Kenora Substance Abuse and Mental Health Task Force

1. Kenora Substance Abuse and Mental Health Task Force “Making our community better by preventingsubstance abuse”

2. Agenda: 9:00am – 9:15am ~ Welcome & Introduction of new coordinator 9:15am – 10:30am ~ MCSCS: Community Safety and Well-Being Planning Pilot Leads 10:30am – 10:45am ~ Break 10:45am – 12:30pm ~ Pillar Updates 12:30am – 1:30pm ~ Lunch 1:30pm – 3:00pm ~ Winnipeg Biz Members: Rick Joyal, Jason Syvixay and Kristy Rebenchukpresentation

3. Who we are….. • a collaborative group of over 35 local community partners (approximately 139 members). • work with our community and various organizations to improve overall health, aiming to more effectively protect those at risk of harm from concurrent issues, associated abuse and homelessness. • Task Force Coordinator….. • Please welcome Patty Letourneau

4. Meet and GreetKendall House Bed & BreakfastDecember 11th12:30 – 2:30Sponsored by Canadian Tire and Copperfin Credit Union Patty LetourneauCoordinator Contact Information: Office – 547-4100 Cell – 464-4004 Email – ksamhtf@kmts.ca

5. Year One Work Plan 2014-2015

6. Community Safety and Well-Being Planning Pilot Leads Ontario Ministry of Community Safety and Correctional Services

7. Break…

8. Pillar Updates

9. Treatment Pillar

10. Children & Youth: Our focus: • to work along with the Youth Justice Service Collaborative to assist them in bringing about some positive systemic change in the larger youth justice service network. • to educate the youth justice service network on moving towards a more ‘trauma informed’ model of service delivery that is better suited to the historic and devastating legacy of loss that has earmarked our region’s aboriginal communities. Treatment

11. Such a shift will hopefully move people from working in isolation to working out of a collaborative community based model that: • Moves from looking at what’s wrong with a youth… to better understand what has happened to the youth and a recognition of the skills and abilities that they bring with them as we move towards finding solutions. • Moves from reacting to and ‘working on’ the youth… to ‘working with’, building relationships and supporting the youth in developing a sense of community and finding their way forward. Treatment

12. Shifting from seeing the youth as lacking skills/abilities… to seeing the youth as being a resourceful survivor that often feels overwhelmed by life events over which he/she has largely had little to no control through his/her growing years • Sharpening our focus on working more effectively with the higher risk youth who consume a great deal of our local service resources. Treatment

13. We feel that great strides have been made locally both through: • the Northwestern FASDClinicadvisory network which have received Ministerial funding to carry on with our diagnostic clinics. The clinic has set the goal of doing 40 assessments in the 2014/15 year. These clinics are being held in Fort Frances, Sioux Lookout and Kenora. • The Youth Justice Service Collaborative have contracted with the KlinicProgram (Winnipeg) to conduct an ongoing series of trainings in 2014/15 for local service providers in ‘Becoming Trauma Informed’ service providers and agencies. The collaborative is also arranging for a local training in using the Gain SS mental status screening tool in the New Year. Treatment

14. The ‘Open Doors’ after-school program has been launched successfully at Beaver Brae Secondary School on Thursdays from 3:30 to 4:45 PM. The Kenora Circus program has partnered with the OPP on this and more recently the Northwestern Health Unit has stepped up to offer an after-school program on the Mondays. Treatment

15. Adult: Our goals: • Identify gaps in service • Improve communication and coordination between service providers • Work together in the spirit of collaboration to enhance the treatment system • Collaborate to improve local training opportunities Treatment

16. Over the past year we have worked on the following initiatives: Treatment

17. Kenora Drug Treatment Court • The KDTC will increase public safety by addressing root causes of crime. The KDTC will: • Monitor and support offenders as they work to end their dependence on illegal drugs • Reduce the number of crimes committed to support drug dependence • Reduce the harm people cause themselves and others through their drug use • The court started in January 2013 and has been set up as a demonstration project with small numbers. Treatment

18. Kenora Drug Treatment Court Vision: To break the cycle of drug use, criminal behaviour and incarceration by establishing a partnership between courts, treatment and community agencies. After input from community partners this court has extended it’s mandate to include Alcohol Offenses. Treatment

19. Kenora Drug Treatment Court • The Drug Court discussion group, • comprised of agencies that provide • support through the forensic system, • met to discuss gaps in services. • From that discussion the • following groups were offered • at the Kenora District jail: • Structured Relapse Prevention • Mindfulness Treatment

20. MAP – Managed Alcohol Program Managed Alcohol Programs are designed for chronic alcoholics, many of whom have long histories of public intoxication and regularly consuming non-palatable alcohol products. Clients live in a residence, participate in the up-keep of the residence and follow the house rules. They, in return, are given one standard drink of wine in 90 minute intervals beginning at 8:30 am and continuing until 4:00 pm. There will be a two hour interval between 4:00 pm and 6:00 pm for dinner services where no alcohol is served 90 minute intervals will then commence from 6:00 pm until the final services at 12:00 am. If a client is unable to present themselves at the server, they will not be given alcohol. Treatment

