September 19, 2017
1:30 pm to 3:00 pmAdd to Calendar (iCal) Add to Google Calendar
Integrated, Outreach Strategies to Increase Access to Mental Health Primary Care
About the Session:
People with severe mental illness die an estimated 25 years earlier than the general population, with 60% of these deaths due to cardiovascular, pulmonary and infectious disease. People who are homeless and/or have addictions experience significant barriers to traditional health care services. In response to these inequitable outcomes, CMHA Ottawa has developed an integrated treatment approach that is tailored to this population and will foster long-term health improvements. This presentation will demonstrate how the addition of wellness strategies has helped support individuals with mental illness to improve their health outcomes. Case examples will describe how initial outreach for acute episodic health issues is often the first step towards a person engaging in comprehensive health care, such as screening and treatment of key early mortality issues, and transition to primary mental and physical health services. Policy-level funding to support these innovative approaches is needed to create equitable and accessible primary mental health care in Ontario.1. Hwang, S. et al. (2009). Mortality among residents of shelters, rooming houses, and hotels in Canada: 11 year follow-up study. British Medical Journal, 339 (7729), 1068-1070.
Annette Bradfield is a nurse practitioner and manager at CMHA Ottawa. Recognizing the significant impact of physical illness for people with a mental illness, Annette’s role is to promote a holistic approach to CMHA’s health initiatives through offering direct clinical services, as well as providing leadership for the nursing team and the organization. She is enthusiastic in sharing project findings to build capacity in the community.
Christy Thompson is an outreach primary health care nurse practitioner at CMHA Ottawa. He recognizes that many people with mental illness often have difficulty fitting into “mainstream” healthcare models. Christy works collaboratively with an interdisciplinary team to offer evidence based physical and mental health care services to CMHA clients, regardless of their living circumstances.
It Takes a Village: Addressing Tobacco and Cannabis Use
About the Session:
Why does it ‘take a village’ to support individuals with mental health and substance-use disorders to quit or reduce their use of tobacco and/or cannabis? Smoking is often so difficult to address for this clientele because so many other issues can influence one’s ability to engage & stay in treatment. While reducing or quitting tobacco can be compromised by ongoing cannabis use, issues such as poor housing conditions (unaffordable, low physical standards, shared accommodation with smokers), symptoms of mental illness (depression, anxiety), a history of trauma, co-occurrence of multiple substances of abuse (such as alcohol or opioids), relationship issues (poor social support), poor nutrition, lack of meaningful activities (work or recreational opportunities) and the overall challenges of living in poverty. This ‘intersection of inequalities’ can be thought of as the social determinants of smoking cessation. Acknowledging the complexity of the life circumstances of many individuals, and working in an integrated fashion with other clinicians, service providers and naturally occurring resources, are all important aspects of treatment as individuals work toward quitting or reducing their use of tobacco and cannabis.
Donna Pettey has worked for over 25 years in community mental health and is currently the Director of Operations at the Canadian Mental Health Association Ottawa. Donna recently completed a PhD in Population Health at the University of Ottawa where her research focused on health interventions for individuals with severe mental illness who are homeless, including smoking cessation interventions. Donna conducted a pilot Randomized Controlled Trial of smoking cessation interventions for individuals with severe mental illness and it was that pilot program that has guided CMHA in the sustained development and implementation of a nicotine dependency clinic for clients, utilizing a more intensive support model in order to address client needs.
Danny Lang has worked at Canadian Mental Health Association in Ottawa for over 15 years. He currently provides group and individual support for people who are homeless and experience both mental health and substance misuse concerns. He recently initiated the introduction of CMHA’s co-smoking groups. Danny is in the process of completing his Masters of Social Work at Carleton University.
Management of Mental Health Patients with Co Morbid Diabetes
About the Session:
This workshop highlights the need for Better collaboration of mental health screening and subsequent mental health treatment into routine diabetes medical care, the physicians from Endocrinology and Psychiatry department at a Regional Health Centre in York Region, Ontario came together and took an integrative approach to deal with this issue to come up with a focused solution of creating the first diabetic mental health clinic of this region, which is a novel concept in Canada.
1 A review of the mental health issues of diabetes conference. Ducat L, Rubenstein A, Philipson LH, Anderson BJ – Diabetes Care – February 1, 2015
2 Psychosocial and psychiatric challenges of diabetes mellitus. Weinger K, Lee J – Nurse. Clin. North Am. – December 1, 2006;
Dr Gaurav Mehta is currently working as the Medical Director at Southlake Regional Health Centre. He has a keen interest in Diabetes and Mental Health. He is the founder for Diabetic Mental Health Clinic in Newmarket, Ontario. He is co–chair for the Diabetes Educator Section, Mental Health, Special Interest Group, Canadian Diabetes Association