1. Local Health Integration Network – Service Manager Collaboration Presentation to Northern Ontario Service Deliverers Association Panel Discussion: “Working with LHINs – Investing in What Works” Ministry of Municipal Affairs and Housing April 16, 2015

2. June 9, 2015Ministry of Municipal Affairs and Housing 2 Purpose Describe the value of Local Health Integration Network (LHIN) – Service Manager collaboration: Improving outcomes for Ontarians and achieving greater value for money invested Leveraging the service system management roles of LHINs and Service Managers to meet the unique needs of communities across the province Provide an update on collaborative work underway to identify opportunities to strengthen coordination between the housing and health sectors Discuss next steps, including the recently launched Long-Term Affordable Housing Strategy (LTAHS) Update consultation process

3. June 9, 2015Ministry of Municipal Affairs and Housing 3 Improving Outcomes for Ontarians The housing and health systems provide intersecting services for many mutual clients, including frail seniors, persons with physical disabilities, and persons with mental illness and/or addictions Improving outcomes for people with complex needs is a priority for both systems Coordinated service delivery helps people to manage and/or recover in the community, reducing the burden on emergency services (such as repeat emergency room visits or emergency shelter use) There are a number of existing collaborative initiatives already underway between LHINs and Service Managers, both at the strategic planning and project levels

4. June 9, 2015Ministry of Municipal Affairs and Housing 4 MOHLTC Local Health Integration Networks Strategic Planning: Integrated Health Service Plans Community Care Access Centres Service Agencies MMAH Service Managers Strategic Planning: Local Housing and Homelessness Plans Housing Providers Clients Policy Framework Local/Regional Service System Management Client Access Service Providers LHINs and Service Managers: Strategic Management of the Service System

5. June 9, 2015Ministry of Municipal Affairs and Housing 5 Examples of Successful Collaboration…. just to name a few (1 of 2) Thunder Bay DSSAB Collaboration between Thunder Bay District Social Services Administration Board, North West LHIN, Handicapped Action Group, Brain Injured Services of Northern Ontario and private sector Providing housing with support services and accessibility renovations that address the needs of community residents Cochrane DSSAB 10 unit seniors rental project with support services supported through North East LHIN (Iroquois Falls Seniors Apartment Corporation) Sault Ste Marie DSSAB SSM DSSAB partnership with SSM Housing Corporation, Canadian Mental Health Association, Algoma Public Health and North East LHIN 10 housing units for persons with severe mental health with supports services on 24/7 basis North East LHIN providing funding for mental health training for municipal staff involved in housing

6. June 9, 2015Ministry of Municipal Affairs and Housing 6 Examples of Successful Collaboration…. just to name a few (2 of 2) City of Greater Sudbury 32 seniors housing units with dedicated space in building to provide Community Hub support services to residences and surrounding community members (Cedarbook – Walden Seniors) Region of Waterloo 32 seniors units including rent-geared-to-income units, 4 wheelchair accessible units, annual operating funding for care and support services for seniors - adjacent to long-term care facility (Sunnyside Seniors Apartments) Haldimand County 21 unit seniors project with annual operating funding for support services (Halton Cheshire Homes) County of Simcoe (Penetanguishene) 40 unit apartment complex situated within housing community consisting of 143 bed long-term care facility, 57 life lease housing options, including 17 semi-detached manor homes and 40 apartment suites, 42 assisted living apartments (Georgian Village)

7. June 9, 2015Ministry of Municipal Affairs and Housing 7 Engagement to Strengthen Collaboration MMAH and MOHLTC are working together with our partners to identify opportunities to strengthen coordination between the housing and health sectors Recent engagement activities have included: LHIN-Service Manager Collaboration Advisory Group: Representatives of LHINs (Central LHIN and North East LHIN CEOs) and Service Managers (Toronto, Durham, York, and Cochrane DSSAB senior housing staff) were engaged in November 2013 and February 2014 Discussions at Existing Tables: Including the Service Manager Housing Network, LHIN CEOs, Northern Ontario Service Deliverers Association, Urban Social Services Commissioners, and Mental Health and Addictions Leadership Advisory Council December 2014 Stakeholder Engagement Session: Representatives of LHINs, Service Managers, Community Mental Health Agencies, Housing Providers, and People with Lived Experience

8. June 9, 2015Ministry of Municipal Affairs and Housing 8 On December 3, 2014, MMAH and MOHLTC held a one-day focus group to seek input on the challenges and opportunities of the mental health and addictions supportive housing system and LHIN-Service Manager collaboration The feedback received was categorized in four overarching themes: 1) Clarity around role and responsibilities 2) Alignment of accountability, planning and/or funding mechanisms 3) Improving access to housing and/or support services 4) Updating programs to reflect best practices Feedback from December 3, 2014 Stakeholder Engagement Session

9. June 9, 2015Ministry of Municipal Affairs and Housing 9 On October 31, 2014, MMAH and MOHLTC ADMs sent a joint memo to LHINs, Service Managers and Aboriginal Program Administrators (APAs) which: Advised LHINs and Service Managers / APAs of the opportunities provided by new investments under the Investment in Affordable Housing program extension and Mental Health and Addictions Strategy Phase Two to strengthen collaboration Encouraged LHINs and Service Managers / APAs to meet together and discuss local mental health and addictions needs, and to identify opportunities to work together to address these needs Current Opportunity

10. June 9, 2015Ministry of Municipal Affairs and Housing 10 MMAH is facilitating engagement with NOSDA Housing Managers/Directors and North East & North West LHIN representatives Purpose of the gathering is to: Share leading practices and lessons Learn more about how housing and LHIN systems work Identify opportunities and any overlaps / gaps in services Identify ways to capitalize on opportunities, overcome barriers and operationalize approaches to better client services/outcomes Upcoming meeting of Northern LHINs and Service Managers: June 2015

11. June 9, 2015Ministry of Municipal Affairs and Housing 11 MMAH and MOHLTC are continuing to work together on how we can strengthen alignment at the provincial level, remove barriers and support local collaboration. Long-Term Affordable Housing Strategy (LTAHS) Update consultations were launched on Tuesday, April 14 (TBC): Information on the consultation process including the Discussion Guide can be found at www.ontario.ca/affordablehousingwww.ontario.ca/affordablehousing The consultations are seeking input under four themes: 1.A Sustainable Supply of Affordable Housing 2.A Fair System of Housing Assistance 3.Coordinated, Accessible Support Services 4.Evidence and Best Practices The process to develop the LTAHS Update related to coordinated, accessible support services will include work with partner ministries, including MOHLTC, MCSS and MCYS, and reaching out to a wide range of sectors through existing tables for their input. Next Steps