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The Racialized Populations and Mental Health and Addictions Community of Interest

The Racialized Populations and Mental Health and Addictions Community of Interest (CoI) is a provincial forum for knowledge exchange and collaborative knowledge creation focused on issues related to racialized populations and mental health and addictions. The goal of the CoI is to strategically leverage existing or emerging evidence (including community-based, lived experience, peer-reviewed academic, and other sources of knowledge) to improve provincial, LHIN, and provider policy, planning, and practice related to racialized populations and mental health and addictions.

The CoI steering committee members are:

Across Boundaries: An Ethnoracial Mental Health Centre
Addictions and Mental Health Ontario
Canadian Mental Health Association, Ontario
Canadian Mental Health Association, Toronto
Centre for Addiction and Mental Health
Community Resource Connections of Toronto
Ontario Peer Development Initiative
Ryerson University
Wellesley Institute
Women’s Health in Women’s Hands Community Health Centre
Working for Change

Lead: Sheela Subramanian
Planning and Policy Analyst, Canadian Mental Health Association, Ontario
(416) 977-5580 x 4157
ssubramanian [at] ontario [dot] cmha [dot] ca

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UPDATES

Puzzle Pieces: Part 1 – Sheela Subramanian’s (Policy Analyst, CMHA Ontario and CoI Lead) second blog for Qualaxia
August 5, 2014

Check out Sheela’s second guest blog post for Qualaxia, a mental health network based in Quebec. In this piece, our CoI Lead shares how ‘tackling a complex issue can be like building a puzzle’. She blogs about how the CoI for Racialized Populations and Mental Health and Addiction decided to focus on the emergency department as a priority issue; and interesting learnings and challenges the CoI faced.

Click here to read the full post.

One Room, Many Voices, One Conversation – a blog by Sheela Subramanian (Policy Analyst, CMHA Ontario) for Qualaxia
June 12, 2014

Sheela, our CoI Lead, recently guest blogged for Qualaxia, a mental health network based in Quebec. Check out her piece below!

Communities support our growth, action and change, both personally and professionally. In the mental health system, communities of dedicated, passionate and motivated collaborators often act as catalysts for knowledge exchange and action. Our community came together around a shared understanding that mental health experiences are informed by experiences of race and racism, and that mental health policy, planning and service delivery must consider the needs and realities of racialized groups.

To read the full post, click here.

Addictions and Mental Health Ontario (AMHO) 2014 Conference: Exploring Mental Health- or Addictions-Related Emergency Department Use by Racialized Populations in Ontario
May 26, 2014

Racialized populations CoI pictureOn Monday May 26th, 2014, CoI steering committee members (Dawnmarie Harriott, Working for Change; Deqa Farah, Community Resource Connections of Toronto; and Sheela Subramanian, Canadian Mental Health Association, Ontario) presented a session on Exploring Mental Health, or Addictions-Related Emergency Department Use by Racialized Populations in Ontario, at the AMHO conference. To view the presentation, click here.

Reducing Emergency Department Visits and Increasing Access to Primary Care for Racialized People with Mental Health Issues
May 23, 2014

0549_PL1_9340For individuals who are doubly marginalized as racialized individuals and individuals with mental health issues, increasing access to quality primary care plays a significant role in improving health outcomes and reducing visits to the Emergency Department. The HF Connecting Health Nurse Practitioner – Led Clinic is a promising practice that aims to use a collaborative, holistic care model of service provision to increase access to primary health care for a range of marginalized communities, including newcomers and racialized populations. This promising practice is developed by the COI for Racialized Populations and Mental Health and Addictions. To read the full promising practice, click here.

Promising Practices profiles innovative practices and initiatives from around Ontario.

Pictured above: HF Connecting Health Nurse Practitioner Leads with Deb Matthews, Minister of Health and Long-Term Care, Deputy Premier

CoI Gives Overview of Activities and Outcomes for 2013-2014

April 8, 2014

On Friday, February 21, 2014, the Community of Interest (CoI) gave an overview of its activities and outcomes for the fiscal year 2013-2014 at the CoI Knowledge Exchange Event, in Toronto, Ontario. To see the slides presented by CoI co-leads Sheela Subramanian and Stephanie Johnston, click here. Also, below, is a graphic recording of the event, by artist Patricia Kambitsch.

coi composite with logos

Promising Practice: Coordinated access to care from hospital emergency departments (CATCH-ED)
Posted September 26, 2013

The Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) pilot project was designed to reduce visits to the ED and improve access to care for people with mental health and addiction needs (MHA) who use EDs frequently.

The project is a partnership among six hospitals, three community mental health agencies, four community health centres, and one peer outreach service, sponsored by the Mental Health and Addictions Acute Care Alliance and supported by the Toronto Central Local Health Integration Network (LHIN).

CATCH-ED makes it easier for clients to access the services and supports they need by connecting them while they’re in the ED. The program gives them priority access to primary care, mental health and addictions counseling, peer support, and transitional case management (12-16 weeks of service) at six hospital sites.

