19 2019-2020 20 Together in Challenging Times ANNUAL At the beginning of the year, I received this comment REPORT from a member that has truly resonated with me as >>> I reflect upon 2020 -- “AMHO is like a lighthouse and we are the boats…you’re able to focus us on key issues and trends.” AMHO takes the role of supporting our members very seriously and I hope you see this too as we help you navigate the waters of the COVID-19 pandemic. Through it all, the guidance from AMHO’s board has been tremendous and I want to give a big thank you to Carol Lambie, our outgoing Board President, for her incredible guidance and vision as she completes her term as head of the board. Know that together, we will get through this storm Adrienne Spafford and emerge stronger on the other side! Chief Executive Officer

MESSAGE FROM CEO & BOARD PRESIDENT

The Board of Directors at AMHO is made up of members like you and we know the major changes in the health system, especially the arrival of COVID-19, has left you needing your association more than ever before. We are proud to have launched our 3-year strategic plan that is action-oriented, bold, and achievable to better support you throughout the pandemic and beyond. To advocate on your behalf for the best addiction and mental health system, anywhere. Along with Adrienne, I want to express my thanks and gratitude to our outgoing Board members who have contributed so much over the years and have been extraordinary champions for the sector: Vaughan Dowie, Betty-Lou Kristy, Steve Lurie, Robert Moore, and Paula Reaume-Zimmer. Thank you. And thank you to the members for the unwavering Carol Lambie care you provide to your clients. Remember, AMHO President, is here to support you every step of the way! Board of Directors Strategic Plan

LAUNCHING AMHO’S AMHO released a new, three-year Strategic Plan with a refreshed vision: “The best addiction STRATEGIC PLAN and mental health system, anywhere“, along 2020-2023 with an updated mission: “To lead change that will revolutionize the addiction and mental health care experience for people in Ontario.” The plan, which was finalized in March 2020 and released to the members in July 2020, is bold, action-oriented and achievable.

Each year, we will evaluate our success based on three priorities: Read the full strategic plan here.

1 Advocate for quality services 2 Foster effective communications between 3 Align our organization and evidence-informed Addictions and Mental Health Ontario, to sustainably deliver public policy. our membership, and government. on its priorities.

The strategic plan was developed in consultation with AMHO members, staff, people with lived experience, families and caregivers, partners, system leaders, and our Board. Together, we can take steps to dismantle barriers to care for those experiencing addiction and mental health challenges, and ensure that we are working towards an integrated, connected, and equitable system where no one falls through the cracks, and everyone is receiving the care they need, when they need it.

BRINGING GOVERNMENT AND OUR MEMBERSHIP TOGETHER Adrienne Spafford (AMHO CEO) and (Deputy Premier Engaging with the Ontario government and and Minister of Health) at AMHO’s 2019 positioning us to be an expert voice in mental health Fall Leadership Forum. and addiction to Queen’s Park continue to be top priorities for AMHO. AMHO’s CEO Adrienne Spafford, board members, and senior staff engaged A testament to AMHO’s strong relationship with government via meetings, letters of advocacy, with Queen’s Park was the number of government and participation in groups such as the COVID-19 representatives who attended the 2019 Fall Collaboration Table, Mental Health and Addiction Leadership Forum. This gave members a great Council, and Service Resolution Table. AMHO also opportunity to interact with the Interim Executive made an appearance in front of the Standing Lead at the Centre of Excellence in Mental Health Committee on Public Policy and Addictions, Lee Fairclough, and at Queen’s Park to provide listen to remarks by Deputy Premier our support of Bill 116, and Minister of Health Christine Elliott, Foundations for Promoting Associate Minister of Mental Health and Protecting Mental and Addictions , Health and Addictions and Assistant Deputy Minister Services Act, 2019, of Mental Health and Addictions

Advocacy & Engagement Advocacy which established Karen Glass. the new Mental Health and Addictions Centre of Excellence as a central Carol Lambie (Board Chair & President) and Michael Tibollo nervous system (Associate Minister of Mental Health and Addictions) of the sector. at AMHO’s 2019 Fall Leadership Forum. TOGETHER AMHO’S FIRST WE CAN QUEEN’S PARK DAY

The 2019 Fall Leadership Forum allowed AMHO In February, following the release of Together We Can, to have in depth discussions with our members, AMHO hosted our first ever Queen’s Park Day! gather feedback, and build momentum towards The goal of this day was to meet with and engage the release of our 2019 budget campaign, key decision makers in government, draw their Together We Can. This campaign amplified attention to AMHO’s budget submission, and reiterate the voice of our membership and commanded the mental health and addiction challenges in Ontario government’s attention towards the importance with a call to action to invest in community services. of investment in community-based addiction It was an eventful day of advocacy for AMHO as and mental health services, a call to mobilize meetings were held with 20 Ministers, MPPs, the Mental Health and Addictions Centre and their staff. of Excellence to establish a comprehensive and connected system, and meaningfully engage with people with lived experience. Advocacy & Engagement Advocacy Read the full budget submission here.

