The HSJCC Network2018/2019

• Joseph Szamuhel, Project Manager jszamuhel@ontario.cmha.ca

• Christine Conrad, Policy Analyst – Justice Lead, CMHA Ontario cconrad@ontario.cmha.ca

• Candace Vena, Network Coordinator cvena@ontario.cmha.ca

• Tasha Rennie, Network Engagement and Communications Officer trennie@Ontario.cmha.ca

Agenda

- Introductions- Overview of the HSJCC Network- HSJCC Priority Setting - HSJCC Network Year In Review- Provincial HSJCC Projects- Communications, Knowledge

Exchange and Member Engagement

- Q&A

Overview of the HSJCC Network

The HSJCC Network at a glance

Who are the HSJCC Members?

1 Provincial HSJCC:• Education and training• Provincial policy

projects and system change initiatives

39 Local HSJCCs:• Education and training • Care coordination for

individuals (pre-charge, post-charge, court process, release planning)

14 Regional HSJCCs:• Education and training• Regional system change

initiatives

Where and how do HSJCCs Work?

The Provincial HSJCC

• Supports the individual and collective efforts of Regional and Local HSJCCs

• Identifies provincial service and policy issues and makes recommendations to address such issues to appropriate government and other bodies as determined by the nature of the issues

• Identifies solutions to systemic problems

• Promotes consistency of approach across Ontario, while recognizing regional diversity

• Shares information across the HSJCC network and beyond (knowledge transfer)

The Provincial HSJCC Membership

Voting members:• Regional representatives from each of the 14 Regional HSJCCs• Provincial Co-Chairs (one representative from the human services sector and

one representative from the justice sector)

Ex-officio Members:• Representatives from each partner ministry (MAG, SolGen, MCCSS, MOHLTC &

CSC)• CAMH, OPP, OACP, Forensic Director’s Group, Community Networks of

Specialized Care, CMHA Ontario, LHIN representation, ConnexOntario, Legal Aid Ontario, John Howard Society of Ontario and Justice for Children and Youth

The HSJCC Secretariat

• The HSJCC Secretariat are the staff responsible for implementing the objectives and workplan of the Provincial HSJCC and supporting the HSJCC Network infrastructure

Candace Vena: Network CoordinationTasha Rennie: Membership Engagement and CommunicationsJoseph Szamuhel: Project ManagementChristine Conrad: Policy Analysis

Provincial HSJCC Visioning Day September 2018

After surveying the HSJCC Network, in January 2019 we established:

The Provincial HSJCC 2019-2022 Top Priorities

1. Supportive/Affordable Housing

2. Release from Custody/Discharge Issues

3. Cross Sector Collaboration and Cooperation Issues

4. Clients with Complex Needs

5. Emerging Trends in Substance Use Issues

6. Specialized Populations (Seniors, Youth, Racialized and Indigenous Populations)

7. Lack of Appropriate Resources

8. Membership and Engagement

HSJCC NetworkYear in Review

• Work planning assists HSJCCs to map out their planned activities for the year ahead.

• Keeps everyone well informed of what is happening at a Local, Regional and Provincial level within the HSJCC Network.

• Annual reports illustrate the actual outputs and outcomes from the previous fiscal year.

• Reporting ensures there is accountability across the network.

• Great way to highlight the accomplishments of HSJCCs and celebrate the impact of our work across the network.

HSJCC Planning & Reporting

HIGHLIGHTS FROM REGIONAL AND LOCAL HSJCCS

Regional and Local Committee Highlights

North West Centre of Responsibility:

• Supported the successful launch of three Situation Tables in the communities in the District of Thunder Bay.

• Recipient of the city of Thunder Bay Mayor’s Community Safety Award in the Outstanding Community Project Category.

• Hosted a priority-setting day, which brought together over 30 senior leaders throughout the NW region from the health, justice, education and social service sectors.

• Hosted A Day of Learning with Dr. Jo-Ann Vis, who provided a day-long workshop on preventing psychological stress injury and burnout in the workplace

Regional and Local Committee Highlights

Kenora Rainy River District HSJCC:

• Updated Inventory on Mental Health and Addiction Services in Northwest Ontario First Nation Communities.

• Working to develop an inventory in Connex Ontario’s system that is open to committee members to access contact information related to nursing stations within the NW and treatment centres available on First Nation communities.

• Updated both their youth and adult Criminal Justice Navigation Maps

• Held an annual RISK forum where they presented the annual report information for acutely elevated cases brought before the table.

Toronto Regional HSJCC:

• Worked in collaboration with Justice Collaborative/PSSP CAMH and the Complex Care-Sub Committee to build and support the Service Resolution Toronto Process for people with complex needs.

• Worked on ways to scale up system-level issues as they relate to the social determinants of health.➢ Conducted a survey to determine the scope and/or the impact of a fee-for-

medical file transfer in the context of the population that the HSJCC works with.

Regional and Local Committee Highlights

Toronto Locals:

• Through educational social engagement, the Toronto locals hold events, such as Lunch and Learns, to build cross-sectoral collaboration and networking to sustain the HSJCC capacity.

• The Downtown Local explored a new consultation-style Lunch and Learn format: ➢ Opportunity to bring case scenarios, questions and/or situations that be explored

using a trauma informed principles to a session on Understanding the Impacts of Trauma.

