Post on 06-Jul-2020
transcript
Community Mental Health &
Addiction (MHA) COVID-19
Impact Report
Key Findings as of May 8th, 2020
If you have questions about this report, please contact the Mental Health and Addictions Centre of Excellence at MHACoE@OntarioHealth.ca.
1
Reported Metrics• Number and proportion of programs modified, programs open with no modifications, & programs temporarily suspended, by LHIN
and Functional Center
• Number of daily contacts received by ConnexOntario regarding COVID-19
• Number of daily contacts received by ConnexOntario regarding mental health, problem gambling, substance abuse
• Number of daily contacts received by ConnexOntario regarding a crisis
• Total wait times (includes wait to eligibility and wait to service) by functional center
• Proportion of diagnoses identified to ConnexOntario by contacts
• Percentage of substance groups to ConnexOntario identified by contacts
• Proportion of programs currently accepting new referrals
• Proportion of programs currently admitting new clients
• Proportion of programs currently serving clients
• Proportion of programs currently experiencing staff absences that jeopardize their ability to serve clients
• Emergency Department visits related to MH
• Proportion of reporting CYMH core services that are open, open – modified, suspended
• Proportion of reporting CYMH core services that are accepting/admitting new clients
• Proportion of reporting CYMH core services that are experiencing staff absences that jeopardize their ability to serve clients
2
Methodological Considerations
• Reported metrics are based on adult community MHA programs that have reported data to ConnexOntario and children and youth community MHA programs that have reported data to the MOH .
• Programs that are temporarily suspended may still be providing services to clients but are closed for referrals.
• Programs that have re-opened are a subset of programs that are modified.
• Daily contacts are direct calls made to ConnexOntario by the public. A contact can be regarding multiple issues.
• Total wait times include wait times for eligibility and wait times for service.
• Multiple diagnoses can be identified by contacts.
• Novel data collection for adult and child and youth sectors should be interpreted with caution due to missing data
3
Notes:• Reported metrics are based on MOH-funded community mental health & addiction programs that have reported status data to ConnexOntario.
• Programs that are ‘temporarily suspended’ may still be providing services to existing clients but are not accepting new referrals.
• Daily contacts are direct calls made to ConnexOntario by the public. A contact can be regarding multiple issues.
• Functional Centers in the graph have been grouped* for readability. Functional centers with a high percentage of ‘temporarily suspended’ are highlighted in the key messages.
Key Messages
• 94.6% of programs are open (accepting new referrals), while 5.4% are ‘Temporarily Suspended’ (see Notes). Steady improvements have been observed over the past month.
• Mental health-related call volumes to ConnexOntario continue to increase. March 5th saw the highest MH-related call volume since the beginning of the year.
• Treatment-focused functional centres with a high proportion of 'Temporarily Suspended’ statuses include :
• Short-Term Crisis Support Beds: 20% (-4% from the previous week)• Day/Evening Care – Addictions: 23.6% (-3.4% from the previous week)
• 6% (192/3,437) of programs reported through new data collection that staff absences are jeopardizing their ability to continue providing services. Residential programs are disproportionately impacted by absences. Residential supportive treatment – addictions services reported the highest proportion of programs impacted by absences (21%).
• The temporary suspension of referrals for treatment-focused functional centers are impacting wait times for certain services. Current wait times for certain residential treatment services and day/night care services continue to stay elevated compared to February, March & April.
4
Service Continuity Metrics
Number of programs modified due to COVID-19, programs open with
no modifications, programs temporarily suspended due to COVID-19,
by LHIN, as of May 6th
Notes:
• Reported metrics are based on community mental health & addictions programs that have reported data to ConnexOntario
• Programs that are “temporarily suspended” may still be providing services but are closed for referrals
Proportion of programs modified due to COVID-19, programs open with no
modifications, programs temporarily suspended due to COVID-19, by LHIN,
as of May 6th
Notes:
• Reported metrics are based on community mental health & addictions programs that have reported data to ConnexOntario
• Programs that are “temporarily suspended” may still be providing services but are closed for referrals
Proportion of programs modified due to COVID-19, programs open with no
modifications, programs temporarily suspended due to COVID-19, by
functional center, as of May 6th
Notes: Programs that are “temporarily suspended” may still be providing services but are closed for referrals
Proportion of programs modified due to COVID-19, programs open with no
modifications, programs temporarily suspended due to COVID-19, by
functional center group types, as of May 6th
Notes:
• Programs that are “temporarily suspended” may still be providing services but are closed for referrals.
