1. Open Minds, Healthy Minds: Transforming Mental Health & Addictions Services in Ontario 1 Presentation to: Ontario Municipal Social Services Association September 19, 2014

2. 2 Strategic Context MOHLTC funding for adult community mental health, substance abuse and problem gambling programs will be over $1B in 2013/14. Acute care accounts for an additional $1B. Launched in 2011, Open Minds, Healthy Minds advanced integrated, coordinated, and effective mental health and addictions services in Ontario. With an initial focus on children and youth, the Strategy has increased direct mental health service for 50,000 children and youth. Building on and expanding the foundation of Open Minds, Healthy Minds and Ontario’s Action Plan for Health Care, we have the potential to transform:  How mental health and addictions services are delivered;  Where people receive mental health and addiction services; and  How we pay for mental health and addictions services.

3. 3 More than 55,000 additional children and youth are getting services More than $2M in funding to support training and professional development for Aboriginal Mental Health and Addictions Workers to serve more Aboriginal children and youth $425M in safe schools and equity inclusion education to support school boards and school communities 18 Service Collaboratives improving transitions for vulnerable children and youth across health, social and justice services More than 1,000 students a month using Good2Talk, a province-wide helpline dedicated to mental health supports for post- secondary students More than 1,000 additional psychiatric consultations per year though expanded Tele-medicine Health Services for kids in remote, rural and underserved regions Launched Ontario’s youth suicide prevention plan to help communities to better respond to young people in crisis More than 700 new mental health workers More than 80 new Aboriginal mental health workers providing more than 4,000 Aboriginal children and youth with access to culturally appropriate services 19 new full-time nurse practitioners for paediatric and adult eating disorders programs 260 workers in community mental health agencies to provide children and youth access to services closer to home 144 nurses working with district school boards to support early identification and treatment for students with mental health or addiction issues 72 Mental Health Leaders in district school boards to provide leadership and coordination in effective school mental health 175 additional new workers in schools, who will provide kids support to address their mental health needs 21 new workers in the court system to keep youth out of the justice system and refer them instead to community- based services 8 new inpatient beds more than 16 day treatment spaces for paediatric and adult eating disorders 4 residential support beds for adults with eating disorders Factsheets for professionals for opioid initiatives $15M for Tele-medicine equipment (one time) $1.75M for Overdoes prevention initiatives (one time) $180K Current Context: Progress to date, years 1-3

4. 4 Continuing Challenges Addressing the identified system gaps in Phase 2 within the existing funding envelope, with no new funding available to expand service capacity, will be challenging.

5. 4. Right service, right time, right place 2. Ensure early identification & intervention 5. Fund based on need and quality Strategic Pillars: Phase 2 OPEN MINDS, HEALTHY MINDS vision: Every Ontarian enjoys good mental health and well-being throughout their lifetime, and all Ontarians with mental illness or addictions can recover and participate in welcoming, supportive communities 5 1. Promote resiliency & well-being in Ontarians 3. Expand housing, employment supports & diversion and transitions from the justice system Strategic Overview By 2020: Better service experiences for people and their families Improved access to services More people stably housed More people identified and served through integrated primary care and community services Fewer avoidable hospital admissions or readmissions Reduced reliance on emergency departments Improved transitions of youth to adult system More people receiving evidence- based programs More students graduating high school Reduced absenteeism at work More people feel safe, engaged and supported at work What it Means for Ontarians: “I have resiliency skills that help me avoid using drugs and alcohol to cope” Resiliency-building programs for at- risk youth (e.g., Rebound Choices) Potential Strategic Initiatives: “I talked to my physician about my suicidal thoughts and got help” “I have a stable place to live, a job, an employer who understands my mental health issues, and safe interactions with police” “My providers are working together on a single plan with me to help me transition between services and avoid another crisis” “I access high-quality services wherever I need them, and I wait less time for the services I need” Training, mentorship and tools for primary care Housing supports and rent supplements Workplace mental health programs Justice supports (e.g., mobile crisis, safe beds) Tailor Health Links model to MHA Close service gaps for transitional-aged youth New funding model based on population needs, quality improvement