Priority Health Innovation Challenge Participating Teams
Mental Health and Addictions

AIDS Network Kootenay Outreach and Support Society, Nelson, British Columbia

Team Lead

Brad Pollman

Patient/Family Representative

Nora Lilligreen

Senior Officer/Director

Cheryl Dowden, Executive Director

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Those living with and at the greatest risk of acquiring HIV/AIDS and or HCV, who have difficulty obtaining services elsewhere, especially due to substance use, mental illness, sexual orientation, gender identify race and ethnicity, and/or other social barriers
    1. # of individuals who access the SMART 1 Pod who click on the “find support” functionality.

Mobilizing Technology to Reduce Harm

ANKORS, a local harm reduction agency serving Nelson, British Columbia has partnered with technology firm SMRT1 to increase accessibility to harm reduction supplies, support and resources. The SMRT 1 Pod provides interactive touchscreen vending technologies that increase point of care access for substance use and harm reduction services. By adding a 24/7 access “SMRT1 POD (Personalized On-Demand)” at ANKORS, the organization will be able to increase access to the services existing content, resources and related services by providing on-demand, self-service locations in the community. Measurement and reporting can be generated in real-time through anonymous data collection accessed by both clients and providers which will increase population reach and program effectiveness. Interaction points are at the large format touchscreen to be located at ANKORS and through personal devices such as cell phones, tablets or computers which can provide continuity of care simultaneously.

Learn more: https://ankors.bc.ca/ http://www.smrt1.health/
Connect: @ANKORSWest #SMRT1TECH #SMRT1HEALTH


Alberta Health Services: Calgary Zone, Calgary, Alberta

Team Lead

Jennifer Kuntz, Project Facilitator

Patient/Family Representative

Kerri Conner

Senior Officer/Director

Avril Deegan, Andrea Perri

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Caregivers, clients and service providers.

Connection in the Community - Empowering Families Affected by Trauma

The Child and Adolescent Addiction, Mental Health and Psychiatry Program (CAAMHPP) aims to improve the transition from psychiatric emergency department/urgent care to community care for children and youth who have experienced trauma. The proposed new service pathway will connect Calgary families with mental health and psychiatry outreach support and help create a crisis plan. The service will also coordinate a case conference for the child, youth and family’s informal and formal supports (including primary care teams, education, government agencies and other health professionals). An important component of this new pathway will include regular reviews of the intervention/support plan as well as follow-up with the client, family and services providers.

Learn more: https://www.albertafamilywellness.org/assets/Resources/CAAMHPP-ACE-TIC-ResourceGuide-Nov-2016.pdf  
Connect: @AHS_YYCZone


Bereaved Families of Ontario, Southwest Region, Ontario

Team Lead

Bronagh Morgan, Executive Director

Patient/Family Representative

Denise Ludrigan

Senior Officer/Director

Bronagh Morgan

Indicators:

  • Primary Outcome Indicator: Early identification for early intervention in youth aged 10 to 25.
  • Supplementary Outcome Indicators:
    1. Wait times for community mental health services, referral/self-referral to services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
    2. Awareness and/or successful navigation of mental health and addictions services.
  • Patient/Population Reach Indicator: Children and youth aged 5 to 17 in the London, Ontario region (includings Middlesex, Elgin and potentially Oxford counties) who self-identify as needing support after the death of someone close to them, parents/caregivers of such youth, and other adults seeking supports for the children they serve (including teachers, social workers, psychologists, youth case workers).

Designing Support Programs to Support Bereaved Children and Youth

The Bereaved Families of Ontario - Southwest Region serves children, youth and young adults who have experienced the death of a close family member by offering services and programs with safe spaces and peer support. Current programs are designed to target children aged 5 to 9 and youth aged 10 to17, while work is also being done to scope additional support to better address the needs of First Nations and LGBTQ+ communities facing societal barriers to provide support when and where they need it. Both previous and current programs and services will be evaluated to determine opportunities for improvement, ensuring programs are engaging, inclusive and effective in supporting their targeted groups.