• See Appendix for details on how functional centers are grouped.
9
Total wait times by functional center, February, March, April, May 6th, Ontario
Notes:
• Total wait times include wait times for eligibility and wait times for service.
• Light blue bars show the total wait time percent change from February to May 6th by functional center
• Data are provided by ConnexOntario.
54
20 207
213
26
172
5972 74
21
90
9
27
74
53
82
40
252
27
60
17 187
199
21
161
6071 77
25
86
15
34
91
70
97
67
268
29
0
50
100
150
200
250
300
Nu
mb
er o
f d
ays
Functional Center
FEB 2020 MAR 2020 APR 2020 CURRENT MAY 6
11.1%
-15.0% -10.0%
0.0%
-6.6%-19.2%
-6.4%
1.7%
-1.4%
4.1%19.0%
-4.4%
66.7%
25.9% 23.0% 32.1%18.3%
67.5%
6.3% 7.4%
10
Novel COVID-19 Adult MHA continuity metrics
Proportion of programs currently accepting new referrals, by LHIN &
Functional Center, as of May 6th
Notes:
• This data are based on 3,437 programs that submitted data to ConnexOntario using the COVID-19 continuity module. This
represents 86.5% of programs that submitted data to ConnexOntario using regular data entry during the week of Apr 29th –
May 7th.
94%68%
92%89%91%
87%88%
92%88%
95%86%
0%92%
96%92%
81%82%
38%92%
65%93%
88%69%
33%100%
60%50%50%
100%100%
84%100%
82%81%
80%75%75%
51%67%
0% 20% 40% 60% 80% 100% 120%
Case Management - Substance Abuse
Case Management/Supportive Counselling & Services -…
Case Management/Supportive Counselling & Services - Mental…Centralized/Coordination Access
Abuse Services
Addictions Treatment - Problem GamblingAddictions Treatment - Substance Abuse
Addictions Withdrawal Management
Assertive Community Treatment TeamsClinic - Mental Health
Clubhouses
Consumption and Treatment ServicesCounselling and Treatment
Diversion and Court Support
Early InterventionSocial Rehabilitation/Recreation
Vocational/Employment
Alternative BusinessesFamily Initiatives
Peer/Self Help
Crisis InterventionDay/Evening Care - Addictions
Day/Night Care Mental Health - General
Community Development - Mental HealthDrug Awareness
Mental Health AwarenessProblem Gambling Awareness
Home Care - Mental Health
Information and Referral Service - GeneralHomes for Special Care
Inpatient
Residential Medical Withdrawal Management Inpatient Short-…Residential Supportive Treatment - Addictions
Residential Treatment - Addictions
Residential Treatment - Mental HealthResidential Treatment - Problem Gambling
Residential Withdrawal Management Centres
Short Term Crisis Support BedsSupport Within Housing - Mental Health
74% 71%
92%86%87%
93%
72%
86%83%88%93%
86%90%95%
0%
25%
50%
75%
100%
Percent
Proportion of programs currently admitting new clients, by LHIN & Functional
Center, as of May 6th
Notes:
• This data are based on 3,437 programs that submitted data to ConnexOntario using the COVID-19 continuity module. This
represents 86.5% of programs that submitted data to ConnexOntario using regular data entry during the week of Apr 29th –
May 7th.
86%54%
85%89%
88%83%85%
92%71%
95%86%
33%87%
93%89%
77%76%
13%90%
65%90%
56%44%
33%100%
60%50%50%
100%43%
91%100%
44%48%47%
25%69%
46%64%
0% 20% 40% 60% 80% 100% 120%
Case Management - Substance Abuse
Case Management/Supportive Counselling & Services -…
Case Management/Supportive Counselling & Services -…
Centralized/Coordination Access
Abuse Services
Addictions Treatment - Problem Gambling
Addictions Treatment - Substance Abuse
Addictions Withdrawal Management
Assertive Community Treatment Teams
Clinic - Mental Health
Clubhouses
Consumption and Treatment Services
Counselling and Treatment
Diversion and Court Support
Early Intervention
Social Rehabilitation/Recreation
Vocational/Employment
Alternative Businesses
Family Initiatives
Peer/Self Help
Crisis Intervention
Day/Evening Care - Addictions
Day/Night Care Mental Health - General
Community Development - Mental Health
Drug Awareness
Mental Health Awareness
Problem Gambling Awareness
Home Care - Mental Health
Information and Referral Service - General
Homes for Special Care
Inpatient
Residential Medical Withdrawal Management Inpatient…
Residential Supportive Treatment - Addictions
Residential Treatment - Addictions
Residential Treatment - Mental Health
Residential Treatment - Problem Gambling
Residential Withdrawal Management Centres
Short Term Crisis Support Beds
Support Within Housing - Mental Health
70%
55%
82% 80% 81%
95%
65%
82% 79%86% 85% 85%
79%
90%
0%
25%
50%
75%
100%
Proportion of programs currently serving existing clients, by LHIN &
Functional Center, as of May 6th
Notes:
• This data are based on 3,437 programs that submitted data to ConnexOntario using the COVID-19 continuity module. This
represents 86.5% of programs that submitted data to ConnexOntario using regular data entry during the week of Apr 29th –
May 7th.
