3. Quarterly Update Reports 3.1 Council of Chairs (Jan 28, 2015) Dr. Geoff Tagg, Chair
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1 Addiction & Mental Health Provincial Advisory Council Saturday, March 14, :30 a.m. to 12:00 p.m. Acadia Room Coast Edmonton Plaza Hotel MINUTES* *Minutes are in DRAFT form and are subject to change and approval at the JUNE 6, 2015 Addiction & Mental Health Provincial Advisory Council meeting. Council Members Permanent Resource Persons AHS Staff Regrets (Chair), Ms. Karen Andresen, Ms. Bavie Sara, Ms. Patti Fisher, Ms. Heather Hanberg, Mr. Kaj Korvela, Ms. Denise Lambert, Mr. Peter LeBlanc, Ms. Vivian Lillico, Dr. Austin Mardon, Ms. Monique Maisonneuve, Ms. Barbara Murray, Ms. Tanya Richer, Ms. Kathryn Wiebe Dr. Laura Calhoun, Provincial AMH Medical Director, Mr. David O Brien, Senior Program Officer, Community, Seniors, Addiction & Mental Health; Mr. Barry Andres, Executive Director (Interim), Provincial Addiction & Mental Health; Dr. Nick Mitchell, Senior Medical Director, Addiction & Mental Health Strategic Clinical Network Ms. Barbara Tuepah, Provincial Advisory Council Officer Permanent Resource Persons: Ms. Cathy Pryce, Vice President, Addiction & Mental Health SCN Ex Officio Permanent Resource Persons: Dr. Michael Trew, Chief AMH Medical Officer, Alberta Health Agenda Item Discussion Action 1. Approval of Agenda Mr. Kia Korvela moved to accept the agenda. Seconded by Ms. Tanya Richer. 2. Approval of Minutes Ms. Barb Murray moved to approve the Saturday, Dec 6, 2014 Council Meeting minutes. Seconded by Ms. Heather Hanberg. Motion carried. Motion carried. 3. Quarterly Update Reports 3.1 Council of Chairs (Jan 28, 2015), Chair Dr. Tagg reported the CoC meetings are led by Dr. Carl Amrhein, AHS Official Administrator. Council as stated in their bylaws reports to the OA. The OA reports to the Minister of Health. The OA is mandated to provide a new board for AHS and has issued an RFP for a company to be hired to recruit members. The uncertainty about the future direction that AHS is taking with the reorganization of the HACs and the PACs still remains to be seen. The PAC will continue to function as in the past until it is told
2 differently. Next CoC meeting is March 30 in Calgary. No minutes are taken at the CoC meeting. 3.2 Addiction & Mental Health Strategic Clinical Network Dr. Nick Mitchell Core committee members:, Chair Mr. Kaj Korvela Dr. Nick Mitchell recommended an invitation be extended to Dr. Frank MacMaster, Scientific Director, AMH SCN to attend the June 5/6 AMH PAC meeting in Calgary. Cathy Pryce, Senior Provincial Director, AMH SCN announced her retirement from AHS and from the Council. Dr. Mitchell reported there are now 13 SCN s in Alberta. He provided an update on some of the work underway with the AMH SCN. Adult RCT project is focused on the manner depression is treated in primary care. Dr. Calhoun stated that early results indicate that GPs are pretty good at treating depression. Edmonton has slightly higher readmission rates than Calgary. Alcohol project focuses on the drop between community services. Ms. Tanya Richer identified her concern as the program is passed on a reward system (by blowing alcohol free into a cell phone the phone will work). Ms. Richer stated that in her opinion it is better if the person stops the use of alcohol on their own resources. She feels projects are better when they help the person to invest in their own sobriety and assist them to move forward. She stated that the best way is to assist the patient to learn to identify they have an addiction and help them grow their self esteem. Addicts who really want to quit don t need a policeman. Ms. Vivian Lillico stated the addict is in need of validation and human contact. She emphasized that individuals are not an addict by choice. Ms. Barb Murray stated that the power needs to be put back into the addict s hands. Empathy project is a grant funded AMH SCN pilot 2 P age Ms. Barbara Tuepah, Provincial Council Officer connected with Dr. MacMaster. His attendance is confirmed for the June Council meeting. Ms. Barbara Tuepah, Provincial Council Officer to send a thank you card to Cathy Pryce. Provincial Advisory Council Officer to link with the Choosing Wisely program (AMH SCN) for a future presentation to Council.
