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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
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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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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