Improving Mental Health Transitions 2014
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Program Program Program CanadianCanadian Consensus Consensus Development Development Conference Conference on on SURVEILLANCE & SCREENING FOR AROs SURVEILLANCE & SCREENINGThe Westin Hotel, Edmonton, FOR Alberta, AROs Canada (Antimicrobial-Resistant(Antimicrobial-Resistant Organisms) Organisms) JuneJune 18 18 - 20,- 20, 2014 2014 TheThe Hyatt Hyatt Regency, Regency, Calgary, Calgary, Alberta Alberta Jury Members Expert Speakers Jury Members Expert Speakers Jury Chair – Tom Marrie Liz Bryce Yves Longtin Andrew Simor Jury ChairJury – TomMembers Marrie Liz Bryce Expert SpeakersYves Longtin Andrew Simor Bill JuryAlbritton Members Barry Cookson AllisonExpert McGeer Speakers Jim Talbot Bill Albritton Barry Cookson Allison McGeer Jim Talbot Helen Branswell Julian Davies Scott McEwen Henri Verbrugh HelenJury BranswellJury Members Chair – Alain LesageJulian Davies Carol AdairScott ExpertMcEwen SpeakersOrrin LysengHenri Verbrugh AndreJury Corriveau Chair - Alain Lesage Serge Desnoyers KimCarol Neudorf Adair OrrinBob Weinstein Lyseng Andre CorriveauKathy Aitchison Serge Desnoyers Tim Aubry Kim Neudorf Austin BobMardon Weinstein Barb Kathy Farlow Aitchison Michael Edmond LindsayTim Nicolle Aubry Austin Mardon Barb FarlowJuryRupert Chair Arcand - Alain LesageMichael Edmond Thomas BeckerLindsayCarol Nicolle Adair Oliver MasonOrrin Lyseng DavidRupert Heymann Arcand Dan Gregson HowardThomas Njoo Becker David KathyHeymannAndré Aitchison Delorme Dan Gregson Dan CohenHowardTim Njoo Aubry DavidOliver McDaidAustin Mason Mardon Steven Lewis Anthony Harris David Patrick StevenAndréRupert Lewis DavidDelorme Arcand Goldbloom Anthony Harris Giovanni deDavid DanGirolamoThomas CohenPatrick Becker ScottDavid Patten Mcdaid Pat Piaskowski Susan Huang Eli Perencevich Oliver Mason PatDavid Piaskowski Goldbloom Susan Huang EliGiovanni Perencevich de Girolamo Scott Patten Jennifer AndréRodgersKaj KorvelaDelorme John Jernigan Philippa A.Trish Garety PerlDan Cohen ThomasDavid Raedler Mcdaid JenniferKaj Korvela Rodgers John Jernigan TrishPhilippa Perl A Garety Thomas Raedler John SpikaDavidGloria Goldbloom Laird Joel Kettner Linda GaskPilar Ramon-PardoGiovanni de GirolamoLuis Salvador-CarullaScott Patten JohnGloria Spika Laird Joel Kettner PilarLinda Ramon-Pardo Gask Luis Salvador-Carulla Howard KajWaldnerGlenda Korvela MacQueen Mark Loeb Elliot Goldner Philippa A GaretyHoward ThomasSapers Raedler HowardGlenda FayWaldner MacQueen Orr Mark Loeb Heinz KatschnigElliot Goldner JitenderHoward Sareen Sapers SponsoredGloria by Laird Organized by Linda Gask Luis Salvador-Carulla SponsoredFay GlendaOrrJohn by J.MacQueen McSorley SarahOrganized Lapsley byHeinzElliot Katschnig Goldner Hon.Jitender RichardHoward Sareen D. SchneiderSapers Sponsored by Organized by JohnFay J.Tom McSorley Orr Shand Eric LatimerSarahHeinz Lapsley Katschnig GerritThe van JitenderHonourable der Leer Sareen Justice TomJohn ShandMichel J. McSorley Simard Antonio LoraEricSarah Latimer Lapsley RichardRichard WarnerThe HonourableD. Schneider Justice MichelTomSharon Simard Shand Sutherland Steve Lurie AntonioEric LatimerLora GerritRichard van der D. LeerSchneider SharonMichelHelen-Maria Sutherland Simard Vasiliadis SteveAntonio Lurie Lora RichardGerrit Warner van der Leer Sharon Sutherland Steve Lurie Richard Warner i OVERVIEW OF THE CONFERENCE The Canadian Consensus Development Conference on Improving Mental Health Transitions, is a three-day conference being held in Edmonton, Alberta, from November 4 to 6, 2014. This conference is a juried hearing of evidence and scientific findings. It allows for the engagement and collaboration of experts, policy makers in government and the health system, and stakeholders in addressing key questions around community based care for adults with severe, persistent mental illness. On the final day of the conference,Improving an expert jury Mental chaired by Health Dr Alain Lesage,Transitions Department of Psychiatry, University of Montreal, will release a Consensus Statement summarising the evidence and making recommendations for policy and practice in Canada and other countries The transition of services for those with severe mental illness from institutions to the community: are the mentally ill The Consensusbeing Development well served? Conference model is an exciting format created in the US by the National Institutes of Health (NIH) to increase the dissemination and impact of findings from research. The Institute of Health Economics (IHE) in AlbertaThe adapted last 50 years this have successful seen the substantial model for elimination the Canadian of mental hospitals, setting with and care has provided held insix the consensus community and