Understanding
Concurrent Disorders
History
• A proposal, Strengthening Community
Supports for Concurrent Disorders
– Reduce ED visits
• SIGMHA – Data Analysis Findings
• Quality Task Team identified 10 strategies
– Including:
• Intensive Case Management (Concurrent Disorders)
• Bridging Program from ED to Community Services
• Home based Withdrawal Management Program
One Program – 3 Services
Crisis Management Support
(St. Elizabeth’s Healthcare, COAST (CMHA-HRB)
Concurrent Disorders Case Management
(Trillium Healthcare, CMHA-HRB)
Community Withdrawal Management Services
(PAARC, ADAPT)
Our Mission
CCDP is dedicated to strengthening community
supports for individuals with substance use
concerns or a combination of mental health
and substance use concerns (i.e. Concurrent
Disorders) through the provision of an
integrated continuum of services.
Reducing ED visits by 10% and return
visits by 80%
Crisis Management Support
• Immediate 24/7 Telephone Response to
provide support and arrange follow-up
• Crisis support in the client’s home or in the
Community
• Provides support while being linked to
addiction, mental health or community
services
Case Management
• Assessment of client’s current situation
• Provides support to identify and develop goals
around substance use and mental health
needs
• Facilitates referrals and linkages to community
supports and services
Community Withdrawal Management Services
(CWMS)
• Offers an alternative to residential withdrawal
management for individuals who can safely
withdraw from substances in a supportive
community environment
• Works with the client to develop a safe plan
for withdrawal
• Provides monitoring and support during all
stages of withdrawal
17 Staff Positions
Crisis Management Support
(CMHA- HRB COAST – 1 FTE Concurrent Crisis Worker)
(Mobile Crisis or Peel – 2FTE Concurrent Crisis Worker)
Concurrent Case Management
(CMHA-HRB 5 FTE Intensive Concurrent Case Managers)
(Trillium Health Care – 2FTE Intensive Concurrent Case Managers)
Community Withdrawal Management Services
&Transitional Case Management
(ADAPT – 3 FTE Withdrawal Management Counsellors / Transitional Case Managers,
1 FTE RN, 1 FTE RPN, 1 FTE Program Manager/Counsellor)
(PAARC – 2 FTE Transitional Case Managers)
Transitional Case Management
• Offers support during transition from CWMS
to additional Mental Health or Addiction or
Concurrent Disorders Services
• May include pre and post withdrawal support
Steering Committee
Purpose: to oversee the development and
implementation for the initiative and to uphold
obligations to the LHIN.
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In addition, Promote inter-organizational collaboration
A framework for decision making
Key representatives from other organizations
Chaired by the CEO CMHA-HRB
Key Roles and Working Groups
• Implementation Co-ordinator – Nora McAuliffe
• Program Evaluator – Peter Mueller
• HR & IT Working Group
• Communication & Education Working Group
• Process Working Group
HR & IT Working Group
Purpose: To look at the potential for joint recruitment
and hiring processes. (need to add in IT purpose)
• Common Data Base (CRMS)
• Laptops from Lead Agency
• Common Training
Communication & Education Work Group
The group’s primary task was the design and
implementation of a joint orientation package for
new team members.
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Common language
Knowledge transfer
Promote common practices
Team building
Process Working Group
Purpose: To develop protocols and processes for each
component of the program and make recommendations
to the Steering Committee on policies and structures.
• Comprised of Team Leads, Clinical Managers/
Directors from participating agencies
• Development and implementation of integrated
practices
• Development of collaborative processes
Process Working Group - 2
• Referral Processes for Hospital Crisis Services
• Community Referrals
– Common Intake Service
– No wrong door
• Eligibility Criteria
• Consent to service
• Common Referral, Admission Criteria,
Screening & Assessment Processes
• Client & Community Brochure
Guiding Principles
Through the provision of integrated, continuum of
services to reduce the usage of Emergency
Departments, CCDP is dedicated to the following
principles:
•Client centered, empathic, respectful, hopeful, individualized,
holistic, flexible, supportive, non-judgemental and
comprehensive services
•Philosophy of care (individualized and harm reduction)
•Concurrent Disorders is the expectations not the exception
•Welcoming and Accessible
•Continuity of Care
•Integrated services and processes
Info & Referral
No Wrong Door Approach
Through any participating organization.
Lessons Learned
Moving Forward
Program Evaluation
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Peter Mueller – Program Evaluator
Evaluation Framework (Matrix)
Focus Group
Client Surveys
Thank You!
Presented by:
Carrie Woodcock
Program Manager ADAPT CWMS
Jason Barr
Manager CMHA-HRB Coast Program
Funding for CCDP has been provided by the
Mississauga Halton Local Health Integration
Network (MHLHIN)
Q&A