Towards a Northern Centre of Excellence for Addiction and Mental Health:
RESULTS OF A NORTHWESTERN ONTARIO ENGAGEMENT PROCESS Growing an idea: 2009 - 2012
2009 2009 2011 2012
Goal: Thunder Bay Thunder Bay Drug Thunder Bay Drug Regional Health Strategy (TBDS) Strategy is ratified by “Increasing regional Sciences Centre: is formed Thunder Bay City capacity to prevent and Council treat substance use in Working Northwestern Ontario” Group to address Supported by an Accepted as the City’s Opiate Addiction Implementation Proposal submitted to Panel of over 30 official plan to reduce the Thunder Bay harms associated with Regional and Local District Health Unit: Organizations substance use “Develop a Northern Centre of Excellence for Wellness and Addictions Healing”
Results of a Northwestern Ontario Engagement Process 2 A Public Health Crisis
Ontario’s rate of prescription narcotic use was • We had the second highest opioid- 2 to 4 times higher related death rate in Ontario than any other province… • We had 20% incidence of maternal drug use during pregnancy
… and within Ontario, • We had elevated (up to double) rates of it was highest student drug use, suicide, binge drinking, in Northwestern Ontario violent crime, compared to the provincial average
Source: Medical Officer of Health Report no. 12-2013. Thunder Bay District Health Unit.
Results of a Northwestern Ontario Engagement Process 3 A Centre in and for for Addiction and Mental Of Health North- Excellence western Ontario
Thunder Bay District Health Unit
Results of a Northwestern Ontario Engagement Process 4 Northwestern Ontario is:
We have 47% of Ontario’s landmass, 1. Vast home to 2% of the province’s population
We are 25% Indigenous 2. Indigenous (Ontario = 3%) North West Local Health Integration Network 35% of us are under 25 3. Young 17% are over 65
Results of a Northwestern Ontario Engagement Process 5 Wellness approaches need to be:
• LOCAL to be effective and sustainable
• DIVERSE to be culturally safe and age-appropriate
Results of a Northwestern Ontario Engagement Process 6 Towards a Northern Centre of Excellence (NCOE): Jul 2013 Thunder Bay Drug Strategy and Thunder Bay District Health Unit invite:
(CRaNHR) to partner with them to bring the idea of a Northern Centre of Excellence to Northwestern Ontario for their input
Results of a Northwestern Ontario Engagement Process 7 Proposal and Funding: Feb 2014 - Jan 2017
• TBDS submits a CRaNHR proposal for a Northwestern Ontario Engagement to
MINISTRY OF HEALTH AND LONG-TERM CARE
• Funding arrives Jan 2017
Results of a Northwestern Ontario Engagement Process 8 Next Step: Forming the Advisory Committee
10 representatives from major organizations delivering mental health and addiction services across Northwestern Ontario stepped up to help guide the Engagement Process:
St. Joseph’s Care Group Dilico Anishinabek Family Care City of Thunder Bay Thunder Bay Counselling Thunder Bay District Health Unit Northwestern Health Unit Sioux Lookout Meno Ya Win Health Centre Lakehead University
Results of a Northwestern Ontario Engagement Process 9 Engaging Northwestern Ontario (NWO): Who did we need to hear from?
People with Lived Peer Support Experience Health
Front-line Workers Justice and Managers Education
Policy Makers and Social Services Planners Addiction and Mental Health
Results of a Northwestern Ontario Engagement Process 10 NWO Engagement Agenda
1. What are Northwestern Ontario Mental Health and Addiction Priorities? 2. What could a Northern Centre of Excellence do to help address these priorities? 3. What Centre of Excellence model would be best for NWO? 4. Would people support development of a Northern Centre of Excellence for Addiction and Mental Health?