Learn more: http://bfolondon.ca/
Connect: @SwBfo


Body Brave & Eating Disorders Nova Scotia, Hamilton, Ontario

Team Lead

Sonia Seguin, Executive Director, Body Brave

Patient/Family Representative

Becca Bishop

Senior Officer/Director

Shaleen Jones, Executive Director, Eating Disorders NS

Indicators:

  • Primary Outcome Indicator:Wait times for Community Mental Health Services
  • Supplementary Outcome Indicators: Awareness and/or successful navigation of Mental Health and Addiction Services
  • Patient/Population Reach Indicator: Individuals who register for the electronic platform

e-Peer Support Initiative

Eating Disorders University is a social learning platform designed by and for organizations across Canada that support individuals impacted by eating disorders. Through this platform, those impacted by eating disorders can access educational modules, peer support groups, workshops, and treatment delivered by community organizations and treatment providers from across Canada. The individual looking for support is truly in the driver’s seat, able to create their own support network. By removing geographic and other barriers to care, the e-platform addresses existing inequalities that impact those in rural and under-served areas. From live classrooms to discussion forums, individuals have options to connect with healthcare providers and trained peer supporters.

The e-platform serves as a community space, a knowledge hub, and as a service delivery tool – increasing access to mental health care.

Connect: @bodybravecanada, @nsedrecovery


Calgary Foothills Primary Care Network, Calgary, Alberta

Team Lead

Jackie Aufricht, Program Manager

Patient/Family Representative

Farah Anastas

Senior Officer/Director

Allison Fielding

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Two interprofessional groups of health and community professionals in the Calgary area.
    1. Children and youth aged 5-20 with complex addiction, mental health and related psychosocial needs and their families in the Cochrane area..
    2. Older adults with complex addiction, mental health and related psycho-social needs in the Bowness area.

Case Collaborative Models

A joint initiative between the Calgary Foothills Primary Care Network (PCN) and Alberta Health Services (AHS), the Case Collaborative Model has been tested as a method for better coordinating care for individuals challenged by mental health and addictions issues – bringing together providers from multiple organizations to problem solve complex patient situations. The Case Collaboratives promotes the successful navigation of mental health and addiction services by immediately connecting the patient to the most appropriate services in their community based on their needs, while the model brings together providers from multiple organizations to problem-solve complex patient situations and improve continuity of care.

Learn more: https://cfpcn.ca/
Connect: @foothillspcn


Canadian Mental Health Association: BounceBack, York Region, Ontario

Team Lead

Karen Leung

Patient/Family Representative

Shane Hooshmand

Senior Officer/Director

Ashley Hogue

Indicators:

  • Primary Outcome Indicator: Wait Times for Community Mental Health Services, Referral/SelfReferral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
  • Supplementary Outcome Indicators: N/A.
  • Patient/Population Reach Indicator: New BounceBack referrals, that are screened eligible for the program (adults and youth aged 15+).

Improving Access to Bounceback

The program being delivered is BounceBack: Reclaim Your Life, which is a skill-building program designed to help adults and youth 15+ manage low mood, depression and anxiety, stress, or worry. The focus of the team is creating improvements, using quality improvement methodologies, that will improve wait-times to service, from date of screening through to the date of the participants first coaching session. The team is currently doing exploratory work to understand the problem and develop change ideas. Additionally, the team will focus on reducing the number of participants that become unreachable before an assessment to impact the wait-time.

Learn more: https://cmha-yr.on.ca/
Connect: @CMHAYork


Canadian Mental Health Association WW: B-Together Talk Series Initiative for Wellington County & Guelph, Ontario

Team Lead

Cyndy Forsyth

Patient/Family Representative

Mary Boersma

Senior Officer/Director

Krista Sibbilin

Indicators:

  • Primary Outcome Indicator: Early identification for early intervention in youth aged 12-25.
  • Supplementary Outcome Indicators: N/A.
  • Patient/Population Reach Indicator:Youth between the ages of 12-26 who participate in the B-Together Talk Series.

Integrated Youth Services Network

Youth wellness hubs are designed to provide youth with the right services, at the right time, in the right place. Youth wellness hubs provide centralized service at a single site in a geographic area thus reducing barriers in accessing care. In Wellington County and the City of Guelph, the Integrated Youth Services Network is planning to create 7 sites, inclusive of 4 in the City of Guelph and 3 in rural Wellington County. The goal is to make accessing youth related services easy and involving youth in all stages of development.

