access

1. access Intake Network for North York and Scarborough 1 Overview and implementation update Access 1 1-888-640-1934 Meeting with The Scarborough Addictions Services Partnership March 18th 2011

2. Purpose of today’s presentation • Provide an overview of the background and evolution of Access 1 • Describe Access 1’s second phase of implementation and what it means for you and the people you serve • Discuss how we can work together going forward 1 access Intake Network for North York and Scarborough

3. Purpose of Access 1 • Provide consumers with an easier, less fragmented doorway to individual support services • Provide consumers with a more equitable form of accessing individual support services • Provide consumers with up to date information on the system and support them in making informed decisions regarding applying for services. 1 access Intake Network for North York and Scarborough

4. Values and principles • Person-centred • Involvement and choice • Equity • Transparency • Confidentiality and informed consent • Accountability • Continuous improvement 1 access Intake Network for North York and Scarborough

5. History and evolution 2000 2004 2006 2008 2009 Collaboration between North York and Scarborough Quadrant Mental Health Networks in response to consumer concerns about access to individual support services Consumer reference group established Model developed for a coordinated access system to intensive case management (ICM) and assertive community treatment team (ACTT) services Funding secured from MOHLTC to implement first steps Implementation of Phase 2 in March Implementation of Phase 1 Study completed defining common framework for coordinated access in the Central LHIN Planning for implementation of the common framework • Establishment of Access 1 office • Common application form • Application database • Multiple points of entry • Single point of access • Multiple modes of access • Common application form • Eligibility determination for the system • Consolidated waitlist • Enhanced services (information/referral; short-term ICM; waitlist management; service resolution) • Peer facilitation and support 1 access Intake Network for North York and Scarborough

6. Partners • Across Boundaries (ICM) • Bayview Community Services (ICM) • Canadian Mental Health Association (ICM; ACTT) • COTA Health (ICM) • Community Resource Connections of Toronto (ICM) • Griffin Centre and Community Support Network (short-term and crisis services) • North York General Hospital (ACTT) • Reconnect Mental Health Services (ICM) • Saint Elizabeth Health Care (crisis services) • Sunnybrook Health Sciences Centre (ACTT) • The Scarborough Hospital (ICM; ACTT) • Toronto North Support Services (ICM) 1 access Intake Network for North York and Scarborough

7. Access 1 process - overview Referral sources (consumers, family members, service providers) If seeking access to ICM or ACTT services Access 1 Partner Agencies Access 1 (operated by Toronto North Support Services) • Provides information • Conducts basic telephone screening • Makes referrals as needed to: • Emergency services 24/7 (crisis services, hospital services, 911) • Short-term support (housing, income support, urgent needs) • Other services and resources • Conducts comprehensive telephone assessment (gathering other information and documentation as needed) • Determines eligibility for Short-Term Supports (STS), Intensive Case Management (ICM) and conducts preliminary eligibility for Assertive Community Treatment (ACTT) services • Offers access to Peer Support Facilitator • Special processes for internal transfer, alternative access route, and pre-existing agreement referrals and clients returning to service less than 30 days after discharge Access 1 Steering Committee In service Consolidated Waiting List • Quarterly check-ins • Managed chronologically with some latitude for prioritization based on need Match clients on waiting list to available spaces Inform Access 1 of available space(s) • Access 1 partner agencies inform Access 1 of available space(s) • Discussion of client needs and characteristics of space • Access 1 matches client to space and sends application to partner agency • Partner agency reviews application and advises Access 1 as to acceptance of client into service (or not) • Access 1 tracks and reports on partner agency acceptances and declines Service Resolution Table • For complex service situations 1 access Intake Network for North York and Scarborough

8. What it means for you and your clients • Well-defined and advertised point of access • Comprehensive, timely information about service options • Only one application form to fill out • Support with system navigation (access worker and peer) • Check-ins with people who are waiting • Opportunity for short-term support • Collaborative responses to complex service situations • Ability to monitor and respond to changing service needs over time • More level playing field, more equitable access 1 access Intake Network for North York and Scarborough

9. Working together going forward • Learn more about your services, target populations and referral processes • Share information on Access 1 more broadly within your Network • Secure your members’ participation and assistance on an ad hoc basis for service resolution • Other? 1 access Intake Network for North York and Scarborough

10. access Intake Network for North York and Scarborough 1 Appendix

11. Values and principles • Person-centred: The taking of an individualized, whole-person-focused, respectful, strengths-based, recovery-oriented, resource-building, growth potential-affirming and responsive approach • Involvement and choice: Full participation and empowerment of consumers in determining their own criteria for success and satisfaction, informed choice for consumers as to the means and ends of one’s rehabilitation and recovery process, and consistent provision of person-directed care and support • Equity: The respectful, competent delivery of services regardless of race, culture, faith, language, gender, sexual orientation, class, diagnosis or special needs (for example, physically disability, hearing impairment, dual diagnosis, concurrent disorder, needs that require services from multiple service systems), with individual’s service preferences with respect to these factors being honoured whenever possible and with none of the above serving as barriers to accessing appropriate services • Transparency: Use of easy-to-understand, widely publicized, user-friendly, policy- and evidence-based decision-making, processes and practices • Confidentiality and informed consent: The safeguarding and preserving of the confidentiality of private information disclosed during the helping process; assurance of informed consent before sharing of any such information; and the existence of clearly established guidelines and accountability mechanisms to ensure this basic right • Accountability: Individual and collective accountability to respond to and meet individuals’ needs, meet policy and legislative goals, make the most effective use of resources, deliver against agreed-upon outcomes, fulfill common protocol commitments, and demonstrate leadership in responding to system changes • Continuous improvement: The proactive review of findings from research, outcome evaluation, stakeholder feedback, utilization data, and information on current and anticipated needs/trends to inform on-going planning, problem-solving and evaluation of system responses 1 access Intake Network for North York and Scarborough