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Narcotics Strategy and OTN DRAFT

Narcotics Strategy and OTN DRAFT. Current State of Addictions. Addictions-funded HSPs in 12-13 f ive in total partnered with two outside Central West u p from four in 11-12 Landscape in 10-11 two HSPs 1,331 service recipients

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Narcotics Strategy and OTN DRAFT

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  1. Narcotics Strategyand OTNDRAFT

  2. Current State of Addictions • Addictions-funded HSPs in 12-13 • five in total • partnered with two outside Central West • up from four in 11-12 • Landscape in 10-11 • two HSPs • 1,331 service recipients • case management, assessment and treatment, withdrawal management • Higher than provincial average use of cocaine

  3. Current State of Addictions

  4. Concurrent Disorders* • 25 cross-sector member organizations of the Concurrent Disorders Network • wide adoption and implementation of GAIN Short Screener • 1,640 completed by spring 2012 • 456 clients endorsed high mental health and substance use in past year • 219 in past month

  5. Osler Repeat Visit Study • Conducted client chart audits • Covered records from Q3 and Q4 10-11 • Substance use repeat visitor profile: male, mid 30’s, alcohol

  6. Dual Diagnosis Snapshot • Four providers identified 54 complex cases in 2011 records • Addictions, developmental disability, trauma, mental illness • 28% of clients had a concurrent disorder

  7. Dual Diagnosis Snapshot • 92 of 149 visits attributed to six individuals • 40 clients had average inpatient stay of 93 days • Half the clients lacked treatment direction

  8. Narcotics Strategy • Narcotics Safety and Awareness Act (2011) • Strategy driven by an MOHLTC Expert Panel • Proper use, prescribing and dispensing of prescription narcotics and other controlled substance medications • Ensure that people who need them continue to have access • Reduce the misuse, addiction, unlawful activities and deaths related to these medications

  9. Local Narcotics Strategy • OTN units allocated in 11-12 as per approved Central West LHIN plan • $1M funded in 12-13 as per MOHLTC directive • Pregnant/parenting women and individuals with opioid addictions • Provincial framework

  10. Local Narcotics Strategy • Service Delivery partners include: • Canadian Mental Health Assoc./Peel • Family Transition Place • Jean Tweed* • Peel Addiction Assessment & Referral Centre* • Punjabi Community Health Services • William Osler Health System

  11. Local Narcotics Strategy • Community Treatment • pregnant/parenting women, individuals • targeted populations include South Asian residents and youth • community workers and limited nursing • Case Management – MMT • priority is pregnant/parenting women • Community Development

  12. Local Narcotics Strategy • Clinical Coordinator • collective efficacy to provincial framework and functional centres as defined • cross-sector service partnerships • development of Addiction Services Strategy • OTN Facilitator • multi-site support including for scheduling, procedures development, training, troubleshooting • Work Group

  13. Meeting Needs with OTN • Improve access by rural, suburban, and urban residents to services • Build on existing eight community mental health and addiction service providers • Neutralize the travel distance between residents and services and between services • Create addiction and mental health “service locations” across the LHIN

  14. Meeting Needs with OTN • Enhance capacity to respond where clients present e.g. emergency departments, shelters • Better connect health resources to addiction and mental health services • Facilitate cross-LHIN boundary service delivery e.g. consultations, sessionals

  15. OTN Sites • See handout • sites overview including unit type • mapped to show geographic coverage • indicates type of organization • Health • Mental health • Addictions • MH&A

  16. OTN Resources for Strategy *Phase 2

  17. Unit Installation Status

  18. Issues Identified • Installing the OTN units • Building the team (incl. role clarification) • Establishing e-management • OTN scheduling system • communication • coordination • common language • Training (certification) and Uptake (incl. barriers) • Integration of OTN to clinical practices • Promotion • Modelling use of OTN • Priorities for Access

  19. Next Steps • Determine an approach to connect work of LHIN TH/TM Committee and Narcotics Work Group • TH/TM Committee to share work to date and plans with Work Group • Work Group developing an implementation plan and related work plan

  20. Contacts Christine Devoy, CMHA/Peel devoyc@cmhapeel.ca Wendy Ross, WOHS wendy.ross@williamoslerhs.ca Suzanne Robinson, Central West LHIN suzanne.robinson@lhins.on.ca

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