Reflecting the collaborative model on which youth wellness hubs are designed, and led by the Rotary Club of Guelph, CMHA WW, the Guelph YMCA/YWCA, the University of Guelph, Shelldale Family Gateway, Big Brothers Big Sisters of Centre Wellington, Minto Mental Health, East Wellington Community Services and the Guelph Community Foundation are a few of the many partners working side by side with youth to make this project a reality.

Connect: @CMHAWW

CBT Skills Group Society of Victoria, British Columbia

Team Lead

Christine Tomori

Patient/Family Representative

Joanne Finnegan

Senior Officer/Director

Dr. Joanna Cheek

Indicators:

  • Primary Outcome Indicator: Awareness and/or Successful Navigation of Mental Health and Addiction Services.
  • Supplementary Outcome Indicators: N/A.
  • Patient/Population Reach Indicator: Adults (aged 17.5-75) with mild-moderate mental health conditions who attended the CBT Skills Group program following a referral from primary care.

Cognitive Behaviour Therapy (CBT) Skills Group Program

The CBT Skills Group program is an eight-week, publicly-funded, evidence-based intervention for adults with mild-moderate symptoms of anxiety or depression. Designed by psychiatrists and taught by physicians this course integrates neuroscience, mindfulness, and cognitive behavioural therapy skills and concepts. In groups of 15 patients, this trans-diagnostic program teaches patients self-management skills and practical tools to recognize, understand and manage patterns of feeling, thinking and behaving. They learn to be conscious of their choices as they respond to life stressors, and explore options for living a fuller, richer life, more aligned with what they value most. To adapt to these unprecedented times and to support the mental wellness of the communities it serves, the program has successfully moved on-line with hundreds of patients being served at any given time through virtual groups.

Learn more:www.cbtskills.ca
Connect: cbtskills@divisionsbc.ca


Department of National Defense, Edmonton, Alberta

Team Lead

Captain Anna Harpe

Patient/Family Representative

Colonel Heather Morrison

Senior Officer/Director

Major Health Robson

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Members of the Canadian Armed Force (CAF) in Edmonton, Alberta (Experimental Group) and Petawawa, Ontario (Control Group) who have attended a residential addiction treatment program for a substance use disorder and subsequently enrolled in the 12-month Aftercare Program.

Attitudes & Perceptions with the Addictions Aftercare Program

The purpose of this work is to investigate the impact of social support networks and system wide education and awareness initiatives on Canadian Armed Forces (CAF) members initiating and maintaining recovery from addiction. This study investigates perceptions and attitudes toward mental health and addictions aftercare services and the related effects on recovery capital, engagement and overall well-being of individuals who participated in aftercare services in two settings: CFB Edmonton (the experimental group), and CFB Petawawa (the control group). Inclusionary criteria for the study consists of members who have attended residential addiction treatment programs for substance use disorder and subsequently enrolled in the 12-month Aftercare programs at both bases (Edmonton = experimental, Petawawa = control). A proprietary interview questionnaire has been developed to discover the differences between pre and post-project attitudes and perceptions about addiction and the Aftercare program. Based on initial data collection results planning is underway to spread the project (Phase II) to Vancouver Island, where the CAF has both Navy and Air Force bases.

Learn more: www.dnd.ca 
Connect: @NationalDefense


Indigo Harm Reduction, Edmonton, Alberta

Team Lead

Dakota Drouillard, Licensed Practical Nurse

Patient/Family Representative

April Bullchild

Senior Officer/Director

Shelby Young

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: The target population will be individuals using programs, treatments, or support services to overcome challenges and barriers they face due to mental health and addictions, and to assess if treatment is easily accessible.

Introducing Electronic Medical Records (EMR) to preventative and primary care resources

Through environmental scanning and distribution of surveys, Indigo Harm Reduction will be comparing the population of Albertans who identify personal challenges with mental health and addictions to utilization of services, as reported by Statistics Canada. The aim is to unite programs in a way that referral of services is easier, that clients know the criteria for utilizing services and create a way in which appropriate services are found that match to an individuals needs almost fully.

