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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 YouthHard to Reach

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Mental Health & Substance Use ServicesVancouver 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

0

200

400

600

800

1000

1200

1400

1600

2008 2009 2010 2011 2012 2013

17 to 19

14 to 16

11 to 13

Under 11

Two-fold Increase in calls to the Crisis Response Team in Victoria

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Children & Youth

Three-fold increase in encounters at Victoria General Hospital

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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 PreventionPower of Prevention

Far from what I once wasbut not yet what I’m going to be .

. .

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Hard to ReachWhat 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 ModelStrategic Oversight Committee

Operations Committee

Hub #1HealthcareCounselingHarm reduction

suppliesHIV and Hepatitis C Outreach team home

base

Intensive Case Management Team

EngagementHealthcare CounselingAccess to HousingPeer SupportAboriginal Liaison

Hub #2RehabilitationGroup CounselingHousing referralsHarm ReductionMedical supplies

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Hard to ReachIntensive 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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Quote/photo to follow

Start where you are.Use what you have.Do what you can. -Arthur Ashe