Children’s Mental Health Access & Treatment Services

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Children’s Mental Health Access & Treatment Services presented to Province-wide Health Advisory Council Saturday, October 13, 2012

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Children’s Mental Health Access & Treatment Services. presented to Province-wide Health Advisory Council Saturday, October 13, 2012. Children’s Mental Health in Alberta. - PowerPoint PPT Presentation

Transcript of Children’s Mental Health Access & Treatment Services

Page 1: Children’s Mental Health Access & Treatment Services

Children’s Mental HealthAccess & Treatment Services

presented to

Province-wide Health Advisory Council Saturday, October 13, 2012

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Children’s Mental Health in Alberta

Children’s Mental Health has been a priority in Alberta for over a dozen years. Addressing the needs of children and youth at risk contributes to healthy and safe communities and provides direction for strategies that improve access to mental health services for infants, children, youth and their families.

Collaboration and coordination ensure optimization of mental health services and supports for the well-being of Albertans of all ages.

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Tier Model of Care (2007)

Collaborative Integrated Addiction &Mental Health Model

UniversalHealth

Promotion

TargetedPrevention

IndicatedPrevention

Tier3

Tier4

Tier 1 Tier 2Po

pu

lati

on

Healt

h

Health Promotion & Prevention StreamService Streams

Mental Health Co-Occurring Addictions

Tier5

Health Promotion and Prevention Strategies Reside in All Tiers

Tx

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Integrated Addiction and Mental HealthService Model

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Creating Connections: Alberta’sAddiction & Mental Health Strategy

The Strategy and

Action Plan 2011-2016

was released on

September 12, 2011.

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Why the Strategy is Necessary

One in five people will experience a mental illness in their lifetime, and the remaining four will be affected by the mental issues of a loved one. An additional one in ten people over age 15 may become dependent on alcohol or drugs at any given time in their life (Health Canada: 2002).

The onset of most mental health problems and mental illness occurs by adolescence and young adulthood; early identification and intervention are critical.

Improving equitable access and addressing the mental health needs at an early age builds a strong foundation for the mental health and well-being of children and youth over their lifespan.

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Levels of Care

In Alberta, the Access Standards Working Group Children’s Mental Health sub-Committee adapted the CPA’s definitions for urgency levels and drafted benchmarks for access to psychiatric care for children and youth:

• crisis/ emergent (within 24 hours)• urgent (within 2 weeks)• scheduled (first scheduled appointment within

4 weeks)

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Levels of Care & Tier Model

Tier 2/3 70-80%

Tier 4 <30%

Tier 5 <10%

Tier 170-80%

<10%<30%

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The Strategy—12 Priorities

Build Healthy and Resilient Communities

Foster the Development of

Healthy Children,Youth and Families

Enhance Community-based

Services,Capacity and

Supports

Address Complex Needs

Enhance Assurance

Full Continuum ofServices for

Children,Youth and Families

Complex Needs AssurancePromotion andPrevention

Primary Health Care

1. Postpartumdepressionscreening

2. Primary Health Care Tools and support

3. Coordinated and consistent access to child and adolescent A&MH Services

4. Provincial bed plan for Children’s Mental Health

5. Define a basket of fundamental services for A&MH

6. Tertiary Care Framework

7. Expand Telemental Health

8. Housing

9. Complex – Persons with Developmental Disabilities (PDD)

10. Workforce Development

11. System Performance – Outcome Measurement

12. Research, Evaluation & Knowledge Transfer

Housing andCommunity Support

Community-basedServices

Rural Capacity and Access

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Promotion andPrevention

Primary Health Care

Complex Needs Assurance

Foster the Development ofHealthy Children, Youth and Families

Build Healthy and Resilient Communities

Foster the Development of

Healthy Children,Youth and Families

Enhance Community-

based Services,Capacity and

Supports

Address Complex Needs

Enhance Assurance

1. Postpartumdepressionscreening

2. Primary Health Care Tools and support

5. Define a basket of fundamental services for A&MH

6. Tertiary Care Framework

7. Expand Telemental Health

8. Housing

9. Complex – Persons with Developmental Disabilities (PDD)

10. Workforce Development

11. System Performance – Outcome Measurement

12. Research, Evaluation & Knowledge Transfer

Housing andCommunity Support

Community-basedServices

Rural Capacity and Access

Full Continuum ofServices for Children,

Youth and Families

3. Coordinated and consistent access to child and adolescent A&MH Services

4. Provincial bed plan for Children’s Mental Health

5. Define a Basket of Fundamental Services for Addiction and Mental Health(Children’s mental health a component)

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Foster the Development ofHealthy Children, Youth and Families

Projected timelines for implementing the respective phases of children’s mental health priorities:

• Full Spectrum: 2012-2015• Beds: 2013-2014• Referral & Access: 2013-2014• Basket of Fundamental Services: 2012-2014

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Next Steps of Implementation• integrate with and build on the work of previous initiatives such as the

Children’s Mental Health Action Plan—identify opportunities for synchronizing and enhancing work already underway

• identify fundamental services necessary in each community

• identify community support before and after specialized services

• develop and fully implement provincial access standards for services: emergent, urgent and scheduled

Next Steps

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Stakeholder Engagementand Collaboration

Provincial Advisory Council (3)

Health Advisory Councils (12)• opportunity for dialogue• opportunity for engagement• opportunity to inform the Strategy implementation

Let’s get started!

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Discussion Questions

What have you and/or your council heard from your communities as to the top 2-3 services needed to be available locally?

In your role of advisory council member, what are you hearing with regard to children’s mental health? If you aren’t hearing much, how will you engage or acquire information in terms of feedback from your community as to services and supports currently available, gaps, barriers to accessing?

What mechanism is needed for back and forth communication between you/ your council and provincial addiction & mental health—how do you see working with the Provincial A&MH Advisory Council to inform one another’s roles and work?

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Questions?

Brian Malloy

Senior DirectorChildren, Tertiary and Acute CareAddiction & Mental HealthPrimary & Community [email protected]