Durham
Annual Report 2018 / 2019 Canadian Mental Health Association Durham
Table of Contents 3
Message from the Board Chairman and CEO
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CMHA Durham Strategic Plan 2016-2019
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Programs and Services
8 Celebration 9
Community Support in Action
11 Finance
Margaret Trudeau Speaker's Night Join us Thursday October 24th for an evening with Margaret Trudeau. Margaret Trudeau is a Canadian icon, celebrated both for her role in the public eye and as a respected mental-health issues advocate. From becoming a prime minister’s wife at a young age, to the loss of both her son and her former husband, to living with bipolar disorder, Margaret tirelessly shares her personal stories to remind others of the importance of nurturing the body, mind, and spirit. Photo by Peter Bregg
Tickets available at CMHAdurham.ca.
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ANNUAL REPORT
CANADIAN MENTAL HEALTH ASSOCIATION, DURHAM
Message from the Board Chairman and CEO
Gord Glibbery Board Chairman
Linda Gallacher CEO
Canadian Mental Health Association (CMHA) Durham’s 2018-2019 annual report highlights some of our key initiatives and outcomes. Our achievements continue to demonstrate a tradition of helping people of all ages, their families, and caregivers throughout Durham Region, move forward and achieve their goals in their home community.
CMHA Durham is proactive, and we are well positioned to respond to the newly proposed health care design as it is rolled out by the provincial government.
In 2019 CMHA Durham entered its 60th year as a caring, client-focused, community mental health and primary care hub. This is an achievement we celebrated throughout the year.
Our corporate services continually develop needed structure and supports, which are critical in enabling clinical staff to focus their energies on meeting the needs of our clients in Durham Region.
We passionately serve the residents of Durham Region and continue to evolve and adapt along with the changing provincial health care environment, so we can continue to successfully meet client, family, caregiver and community needs.
We are especially grateful for the dedication and hard work of our staff, board volunteers, students, caregivers, community partners and our clients themselves. We invite you to read our annual report and to share our pride as we celebrate 60 years of success.
With the significant changes in the health care system on the horizon,
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Through program integration, education and effective partnering, we pursue the delivery of specialized client-centred initiatives for the people we serve.
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CANADIAN MENTAL HEALTH ASSOCIATION, DURHAM
CMHA Durham Strategic Plan 2016-2019 Mission
Values
Our Mental Health and Primary Care Hub promotes and enhances the mental, emotional, and physical wellbeing of our community. We do this through education, collaboration, advocacy, and the provision of a broad range of direct services that meet our community’s needs.
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Social Justice Self-Determination Integrity Creativity Partnership and Collaboration Excellence and Accountability
Vision We envision mentally healthy people in a healthy society.
Strategic Goal Grow capabilities and capacity as a flagship community mental health and primary care hub.
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Be a recognized leader in providing holistic, person centred community and primary health care to people with mental health needs.
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Provide exceptional, integrated, community care within a high quality and healthy environment where risks are managed effectively.
Improve continuously and act decisively to achieve results that put clients, families and caregivers first.
2 Expand our capacity to meet our communities, clients, families and caregiver’s current and future health needs through innovative opportunities and partnerships.
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Make it a priority to retain and attract the most capable and service focused staff and volunteers while aligning human resource strategies with current and future needs of clients, families, caregivers and the community.
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ANNUAL REPORT
CANADIAN MENTAL HEALTH ASSOCIATION, DURHAM
Programs and Services Assertive Community Treatment
Community Connection Services
Assertive Community Treatment (ACT) provides intensive support services for individuals with serious mental illness who have very complex needs and find it challenging to engage with other mental health services.
As part of CMHA Durham's Integrated Community Hub, Community Connection Services provide system navigation support to help people navigate the mental health and addiction services within Durham Region. The role of the system navigator is to engage clients with complex needs and help increase client self-efficacy and autonomy. Community Connection Services offer system navigation support to 120-160 walk-in clients each month. In addition to walk-in supports, Community Connection services oversee referral and intake processes for the majority of CMHA Durham programs and service and provide regular information and outreach services to patrons of Oshawa Public Libraries.
