1. Welcome, and thanks to our hosts!

2. Building Knowledge, Skills and Bridges Regional Roundtable Presented by Deborrah Sherman, Executive Director, OPDI

3. 12:00 – 1:00Lunch 1:00 – 1:15Introductions 1:15 – 1:30Mental Health Peer Support 1:30 – 1:45Diabetes and Mental Health Peer Support Project 1:45 – 2:30Around the Table - Diabetes & MH Initiatives 2:30 – 2:45 Pause 2:45 – 3:45Strategies for Diabetes Prevention & Self Management 3:45 – 4:00Reflections and Intentions Agenda

4. Name, Organization & Position Introductions

5. A bit about mental health peer support and Consumer/Survivor Initiatives

6. Peer support: the operative word is PEER  rooted in civil/human rights movement  1991 MOHLTC funded Consumer/Survivor Initiatives with these intentions –Independent, autonomous –Run by consumers, for consumers –Member driven  Systemic advocacy, reintegration, social/rec drop-ins, resource centres, public & stakeholder education, employment, PEER SUPPORT  CSIs as Gateways to services 5

7. A growing evidence base  A Longitudinal Study of Consumer/Survivor Initiatives –Centre for Community Based Research –“From Madhouse to Our House” video www.youtube.com/watch?v=gnTJYtzlVkc (Part 1)www.youtube.com/watch?v=gnTJYtzlVkc www.youtube.com/watch?v=oZQ159Hmg M0 (Part 2)www.youtube.com/watch?v=oZQ159Hmg M0  Therapeutic Relationships: From Hospital to Community –Dr Cheryl Forchuk et al, CHSRF www.chsrf.ca.Migrated/PDF/ResearchRe ports/OGC/forchuk_final.pdf 6 Consumer Survivor Initiatives in Ontario: Building for an Equitable Future (MOHLTC) Making the Case for Peer Support (MHCC) CSI’s: Impacts, Outcomes, Effectiveness (OFCMHAP) www.opdi.org

8. Peer Support Definition (OPDI Membership):  Peer Support is a naturally occurring, mutually beneficial support process, where people who share a common experience meet as equals, sharing skills, strengths and hope, learning from each other how to cope, thrive and flourish.  Formalized Peer support begins when persons with lived experience, who have received specialized training, assume unique, designated roles within the mental health system, to support an individual’s expressed wishes.  Specialized peer support training is peer developed and delivered, endorsed by Consumer/Survivor Initiatives, Peer Support Organizations and Patient Councils, and is rooted in principles of recovery, hope and individual empowerment.  (*Consumer Survivor Initiatives and Peer Support Organizations are community-based, self-help organizations run by and for consumer/survivors.)  OPDI membership includes patient councils and the Ontario Association of Patient Councils which are hospital-based self help/ mutual aid programs usually funded from hospital global funds. 7

9. About the project

10. Partners / Project Team  Canadian Mental Health Association, Ontario  Ontario Peer Development Initiative  Provincial Consumer/Survivor LHIN Leads Network  Christine Grace and Community  Lawson Health Research Institute $ The Lawson Foundation 9

11. Project Rationale  Rates of diabetes in people with mental illness are two to four times greater than the general population.  Diabetes is under-diagnosed and under-treated.  Self-management support is key to Diabetes Mellitus management.  Peer support is an evidence-based method of supporting self- management for chronic diseases.  Mental health peer support is a long-established best practice. Mental health peer support workers are in an ideal position to support their peers to understand their risk of, to learn and practice prevention strategies against, and to self-manage diabetes. 10

12. Project Goals Increase the skills of mental health peer support workers in providing support for the prevention and self-management of diabetes in the high-risk population of people living with a serious mental illness Increase awareness in the diabetes community of the role mental health peer support workers can play in prevention and self-management support 11

13. Anticipated Results  People with SMI will have access to informed, educated peer support workers who will support them around prevention, early identification and self-management strategies.  Diabetes policy and health care delivery system across Ontario will have more awareness of the value and role of mental health peer supporters and of Consumer/Survivor Initiatives (CSIs) across Ontario and their potential to contribute to the reduction of the impact of diabetes on high-risk populations.  A change in attitude towards, and understanding of, people with lived experience of mental illness in those in the diabetes policy and practice sector. 12

