1. viha.ca Excellent care for everyone, everywhere, every time.

2. viha.ca Mental Health and Substance Use South Island Service Enhancements March 26, 2014

3. viha.ca Objective Highlight service enhancements in South Island Children and Youth Hard to Reach

4. viha.ca Mental Health & Substance Use Services Vancouver Island Acute/Tertiary Facilities Assertive Community Treatment Teams Community Hospitals & Services

5. viha.ca Children & Youth Why Now? Capacity to meet increasing need Government priority Spotlight on services Representative for Children & Youth Other Health Authorities taking action

6. viha.ca Children & Youth Two-fold Increase in calls to the Crisis Response Team in Victoria

7. viha.ca Children & Youth Three-fold increase in encounters at Victoria General Hospital

8. viha.ca Steps taken... Developed a Strategic Plan Introduced new services at Victoria General Hospital - Improved timely access to crisis mental health services Initiated safety upgrade at Jack Ledger Child/Youth Facility - Plans to expand the special care unit (Fall 2014) Improving links to Community Services - Future area of focus

9. viha.ca What does Progress look like? Faster access to specialized mental health services – From 48 hrs+ to 24 hrs or less – Child/Youth counselor on the Pediatric Unit Fewer Admissions – 50% reduction in admissions through Emergency Dept Stronger care plans for youth during their inpatient stay

10. viha.ca Power of Prevention Far from what I once was but not yet what I’m going to be...

11. viha.ca Hard to Reach What does it mean? Serious addictions and social issues, often with mental illness Target population is well known, but isn’t using services Goal is to reduce harm to individuals and the public Team approach needed

12. viha.ca Hard to Reach in Greater Victoria Non cannabis drug offences are 26% higher in Victoria than the island (241 vs. 192 per 100,000) Illicit drug deaths are 67% higher than BC average (10.4 vs. 6.2 per 100,000) One of the top 3 regions on the island for drug induced deaths

13. viha.ca Hard to Reach Model Strategic Oversight Committee Operations Committee Hub #1 Healthcare Counseling Harm reduction supplies HIV and Hepatitis C Outreach team home base Intensive Case Management Team Engagement Healthcare Counseling Access to Housing Peer Support Aboriginal Liaison Hub #2 Rehabilitation Group Counseling Housing referrals Harm Reduction Medical supplies

14. viha.ca Hard to Reach Intensive Case Management Team Engagement first, treatment follows Strong partnerships with community agencies Multiple programs in Island Health working together – Public Health, Primary Health Care, Mental Health

15. viha.ca Quote/photo to follow Start where you are. Use what you have. Do what you can. -Arthur Ashe