In the past, ACT teams within the Central East Local Health Integration Network were limited in accepting new referrals because of current enrollment numbers. Based on the success of the Stepped Care model – a system of delivering and monitoring mental health treatment so the most effective yet least resourceintensive treatment is given first – a new model, ACT transitional team was created. With the newly created ACT transitional team, a nurse practitioner and a registered practical nurse, instead of a psychiatrist, provide support to all STEP and ACT clients. To date, 25 individuals have graduated to lessintensive STEP care services.
120-160 walk-in clients per month
ACT teams across the region will be able to support more new referrals, as those individuals that no longer need the highly intensive supports will be able to move on to either the STEP or ACTT programs.
Collaborative Residents Enabling Assisted Transitional Engagement Program
Dear CMHA, the staff is wonderful in every way. They can’t do enough for you day after day. When I have a question they help me understand. They walk me through it with a helping hand. When I’m really sad and feeling low I’m very grateful for a place to go.
Collaborative Residents Enabling Assisted Transitional Engagement Program started in 2017. The program is a transformational housing model offering high support housing in partnership with Ontario Shores for Mental Health Sciences. Since its inception, this program has reduced rehospitalization within 30 days of discharge, saved 4,336 hospital days in the first two years and successfully assisted three clients in transitioning to independent living.
~ ACT client submitted poem
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Community Treatment Order
Nurse Practitioner-Led Clinic
Community Treatment Order (CTO) allows individuals to receive care and treatment in their community. The program continues to provide excellent nursing care, follow-up, and support to clients. The team works closely with the Bond Street Pharmacy and appreciates the pharmacists and her team members.
The Nurse PractitionerLed Clinic (NPLC) serves individuals who are not well served in traditional care environments. Clients receive comprehensive health care in a non-judgmental setting.
CTO has saved over 28,000 hospital days.
Maureen, a CTO client since 2017, has had several successes. Each week Maureen meets with her CTO nurse to receive the support she needs in achieving her goals. With the encouragement of the CTO Team, Maureen has not been back in the hospital and she continues to thrive.
The clinics extended hours and same-day appointments continue to improve access to care. In comparison to last year, they demonstrated a 26 per cent increase, having offered over 843 same-day care opportunities for clients in need.
~ CTO client statement
As our community ages, the number of structurally vulnerable individuals nearing end-of-life grows. Choice And Dignity In Death (CANDID) is a primary palliative care service tailored to the needs of those who are living in poverty, struggling with mental health and addictions and may not have a caregiver or home.
Housing and Case Management Services Housing and Case Management Services provide people with community-based case management and safe, affordable housing. Recently the program was expanded and will acquire up to 25 new units for forensic mental health beds throughout the Durham Region. The team continues to develop its partnership with Mahogany Management and will be obtaining up to 25 units in a future social housing development in Bowmanville. The program supports 235 individuals in subsidized housing and 467 in independent housing.
One CANDID service recipient shared that he had previously been homeless and that over the weekend, he hosted several family members in his home, sharing a meal and spending time looking at photographs. Three days later, he passed away. Dr. Frederick Cheung has been providing low-cost access to acupuncture for NPLC patients for over three years. In working with our team, he integrates Western and Chinese medicine philosophies to help clients achieve better health, including treatments for mood, addiction and pain conditions. We want to extend our heartfelt thanks to Dr. Cheung for his ongoing dedication and service to our clients!
700+ residents
This year, the Nurse Practitioner-Led Clinic hired its fourth nurse practitioner, accepted over 275 referrals, facilitated over 150 care plans for complex clients resulting in collaboration and communication across health care sectors, and 69 individuals received LGBTQ-specific services, totaling 418 visits. All
receive housing supports in Durham Region
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ANNUAL REPORT
CANADIAN MENTAL HEALTH ASSOCIATION, DURHAM
CWS Client Statement
patient-experience survey respondents said they would recommend our services to family or friends.