Learn more: https://www.indigoharmreduction.com/
Connect: @indigoHRS @dakotaleee


Joseph Brant Hospital, Burlington, Ontario

Team Lead

Bila Sabra, PHAST Charge Nurse

Patient/Family Representative

Lynn Gallagher

Senior Officer/Director

Cheryl Gustafson

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators:
    1. Wait Times for Community Mental Health Services, Referral/Self-Referral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
    2. Rates of Repeat Emergency Department and/or Urgent Care Centre Visits for a Mental Health or Addiction Issue.
  • Patient/Population Reach Indicator: The target population for PHAST is transitional age youth, adults and seniors (aged 16-99) who experiencing acute instability of a mental health and addiction concern.

Prioritizing Health through Acute Stabilization and Transition

Joseph Brant Hospital has led the development of a multiagency Mental Health and Addictions (MH&A) model in Burlington called PHAST (Prioritizing Health through Acute Stabilization and Transition). PHAST is an innovative, system-wide integrative “hub and spoke” service delivery model; the goal is to provide the most appropriate urgent MH&A care through timely access, assessment and intervention while preventing unnecessary emergency room visits and hospital admissions. The stabilizing interventions will help to reduce recidivism to the Emergency Department while the warm transfers, i.e. those transfers occurring from service to service, are designed to improve the initiation into community treatment, particularly for more complex situations.

Learn more: https://www.youtube.com/watch?v=nt-D-Ha-RXo
Connect: @Jo_Brant


Kidthink Children’s Mental Health Centre Inc., Winnipeg, Manitoba

Team Lead

Rossana Astracio-Morice

Patient/Family Representative

Rebecca McDermott

Senior Officer/Director

Analyn Einarson

Indicators:

  • Primary Outcome Indicator: Wait Times for Community Mental Health Services, Referral/SelfReferral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
  • Supplementary Outcome Indicators: Awareness and/or Successful Navigation of Mental Health and Addictions Services.
  • Patient/Population Reach Indicator: Children in Manitoba aged 12 and under, along with their families and support systems (guardians, extended family, teachers, aides, pediatricians, nurses, coaches, faith leaders, community leaders, instructors, neighbors, and a variety of other grownups who support children).

KIDTHINK: Providing Evidence-Based Mental Health Treatment Services

KIDTHINK offers clinical and outreach services focused on improving mental health services with a focus on early intervention and prevention for children aged 12 and under. KIDTHINK leverages technology to remove geographical barriers to access timely services by offering services through a rapid screening process without requiring a diagnosis. Additional supports are offered to remove barriers that delay access and receipt of treatment, including financial aid , home visits to meet families or communities and partnerships with public schools to facilitate school psychologists and guidance counselors referrals. Using InterRAI’s Child and Youth Mental Health Screener (ChYMH-S) and Child and Youth Mental Health Community Based Assessment Form (ChYMH), clients will be directed to the appropriate treatment stream within a corresponding timeframe according to the urgency of their presenting concerns.

Learn more: https://www.kidthink.ca/


Pathstone Mental Health, St. Catharine’s, Ontario 

Team Lead

Ryan Andres, High Risk Therapist

Patient/Family Representative

Sarah Cannon

Senior Officer/Director

Bill Helmeczi, Director of Strategic Initiatives, Standards and Practices

Indicators:

  • Primary Outcome Indicator: Rates of self-injury, including suicide
  • Supplementary Outcome Indicators:
    • Rates of repeat emergency department and/or urgent care centre visits
    • Wait times for community mental health services
    • Early identification for earlier intervention in youth aged 10 to 25
    • Awareness and/or successful navigation of mental health and addictions services
  • Patient/Population Reach Indicator: Children and young people aged 0-18 in Niagara who present as serious risk to harm themselves or others

Violence Threat Risk Assessment Care Pathway Project

The High Risk program provides mental health assessment and therapy for children and younger people who have been identified as being at an elevated risk to harm themselves or others. Often these children and youth are identified and referred to Pathstone Mental Health by community partners including police, schools, hospitals or child welfare. They are provided with intensive individualized services designed to reduce the imminent risk they pose to themselves or others. Once risk has been reduced, the individual is referred to a more appropriate and less intense service or program.

Currently, the team is participating in the Quest Continuous Quality Improvement Program with a goal of improving care pathways into the High Risk program. Using Six Sigma QI methodology, we are specifically reviewing and working to improve the Violence Threat Risk Assessment (VTRA) care pathway. In addition to this specific project focus, we are also aiming to establish ongoing quality improvement initiatives that improve all care pathways into the High Risk program (ex. hospital admission referral to High Risk program). 