For Queen’s Park Day Betty-Lou Kristy (Board Member), Adrienne Spafford (AMHO CEO), and Carol Lambie (AMHO Board Chair & President) meet with Christine Elliott (Deputy Premier and Minister of Health, second from left).

The evening reception welcomed staff and clients from over 20 AMHO member organizations across Ontario, along with over 40 Ministers, MPPs, and their staff. Messages of welcome were extended by Deputy Premier and Minister of Health Hon. Christine Elliott, Associate Minister of Mental Health and Addictions Hon. Michael Tibollo, Official

Adrienne Spafford (AMHO CEO) meets Opposition NDP Health Critic MPP France Gélinas, with Bhutila Karpoche (MPP and NDP Interim Liberal leader MPP John Fraser, and Green Critic of Mental Health and Addiction) Party leader MPP . Members from during AMHO’s Queen’s Park Day. all parties agreed that we need to make building

Carol Lambie (Board Chair & President) a comprehensive mental health and addiction with AMHO members Lori Spadorcia system in Ontario a priority. (Senior Vice President, Public Affairs, Partnerships and Chief Strategy Officer, CAMH), Alisha Tharani (Executive Director, Mental Health Partners), and Catherine Zahn (President and CEO, CAMH). Member Support

An integral part of AMHO’s work is to offer support to our membership and be their collective voice in advocacy to influence Queen’s Park towards the best addiction and mental health system. Our latest survey showed our members give AMHO a 98% satisfaction rating!

SUPPORTING OUR MEMBERS IN COVID-19 PANDEMIC RESPONSE IN 2019/2020 AMHO

The arrival of the COVID-19 pandemic put a huge PROVIDED strain on the health system, including mental health and addiction providers who were already under stress. Understanding that members would need AMHO more than ever to support their critical work at the front line, AMHO leapt into action to HAD 63 pivot member service delivery and advocacy MEMBER to COVID-19 response. BULLETINS In order to support members and provide timely + information, AMHO: 35 AND HOSTED • Increased the frequency of member bulletins MEETINGS to at least once per day WITH GOVERNMENT • Increased the frequency of member webinars to at least once per week 15 • Provided analysis of government relief MEMBER announcements within 24 hours WEBINARS • Provided access to experts for advice, such as infection, prevention and control specialists, and lawyers SUPPORTING OUR MEMBERS • Provided members with living documents such as FAQ and government financial relief IN HEALTH SYSTEM measures TRANSFORMATION • Collected member questions and acted as the voice of our membership to get answers from government The healthcare landscape in Ontario continued to change this year with the adaptation of Ontario On behalf of our membership, AMHO successfully Health Teams, the clustering of 14 Local Health influenced government to: Integration Networks into 5 geographical regions, and the establishment of a mental health and • Implement temporary pandemic pay addiction division within the Ministry of Health. • Release emergency COVID-19 relief funding Through it all, AMHO has kept members informed for the sector and shared resources and tools to help build their • Better, cheaper, and more timely access collaboration capacity and adapt to the changing to personal protective equipment healthcare sector. Public Awareness with livingexperience. panel of leaders inthefield, and people representatives from across Ontario, anadvisory To date, theproject has engagedover 100 intervention for theirjurisdiction. whether iOAT programs are theappropriate along withhealth authorities indetermining information to assist provinces andterritories, a project onbehalfof Health Canada to provide treatment options. AMHOiscurrently undertaking opioid dependence whohave beenfailed by other cost-effective treatment option for peoplewith dependence. Itisasafe, evidence-based and grade opioidsfor injectionfor peoplewithopioid agonist treatment (iOAT) provides pharmaceutical medication, very challenging. Injectable opioid the practice, particularly accessing therequired crisis. However, barriers currently exist making strategy to respond to theopioidandoverdose Diacetylmorphine, or prescription heroin isone

