Mental Health and Addiction Services

1. Contact 2015 Future Forward, Careers by DesignApril 22, 2015Tracy Muggli BA, BSW, MSW Director of Mental Health & Addiction Services Mental Health and Addiction Services

2. Introduction • Regional health authorities deliver services for those dealing with a wide variety of mental health or addiction challenges. • The services can be difficult to access without system navigation support. • This session will provide an overview of the many services available throughout the continuum of care, including community services, hospital-based services, residential addictions programs and more. • Participants will leave with a good knowledge of how to access the appropriate services.

3. Why understanding mental health and addiction issues matters • 1 in 5 • Quality of life for those affected • Quality of family life • Full participation in community • System costs • Early identification and treatment • Evidence-based approach • accessibility

4. Why does mental health matter? The workplace can play an essential part in maintaining positive mental health. Yet it can also be a stressful environment that contributes to the rise of mental health problems and illness. No workplace is immune from these risks and we can’t afford to limit our definition of occupational health and safety to only the physical. Mental health just as important and must not be overlooked. Mental Health Commission of Canada http://www.mentalhealthcommission.ca/English/issues/workplace

5. The Cost of Mental Health Mental Health Commission of Canada-Feb 8, 2013http://www.mentalhealthcommission.ca/English/system/files/private/document/Investing_in_Mental_Health_FINAL_Version_ENG.pdf • The economic cost to Canada is at least $50 billion per year. • It cost business more than $6 billion in lost productivity (from absenteeism, presenteeism and turnover) in 2011. • In any given year, one in five people in Canada experiences a mental health problem or illness • More than 6.7 million people in Canada are living with a mental health problem or illness today. By comparison 2.2 million people in Canada have type 2 diabetes. • If we include families and caregivers, mental health problems and illnesses impact almost everyone in some way.

6. The Key Barrier: Stigma • Negative stereotypes • Experience discrimination in acquiring employment, housing, access to health care • Bullying at work, school • Impacts self-esteem • Unwilling to seek help Root Cause Barrier: • Political will

7. What to do about it….. • Educate • Become informed about mental health and addiction signs and symptoms • Mental Health First Aid Program • Schizophrenia Society Partnership program • Support people who are struggling • Challenge others who stigmatize others

8. Provincial Mental Health & Addictions Action Plan • Addressing Gaps • Enhance access and capacity and support recovery in the community; • Focus on prevention and early intervention; • Create person and family-centred and coordinated services; • Respond to diversities; • Partner with First Nations and Métis Peoples; • Reduce stigma and increase awareness; and • Transform the system and sustain the change

9. 2014/15 Provincial Mental Health and Addictions PrioritiesPercentage of Mental Health and Addictions clients meeting the wait time benchmarks based on triage level target for all triage levels is 70% • Develop and implement strategies to ensure triage benchmark targets for outpatient mental health and addictions services are met • Monitor 30 day re-admission rates and develop strategies to reduce the number of individuals re-admitted within 30 days. • Monitor the number of individuals with long stays on inpatient psychiatry and develop strategies to reduce the number. • Collect data and establish a baseline for wait times for contract and salaried psychiatrists. • Participate in the development and implementation of an integrated mental health and addictions information system. • Develop a defined plan for spread of the suicide prevention protocols to other areas of the health system.

10. Accessing Mental Health and Addictions Services in Saskatchewan Delivered by Regional Health Authorities (13)

11. MHAS Integrated Services • Client-centred and needs based. Services are coordinated and collaborative. • Every door is the right door • Timely response to requests for service • Commitment to evidenced-based service delivery • Co-located and interdisciplinary teams • Community engagement Integration model based on The National Treatment Strategy-Tiered Care (2008), Framework for a Mental Health Strategy (2009), Alberta Health Service Framework (2009)

12. A Full Continuum of Care Inpatientmental health Detox and/or Residential Addictions treatment Outpatient Counselling & Recovery Services Day Program, Outreach supports

13. Hospital-Based/Residential: Adult and Youth Residential Addictions (Calder) Brief & Social Detox (Larson House) Dubé Centre for Mental Health Acute Mental Health Home Care Bridges Clozapine Clinic ER Liaison Nurse (Intake) Acute Care Psychiatric Consult Liaison Services Child & Youth Community: Centralized Intake Children’s Services (including school/ daycare consultation) Rural Consultation Program Young Offenders Youth Community Counselling (including Outreach) Youth Day Program Youth Recreation Therapy Programs Adult Community: Centralized Intake (Assessment & Treatment) Adult MH Counselling and psychiatry services Alternatives to Violence Program Sex Offender Treatment MH Recovery Services Early Psychosis Intervention Program Maternal Mental Health Program McKerracher Recovery Program & Residential Services Seniors Mental Health program Methadone Assisted Recovery Services Adult Outreach Services Community Addiction Services Tobacco Cessation Family Program Concurrent Disorders Addictions Corrections Initiative FASD Prevention Program Problem Gambling Program Mental Health Court Services Connecting to Care Programs/Services delivered by SHR-MHAS

14. Other publicly provided services, Community Based Organizations and Private Delivery • Schools, Justice services, Social Services • Crisis units • Counselling agencies (eg Family Service Saskatoon, Catholic Family Services) • Canadian Mental Health Association, Schizophrenia Society, other local services • Addiction support such as residential treatment centres, AA, NA, Al-Anon • Residential supportive living (eg shelters, temporary and long-term housing)

15. On-line access • HealthLine: Call 811 • http://www.saskatchewan.ca/live/health-and-healthy-living/manage-your-health-needs/healthline • http://www.saskatchewan.ca/live/health-and-healthy-living/provincial-health-system/saskatchewan-health-regions/health-regions-and-services-map?userLat=50.454722&userLong=-104.606667&searchRadius=25&address=regina • https://www.onlinetherapyuser.ca/

16. Online therapy • https://www.youtube.com/watch?v=stGQI5p3CSE

17. When should I seek mental health services? http://www.health.gov.sk.ca/mental-health-faq • In general it is a good idea to seek professional help for a mental health problem when: • A symptom becomes severe or disruptive; • A symptom becomes a continuous or permanent pattern of behaviour and does not respond to self-care; • Symptoms become numerous, affecting many or all areas of your life, and do not respond to self-care or the help of others; • You feel out of control, extremely anxious or deeply depressed; • You are thinking about hurting yourself or someone else.

18. Questions/Comments?