Central East LHIN Mental Health and Addictions System Review

On Wednesday, October 5, 2016, the Central East Local Health Integration Network (LHIN) and Ontario Shores Centre for Mental Health Sciences (Ontario Shores) hosted a Mental Health Strategic Planning Event. 

The goal in hosting the event was to bring together administrative and clinical decision makers from health service providers from across the LHIN to add their expertise to the ongoing evolution of mental health care in the Central East LHIN, and to have an important conversation on how to take our shared accountability for mental health care to the next level through the development of a regional mental health system.

Over 80 representatives from hospitals, the Community Care Access Centre, community support services, community mental health and addiction agencies, and long-term care, including CEOs/Executive Directors, clinical leaders, senior front-line managers and allied health professionals participated in this event, and reviewed the LHIN’s ongoing focus on Mental Health and Addictions.

At the event the LHIN announced its intention to ask Ontario Shores Centre for Mental Health Science (Ontario Shores) to take on a collaborative leadership role, working with its Health Service Provider partners and the LHIN, to facilitate the development and implementation of a regional mental health system focused on improving performance and achieving the system’s shared Mental Health targets as captured in the LHIN’s IHSP 4 strategic aim.   A similar ask was made of Lakeridge Health to take on a collaborative leadership role with its peers around strengthening the system of care to support people living with an addiction to help address the LHIN’s Addictions performance target. Both lead agencies were asked to work collaboratively to advance these complementary and intertwined systems.

The Central East LHIN (acting in concert with Ontario Shores and Lakeridge Health) engaged Deloitte to review the current state of Mental Health and Addiction care, examine best practices, and explore opportunities for tangible system improvement in service delivery.

This included:

  • Facilitation of 16 focus groups across the geographical area of the LHIN, including a cross-representation of clients and service providers, to capture their lived experience with the MH&A system
  • Review of documentation of the various strategies to inform the current state understanding of MH&A services in the Central East LHIN
  • Analysis of quantitative data to gain insights on relevant socio-economic characteristics of the Central East LHIN population and utilization patterns of community based and acute care services
  • Interviews with select LHINs to understand MH&A service delivery and governance best practices being adopted across the province
  • Cross-jurisdictional(international, national and within Ontario) research of peer practices to capture relevant service delivery elements/models of care
  • Facilitation of a ‘Shaping the Future’ Workshop to gain rapid insights into existing challenges and the core elements of the future integrated system
  • Development and refinement of a future state model/framework for the MH&A system in concert with Project Sponsors. The purpose of the future state model was to establish the ideal client journey, provide the categories that inform the basket ofservices required in an integrated system and organize current state information.
  • Facilitation of multiple working sessions withproject sponsors to review recommendations

To download a copy of the FINAL report and other presentation materials, please click on the links below:

The Final Report was received by the Central East LHIN Board of Directors on June 28, 2017 who requested that staff review the recommendations and provide a report back on next steps at the September 27th Board meeting.  

As a result of staff’s report back, the LHIN Board directed staff to formally launch the Central East LHIN MHA Leadership Structure to drive the transformation agenda and to implement a coordinated access model that will facilitate enhanced access to Mental Health and Addiction (MHA) services.