1. Moving on Mental Health:
Community Mental Health Planning Meeting
York Region

2. Purpose of the Webinar Introduce Moving on Mental Health (Cathy Paul)
- A system that makes sense for children and youth
Kinark Child and Family Services (Vicki Mowat)
Responsibilities of Lead Agencies (Robert Burkholder)
Moving on Mental Health in the York service area (Christine Simmons-Physick)

3. Moving on Mental Health
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)

4. 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

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

6. Moving on Mental Health
MCYS produced a draft Service Framework that sets out CYMH services and processes to
be funded. Eight were identified as core (available in every service area) services and two
key processes.
MCYS has divided the province into 34 administrative service areas. Boundaries roughly
match Statistics Canada Consolidated Municipal Service Manager boundaries. Each
service area will have a lead agency.
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
CMSM: Consolidated Municipal Service Manager (Canada)

7. Moving on Mental Health
Role of Lead Agencies:
Create clear and simple to use pathways to care for parents and youth
Establish a plan for the delivery of CYMH services across the York 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
Lead Agency Identification Process
The first 14 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 Agency for Toronto selected and announced.
Lead Agencies for the remaining service areas will be identified 2015 (Phase 2)

8. Kinark Child and Family Services
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

9. Kinark Child and Family Services
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”.

10. 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
direct service, sub-contracted direct service and direct funding
– respite at the Kinark Outdoor Centre in Haliburton

11. 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
-Multi year process
-Focus on year 3 – when Kinark moves into the fund holder role

12. Lead Agency Implementation
YEAR 1
YEAR 2
YEAR 3
Assess current state in service area – inventory existing pathways and protocols
Develop initial Core Service Delivery Plan and CYMH Community Mental Health Plan
Begin implementation of 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
-Multi year process
-Focus on year 3 – when Kinark moves into the fund holder role

13. -2 things that are happening simultaneously
-Community mental health partners will hear about the core service delivery plan, are not direct contributors
-Relationship with core service providers and other partners is changing, ultimately Kinark will be the fund holder for core service providers and will work with community mental health partners for system planning -

14. Moving on Mental Health Plans
Core Services Delivery Plan
Community 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 (MOHLTC, EDU, and MCYS) 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, and minimum service 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
The lead agency, core service providers and all partners from across the continuum, including: LHIN(s), district school boards, public health units, child welfare agencies, 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

15. 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

16. Transformed Child & Youth Mental Health Services
LOOKING AHEAD
Transformed Child & Youth Mental Health Services
What It will look like
CURRENT STATE
FUTURE STATE
Parents, children and youth know how to access services, what is available to them, and what to expect at each point along transparent service pathways
Regardless of where they live, families have access to a consistent set of easy to identify supports and services through an identifiable lead agency that is accountable to government
Parents, children and youth have confidence in the people and agencies providing services
Wait times for service are timely, predictable, and matched to severity of need
Parents and funders know whether the services received have made a difference
Fragmented, inefficient, hard to access, provider centric
Child & youth centered, responsive, flexible, seamless, equitable, evidence-informed & matched to needs
Services not consistently matched to needs
Acceptable
Valid tools, evidence- informed practice
Many providers; uneven access to equitable service
Accessible
Defined communities, lead agencies and core services
Lengthy wait times
Efficient
Pathways/needs and timeliness at centre of service delivery
Duplication and silos
Coordinated
Collaborative
Coordination between providers and across sectors
Cannot demonstrate results
Effective
Linked standards, contracting, performance and results
Historical funding distribution
Sustainable
Funding tied to population, needs, and performance

17. Moving on Mental Health York Region Activities to Date
We have begun initial engagement activities with the (7) Core Service providers together and individually in order to gather information and inventory;
- services they are currently delivering
- populations served
- service targets
- pathways and protocols
- priorities for service improvement  
In January we provided them a summary of this information which helped to raise questions regarding whether each organization is interpreting the core services in the same way and if service targets are accurate.
We have also been meeting with community partners from education, health, child welfare etc. that are important to connect with to understand service pathways .
In March we will be hosting a number of engagement opportunities with families and youth to solicit their perceptions about the CYMH system and gain their advice  on ways to meaningfully involve them.

18. Community Mental Health Survey
In order to gain a better understanding of child and youth mental health services provided in York Region, Kinark will be sending organizations a survey to complete following this webinar.
Purpose of the survey:
Gather information regarding current community partners including descriptions and details of services (i.e. geographic coverage, age range)
Identify:
targeted prevention activities and CYMH services delivered by the broader community partners
formalized processes/protocols that support pathways to, through and out of care
current planning mechanisms including who is at the table, roles, outcome/status
gaps and priorities

19. 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

20. Questions & Discussion

21. York Region Population Information
Appendix A
York Region Population Information
Source
Total Population (2013)
(1)
1,106,096
0-18 Population (2013)
258,016
0-18 Population (Projected 2018)
(2)
267,806
Total Aboriginal Population (2011)
(3)
4,560
0-18 Aboriginal Population (2011)
1,455
0-19 Francophone Population (2011)
2,760
0-18 Recent & Very Recent Immigration Population (2011)
22,290
Population Density
(4)
528.4
Lone-Parent Families
(5)
33,120
Low Income Families
(6)
74,300
Sources: (1) 2012 Annual population estimates by Census Division, Statistics Canada, (2) Ministry of Finance population projections, Spring 2013, (3) National Household Survey 2011, (4) Population density based on 2006 Census geography, (5) Statistics Canada – 2011 Census, (6) Low Income Families (based on after-tax low income measures, Statistics Canada, Small Area Administrative Data Census Family Data, 2010

22. York Service Area – Core Mental Health Service Providers (MCYS Funded)
Appendix B
York Service Area – Core Mental Health Service Providers (MCYS Funded)
Abuse Program of York Region
Blue Hills Child and Family Centre
Family Services of York Region
Kinark Child and Family Services
MacKenzie Health
Southlake Regional Health Centre
The York Centre for Children, Youth and Families
Youthdale Treatment Centres