Canadian Mental Health Association Kenora Branch Annual Report 2015/2016 Canadian Mental Health Association (CMHA) Kenora Branch Annual Report 2015/2016 Table of Contents Message from Rita Boutette, Chair of the Board . . . . . . . . . . . . . . . . . . . . . . . . p3 Message from Sara Dias, Executive Director . . . . . . . . . . . . . . . . . . . . . . . . . p4 Branch Successes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p5 A Year in Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p6 Strategic Plan 2015-2018. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p7 Additional Project Accomplishments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p7 Public Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p8 Talk Today. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p9 Programs and Services Stats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p10 The Forensic Psychiatry Assessment Program . . . . . . . . . . . . . . . . . . . . . . . . p11 Committees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p11 Quality Improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p12 Fundraising at CMHA, Kenora . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p13 Finances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p14 Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Keeping CMHA, Kenora Transparent and Accountable So much has been accomplished this past year as we prepare for our accreditation survey. Under the leadership of our executive director, Sara, every policy and procedure has been reviewed, updated, clarified and strengthened. These policies and procedures clearly define how various roles and responsibilities are carried out within our branch. It has been an incredible amount of work for everyone involved, but the results make our organization transparent, accountable and ultimately stronger. The Board of Directors has followed suit by reviewing the bylaws and our governance policies and procedures. Following an excellent workshop on governance, the Board has strengthened policies, enhanced accountability and added a self-evaluation process. We have added staff and client presentations to our meeting agendas. These presentations are so valuable in helping the board fully understand the impact our services have on the lives of clients and it also helps us to be more aware of the services provided by staff. We thank each of you for taking the time to prepare those presentations as they are a vital part of the board’s education process. As we look forward to the coming year, we will continue to work closely with other mental health and addiction services providers as we strive to move in the direction communicated by the LHIN and the mandate of the “Patient First” paper from the Ministry of Health and Long-Term Care. I want to express my sincere appreciation and thanks to Sara and the CMHA staff who have worked very hard and accomplished so much this year. I also want to thank our board members for their dedication to the agency and their commitment to mental health. Rita Boutette Chair of the Board Many Thanks to Our Board of Directors Rita Boutette, Chair Mark Simkin, Director Kim Sweeney, Vice-Chair Jana-Rae Dewson, Director Orlo Mejia, Treasurer Susan Hovi, Director Steve Walker, Director Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 3 Continuous Improvement: Key to Our Strength CMHA, Kenora Branch has created an organization that focuses on continuous quality improvement. It examines how clients and families are supported during their recovery journey. This continuous improvement process ensures fiscal responsibility for services and allows, if required, the shifting of resources in a transparent and accountable manner. All of our services receive ongoing recommendations from clients and families on the work we deliver through the CMHA, Kenora Branch Client & Family Committee. The Board of Directors of CMHA, Kenora Branch have also begun to incorporate the voice of clients and families within its monthly board meetings. This ensures all levels of the organization have continuous input from those with lived experience. By including clients and families at the board level, the board has successfully met its strategic target of achieving Excellence in Governance. As the agency continues to operate in a time of constraint, we need to demonstrate that we are using our resources prudently. Data management analysis at all levels of programming is extremely critical and the support of the public is essential to ensure outreach services and public education are maintained within our community and district. CMHA, Kenora Branch is moving forward with positive changes to create a vision of excellence, innovation and quality services. As the North West Local Health Integration Network enters into the second phase of their ten-year Blueprint plan, the agency will continue to reshape, strengthen and sustain the health care system in our region. It will be done in conjunction with the Ministry of Health and Long-Term Care’s vision identified in the Patient First Paper released in December of 2015. This change would not possible without the wonderful staff, volunteers, clients and families of CMHA, Kenora Branch. Along with this recognition, is our commitment to also ensure we maintain a healthy work-life balance. In closing, I would like to personally thank our Board of Directors for its commitment to the organization, and