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Copyright © 2017, CAMH
The Ontario Public Health ConventionMarch 27th, 2019
Public Health Updates on the Mental Health Promotion Guideline for Public Health
Implementation Case Studies, Opportunities and Challenges
DISCLOSURE OF COMMERCIAL
SUPPORT
• None of the presenters at this session have received
financial support or in-kind support from a commercial
sponsor.
• None of the presenters have potential conflicts of interest to
declare.
Copyright © 2017, CAMH
AGENDA
1Community of Practice Overview 2
Introduction and Welcome
MHP Guideline Implementation
Panel Discussion
Audience Q&A
345
Copyright © 2017, CAMH
Introduction
Copyright © 2017, CAMH
The Centre for Addiction and Mental Health (CAMH) is the largest mental health hospital in Canada, and a world leader in mental health and addiction research.
The Provincial System Support Program (PSSP) at CAMH works with communities, service providers and other partners across Ontario to move evidence to action to create sustainable, system-level change.
PSSP also supports CAMH’s Strategic Plan, “Vision 2020”.
PSSP’s provincial office is in Toronto with nine regional offices located throughout Ontario.
PSSP provides capacity and expertise in:– Knowledge exchange– Implementation – Coaching– Equity and engagement– Evaluation and data management
Copyright © 2017, CAMH
2013 2015 2017Jan
2018Feb
2018March 2018
March 2019
Timeline
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Today’s Panel
Andra Ragusila
Knowledge Broker,
Provincial System
Support Program,
CAMH
Benjamin Leikin
Supervisor
Mental Health,
Ottawa Public Health
Jessica
Patterson
Health Promotion
Specialist, Toronto
Public Health
Shana Calixte
Manager,
Public Health
Sudbury &
Districts
Copyright © 2017, CAMH
Introducing the Mental
Health Promotion in
Public Health
Community of Practice
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About EENet Connect
EENet Connect is an online community where members of Ontario’s
mental health and addictions system create profiles, share knowledge,
and collaborate more effectively with one another.
Copyright © 2017, CAMH
Health
Equity
Housing,
Health &
Justice
Transition-
Aged Youth
Racialized
Populations
Housing
First
Crisis
Continuum
OCAN
HSJCC
Family
Caregiver
Alcohol
Policy in
Ontario
Mental Health
Promotion
Opioid
Overdose
Prevention
Pharmacists
Mentoring for
Addiction and
Pain
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Purpose
Purpose: Support public health professionals in Ontario to connect, share,
and explore the practice of mental health promotion in public health.
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Objectives
Support public health practice in response to provincial priorities.
Share experiences in planning, implementing, and measuring the impact of mental health promotion programs and policies.
Facilitate collaboration and partnership across public health units.
Increase access to evidence and evaluated programs.
Share information and resources.
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Types of CoP Membership
Steering
Committee
Community of Practice
Champions Network
Community of Practice
Online Members
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Steering Committee
Steering
Committee
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Community of Practice Champions Network
1 representative from each public health unit (PHU).
Main point of contact between PHU and steering committee.
Representative can bring other staff to network meetings
Community of Practice
Champions Network
Copyright © 2017, CAMH
Community of Practice Online Members
Multiple representatives from PHUs.
Share information on EENet Connect and inform overall direction of community of practice.
Participate in survey to identify evidence needs for mental health promotion.
Community of Practice
Online Members
216 members
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Knowledge Broker Support
EENet provides knowledge broker support to meet the evidence needs of the group.
For example:
developing knowledge exchange products in response to need
organizing in-person events for knowledge sharing
connecting the group with subject matter experts
leveraging the CoP to support system level MHP activities.
Copyright © 2017, CAMH
s
Copyright © 2017, CAMH
Purpose for Visiting CoP Site
52% - information on how to plan, implement and evaluate MHP programs
50% - information on how other health units are embedding MHP into programs
32% - evidence on MHP
Survey of CoP Members
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Activities to date
Held in-person and teleconference steering committee meetings.
Created and populated online platform on EENet Connect for information and resource sharing.
MOHLTC consultation on MHP guideline
Webinars
Monitoring positive mental health in Ontario: Positive Mental Health Surveillance Indicator Framework
Big White Wall (Upcoming)
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What is the value of the CoP for you? How has the COP impacted your work?
What are success stories and challenges from engaging with the CoP?
What have been some opportunities and challenges in using the CoP to aid the implementation of the MHP Guideline?
Panel Questions
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MHP Guideline
Implementation in
Practice One Year Later
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Where is your PHU at with implementing the MHPG?
