understanding concurrent disorders history a proposal, strengthening community supports for...
TRANSCRIPT
Understanding Concurrent Disorders
History• A proposal, Strengthening Community
Supports for Concurrent Disorders– Reduce ED visits
• SIGMHA – Data Analysis Findings• Quality Task Team identified 10 strategies
– Including: • Intensive Case Management (Concurrent Disorders)• Bridging Program from ED to Community Services• Home based Withdrawal Management Program
One Program – 3 Services
Crisis Management Support(St. Elizabeth’s Healthcare, COAST (CMHA-HRB)
Concurrent Disorders Case Management(Trillium Healthcare, CMHA-HRB)
Community Withdrawal Management Services(PAARC, ADAPT)
CCDP is dedicated to strengthening community supports for individuals with substance use concerns or a combination of mental health and substance use concerns (i.e. Concurrent
Disorders) through the provision of an integrated continuum of services.
Reducing ED visits by 10% and return visits by 80%
Our Mission
Crisis Management Support
• Immediate 24/7 Telephone Response to provide support and arrange follow-up
• Crisis support in the client’s home or in the Community
• Provides support while being linked to addiction, mental health or community services
Case Management
• Assessment of client’s current situation• Provides support to identify and develop goals
around substance use and mental health needs
• Facilitates referrals and linkages to community supports and services
Community Withdrawal Management Services (CWMS)
• Offers an alternative to residential withdrawal management for individuals who can safely withdraw from substances in a supportive community environment
• Works with the client to develop a safe plan for withdrawal
• Provides monitoring and support during all stages of withdrawal
17 Staff Positions
Crisis Management Support(CMHA- HRB COAST – 1 FTE Concurrent Crisis Worker)
(Mobile Crisis or Peel – 2FTE Concurrent Crisis Worker)
Concurrent Case Management(CMHA-HRB 5 FTE Intensive Concurrent Case Managers)
(Trillium Health Care – 2FTE Intensive Concurrent Case Managers)
Community Withdrawal Management Services &Transitional Case Management
(ADAPT – 3 FTE Withdrawal Management Counsellors / Transitional Case Managers, 1 FTE RN, 1 FTE RPN, 1 FTE Program Manager/Counsellor)
(PAARC – 2 FTE Transitional Case Managers)
Transitional Case Management
• Offers support during transition from CWMS to additional Mental Health or Addiction or Concurrent Disorders Services
• May include pre and post withdrawal support
Steering CommitteePurpose: to oversee the development and
implementation for the initiative and to uphold obligations to the LHIN.
• In addition, Promote inter-organizational collaboration• A framework for decision making• Key representatives from other organizations• Chaired by the CEO CMHA-HRB
Key Roles and Working Groups• Implementation Co-ordinator – Nora McAuliffe• Program Evaluator – Peter Mueller
• HR & IT Working Group• Communication & Education Working Group• Process Working Group
HR & IT Working GroupPurpose: To look at the potential for joint recruitment
and hiring processes. (need to add in IT purpose)
• Common Data Base (CRMS)• Laptops from Lead Agency• Common Training
Communication & Education Work Group
The group’s primary task was the design and implementation of a joint orientation package for new team members.
• Common language• Knowledge transfer• Promote common practices• Team building
Process Working GroupPurpose: To develop protocols and processes for each
component of the program and make recommendations to the Steering Committee on policies and structures.
• Comprised of Team Leads, Clinical Managers/ Directors from participating agencies
• Development and implementation of integrated practices
• Development of collaborative processes
Process Working Group - 2• Referral Processes for Hospital Crisis Services• Community Referrals
– Common Intake Service– No wrong door
• Eligibility Criteria• Consent to service• Common Referral, Admission Criteria,
Screening & Assessment Processes• Client & Community Brochure
Guiding PrinciplesThrough the provision of integrated, continuum of services to reduce the usage of Emergency Departments, CCDP is dedicated to the following principles:
•Client centered, empathic, respectful, hopeful, individualized, holistic, flexible, supportive, non-judgemental and comprehensive services•Philosophy of care (individualized and harm reduction)•Concurrent Disorders is the expectations not the exception•Welcoming and Accessible•Continuity of Care•Integrated services and processes
Info & Referral
No Wrong Door Approach Through any participating organization.
Lessons Learned
Moving Forward
Program Evaluation
• Peter Mueller – Program Evaluator• Evaluation Framework (Matrix)• Focus Group• Client Surveys
Thank You!
Presented by:Carrie WoodcockProgram Manager ADAPT CWMS
Jason BarrManager CMHA-HRB Coast Program
Funding for CCDP has been provided by the Mississauga Halton Local Health Integration
Network (MHLHIN)
Q & A