Toward A Work Plan

1. Toward A Work Plan Service Systems Advisory Committee Steve Lurie January 2008

2. Context • Advisory Committee Role • Provide input to Commission priorities- i.e. anti-stigma campaign, knowledge transfer • Help the Commission write the “how to” elements of the service system components of the mental health strategy • Committee process needs to be focused, but transparent and open to stakeholder input

3. Context • Senate Committee report details numerous service delivery system issues including but not limited to: • Areas of federal jurisdiction: immigrants and refugees, corrections, Aboriginal and Inuit funding and service delivery • Provincial systems issues: supportive housing, basket of services, funding, concurrent disorders, peer support, integration, to name a few

4. Context • Framework from Crossing the Quality Chasm/Improving Quality of Health Care for MH and Substance Abuse (Institute of Medicine) should anchor our work • Recommendations/ strategies should focus on one or more of the following issues: • Patient/consumer centred care> care coordination> improve quality and evidence base> improve informatics>strategic mental health workforce planning> funding

5. Context • Committee needs to be strategic in selecting issues, also needs to consider issues that will be raised during the roundtable discussions across the country and the “advice” the Commission receives from stakeholders • Commission resources to support committee activities will determine/influence scope of work undertaken

6. How we will work • Membership reflects a range of stakeholders and members have content expertise on some of the areas the committee could be looking at, e.g. peer support, diversity, telemedicine, collaborative care, chronic disease management • Project work will be done by task group/ subcommittee drawn from sectors which are the focus of the project

7. How we will work • Suggested approach is a variation on “Plan, Do, Study, Act” (National Primary Care Development Team 2003) • Review Issue> Study> Propose Action>Get feedback> Recommend action strategies to the Board • Allows for strategic selection of time limited projects and stakeholder participation

8. Year 1 Project Proposals • Supportive Housing readiness survey- survey the readiness of regional and local systems across the country to develop 57,000 supportive housing units over the next 10-15 years. Review will include an assessment of housing options required, financing options, services and supports that need to be available- Aligns with Commission pillars: Choice, Community Support Systems, will also contribute to KEC and anti stigma campaign

9. Proposed Year 1 Projects • Diversity: Towards an understanding of issues, best practice and options for service development to meet the needs of ethno-cultural groups, immigrants, refugees and racialized groups-review progress or lack of it on meeting the mental health needs of immigrants and refugees since the publication of After the Door Has Been Opened (1988) and the mental health implications of the 2006 census in relation to the social determinants of health- aligns with Commission pillars of choice and community support systems and will also contribute to KEC, anti stigma

10. Proposed Year 1 Projects • Dual Diagnosis strategy development- review national research undertaken by NADD through a stakeholder consultation- aligns with community support

11. Proposed Year 1 Projects • Review of Peer Support across Canada- RFP to identify range of services, promising practices and cost effectiveness- aligns with choice, community support pillars, will contribute to KEC

12. Projects- years 2-3 • interface between primary health care and mental health care e.g. prevention, shared care and chronic disease management. Aligns with Commission pillar of integration- will contribute to KEC • Resources required and available for projects will influence selection