Tracey Keighley-Clarke, Operations Director, Regional Cancer Program and Mental Health and Addictions Program Child and Youth Mental Health Program & Adult Inpatient Mental Health Renovations Child and Youth Mental Health Program & Adult Inpatient Mental Health Renovations Coalition Council Meeting May 2015

DateEvent 2007  RVH Clinical Priorities approved by RVH Board Child and Youth Mental Health (MH) Program 2008  RVH Board approves Child and Youth Proposal  Presentation to NSM LHIN 2010  Care Connections established 2011  NSM Leadership Council recommends proceeding with Child and Youth MH program at RVH 2012  RVH responds to RFP from Care Connections Mental Health and Addictions Coordinating Council for Child & Youth Services  RVH Successful 2013  RVH cohorts 4 beds to cluster Child and Youth MH admissions 2014  RVH Board approved Child & Youth MH Program as part of the Clinical Services Plan  RVH initiated functional planning and structural design March 2015  Pre Capital Submission Form Submission to NSM LHIN History

Only LHIN in province that does not have Child and Youth Inpatient beds NSM LHIN families must travel outside of the LHIN boundaries to receive treatment. Access to existing Child and Youth Mental Health & Addictions programs challenging Rationale

Engagement Child & Youth Mental Health Program presentations given to NSM LHIN & Community Partners Child and Youth Crisis Response Committee Child &Youth Family Services Coalition of Simcoe County Crisis Management and Community Resources Steering Mental Health & Addictions Child and Adolescent Steering Committee Care Connections Mental Health & Addictions Coordinating Council

Child and Youth Program at RVHStatus Recruit child psychiatrist (in-hospital, outpatient, community and on-call practice) Interim Urgent Care Clinic – Child and Youth Develop NSM LHIN Child and Youth Services at RVH with Stakeholders Status Program and Service Development Capital Plans and Equipment Child and Youth MH Program

DateEvent October 2014Functional program completed February 2015 Sketch Plan signed off Interim Program Strategy Development Comprehensive Program Development Initiated March 2015 Pre Capital Submission Form (PCSF) completed RVH’s Performance & Audit Committee approval RVH’s Board of Directors approval April 2015 Submit PCSF and Stage 1 Proposal to NSM LHIN Board NSM LHIN’s Health System Improvement Committee approval NSM LHIN’s Board of Directors approval Endorsement of PCSF by NSM LHIN sent to MoHLTC MoHLTC review and approval May 2015 Submit Functional Program (Stage 2) after NSH LHIN endorse PCSF and Stage 1 Progress to Date

MOHLTC/NSM LHINFrameworkforEarlyCapital PlanningStages MOHLTC / NSM LHIN Framework for Early Capital Planning Stages StagesDate Pre-Capital Submission (PCSF) April 2015 Stage 1 Service Delivery Model April 2015 Stage 2* Functional Program May 2015 Stage 3* Preliminary Design Development May /3.2 - Block Schematic & Sketch Plan Report June 2015 Stage 4* Working Drawings October 2015 Stage 5* Implementation Nov 2015 – Dec 2016 * MoHLTC must approve each stage before proceeding to the next stage.

RVHNSM LHINMoHLTC PCSF X March 2015 X April 2015 STAGE 1A X March 2015 X April 2015 STAGE 1B X March 2015 X April 2015 STAGE 2 X May 2015 X (FYI) X May 2015 STAGE 3.1/3.2 X July 2015 X July 2015 STAGE 4 X September 2015 X September 2015 ApprovalProcess Approval Process

CapitalHighlights Capital Highlights Complete Project (12,640 Sq.ft. Component GSF) Child & Youth Mental Health and Addictions Program Psychiatrist offices + Adult MHAP Inpatient Unit Renovation Child & Youth Mental Health & Addictions Program 7,850 Sq.ft. Situated on Level 3 (3NA Psychiatrist offices) 8 bed inpatient unit Day hospital program adjacent to inpatient unit Inpatient (Adult) Mental Health & Addictions Program Alterations 4,790 Sq.ft. Move Psychiatrist offices and support to (3SC)Mental Health offices and adult day hospital Alterations inside Adult inpatient unit to accommodate allied health staff relocations from Mental health offices

Site Analysis- Level 3 Original Bldg. Child and Youth Mental Health Mental Health Offices Adult Mental Health Food Court Staff Entrance

Child and Youth Inpatient Unit Child and Youth Mental Health Inpatient Child and Youth Day Hospital

CapitalHighlights Capital Highlights Next Steps: User review of room detail and requirements Furniture, Fixtures & Equipment coordination Coordination of mechanical/electrical systems Preparation of construction documents

Staffing rates based on 2015/2016 Fiscal year. Includes benefits and support services costs (EVS, Food/Nutrition, Security, etc.) Funding - Operational Total Operating CostsCost Year 1$3.080M

Funding – Proposed Budget

PRELIMINARY CAPITAL COSTING*COST Construction, planning and ancillary costs Child and Youth Program $3,453,010 Adult Outpatient Mental Health $184,690 Adult Inpatient Mental Health $357,800 Construction Buffer$500,000 SUBTOTAL$4,495,000 Furniture and equipment$ 500,000 TOTAL (rounded up by $4,500) $5,000,000 Capital Funders: RVH Foundation ($3.0M – Hearts & Minds Campaign) RVH Capital Priority MoHLTC – Capital Project MCYS * Hanscombs Limited March 05, 2015

Fundraising – Hearts & Minds Campaign Approval Process Performance & Audit Committee – March 24, 2015 Care Connections Child and Adolescent Steering Committee- March 27 th, 2015 RVH Board of Directors Meeting – March 31, 2015 NSM LHIN Health System Improvement Committee – April 10, 2015 NSM LHIN Board of Directors Meeting – April 27, 2015 RVH Corporate Quality and Operations Cmte. - May 21, 2015 Coalition Council - May 28 th, 2015 NextSteps Next Steps