Connect: @PathstoneMH


Peter Lougheed Hospital, Alberta Health Services, Calgary, Alberta   

Team Lead

Tacie McNeil, Clinical Nurse Educator

Patient/Family Representative

Jesse Dobson

Senior Officer/Director

Lois Ward, Senior Operating Officer

Indicators:

  • Primary Outcome Indicator: Hospitalization rates for problematic substance use
  • Supplementary Outcome Indicators: Rates of repeat Emergency Department and/or Urgent Care Centre visits for a mental health or addictions issue
  • Patient/Population Reach Indicator: People who use substances (primary stimulants such as crystal methamphetamine) and are admitted to the Peter Lougheed Hospital

Contingency Management Programs for Inpatients with a Stimulant Use Disorder

Currently, there is no strong evidence-informed medical treatment to support individuals with reducing or stopping stimulant use at the Peter Lougheed Hospital. Contingency Management (CM) has been shown to be an effective approach and will be implemented at their site to support individuals experiencing a stimulant use disorder. Stimulants can have profound effects on mental and physical health thereby contributing to increased visits to emergency departments and admissions to hospital. Stimulant use also makes it difficult for some patients to remain in hospital for the full course of their medical treatment, which contributes to multiple presentations for the same and worsening health problems.

By offering a CM group we will create opportunities for people who use stimulants to make positive changes including reducing or stopping their use of the substance, participating in addiction treatment and attending to their health and social needs.

While CM has been evaluated in the outpatient setting, it has not been implemented and formally studied in Alberta in an in-patient setting and in the context of wrap-around supports from an Addiction Medicine Consult Service. The use of patient-centered objectives moves beyond abstinence-focused outcomes and allows the evaluation of additional important and meaningful outcomes.

Connect: @ahs_yyczone


Stella's Place Assessment & Treatment Centre, Toronto, Ontario

Team Lead

Alex Gosselin, MSW, RSW, RYT, Clinical Manager

Patient/Family Representative

Lucie Langford & Samantha Ledamun

Senior Officer/Director

Nzinga Walker, Director of Program Operations

Indicators:

  • Primary Outcome Indicator: Early Identification for Early Intervention in Youth Age 10 to 25
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Youth aged 16-25 who attend the DBT skills group

Dialectical Behaviour Therapy (DBT) Skills Program

Stella’s Place offers a Dialectical Behaviour Therapy (DBT) Skills Program, which is an evidence-based program that identifies and teaches young adults ages 16 to 29 skills in distress tolerance, emotion regulation, and recovery. This program is 14-weeks long and has a group component 1 day a week for 2 hours, along with 1 session of individual counselling per week. In each cycle of the program, 12 participants are registered. Our DBT Skills Groups are facilitated by Clinicians and Peer Supporters. DBT has been shown to be effective for individuals living with a borderline personality disorder diagnosis, and has also been proven effective in treating self-harming behaviors, suicidal behaviors, post-traumatic stress, and depression.

Stella’s Place has been offering the program in-person since 2017 and online platform since May 2020, following the coronavirus crisis. To improve, we will be doing a co-design focus group with young adults this fall and conducting a survey with participants who have received in-person and virtual services through Stella's Place to better understand how each mode of service delivery is making an impact, and what can be improved.

Connect: @stellasplaceca, https://stellasplace.ca/


Sunnybrook Health Sciences Centre, Toronto, Ontario

Team Lead

Roula Markoulakis, Research and Evaluation Lead

Patient/Family Representative

Julie Cowan

Senior Officer/Director

Sugy Kodeeswaran

Indicators:

  • Primary Outcome Indicator: Awareness and/or successful navigation of mental health and addictions services.
  • Supplementary Outcome Indicators:
    1. Wait times for community mental health services, referral/self-referral to services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
    2. Early identification for early intervention in youth age 10 to 25.
  • Patient/Population Reach Indicator: Youth aged 13 to 26 with Mental Health and Addictions (MHA) concerns and their families living in the City of Toronto, Peel Region, York Region, Durham Region, and Halton Region (i.e., Greater Toronto Area (GTA)). Family is broadly defined to include biological family members and those of significant importance to the youth.

