“Mental Health and Addictions - Changing to Serve you Better” DoorWays: Walk In Counselling Clinic Making Connections and Mapping Systems - NAVNET September 26, 2017.

SSWI Counselling Clinic SSWI Clinic Overview Highlights: Initial Days of Operation: Tuesdays and Thursdays Hours of Operation: 8:30-4:30 Mondays,11- 7 Thursdays St. John’s Clinic Located in Private Entry / Private Space at the Back of Building 532 in Pleasantville, off Charter Ave. Partnership with CHANNAL/ Peer Support Workers Is also implemented in 8 rural offices within the EH region Pilot: Evaluation is Ongoing http://www.easternhealth.ca/WebInWeb.aspx?d=2&id=2349&p=2106#Walk

Staffing Structure: Per Clinic Day Clerical / Receptionist MHA Clinicians rotating Manager ( Accessible or On Site as required ) Peer Support Worker – CHANNAL On site access to Systems Navigator and Adult Central Intake

Daily Clinic Structure Walk In Format No scheduled appointments ( unless by special circumstances ) First come, first served basis Servicing Adults, Adolescents, Couples and Families ( can be seen with young children) 4-5 appointments per Clinician per shift In the absence of Clients, time is be utilized for “Single Session School” and consultation Last booked appointment is 1 hour before Clinic Closes

Front DoorWAY … First contact … Assessment and Diagnostic Tools

Key Aspects of DoorWays Counselling Respect Seeing problems and people as separate Collaboration Transparency Guiding / facilitating Listening for values, commitments and preferences Listening for skills and abilities A competency-focused curiosity Not knowing yet / non-expert stance Keeping the pace slow even though it is based on “60” minutes

What is Single Session Counselling? What to Expect … A complete, one at a time counselling experience with an awareness that you can return again sometime in the future if you so desire. Happens at the time of the individual’s choosing. Uses the skills that both the individual and the counselor bring to the session. Focuses on an issue that the Client wishes to discuss TODAY. Sessions are strengths based and solution focused. That you will leave the session with a “Plan of Action” designed to address the chosen issue. A copy is provided when safe to do so.

What if I need more ? If at the end of the session, if it is determined that the individual requires or requests longer term counselling or additional resources and/ or supports, the Counselor will assist with this This will then be incorporated into the “Take Away Plan” Individuals will be provided information on how to access or be linked with those services, resources or supports as appropriate.

Challenges Broader communication as to exactly what we do in the clinic ( and what we don’t) so that individuals know what to expect Location Staffing

Preliminary Findings, St. John’s Presenting issues – depression, couples relationships, family conflict, addictions 52% found Peer Support helpful 93% developed plan to address issue and intended to act upon it 73% found Clinic helpful in other ways 87% had not been previously receiving services from Easter Health 78% would use service again

Questions