IN ONTARIO DIACETYLMORPHINE FOR PRESCRIPTION EVALUATING THENEED & Mobilization of thegreat photos! social mediaaction,too! Checkoutsome all parties atQueen’s Park joinedinonthe Our members, ministers, andMPPs from across on behalfof members andclients. in themental health space andadvocated Health Awareness Week, we amplifiedour voice From participating inBell Let’s Talk Day andMental strategic investments inoursector. need for actionby governments to make smart, at ourmemberorganizations, andthetremendous of excellent andservices supports available health, creating awareness of thespectrum on tackling thestigma of addictionandmental people withover 700 mentions. Ourfocus was media campaigns thatreached over 2million AMHO hadanamazingyear engaginginsocial ON SOCIAL MEDIA ENGAGING WITH YOU

translation process. and other opportunities to begin theknowledge Centre of Excellence, at upcoming conferences, at Health Canada, theMental Health andAddictions materials to beshared back withrepresentatives Work isnow underway to create knowledge translation • • • • • • • has identified key knowledge transfer priorities: Using the information gathered, the advisory committee

       of evidence-based iOAT programs; of diacetylmorphine; on theOntario DrugBenefit (ODB) formulary; implementation, &evaluation of iOAT programs; living experience inplanning,development, Influence research priorities related to iOAT. thedevelopmentSupport andimplementation prescriberSupport engagement iniOAT; effortsSupport for adomestic producer Advocate for appropriate listing of iOAT meds Broaden for support iOAT inOntario; Advocate for central role of peoplewithlived/

Addiction Services for York Region Roman BabervisitsAMHOmember and ReferralCentre(left),MPP member Peel Addiction Assessment MPP DeepakAnandvisitsAMHO For BellLet’s Talk DayinJanuary, Distress Centre(right). visits AMHOmemberNiagara (centre), andMPPSamOosterhoff View Adrienne’s video here .

Policy & Research STRUCTURED Read the Snapshot here. PSYCHOTHERAPY FOR SUBSTANCE USE ENVIRONMENTAL SCAN RESIDENTIAL TREATMENT As part of our annual workplan with the Ministry of Health, AMHO conducted an environmental OF ADULT scan of structured psychotherapy programs to support the potential future development SUBSTANCE USE of an Ontario Structured Psychotherapy (OSP) Program for Alcohol Use Disorder. Addiction is a growing problem in Ontario, having The environmental scan focused on identifying a destructive impact on individuals, their families existing programs and determining evidence- and communities. AMHO recommends that residential based best practices. The scan included treatment services be organized and funded as part

Policy & Research Policy information from interviews with subject of a tiered model of care. The Residential Treatment matter experts, including people with lived/ of Adult Substance Use Disorders Snapshot captures living experience. AMHO is hopeful that with statistics, recommendations, and more based off of this environmental scan, we will be able AMHO’s Residential Treatment of Adult Substance to assist health system planners with Use Disorders position paper released in July 2019. incorporating addiction treatment into This snapshot and position paper help give a voice the existing OSP program, filling a significant to people struggling with addiction and the service gap in our health care system. providers who offer support and care.

AMHO released two Snapshots exploring current This policy snapshot, ongoing advocacy, and regular issues and providing short summaries outlining meetings at Queen’s Park helped shape the contents evidence, examples, and policy recommendations of the government’s mental health and addiction strategy. on topics that are essential to improving the mental AMHO met with Health Minister Christine Elliott to health and addiction system. discuss the importance of investments to support its implementation and was a key leader in attendance at the release of the strategy. The government’s plan is titled Roadmap to Wellness and lays out several AMHO’S RECOMMENDATIONS pillars necessary to building a comprehensive mental INFLUENCE ONTARIO’S health and addiction system. Several pillars including building up core services, focusing on a clear measurement MENTAL HEALTH framework, and collecting robust data clearly mirrored AMHO’s snapshot of recommendations. AND ADDICTION

STRATEGY With a commitment of $3.8 billion in new mental health and addiction funding from The demand for mental health the government and the establishment and addiction services is growing of the Mental Health and Addictions Centre and changing across Ontario of Excellence, AMHO sees a real opportunity and the healthcare system is struggling to build on the pockets of excellence and good to keep up. Too often, people go alignment across the province developed by without the care they need. AMHO’s members in order to effectively address the Recommendations for Ontario’s Mental addiction and mental health crisis in Ontario. Health and Addiction Strategy Snapshot shares our vision for a thriving mental Read all of AMHO’s Snapshots online health and addiction strategy. Read the full recommendations here. at amho.ca/snapshots