Family Navigation Project

Sunnybrook’s Family Navigation Project (FNP) is a non-profit, free-of-charge service for youth aged 13 to 26 with Mental Health and Addictions (MHA) concerns and is designed to guide patients through care plans and reduce barriers to timely access and transition of services. Services are designed to be responsive and accessible. Upon initial intake through a screening assessment, cases are assigned to Navigators (graduate-level clinicians in mental health and/or addictions care, social work, psychology, child development, Parent Advocates with Lived Experience (PAL) and psychiatrists) who work oneon-one by phone or email with patients and/or their families to assist untangling the web of the MHA system and design care plans around the youth’s medical, social and family goals. The model is designed to reduce barriers to access by creating meaningful relationships with families to engage them throughout the care process, and in some cases, working with families where youth are not motivated to access care or unwilling to engage in care.

Learn more: https://sunnybrook.ca/content/?page=family-navigation-project
Connect: @Sunnybrook


Vancouver Coastal Health, Vancouver, British Columbia

Team Lead

Andrew Reyes, Project Coordinator

Patient/Family Representative

Community Engagement Advisory Network (CEAN)

Senior Officer/Director

Monica McAlduf

Indicators:

  • Primary Outcome Indicator: Wait Times for Community Mental Health Services, Referral/SelfReferral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Number of patients (with depression and anxiety) successfully referred to Kelty’s Key – VCH Online Therapy.

Kelty’s Key

Kelty’s Key is a free online psychotherapy platform that enables therapists to incorporate Therapist Assisted Internet-Cognitive Behavioural Therapy (TAI-CBT) into their practice. TAI-CBT is as effective as face-to-face therapy and gives clients added flexibility. Kelty’s Key can help therapists treat more clients and reach individuals who may otherwise be unable to access treatment. The program is based on email therapy and online courses. Our modules are evidence based and developed by clinical CBT experts at Vancouver Coastal Health and Providence Health Care. Courses offered include: Anxiety, Chronic Pain, Complicated Grief, Depression, Insomnia, Panic and Substance Use.

Learn more: http://www.vch.ca/Pages/Kelty%E2%80%99s-Key--Online-Therapy.aspx?res_id=474
Connect: @VCHhealthcare


Virtual Overdose Response Line – Grenfell Ministries, Hamilton, Ontario

Team Lead

Monty Ghosh

Patient/Family Representative

Rebecca Morris-Miller

Senior Officer/Director

Kim Ritchie

Indicators:

  • Primary Outcome Indicator:Rates of Self-Injury, Including Suicide
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Our primary target population is as follows: Anyone who uses substances alone, Individuals who have a landline or mobile phone, Individuals who live in communities outside of the 500 meter therapeutic radius of supervised consumption sites or Clients who are self-isolating due to COVID-19 but still using substances.

Virtual Overdose Response Line

The Virtual Overdose Response line is a line that provides support for individuals who use substances alone. Physical supervised consumption sites reduce mortality rates to a maximum of 500 meters around them, but the majority of overdoses (80-95%) occur outside of this therapeutic radius, in suburban communities and rural communities, where individuals often use substances alone.

The virtual overdose response lines provides peer-supported supervision for individuals who use substances alone. Clients call a phone number where a peer will supervise them virtually, and if the client becomes unresponsive, the peer calls 911 and sends an ambulance towards the client to support them.

The goal is to allow clients who use substances alone, and refuse to utilize services like supervised consumption sites due to fear of being seen, or stigma, to use with remote supervision. The overall goal is to reduce mortality outcomes (especially rates) amongst these individuals as well as reduce morbidity outcomes as well. In addition to this, the service provides access to clients for community-based resources that treat addiction and mental health concerns.

Connect: https://www.grenfellministries.org/


Virtual Psychiatry Collaboration with Vancouver Primary Care, Providence Health Care, Vancouver, British Columbia

Team Lead

Claire Doherty

Patient/Family Representative

Irene Toy, Providence Health Care’s Care Experience Advisory Committee
Lyn Brooks, Patient Voices Network
Mario Gregorio, Providence Health Care’s Care Experience Advisory Committee
*One additional patient partner did not wish to be identified

Senior Officer/Director

Margot Wilson

Indicators:

  • Primary Outcome Indicator: Wait Times for Community Mental Health Services, Referral/Self- Referral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals)
  • Supplementary Outcome Indicators: N/A
  • Patient/Population Reach Indicator: Adults in Vancouver who require a psychiatric consultation or short-term intervention for a mood or anxiety disorder, or stable schizophrenia.

