Navigating the System

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Navigating the System

W H O , W H A T , A N D H O W

Prepared and Presented By:

Julia Valley, MSW

Youth Community Developer

Western Ottawa Community Resource Centre

Session Overview

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

Youth Services

M E N T A L H E A L T H

Youth Services Bureau

Youth Services Bureau (YSB)

 www.ysb.on.ca

; 613-729-1000

Provides services for youth, ages 12-20

Programs include mental health, community, housing (emergency and long-term), employment, and justice services

Youth Services Bureau

(continued)

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)

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

Accessing Services

Downtown

Drop-In

Child,

Youth, and

Family

Crisis Line

Mental

Health

Walk-In

Clinic

Youth &

Family

Counselling

Services

Intake

Crisis Unit

Young Men and

Young Women’s

Shelter

Children’s Hospital of Eastern Ontario

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

*Back on Track

(adolescents)

* Centre Ado du

Millennium

(adolescents)

Emergency

Urgent

Care

Inpatient

Day

Treatment

Outpatient

*Abuse & Trauma

*ADHD/Disruptive

Disorders

*Consultation

*Eating Disorders

*Mood & Anxiety

The Royal

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)

Inpatient

Partial Hospitalization

Day Treatment

Outpatient

ADULTS

Anxiety

Mental Health & the

Law

Recovery

Sleep

Depressive Disorders

Occupational Stress &

PTSD

Schizophrenia

Substance Use &

Concurrent Disorders

The Ottawa Hospital

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

Other Hospitals

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

Crisis Supports

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

Youth Services

A D D I C T I O N S

Addictions Services

Dave Smith Youth Treatment Centre

 www.davesmithcentre.org

; 613-594-8333

Residential Treatment

Family Services

 Rideauwood Addiction and Family Services

 www.rideauwood.org

; 613-724-4881

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

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

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

Non-medical centre to assist with managing the effects of withdrawal

Ages 16 and over

Youth Services

C O U N S E L L I N G

Counselling Services

Catholic Family Services

 www.cfsottawa.ca

; 613-233-8478

Individual Counselling

Sliding Fee Scale

Family Services Ottawa

 www.familyservicesottawa.org

; 613-725-3601

Individual Counselling

Sliding Fee Scale ($5.00-$100.00)

2-3 month wait

Parenting Groups

Jewish Family Services

 www.jfsottawa.com

; 613-722-2225

Individual Counselling

Sliding Fee Scale

Counselling Services

Christian Counselling Ottawa

 www.christiancounsellingottawa.ca

; 613-729-8454

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

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

Youth Services

H O U S I N G , S E X U A L H E A L T H , G L B T T Q ,

I M M I G R A N T , A N D M I S C E L L A N E O U S

Housing Services

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

Housing Help

 www.housinghelp.on.ca

; 613-563-4532

Information, advocacy, and referral

Assists with finding private market, supportive, and affordable housing

Sexual Health Services – Ottawa Public Health

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/sexualhealth/sexual-health-centre

Sexual Health Services – Community Agencies

Planned Parenthood Ottawa

 www.ppottawa.ca

; 613-226-3234

Information and Referral

Options Support Program ( options@ppottawa.ca

)

St. Mary’s Home

 www.stmaryshome.com

; 613-749-2491

Residence

Young Parent Outreach Centre (includes counselling, life skills and parenting programs, health care)

Sexual Health Services – Sexual Assault Supports

Ottawa Rape Crisis Centre

 www.orcc.net

; 613-562-2334 (office line)

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

Information and Referral

Support Groups (may be available)

GLBTTQ Services

Pink Triangle Services

 www.ptsottawa.org

; 613-563-4818

Discussion and Support Group for Youth

Parenting Group

Gay Zone Gaie

 www.aco-cso.ca/gayzonegaie ; 613-580-2610

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

Immigrant Services

Ottawa Community Immigrant Services Organization

 www.ociso.org

; 613-725-0202

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

Supportive Counselling

Settlement Services

Various Youth Programs

Miscellaneous Services

Family Doctor

Walk-In Clinics

2-1-1/ Community Information Centre of Ottawa

 http://ottawa.cioc.ca

Youth Net/ Réseau Ado

613-738-3915

Elizabeth Fry Society of Ottawa

 www.efryottawa.com/services.html#youthservices

Parent’s Lifeline of Eastern Ontario

 www.pleo.on.ca

Children’s Aid Society of Eastern Ontario

 www.casott.on.ca

Up to age 16

Community Health and Resource Centres

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 you

CHEO’s Adolescent Health Clinic

613-737-3664

Strategies to Help Navigate

F O R S U P P O R T S T A F F A N D F O R P A R E N T S

Strategies to Help Navigate

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

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

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 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

Strategies for Parents to Help with Navigation

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

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

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