95%95%96%
93%92%
86%90%92%
98%100%100%
33%96%96%
92%94%
91%88%
92%90%
94%78%79%
67%100%
67%50%50%
78%100%
91%100%
95%67%
93%50%
88%77%
92%
0% 20% 40% 60% 80% 100% 120%
Case Management - Substance Abuse
Case Management/Supportive Counselling & Services -…
Case Management/Supportive Counselling & Services -…
Centralized/Coordination Access
Abuse Services
Addictions Treatment - Problem Gambling
Addictions Treatment - Substance Abuse
Addictions Withdrawal Management
Assertive Community Treatment Teams
Clinic - Mental Health
Clubhouses
Consumption and Treatment Services
Counselling and Treatment
Diversion and Court Support
Early Intervention
Social Rehabilitation/Recreation
Vocational/Employment
Alternative Businesses
Family Initiatives
Peer/Self Help
Crisis Intervention
Day/Evening Care - Addictions
Day/Night Care Mental Health - General
Community Development - Mental Health
Drug Awareness
Mental Health Awareness
Problem Gambling Awareness
Home Care - Mental Health
Information and Referral Service - General
Homes for Special Care
Inpatient
Residential Medical Withdrawal Management Inpatient…
Residential Supportive Treatment - Addictions
Residential Treatment - Addictions
Residential Treatment - Mental Health
Residential Treatment - Problem Gambling
Residential Withdrawal Management Centres
Short Term Crisis Support Beds
Support Within Housing - Mental Health
81%75%
92% 90% 87%97% 91% 94%
84%98%96% 94% 92% 99%
0%
25%
50%
75%
100%
Proportion of programs currently experiencing staff absences that jeopardize
their ability to serve clients, by LHIN & Functional Center, as of May 6th
Notes:
• This data are based on 3,437 programs that submitted data to ConnexOntario using the COVID-19 continuity module. This
represents 86.5% of programs that submitted data to ConnexOntario using regular data entry during the week of Apr 29th –
May 7th.
0%5%
11%0%
1%1%
5%3%
9%5%
0%0%
6%0%
7%6%7%
0%2%
4%1%
4%4%
0%0%
14%0%0%0%0%
8%0%
21%5%
7%0%
19%10%
4%
0% 5% 10% 15% 20% 25%
Case Management - Substance Abuse
Case Management/Supportive Counselling & Services -…
Case Management/Supportive Counselling & Services -…
Centralized/Coordination Access
Abuse Services
Addictions Treatment - Problem Gambling
Addictions Treatment - Substance Abuse
Addictions Withdrawal Management
Assertive Community Treatment Teams
Clinic - Mental Health
Clubhouses
Consumption and Treatment Services
Counselling and Treatment
Diversion and Court Support
Early Intervention
Social Rehabilitation/Recreation
Vocational/Employment
Alternative Businesses
Family Initiatives
Peer/Self Help
Crisis Intervention
Day/Evening Care - Addictions
Day/Night Care Mental Health - General
Community Development - Mental Health
Drug Awareness
Mental Health Awareness
Problem Gambling Awareness
Home Care - Mental Health
Information and Referral Service - General
Homes for Special Care
Inpatient
Residential Medical Withdrawal Management Inpatient…
Residential Supportive Treatment - Addictions
Residential Treatment - Addictions
Residential Treatment - Mental Health
Residential Treatment - Problem Gambling
Residential Withdrawal Management Centres
Short Term Crisis Support Beds
Support Within Housing - Mental Health
5% 3% 3%8%
3% 7% 6% 6% 2% 1% 4% 3% 4%
17%
0%
25%
50%
75%
100%
15
Need/Demand-oriented Metrics
16
Emergency Department Visit Volumes Dec 5th – Apr 30th, total MH-
related volume, by presenting complain, age group, CTAS level
Notes: Data are provided by the eCTAS program at Ontario Health (Cancer Care Ontario)
17
Percentage of diagnoses identified by contacts February 1st, 2020
to May 5th, 2020, By Month
Notes: Multiple diagnoses can be identified by contacts.