11,490
1,182
visits in the calendar year
active clients
Michael is recently divorced. He was subsequently removed from Ontario Disability Support Program financial supports after seven years and this left him on the verge of homelessness, experiencing suicidal ideations and faced with a mountain of debt. “I was doing it tough, and I wasn’t in the right mindset, but I knew I had to survive. I needed to find a new place to stay and a source of income. I just had to, but I was doing it tough with no real solid references from employees or friends to find a place.” Michael returned to Community Wellness Services seeking support as he had previously frequented the Youth Activity and Support Program (YSAP) when he was younger. “Community Wellness Services really helped with my suicidal ideations. Not only that, they gave me a place to be so I wasn’t alone after my wife left me. I chatted one-on-one with staff, completed the youth peer support training program and over time I felt a sense of worth and belonging again, and found many friends. I also gained structure when I was completely disoriented.”
Quality Improvement and Risk Management The Quality Improvement and Risk Management department integrates and coordinates all quality improvement, risk management, safety, and utilization review activities for all programs administered by the organization. To improve the client experience and strengthen the organizational culture, the Quality Improvement and Risk Management department continuously monitors and measures performance and makes improvements.
With the help of Community Wellness Services and community partners, Michael found a part-time employment opportunity at Swiss Chalet. After a few weeks, Michael realized that part-time wasn’t going to make ends meet and found a second job at Tim Hortons. As he balances two jobs, Michael has found his way through a tumultuous time. In three months, he was promoted to supervisor at Swiss Chalet, which now leads into a management position and management training. Michael has found suitable accommodation and continues to attend the wellness program to engage with others and to be with friends. “I think I owe a lot to Community Wellness Services and its partners. There aren’t a lot of programs like it out there, and I don’t know where I would be if I didn’t think of it. It’s a relaxed, non-judgmental space that is so appealing and positive.” Through it all, when Michael pops in, he is observed laughing, engaging and passing his valuable experience on to the clients he meets.
To celebrate the organization’s 60th anniversary, the Client Safety Committee held a “60 Years of Client Safety Expo.” The event provided an opportunity for CMHA Durham and community partners to share information with clients, staff and the public on a wide range of safety topics including medication, infection prevention and control, and fire safety. Participants included community partners from Durham Regional Police Services, Oshawa Fire Services, Durham Region Public Health, Big White Wall, Pinewood Centre of Lakeridge Health, AIDS Committee of Durham Region, and Saver’s Pharmacy. The event was well received and showcased the organizations continued commitment to the health and safety of the community it serves.
Community Wellness Services Community Wellness Services promote mental health, wellness and recovery, self-care and self-empowerment in a safe and welcoming community environment.
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Celebration Staff appreciation The Employee Wellness Committee’s second annual staff appreciation event was held at the Whitby Yacht Club on March 2. The over 100 staff in attendance were treated to an afternoon of socializing, fun games, and dancing!
Halloween This year’s Halloween celebration included a bake sale to which all staff donated and a staff pumpkin carving contest. Competition for the pumpkin carving contest was fierce with the Nurse Practitioner-Led Clinic coming out in the lead for their very creative apple core carving.
Board Christmas dinner CMHA Durham’s leadership council joined the board of directors for an evening dinner event. The event was held at the Oshawa Golf, and Curling Club and great fun was had by all!
Visit from Santa In December, Santa Claus, a.k.a. Rev. Dr. Kevin Fast, visited CMHA Durham to take pictures with staff and clients. Rev. Fast has been a pastor at St Paul's Lutheran Church for 22 years and still holds nine unbroken world records for powerlifting, including the heaviest plane pulled by a man (188.83 tonnes).