Results of a Northwestern Ontario Engagement Process 11 Northwestern Ontario Engagement Process: WHERE
Results of a Northwestern Ontario Engagement Process 12 Northwestern Ontario Engagement Process: HOW
Face-to-face Engagement Sessions
Teleconference and Videoconference Engagement Sessions
Follow-up Survey
Results of a Northwestern Ontario Engagement Process 13 Northwestern Ontario Engagement Process: WHO
Results of a Northwestern Ontario Engagement Process 14 A sample of the many voices Education First Nations we heard at the Engagement: Super- Health intendent Directors
People with Shelter Mental City Addiction Outreach Lived Service Health Councillor Counsellors Workers Counsellors Experience Workers
Social Guidance Police Corrections Service Lawyers Education Counsellors Officers Officers Managers Superintendent
Nurses Family Hospital Public Health EMS Youth Advocates Doctors Managers and Primary Care
Results of a Northwestern Ontario Engagement Process 15 Results Districts
Results of a Northwestern Ontario Engagement Process 16 KENORA DISTRICT: Priority mental health and addiction issues
Results of a Northwestern Ontario Engagement Process 17 RAINY RIVER DISTRICT: Priority mental health and addiction issues
Results of a Northwestern Ontario Engagement Process 18 THUNDER BAY DISTRICT: Priority mental health and addiction issues
Results of a Northwestern Ontario Engagement Process 19 NORTHERN DISTRICT: Priority mental health and addiction issues
Results of a Northwestern Ontario Engagement Process 20 THUNDER BAY CITY DISTRICT: Priority mental health and addiction issues
Results of a Northwestern Ontario Engagement Process 21 Results Northwestern Ontario
Results of a Northwestern Ontario Engagement Process 22 Shared Priority Themes
1. Unmet addiction Limited local Complex needs: and mental health services Needs mental health + addiction + Vulnerable populations: food and shelter + • Indigenous Peoples safe spaces + • Francophone residents physical health issues + • Youth transportation + • Older adults whole families need care • Women Reluctance to seek care
Results of a Northwestern Ontario Engagement Process 23 Shared Priority Themes
2. System Workforce • Burnout Funding Challenges • Turnover • Inequitable allocations • Recruitment and • Sustainability issues retention issues • Delivery challenges
Coordination Care Pathways • Multiple agencies • Southern Ontario models • Jurisdictional issues don’t translate well • Complex referral processes
Results of a Northwestern Ontario Engagement Process 24 Priority mental health and addiction issues: FOLLOW-UP SURVEY RESULTS (n= 90) Respondents selected up to three top priorities from the list of identified issues: Developing local strategies for serving clients with complex addiction and mental health needs 57% Improving responses to the specific needs of youth 32% Improving capacity to support the needs of Indigenous communities and clients 28% Sharing local strategies to address determinants of health (e.g. poverty, housing, food) 28% Improving coordination of care 27% Sharing best practices and innovative solutions across Northwestern Ontario 26% Training and education for staff 26% Collaboration around access to care issues 22% Linking peer support and/or consumer groups across Northwestern Ontario 10% Linking communities of practice 10% Evaluation of local programs / projects 3% % of respondents selecting this priority
Results of a Northwestern Ontario Engagement Process 25 Northern Centre of Excellence for Addiction and Mental Health (NCOE)
What could it do to help address these priorities?
Results of a Northwestern Ontario Engagement Process 26 What could a NCOE do?
Create Connections Develop a Northern Community of Create opportunities for Practice collaboration locally and regionally Connect potential employers and new Share provider graduates best practices
Results of a Northwestern Ontario Engagement Process 27 What could a NCOE do?
Conduct Research
Local and Indigenous- Bring together data from informed research to agencies & track demographics improve care
Create a regional Create a service database system Work with university and to improve navigation colleges to emphasize referrals tool northern training issues
Results of a Northwestern Ontario Engagement Process 28 What could a NCOE do?
Build Local Capacity
…workshops on self-care, … funding compassion fatigue, trauma applications, to help our workers evaluations
… help our workforce … training about safe to locally deliver the practice, mental health, specialized care opioid use in pregnancy
Results of a Northwestern Ontario Engagement Process 29
Can a NCOE help with these issues?
FOLLOW-UP SURVEY RESULTS (n=90) 68 % said YES 30 % were UNSURE 2 % said NO
Results of a Northwestern Ontario Engagement Process 30 NCOE Models: BLENDED
Results of a Northwestern Ontario Engagement Process 31 “Do you support the development of a Northern Centre of 95% Excellence for Addiction and said YES Mental Health?”
Follow-up Survey results (n= 90)
Results of a Northwestern Ontario Engagement Process 32 Thunder Bay Drug Strategy and the Centre for Rural and Northern Health Research at Lakehead University would like to thank all those who supported this engagement since its inception in 2013 through to its conclusion in 2018
Results of a Northwestern Ontario Engagement Process 33 With special thanks to:
Our 10 person • Monthly meetings • Stakeholder ID Advisory • In-kind supports for Committee Engagement Sessions • Advice • Answering our questions with patience and good humour!
Results of a Northwestern Ontario Engagement Process 34 With extra special thanks to:
the Front-line Workers and Managers, Planners, Decision-makers, and People with Lived Experience in Northwestern Ontario who took part in the engagement activities.
Although we cannot acknowledge them by name, we greatly appreciate the time, effort and thoughtfulness they showed during the engagement sessions.
Results of a Northwestern Ontario Engagement Process 35 With further thanks to:
MINISTRY OF HEALTH AND LONG-TERM CARE
Results of a Northwestern Ontario Engagement Process 36 For further information on the Thunder Bay Drug Strategy or next steps for the NCOE, please contact:
Cynthia Olsen Coordinator – Thunder Bay Drug Strategy 807-625-2942 [email protected]
Web versions of the District reports and the Overall report can be found at: http://lakeheadu.ca/centre/cranhr
Results of a Northwestern Ontario Engagement Process 37 For further information contact Cynthia Olsen, Coordinator - Thunder Bay Drug Strategy 807-625-2942 | [email protected]