Moving on Mental Health Durham Service Area 1

Moving on Mental Health – A System That Makes Sense for Children and Youth, released on November 19, 2012, builds on A Shared Responsibility, Ontario’s Policy Framework for Child and Youth Mental Health, 2006 (Policy Framework) and on Ontario’s Comprehensive Mental Health and Addiction Strategy (2011) Moving on Mental Health 2

Moving on Mental Health - a system that makes sense for children and youth  Moving on Mental Health is the next step in transformation of the child and youth mental health system.  The purpose of the strategy is to transform the experience of children and youth with mental health problems and their families, so that regardless of where they live in Ontario they will know: -what mental health services are available in their communities; and -how to access mental health services and supports that meet their needs 3

All children, youth and families Children and youth who are experiencing the most severe, complex, rare or persistent diagnosable mental illnesses that significantly impair their functioning Children and youth who are experiencing significant mental health problems that affect their functioning Children and youth identified as being at risk for, or are experiencing mental health problems that affect their functioning Target Populations Continuum of Needs-based Services Moving on Mental Health Level 4 Level 3 Level 2 Level 1 4

5 Moving on Mental Health Seven core mental health services along with two key processes were identified and will be available in all communities across Ontario. Program Guidelines and Requirements referred to as “Program Guidelines and Requirements # 01: Core Services and Key Processes“ have been established and includes definitions of the core services. Core Services: - Targeted Prevention - Brief Services - Counselling and Therapy - Family Caregiver Skill-Building and Support - Crisis Support Services - Intensive Treatment Services - Specialized Consultation and Assessments Key Processes: - Access/Intake - Service Coordination/Case Management

Moving on Mental Health - a system that makes sense for children and youth MCYS has divided the province into 33 administrative service areas. Boundaries roughly match “upper tier” Municipal boundaries. Each service area will have a Lead Agency. Lead Agency Identification Process  The first 12 Lead Agencies were selected through a competitive Request for Proposals process in the summer of 2014 (Phase 1) -Kinark was identified as the successful Lead Agency in York  In early February the Lead Agencies for Toronto and Kingston were announced  In late additional Lead Agencies were selected (Phase 2) - Kinark was identified as the successful Lead Agency in Durham & Kawartha/Haliburton/Peterborough 6

7 Moving on Mental Health  Create clear and simple to use pathways to care for parents and youth  Establish a plan for the delivery of CYMH services across the Durham service area  Deliver or contract for the range of defined core MCYS-funded CYMH services  Ensure those services are effective and accountable to parents, youth, and children  Not intended to limit access by geography for children, youth and families Agencies providing the core services within each region are referred to as Core Service Providers. Lead agencies will work with Core Service Providers to accomplish the following:

Vision A healthy future for Ontario’s children and youth Mission Helping children and youth with complex needs achieve better life outcomes Values Hold children and youth at the centre of all we do Challenge ourselves to be the best Achieve more together Instill hope Lead Kinark Child and Family Services 8

 We serve approximately 9,400 children, youth and families annually across three program streams: – community–based child and youth mental health (CMH) – forensic mental health/youth justice – autism  Beginning in 2006, all treatment interventions migrated to evidence-based practices.  In 2013 Kinark was accredited by the Canadian Centre for Accreditation and recognized for meeting “all Mandatory and Leading Practice Standards – a remarkable achievement”. 9

Kinark’s Communities  Community-based Child and Youth Mental Health: – currently providing a full range of core services to our clients – programs provided in counties/regions of Northumberland, Peterborough, Durham, York and Simcoe. Local offices in Midland, Barrie, Aurora, Vaughan, Markham, Keswick, Whitby, Peterborough, Cobourg, Campbellford – some programs in Peel, Halton, Wellington  Forensic Mental Health/Youth Justice: – Intensive Support and Supervision Program – York, Peel, Halton, Dufferin, Simcoe – Syl Apps Youth Centre (province-wide secure treatment, custody, detention, Ontario Review Board)  Autism: – provincial lead agency for former ‘Central East’ region for IBI, Connections for students o direct service, sub-contracted direct service and direct funding – respite at the Kinark Outdoor Centre in Haliburton 10

Lead Agency Implementation YEAR 1YEAR 3YEAR 2 Assess current state in service area – inventory existing pathways and protocols Develop an initial Core Service Delivery Plan and CYMH Community Mental Health Plan Begin implementation of the Core Service Delivery Plan and CYMH Community Mental Health Plan Begin fund holder role including beginning of sub-contracting and funding functions, pending MCYS capacity assessment 11

12 The Responsibilities of Lead Agencies Core Service responsibilities Are community-based core services available in my service area? Engage other community based child and youth mental health service providers in planning for the delivery of core service through the development of a Core Services Delivery Plan Local System responsibilities Are services across the continuum working together to meet the needs of children, youth and their families? Collaborate effectively across the continuum of CYMH services in developing a Community Mental Health Plan

Core Services Delivery PlanCommunity Mental Health Plan What is the outcome expected from the plan? Children, youth and their families have:  Access to a clearly defined basket of core services; and,  Confidence in the quality of care and treatment. Sectors work together – across the continuum – to plan and deliver child and youth mental health care. As a result:  Families know how services connect and how systems work together;  Professionals, such teachers and family doctors, are clear about pathways. Questions that must be addressed by the plan Can we demonstrate that core services are being delivered & expectations are being met? Can we show how our services are getting better at meeting the mental health needs of children and youth? Are we making the best possible use of limited resources to deliver the range of core services? Are all those who serve children and youth working together systematically to address mental health needs? Are the roles and responsibilities of everyone across the continuum clear to parents and youth? How will the lead agency work with community partners to address service gaps and expand on opportunities? Process expectations The lead agency and core service providers have engaged respectfully on development of the planning template Lead agency, core service providers and all partners from across the continuum, including: LHIN(s), school boards, public health, child welfare, and hospital pediatric psychiatry services have engaged respectfully on development of the planning template Content expectations Service landscape Service priorities Budget planning Understanding current needs and services Collaborative Planning Pathways to, through, and from care Moving on Mental Health Plans 13

Community Mental Health Plan  Section A: Community Engagement, including the engagement process, who and how  Section B: Current Service Provision and Pathways to Care, including targeted prevention activities and CYMH services delivered by the broader community, as well as formalized processes/protocols that support pathways to and out of care  Section C1: Local CYMH Community Planning Mechanisms, identify purpose of mechanism, who is at the table, roles, outcome/status  Section C2: Local CYMH Community Planning Mechanisms, undertake an analysis of the appropriateness and effectiveness of existing mechanisms to support community mental health planning and recommendations for improvements, including changes to existing mechanisms and/or new approaches, where needed 14

Plan of Activities  Further development of effective engagement mechanisms  Understanding who is currently being served and their needs  Understanding of who might not be being served  Further develop planning priorities into the future including timeframes, indicators of success, targets and desired results  Contribute to an enhanced provincial understanding of the child and youth mental health system through analysis and identification of common themes and priorities  Begin to define the service pathways 15

Questions & Discussion 16

Cathy Paul, President and Chief Executive Officer (905) Cynthia Weaver, VP of Strategic Initiatives Phone: (905) Teresa Scheckel, Program Director, Community Mental Health Phone: (905) Cheri Smith, Special Projects Coordinator Phone: (905) ext. For more information on Moving on Mental Health visit: 4 Kinark Child and Family Services 17