to our staff and volunteers who attend to the ongoing needs of our communities, clients and families. Without each and every one of you the delivery of the programs would not be possible. Thank you and I look forward to continuing to implement change to support a positive work environment for everyone, but most importantly, a positive client journey through our health care system. Sara Dias Executive Director 4 Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Branch Successes CMHA, Kenora continues to integrate seasonal Psychosocial Rehabilitation based activities into weekly rehabilitation and support programming. Theoretical influences include experiential thinking, therapeutic recreation, and working in small groups using strength-based approaches. Clients and staff participate in the a number of activities including: mindfulness in motion groups, baseball games, barbeques, outdoor games, museum trips, swimming, gardening, movies, presentations, games, motivation groups, fishing, cooking groups, cemetery tours, and crafts, and more. 19 Psycho Social Activities Mood Walks is a province-wide initiative that promotes physical activity in nature, or “green exercise,” as a way to improve both physical and mental health for people experiencing mental health challenges. The program is led by the Canadian Mental Health Association, Ontario in partnership with Hike Ontario and Conservation Ontario. Mood Walks provides training and support for community mental health agencies, social service organizations and other community partners. 10 New Walking Groups The Northern Initiative for Social Action (NISA) is a peer-based mental health organization in Sudbury. In partnership with CMHA, Kenora and the Kenora Association for Community Living, NISA offers an eight week Mental Pencil Memoir-Writing course to clients of both organizations. Eight Individuals learned the art of memoir writing. The course is delivered via web conference by NISA’s Writer-in-Residence, Natalie Morrill. Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 5 A Year in Review Living Life to the Full Based on five areas of the Cognitive Behavioural Therapy (CBT) model, Living Life to the Full helps people make a difference to their lives so they can rebuild happiness and learn skills to manage life’s daily challenges. Four Living Life to the Full sessions were offered for two groups open to the community and two groups held at St. Thomas Aquinas High School for students 16 years of age and older. Additionally, CMHA, Kenora trained a third facilitator to support the growing demands of the Counselling & Treatment team. With this growing team of three, clients requiring more intensive based services are now able to receive one-to-one counselling. 4 Living Life to the Full sessions 32 individuals complete Living Life to the Full Skill Building Utilizing DBT Skill Building Utilizing DBT was developed by Marsha Linehan to help individuals moderate their emotional states while in crisis and to develop appropriate skills to manage interpersonal stress. Two groups received three weeks of training which was co-facilitated with the Sunset Country Family Health Team. 28 participants attend Skill Building program Loving What Is Loving What Is helps you identify and question thoughts and provides a way to find peace with yourself and with others. It questions your beliefs that cause you distress. This approach is consistent with leading-edge research in cognitive psychology, and has been compared to the Socratic dialogue, Buddhist teachings, and 12-Step programs. As a result of increased demand, the group was offered 3 times this past year. 6 Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Strategic Plan 2015-2018 CMHA, Kenora completed the first year of its three year Strategic Plan 2015-2018. The Board of Directors monitor the strategic plan through the Balanced Scorecard that is reviewed quarterly. The four strategic areas of improvement are listed below: 1. Excellence in Governance 2. Maintain Client Safety as a Priority 3. Engage in Quality Improvement 4. Enhance Work/Life Balance, Workplace Health and Safety A full review of CMHA, Kenora’s Strategic Plan 2015-2018 can be viewed at www.cmhak.on.ca. Additional Project Accomplishments • Ethics reporting form development and ethics framework review • Numerous research project involvement • LOCUS steering committee implementation amongst four community mental health programs • Ontario Shores Centre for mental health sciences behaviour therapy partnership CMHA, Kenora staff participate in the Mental Health Awareness week. • Pan-branch OCAN research project • Introduction of online relias learning for staff • Human resources manual development • Kenora District Catholic School Board partnerships • Human resources personnel file checklist implementation • Rapid intervention table (RISK) steering committee involvement • Non-violent crisis intervention training for all staff • Policy & procedure development for counselling & treatment program • Mental illness awareness & mental health week activities • Veterans clinic designation through blue cross • Privacy impact assessments implementation • Criminal justice system navigation maps for youth and adults involved within the criminal justice system For information on the above projects please contact CMHA, Kenora at 807-468-1838 or [email protected]. Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 7 Public Education 342 individuals receive training 12+ events Public education topics ranged from Information on Depression, Relaxation Techniques, Dual Relationships, Vicarious Trauma & Compassion Fatigue, Stress Management and the Workplace, Mental Health Court, and Overview of CMHA, Kenora Services. In September of 2015, CMHA, Kenora coordinated a presentation with Dr. David Kantor, psychiatrist consultant to three community mental health teams in the Toronto and Oakville areas along with Jane MacKenzie, patient advocate/rights advisor with the Ministry of Health and Long-Term Care, Psychiatric Patient Advocate Office in Thunder Bay. The focus was, Treatment in the Community of the Psychotic Patient Who Lacks Insight – The Therapeutic Use of Mental Health Law and allowed for a focused discussion on how community mental health agencies, the public, and families can assist in implementing mental health law legislation to assist in therapeutically treating clients. Further training sessions on this topic are being coordinated for the next fiscal year with a focus on physicians and psychiatrists locally. CMHA, Kenora coordinated a presentation by forensic psychiatrist Dr. Phillip Klassen on the topic of Emerging Issues in Mental Health Law. This was coordinated for the Kenora District Law Association Conference 2015. 8 Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Talk Today CMHA, Kenora and Kenora Catholic District School Board (KCDSB) joined forces on a pilot project to provide high school student athletes with suicide prevention and mental health awareness training. The first initiative of its kind in Ontario, the project created an open and non-judgmental environment where student athletes who may be struggling with mental health issues feel comfortable and confident seeking help. The pilot is based on CMHA’s successful Talk Today program, a comprehensive mental health education program in use by several junior hockey leagues throughout the country. The pilot, for student athletes 16 years or older, consists of: • Mental health and suicide awareness workshops for students and team coaches delivered by CMHA, Kenora. The workshops teach participants how to identify individuals who have thoughts of suicide and how to connect that person to suicide first aid or intervention caregivers. • KCDSB staff who coach athletic teams are appointed Mental Health Champions. Should they be experiencing a mental health issue, students can approach their Mental Health Champion for nonjudgmental, stigma-free support. • KCDSB staff in the guidance office act as Mental Health Coaches. These individuals will build supportive relationships with the teams and act as conduits to mental health resources currently made available by the board. • Joint CMHA, Kenora/KCDSB Talk Today events to break down stigma and increase awareness about the importance of positive mental health. CMHA Fort Frances & Kenora, with Kenora Association for Community Living donate Ride Don’t Hide funds to Kenora Wellness Program. 47 students take safeTalk training Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 (L-R) Sue Devlin, mental health lead, KCDSB; Sara Dias, executive director, CMHA Kenora; Eric Sundmark and Cassidy Swejda, multisport athletes, St. Thomas Aquinas SS; Travis Batters, athletic director, St. Thomas Aquinas; and Paul White, principal, St. Thomas Aquinas welcomed the new TALK TODAY pilot. 9 Programs and Services Stats Mental Health Counselling & Treatment 3 mental health therapists providing services to Mental Health Diversion/Court Support 1 mental health diversion worker supporting 350 161 people over 2,284 visits Mental Health Court Forensic Case Management Program Providing services to 115 individuals for Kenora District Court District Assertive Community Treatment Team Providing services to 72 people over 13,246 visits in the Kenora Rainy River District 10 people over 1,038 visits Providing intensive short term case management to individuals over 1,037 visits by 1 case manager 40 Kenora Supportive Housing Program Round the clock staffing to individuals receiving supportive housing in congregate living over resident days 19 2,987 Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 The Forensic Psychiatry Assessment Program This program is sponsored by Healthforce Ontario, the Alternative Payment Plan for Psychiatry for the Kenora Rainy River District, and the Ontario Psychiatric Outreach Program of the University of Toronto. There was a consultation with the Kenora Rainy River District on forensic psychiatry training needs within the district. From this, a steering committee was struck to coordinate training and to discuss how to assist in better transitions of care for clients within the forensic mental health system. The program provided consultation services via Ontario Telemedicine Network to one individual within a district community to support access to forensic psychiatric assessments. Assessments ranged from: Fitness to Stand Trial, Criminal Responsibility, Risk Assessment, Sexological Assessment, Diagnosis & Treatment Planning, and Diversion Assessments. We thank Dr. Philip Klassen, Dr. Mark Pearce, and Dr. Jeff McMaster for their commitment and services to the area. 34 people receive various psychiatric assessments and recommendations Committees Kenora Supportive Housing Program and the District Assertive Community Treatment Team have a mandate