Virtual Psychiatry Collaboration with Vancouver Primary Care (VPC2)

In the Vancouver City Centre area, there is limited access to adult psychiatry for non-acute mental health concerns, but the need is significant. Mood disorders are the most common chronic diseases among residents aged 18 to 49 and the second most common among residents aged 50 to 64. However, according to the Fraser Institute, the median wait time for psychiatric care is 10 weeks from referral to consultation and 14 weeks from consultation to treatment. Many people with moderate mental health conditions are not able to able to access a psychiatrist at all, resulting in family physicians providing all of their mental health care without advice from a specialist.

By managing non-acute cases virtually on an outpatient basis in conjunction with primary care providers, psychiatrists can provide efficient short-term care to this patient subset without assuming ongoing responsibility for care or utilizing office space. This shared care model has the potential to shorten wait times for individuals with complex psychiatric needs, while providing appropriate care for those with more moderate mental health concerns. We are developing a prototype of this model with a subset of family doctors and psychiatrists serving Vancouver City Center, in order to evaluate the effect on psychiatry wait times and patient-reported health outcomes. If the prototype is successful, the project team will work towards sustaining and scaling up the model.

Our primary aim is to improve access to psychiatric care for Vancouver residents between the ages of 19 and 64. Access improvements will be assessed on an ongoing basis by comparing the median wait time from referral to first appointment for the virtual psychiatry prototype versus existing psychiatry models of care in British Columbia. VPC2 is an initiative of Providence Health Care, supported with funding from the Shared Care Committee (a partnership of Doctors of BC and the BC government).

Connect: https://sharedcarebc.ca/our-work/spread-networks/mental-health-substance-use


Woodview Mental Health & Autism Services, Brantford, Ontario

Team Lead

Nicole Schween

Patient/Family Representative

Sarah Precious

Senior Officer/Director

Flora Ennis

Indicators:

  • Primary Outcome Indicator: Awareness and/or Successful Navigation of Mental Health and Addictions Services.
  • Supplementary Outcome Indicators: Wait Times for Community Mental Health Services, Referral/Self-Referral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals).
  • Patient/Population Reach Indicator: Youth aged 12-25.

Youth Hub

Woodview in the Square is a one stop Youth Hub offering multiple services under one roof to youth ages 12-25. We aim to offer the right service, at the right time, in the right place. This is made possible through our partnerships and integrated services with multiple sectors including Education, Mental Health and Addictions, Youth Justice, Indigenous Services, Public Health, Recreation, Social Services, the City and Municipality and non-profit organizations. Woodview goes above and beyond to engage individuals and families by providing high quality mental health and autism services and supports that inspires hope and strengthens lives.

Connect: @WoodviewMHAS


Yorktown Family Services, Toronto, Ontario

Team Lead

David O’Brien

Patient/Family Representative

Keon Reid-Charles

Senior Officer/Director

David O’Brien

Indicators:

  • Primary Outcome Indicator: Rates of Repeat Emergency Department and/or Urgent Care Centre Visits for a Mental Health or Addiction Issue,
  • Supplementary Outcome Indicators: Wait Times for Community Mental Health Services, Referral/Self-Referral to Services (services provided outside of emergency departments, hospital inpatient programs and psychiatric hospitals)
  • Patient/Population Reach Indicator: Individuals aged 12-29 with moderate and above clinical mental health and addiction issues transitioning from Humber River Hospital (Emergency Department/Inpatient/Outpatient) to the West Toronto Youth Hub.

West Toronto Youth Hub

Yorktown Family operates the West Toronto Youth Hub (WTYH). The West Toronto Youth Hub is an integrated youth services site for youth 12 to 29 that consists of an interdisciplinary team that provides rapid and seamless access to mental health, social service, and primary health support facilitated by care navigation that increases access to services and facilitates wrap-around support. The outcomes are strengthened mental health functioning, increased social participation, and support of youth in acquiring the social determinants of health so they can live healthy lives. 

Connect: @YorktownFamily