Mental Health Center of Excellence for Children Youth of by lq9085

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									"I dream my painting, and then I paint my dream" ~ Vincent VanGogh - theme for the CYMH Mural Project
Status of Child & Youth Mental Health
in Ontario


  High prevalence of psychiatric disorder (15-25%)

  High demand for service

  Limited access (only 1 in 6 had accessed services in the
  previous 6 months)
Identified Service Gaps

   Fragmented, under-resourced mental health system
   but with ‘pockets’ of excellence
   Lack of standardization and best practices
   Lack of integration across the continuum and key
   components of care
   Challenges to education and training of mental health
   professionals
   Issues of retention and recruitment of mental health
   professionals
                     Such challenges provide opportunities
  Are the planets finally aligning
for child and youth mental health
    in the Province of Ontario?
A Provincial Perspective

  Creation of the Ministry for Children and Youth
  Services (MCYS)
  Reconfiguration at CMHO
  •   From service to leadership & advocacy
  OCHN/CMHO Tele-Psychiatry Initiative
  The Provincial Centre of Excellence for Child
  and Youth Mental Health at CHEO (CoE)
         Key Components of Care

Emphasis, both conceptually and practically, on the iterative
relationship between:

                     Intervention




    Research                          Education & Training
             Continuum of Care

                                   Early
          Promotion &
                                   Identification
          Prevention



                                     Intervention
Continued Care




   Rehabilitation

                        Recovery
The Provincial Centre of Excellence:
What is it?

   A Provincial resource
   Much more than a Research Centre
   All about partnerships
   A knowledge broker
   A forum for new ideas
   An agent of systemic change
   Responsive and proactive
The Provincial Centre of Excellence:
What is it?

  A catalyst & facilitator rather than a provider of
  direct service
  Aware that we are dealing with complex
  problems requiring the efforts of many
  A Centre that strives for balance
  A voice for child and youth mental health
The Provincial Centre of Excellence:
Our Vision

 Dare to Dream…
     We believe that a fully integrated system
       meeting the mental health needs of
        children, youth, their families and
      caregivers in ways that are evidence-
             based can be achieved.
The Provincial Centre of Excellence:
Our Mission


    The Provincial Centre of Excellence for
   Child and Youth Mental Health at CHEO is
    committed to contributing to building the
   capacity of the mental health care system
    and the evidence-base that supports it.
     Our approach involves four (4) pillars.
The Provincial Centre of Excellence:
4 Iterative Pillars

   Intervention
   Research and Development
   Education and Training
   Key Networks & Partnerships

    * There is an integrated and iterative
      relationship between the 4 pillars *
The Provincial Centre of Excellence:
Guiding Principles

  Focus on children, youth, their families and caregivers
  Assume a holistic view of children, youth, their families
  and caregivers with respect to the full continuum of mental
  health needs
  Respect cultural diversity
  Special consideration for the francophone population
  Respect gender issues
The Provincial Centre of Excellence:
Guiding Principles (cont’d)


 Special consideration for the aboriginal population
 Focus on determinants of health
 Build evidence-based and most promising practices
 Foster partnerships to avoid duplication, to build capacity
 and to complement emerging initiatives
                     The Provincial Centre of Excellence

                                                Community
                                                Agencies &
                                                 Hospitals
          Granting
                                                                                     Associations
          Agencies

                                                 Youth
                                          y                  Co
                                     u nit                     mm
                                 m                                u
                            C om                                      nit
                                                                             y
            Families                                                              Caregivers
                           Co                                              it y
                             mm                                        n
                                  uni                             m mu
                                     ty                      Co
                                               Children
      Universities                                                                    Business
           &                                                                         Community
       AHSC’s
                                               Government




EDUCATION              JUSTICE                WELFARE         HEALTH CARE               DEVELOPMENTAL
 SYSTEM                SYSTEM                 SYSTEM                SYSTEM                  SERVICES
The Provincial Centre of Excellence:
Organizational Structure

