who, what, and how navigating the system prepared and presented by: julia valley, msw youth...
TRANSCRIPT
WHO, WHAT, AND HOW
Navigating the System
Prepared and Presented By: Julia Valley, MSW
Youth Community DeveloperWestern Ottawa Community Resource
Centre
Youth Services in Ottawa Mental Health Addictions Counselling Housing Sexual Health GLBTTQ Immigrant Miscellaneous Community Health and Resource Centres Adolescent Health Clinic
Strategies to Help Navigate For Support Staff For Parents
Discussion
Session Overview
MENTAL HEALTH
Youth Services
Youth Services Bureau (YSB) www.ysb.on.ca; 613-729-1000
Provides services for youth, ages 12-20 Programs include mental health, community,
housing (emergency and long-term), employment, and justice services
Youth Services Bureau
Mental Health Services include: Multi-Systemic Therapy - 613-562-3004
Intensive, home-based family preservation program for youth (ages 12 to 18) who are at risk of out-of-home placement due to significant antisocial behaviour
WrapAround Ottawa – Referrals via the Coordinated Access Committee Helps families and individuals (up to the age of
20) create a team of friends, community members and professionals to support them in dealing with complex problems
Youth Services Bureau (continued)
Child, Youth, and Family Crisis Line – 613-260-2360 24/7 crisis line for children, youth, and parents (up to age 18) Has mobile capabilities so that in-home supports may be
possibleCrisis Unit
Short-term crisis stabilization unit, ages 12-15 Can stay up to 5 days, although stays are usually 3 days Parental involvement essential
Mental Health Walk-In Clinic Tuesdays and Thursdays, 12:00-20:00 (last appointment at
18:00) Short-term counselling may be arranged following walk-in visit
Youth and Family Counselling - 613-562-3004 Ongoing counselling for youth/ their families on various issues
Youth Services Bureau (continued)
Mental Health Walk-In Clinic
Child, Youth,
and Family Crisis Line
Youth & Family
Counselling
Services Intake
Crisis Unit
Downtown Drop-In
Young Men and Young Women’s
Shelter
Accessing Services
Provides physical and mental health treatment for children and youth, ages 0-17 Intake can come via the Emergency Department,
Urgent Care, and/or a physician's referral
Emergency
Urgent Care Inpatient
Day Treatmen
t
Outpatient
*Abuse & Trauma*ADHD/Disruptive Disorders*Consultation*Eating Disorders*Mood & Anxiety
*Back on Track (adolescents)* Centre Ado du Millennium (adolescents)
Children’s Hospital of Eastern Ontario
Provides mental health treatment for youth and adults, ages 16 and older Intake for the Youth Psychiatry Programs are done via
CHEO’s Centralized Intake, with a physician’s referral Intake for the Adult Psychiatry Programs are done via a
physician’s referral or through another hospital
YOUTH (ages 16-18)
ADULTS
Inpatient Anxiety Depressive Disorders
Partial Hospitalization
Mental Health & the Law
Occupational Stress & PTSD
Day Treatment Recovery Schizophrenia
Outpatient Sleep Substance Use & Concurrent Disorders
The Royal
Emergency Psychiatric Services – Civic and General Campuses
Mobile Crisis Team Physician or community agency referral required
Inpatient Services – Civic and General CampusesDay Hospital – Civic and General Campuses
Physician referral requiredOutpatient Services – Civic and General Campuses
Physician referral requiredOn Track: The Champlain First Episode Psychosis
Program No physician referral required
The Regional Centre for the Treatment of Eating Disorders Age 18 and over Physician referral required
The Ottawa Hospital
Queensway-Carleton Hospital – Ages 16 and over Emergency Psychiatric Services Inpatient Services Outpatient Services
Hôpital Montfort – Ages 16 and over Emergency Psychiatric Services Inpatient Services Day Hospital Outpatient Services
Outlying Hospitals Youth over the age of 16 will likely be able to access
treatment at their community hospital or in the community hospital’s Emergency Department
Youth under the age of 16 will likely be re-directed into Ottawa or to a community-based agency within their town to receive services
Other Hospitals
Child, Youth, and Family Crisis Line 613-260-2360 or 1-877-377-7775
For children and youth up to age 18, and their parents
Kids Help Phone 1-800-668-6868
For children and youth, ages 5-20
Distress Centre of Ottawa 613-238-3311
Mental Health Crisis Line 613-722-6914 or 1-866-996-0991
For ages 16 and older
Crisis Supports
ADDICTIONS
Youth Services
Dave Smith Youth Treatment Centre www.davesmithcentre.org; 613-594-8333
Residential Treatment Family Services
Rideauwood Addiction and Family Services www.rideauwood.org; 613-724-4881
School-Based Program Youth Continuing Care Program (ages 15-17) Youth and Young Adult Substance Abuse Program (ages
18-24) Family Spiral and Parent Program (runs on a monthly