3 program. It s original funding has ended and they are currently looking for additional funding sources. 3.3 AMH Provincial Status Update Dr. Laura Calhoun Mr. Barry Andres Mr. Barry Andres provided an update to the Council on the following initiatives at the AMH provincial offices: Accreditation: Preparation underway for the 2016 survey. Might be a future request for council members for a committee that is working on the front end design of the survey. Mr. Andres will inform the Council if needed. AMH consumer guide: Preparation underway for the development of service quality standards. Mr. Andres will inform the Council if volunteers are needed for input for front end development. Research day: Hosted in partnership with AMH SCN. Mr. Barry Andres thanked Ms. Tanya Richer for her presentation at this Council. Ms. Richer stated she was very pleased and honoured to be asked. She stated that this was the first time she had every told her story of her addiction and was extremely nervous about doing so. Ms. Richer stated she was thanked by all the researchers and supported in the sharing of her story. She felt that it was an excellent tool for her sobriety and was pleased she provided a learning experience to AMH researchers about the power of addiction. Dr. Laura Calhoun spoke about the Homeless ID program she championed, an initiative that provides ID for those homeless to remove barriers associated with not having an ID. Dr. Calhoun reported that the data report releasing the data on the key AMH indicators is up coming. Dr. Calhoun/Barry Andres to present report to council. Dr. Calhoun reported to Council on the work occurring in protective services on hand offs from police and code 3 P age AMH key data indicators to be presented to Council at the next meeting scheduled for June 5/6 meeting. Provincial Advisory Council Officer to follow up with Dr. Calhoun to confirm.
4 whites (violence/aggression) in hospitals. They are working together to make things less adversarial and gain a better understanding of how to balance the safety of staff with the rights of patients. Both thanked Council Members for their volunteering on the many committees and working group as well as on this council. Their presence is making a difference. 3.4 Patient Safety Quality and Policy (PSQP) Sub committee Ms. Heather Hanberg 3.5 Acute Inpatient Mental Health Policy Suite Review Working Group Ms. Bavie Sara 3.6 Enhancing Concurrent Capability Provincial Advisory Group (ECCPAG) Ms. Bavie Sara 3.7 Provincial Addiction Curricula & Experiential Skills Training Initiative (PACES) Steering Committee Ms. Tanya Richer 4. Outstanding Business 4.1 AMH Recommendations #2 to Official Administrator Ms. Hanberg thanked those Council Members who responded to the Feb 15, 2015 request for input on the draft transitory audio visual/ recording policy and procedure. She will continue to keep council members informed of any revisions going forward. Ms. Sara thanked those Council Members who responded to the Feb 3, 2015 request for input on the policy suite review. She will continue to keep council members informed of any revisions going forward. Ms. Bavie announced she is now a member of this AMH Provincial Services committee. Ms. Richer announced she is now a member of this AMH Provincial Services committee. The OA letter to the Council was included in the meeting package. Dr. Tagg stated Council has taken the 4 P age
5 recommendations as far as we can. Dr. Calhoun recommended the Council write a letter to the OA indicating that Council has heard about the activities in the Edmonton region (via Mark Snaterse, ED AMH Edmonton Zone) and are encouraged about the AMH Edm Zone initiatives outlined in the 2030 Strategic Plan whose goal is to create a non hospital community based crisis and stabilization unit. Barry Andres recommended the Council hear a similar presentation from Janet Chafe, ED AMH Calgary Zone. Ms. Tuepah to write a letter to the OA in response to his letter to the Council and including information about the Snaterse presentation. Provincial Advisory Council Officer to connect with Janet Chafe (Julie Kerr assistant) and extend an invite to present (Dec 4). 