1. WHO, WHAT, AND HOW Navigating the System Prepared and Presented By: Julia Valley, MSW Youth Community Developer Western Ottawa Community Resource Centre

2. Youth Services in Ottawa  Mental Health  Addictions  Counselling  Housing  Sexual Health  GLBTTQ  Immigrant  Miscellaneous  Community Health and Resource Centres  Adolescent Health Clinic Strategies to Help Navigate  For Support Staff  For Parents Discussion Session Overview

3. MENTAL HEALTH Youth Services

4. Youth Services Bureau (YSB)  www.ysb.on.ca; 613-729-1000 www.ysb.on.ca  Provides services for youth, ages 12-20  Programs include mental health, community, housing (emergency and long-term), employment, and justice services Youth Services Bureau

5. Mental Health Services include:  Multi-Systemic Therapy - 613-562-3004  Intensive, home-based family preservation program for youth (ages 12 to 18) who are at risk of out-of-home placement due to significant antisocial behaviour  WrapAround Ottawa – Referrals via the Coordinated Access Committee  Helps families and individuals (up to the age of 20) create a team of friends, community members and professionals to support them in dealing with complex problems Youth Services Bureau (continued)

6. Child, Youth, and Family Crisis Line – 613-260-2360  24/7 crisis line for children, youth, and parents (up to age 18)  Has mobile capabilities so that in-home supports may be possible Crisis Unit  Short-term crisis stabilization unit, ages 12-15  Can stay up to 5 days, although stays are usually 3 days  Parental involvement essential Mental Health Walk-In Clinic  Tuesdays and Thursdays, 12:00-20:00 (last appointment at 18:00)  Short-term counselling may be arranged following walk-in visit Youth and Family Counselling - 613-562-3004  Ongoing counselling for youth/ their families on various issues Youth Services Bureau (continued)

7. Mental Health Walk-In Clinic Child, Youth, and Family Crisis Line Youth & Family Counselling Services Intake Crisis Unit Downtown Drop-In Young Men and Young Women’s Shelter Accessing Services

8. Provides physical and mental health treatment for children and youth, ages 0-17  Intake can come via the Emergency Department, Urgent Care, and/or a physician's referral Emergency Urgent Care Inpatient Day Treatment Outpatient *Abuse & Trauma *ADHD/Disruptive Disorders *Consultation *Eating Disorders *Mood & Anxiety *Back on Track (adolescents) * Centre Ado du Millennium (adolescents) Children’s Hospital of Eastern Ontario

9. Provides mental health treatment for youth and adults, ages 16 and older  Intake for the Youth Psychiatry Programs are done via CHEO’s Centralized Intake, with a physician’s referral  Intake for the Adult Psychiatry Programs are done via a physician’s referral or through another hospital YOUTH (ages 16-18) ADULTS InpatientAnxietyDepressive Disorders Partial HospitalizationMental Health & the Law Occupational Stress & PTSD Day TreatmentRecoverySchizophrenia OutpatientSleepSubstance Use & Concurrent Disorders The Royal

10. Emergency Psychiatric Services – Civic and General Campuses Mobile Crisis Team  Physician or community agency referral required Inpatient Services – Civic and General Campuses Day Hospital – Civic and General Campuses  Physician referral required Outpatient Services – Civic and General Campuses  Physician referral required On Track: The Champlain First Episode Psychosis Program  No physician referral required The Regional Centre for the Treatment of Eating Disorders  Age 18 and over  Physician referral required The Ottawa Hospital

11. Queensway-Carleton Hospital – Ages 16 and over  Emergency Psychiatric Services  Inpatient Services  Outpatient Services Hôpital Montfort – Ages 16 and over  Emergency Psychiatric Services  Inpatient Services  Day Hospital  Outpatient Services Outlying Hospitals  Youth over the age of 16 will likely be able to access treatment at their community hospital or in the community hospital’s Emergency Department  Youth under the age of 16 will likely be re-directed into Ottawa or to a community-based agency within their town to receive services Other Hospitals

12. Child, Youth, and Family Crisis Line  613-260-2360 or 1-877-377-7775  For children and youth up to age 18, and their parents Kids Help Phone  1-800-668-6868  For children and youth, ages 5-20 Distress Centre of Ottawa  613-238-3311 Mental Health Crisis Line  613-722-6914 or 1-866-996-0991  For ages 16 and older Crisis Supports

13. ADDICTIONS Youth Services

14. Dave Smith Youth Treatment Centre  www.davesmithcentre.org; 613-594-8333 www.davesmithcentre.org  Residential Treatment  Family Services Rideauwood Addiction and Family Services  www.rideauwood.org; 613-724-4881 www.rideauwood.org  School-Based Program  Youth Continuing Care Program (ages 15-17)  Youth and Young Adult Substance Abuse Program (ages 18-24)  Family Spiral and Parent Program (runs on a monthly basis)  Individual Counselling (usually less than a 2 month wait) Addictions Services