basis) Individual Counselling (usually less than a 2 month wait)
Addictions Services
Sandy Hill Community Health Centre (*Services Available City-Wide) 613-789-8941
Individual Counselling for Youth, Parents, and Adults Wait is based on need (i.e. “triage”)
Serenity Renewal for Families www.serenityrenewal.ca; 613-523-5143
Has sliding fee scale but identifies that no one will be turned away Programs for January-June 2013
• Photovoice, ages 12-16• Teen Group, ages 13-16• Girls Group, ages 12-14• Partying 101, ages 16-25• Healthy Communications (for Parents and Youth, ages 9-16)
Withdrawal Management Centre www.cgso.ca; 613-241-1525 Non-medical centre to assist with managing the effects of withdrawal Ages 16 and over
Addictions Services
COUNSELLING
Youth Services
Catholic Family Services www.cfsottawa.ca; 613-233-8478
Individual Counselling Sliding Fee Scale
Family Services Ottawa www.familyservicesottawa.org; 613-725-3601
Individual Counselling Sliding Fee Scale ($5.00-$100.00) 2-3 month wait
Parenting Groups
Jewish Family Services www.jfsottawa.com; 613-722-2225
Individual Counselling Sliding Fee Scale
Counselling Services
Christian Counselling Ottawa www.christiancounsellingottawa.ca; 613-729-8454
Individual Counselling Sliding Fee (and fees can often be covered or reduced
significantly by client’s church or by seeing a student counsellor)
No wait list
St. Paul’s University Counselling Training Program 613-782-3022
Individual Counselling, ages 17 and over Sliding fee scale ($5.00-$70.00) Wait is no more than a month
University of Ottawa Counselling Training Program 613-562-5289
Individual Counselling, for youth and adults Sliding fee scale (maximum of $50.00) Wait for youth counselling is 3-4 months Wait for adult counselling is 8 months
Counselling Services
Employee Assistance Programs Some employers provide access to Employee Assistance
Programs (EAP) EAP programs offer short-term counselling (usually 6-10
sessions) EAP counsellors may be able to assist with resolving the issue,
providing “bridging” until another service provider is in place, or providing referrals to other services
EAP programs also frequently offer some type of 24/7 crisis service
Private Practice Counsellors Fees can vary but may be covered by extended health plans Counsellors/social workers/psychologists can be researched
online via numerous sites Examples include:
www.findasocialworker.ca www.cpo.on.ca
Counselling Services
HOUSING, SEXUAL HEALTH, GLBTTQ, IMMIGRANT, AND MISCELLANEOUS
Youth Services
City of Ottawa Emergency Shelter Placement Assistance 613-560-6000, business hours 3-1-1, after hours
YSB Young Men’s Emergency Shelter 613-907-8975
YSB Young Women’s Emergency Shelter 613-789-8220
YSB Transitional and Long-Term Housing Programs http://www.ysb.on.ca/index.php?page=housing-and-shelter&hl=eng
Housing Help www.housinghelp.on.ca; 613-563-4532
Information, advocacy, and referral Assists with finding private market, supportive, and affordable housing
Housing Services
Sexual Health Centre 179 Clarence Street
Satellite Sexual Health Clinics 4 all-ages clinics (Kanata, Barrhaven, Orleans, Ottawa
West) 6 youth clinics (South Carleton H.S., West Carleton
Secondary School, Sir Robert Borden H.S., Osgoode Township Morrow House, Operation Come Home, YSB Downtown Drop-In)
http://ottawa.ca/en/residents/public-health/sexual-health/sexual-health-centre
Sexual Health Services – Ottawa Public Health
Planned Parenthood Ottawa www.ppottawa.ca; 613-226-3234
Information and Referral Options Support Program ([email protected])
St. Mary’s Home www.stmaryshome.com; 613-749-2491
Residence Young Parent Outreach Centre (includes counselling, life
skills and parenting programs, health care)
Sexual Health Services – Community Agencies
Ottawa Rape Crisis Centre www.orcc.net; 613-562-2334 (office line)
Crisis Line (613-562-2333 ) Crisis Counselling
Available to individuals over 16 years old Long-Term Counselling
Available to individuals over 16 years old
Sexual Assault Support Centre of Ottawa www.sascottawa.org; 613-725-2160
Information and Referral Support Groups (may be available)
Sexual Health Services – Sexual Assault Supports
Pink Triangle Services www.ptsottawa.org; 613-563-4818
Discussion and Support Group for Youth Parenting Group
Gay Zone Gaie www.aco-cso.ca/gayzonegaie; 613-580-2610
Sexual Health Clinic Education/ Health Promotion Activities Social Events (book club, men’s yoga)
GLBTTQ Youth Mental Health Counselling 613-233-4443
Provided by a counsellor out of the Centretown Community Health Centre Services available city-wide
GLBTTQ Services
Ottawa Community Immigrant Services Organization www.ociso.org; 613-725-0202
Individual Counselling Sliding fee scale but waived for individuals on limited incomes
Youth Counselling – Group Format Community Integration Programs
Settlement Work Multicultural Liaison Officer Program