Snapshots THE IMPORTANCE BOARD OF QUALITY OF DIRECTORS IMPROVEMENT 2019/2020

The Excellence through Quality Improvement Project (E-QIP) Carol Lambie President promotes and supports the use of evidence-based assessment tools Nancy Chamberlain to do qualityimprovement (QI) and aims to improve mental health Vice President & Chair and addiction (MHA) care in the community. The E-QIP partners of the Governance Committee support agencies to use standard databases (Ontario Perception of Care OPOC, Ontario Common Assessment of Needs OCAN) Brad Davey Treasurer to improve care for people with a mental illness & Chair of the Audit and/or an addiction through: and Finance Committee • QI and data project coaching Garry Laws Secretary • Communities of Practice (CoPs) Natalie Aubin Director • Trainings including Foundations to Quality Improvement — IDEAS, governance and leadership board training and QI webinars Nick Boyce Director

Quality Improvement Quality Vaughan Dowie Director

* E-QIP 3.0 Betty-Lou Kristy Director Johanne Levesque Director OUTCOMES Steve Lurie Director agencies submitted the first MHA quality Robin McAndrew Director improvement plans (QIP) to each other * 12 using a standard template Robert Moore Director Paula Reaume-Zimmer Director agencies supported with their quality Elizabeth Price Director 25 improvement (QI) projects 12 webinars attended by 583 participants

The AMHO Board of Directors meetings have gone virtual! Getting to the root causes of a problem by First row – Adrienne Spafford (AMHO CEO), present using a Fishbone quality improvement tool. but not on video, Bree Grenon (Executive Assistant to the CEO and Board Liaison), Steve Lurie (Director), Elizabeth Price (Director). Second row – Carol Lambie (President), Brad Davey (Treasurer), Johanne Levesque (Director), Vaughan Dowie (Director). Third row – Natalie Aubin (Director), Garry Laws (Secretary), Paula Reaume-Zimmer (Director), Since the arrival of COVID-19, E-QIP assisted agencies to document Nancy Chamberlain (Vice President & Chair the innovations made to service delivery using a QIOnTheFly of the Governance Committee). Fourth row – Present but not on video, Robin McAndrew template. Agencies moved quickly to virtual delivery, rapidly (Director). Absent from this meeting was Nick Boyce testing their change ideas. The template ensured a recording (Director), Betty-Lou Kristy (Director), of the activity and outcomes for future use including accreditation. and Robert Moore (Director). Read about the adaptations on the E-QIP website at www.e-qip.ca. *Now retired or resigned due to conflict of interest THE VALUE OF AN AMHO MEMBERSHIP

ADVOCACY EDUCATION, EVENTS UP-TO-DATE GROUP BENEFITS AND GOVERNMENT AND NETWORKING INFORMATION AND INSURANCE RELATIONS OPPORTUNITIES AND RESOURCES RATES Through engagement Members can learn, AMHO knows Keep your staff with MPPs, Ministry meet and share ideas what is happening healthy and safe officials, the media at our Annual Conference, in the sector, the system with a comprehensive and other health sectors, bi-annual Community and in government, health and dental plan AMHO advocates for a of Practice meetings, and provides members at a highly competitive

Member Benefits Member more comprehensive webinars and topical with analyzed, concise rate through AMHO’s and accessible system seminars throughout and up-to-date group benefits plan. of addiction and mental the year. information health care. on the issues.

Reach out to [email protected] to learn more.

STATEMENT AMHO represents 200 addiction and mental health organizations in Ontario. Our members provide services and supports that help OF REVENUE Ontarians across the province with their recovery, including community-based counselling and case management, peer & EXPENSES support and consumer run businesses, residential treatment, withdrawal management, supportive housing, harm reduction, for the year ended March 31, 2020 and hospital-based programs.

As the collective voice of our members, we provide leadership and Donations Other 0.7% 2.8% engage partners to build a comprehensive and accessible system Administration Fees of addiction and mental health care, and improve the well-being of 0.2% individuals, families, and communities in Ontario. We do this through policy work, advocacy initiatives, service development, knowledge ABOUT AMHO ABOUT exchange, education offerings, and quality improvement work. Project Funding Ministry of Health 28.9% 33.1%

Membership Addictions and Mental Health Ontario 16.3% 180 Dundas Street West, Suite 1400 Charitable Gaming Revenues , ON M5G 1Z8 3.4% REVENUE Phone: 416-490-8900 Toll-free: 1-800-965-3307 Annual Conference $1,775,664 14.5%

CONTACT www.amho.ca [email protected]

Office & Other 11.3% Occupancy 3.6% twitter.com/AMHOnt facebook.com/AMHOnt Public Education 2.9% AMHO thanks each of our members for their ongoing engagement and support. We gratefully acknowledge the financial support of the Ministry of Health, Annual Conference Labour 13.4% 68.8% Health Canada, and our generous donors.

EXPENDITURES $2,085,453

Approved by the Board of Directors. Audited Financial Statements and the Notes to the Statements can be requested by emailing [email protected].