to serve the Kenora and Rainy River District. They are advised by a group of community mental health system stakeholders. Our gratitude is extended to the following individuals for providing their time and expertise to inform and support these programs: Diane Pelletier, Chairperson; Bob Bernie, Ontario Provincial Police; Sean Scally, Red Lake Community Counselling & Addiction Services; Chantal Bedard, Dryden Regional Mental Health & Addiction Services; Sherry Copenace, Kenora Chiefs Advisory; Kevin Berube, Sioux Lookout Community Counselling & Addiction Services; Shiela Shaw, Canadian Mental Health Association, Fort Frances Branch; Maria Coleman, Canadian Mental Health Association, Fort Frances Branch; Brittney Carlson, Lake of the Woods District Hospital; and Teryl Drysdale, Mental Health & Addictions Programs Lake of the Woods District Hospital. The Court Programs are provided with advice and support through the District Human Services and Justice Coordinating Committee. The District HSJCC is one of many feeding into regional and provincial systems. Minutes and work plan can be seen at www.hsjcc.on.ca. Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 11 Quality Improvement Accreditation Canada supports healthcare organizations in examining and improving the quality of care and service to clients. CMHA, Kenora documents and evaluates all incidents to ensure client safety, employee safety and the safety of data and program assets. All incidents are reviewed internally, reported to the Board of Directors, and actions are recommended for Quality Improvement. CMHA reports 150 46 Harmful Incidents client safety incidents for Fiscal 2015/2016 25 79 Near No Harm Misses We continue to ensure quality through our Client Safety Committee, Joint Workplace Health and Safety Committee, Healthy Workplace Committee, Infection Control, Medication Reconciliation Processes, Ethics Committee, Customized Leadership Committee and Quality Improvement Committee. Two new committees were introduced: Client & Family Committee and a Nursing Committee. These will provide recommendations and support for ongoing continuous improvement to support the client and families who access the services of CMHA, Kenora. In addition, CMHA, Kenora completed the following Quality Improvement initiatives: • • • • • 12 Infection Control Manual Client Safety Plan Involvement in the Pilot Project: Indicator Strategy with Accreditation Canada Health Promotion Plan Lean Assessment internally Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Fundraising at CMHA, Kenora For the first time, CMHA, Kenora participated in Ride Don’t Hide. Held June 21, 2015, the event is a community bike ride hosted nationally by the Canadian Mental Health Association. The goal is to raise awareness and funds for programs and to help break the stigma surrounding mental health. $8,168 raised 56 riders 3 virtual riders 22 volunteers CMHA, Kenora Branch also received funds from the Shoppers Drug Mart Run for Women that was held on August 8, 2015. Thank-you to all of our sponsors: • Home Team Inspection Service • Lake of the Woods Sunrise Soap Co. • 89.5 the Lake • Lake of the Woods Insurance • Edgewater Natural Health • Mary Berglund Health Center • Smitty’s Autobody • Northwest Community Legal Clinic • AMJ Campbell Moving & Storage • Out of the Woods Counselling • Dr. Elizabeth Montero • The Standard Insurance •CIBC • Bell’s Corner Carwash • Brennan’s Jewellers • TD Canada Trust • Johnson’s Pharmacy • Northwestern Health Unit Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 • Bell’s Corner Carwash • Crossroads - Marlin Travel • Bronco Bike Service Shop • Rosa Ledonne • Loredana LeDonne • Olson Honda • Greg Iwasiw Law Professional Corporation • Shopper’s Drug Mart • Medicine Shoppe • All of our anonymous donors 13 Financials 8% Ministry of Health and Long-Term Care . . . . . . . . . . . . . . . . $2,233,077 Rent and other . . . . . . . . . . . . . . . . . . . . $64,178 Total 0.9% 1.4% 0.8% 0.7% 1.5% $2,297,255 4.7% Revenue 3.5% 77% 2.2% 13.6% Salaries and wages . . . . . . . . . . . . . . $1,623,885 Employee benefits . . . . . . . . . . . . . . . . $312,326 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . $49,907 Education training and travel . . . . . . . . . $33,292 Professional fees . . . . . . . . . . . . . . . . . . $16,579 Insurance . . . . . . . . . . . . . . . . . . . . . . . . $18,330 Equipment expense . . . . . . . . . . . . . . . . $32,466 Building and grounds expense . . . . . . . . $19,978 Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . $107,939 General . . . . . . . . . . . . . . . . . . . . . . . . . . $81,274 Expense 70.7% Total $2,295,976 Excess revenue over expense (expense over revenue) before amortization . . . . . . . $1,279 Amortization of deferred contributions related to capital assets . . . . . . . . . . . . . . . $20,418 Amortization of capital assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ($43,945) ($23,527) Excess revenue over expense (expense over revenue) for the year 14 ................. ($22,248) Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Canadian Mental Health Association, Kenora Branch | Annual Report 2015/2016 Contact Us 227 Second Street South, Kenora, ON P9N1G1 Phone: (807) 468-1838 Email: [email protected] Website: cmhak.on.ca Twitter: @CMHAKenora Charitable Status# 80820 4820 RR0001 Supported by
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