            MCYS

                               Advisory Council
    CHEO Board of Trustees
                              Consumer & Advocates
                               Reference Group

 CoE Senior Management Team
                               Service Provider
                               Reference Group


                                    RITE
                                  Committee
The Provincial Centre of Excellence:
Strategic Directions

1. Provide leadership in the development of a fully
   integrated child and youth mental health system.

2. Promote increased capacity and accessibility in child and
   youth mental health.

3. Develop and disseminate evidence-based child and
   youth mental health knowledge and practices.
The Provincial Centre of Excellence:
Strategic Directions (cont’d)

4. Facilitate in Ontario a shared understanding of child
   and youth mental health in the whole life of a child.

5. Diminish stigma around child and youth mental illness.

6. Build and share subject matter expertise in knowledge
   exchange.
The Provincial Centre of
 Excellence: Structure
            CoE
             at
           CHEO         CoE
            13%       Provincial
                      Resources
                        36%
       CoE Peer
   Reviewed Funding
         51%
The Provincial Centre of Excellence:
Grants and Awards
          Overarching Criteria
 1. Relevance to child and youth mental health
    in the province of Ontario
 2. Fit with CoE Strategic Plan
 3. Innovation
 4. Potential impact
 5. Leveraging opportunities
 6. Level of partnership involvement
 The Provincial Centre of Excellence:
 Grants and Awards
    Research Grants
    Aim to encourage and
    support research of direct
    relevance to child and youth   Priority areas include:
    mental health.                  awareness and stigma
                                    evidence-based practice
                                    increasing capacity
Max: $75,000/year (max. 2 yrs)      knowledge exchange
                                    youth justice
Timelines:                          child welfare
   Letters of Intent – Sept. ‘06    mental health in schools
   Full Applications – Jan ‘07


       7 awarded in 2005
 The Provincial Centre of Excellence:
 Grants and Awards
                                  Expertise Mobilization
                                  Aim to enable child and youth mental
                                  health services providers, who have
                                  a research or educational interest in
                                  those areas, protected time to work
This award provides funds to      on a specified project that addresses
                                  the mandate of the Centre.
pay for backfill position(s) to
cover staff while they conduct
research.                         Max: $20,000/year (max. 2 yrs)

                                  Timelines (2 calls/year):
                                  Jan ’06
                                  Aug ‘06

                                             3 granted in 2005
The Provincial Centre of Excellence:
Grants and Awards (cont’d)
  Education & Training
  •   Post-Doctorate & Fellowship        “…to support development of
                                       scientist practitioners in child and
      Deadline: Dec ‘06                       youth mental health”



  •   Graduate                      “…to build capacity in child and youth
                                       mental health with a focus on
      Deadline: Dec ’06               evidence-based knowledge and
                                                 practices”

  •   Undergraduate                 “…to increase knowledge in child and
                                      youth mental health and attract
      Deadline: Nov ’06                    candidates to this field”


  •   Professional Development      “…to increase organizational capacity
                                     by supporting re-training, enhanced
      OPEN
                                            training or re-tooling”
The Provincial Centre of Excellence:
Grants and Awards (cont’d)

                        Dare to Dream Program

                        To assist youth in becoming more
                        aware of mental health and to
                        support them in promoting mental
                        health awareness to their peers
                        and their community.