EENet has developed a Promising Practice profiling the CATCH-ED project. To read it click here.

Promising Practices profiles innovative practices and initiatives from around Ontario.

COI for Racialized Populations and Mental Health and Addictions receives new funding
Posted September 18, 2013

We are pleased to announce that the Evidence Exchange Network (EENet) has renewed funding for the Community of Interest (COI) for Racialized Populations and Mental Health and Addictions.

The COI launched in 2012 to improve policy, planning, and practice related to racialized populations and mental health and addictions in Ontario. Since its launch, it has worked to increase understanding, dialogue, and knowledge exchange about mental health- and addictions-related emergency department (ED) use by racialized populations through gathering research and identifying promising practices in the sector.

In its first year, the COI hosted a think tank on mental health- and addiction-related ED issues related to racialized populations. The think tank brought together key stakeholders from the Ministry of Health and Long-Term Care, Local Health Integration Networks (LHINs), health service providers, other community agencies, and people with lived experience of mental health issues and racialization. The renewed support will allow the CoI to share the information gathered from these key stakeholders with the broader sector.

Please scroll down for KE materials developed by the CoI in its first year, including a backgrounder document, promising practices, webinar, and graphic recordings and slides from the Think Tank.

The COI is a collaboration between the following organizations:

  • Across Boundaries: An Ethnoracial Mental Health Centre
  • Addictions and Mental Health Ontario
  • Canadian Mental Health Association, Ontario
  • Canadian Mental Health Association, Toronto
  • the Centre for Addiction and Mental Health (CAMH)
  • Community Resource Connections of Toronto
  • Ontario Peer Development Initiative
  • Ryerson University
  • Wellesley Institute;
  • Women’s Health in Women’s Hands Community Health Centre
  • Working for Change

Seed funding by EENet is made possible by the Drug Treatment Funding Program.

Playing a balancing act to improve newcomer women’s health
Posted June 12, 2013

How does a community health centre meet the health care needs of racialized women from diverse backgrounds? If you ask Notisha Massaquoi, Executive Director of Women’s Health in Women’s Hands (WHWH), it’s by playing a balancing act. The trick is to have a strong mandate and establish the right partnerships, while also remaining flexible to your clients’ changing needs.

Read about WHWH in this issue of Promising Practices, developed by EENet’s Racialized Populations and Mental Health and Addictions Community of Interest (CoI). The goal of this CoI is to use the available evidence (including community-based, lived experience, peer-reviewed academic, and other sources of knowledge) in a strategic way so as to influence policy, planning, and practice related to racialized populations and mental health and addictions.

Through a series of knowledge exchange activities, the COI identified promising practices relating to mental health-related emergency room (ER) use by racialized populations in Ontario. Read this Promising Practices here.

Think tank promotes knowledge sharing and dialogue
Posted March 28, 2013

On March 26, 2013, the CoI held a Think Tank on Mental Health & Addictions-Related Emergency Department Use by Racialized Populations in Ontario. The purpose was to promote knowledge sharing and stakeholder dialogue. Over 100 participants from across the province attended in-person and virtually. The recordings of the webinar, which was broadcast live, and materials from the day are posted below.

To view the backgrounder document click here.

Morning Session

Welcome & Objectives
Sheela Subramanian, Planning and Policy Analyst, Canadian Mental Health Association, Ontario
Aseefa Sarang, Executive Director, Across Boundaries
Click here for the slides.

Morning Keynote Address
Understanding Emergency Department Use by Racialized Populations
Anne Bowlby, Manager of Mental Health and Addictions Unit, Ministry of Health and Long-Term Care
Click here for the slides.

Plenary Session
Moderator
Dr. Vicky Stergiopoulos, Psychiatrist-in-Chief, St. Michael’s Hospital

Panelists
Findings from COI Consultations with Service Providers and People with Lived Experience
Deqa Farah, Community Mental Health Promoter
Community Resource Connections of Toronto
Click here for the slides.

Strategies for Implementing Effective Police-Emergency Department Protocols
Uppala Chandrasekera, Planning and Policy Analyst, Canadian Mental Health Association, Ontario, and Policy Advisor, Provincial Human Services and Justice Coordinating Committee (HSJCC)
Click here for the slides.

Peer Support in the ED: Value, Opportunities and Challenges
Frank Fournier, Community Support Worker, St. Michael’s Hospital
Click here for the slides.

Mental Health Shared Care Models: A Response to ED Usage and Racialized Women
Notisha Massaquoi, Executive Director, Women’s Health in Women’s Hands
Click here for the slides.

Question and Answer Session

To watch the morning webinar session click here.

Afternoon Session

Keynote Address
Camille Orridge, CEO, Toronto Central Local Health Integration Network
Click here for the slides.

Wrap Up & Next Steps
Sheela Subramanian, Planning and Policy Analyst, Canadian Mental Health Association, Ontario
Aseefa Sarang, Executive Director, Across Boundaries

To watch the afternoon webinar session click here.