Data are provided by ConnexOntario.
40
.2
8.9
41
.4
1 0.2 2
.4
0.2 0.8
5
2.6
0.1
7.6 8.7
0.1
12
.4
43
.5
8.4
37
.9
0.3
0.2 2
.2
0.2 1
4
2.3
0.1
4.5
9.7
0.1 0.3
8.9
48
.5
5.8
32
.1
0.1 0.5 1.5
0.1 0.7
4.9
2.3
0.1
3.9
9.4
0.1 0.2
0.1
7.8
49
.2
8.9
32
.7
0.4 2
.8
0.4 1.6 3
.2 4.4
8.1
2
9.3
0
10
20
30
40
50
60
% o
f C
lien
ts
Diagnostic Criteria
Feb Mar Apr May
18
Percentage of substance groups identified by contacts February 1st,
2020 to May 5th, 2020, By Month
Notes: Multiple subtances can be identified by contacts.
Data are provided by ConnexOntario.
47
10
.1
0.3
0.2
20
.8
0.9 2
.1
33
.5
1
48
.5
9.7
0.3
0.3
21
.5
0.8 2
.8
33
.3
0.8
48
.6
9.7
0.2
18
.8
1
3
33
.7
0.7
49
.3
11
.5
0.4
18
0.7 1.8
33
.1
1.4
0
10
20
30
40
50
60
Alcohol Use Disorder Cannabis Use Disorder Hallucinogen-RelatedDisorders
Inhalant Use Disorder Opioid Use Disorder Other Substance UseDisorder
Sedative, Hypnotic, orAnxiolytic Use Disorder
Stimulant Use Disorder Tobacco Use Disorder
% o
f C
lien
ts
Substance Groups
Feb Mar Apr May
19
Daily contacts received by ConnexOntario for any reason, March 9th – May 5th
Notes: Contacts are defined as distinct calls made to ConnexOntario.
216
172
198
166
128
8581
168
155
140131130
9392
145
123
143
110
142
8393
173
138149151
188
134
107
209
194
163168
95
138
114
148
188177
198
161
133135
207197
190
168170
117
100
221
189
173182
141
108120
202
224
0
50
100
150
200
250
Nu
mb
er o
f co
nta
cts
20
Daily contacts received by ConnexOntario regarding COVID-19, March 13th -May 5th
Notes: Contacts are defined as distinct calls made to ConnexOntario.
3 3
1514
10
14
9
13
6
9
1211
14
12
4 4
11 11 11
13
29
25
16
20
15
17
21
13
26
7
13
22
14
22
14
10
1413
15
10
12
87
8
19
10
15
8
10
7
910
13
7
0
5
10
15
20
25
30
35
Num
ber
of conta
cts
21
Daily contacts received by ConnexOntario regarding a crisis, March 9th - May 5th
Notes: Contacts are defined as distinct calls made to ConnexOntario.
18
10
1515
12
4
6
9
12
10
16
10
11
13
17
10
16
12
16
12
16
19
14
16
12
23
24
19
22
20
18
1414
2121
15
1212
14
13
25
24
22
11
12
10
15
14
17
23
28
11
10
13
15
13
26
23
0
5
10
15
20
25
30
Num
ber
of conta
cts
Date
22
Daily contacts received by ConnexOntario regarding mental health, problem gambling, substance use, March 13th - May 5th
Notes: Contacts are defined as distinct calls made to ConnexOntario.
