Leadership Advisory Council
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1 Ontario Mental Health and Addictions (MH&A) Strategy Leadership Advisory Council Susan Pigott, Chair November 7, 2016 Health Achieve 2016
2 Mental Health and Addictions 10yr Strategy ( ) Ontario s Comprehensive Mental Health and Addictions Strategy, Open Minds, Healthy Minds, has four 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, persondirected health and other human services Ontario took a whole of government approach to demonstrate a stronger response to MHA issues with multiple ministries working together on shared priorities that are making essential contributions to the successful delivery of the Strategy 2
3 Early Outcomes: PHASE 1 Provide children, youth and families with fast access to high quality services Identify and intervene in child and youth mental health and addictions issues early Close critical service gaps for vulnerable children and youth, children and youth at key transition points, and those in remote communities The first three years began with children and youth. The focus was on early intervention and support to protect our children from the many associated costs of mental illness and addictions and help steer them on the road to safe, healthy, and happy futures. 3
4 Council Mandate ( ) Leadership Advisory Council Improved quality of planning and decision-making Enhanced cross-sector collaboration Improved accountability for results Accelerated progress on the Strategy Increased awareness of mental health and addictions issues within and outside of government The Leadership Advisory Council was established in November, 2014 mandated to provide strategic, actionable advice on the cross-sectoral implementation of Phase 2 of the Comprehensive Mental Health and Addictions Strategy. 4
5 Leadership Advisory Council Guiding Principles With sound guiding principles, the Council conducts its work towards the future where 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 5 ACCESSIBLE EQUITABLE CLIENT CENTERED HIGH PERFORMING RECOVERY ORIENTED GUIDING PRINCIPLES
6 Equity Diversity and equity are core principles of the Strategy. They include recognition of the need for appropriate and accessible services. The Ministry is supporting a parallel engagement process with Indigenous communities to identify where and how they can build on existing initiatives, what culturally appropriate services are needed and what opportunities exist for enhanced cross-sector collaboration. The Ministry is also engaging with LHINs, French Language Health Planning Entities, government partners and other members of the Francophone community to determine efficient ways to address service gaps for Francophones. The Council will be making recommendations regarding the needs of Francophone and Indigenous communities. The Council is committed to applying an equity lens to all of its activities. The Health Equity Impact Assessment Tool is being used to consider the impact on diverse and marginalized communities. The Council is also engaging with the Anti-Racism Secretariat to identify additional mechanisms to support an equity and anti-oppression focus on its work and recommendations 6
7 The Council s Working Groups Prevention, Promotion, and Early Intervention Youth Addictions Supportive Housing System Alignment and Capacity Core Services Task Group Primary Care and MH&A Task Group Data Task Group Community Mental Health and Addictions Funding Reform The Council has created five working groups to develop advice to government on how to address challenges in the system. The working groups are focusing on five themes. In addition, in June 2016 the Council established two Reference Panels (Family / Caregiver and People With Lived Experience) to help ensure a client-centred approach to their work. 7
8 Leadership Advisory Council First Annual Report (Dec 2015) 1 Make it easier for young people to transition from youth to adult mental health and addictions services and supports 1 MCYS and MOHLTC are collaborating on advancing service transformation work to support a more integrated, consistent and accessible mental health and addictions services for youth 2 Expect the same focus on quality from Ontario s mental health and addictions system as you do from other parts of the health care system 2 Development of a data strategy and performance indicators E-QIP Initiative with CMHA, AMHO, HQO implemented Click here to view report 3 Move on key First Nation, Métis, Inuit and urban Aboriginal mental health and addictions needs 3 Distinct engagement processes underway Exploring Suboxone prescribing authority for nurse practitioners Working with ICES and FNMI partners regarding data 4 Prioritize investments in supportive housing focused on meeting the needs of individuals with mental illness and addictions 4 MOHLTC, MHO, MCYS and MCSS are collaborating to identify opportunities to advance supportive housing recommendations through the LTAHS. 5 Clarify which provincial ministry should lead the development and implementation of youth addictions policy and programming 5 MOHLTC and MCYS are collaborating on advancing service transformation work to support a more integrated, consistent and accessible mental health and addictions services for youth 8