Catholic Immigration Centre of Ottawa www.cic.ca; 613-232-9634
Supportive Counselling Settlement Services Various Youth Programs
Immigrant Services
Family DoctorWalk-In Clinics2-1-1/ Community Information Centre of Ottawa
http://ottawa.cioc.ca Youth Net/ Réseau Ado
613-738-3915Elizabeth Fry Society of Ottawa
www.efryottawa.com/services.html#youthservicesParent’s Lifeline of Eastern Ontario
www.pleo.on.ca Children’s Aid Society of Eastern Ontario
www.casott.on.ca Up to age 16
Miscellaneous Services
14 Community Health and Resource Centres cover all areas of the City of Ottawa
Services are provided to individuals based on geographic catchments
Services vary between centres but may include: Individual Counselling Sexual Health Services Youth Drop-In Centres Youth Social and Recreational Programs Youth Community Development/ Health Promotion
Visit www.coalitionottawa.ca to determine which CHRC is closest to you
Community Health and Resource Centres
613-737-3664
CHEO’s Adolescent Health Clinic
FOR SUPPORT STAFF AND FOR PARENTS
Strategies to Help Navigate
Try to identify what the issue actually is If the person can receive service from a specialized
agency (i.e. housing, sexual health), the wait may not be as extensive
Connect with your local Community Health and Resource Centre Can help with connecting with other agencies Can offer free, short-term individual counselling for the
youth – but also for the parent(s)Think about CHEO’s Adolescent Health Clinic
Services for youth up to age 18 While the Adolescent Health Clinic will not see youth
with severe psychiatric illnesses or eating disorders, they can potentially assist with many other challenges
Strategies to Help Navigate
If counselling is needed, think about counselling options outside the “norm” EAP or private therapists (if the person has extended health
coverage) Family Service Centres or counselling training centres (like St.
Paul’s University or University of Ottawa)Know that being on more than one waiting list is not
a bad thing Getting called to receive service when you don’t need it
(because you’re already receiving support from somewhere else) is better than waiting for one agency to call you back
Be careful not to provide too many options for referrals/ next-steps Offering too many options can be overwhelming Often no more than three (3) steps/referrals are appropriate
for individuals who are struggling
Strategies to Help Navigate
Connect with a family physician (if not already done) – or a walk-in clinic, if necessary Can provide a referral (if psychiatric support is required) Can provide medication and monitoring, if required Can serve as a central liaison for other service providers
(depending on relationship with physician) May be an easier person to access with a shorter wait
time May be able to provide therapeutic support
Make use of YSB’s “as needed” services Provides support while waiting for other services May provide other service providers with additional
information about what is going on in youth’s situation May assist with the triage process May result in some short-term follow-up care
Strategies to Help Navigate
Strategies for Parents to Help with Navigation
Be an advocate Learn how to assertively ensure your youth’s situation is seen as
unique – without being aggressive or rudeReach out to other parents (i.e. via PLEO, through
Parent Support or Education Groups) Parents who have experience navigating the system will likely
offer suggestions to help as you try to navigate as well Can help to normalize experiences and emotions
Educate yourself about what is going on in your youth’s life – as well as about the system Learn – not only about the “disorder” or “diagnosis” – but also
about the available services and about ways in which to strengthen your interactions with your child
Ask questions – write them down – and write down the answers This ensures that you get the answers you need and gives you the
opportunity to have the time with the service provider that you need
Do not forget about your own mental health Ask for help when you need it – rely on family and friends Connect with a counsellor for support, if required
Trust your instincts If you feel as though something is going on with your
youth (or that something has changed), do not minimize what your instincts are telling you
If you feel as though your youth is at immediate risk, bring him/her to an appropriate hospital Emergency Department
Emergency services are available, if required 9-1-1 is available for life-threatening emergencies Ottawa Police Service is available if a person is at
immediate risk of harming him/herself or others
Strategies for Parents to Help with Navigation
Questions?
For more information…
Julia Valley, MSWYouth Community Developer
[email protected], ext. 251
Western Ottawa Community Resource Centrewww.wocrc.ca