Transcript Mental Health and Substance Use Services

Excellent care
for everyone,
everywhere,
every time.
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Mental Health and
Substance Use
South Island Service Enhancements
March 26, 2014
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Objective
Highlight service enhancements in South Island
Children and Youth
Hard to Reach
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Mental Health & Substance Use Services
Vancouver Island
Acute/Tertiary
Facilities
Assertive
Community
Treatment
Teams
Community
Hospitals &
Services
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Children & Youth
Why Now?
• Capacity to meet increasing need
• Government priority
• Spotlight on services
• Representative for Children & Youth
• Other Health Authorities taking action
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Children & Youth
Two-fold Increase in calls to the Crisis Response Team in
Victoria
1600
1400
1200
1000
17 to 19
800
14 to 16
600
11 to 13
400
Under 11
200
0
2008
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2009
2010
2011
2012
2013
Children & Youth
Three-fold increase in encounters at Victoria General
Hospital
Total Encounters at VGH
400
350
300
250
200
150
100
50
0
Total Encounters in ER
Total Admissions to Peds
356
292
133
105
129
48
2005/2006 2006/2007 2007/2008 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013
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Steps taken ...
• Developed a Strategic Plan
• Introduced new services at Victoria General Hospital
- Improved timely access to crisis mental health services
• Initiated safety upgrade at Jack Ledger Child/Youth
Facility
- Plans to expand the special care unit (Fall 2014)
• Improving links to Community Services
- Future area of focus
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What does Progress look like?
• Faster access to specialized mental health services
– From 48 hrs+ to 24 hrs or less
– Child/Youth counselor on the Pediatric Unit
• Fewer Admissions
– 50% reduction in admissions through Emergency Dept
• Stronger care plans for youth during their inpatient stay
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Power
of
Prevention
Power of Prevention
Far from what I once was
but not yet what I’m going to be . . .
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Hard to Reach
What does it mean?
• Serious addictions and social issues, often with mental illness
• Target population is well known, but isn’t using services
• Goal is to reduce harm to
individuals and the public
• Team approach needed
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Hard to Reach
in Greater Victoria
• Non cannabis drug offences are 26% higher in
Victoria than the island (241 vs. 192 per 100,000)
• Illicit drug deaths are 67% higher than BC average
(10.4 vs. 6.2 per 100,000)
• One of the top 3 regions on the island for drug
induced deaths
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Hard to Reach Model
Strategic Oversight Committee
Operations Committee
Hub #1
Healthcare
Counseling
Harm reduction
supplies
HIV and Hepatitis C
Outreach team home
base
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Intensive Case
Management Team
Engagement
Healthcare
Counseling
Access to Housing
Peer Support
Aboriginal Liaison
Hub #2
Rehabilitation
Group Counseling
Housing referrals
Harm Reduction
Medical supplies
Hard to Reach
Intensive Case Management Team
• Engagement first, treatment follows
• Strong partnerships with community agencies
• Multiple programs in Island Health working together
– Public Health, Primary Health Care, Mental Health
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Start where you are.
Quote/photo
Use what you have.
Do what you can.
to follow
-Arthur Ashe
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