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Child & Adolescent Psychiatric Stabilization Unit Ron Knight: Chair, Surrey Hospital & Outpatient Centre Foundation Andy Libbiter: Executive Director - Mental Health & Substance Use Fraser Health

1.Background What is mental illness? Mental illness incidence in young people Demographic context for Fraser Health Current service configuration Increasing demand: ER admission and visit rates 2.CAPSU Description & Benefits 3.Timelines Presentation Outline

What is Mental Illness? A wide range of disorders that affect mood, thinking, behaviour The major groupings for children / youth: Anxiety disorders Mood disorders including bipolar disorder Schizophrenia/psychotic disorders Substance use and dependency disorders Behavioural disorders Eating disorders Early recognition + appropriate response can minimize the impact of mental illness

Half of all lifetime cases of mental illness begin by 14, and three-quarters have begun by age 24 Severe mental illnesses typically present in late adolescence and early adulthood Mental illness peaks when young people are most vulnerable Complex period of biological, cognitive and psychosocial development Identity development, building relationships with family and friends Educational and vocational goals embarked upon Mental Health in Children and Youth

Rate of Incidence

Estimated Prevalence of Mental Illness Total Fraser Health residents 0-24 years old 500,317509,734576, % may experience mild-moderate mental health issues which can be appropriately addressed through access to primary care services 85,054 – 100,063 86,655 – 101,947 98,083 – 115, % will require a range of secondary services to address moderate mental health issues (anxiety, depression) 35,022 – 50,032 35,681 – 50,973 40,387 – 57,696 Approximately 3% cope with emerging serious mental illness (schizophrenia, bipolar disorder) [emergence in adolescence, with exception of childhood schizophrenia] 15,01015,29217,209 Fraser Health - The Largest Population of Young People in BC Live Here

Mental Health Services for Children & Youth in Fraser Health Community mental health services for children & youth are provided by the Ministry of Children & Family Development Acute care, Crisis Response, Adolescent Day Treatment services are provided by Fraser Health

Continuum of Mental Health Services for Children, Youth and Young Adults

Child & Youth Mental Health Admissions to FH Hospitals

Emergency Department Mental Health Visits By Children and Youth

How are We Responding to Increasing Demands? Increased Collaboration - Fraser Health and Ministry of Children & Family Development Provincial Collaborative process Enhanced Child Youth Crisis Response Service Establish a Child & Adolescent Psychiatric Stabilization Unit (CAPSU)

10-Bed Child & Adolescent Psychiatric Stabilization Unit (CAPSU) Short stay assessment and crisis stabilization children and youth age years in acute psychiatric crisis requiring urgent hospital intervention Rapid turnover: 5-7 day length of stay Capacity to manage high acuity and elopement for at-risk patients Specialized multidisciplinary team with dedicated child and adolescent psychiatrists Will operate 24 / 7

Benefits of CAPSU Improved response for children and youth in acute psychiatric crises matching of treatment to need Reduced admissions of children and youth to unsuitable and unsafe environments Reduced congestion in Emergency Departments and reduced waitlist for the Adolescent Psychiatric Unit

Timelines & Location The Child & Adolescent Psychiatric Stabilization Unit will be located on the SMH campus We anticipate CAPSU opening September 2016

With Your Help… We can build a specialized unit to provide timely and appropriate care 24/7

Questions ?