15. Sandy Hill Community Health Centre (*Services Available City-Wide)  613-789-8941  Individual Counselling for Youth, Parents, and Adults  Wait is based on need (i.e. “triage”) Serenity Renewal for Families  www.serenityrenewal.ca; 613-523-5143 www.serenityrenewal.ca  Has sliding fee scale but identifies that no one will be turned away Programs for January-June 2013 Photovoice, ages 12-16 Teen Group, ages 13-16 Girls Group, ages 12-14 Partying 101, ages 16-25 Healthy Communications (for Parents and Youth, ages 9-16) Withdrawal Management Centre  www.cgso.ca; 613-241-1525 www.cgso.ca  Non-medical centre to assist with managing the effects of withdrawal  Ages 16 and over Addictions Services

16. COUNSELLING Youth Services

17. Catholic Family Services  www.cfsottawa.ca; 613-233-8478 www.cfsottawa.ca  Individual Counselling Sliding Fee Scale Family Services Ottawa  www.familyservicesottawa.org; 613-725-3601 www.familyservicesottawa.org  Individual Counselling Sliding Fee Scale ($5.00-$100.00) 2-3 month wait  Parenting Groups Jewish Family Services  www.jfsottawa.com; 613-722-2225 www.jfsottawa.com  Individual Counselling Sliding Fee Scale Counselling Services

18. Christian Counselling Ottawa  www.christiancounsellingottawa.ca; 613-729-8454 www.christiancounsellingottawa.ca  Individual Counselling Sliding Fee (and fees can often be covered or reduced significantly by client’s church or by seeing a student counsellor) No wait list St. Paul’s University Counselling Training Program  613-782-3022  Individual Counselling, ages 17 and over Sliding fee scale ($5.00-$70.00) Wait is no more than a month University of Ottawa Counselling Training Program  613-562-5289  Individual Counselling, for youth and adults Sliding fee scale (maximum of $50.00) Wait for youth counselling is 3-4 months Wait for adult counselling is 8 months Counselling Services

19. Employee Assistance Programs  Some employers provide access to Employee Assistance Programs (EAP)  EAP programs offer short-term counselling (usually 6-10 sessions)  EAP counsellors may be able to assist with resolving the issue, providing “bridging” until another service provider is in place, or providing referrals to other services  EAP programs also frequently offer some type of 24/7 crisis service Private Practice Counsellors  Fees can vary but may be covered by extended health plans  Counsellors/social workers/psychologists can be researched online via numerous sites  Examples include: www.findasocialworker.ca www.cpo.on.ca Counselling Services

20. HOUSING, SEXUAL HEALTH, GLBTTQ, IMMIGRANT, AND MISCELLANEOUS Youth Services

21. City of Ottawa Emergency Shelter Placement Assistance  613-560-6000, business hours  3-1-1, after hours YSB Young Men’s Emergency Shelter  613-907-8975 YSB Young Women’s Emergency Shelter  613-789-8220 YSB Transitional and Long-Term Housing Programs  http://www.ysb.on.ca/index.php?page=housing-and-shelter&hl=eng http://www.ysb.on.ca/index.php?page=housing-and-shelter&hl=eng Housing Help  www.housinghelp.on.ca; 613-563-4532 www.housinghelp.on.ca  Information, advocacy, and referral  Assists with finding private market, supportive, and affordable housing Housing Services

22. Sexual Health Centre  179 Clarence Street Satellite Sexual Health Clinics  4 all-ages clinics (Kanata, Barrhaven, Orleans, Ottawa West)  6 youth clinics (South Carleton H.S., West Carleton Secondary School, Sir Robert Borden H.S., Osgoode Township Morrow House, Operation Come Home, YSB Downtown Drop-In)  http://ottawa.ca/en/residents/public-health/sexual- health/sexual-health-centre http://ottawa.ca/en/residents/public-health/sexual- health/sexual-health-centre Sexual Health Services – Ottawa Public Health

23. Planned Parenthood Ottawa  www.ppottawa.ca; 613-226-3234 www.ppottawa.ca  Information and Referral  Options Support Program (options@ppottawa.ca)options@ppottawa.ca St. Mary’s Home  www.stmaryshome.com; 613-749-2491 www.stmaryshome.com  Residence  Young Parent Outreach Centre (includes counselling, life skills and parenting programs, health care) Sexual Health Services – Community Agencies

24. Ottawa Rape Crisis Centre  www.orcc.net; 613-562-2334 (office line) www.orcc.net  Crisis Line (613-562-2333 )  Crisis Counselling Available to individuals over 16 years old  Long-Term Counselling Available to individuals over 16 years old Sexual Assault Support Centre of Ottawa  www.sascottawa.org; 613-725-2160 www.sascottawa.org  Information and Referral  Support Groups (may be available) Sexual Health Services – Sexual Assault Supports

