Recovery Connections February 28, 2013

Project Foundation Client and family consultation project (January – March 2012) Input from 250+ client and family members, 40+ staff Experiences in emergency, inpatient and discharge Previous exercises related to discharge planning and transitions Family Advisory Committee reports Champlain Mental Health Network Integrated Access reports Champlain Addictions Coordinating Body: implementation of centralized access to Ottawa addictions services

Consultation Project Key Findings Final report provides an overview of what we learned through the consultation process No surprises Many concrete suggestions for improvement that were lower cost Experiences and ideas for improvement were consistent Across geographies, Across clients, families and staff Many people we spoke to had not previously been asked to share their experiences or ideas Our focus: what can we do to move people’s ideas forward?

Key components of Recovery Connections Project June HSIP Develop concrete tools (Health Information Sheet, ER Discharge Planning Checklist, ER Brochure) and support hospitals in completing inpatient discharge planning checklist Hold Lunch ‘n Learns with hospitals on findings and tools Develop model for peer and family support in hospitals Tools are completed Lunch ‘n Learns in process HSIP for peer and family support submitted in October

Key components of Recovery Connections October HSIP - $300K annualized Call-back service – for any person discharged from inpatient unit who would like a follow-up phone call 1 FTE staff via Distress Centre of Ottawa (access to Mental Health Crisis Line services database) Implemented at Pembroke Regional – in process at Cornwall – eventual expansion across region Peer support worker and family support worker team 3.5 FTE

Peer support and family support team: key elements 3.5 FTE paid workers for clients and family members using hospital services at Queensway-Carleton and Montfort hospitals Functions provided are similar to mutual support models used in other sectors, including cancer, AIDS/HIV, and diabetes Non-clinical service is complementary to the clinical services provided by hospital staff.

Key Functions - PSFST Client and family engagement Provide support and mentorship Supportive listening, Provision of community resource information Sharing idea of recovery and mentorship/guidance – hope Promote empowerment Promoting use of tools such as WRAP, crisis planning, as well as tools developed through our process e.g. health information sheet Educate clients, families and hospital staff on what peer and family support is, what the benefits are

How it works Team provides individual support and mutual self help groups Education and training to hospitals across the LHIN Work in partnership with QCH and Montfort hospital staff where staff identify clients and families who may benefit from services, or where the team can play a supportive role Program evaluation process Input at systems level on issues seen at front lines Ongoing role of the Recovery Connections Advisory Committee

What peer support and family support is not…. There is no clinical relationship There is no care coordination relationship The team is there to walk with people, not to help them - can seem counter-intuitive Team is there to learn about the person, understand and listen It is a partnership, a relationship, between the team and the individuals Training and orientation process focuses on this distinction

Upcoming Education Day Focus on staff from QCH and Montfort Additional space for peer support, family support and community organizations Opportunity for learning and dialogue Incorporates international expertise (Amy Long) with more local experience (Al Strong, Kitchener-Waterloo Self-Help Alliance)

Upcoming Education Day What “recovery” means practically, at an individual and service level The potential impacts, challenges and opportunities that can occur through collaboration with peer support and family support Experiences and lessons learned from other jurisdictions in implementing peer support and family support in hospital settings Provide an overview about peer support and family support initiatives, and the kinds of challenges that people can face in hospital settings