Ministry of Health

Mental Health and Addictions PlanThe Roadmap to Wellness

March 2020

2

Current State

500,000people per week across

Canada call in sick

because of MHA issues

Every year, more than

1 million Ontarians experience a

mental health or

addiction issue

populations

experience higher

rates of MHA issues

Indigenous and

racialized 50B

the economic burden

of mental health

issues in Canada

Ontario has committed to

investing

over 10 years for MHA

$3.8B

CONFIDENTIAL

The government has been involved in 14 public or public-facing feedback activities related to mental health and addictions over the last five years.

3

MOH FORMER MCYS (NOW MOH)

4 Audits8 Engagement Processes

• Minister Elliott’s engagement sessions across the province on mental health and addictions

• Associate Minister Tibollo’s ongoing stakeholder engagements on mental health and addictions

• Minister’s Engagement - Supervised Consumption Services and Overdose Prevention Sites

• MOH Roundtable of Indigenous Technical Experts

• Dedicated Indigenous Engagement Process on MHA

• Ministry of Health Leadership Advisory Council

• Ministry’s Harm Reduction Advisory committee

• Opioid Task Force

• Addictions• Child and Youth Mental Health• Housing and Supportive Services

for People with Mental Health Issues

• Specialty Psychiatric Hospitals

2 Engagement Processes/Initiatives

• Children’s Mental Health Consultations

• Indigenous Engagement on Youth Life Promotion Initiatives

This work with our stakeholders has built a solid foundation of understanding that was leveraged in the creation of the MHA plan , including the work done by the 2010 Select Committee on Mental Health and Addictions.

Stakeholder Engagement

Roadmap to Wellness represents the most comprehensive step forward in a long evolution of mental health and addictions care in Ontario. For the first time, Ontario is implementing the broad, systemic transformation necessary to enable the effective implementation of the plan to meaningfully improve the quality and availability of services:

4

• Mental Health and Addictions Centre of Excellence – First recommended by the 2010 Select Committee on Mental Health and Addictions, and leveraging the best practices that revolutionized cancer care in Ontario, the centre will serve as a central point of accountability to standardize and monitor the quality and delivery of evidence-based services and clinical care across the province to provide a better and more consistent patient experience. The centre will also be responsible for the effective implementation of the roadmap.

• Core Services Framework – Successive governments have invested money without doing the hard work of understanding gaps in care. The centre will work alongside experts and community-based providers to develop a new core services framework, which will identify a set of core services based on an assessment of population health needs and existing capacity on the ground. In doing so, we will provide all Ontarians with equitable access to a common set of high-quality services.

• Ontario Health Teams – Currently, the system is fragmented and challenging to navigate. OHTs will better integrate mental health and addictions supports with hospitals and primary care providers and community service providers, helping to improve people’s access to these important community-based services and simplifying navigation of the system.

In addition to these broader, systemic transformations that will ensure effective implementation, the new plan will quickly provide increased access to new and innovative services, including Mindability, a first-of-its-kind kind in Canada program that will provide evidence-based cognitive behavioural therapy to equip Ontarians of all ages with the lifelong skills they need to manage their mental health and overall well-being. Unlike past strategies, Ontarians will feel and experience near-immediate and tangible improvements to care.

Differentiating our Plan from Others

CONFIDENTIAL

5

Serving as the foundation on which the new plan is built, the Mental Health and Addictions Centre of Excellence will enable and drive its effective implementation by supporting its four pillars:

1. Improving Quality - A common quality framework will ensure better client care and supports across the care continuum, including community providers, primary care and acute care.

2. Expanding Existing Spaces – Informed by new core services framework, invest in expanding priority programs.

3. Creating Innovative Solutions – Using best practices to inform and build programs that use new approaches to address gaps in care.

4. Improving Access – Making it easier for Ontarians across the lifespan to navigate the mental health and addictions system by enhancing and coordinating existing access infrastructure and by improving transitions between service providers.

