Community Mental Health & Addiction (MHA) …...Community Mental Health & Addiction (MHA) COVID-19 Impact Report Key Findings as of May 8th, 2020 If you have questions about this report,

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 [email protected].

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


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


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:



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%




Centralized/Coordination Access

Abuse Services

Addictions Treatment - Problem Gambling

Addictions Treatment - Substance Abuse


Assertive Community Treatment Teams

Clinic - Mental Health

Clubhouses

Consumption and Treatment Services

Counselling and Treatment


Early Intervention

Social Rehabilitation/Recreation


Alternative Businesses

Family Initiatives

Peer/Self Help

Crisis Intervention

Day/Evening Care - Addictions


Community Development - Mental Health

Drug Awareness

Mental Health Awareness

Problem Gambling Awareness


Information and Referral Service - General

Homes for Special Care

Inpatient

Residential Medical Withdrawal Management Inpatient…

Residential Supportive Treatment - Addictions


Residential Treatment - Mental Health

Residential Treatment - Problem Gambling


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:



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%





Abuse Services






Clubhouses




Early Intervention




Family Initiatives

Peer/Self Help

Crisis Intervention




Drug Awareness






Inpatient









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:



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%





Abuse Services






Clubhouses




Early Intervention




Family Initiatives

Peer/Self Help

Crisis Intervention




Drug Awareness






Inpatient









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


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


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


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

Documents

Community Mental Health & Addiction (MHA) …...Community Mental Health & Addiction (MHA) COVID-19 Impact Report Key Findings as of May 8th, 2020 If you have questions about this report,