9 Early Strategy Outcomes: PHASE 2 Enhanced scope to include mental health and addictions across the lifespan and transitions between services Community Mental Health and Addiction Services Local Health Integration Networks (LHIN) new investment allocations of $138M for mental health and addictions services Children and Youth Moving On Mental Health (MOMH) is a key step in continuing the transformation of the child and youth mental health system Common service expectations developed with the sector and publicly released in July 2015 Indigenous Peoples Ontario First Nations Health Action Plan (May, 2016) - $222M over 3 years, $104.5M ongoing Journey Together: Ontario s Commitment to Reconciliation with Indigenous Peoples: Establish/expand up to 6 Mental Health & Addictions Treatment and Healing Centres Invest in community mental health and addictions supports to stop the cycle of intergenerational trauma by addressing the unique mental health and addiction needs of Indigenous people, families and communities Supportive Housing Incremental rollout of $16M allocated as annualized base funding to increase housing by 1000 units Progress continues to be made during the second three years of the Strategy. 9
10 Anticipated Council Recommendation Themes (2016) Develop a new funding model for community services Invest in additional supportive housing Implement 10 standardized indicators and a comprehensive data and quality strategy TOWARDS A HIGH PERFORMING MH&A SYSTEM Enhancing Person Centered Care Enhance promotion and prevention Address critical service gaps Adopt a core set of services across the province The Leadership Advisory Council will issue its second annual report with additional recommendations to help move Ontario towards a high performing mental health and addictions system that will enhance person-centered care 10
11 A Shared Journey Mental Health in All By acting together, we can transform services so that all Ontarians have timely access to an integrated system of coordinated and effective promotion, prevention, early intervention, and community support and treatment programs. Open Minds, Healthy Minds, p.4 11
12 QUESTIONS 12
13 APPENDIX: Ontario s Mental Health and Addictions Leadership Advisory Council 1. Susan Pigott Chair of Ontario's Mental Health and Addictions Leadership Advisory Council; has previously held senior positions with the Centre for Addiction and Mental Health and St. Christopher House 2. Pat Capponi Psychiatric survivor with lived experience of poverty; part-time member, Consent and Capacity Board 3. Cynthia Clark Chair, Ontario Family Caregivers' Advisory Network 4. Rachel Cooper Peer Initiatives Manager, Stella s Place; mental health advocate 5. Gail Czukar CEO, Addictions and Mental Health Ontario 6. Dr. Philip Ellison Family Physician in the Department of Family and Community Medicine (DFCM), University Health Network; Associate Professor in the Department of Family and Community Medicine, University of Toronto 7. Dr. Suzanne Filion Director, Development & Integration, Hawkesbury & District General Hospital 8. Carol Hopkins Executive Director, Thunderbird Partnership Foundation 9. Mae Katt Primary Health Care Nurse Practitioner 10. Dr. Kwame McKenzie CEO Wellesley Institute and Medical Director Of Child, Youth, Geriatric, and Dual Diagnosis Services and Health Equity, Centre for Addictions and Mental Health 11. Dr. Ian Manion CEO, Provincial Centre for Excellence for Child and Youth Mental Health, Children's Hospital of Eastern Ontario 12. Louise Paquette CEO, North East Local Health Integration Network (LHIN) 13. Camille Quenneville CEO, Canadian Mental Health Association - Ontario 14. Aseefa Sarang Executive Director, Across Boundaries: An Ethnoracial Mental Health Centre 15. Dr. Kathy Short Mental Health ASSIST lead, Hamilton-Wentworth Board of Education 16. Peter Sloly Deputy Chief, Community Safety Command, Toronto Police Services 17. Adelina Urbanski Commissioner, Community and Health Services, Regional Municipality of York 18. Victor Willis Executive Director, Parkdale Activity and Recreation Centre 19. Eric Windeler Founder and Executive Director, Jack.org 20. Dr. Catherine Zahn CEO, Centre for Addiction and Mental Health 13
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