4.2 Vital Signs; Letter to the Editor 4.3 Council Member Recruitment Ms. Barbara Tuepah 5. New Business 5.1 Council Meeting New Format & Cost Containment Ms. Barbara Tuepah H is for Hospital /Vital Signs article, Council s letter to the Editor and AHS response letter were included in the meeting package. Dr. Tagg stated that no further action is required by Council. Ms. Tuepah reported two candidates have expressed interest for consideration to the Council. Ms. Tuepah stated Dr. Tagg and Ms. Tuepah intend to travel to Calgary for face to face interviews with the candidates. Ms. Tuepah requested if any of the Permanent Resource Persons would like to participate in interviews. Council discussed the new format; council meeting held in morning versus held in afternoon. Council agreed the new format was good and should continue. Ms. Tuepah discussed the cost containment letter from the OA that was included in the meeting package. Ms. Tuepah discussed Council expenses. The discussion was NOT focused on individual members but the Council as a whole. Community Engagement & Communications department 5 P age Mr. Barry Andres expressed interest in participating via teleconference on the interview panel. Provincial Advisory Council Officer to book appointments in consideration of Mr. Andres appointment calendar.
6 where the PAC is contained within AHS has requested that the PAC expenses align with those of the HACs. Meeting cost approval forms are required prior to a Council Meeting occurring and are signed by the Vice President of the department (Carmel Turpin). Meeting sites are being reviewed. Considerations such as holding meetings at AHS sites etc with catering being brought in are being discussed. Assignment of the Discretionary Budget is being reviewed. It was noted that this discussion does not apply to any of the WGs, committees, or sub-committees council member belong to as those expenses are covered by the specific area/department that is hosting those activities and has its own assigned budget. Council members advised that they will be notified of any changes that affect the structure of the council immediately. 5.2 Beryl Brantner Letter & Oldman River HAC letter to the AMH Council The letter Council received from the Oldman River HAC, the letter Council received from Beryl Brantner and the newspaper article were included in the meeting package. Council discussion occurred regarding next steps. Ms. Patti Fisher stated she doesn t know how to respond as she would need to do a current state needs assessment in southern Alberta to learn details. Mr. Peter LeBlanc stated that in principle he was in favor but didn t know enough details to make an endorsement. Ms. Barbara Murray stated as she lives in the south she is aware there is a huge aboriginal population with a holistic approach to AMH concerns but is not clear how those practices would fit into a facility. 6 P age
7 Mr. David O Brien clarified the Council s position as it is in support of the unmet need but are not in a position as to support how these unmet needs are to be met. The Council recognizes and supports this unmet need in Southern Alberta but not the specific request for a residential treatment centre pilot. Mr. David O Brien, Senior Program Officer, Primary and Community Care to write a response letter to the Oldman River HAC. 5.3 AMH Clinical Researchers 5 Provincial Meeting ( Feb 9, 2015). Ms. Tanya Richer Mental Health Needs of Our Community Symposium (Jan 18, 2015) Ms. Tanya Richer reported on her presentation at the AMH Clinical Researchers Provincial Meeting organized jointly by the AMH SCN and the Provincial Services of AMH. She stated this is the first time she has shared her story of her addiction publicly and found the experience to be liberating. Mr. Andres congratulated Ms. Richer for her professional presentation and knows her story has made a lasting impression in the minds of those AMH clinical researchers of the outcome of an addiction and the efforts necessary to overcome. The Council congratulated Ms. Richer for sharing her personal details so others could learn. Background report of this meeting was included in the meeting documents. All presentations are available upon request. Council received an invitation to have a Council representative attend this meeting. attended as the Council representative. Dr. Tagg reported that in Alberta 6% of its budget goes to AMH versus 7 % - 9% as in other Canadian provinces. Comments were made that efforts need to be made to determine 3-5 things that can be done across all tiers to address AMH. Dr. Tagg will continue to report to Council if future meetings occur. 7 P age