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ANNUAL REPORT
CANADIAN MENTAL HEALTH ASSOCIATION, DURHAM
Community Support in Action
Oshawa Generals Talk Today
Greater Toronto Day
February 24, 2019 the puck drop featured Mireille Huneault and mental health advocate John Dickson.
Global News hosted the third‐annual Greater Toronto Day, during which people are encouraged to engage in a simple act of kindness to be entered to win a prize. One of the winners, Kris Johnson, delivered coffee and treats to the Toronto Police and chose CMHA Durham as his charity of choice.
The 13th annual Kyle Pegler Squash Tournament Memorial The December 15, 2018 event raised $4,000 for CMHA Durham.
Deer Creek Golf Club Deer Creek Cares Charitable Foundation donated $500 towards CMHA Durham’s 59th annual Client Christmas Dinner and Dance.
Making an impression: East End Saints Roller Hockey League The East End Saints featured CMHA Durham’s logo on their team shirts to help raise awareness and fight stigma.
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Backyard barbeque
Sick Rides 4 Sick Kids
Gregory Small, booking manager and drummer for the band Excel, along with his family, hosted a backyard barbeque for their friends and family and roasted up a donation of $1,200 for CMHA Durham’s 59th annual Client Christmas Dinner and Dance.
Sick Rides 4 Sick Kids’ annual auto show chose CMHA Durham as its charity of choice and donated over $2,000.
No Surrender Hockey Challenge
Ajax-Pickering Board of Trade
Since 2012, the No Surrender Hockey Challenge has raised over $50,000 for CMHA Durham. CMHA Durham honoured founder, Brian Stanton, at the 2018 AGM.
CMHA Durham was the charity of choice at the AjaxPickering Board of Trade’s 2019 Inaugural Reception & Volunteer Appreciation Night. Sandra Rundle and Fay Spurway attended the event.
Mississaugas of Scugog Island
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The Mississaugas of Scugog Island First Nation have been a long-time supporter of CMHA. This year, they donated $2,000 to help support client services.
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ANNUAL REPORT
CANADIAN MENTAL HEALTH ASSOCIATION, DURHAM
Finance Canadian Mental Health Association Durham. Year ending March 31, 2019.
Revenue by Source
Expenses by Category 3
3
4 5
2
2
79%
58.6%
1 1
Ministry of Health / LHIN
Personnel Services
1
Ministry of Health / LHIN
$9,623,497 79%
1
Personnel Services
$6,959,795 58.6%
2
Housing Rent
$1,461,797 12%
2
Premises
$3,598,666 30.3%
3
Fundraising / Other
$1,096,348 9%
3
Office
$593,839 5%
Total $12,181,642
4
Program
$451,318 3.8%
5
Other
$273,166 2.3%
Total $11,876,784 ASSETS
2019
2018
LIABILITIES
Current
2019
2018
Current
Cash and short term investments
$1,469,918
$1,522,204
$482,268
$681,281
Accounts receivable
$85,467
$79,855
$2,176,436
$1,504,727
Taxes recoverable
$90,302
$85,798
$241,978
$290,453
Prepaid expenses
$239,601
$183,224
Other
$45,939
$45,093
Total
$1,885,288
$1,871,081
Total
$2,946,621
$2,521,554
Property and equipment and other
$2,709,919
$2,787,419
$121,923
$167,862
Cash - restricted
$2,176,436
$1,504,727
Deferred capital contributions
$1,142,337
$1,217,908
Total
$4,886,355
$4,292,146
Total
$1,264,260
$1,385,770
Total
$6,771,643
$6,163,227
FUND BALANCES
$2,560,762
$2,255,903
Total
$6,771,643
$6,163,227
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Accounts payable and accrued liabilities Due to Ministry of Health Deferred revenue
Long Term Mortgages payable
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Durham
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Thank you to our supporters:
Central East Local Health Integration Network
An agency of the Government of Ontario Un organisme du gouvernement de l’Ontario
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