25. Pink Triangle Services  www.ptsottawa.org; 613-563-4818 www.ptsottawa.org  Discussion and Support Group for Youth  Parenting Group Gay Zone Gaie  www.aco-cso.ca/gayzonegaie; 613-580-2610 www.aco-cso.ca/gayzonegaie  Sexual Health Clinic  Education/ Health Promotion Activities  Social Events (book club, men’s yoga) GLBTTQ Youth Mental Health Counselling  613-233-4443  Provided by a counsellor out of the Centretown Community Health Centre Services available city-wide GLBTTQ Services

26. Ottawa Community Immigrant Services Organization  www.ociso.org; 613-725-0202 www.ociso.org  Individual Counselling Sliding fee scale but waived for individuals on limited incomes  Youth Counselling – Group Format  Community Integration Programs Settlement Work  Multicultural Liaison Officer Program Catholic Immigration Centre of Ottawa  www.cic.ca; 613-232-9634 www.cic.ca  Supportive Counselling  Settlement Services  Various Youth Programs Immigrant Services

27. Family Doctor Walk-In Clinics 2-1-1/ Community Information Centre of Ottawa  http://ottawa.cioc.ca http://ottawa.cioc.ca Youth Net/ Réseau Ado  613-738-3915 Elizabeth Fry Society of Ottawa  www.efryottawa.com/services.html#youthservices www.efryottawa.com/services.html#youthservices Parent’s Lifeline of Eastern Ontario  www.pleo.on.ca www.pleo.on.ca Children’s Aid Society of Eastern Ontario  www.casott.on.ca www.casott.on.ca  Up to age 16 Miscellaneous Services

28. 14 Community Health and Resource Centres cover all areas of the City of Ottawa Services are provided to individuals based on geographic catchments Services vary between centres but may include:  Individual Counselling  Sexual Health Services  Youth Drop-In Centres  Youth Social and Recreational Programs  Youth Community Development/ Health Promotion  Visit www.coalitionottawa.ca to determine which CHRC is closest to youwww.coalitionottawa.ca Community Health and Resource Centres

29. 613-737-3664 CHEO’s Adolescent Health Clinic

30. FOR SUPPORT STAFF AND FOR PARENTS Strategies to Help Navigate

31. Try to identify what the issue actually is  If the person can receive service from a specialized agency (i.e. housing, sexual health), the wait may not be as extensive Connect with your local Community Health and Resource Centre  Can help with connecting with other agencies  Can offer free, short-term individual counselling for the youth – but also for the parent(s) Think about CHEO’s Adolescent Health Clinic  Services for youth up to age 18  While the Adolescent Health Clinic will not see youth with severe psychiatric illnesses or eating disorders, they can potentially assist with many other challenges Strategies to Help Navigate

32. If counselling is needed, think about counselling options outside the “norm”  EAP or private therapists (if the person has extended health coverage)  Family Service Centres or counselling training centres (like St. Paul’s University or University of Ottawa) Know that being on more than one waiting list is not a bad thing  Getting called to receive service when you don’t need it (because you’re already receiving support from somewhere else) is better than waiting for one agency to call you back Be careful not to provide too many options for referrals/ next-steps  Offering too many options can be overwhelming  Often no more than three (3) steps/referrals are appropriate for individuals who are struggling Strategies to Help Navigate

33. Connect with a family physician (if not already done) – or a walk-in clinic, if necessary  Can provide a referral (if psychiatric support is required)  Can provide medication and monitoring, if required  Can serve as a central liaison for other service providers (depending on relationship with physician)  May be an easier person to access with a shorter wait time  May be able to provide therapeutic support Make use of YSB’s “as needed” services  Provides support while waiting for other services  May provide other service providers with additional information about what is going on in youth’s situation  May assist with the triage process  May result in some short-term follow-up care Strategies to Help Navigate

34. Strategies for Parents to Help with Navigation Be an advocate  Learn how to assertively ensure your youth’s situation is seen as unique – without being aggressive or rude Reach out to other parents (i.e. via PLEO, through Parent Support or Education Groups)  Parents who have experience navigating the system will likely offer suggestions to help as you try to navigate as well  Can help to normalize experiences and emotions Educate yourself about what is going on in your youth’s life – as well as about the system  Learn – not only about the “disorder” or “diagnosis” – but also about the available services and about ways in which to strengthen your interactions with your child  Ask questions – write them down – and write down the answers  This ensures that you get the answers you need and gives you the opportunity to have the time with the service provider that you need

35. Do not forget about your own mental health  Ask for help when you need it – rely on family and friends  Connect with a counsellor for support, if required Trust your instincts  If you feel as though something is going on with your youth (or that something has changed), do not minimize what your instincts are telling you  If you feel as though your youth is at immediate risk, bring him/her to an appropriate hospital Emergency Department Emergency services are available, if required  9-1-1 is available for life-threatening emergencies  Ottawa Police Service is available if a person is at immediate risk of harming him/herself or others Strategies for Parents to Help with Navigation

36. Questions? For more information… Julia Valley, MSW Youth Community Developer valley@wocrc.ca 613-591-3686, ext. 251 Western Ottawa Community Resource Centre www.wocrc.ca