1. Champlain Mental Health and Addictions Nurses (MHAN) working with OCDSB February 15, 2013 OCDSB PD Day

2. Champlain Ice breaker…

3. Champlain Youth Mental Health Stats from CMHA (Canadian mental health association). 5% of male youth and 12% of female youth have experienced a depressive episode. Suicide is the second leading cause of death for youth age 15-24. Canada has third highest suicide rate among youth in industrialized world.

4. Champlain Youth Mental Health Stats from CMHA (Canadian mental health association). 10-20% youth are affected by mental health but only 20% of those who need help actually get it (2-4%). Once depression is recognized, help can make a difference for 80% of people who are affected.

5. Champlain City of Ottawa Public Health report on Mental Health, school climate, and bullying, 2011. 28% of Ottawa students in grades 7 to 12 reported excellent mental health. 1 in 3 students reported elevated psychological distress. 12% of students had seriously considered attempting suicide in the past year.

6. Champlain Mental Health and Addictions Nurses (MHAN) in DSBs The MHAN program is one of the many deliverables for the initial three year Provincial action plan: Open Minds, Healthy Minds: Ontario’s comprehensive Mental Health and Addictions Strategy.Open Minds, Healthy Minds: Ontario’s comprehensive Mental Health and Addictions Strategy Tri-Ministerial initiative: MCYS, MoHLTC, MEd Funded by the Ministry of Health and Long Term Care-Champlain LHIN.

7. Champlain Mental Health and Addictions Nurses (MHAN) in DSBs The fourteen CCAC’s across Ontario are being funded to employ 144 nurses. Champlain CCAC will hire 14 nurses (RNs & RPNs) to cover the eight DSBs. OCDSB will have 3 nurses (2 RNs and 1 RPN).

8. Champlain Our Vision To give more children, youth, and their families the services they need, more quickly and more effectively to prevent and reduce the personal, social and economic costs of mental health and addictions problems.

9. Champlain GOALS - Why are we doing this? Provide fast access to high quality service. Identify & intervene in children’s mental health strategy Close critical gaps for vulnerable children, children in transitions, and those in remote communities.

10. Champlain Phased in strategy focusing on three areas identified by the area DSBs: Assist students in transitioning from care (i.e. hospital admission) back to school. Student attendance management regarding mental health and addictions. Mental health literacy training of school staff

11. Champlain What will be the result? Short-term outcomes Increased number of students receiving early ID & intervention services Increased capacity of DSBs to recognize to student MHA issues Increased student access to MHA services in the community Long-term outcomes Reduced ED and admission rates for children and youth with MHA issues Reduced wait times

12. Champlain Our Roles and Responsibilities System Navigation. Helping to link students with appropriate community resources. Working together with schools to identify and intervene early for students with both Mental Health and Addictions issues. Assist school boards with building capacity to develop comprehensive strategies for student mental health. (Cont’d on next slide)

13. Champlain Roles and Responsibilities (cont’d) Work in an inter-disciplinary school board team with other professionals to provide mental health and addiction services and supports to students and their families. Transitioning back to school from care for mental health and addiction issues (inpatient admissions, ER visits).

14. Champlain Roles and Responsibilities (cont’d) MHAN team members working with OCDSB’s students may have a case load of up to 25 students. Students will work with MHAN team for up to three months, averaging 4-5 visits.

15. Champlain Eligibility For a student to be eligible to receive services from the MHAN, the following criteria is required: the student is in need of services related to an identified and/or suspected mental health and/or addiction issue. the student is aware and has consented to the referral. the student is insured under the Health Insurance Act (possesses a valid HCN*). *N ote: Students who do not possess a valid Health Card Number will still be accepted for service if the above three criteria are met.

16. Champlain Roll Out – Phase One Referrals received solely from CHEO’s inpatient mental health program. CHEO’s mental health team decides which students need our services. Opened to taking referrals from CHEO on January 16, 2013 We feel it is important to focus on this population first as all DSB’s have identified students leaving hospital as a key concern for them. No set time frame on phase one.

17. Champlain Roll Out – Phase Two We will begin taking referrals from the inpatient treatment unit at the Royal Ottawa Hospital. Will begin taking referrals from the most schools that have been identified by the board as the schools with the highest needs. Will also take referrals from emergency departments across the Champlain region.

18. Champlain School based referral process When the OCDSB’s team of professionals see fit, a referral will be faxed into the MHAN team. We suggest that each school has one contact who will be the one to send in the referrals (i.e. head of the guidance department). Referral is received by MHAN team’s assistant and assigned to MHAN team member according to which school the student attends. Once a referral is received by MHAN team member, we will make initial phone call within 24 hours to set up first appointment and will aim to see each students within 72 hours.

19. Champlain Referral Form

20. Champlain Consent Students must agree to working with out team. We are a voluntary service and the students may withdrawal at any time. Each student must also agree to allowing the school to be made aware that they are working with the MHAN team. There is a section of the referral that specifically notes whether the student and/or parent agrees to the school sending in the referral to us.

21. Champlain Consent There are two separate legal consent forms that we will complete with the student and/or parents. One is for transfer of information and one is consent to treatment. For students who are 16 and older, we will not require parental consent to work with the student. For these students, we will require their consent to involve school staff in the case. However, all efforts will be made in all cases to include family and school staff.

22. Champlain Other services Teaching for OCDSB’s staff PD days Group teaching to students or teachers. Consult for general situations.

23. Champlain Star fish story…

24. Champlain Questions and Discussion