Promising Practices Slideshow
During the Think Tank lunch, a slideshow on emergency department diversion promising practices was presented. These practices were gathered from a survey developed by the CoI to better understand:

  • The use of ED services by racialized groups in Ontario related to mental health and/or addictions; and
  • The current situation and lay the ground work for future action.

Through the survey, the CoI was able to build an inventory of knowledge, promising practices, and opportunities in this area. The information gathered was used to further the dialogue and inform program and policy planning. 

The Promising Practices identified from stakeholders across Ontario through the survey, include:

If you have a Promising Practice around emergency department diversion that you would like share, please contact Sheela Subramanian (ssubramanian [at] ontario [dot] cmha [dot] ca) or Angela Yip (angela.yip [at] camh [dot] ca).

Graphic recording sketches by Patricia Kambitsch:

 

The Racialized Populations and Mental Health and Addictions Community of Interest (CoI) is a provincial forum for knowledge exchange and collaborative knowledge creation focused on issues related to racialized populations and mental health and addictions. The goal of the CoI is to strategically leverage existing or emerging evidence (including community-based, lived experience, peer-reviewed academic, and other sources of knowledge) to improve provincial, LHIN, and provider policy, planning, and practice related to racialized populations and mental health and addictions.

Over the next several months, the CoI will focus on mental health and/or addictions-related use of emergency department (ED) services by racialized groups  through a series of knowledge exchange activities including a:

  • survey of existing knowledge, promising practices, and opportunities in this area;
  • literature scan and evidence brief; and
  • Think Tank event.

The CoI steering committee members are:

Across Boundaries: An Ethnoracial Mental Health Centre;
Canadian Mental Health Association, Ontario;
Canadian Mental Health Association, Toronto;
Centre for Addiction and Mental Health;
Community Resource Connections of Toronto;
Health Equity and Race Ontario;
Ontario Multicultural Health Applied Research Network;
Ontario Peer Development Initiative;
Rainbow Health Ontario;
Wellesley Institute;
Women’s Health in Women’s Hands Community Health Centre.

Sheela Subramanian
Planning and Policy Analyst, Canadian Mental Health Association, Ontario
(416) 977-5580 x 4157
ssubramanian [at] ontario [dot] cmha [dot] ca

Angela Yip
Knowledge Broker, Centre for Addiction and Mental Health
(416) 535-8501 x 36046
angela.yip [at] camh [dot] ca

(Pictured above, left to right: Bob Gardner, Wellesley Institute; Branka Agic, CAMH; Notisha Massaquoi, Women’s Health in Women’s Hands CHC; Raymond Cheng, Ontario Peer Development Initiative; Aseefa Sarang, Across Boundaries; Uppala Chandrasekera, CMHA Ontario; Carolina Berinstein, CMHA Toronto; Sheela Subramanian, CMHA Ontario; Deqa Farah, Community Resource Connections of Toronto.  Missing: Angela Martella, EENet/CAMH; Ratsamy Pathammavong, HERO; Nazilla Khanlou and Mary Susan Thomson, OMHARN; Jenna Hitchcox, CMHAOntario; and Devan Nambiar, Rainbow HealthOntario)

UPDATES

March 1, 2013

The Racialized Populations and Mental Health and Addictions Community of Interest (CoI) is holding an invitational think tank on Mental Health & Addictions-Related Emergency Department Use by Racialized Populations in Ontario on March 26, 2013. The purpose of this event is to promote knowledge sharing and stakeholder dialogue.

As part of the knowledge exchange activities, we are developing a slideshow on promising practices for emergency department diversion. If you have a practice or initiative that you would like us to profile, we invite you make a submission for this presentation.

If interested, please contact Florence Heung at fheung [at] crct [dot] org as soon as possible. We will provide you with a PowerPoint template, which consists of three sections: A. Background; B. Overview of the Practice or Initiative; and C. What Works and Why? We want to make sure that we highlight as many promising practices as possible, therefore, we are allotting 1-3 slides per initiative. The deadline for submissions is Friday March 15th, 2013.

February 27, 2013

The Racialized Populations and Mental Health and Addictions Community of Interest (CoI) invites you to a join a webinar/live broadcast exploring Mental Health & Addictions-Related Emergency Department Use by Racialized Populations in Ontario.  There will be two separate webinars taking place on March 26, 2013:

  • Morning session: 10:00am-12:00pm; and 
  • Afternoon session: 3:00pm-3:40pm.

For more information about each session and to access the registration links, click here.

January 29, 2013

The work of the recently formed Racialized Populations and Mental Health and Addictions Community of Interest (CoI) is well underway!

The group has completed a Knowledge Exchange Plan to ensure that evidence is gathered from and shared with a broad range of stakeholders. In addition, the CoI has developed a Project Framework which maps out its theory of change—the building blocks that need to be in place to achieve the CoI’s short- and long-term goals.

A survey, conducted by the CoI, of existing knowledge, promising practices, and opportunities related to racialized populations and Emergency Department (ED) use has just wrapped. An inventory will be created from information received through this survey. The inventory along with a summary of existing research literature will be used to inform the discussion at the CoI’s March 4th, 2013 Think Tank event.