8 5.5 David Thompson HAC Debrief (Feb 12, 2015) reported on his attendance at the David Thompson HAC where the Official Administrator met with members. Dr. Tagg informed the HAC of the composition of the PAC and the goal of the AMH Council. 5.6 Council Member Renewals Ms. Barbara Tuepah 5.7 Coalition on Prescription Drug Misuse (March 10, 2015) Ms. Tuepah shared with the Council that there are 8 members who are coming up for renewal as of May 31, As this is prior to the next meeting date council member renewal forms were provided to the following members: Ms. Heather Hanberg, Mr. Peter LeBlanc, Dr. Austin Mardon,, Mr. Kaj Korvela, Ms. Monique Maisonneuve, Ms. Barbara Murray and Ms. Kathryn Wiebe. All were encouraged to renew their council membership. Council received an invitation to have a Council representative attend this meeting. attended and reported as the Council representative. Mr. Peter LeBlanc will not be renewing his council membership. Ms. Tuepah to submit Council Member renewals to Carmel Turpin, VP, Community Engagement & Communications requesting Council Member renewals be submitted to the Official Administrator for reappointment. Ms. Tuepah to distribute the report and associated documents. 6. Future Business 6.1 Rural Physician Action Plan (March 18/19, 2015) Ms. Kathryn Wiebe to represent Council at this event. The PACs have historically never attended this event which is yearly attended by the HAC members. Ms. Wiebe to report on her attendance at the June 5/6, 2015 meeting in Calgary. 8 P age
9 6.2 Sheldon M. Chumir Health Centre Urgent Care Urgent Mental Health Ms. Barbara Tuepah 6.3 Future Speakers Ms. Barbara Tuepah Ms. Barbara Tuepah reminded members that a tour has been booked of this facility for 2 PM, Friday June 5. She encouraged those travelling from the north to meet at the Sheraton Cavalier Hotel and to car pool to Chumir as parking at the centre is limited and expensive. Ms. Tuepah reminded all of the cost containment issues discussed earlier. Ms. Barbara Tuepah reported that at the June 5, 2015 meeting; Ms. Julie Kerr & her team; Child Brain Health, Alberta Children s Hospital has been confirmed. June 6, 2015 Ms. Laureen MacNeil, AMH Peer Support Program is confirmed. Dr. Frank McMaster, the new Scientific Lead, AMH SCN has been confirmed as a guest. The venue has been confirmed for the Sheraton Cavalier Hotel unless members are told otherwise. Ms. Tuepah to members with a reminder to attend tour. 6.4 Next Council Meeting Date: Saturday, June 6, 2015 Time: 8:30 A.M. to 11:30 A.M. Location: Sheraton Cavalier Hotel Ave, Calgary 7. Meeting Adjournment Meeting adjourned at 11: 45 A.M. MEETING EVALUATION RESPONSES (8) council members submitted out of (14) 9 P age
10 What was the most valuable thing accomplished by this meeting? Passion, sharing of experience Excellent speakers A realization that AHS takes our recommendations very seriously AHS are in line with our thoughts on addiction & mental health Networking with others Having meeting in the morning was great. Update on Edmonton initiative DRAFT - PENDING COUNCIL APPROVAL What did you like least about this meeting? Thank you for all you do! Too much sitting Cramped /close seating for some of meeting Excellent Good Average Below Average Poor Topics were: X(6) X(2) Topics were related to the purpose of our council: X(6) X(2) Effective use of time: X(5) X(3) Participation of members: 10 P age
11 DRAFT - PENDING COUNCIL APPROVAL X(5) X(2) X(1) Enjoyable/Interesting: X(5) X (2) X(1) Other comments: Thank you for all you do I become increasingly impressed with the professionalism and competence of the AHS staff Really like the new format with the council meeting in A.M. Really good meeting. The food is excellent. Accommodations are excellent I liked the meeting held first thing in the morning. 11 P age
MINUTES. 2. Approval of Agenda Moved by Ms. Christman, seconded by Ms. Rooks, that the agenda of Monday, January 28, 2013 be approved. MOTION CARRIED.
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