Children’s Mental Health Access & Treatment Services presented to Province-wide Health Advisory Council Saturday, October 13, 2012

2 Children’s Mental Health in Alberta Children’s Mental Health has been a priority in Alberta for over a dozen years. Addressing the needs of children and youth at risk contributes to healthy and safe communities and provides direction for strategies that improve access to mental health services for infants, children, youth and their families. Collaboration and coordination ensure optimization of mental health services and supports for the well-being of Albertans of all ages.

3 Tier Model of Care (2007)

4 Integrated Addiction and Mental Health Service Model

5 Creating Connections: Alberta’s Addiction & Mental Health Strategy The Strategy and Action Plan was released on September 12, 2011.

6 Why the Strategy is Necessary One in five people will experience a mental illness in their lifetime, and the remaining four will be affected by the mental issues of a loved one. An additional one in ten people over age 15 may become dependent on alcohol or drugs at any given time in their life (Health Canada: 2002). The onset of most mental health problems and mental illness occurs by adolescence and young adulthood; early identification and intervention are critical. Improving equitable access and addressing the mental health needs at an early age builds a strong foundation for the mental health and well-being of children and youth over their lifespan.

7 Levels of Care In Alberta, the Access Standards Working Group Children’s Mental Health sub-Committee adapted the CPA’s definitions for urgency levels and drafted benchmarks for access to psychiatric care for children and youth: crisis/ emergent (within 24 hours) urgent (within 2 weeks) scheduled (first scheduled appointment within 4 weeks)

8 Levels of Care & Tier Model Tier 2/370-80% Tier 4<30% Tier 5<10% Tier % <10% <30%

9 The Strategy—12 Priorities Build Healthy and Resilient Communities Foster the Development of Healthy Children, Youth and Families Enhance Community-based Services, Capacity and Supports Address Complex Needs Enhance Assurance Full Continuum of Services for Children, Youth and Families Complex NeedsAssurance Promotion and Prevention Primary Health Care 1. Postpartum depression screening 2. Primary Health Care Tools and support 3. Coordinated and consistent access to child and adolescent A&MH Services 4. Provincial bed plan for Children ’ s Mental Health 5. Define a basket of fundamental services for A&MH 6. Tertiary Care Framework 7. Expand Telemental Health 8. Housing 9. Complex – Persons with Developmental Disabilities (PDD) 10. Workforce Development 11. System Performance – Outcome Measurement 12. Research, Evaluation & Knowledge Transfer Housing and Community Support Community-based Services Rural Capacity and Access

10 Promotion and Prevention Primary Health Care Complex NeedsAssurance Foster the Development of Healthy Children, Youth and Families Build Healthy and Resilient Communities Foster the Development of Healthy Children, Youth and Families Enhance Community- based Services, Capacity and Supports Address Complex Needs Enhance Assurance 1. Postpartum depression screening 2. Primary Health Care Tools and support 5. Define a basket of fundamental services for A&MH 6. Tertiary Care Framework 7. Expand Telemental Health 8. Housing 9. Complex – Persons with Developmental Disabilities (PDD) 10. Workforce Development 11. System Performance – Outcome Measurement 12. Research, Evaluation & Knowledge Transfer Housing and Community Support Community-based Services Rural Capacity and Access Full Continuum of Services for Children, Youth and Families 3.Coordinated and consistent access to child and adolescent A&MH Services 4.Provincial bed plan for Children ’ s Mental Health 5.Define a Basket of Fundamental Services for Addiction and Mental Health (Children’s mental health a component)

11 Foster the Development of Healthy Children, Youth and Families Projected timelines for implementing the respective phases of children’s mental health priorities: Full Spectrum: Beds: Referral & Access: Basket of Fundamental Services:

12 Next Steps of Implementation integrate with and build on the work of previous initiatives such as the Children’s Mental Health Action Plan—identify opportunities for synchronizing and enhancing work already underway identify fundamental services necessary in each community identify community support before and after specialized services develop and fully implement provincial access standards for services: emergent, urgent and scheduled Next Steps

13 Stakeholder Engagement and Collaboration Provincial Advisory Council (3) Health Advisory Councils (12) opportunity for dialogue opportunity for engagement opportunity to inform the Strategy implementation Let’s get started!

14 Discussion Questions What have you and/or your council heard from your communities as to the top 2-3 services needed to be available locally? In your role of advisory council member, what are you hearing with regard to children’s mental health? If you aren’t hearing much, how will you engage or acquire information in terms of feedback from your community as to services and supports currently available, gaps, barriers to accessing? What mechanism is needed for back and forth communication between you/ your council and provincial addiction & mental health—how do you see working with the Provincial A&MH Advisory Council to inform one another’s roles and work?

15 Questions? Brian Malloy Senior Director Children, Tertiary and Acute Care Addiction & Mental Health Primary & Community Care