Ontario Mental Health and Addictions (MH&A) Strategy
Leadership Advisory Council
Susan Pigott, Chair
November 7, 2016
Health Achieve 2016
Mental Health and Addictions – 10yr Strategy (2011 – 2021)
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
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Early Outcomes: 2011 – 2014
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.
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Council Mandate (2014 – 2017)
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
2011
2014
2016
2017
2018
2020
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.
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Leadership Advisory Council Guiding Principles
ACCESSIBLE
EQUITABLE
CLIENT
CENTERED
HIGH
PERFORMING
RECOVERY
ORIENTED
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
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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
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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.
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Leadership Advisory Council First Annual Report (Dec 2015)
Click here to view report
1
Make it easier for young people to transition
from youth to adult mental health and addictions
services and supports
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
3
Move on key First Nation, Métis, Inuit and urban
Aboriginal mental health and addictions needs
4
Prioritize investments in supportive housing
focused on meeting the needs of individuals
with mental illness and addictions
5
Clarify which provincial ministry should lead
the development and implementation of youth
addictions policy and programming
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
Development of a data strategy and performance
indicators
E-QIP Initiative with CMHA, AMHO, HQO
implemented
3
Distinct engagement processes underway
Exploring Suboxone prescribing authority for nurse
practitioners
Working with ICES and FNMI partners regarding data
4
MOHLTC, MHO, MCYS and MCSS are collaborating
to identify opportunities to advance supportive housing
recommendations through the LTAHS.
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
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Early Strategy Outcomes: 2014 – 2016
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.
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Anticipated Council Recommendation Themes (2016)
Invest in additional
supportive housing
Develop a new funding
model for community
services
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
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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
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QUESTIONS
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APPENDIX: Ontario’s Mental Health and Addictions Leadership Advisory Council
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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
Pat Capponi – Psychiatric survivor with lived experience of poverty; part-time member, Consent and Capacity Board
Cynthia Clark – Chair, Ontario Family Caregivers' Advisory Network
Rachel Cooper – Peer Initiatives Manager, Stella’s Place; mental health advocate
Gail Czukar – CEO, Addictions and Mental Health Ontario
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
Dr. Suzanne Filion – Director, Development & Integration, Hawkesbury & District General Hospital
Carol Hopkins – Executive Director, Thunderbird Partnership Foundation
Mae Katt – Primary Health Care Nurse Practitioner
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
Dr. Ian Manion – CEO, Provincial Centre for Excellence for Child and Youth Mental Health, Children's Hospital of
Eastern Ontario
Louise Paquette – CEO, North East Local Health Integration Network (LHIN)
Camille Quenneville – CEO, Canadian Mental Health Association - Ontario
Aseefa Sarang – Executive Director, Across Boundaries: An Ethnoracial Mental Health Centre
Dr. Kathy Short – Mental Health ASSIST lead, Hamilton-Wentworth Board of Education
Peter Sloly – Deputy Chief, Community Safety Command, Toronto Police Services
Adelina Urbanski – Commissioner, Community and Health Services, Regional Municipality of York
Victor Willis – Executive Director, Parkdale Activity and Recreation Centre
Eric Windeler – Founder and Executive Director, Jack.org
Dr. Catherine Zahn – CEO, Centre for Addiction and Mental Health
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