21. MAP – Managed Alcohol Program Studies show that MAPs impacts clients, government and the local citizens in a positive manner. Clients have improved hygiene, sleep habits, improved general health and perceived happiness. MAPs also serves as the first step towards beating an addiction formerly thought to be insurmountable. Relevant studies also found that MAPs offered measured savings in the form of fewer police calls, fewer emergency room (ER) visits and better overall health. Treatment

22. MAP – Managed Alcohol Program • UPDATE: • Working group comprised of the agency Lead Changes Recovery Homes, the City of Kenora, OPP, Northwestern Health Unit and Lake of the Woods District Hospital working on the following areas: • submitted a proposal to the LHIN’S for funding • investigating other funding support options for capital expenditures as well as ongoing funding • visited other services to review operational policies and procedures, funding, medical supports, intake process, facility layout, dosage monitoring, etc. • reviewing potential sites • We are hoping to add a Managed Alcohol Program option to our treatment continuum in the near future. Treatment

23. Our Education Goals Include: • collaboratively offering community education, Health fairs • information packages as part of the OPP RIDE Program • yearly education session for the forensic system • yearly education sessions as part of Drug Awareness Week Treatment

24. Harm Reduction Pillar

25. What is Harm Reduction? • Seatbelts • Smoke detectors • Life jackets • Condoms • Needle exchange Harm Reduction

26. Harm Reduction Program Principles Meeting people where they are at Realistic, obtainable goals Do no harm Drug use through Public Health lens Recognizes the value and dignity of every human being Harm Reduction

27. 4 Programs: • Safe Needle Disposal • Overdose Prevention Program • Needle Exchange Program • Ambassador Program Harm Reduction

28. Safe Needle Disposal Harm Reduction

29. Overdose Prevention Program Goals • Prevent overdoses- prevention education • Prevent overdose deaths- recognizing signs of OD, know what to do (& what not to do), Naloxone Harm Reduction

30. About Naloxone • A prescription medication • 1 supplier in Canada – Sandoz • Average cost: $11.35/ ampoule • Reverses opioid overdose Harm Reduction

31. Harm Reduction

32. Needle Exchange Program Goal Reduce the incidence and burden of blood borne infection to the individual, the community and to protect the health of the entire population. Harm Reduction

33. Needle Exchange Program Harm Reduction

34. Harm Reduction

35. Needle Exchange Program Costs 1 box of needles = $10.92 1 injection kit = $2.00 with assembly 1 Hep C treatment = $26,000 at $2000/month 1 Liver transplant = $120,000-$690,000 Canadian Medical Association 2003 Harm Reduction

36. Peer Ambassador Program “….peer workers are the bridge or conduit between service users (or potential users) and the agency” Toronto Harm Reduction Task Force Harm Reduction

37. Peer Ambassador Program Provide info PHN Role Model Safe Drug Use Drive Program/ Relevant Services Community Based Outreach Improve Access to Services Advocacy Education Improve Health of Clients Harm Reduction

38. Substance Misuse Alcohol - The Price • World Health Organization identified alcohol as a leading risk factor for chronic disease • Linked to more than 60 diseases including: • cancer • gastrointestinal diseases • neurological disorders • cardiovascular disease (especially stroke) • negative impacts on the developing fetus Harm Reduction

39. The Cost of Substance Misuse in Canada (in Billions of Dollars) Harm Reduction

40. Harm Reduction

41. “Individuals who use drugs do not forfeit their human rights” Navi Pillay UN High Commissioner for Human Rights Harm Reduction

42. EnforcementPillar

43. “Holding Offenders Accountable with Appropriate Linkages to Community Support” Enforcement

44. Challenges: Alcohol and drug use - continue to fuel the vast majority of violence, property crime, street crime and disorder Substance Abuse Prevention = Safe and Secure Community Enforcement

45. Total Detachment Occurrence Information Enforcement

46. Miscellaneous Enforcement Enforcement

47. Priority Risks in Community: • Drugs • Alcohol • Alcohol related deaths – homelessness • At risk youth • High risk repeat offenders • High crime multi-unit residences • Bullying – community wide, not just schools • School violence (and prevention) Enforcement

48. Initiatives: • Focus on High Risk Repeat Offenders • Support to Drug Treatment Court • Support to Alcohol Court • Support to Mental Health Court • Support to proposed Managed Alcohol Program • BMHS – Brief Mental Health Screener • Mental Health referrals and Protocols • At Risk Youth Enforcement

49. Prevention/EducationPillar

50. LCBO: Kenora store • The store participated in the Big Belly poster and awareness campaign for FASD. There was an interactive display outside the store for customers to get more information. • Challenges are: • where under the age of 25 is in question • impaired individuals trying to purchase • suspected second - party sales • Numbers are tracked by staff pressing the Challenge Button on the till and then are prompted to ask additional questions. • In 2012-2013, the store tallied just over 15,233 challenges. • In 2013-2014 it rose to 18,261 including 1930 customers who were refused service. Prevention