These four pillars will address Ontarians’ needs across their lifespan from childhood to adolescence, school age, adulthood and senior years.

Roadmap to Wellness: Four Pillars

CONFIDENTIAL

MHA

Plan

6

Pillars of the Mental Health and Addictions (MHA) Plan

Improving Quality: Enhancing Services across Ontario1

Driving Quality through the

MHA Centre of Excellence

• The MHA Centre of

Excellence will serve as the

centrepiece of Ontario’s

approach to driving quality,

accountability and

implementation.

• Working closely with

partners, the MHA Centre of

Excellence will leverage the

new core services

framework to identify

service gaps, establish

performance metrics, set

service-level indicators, and

identify the data and digital

health needs of service

providers.

Core Services Framework

• Ontario will develop a new

core services framework

that will identify and define

the core publicly-funded

MHA services that will be

made available over time

to Ontarians, regardless of

where they live.

• Core service standards

will also be developed to

set expectations for

providers on how each

core service should be

delivered.

Driving Quality through Data

• The Ministry of Health and the

MHA Centre of Excellence will

advance a data and digital

initiative for MHA that will

include:

o A standard set of

provincial data definitions

and elements for MHA;

o A MHA data repository

with secure linking of

data;

o Real-time access to a full-

range of digital health

records for clients and

providers;

o Advanced data analytics

and reporting.

CONFIDENTIAL

7

Pillars of the Mental Health and Addictions (MHA) Plan

Expanding Existing Services: Investing in Priority Areas2

Child and Youth Mental Health

• The province is committed to

expanding child and youth

community mental health

services and is exploring

innovative approaches to service

delivery, including youth hubs.

Mental Health and Justice

Services

• An integrated continuum of

services for mental health and

justice clients will help reduce the

likelihood of individuals re-

offending, lower incarcerations

and hospitalizations, and

promote recovery and

independence in the community.

Enhancements to safe beds,

including access to addictions

services will support mobile crisis

teams, a model that the province

will aim to expand.

Mental Health Supports for

Police and Correctional Staff

• Through the Ministry of the

Solicitor General, Ontario is

investing in enhanced MHA

training for police and

frontline correctional staff so

that they may better identify

and serve individuals with

MHA issues. Ontario is also

implementing programs to

support the mental wellness

of correctional staff.

Supportive Housing

• Supportive housing

investments will help provide

housing and support for

homeless, low- and

moderate income people

living with MHA challenges.

Services for Indigenous

Communities

• Ontario will continue to work

collaboratively with

Indigenous partners and

communities to co-develop

services that will enable

Indigenous clients to access

high-quality, culturally

appropriate MHA and well-

being services.

Services for Ontario’s

Francophone Community

• Ontario will expand French-

language MHA services

through targeted investments

in French-Language services

and broader investments

across the province

CONFIDENTIAL

8

Pillars of the Mental Health and Addictions (MHA) Plan

Implementing Innovative Solutions: Filling Gaps in Care3

Mindability: Building Lifelong Skills for

Mental Wellness

• In 2020, Ontario will launch Mindability, a

program that provides access to evidence-

based, short-term cognitive behavioural

therapy (CBT) in various forms, for people

living with depression and anxiety.

Supports for Autism Spectrum Disorder and

MHA

• The province is developing innovative

solutions for children and youth on the

autism spectrum who also have mental

health challenges, including:

o providing training and professional

development to autism and mental health

service providers;

o Launching a new service delivery

framework that integrates autism and

mental health care at the local level in

community-based settings.

Expanding Addictions Services

• Investments in addiction treatment services,

from prevention to intensive treatment, will

expand availability across the province,

including through:

o A suite of policies and programs to

address opioid addictions and overdose.

o Additional residential treatment and

withdrawal management services

investments.

o Consumption and Treatments Services,

that help prevent overdose-related deaths

and connect people to primary care,

treatment and other health and social

services.

o Rapid access addiction medicine (RAAM)

clinics, which help people seeking

treatment for substance use issues.

