Mental Health & Addictions
The LHIN continues to work on the goal of ensuring people with mental health and addictions:
- Manage early symptoms of their health condition
- Access coordinated services along the continuum of care
- Access the care they need, where and when they need it.
More funding was allocated to improve mental health and addictions services in the region. Another highlight was the LHIN’s work with other ministries. For example:
- The LHIN worked with the Ministry of Community and Social Services to enhance consulting supports across Champlain for people with a dual diagnosis of developmental disability and severe mental health issues. For these clients, the LHIN also initiated the planning for and funded a Flexible Assertive Community Treatment Team; and
- Transitional Aged Youth Initiative was a new investment to improve the continuum of care for adolescents transitioning from youth services funded by the Ministry of Children and Youth Services to LHIN-funded adult mental health and addictions services.
In addition, people in Renfrew County, Ottawa, and Eastern Counties benefitted from expanded and new services related to clients who go to the hospital emergency department:
- Bilingual access coordination services were established as entry points to care for these clients. About 1,000 clients annually will receive prompt, coordinated access to all mental health programs in the local area. Providers for this service are:
- Canadian Mental Health Association – Ottawa
- Community Mental Health Services of Renfrew County
- Community Mental Health and Addictions Programs of:
- Cornwall Community Hospital, and
- Hawkesbury & District General Hospital.
- Transitional Intensive Case Management Services were increased with funding received at the end of 2013-14. This longer-term, bilingual service supports clients who go to the emergency department and need extra help to access and engage in community mental health and addictions services. The goal is to provide them with the services and supports they need, and help them avoid unnecessary hospital visits (will serve ~600 clients annually). To ensure Aboriginal communities in Ottawa benefit from this service, the LHIN provided funding to the Wabano Centre of Aboriginal Health to hire an intensive case manager / system navigator (serving ~30 clients annually).
Toward the end of the year, investments in new programs were made that will be fully operational in 2015-16. Some of these programs and annual clients served include:
- Enhanced services for women and men with longstanding homelessness and mental health and addictions issues through the creation of two new Residential Stabilization Programs. This program provides support to clients transitioning from withdrawal management and shelter settings to treatment and support services (serving ~350 clients annually)
- Tobacco Cessation Services were established in four residential addictions programs in Ottawa and Renfrew County: Mackay Manor, Maison Fraternité, Serenity House, Vesta Recovery Program for Women (serving 510+ clients)
- Building on its success in other locations in helping people with urgent mental health and / or emotional challenges, Walk-in Counselling Services in Ottawa were expanded to include immigrant communities. As well, Aboriginal people can also access the service at the Wabano Centre of Aboriginal Health. Available in, Arabic, Cantonese, English, French, Mandarin and Somali, this program will serve ~2,200 people annually, up from 1,200; and
- A two-year initiative, Hoarding Consultants, addresses urgent hoarding issues and builds capacity for services to better respond to developing hoarding situations for clients with severe and persistent mental health issues (serving 45 clients each year).
These programs were also expanded to provide better care to more people:
- Targeted Engagement and Diversion Program, wherein clients are received directly from paramedics, instead of clients being taken to emergency departments (increase of 145 clients, serving an annual total of 400+)
- Ottawa Residential Withdrawal Management Centre, with six additional beds (increase of 200, serving an annual total of 1,329 clients).
- Parents’ Lifeline of Eastern Ontario is a volunteer-driven, family support organization for families whose youth up to age 24 are dealing with mental health issues. Parents help their peers to help themselves as they care for their family during difficult times. The LHIN funded this program’s expansion from serving 200 to 900 families annually.
- The LHIN also funded the expansion of the Call-Back After Hospital Discharge Program (serving 3,500 clients annually, up from 1,750). Clients receive a follow-up call to see how they are doing, and discuss with them what other supports they may need to successfully manage their challenges.
To support more people involved in planning their care, the LHIN also:
- Established the Steering Committee for the Champlain Pathways to Better Care capacity-building program. This group is comprised of families and clients with experience, clinicians, front line workers and managers. They identify and provide leadership to quality improvement projects in mental health and addictions that enhance client flow and transitions within the health care system; and
- Funded the expansion of Peer Navigator Services to Cornwall, Hawkesbury and Pembroke. Initially established in Ottawa, peer navigators, who have experience with mental health issues, work alongside clients with their care providers to provide smooth transitions from hospital to services in the community. This expansion means that each year, 150 more clients will benefit from this service (new annual total of 550 clients across Champlain).
To inform future investments, a number of studies were initiated to:
- Identify the key elements of an integrated care planning process; and
- Explore the:
- Need for Aboriginal residential addictions treatment services for women and their children
- Strategies for optimal tobacco dependence management for homeless and marginally-housed people who use multiple substances; and
- Feasibility of the regional adoption of the early psychosis intervention clinical pathway.
Mental Health & Addictions Action Plan 2013-16
The Champlain LHIN Mental Health and Addictions Action Plan 2013-16 builds extensively on initiatives already in progress, and identifies new initiatives to move the sector towards a responsive person-centred one that recognizes the geographic, cultural and language diversity of the Champlain Region.
For more information on Mental Health and Addictions, please contact Kevin Barclay, LHIN Senior Integration Specialist (email@example.com or 613.747.3228).