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Enhancing Addiction Services: Current State and Local Strategies in Central West

Explore the current state of addiction services in Central West, including funded programs, dual diagnosis snapshots, Narcotics Strategy initiatives, and local strategies targeting specific populations. Learn about collaborations, service delivery partners, and OTN resources for enhancing addiction services in the region.

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Enhancing Addiction Services: Current State and Local Strategies in Central West

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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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