Addictions and Mental Health

CSR Plan Summary of Initiatives and Objectives 

In support of a public engagement process completed in Spring 2011, these videos were produced to introduce each of the clinical topics.
Clinical Lead Dr. Roumen Milev, who also serves as Head of Psychiatry at Providence Care, has been working with a team of experts to develop a plan on how to improve mental health and addictions services in our region.

Please find the initiatives with the appropriate objective to follow, below:

Health Human Resources (HHR) plan:

To be guided by a health human resource plan for mental health and addictions that will ensure South East LHIN providers can align with the intent of the provincial AMH strategy. The outcome will support quality care and improved access to AMH services across the continuum of care.

  • Ensures a competency-based workforce enabling the delivery of quality mental health and addictions treatment, supports and services that reflects evidence-based practices;
  • Provides a cross-function tool for providers to ensure staff receive training in harm reduction and recovery-orientated evidence-based practices, regardless of function and skill set;
  • Identification and development of training opportunities that will inform the work force of the Competency Framework elements;
  • Ensure a regional psychiatry resource to enable more equitable access to services;
  • Develop a psychiatry human resource plan for the SE LHIN system of MH&A with consideration for Psychiatrists working in hospital and community settings;
  • A comprehensive HR strategy focusing on: Chronic Disease/Community Model of Care and Recovery approach.

Emergency Department AMH Strategy:

To improve community/outpatient service response time and access to care for AMH clients and clients presenting with challenging behaviours. In other words, to explore options to improve access to appropriate levels of care. The overall objective is to create a system of care for clients where all hospitals and community agencies are integral parts of the “circle of care” and responsible for recognizing equal value in all of those parts working together.

  • Reduced reliance of AMH patients on Emergency Departments (ED);
  • Increased capacity in the community to better support clients outside the hospital setting;
  • 24 hour crises response with mobile capacity;
  • Availability of crises support to clients on discharge from hospital;
  • Formalized case conferencing process and shared care plans between ED and community AMH agencies
  • AMH ED strategy to improve patient flow and decrease the number of readmissions within 30 days of discharge;
  • Expand hospital based triage system to include access to AMH crisis counselors;
  • Services agreements between hospitals, community AMH and police.

Coordinated Access

To ensure that people have timely access to addictions and/or mental health services with only one point of contact.

  • Access to 24/7 crisis and referral service for all South East residents;
  • A common phone number (310 #) with routing of calls to appropriate providers;
  • Coordinated access process improvement using-a common framework of standardized assessment forms and inter-agency referral forms; common language and sharing of information in a timely manner;
  • Facilitate transitional support from one system to another (e.g. youth to adult services);
  • Skill-based navigation to assist with referrals for the unique, complex needs of AMH populations (funnel);
  • Target education for all who are critically involved, including clients and their families/care givers, and both public and private referral agencies
  • Standardized management of wait list to create increased capacity for service;
  • Target education for primary health care providers to better access community AMH services;
  • Enhance mobile crisis capacity.
Health Services Restructuring Commission (HSRC)

To implement the Health Service Restructuring Commission (HSRC) Directives in the South East LHIN including Tier II, or a hospital to hospital transfer and Tier III or a hospital to community transfer of patients or services. This includes Tier II directives in Brockville (transfer of services from ROHCG to BGH) and Tier III directives (transfer of patients from ROHCG to appropriate community settings and from Providence Care to appropriate community settings).

  • Ensure that all patient transfers occur in a safe manner and that they are cared for in the least restrictive environment possible;
  • Development of capacity to support clients transitioning from institutional care to community setting.

For more up to date information on the AMH process, visit the Addictions and Mental Health Redesign webpage.