Addictions and Mental Health Redesign
The South East LHIN launched the Addictions and Mental Health (AMH) Redesign in 2013. It was intended to address many of the issues that clients have told us they face when accessing care, which included:
- Duplication of services, assessments, or multiple storytelling;
- Difficulties in transitioning between providers and/or accessing services;
- Insufficient volume of services to satisfy demand;
- Stigma often faced in accessing these and other health services; and
- Repeat visits to the emergency department.
In order to tackle these issues, the LHIN worked with clients, caregivers, providers and stakeholders to achieve what we call the ‘Ideal Individual Experience’ for clients and their caregivers.
The below highlights some of the progress made to date:
- A single Regional System of Integrated AMH Care delivered by three coordinated and integrated agencies.
- Contracts signed by the three main AMH agencies, Acute Schedule 1 hospitals and tertiary hospital, which will enable the full continuum of AMH care as the responsibility of the three AMH Agencies.
- Standardization of the first phase of the Common Basket of Service implementation – specifically case management, clinical counselling and addictions counselling.
- Established one electronic platform for client software between the three agencies and tertiary hospital – EMHware.
- Launched of the first Centralized Intake and Waitlist phase in Hastings Prince Edward.
- An operational Regional Back Office for the three AMH agencies.
- ER data has begun flowing to the three AMH Agencies, enabling the identification of clients in crisis when they present at EDs.
- System psychiatry plan formed with contracts to be implemented by the end of 2018.
- Assertive Community Treatment Team (ACTT) fidelity assessment – conducted at AMH Services – Kingston, Frontenac, Lennox & Addington, and to be applied across the South East LHIN region in 2018-2019
- A regional Strategic Alliance which includes the three agencies and the Faculty of Health Sciences and ensures standards are applied across the system
During the early experience with the Redesign, the South East LHIN had seen a decrease in revisits to emergency rooms by those suffering substance abuse and mental illness.
Over the coming years, the South East LHIN will focus on working with the Strategic Alliance and the AMH Agencies to move ahead with the following components of the redesign:
- Three Common Centralized Intake and Waitlist structures across the entire south east region
- Fully operational System Psychiatry Model
- Enhanced data flow between hospitals and AMH agencies
- Continuation of standardization and completion of the Common Basket of Service across the region
- Core competency and training plan identified and initiated including stigma reduction, trauma-informed practice etc.
- Continued implementation and monitoring of the Opioid Strategy with a focus on supporting recovery for those struggling with acute concurrent and addictions challenges
- Standardization of ACTT across the south east region and adherence to the provincial standards
- Enhanced partnerships with municipalities, police/justice, Children’s Mental Health, supportive living etc.
- Targeted youth strategy for addictions and mental health services
We will provide ongoing updates here as they become available.
The learn more about the great work the three regional agencies are doing each and every day, visit:
The Client Design
Open Minds, Healthy Minds
People with mental health issues and addictions are among the most vulnerable people in our society. Approximately 20 per cent of Ontarians experience a mental health or addiction problem at one time or another. They must battle not only the illness but the stigma that surrounds it.
Ontario has developed a long-term comprehensive addictions and mental health strategy called Open Minds, Healthy Minds, which LHINs will be helping to implement. The plan has four main priorities:
- Improve mental health and well-being for all Ontarians;
- Create healthy, resilient, inclusive communities;
- Identify and intervene in mental health and addictions problems early;
- Provide timely, high-quality, integrated, person-directed health and other human services.
Addictions and Mental Health Services – KFLA Investigator’s Report
In December 2017, the South East LHIN appointed an Investigator to review the clinical, financial, leadership and governance processes of Addictions and Mental Health Services – Kingston, Frontenac, Lennox & Addington (AMH – KFLA). This measure was also put in place in order to review the efficiency and effectiveness of the South East LHIN’s Addictions and Mental Health Redesign process that was put in place four years ago. Because this report was received during the provincial election and subsequent writ period, the release of the report was delayed.
Click here to view the full report from May 2018.
Three Providers, One Purpose
Welcome to our first edition of Addictions and Mental Health - South East Ontario Newsletter. For the past three years, the AMH system here in the south east has been overhauling, reorganizing, restructuring and changing how we provide AMH services.
Click here to read the Fall 2018 AMH South East Ontario Newsletter
To review the Addictions and Mental Health Redesign Timelines, click the phase webpage below:
Transitional Alliance & Governance Transition Teams