Mental Health and Addictions
Nurses (MHAN) working with
OCDSB
February 15, 2013
OCDSB PD Day
Champlain
Ice breaker…
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.
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.
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.
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.
• Tri-Ministerial initiative: MCYS, MoHLTC, MEd
• Funded by the Ministry of Health and Long Term Care-Champlain
LHIN.
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).
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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.
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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.
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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
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What will be the result?
Short-term outcomes
Long-term outcomes
• Increased number of
students receiving early
ID & intervention services
•
Reduced ED and
admission rates for
children and youth with
MHA issues
•
Reduced wait times
• Increased capacity of
DSBs to recognize to
student MHA issues
• Increased student access
to MHA services in the
community
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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)
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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).
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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.
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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*).
*Note: Students who do not possess a valid Health Card Number will still be accepted
for service if the above three criteria are met.
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.
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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.
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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.
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Referral Form
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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.
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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.
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Other services
•
Teaching for OCDSB’s staff PD days
•
Group teaching to students or teachers.
•
Consult for general situations.
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Star fish story…
Champlain
Questions and Discussion
Champlain