conferences to date: Self-Monitoringin general in hospital Diabetes; settings Healthy in most Western Mothers-Healthy countries. While thisBabies: has also How been to a periodPrevent of rapid Low pharmacological Birth Weight; Depression developments, the question remains of how best to serve both the patients and society in this rapidly changing system. in Adults; FASD Across the Lifespan; Legal Issues of FASD; and Surveillance and Screening for AROs (Antimicrobial- Resistant Organisms).The reduction Consensus in the number Statements of psychiatric and beds, other with a documents, decreasing length along of stay with associated videotape with some of expansionthe proceedings, can be of community services, has corresponded with growth in homelessness and incarceration with no improvement in viewed on the IHEoutcomes website: for people with schizophrenia, which has changed little with modern management. Despite the fact that mental illnesses account for up to 40% of disability in developed countries, in Canada only 5% of the health budget is http://www.ihe.ca/research/lnowledge-transfer-initiatives/--consensus-development-conference-program/spent on mental health. This deinstitutionalization (or as some refer to it, trans-institutionalization) has been a mixed blessing. Most people appreciate the additional freedom of being able to live in the community, but the anticipated improvement in outcomes is not being achieved. Increasing numbers of the mentally ill are to be found in the prisons and the homeless population. The recent evidence that the lives of those with schizophrenia, even when treated, are bleak, suggests that a review of the way in which we do things is in order. This conference is a three-day juried hearing of evidence and scientific findings. It allows for the engagement and collaboration of experts, policy makers in government and the health system, and stakeholders in addressing key questions around communityACCREDITATION based care for adults with severe, persistent mental illness. MAINTENANCE OF CERTIFICATION Attendance at this program entitles certified Canadian College of Health Leaders members (CHE / Fellow) to 7.75 Category II credits toward their maintenance of certification requirement. This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada, and approved by the University of Calgary Office of Continuing Medical Education and Professional Development. Participants can claim up to a maximum of 13.5 study credits. 2 Consensus Development Conference on Improving Mental Health Transitions SCIENTIFIC CHAIR Scientific Chair Roger C. C. Bland, Bland, CM, C.M., MB, MB, ChB, ChB, FRCPC, FRCPC, FRCPsych FRCPsych Roger Bland is Professor Emeritus in the Department of Psychiatry at the University of Alberta and Rodger Bland is Professor Emeritus in the Department of Psychiatry at the University of Albertawas Chair and from was 1990 Chair to from2000. 1990 He completed to 2000. Hemedical completed training medical at Liverpool training University at Liverpool in England Universityfollowed by in internships England followed and then by five internships years in generaland then practice five yearin sEngland in general and inpractice northern in Manitoba Englandbefore joining and in the northern psychiatry Manitoba residency before program joining at the psychiatryUniversity ofresidency Alberta. programHis research at the interests Universityhave included of Alberta. psychiatric His epidemiology,research interests the long-term have included outcome psychiatric of mental epidemiology, disorders, familial the long-termdistribution outcome of disorders, of mental suicidal disorders, behaviors familial and primary distribution care ofmental disorders, health. suicidal He has behaviorsheld a number andof administrative primary care positionsmental health. in mental He hashealth held with a numberthe Government of administrative of Alberta, positions including in Assistantmental healthDeputy with Minister the Government for Mental Health of Alberta, and Medical including Director Assistant with Deputy the Alberta Minister Mental for Mental Health Board. HealthClinically and he Medical has worked Director in rehabilitation with the Alberta psychiatry, Mental general Health hospitalBoard. Clinicallypsychiatry, he community has worked clinics, inprimary rehabilitation care psychiatry, psychiatry, crisis general services hospital and diversion psychiatry, programs. community He has clinics, received primary a number care of awards including: the Michael Smithpsychiatry, Award from crisis the Schizophreniaservices and diversion Society of programs. Canada; the He Alberta has received Medical a Association number of awardsMedal for Distinguished Service, the Canadianincluding: Academy the Michael