commission of Canada Michel Perron Chief Executive Officer, Canadian Centre on Substance Abuse June 7, 2012 Canadian Nurses Association, 2009
Lisa Brazeau Director, Communications and member outreach, Editor in Chief Canadian Nurses Association Louise Bradley President and CEO Mental Health Commission of Canada Michel Perron Chief Executive Officer Canadian Centre on Substance Abuse
Mental Health Strategy for Canada
The time for mental health is now The human and economic costs of maintaining the status quo are high Mental illness touches just about every family 2 of 3 adults / 3 of 4 kids do not get help Hits people in the prime of their working lives cost to economy annually is in excess of $50B The return on investment is clear and compelling Prevention and early intervention can reduce the risk of childhood disorders becoming mental illnesses in adulthood Community services, housing, and peer support can help to keep people out of hospital and out of prison Good mental health linked to physical health, educational outcomes, productivity
Prevalence of Mental Illness Lifetime Prevalence 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Estimated Lifetime Prevalence of Any Mental Illness* in Canada 12 Month Prevalence 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Estimated 12-Month Prevalence of Any Mental Illness* in Canada 2011 2021 2031 2041 Any Mental Illness*- Includes Schizophrenia, SUD, Mood Disorders, Anxiety Disorders, ADHD, ODD, Conduct Disorder and Cognitive Impairment including Dementia. 2011 2021 2031 2041 Any Mental Illness*- Includes Schizophrenia, SUD, Mood Disorders, Anxiety Disorders, ADHD, ODD, Conduct Disorder and Cognitive Impairment including Dementia. Mental illness affects 1 in 5 Canadians in every year; 42% lifetime prevalence; early peak from 18 to 40
A major milestone First-ever mental health strategy for Canada Culmination of over a decade of effort Realization of a key element in the mandate outlined by the Senate Committee in 2006 The Strategy puts forward the best possible balance of different perspectives Now is the time to set aside differences to achieve common goals
Reflects input of thousands The Strategy has been informed by thousands of people from many backgrounds with a diversity of experience and perspectives: Out of the Shadows testimony (2004 2006) National consultations on the Framework (2009) Roundtables on topics (2010) Focus Groups and survey on draft Strategy (2011) MHCC Board of Directors, Advisory Committees, Programs (on-going) Provincial-Territorial Reference Group (on-going) National Aboriginal Organizations (on-going)
A strategy for all Canadians Across the lifespan Promotion and prevention All mental health problems and illnesses Mental health and health systems but also education, justice, corrections, social policy, etc. Builds on F/P/T initiatives to set common priorities Sets out recommendations for action that are ambitious, yet practical and adaptable in each jurisdiction Complements CCSA s Framework, National Treatment Strategy
Six Strategic Directions 1. Promote mental health across the lifespan in homes, schools and workplaces, and prevent mental illness and suicide wherever possible. 2. Foster recovery and well-being for people of all ages living with mental health problems and illnesses, and uphold their rights. 3. Provide access to the right combination of services, treatments and supports, when and where people need them.
Six Strategic Directions 4. Reduce disparities in risk factors and access to mental health services, and strengthen the response to diverse communities and Northerners. 5. Work with First Nations, Inuit and Métis to address their distinct mental health needs, acknowledging their unique circumstances, rights and cultures. 6. Mobilize leadership, improve knowledge, and foster collaboration at all levels.
Examples of recommendations 2.1.2 Promote the education and training of service providers in recovery-oriented approaches. 2.1.4 Reduce and eventually make seclusion and restraint virtually unnecessary. 3.3.1 Establish benchmarks for the availability of intensive, acute, and highly specialized services. 3.3.7 Improve collaboration in the delivery of services for people with concurrent disorders. 4.2.1 Expand use of standards for cultural competency and cultural safety. 6.3 Strengthen mental health human resource planning capacity and workforce development.
Examples of recommendations 2.1.2 Promote the education and training of service providers in recovery-oriented approaches. 2.1.4 Reduce and eventually make seclusion and restraint virtually unnecessary. 3.3.1 Establish benchmarks for the availability of intensive, acute, and highly specialized services. 3.3.7 Improve collaboration in the delivery of services for people with concurrent disorders. 4.2.1 Expand use of standards for cultural competency and cultural safety. 6.3 Strengthen mental health human resource planning capacity and workforce development.
