Human Services Integration Project NOSDA AGM June 8, 2017

Human Services Integration the Human Services Integration Office is situated in the Ministry of Community of Social Services (MCSS), its mandate and objectives are shared across MCSS, the Ministry of Housing (MHO) and the Ministry of Education (EDU). Our ministries are working closely together on the project and connecting with other ministry partners, such as the Community Hubs Division at the Ministry of Infrastructure (MOI), the Ministry of Municipal Affairs (MMA) and, the Ministry of Advanced Education and Skills Development (MAESD) and the Community Hubs Secretariat. Human Services Integration HSI Office established at MCSS to explore integration across three provincial programs Municipal service system management is central to integration Working with municipal partners to understand the current state and identify opportunities and challenges

Engagement to Date Working horizontally across ministries: Shared mandate with the Ministry of Housing and the Ministry of Education Other partners: Ministry of Infrastructure (Community Hubs Division), Ministry of Municipal Affairs, Ministry of Advanced Education & Skills Development, Ministry of Health and Long-Term Care Meetings with municipal organizations to seek feedback on scope and high-level goals: NOSDA face-to-face meeting January 2017 The Ontario Municipal Social Services Association (OMSSA) staff, Board, conferences, Leadership Table Association of Municipalities of Ontario (AMO) Urban Commissioners Site visits to learn about service management approaches and understand local priorities

Project Overview Project Goals Key Principles Preliminary Scope Related Health Services Employment and Training Community Hubs Other Programs and Initiatives Early Years & Child Care Municipally-Delivered Social Assistance Person-Centered Affordable Housing & Homelessness Prevention Strengths-Based Project Goals Flexibility for service system managers Access and opportunity for people Enhanced system management Reduce barriers to integration Focus on outcomes Reduce duplication Policy (Legislation, Regulations) Planning Funding Service Delivery Accountability & Reporting Business Processes & IT Potential Action Areas Simplified Service Experience Enhanced Capacity to Deliver Strengthened Accountability Partnerships/Relationships Future State People are better able to navigate and access the right supports at the right time Improved information sharing across programs More efficient use of resources Innovative, responsive services Better outcomes for people Streamlined processes, reporting, etc. Draft – For Discussion

Information Collection Approvals & Decision Making Project Components Information Collection Approvals & Decision Making Engagement Implementation Provincial-Municipal Roles & Responsibilities Ongoing Engagement and Communications Formal Provincial-Municipal Consultations: AMO MOU T-OCCA Considerations for Roll-Out: Capacity (e.g., Human Resources, Technology) Communications & Change Management Scale & Timing Jurisdictional / Literature Scan Provincial-Municipal Co-design of Recommendations Municipal Delivery Approaches & Integration Initiatives Broad Engagement (Clients, Staff, Other) Approvals (Provincial and Municipal) Evaluation Framework / Continuous Improvement

Current State Workshops 11 workshops with CAOs, Directors and Managers from all 47 CMSMs/DSSABs Collecting information on delivery approaches and integration efforts Sharing ideas and experiences

Current State Workshops (Cont’d) Developing a high-level “picture” of service systems Commitment to share results with participants Will also share province-wide findings

Current State Workshops (Cont’d) Began with northern service managers. First three workshops now complete: May 24: City of Greater Sudbury, Cochrane, Nipissing, Sault Ste. Marie May 31: Thunder Bay, Kenora, Rainy River June 6: Parry Sound, Manitoulin-Sudbury, Algoma, Timiskaming, District Municipality of Muskoka

What We Heard from the North Most service managers have integrated some aspects of their service system There is a desire to move towards a more ‘person-centred’ approach Change can take time; requires communication and strong change management “Integration is exciting, but the whole thing is a pain point” “DSSABs are themselves about integration” [and perhaps a model to build upon]

What We Heard from the North: Key Themes Themes are consistent with earlier conversations with municipal partners, with additional details/nuances and considerations for the north: Policy Clarity & Alignment Connected IT & Business Systems Processes & Reporting Information Sharing & Partnerships Change Mgmt. & Comms Access & Connectivity

Next Steps Information Collection (Spring/Summer) Complete 8 more workshops across the province Validate and share information with participants Further Engagement (Summer/Fall) Client and staff perspectives on human services integration Indigenous engagement on human services integration Ongoing Communication Keeping municipal partners informed of progress

Questions for Discussion Thinking about your own DSSAB/CMSM, do the key themes emerging from the workshops resonate? Are there other things that the Human Services Integration Office should consider as we move forward on the project? Are there other important northern considerations that need to be kept in mind?