14. Anticipated Results (continued)  Local diabetes prevention and management resources in communities with CSIs that have trained diabetes/mental health peer support workers will have the opportunity to increase their capacity to serve people with mental illnesses through developing partnerships with the CSI.  A diabetes training manual will be available for members of both the diabetes and mental health care delivery systems to train mental health peer support workers to support self-management and prevention of diabetes with people living with mental illnesses.  The project will strengthen participating Consumer/Survivor Initiatives, giving them more to offer their communities, their participants and their partners. 13

15. Involving Diabetes & Primary Care Sectors  Diabetes expert worked with project team to develop training module  Trainers linked to local diabetes experts or project expert to deliver regional trainings  Advisory Committee: 15 members represent range of stakeholders interested in diabetes and mental health: –Ministry of Health & Long Term Care, Local Health Integration Networks, Family Health Teams, Community Health Centres, Community Health Agencies, Hospital Diabetes Clinics, Researchers (CAMH, York Univ), Canadian Diabetes Association –Advise on development of knowledge transfer strategy to their sectors –Build connections between project and wider diabetes/primary care sector, locally & provincially –Educate colleagues about potential role of mental health peer support in diabetes prevention & management, and suggest tools project can develop for them to use in educating their colleagues 14

16. OPDI Peer Support Core Essentials™ Program  Diabetes training builds on a pre-existing peer support training program, operated by Ontario Peer Development Initiative (OPDI). –Provides training to people with lived experience of the mental health system who are currently or wish to become peer supporters. –178 across Ontario were trained in the core skills required for providing peer support. 50 hours training = Level 1 or 1R (Recommended for Internship) 50 hour internship = Level 2 (“OPDI Certified Peer Supporter”) –10 trainers trained to become OPDI Licensed Trainers 25 hours face to face training Internship = successful delivery of 1 Core Essentials course Licenses renewable, revocable & curriculum copyrighted, trademarked 15

17. Curriculum Overview 16 Introduction to OPDI and CSI’s Module 01 Peer Support Module 02 Role of the Peer Supporter Module 03 Exemplifying Peer Support Module 04 Recovery Inspired Peer Support Module 05 Becoming Informed Peer Supporters (Trauma, Suicide, Substance) Module 06 Community Minded Peer Support Module 07 Core Connecting Skills Module 08 Peer/Peer Supporter Relationship Internship 50 hours OPDI Peer Support Core Essentials™ Training Program

18. Diabetes & Mental Health Module  Diabetes training module developed and delivered by same people who do core skills training using a similar model. –One day training 6* hours face to face Certificate of completion (*being revised to probably 1.5 days, 8 or 9 hours) –Important pre-requisite: basic recognized peer support training OPDI Core Essentials, Intentional Peer Support, PREFER, WRAP etc. –7/10 OPDI Core Essentials TM Trainers trained to deliver module –Total 80 peer supporters from across the province have been trained in Diabetes module. 17

19. Diabetes module training 18 Project Steering Committee Trainer module 7 trainers Peer support workers Diabetes expert Participant module

20.  Becoming Diabetes Informed  The Lived Experience –Grieving Diabetes –The Burden of Self Management  Living with Diabetes –Self Care Sharing Information Encouraging Healthy Eating Encouraging Physical Activity Supporting Stress Management Sharing Experiences –Support –Self Advocacy 19 Curriculum Overview (Diabetes Module)

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23. Peer Support Trainers 22

24. Building Bridges  Linking Trainers to Diabetes Experts  Encouraging Training Participants to link with their local Diabetes Experts and Providers  Project Presentations at Diabetes Provider Forums  Linking with LHIN Self Management Groups, Family Health Teams, Community Care Access Centres…  Regional Round Tables 23

25. Contact for Project For more information: Scott Mitchell, Director, Knowledge Transfer Canadian Mental Health Association, Ontario 416-977-5580 ext. 4136 smitchell@ontario.cmha.ca Deborrah Sherman, Executive Director Ontario Peer Development Initiative 416-484-8785 ext. 1 deb@opdi.org www.diabetesandmentalhealth.ca 24

26. Around the table… Local diabetes & Mental Health Initiatives What are needs of the local community? What is happening currently? Are there any collaborations, projects? Where are gaps, opportunities, challenges? What are your org’s current wellness and/or peer support activities? (eg Minding Our Bodies) 25

27. Boldly go… 26 …take a bio break and a brief respite from information overload. We’ll reconvene in fifteen minutes.

28. Strategies… for diabetes prevention and self management How can your current wellness activities be leveraged into a formalized education module with diabetes peer support? Are there funding / project opportunities? Are there potential partners in the room? 27

29. 28 & Did you learn anything or meet anyone new? What are you going to do next?

30. 29 We hope you’ll keep the conversation going…