Connecting the Dots: Connecting the Dots Connecting the Dots: Summary and Conclusions...

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Transcript of Connecting the Dots: Connecting the Dots Connecting the Dots: Summary and Conclusions...

  • Connecting the Dots:

    Connecting the Dots

    How Ontario Public Health Units are Addressing

    Child and Youth Mental Health

    July 10th, 2013, 1:00 - 2:30 PM

  • Connecting the Dots:

    Agenda

    • Review report findings

    • Panel discussion

    • Dr. Heather Manson, Public Health Ontario

    • Lynne Hanna, Halton Region Health Department

    • Dr. Robin Williams, Associate Chief Medical

    Officer of Health for Ontario

    • Questions & answers, discussion

    2

  • Connecting the Dots

    3

    Project leads:

  • Connecting the Dots:

    Accessing the Report

    4

    Public Health Ontario http://www.publichealthontario.ca

    Centre for Addiction and Mental Health http://www.camh.ca/en/hospital/about_camh/provincial_systems_support_program

    /Documents/Connecting%20the%20Dots%20FINAL.pdf

  • Connecting the Dots:

    Steering Committee

    5

  • Connecting the Dots:

    Purpose

    To capture the range of child and youth mental health activities, initiatives, services and programming occurring across Ontario’s public health system.

    6

  • Connecting the Dots:

    *Mental Health or other terms of interest • Infant, child or youth mental

    health • Psychological health • Emotional health • Mental well-being • Mental wellness • Mental illness • Mental health promotion • Mental illness prevention • Mental health literacy • Body image / self-esteem • Stress • Resiliency • Stigma reduction • Suicide Prevention • Prevention of self-harm • Bullying • Violence • Discrimination • Crisis support / management

    7

    Scope

    • Range of activities at public health level

    • Children & youth (along the continuum from infants to young adults)

    • Mental health focus*

  • Connecting the Dots:

    Methodology

    • Ethics review

    • Outreach • We contacted all Medical Officers of Health and invited staff

    from each of Ontario’s 36 public health units to participate

    • Data collection and analysis • Survey (on-line, collect information through key contact at

    each PHU) • Two researchers independently cleaned and

    reviewed dataset • Data was analysed in SPSS

    • Key Informant Interviews

    • Transcripts analyzed and coded by two researchers

    8

  • Connecting the Dots:

    Overview of Findings • All 36 Ontario health units completed the survey.

    • 325 activities or initiatives reported

    • Ranging from 1 to 32 per PHU

    • Many factors shape and influence the role of public

    health units, both individually and collectively. Some of these are supportive in nature while others present barriers.

    • Health units identified specific supports to improve work in this area.

    9

  • Connecting the Dots:

    Survey Results

    • Activity type

    • Target audience

    • Partnerships

    • Funding

    • Mandate/impetus

    10

  • Type of Activity

    17.2%, n=56

    0.6%, n=2

    1.2%, n=4

    1.5%, n=5

    2.2%, n=7

    5.2%, n=17

    6.5%, n=21

    16.3%, n=53

    49.2%, n=160

    0% 20% 40% 60%

    1

    2

    3

    4

    5

    6

    7

    8

    9 Program delivered by your PHU

    Knowledge exchange or capacity building

    Communications

    Planning

    Policy or advocacy-related

    Evaluation or research

    Program delivered by another agency through a financial transfer from your health unit

    Surveillance or population health assessment

    Other

    Program delivered in partnership with another organization

    Committee participation

    11

  • Secondary Categorization

    12

    Category Percent Count

    School-based programming 32 104

    Parenting supports and programs 23 75

    Committees, networks and coalitions 10 34

    Direct services 8 26

    Community-based youth skills-building programming

    7 23

    Communication and awareness-raising activities

    5 18

    Strategic planning and policy-related initiatives

    5 17

    Training and capacity building for PHU staff and/or service providers

    5 17

    Research and surveillance activities 3 11

  • Target Audience

    62.5%, n=203

    52.9%, n=172

    44.3%, n=144

    44.3%, n=144

    26.5%, n=86

    20.6%, n=67

    18.8%, n=61

    11.4%, n=37

    8.9%, n=29

    5.5%, n=18

    0%

    20%

    40%

    60%

    80%

    Children or Youth

    Parents, Care Providers, or

    Gaurdians

    Education Public Health Staff

    Social Service Providers

    Mental Health

    Providers

    Other Health Providers

    General Public

    Government Other

    Other community organization Non-PHU staff Law enforcement Volunteers Faith-based organization Pregnant teens / youth Researchers