Call to Action Funding proposal Includes target for increased share of health and social spending to be devoted to mental health; focus on transformation and efficiency Indicators Includes a small set of indicators, limited by data now available, and calls for a broader outcomes framework Working together Calls on stakeholders, all levels of government, all sectors, people with lived experience, families, the public to move Strategy forward; links to Partners
Everyone must do their part Shared blueprint to enable combined effect of everyone s efforts big and small to contribute to change. Each region and sector will need to adapt the recommendations to their own priorities and circumstances. MHCC will continue, in its role as catalyst, to work with stakeholders to build on existing initiatives and identify opportunities to accelerate uptake.
Find out more Interactive Strategy contains: Comprehensive priorities and recommendations for action on broad range of issues Illustrative examples of promising practices from across the country Links to MHCC initiatives and projects, communities of practice Visit www.mentalhealthcommission.ca CNA will be taking a lead role in developing an interprofessional implementation toolkit, in partnership with other national health provider associations.
CCSA, Nurses and Substance Abuse Together for action now Michel Perron, CEO Canadian Centre on Substance Abuse June 7, 2012
Objectives Introduce CCSA Review the issue of substance abuse in Canada Discuss policy developments in the area of substance abuse Identify the important leadership roles that nurses have related to substance abuse prevention strategies for Canada Identify tools to support the implementation of these strategies across practice settings
A national need All Canadians should live in a healthy society, free of alcohol and drug-related harm Canadian Centre on Substance Abuse Created in 1988 National organization Non-profit Volunteer board ~ 50 staff National and international role
Our mission Provide national leadership and advance solutions to address alcohol and other drug-related harms Our values Respect for others Excellence Cultivating knowledge & striving for objectivity Integrity Partnerships Innovation & transformation Our strategic directions Partnerships Research & knowledge exchange Evidence-informed action Excellence & innovation
Substance abuse in Canada Intractable problem Impacts our health, social & criminal justice systems $40 billion a year Health care - biggest single direct cost Significant contributor to cancer, HIV/AIDS, cardiovascular disease & diabetes Health inequities, e.g., youth & northern peoples Substance abuse CAN be prevented and treated!
1. National Alcohol Strategy 8. Mental Health & Addiction 2. Children & Youth Drug Prevention Our 8 strategic priorities 7. Impaired Driving Canada s National Framework 3. Prescription Drug Misuse 6. Canada s North & First Nations, Inuit, Métis 4. Workforce Development 5. National Treatment Strategy
1. National Alcohol Strategy
2. Child and Youth Drug Prevention
3. Prescription Drug Misuse
4. Workforce Development
5. National Treatment Strategy
6. Canada s North & First Nations, Inuit, Métis
7. Drug-impaired Driving
8. Mental Health and Addictions Partnerships: Canadian Executive Council on Addictions (CECA) Mental Health Commission of Canada (MHCC) University of British Columbia (UBC) Transformational Leadership Forum (early 2013) Lost in Translation Symposium (early 2013) Substance Abuse in Canada: Concurrent Disorders (2009)
How nurses can advance substance abuse prevention and treatment Increase awareness of the issues related to substance abuse among clients, colleagues and networks Actively promote nursing role at individual, family, community, population, and societal levels Promote relevant evidence-informed practice Ensure substance use issues and competencies are incorporated into nursing curricula, staff development programs, and continuing education Conduct relevant nursing and interdisciplinary research Participate in policy development and other advocacy efforts at various system levels Continue to advocate for the increased collaboration between addictions mental health services
Moving forward together Shared responsibility Collaborative opportunities Advisory group participation Subscribe to CCSA newsletters & for priority-specific updates SystemAction membership Implementation support Other ideas?
For more information Mental Health Commission of Canada E-mail: info@mentalhealthcommission.ca Website: mentalhealthcommission.ca Canadian Centre on Substance Abuse E-mail: info@ccsa.ca Twitter: @CCSAcanada Website: ccsa.ca Follow us on: Photo credits: istock Canadian Nurses Association, 2009