                        50 x $1000 Project
                        Opportunities available
                        each year
    8 awarded in 2005
                        Next deadline: March 31, 2006
           Our Focal Point

The “focal point” of the Knowledge Exchange
Centre is on the quality of life of Ontario’s
children, youth, and families dealing with
mental health issues.
The KEC strives to ensure that people and
agencies have timely access to knowledge
based on the best available evidence, in the
form that best suits their needs.
 Knowledge Exchange Centre

An opportunity to develop more evidence-based
implementation of evidence-based mental health care

Centre as an experiment and as an experimenter: HR,
technologies, concepts, theories

Centre as a producer of new knowledge

Centre as portal to the knowledge and experience of
others
Some Knowledge Exchange Activities

   Scans
   •   Child & youth mental health services
   •   Researchers & research
   •   Education & training
   •   Evidence-based best practices in knowledge exchange
   Systematic Reviews
   •   Stigma reduction programs
   •   Secondary administrator training programs for reducing
       self harm & suicide
   •   Bipolar disorder clinical practice guidelines
   Literature Reviews
   •   Annotated bibliographies
Some Knowledge Exchange Activities

 Research is not enough…

   Creating tools and products to address barriers
   •   “Doing More With What You Know”
        • Knowledge exchange models & case studies
   •   Directories: Researchers, Service Providers, Education
   •   Web-based library
   •   Online “Wiki”
        •   Web application for collaboration & sharing ideas
   •   Publications geared to different audiences
   •   Consultations, workshops, presentations, training,
       conferences
Feedback from our Regional Conferences


What we need to know if we are truly going to be
YOUR Centre

 •   What are the CYMH strengths in your region?
 •   How can the Centre and its Knowledge Exchange
     (KE) Centre best meet your needs?
 •   In what ways can you assist the Centre in fulfilling its
     vision and meeting its goals?
Feedback Covers All Four Pillars

Research and         Intervention
Development –         “The Personal Touch”
 “One Stop Shopping”

Education and        Partnerships and
Training             Networks
   “Wide and deep”      “A Central Hub”
                Your Strengths

Willingness to collaborate
Service sector
(creativity, flexibility, passion, dedication)
Institutional (e.g., hospital, school boards) and Ministerial
support
Existing networks and partnerships
Centralized or coordinated access
Community support (e.g., volunteer base)
Youth involvement
How Can We Best Meet Your Needs?

Research and Development
“Facilitate knowledge dissemination”

 •   Relevant, evidence-based
     information, geared to a variety
     of audiences
                                          Access to information and
                                          research was the number one
 •   Best/promising practices             need identified by regional
 •   Practical information (e.g., about   conference participants.
     funding sources)
 •   Funding creative, relevant
     research and building research
     capacity
How Can We Best Meet Your Needs?

                             Consulting services
                             (Intervention)
                                 “Provide leadership”
 Consulting and mentoring
 was the second most         •   Connecting people with experts
 common need identified by   •   Consulting on projects
 regional conference
 participants.               •   Advising on program
                                 development
                             •   Providing training
                             •   Helping “natural leaders”
                                 develop to their full potential
How We Can Best Meet Your Needs

Partnerships and
Networks
    “Play a proactive role in    Over one half of regional
      partnership building”      conference participants
                                 identified the need to develop
•    Facilitate and enhance      linking, networking and
                                 partnerships.
     existing and new
     partnerships and networks
•    Create opportunities to
     connect and network
How We Can Best Meet Your Needs

                           Education and Training
                               “Enhance training all the way
                                     down the line”


One third of regional
                           •    Best practices
conference participants
                           •    More CYMH in more university
                                programs
identified education and
training needs.
                           •    More training for frontline CYMH
                                workers
                           •    More CYMH training in other
                                sectors (e.g., justice)
                           •    More opportunities to learn from
                                each other
How We Can Best Meet Your Needs

Participants also raised issues that crossed all 4 pillars:

•   Meet the needs of Francophone and Aboriginal communities
•   Break down silos
•   Promote diversity; fund cross-cultural translation
•   Engage and involve youth
•   Work with others to reduce stigma
•   Build on our strengths
         This is YOUR Centre…

What are we doing that works for you?

What do you see as barriers to your fully using the
Centre’s programs and materials?

What could we do to make it easier and better for you?
The Provincial Centre of Excellence:
Website Address

      For more information, visit us at:


            www.onthepoint.ca
                     or
              www.cymh.ca

								
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