Public Health Updates on the Mental Health Promotion ... · What is the value of the CoP for you?...

Copyright © 2017, CAMH

The Ontario Public Health ConventionMarch 27th, 2019

Public Health Updates on the Mental Health Promotion Guideline for Public Health

Implementation Case Studies, Opportunities and Challenges

DISCLOSURE OF COMMERCIAL

SUPPORT

• None of the presenters at this session have received

financial support or in-kind support from a commercial

sponsor.

• None of the presenters have potential conflicts of interest to

declare.


AGENDA

1Community of Practice Overview 2

Introduction and Welcome

MHP Guideline Implementation

Panel Discussion

Audience Q&A

345


Introduction


The Centre for Addiction and Mental Health (CAMH) is the largest mental health hospital in Canada, and a world leader in mental health and addiction research.

The Provincial System Support Program (PSSP) at CAMH works with communities, service providers and other partners across Ontario to move evidence to action to create sustainable, system-level change.

PSSP also supports CAMH’s Strategic Plan, “Vision 2020”.

PSSP’s provincial office is in Toronto with nine regional offices located throughout Ontario.

PSSP provides capacity and expertise in:– Knowledge exchange– Implementation – Coaching– Equity and engagement– Evaluation and data management


2013 2015 2017Jan

2018Feb

2018March 2018

March 2019

Timeline


Today’s Panel

Andra Ragusila

Knowledge Broker,

Provincial System

Support Program,

CAMH

Benjamin Leikin

Supervisor

Mental Health,

Ottawa Public Health

Jessica

Patterson

Health Promotion

Specialist, Toronto

Public Health

Shana Calixte

Manager,

Public Health

Sudbury &

Districts


Introducing the Mental

Health Promotion in

Public Health

Community of Practice


About EENet Connect

EENet Connect is an online community where members of Ontario’s

mental health and addictions system create profiles, share knowledge,

and collaborate more effectively with one another.


Health

Equity

Housing,

Health &

Justice

Transition-

Aged Youth

Racialized

Populations

Housing

First

Crisis

Continuum

OCAN

HSJCC

Family

Caregiver

Alcohol

Policy in

Ontario

Mental Health

Promotion

Opioid

Overdose

Prevention

Pharmacists

Mentoring for

Addiction and

Pain


Purpose

Purpose: Support public health professionals in Ontario to connect, share,

and explore the practice of mental health promotion in public health.


Objectives

Support public health practice in response to provincial priorities.

Share experiences in planning, implementing, and measuring the impact of mental health promotion programs and policies.

Facilitate collaboration and partnership across public health units.

Increase access to evidence and evaluated programs.

Share information and resources.


Types of CoP Membership

Steering

Committee


Champions Network


Online Members


Steering Committee

Steering

Committee


Community of Practice Champions Network

1 representative from each public health unit (PHU).

Main point of contact between PHU and steering committee.

Representative can bring other staff to network meetings


Champions Network


Community of Practice Online Members

Multiple representatives from PHUs.

Share information on EENet Connect and inform overall direction of community of practice.

Participate in survey to identify evidence needs for mental health promotion.


Online Members

216 members


Knowledge Broker Support

EENet provides knowledge broker support to meet the evidence needs of the group.

For example:

developing knowledge exchange products in response to need

organizing in-person events for knowledge sharing

connecting the group with subject matter experts

leveraging the CoP to support system level MHP activities.


s


Purpose for Visiting CoP Site

52% - information on how to plan, implement and evaluate MHP programs

50% - information on how other health units are embedding MHP into programs

32% - evidence on MHP

Survey of CoP Members


Activities to date

Held in-person and teleconference steering committee meetings.

Created and populated online platform on EENet Connect for information and resource sharing.

MOHLTC consultation on MHP guideline

Webinars

Monitoring positive mental health in Ontario: Positive Mental Health Surveillance Indicator Framework

Big White Wall (Upcoming)


What is the value of the CoP for you? How has the COP impacted your work?

What are success stories and challenges from engaging with the CoP?

What have been some opportunities and challenges in using the CoP to aid the implementation of the MHP Guideline?

Panel Questions


MHP Guideline

Implementation in

Practice One Year Later


Where is your PHU at with implementing the MHPG?