    13 Guardians

  • Target Age Groups

    47.2%, n=154

    57.4%, n=187

    64.1%, n=209

    25.8%, n=84

    16.6%, n=54

    0%

    20%

    40%

    60%

    80%

    0 - 6 7 - 13 14 - 18 19 - 25 25 +

    Top 6 discrete age-ranges 1. 0 to 6 16.3% 2. 7 to 18 15.7% 3. 14 to 18 13.2% 4. 0 to 18 12.3% 5. 7 to 13 9.8% 6. “All ages” 7.1%

    14 19 - 24

  • Partnerships

    14.5%

    0.3%, n=1

    2.5%, n=8

    6.8%, n=22

    11.4%, n=37

    17.5%, n=57

    11.7%, n=38

    5.5%, n=18

    1.8%, n=6

    1.8%, n=6

    24.9%, n=81

    50.5%, n=164

    23.4%, n=76

    2.5%, n=8

    6.2%, n=20

    4.9%, n=16

    17.8%, n=58

    33.5%, n=109

    27.4%, n=89

    23.7%, n=77

    10.5%, n=34

    8.0%, n=26

    35.7%, n=116

    21.2%, n=69

    0% 20% 40% 60%

    Other

    Business

    College/University

    Government

    Hospital/CHC

    Local Social Service

    Mental Health Org.

    Other Dept. in PHU

    Other Mun. Dept.

    Other PHU

    School/Board

    None

    Informal Formal

    Committee, coalition or network Community organization Ontario Early Years Centre Health care provider Law enforcement

    15

  • Impetus

    46.5%, n=151

    22.2%, n=72

    16.0%, n=52

    14.2%, n=46

    3.7%, n=12

    2.8%, n=9 0.3%,

    n=1

    30.2%, n=98

    2.2%, n=7

    0%

    20%

    40%

    60%

    Local Need Board of Health

    School or School Board

    External Partner

    City Council Ontario Mental Health

    Strategy

    Federal Mental Health

    Strategy

    Other Don’t Know

    Part of existing program or plan

    Mandated program – HBHC

    Consultation / report

    PHU leadership / initiated

    Service gap - youth engagement

    16

    National

  • Primary Funding Source

    63.1%, n=205

    8.9%, n=29

    2.8%, n=9

    1.2%, n=4

    17.2%, n=56

    6.8%, n=22

    0%

    20%

    40%

    60%

    80%

    Ontario Government

    Local Municipality

    NGO User Fees Other Don’t Know 17

  • 63.1%

    8.9%

    2.8% 1.2%

    17.2%

    6.8%

    0%

    20%

    40%

    60%

    80%

    Ontario Government

    Local Municipality

    NGO User Fees Other Don’t Know

    Primary Funding Source (Breakdown of Government of Ontario as Primary Source)

    Source Proportion

    1. MOHLTC 68.3%

    2. MCYS 12.7%

    3. Unknown 4.9%

    4. MOE 4.4%

    5. MOHLTC / MCYS 2.0%

    6. MTCS 1.5%

    7. MOHLTC / MOE 1.0%

    8. MOHLTC / MCYS / MOE 0.5%

    9. Ontario Trillium Foundation 0.5%

    10. Public Health Ontario 0.5%

    18

  • Use of OPHS or Guidance Documents to Guide the Activity

    3.7%, n=12

    3.7%, n=12

    7.1%, n=23

    0.3%, n=1

    0.9%, n=3

    1.8%, n=6

    4.9%, n=16

    14.5%, n=47

    16.3%, n=53

    19.7%, n=64

    35.4%, n=115

    38.2%, n=124

    0.9%, n=3

    8.0%, n=26

    42.5%, n=138

    44.3%, n=144

    28.9%, n=94

    0% 20% 40% 60%

    Don't Know

    None

    Other

    Emergency Prepardness Pro. Std.

    Nutritious Food Basket GD

    Child Health Program Oral Health GD

    Comprehensive Tobacco Control GD

    Prevention of Injury GD

    Prevention of Substance Misuse GD

    Healthy Eating, Physical Activity and…

    Child Health GD

    School Health GD

    Environmental Health Pro. Std.

    Infectious Diseases Pro. Std.

    Family Health Pro. Std.

    Chronic Disease and Injuries Pro. Std.

    Foundational Std.

    HBHC Protocol / GD Sexual Health Pro. Std.

    19

  • Connecting