There are RAAM clinics in more than 30

communities and 54 RAAMs operating in

Ontario.

CONFIDENTIAL

9

Pillars of the Mental Health and Addictions (MHA) Plan

Improving Access: A New Provincial Program and Approach to

Navigation4

Coordinated Access to MHA Core

Services

• Ontarians will have a streamlined and

coordinated way to immediately

access MHA information and supports

through:

o One toll-free phone number;

o A website with an online chat

function and client resources.

o Access to in-person MHA navigation

support through regional access

points.

• The provincial access system will

offer:

o Crisis counselling;

o Screening and referral to core

services; and

o General information about MHA.

CONFIDENTIAL

Identifying MHA Services and Supports

• In the future, Ontarians will be able to easily

recognize services through a common quality icon.

• The province, through the MHA Centre of

Excellence, will pursue a quality agenda and set

out the criteria that programs must meet through

service standards and indicators.

• As local services meet the quality standards, the

centre will provide them with an icon for display.

Ontario Health Teams

• The Roadmap will be informed by Ontario’s

broader health system transformation, including the

introduction of Ontario Health Teams.

• Ontario Health Teams will better integrate MHA

supports between hospitals, primary care providers

and community service providers, helping improve

people’s access to these important community-

based services and improving navigation of the

system.

10

Roadmap to Wellness & Mental Health Centre of Excellence

CONFIDENTIAL

11

Going Forward

Winter 2020 Summer 2020 Fall 2020Spring 2020 Winter 2021 Spring 2021

More

Communication

MHA plan

announced, giving

Ontarians a

roadmap to a

comprehensive and

connected MHA

system.

More Services &

Supports

More new MHA

investments to support

frontline services and

plan goals.

More Insight

Results for three pan-

Canadian MHA indicators

released as part of

Ontario’s commitment to

measure access to MHA

services.

More Support

Mindability officially

launches and includes

access to additional CBT

based tools and

supports.

Higher Quality

With proclamation

of the legislation,

the new Mental

Health and

Addictions Centre of

Excellence within

Ontario Health will

be set-up.

More Consistency &

Better Planning

Foundational work to

confirm and define core

MHA services across all

levels of need, providing a

tool for system planners to

map services with a degree

of clarity and precision not

possible with existing data

or tools.

More Access to Therapy

Ontario expands

Mindability, increasing

access to therapy for those

with anxiety and

depression.

More Access to Therapy

Mindability pilots for children

and youth in select regions.

More Evidence for

Decision Making

Progress towards

provincial data standards

across child, youth and

adult community mental

health services so system

quality and performance

can start to be measured

in a reliable and

consistent way.

More Services & Supports, Better

Planning

Ministry of Health (MOH) and

Ontario Health (OH) funding

decisions leverage core services

evidence to build more equitable

access to core services and

address regional service needs.

More Accountability

A key performance

indicator framework is

defined, setting clear

expectations for MHA

service delivery across

Ontario.

Better MHA Access

Going forward, a provincial MHA coordinated

access system –Ontarians have immediate

access to crisis counselling, screening,

referral to core services appropriate for their

needs, and online and virtual resources.

Services and supports are easily identifiable

thanks to the clear display of the common

quality MHA icon indicating high quality,

shared service standards.

More Action

Ontario Health's (OH) CoE will use the

core services framework and best

practices from Cancer Care Ontario,

Health Quality Ontario and clinical

research to identify service gaps,

establish performance metrics, define the

link between services and outcomes, set

expectations-related outcomes and

identify the data and digital health needs

of service providers.

More Access to

Therapy

Mindability

continues to

expand.

*Anticipated timelines contingent on broader system transformation

Anticipated Timeline For Ontario's Mental Health And Addictions

Plan

CONFIDENTIAL

12

Questions?

CONFIDENTIAL