68
56
40
737267
7365
5159
77
63
77
60
79
56
70
104
84
9395
128
89
77
138
115
10097
62
107
89
98
119119119
96
87
100
123
111104101
93
8276
135
123
99
112
75 7380
129
162
75
3947
102
7874
6061
4238
71
6265
38
61
3736
78
5359
51
67
4342
75
86
6768
29
38 4147
67
54
6766
40
55
7581
92
7677
39
30
88
7581 78
62
4650
89
78
13 1218
148 5 4 4
10 7 7 48 7 9
5 6 8 7 6 7 6 713
93 5 5 3
126
10 7 9 10 104
1510 9 9
2 2 3 411
72 2
7 9 9 70
20
40
60
80
100
120
140
160
180
Mental Health contacts Substance Use contacts Problem Gambling contacts
23
Daily contacts received by ConnexOntario regarding mental health, problem gambling, substance use, 5-day moving average, March 1st 2019 – May 5th 2020
Notes:
• Contacts are defined as distinct calls made to ConnexOntario.
• 5-period moving/rolling averages are used to smooth data for trend visibility.
0
50
100
150
200
250
300
March 1,2019
April 1, 2019 May 1, 2019 June 1, 2019 July 1, 2019 August 1,2019
September 1,2019
October 1,2019
November 1,2019
December 1,2019
January 1,2020
February 1,2020
March 1,2020
April 1, 2020 May 1, 2020
Nu
mb
er o
f C
on
tact
s
5 per. Mov. Avg. (Total contacts) 5 per. Mov. Avg. (Crisis contacts) 5 per. Mov. Avg. (Mental Health contacts)
5 per. Mov. Avg. (Substance Use contacts) 5 per. Mov. Avg. (Problem Gambling contacts)
24
Novel COVID-19 Child & Youth MH continuity metrics
25
Notes:• Reported metrics are based on MOH-funded C&Y community mental health & addiction programs that have reported status data to the MOH.
• The data represents the submissions of 109 out of 267 C&Y community mental health & addiction organizations – a 14.7% improvement over the previous week. However, results
should be interpreted with caution, due to a low response-rate.
• COVID-19 results should be especially interpreted with caution. Reporting through this mechanism is not meant to replace robust surveillance.
26
AppendixFunction Center Group Type Function CenterClinic/Program Abuse Services
Clinic/Program Addictions Treatment - Problem Gambling
Clinic/Program Addictions Treatment - Substance Abuse
Clinic/Program Addictions Withdrawal Management
Consumer Survivor/Family Initiative Alternative Businesses
Clinic/Program Assertive Community Treatment Teams
Case Management Case Management - Substance Abuse
Case Management Case Management/Supportive Counselling & Services - Addictions Supportive Housing
Case Management Case Management/Supportive Counselling & Services - Mental Health
Centralized/Coordination Access Centralized/Coordination Access
Clinic/Program Clinic - Mental Health
Clinic/Program Clubhouses
Health Promotion and Education Community Development - Mental Health
Clinic/Program Consumption and Treatment Services
Clinic/Program Counselling and Treatment
Crisis Intervention Crisis Intervention
Day/Night Care Day/Evening Care - Addictions
Day/Night Care Day/Night Care Mental Health - General
Clinic/Program Diversion and Court Support
Health Promotion and Education Drug Awareness
Clinic/Program Early Intervention
Consumer Survivor/Family Initiative Family Initiatives
Home Care Home Care - Mental Health
Residential Services Homes for Special Care
Information and Referral Services Information and Referral Service - General
Residential Services Inpatient
Health Promotion and Education Mental Health Awareness
Consumer Survivor/Family Initiative Peer/Self Help
Health Promotion and Education Problem Gambling Awareness
Residential Services Residential Medical Withdrawal Management Inpatient Short-Term
Residential Services Residential Supportive Treatment - Addictions
Residential Services Residential Treatment - Addictions
Residential Services Residential Treatment - Mental Health
Residential Services Residential Treatment - Problem Gambling
Residential Services Residential Withdrawal Management Centres
Residential Services Short Term Crisis Support Beds
Clinic/Program Social Rehabilitation/Recreation
Residential Services Support Within Housing - Mental Health
Clinic/Program Vocational/Employment
27
Appendix
Child and Youth Mental Health Core Services
A348 CYMH Brief ServicesA349 CYMH Counselling, Therapy ServicesA350 CYMH Crisis Services
A351 CYMH Family, Caregiver Skills Building and Support
A352 CYMH Access Intake Service PlanningA353 CYMH Intensive Treatment ServicesA354 CYMH Service Coordination Process
A355 CYMH Specialized Consultation, Assessment Services
A356 CYMH Targeted PreventionA584 Indigenous Youth Life PromotionA577 Child Treatment - Operating-SecureA359 Tele-Mental Health Access Sites