Let’s Hear from the Panel
Mental Health Promotion at
Toronto Public Health
Mental Health
Promotion Audit
Tool• Suicide
Prevention
• Mental Health at
Work
• Foundations of
Mental Health
Promotion
• Gender Based
Violence
Prevention
Mental Health Promotion at
Toronto Public Health
• Positive Mental Health:
• Emotional Well-being
• Social Well-Being
• Psychological Well-Being
• Stress & Coping
• Mental Illness
• Depression
• MH&A Physician & ED visits
• Self-Harm & Suicidal Behaviour
• Suicide
Health Status Report: Mental Health Chapter (June 2019)
Mental Health Promotion in TPH Services – A Baseline Survey (2019)
Mental Health at Ottawa Public
Health
Benjamin Leikin, Supervisor, Mental
Health, Ottawa Public Health
28
How did we get here?
29
Overview of Mental Health Strategy
30
Overview of Strategy work
1) Mental Health Report and Mental Health
Strategy:
www.ottawapublichealth.ca/mentalhealthreport
2) Have THAT talk stigma reduction and
awareness campaign:
www.havethattalk.ca
3) Mental Health Caregiver Guide:
www.ottawapublichealth.ca/mentalhealthcaregiver
Our Journey to Public Mental Health
Shana Calixte, Manager, Mental Health and Addictions
The Ontario Public Health Convention
March 2019
2017
MHA Team formed
Internal and external
engagement
Full dayworkshop
April 26, 2018
Release of the Public Mental Health Action
Framework
Creation of the PMHAF Task
Force
Our Journey to Public Mental Health
Team formed• New manager August
2017
• New PHNs October 2017
• Community Drug Strategy and Naloxone December 2017 and January 2018
2017 MHA Team formed
Internal and external
engagement
Full-dayworkshop
April 26, 2018
Release of the Public Mental Health Action
Framework
Creation of the PMHAF Task
Force
Our Journey to Public Mental Health
Internal engagement
“Aside from food literacy, what can I do more effectively to build the resiliency and self-esteem components?”
“I’d like to see us, at the agency level, take on a more trauma-informed approach to care, across the board and not just at HBHC.”
“We now have a workplan and are actioning things with the Psychological Health and Wellness Committee, for example, the ‘Not Myself Today’ initiative.”
Externalengagement
• Fall 2017: The Mental Health and Addictions System Priority Action Table
• September 2018: Life Promotion Summit
• Fall 2018: Suicide Safer Network
Parallel internalstrategies
MHA Team formed
Internal and external
engagement
Full-dayworkshop
April 26, 2018
Release of the Public Mental Health Action
Framework
Creation of the PMHAF Task
Force
Our Journey to Public Mental Health
MHA Team formed
Internal and external
engagement
Full-dayworkshop
April 26, 2018
Release of the Public Mental Health Action
Framework
Creation of the PMHAF Task
Force
Our Journey to Public Mental Health
Released January 2019
No Health Without Mental Health
Public Health Sudbury & Districts commitment to concepts and investments to improve mental health opportunities for all.
• Action-oriented roadmap of public health interventions
• Grounded in the Mental Health Promotion Guideline of the Ontario Public Health Standards
Why Public Mental Health?
1. Public health includesmental health (explicit)
2. Public mental health isbroad (promotion, prevention, and earlyintervention)
3. Cuts across all public health staff (nursing, inspection, nutrition, promotion, population healthassessment, etc.)
Opportunities for Public Mental Health work
What is the Framework based on?
Apply the Foundational Standards
1. Population healthassessment
2. Health equity
3. Effective public healthpractice
Required Approaches for Program Standards
1. Embed*
2. Across the life course
3. Whole-population & community-based
4. Multi-sectoralcollaboration
*health promotion, social determinants, risk/protective factors, reduce stigma/increaseliteracy, trauma awareness, strengths focus, priority populations
Our commitments
So what does this mean?
MHA Team formed
Internal and external
engagement
Full-dayworkshop
April 26, 2018
Release of the Public Mental Health Action
Framework
Creation of the PMHAF Task
Force
Our Journey to Public Mental Health
Opportunities and next steps
Actioning the Action Framework
Knowledge brokering
Next steps
• Governance
• Central leadership
• Diffuse ownership—knowledge brokering
• Own the mandate—create public expectations and live up to them
• Workplan
• Resources
Public Mental Health
As we push our public health system forward, and truly embed public mental health throughout our scope of practice, we require explicit, ambitious and even radically different approaches to our work.
For a copy of the Public Mental Health Action Frameworkvisit us at:
www.phsd.ca
This presentation was prepared by Public Health Sudbury & Districts.
This resource may be reproduced, for educational purposes, on the condition that full credit is given to Public Health Sudbury & Districts.
This resource may not be reproduced or used for revenue generation purposes.
© 2019, Public Health Sudbury & Districts
Copyright © 2017, CAMH
What are the challenges and opportunities in implementing the MHP Guideline?
Panel Questions
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Panel Discussion &
Q&A