Let’s Hear from the Panel

Mental Health Promotion at

Toronto Public Health

Mental Health

Promotion Audit

Tool• Suicide

Prevention

• Mental Health at

Work

• Foundations of

Mental Health

Promotion

• Gender Based

Violence

Prevention

Mental Health Promotion at

Toronto Public Health

• Positive Mental Health:

• Emotional Well-being

• Social Well-Being

• Psychological Well-Being

• Stress & Coping

• Mental Illness

• Depression

• MH&A Physician & ED visits

• Self-Harm & Suicidal Behaviour

• Suicide

Health Status Report: Mental Health Chapter (June 2019)

Mental Health Promotion in TPH Services – A Baseline Survey (2019)

Mental Health at Ottawa Public

Health

Benjamin Leikin, Supervisor, Mental

Health, Ottawa Public Health

28

How did we get here?

29

Overview of Mental Health Strategy

30

Overview of Strategy work

1) Mental Health Report and Mental Health

Strategy:

www.ottawapublichealth.ca/mentalhealthreport

2) Have THAT talk stigma reduction and

awareness campaign:

www.havethattalk.ca

3) Mental Health Caregiver Guide:

www.ottawapublichealth.ca/mentalhealthcaregiver

http://www.ottawapublichealth.ca/mentalhealthreport

http://www.havethattalk.ca/

http://www.ottawapublichealth.ca/mentalhealthcaregiver

Our Journey to Public Mental Health

Shana Calixte, Manager, Mental Health and Addictions

The Ontario Public Health Convention

March 2019

2017

MHA Team formed

Internal and external

engagement

Full dayworkshop

April 26, 2018

Release of the Public Mental Health Action

Framework

Creation of the PMHAF Task

Force


Team formed• New manager August

2017

• New PHNs October 2017

• Community Drug Strategy and Naloxone December 2017 and January 2018

2017 MHA Team formed


engagement

Full-dayworkshop

April 26, 2018


Framework


Force


Internal engagement

“Aside from food literacy, what can I do more effectively to build the resiliency and self-esteem components?”

“I’d like to see us, at the agency level, take on a more trauma-informed approach to care, across the board and not just at HBHC.”

“We now have a workplan and are actioning things with the Psychological Health and Wellness Committee, for example, the ‘Not Myself Today’ initiative.”

Externalengagement

• Fall 2017: The Mental Health and Addictions System Priority Action Table

• September 2018: Life Promotion Summit

• Fall 2018: Suicide Safer Network

Parallel internalstrategies

MHA Team formed


engagement

Full-dayworkshop

April 26, 2018


Framework


Force


Released January 2019

No Health Without Mental Health

Public Health Sudbury & Districts commitment to concepts and investments to improve mental health opportunities for all.

• Action-oriented roadmap of public health interventions

• Grounded in the Mental Health Promotion Guideline of the Ontario Public Health Standards

http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Mental_Health_Promotion_Guideline_2018.pdf

http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Ontario_Public_Health_Standards_2018_en.pdf

Why Public Mental Health?

1. Public health includesmental health (explicit)

2. Public mental health isbroad (promotion, prevention, and earlyintervention)

3. Cuts across all public health staff (nursing, inspection, nutrition, promotion, population healthassessment, etc.)

Opportunities for Public Mental Health work

What is the Framework based on?

Apply the Foundational Standards

1. Population healthassessment

2. Health equity

3. Effective public healthpractice

Required Approaches for Program Standards

1. Embed*

2. Across the life course

3. Whole-population & community-based

4. Multi-sectoralcollaboration

*health promotion, social determinants, risk/protective factors, reduce stigma/increaseliteracy, trauma awareness, strengths focus, priority populations

Our commitments

So what does this mean?

MHA Team formed


engagement

Full-dayworkshop

April 26, 2018


Framework


Force


Opportunities and next steps

Actioning the Action Framework

Knowledge brokering

Next steps

• Governance

• Central leadership

• Diffuse ownership—knowledge brokering

• Own the mandate—create public expectations and live up to them

• Workplan

• Resources

Public Mental Health

As we push our public health system forward, and truly embed public mental health throughout our scope of practice, we require explicit, ambitious and even radically different approaches to our work.

For a copy of the Public Mental Health Action Frameworkvisit us at:

www.phsd.ca

This presentation was prepared by Public Health Sudbury & Districts.

This resource may be reproduced, for educational purposes, on the condition that full credit is given to Public Health Sudbury & Districts.

This resource may not be reproduced or used for revenue generation purposes.

© 2019, Public Health Sudbury & Districts


What are the challenges and opportunities in implementing the MHP Guideline?

Panel Questions


Panel Discussion &

Q&A

Public Health Updates on the Mental Health Promotion ... · What is the value of the CoP for you?...

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