York South Simcoe Regional HSJCC:

• The committee organized a vibrant event with a roster of

experienced speakers on the impact of Opioids in York Region &

South Simcoe.

• The primary goal was to increase awareness of the people and

issues related to opioids and the criminal justice system.

• Sessions included hearing from young persons with lived

experience, a discussion on risk and utilization rates, a panel

discussion on corrections and opioids, a presentation from ASYR

on naloxone and a keynote from Joe Roberts, Skid Row CEO.

Regional and Local Committee Highlights

Lanark County Local HSJCC:

• Implementation of Lanark County LEAD Team Protocol & Training➢ 2 day training – 80 frontline responders attended

• Active “Youth At Risk” Subcommittee

Simcoe Muskoka Network Committee:

Regional and Local Committee Highlights

• The Regional Committee printed 150 “Journey Through the Justice System” booklets for distribution.

• The locals were involved in a number of exciting projects including the following:➢ Midland filled 40 backpacks for North Simcoe Mobile Crisis Intervention

Team ➢ Orillia hosted a luncheon to learn about the Building Hope project➢ Barrie purchased and distributed LINX transit tickets ➢ Collingwood hosted guest speaker Joe Roberts – From Skid Row to CEO

Peel Regional HSJCC:

• Created and distributed the Family Navigation tools for Mental Health and Addictions Courts and Justice system to Brampton/Peel Regional Police and Caledon OPP.

• Supported training for police officers on the standard operating procedures and referral processes of the Caledon Pre-Charge Diversion program.

ACCOMPLISHMENTS OFTHE PROVINCIAL HSJCC

Review of the 2018-2019 Year

The Provincial HSJCC

HSJCC Network Support and Business

5Provincial meetings were held last year in Toronto

3 Issue Management Sessions held over the year:

• The 2018 Provincial Election: Impacts on the Work of the HSJCC Network

• Priority Setting for the Provincial HSJCC

• Information Flow Between MAG & SolGen

In September, the P-HSJCC held a Visioning Day. Representatives from every Regional HSJCC, partner ministries and organizations met in person to refine vision, mission and goals for the P-HSJCC.

Engaging with Partner Ministries and Stakeholders

The P-HSJCC continued to engage with its health and justice ministry partners and participated in ongoing consultations including:

• Ministry of the Solicitor General on Discharge from Court Protocol and Correctional Health Care

• Ministry of the Attorney General on Community Justice Centres

The PHSJCC also heard educational presentations from key stakeholders and ministries including:

• Haven Toronto: Services for Elderly Marginalized Men• Justice David Cole, Ontario’s Independent Reviewer • Housing, Health and Justice Community of Interest • Ministry of the Solicitor General – Community Safety and Wellbeing

Planning

5

7

7HSJCC Network Newsletters

Engagement focused presentations, events and activities across the HSJCC Network

EducationalWebinars

• Immigration Detention and Mental Health• Dementia and the Justice System• HSJCC Network: Reflecting on the past year• Cannabis Legalization and Mental Health• Traumatic Brain Injury and the Justice System• Community Safety and Wellbeing Planning• Housing, Mental Health and Justice

Redesigned the HSJCC website: www.hsjcc.on.ca

Assisted with the planning for the 2019 HSJCC Conference: Colouring Outside the Lines: Innovations and Creative Community Responses

Highlights of the P-HSJCC Communications and Knowledge Exchange work:

Provincial HSJCC Projects

• HSJCC Network identified older adults and the justice system during priority setting exercise in 2015

• Project Advisory Committee was struck to guide next phase of project:

Addictions and Mental Health Ontario HSJCC Secretariat

Advocacy Centre for the Elderly John Howard Society of Ontario

Alzheimer Society of Ontario John Howard Society of TorontoCanadian Association for Community Living Legal Aid Ontario

CMHA Hamilton Branch London Police Service

CMHA Kenora Branch Ministry of Health

CMHA Ontario Ministry of the Attorney General

CMHA Peel Branch Ministry of the Solicitor General

CMHA York and South Simcoe Branch North Bay Regional Health Centre

Correctional Service Canada (Ontario) Ontario Court of Justice

Dementia Alliance International Ontario Provincial Police

Empowerment Council Peel Regional Police

Hamilton/Niagara/Brant/ Haldimand/Norfolk Regional HSJCC

Scarborough Local HSJCC

• Objectives: identify key issues impacting this population, generate solutions and create navigational guidebook – coming soon!

• Ongoing priority for HSJCC Network members

Older Adults and the Justice System

Police Hospital Transitions• A person experiencing a mental health or addictions related crisis

may be apprehended by police officers under the Mental Health Act, and subsequently accompanied to a hospital emergency department

• Increase in demands on police and hospital resources• Longer hospital wait times • Stigma and delayed care for the person in crisis

• 2012: Provincial HSJCC began province-wide project to examine these issues and to identify innovative practices adopted by police forces and hospitals throughout Ontario

• 2015: Provincial Task Force including Ministries of Health and the Solicitor General, Provincial HSJCC, CMHA Ontario, Ontario Hospital Association, Ontario Association of Chiefs of Police, and client groups, created the Police-Hospital Transition Framework and Toolkit

• June 3, 2019: Ministries of the Solicitor General and Health jointly endorsed the Framework and Toolkit at a Provincial Education Forum

• August 9, 2019: Christine Elliott, Deputy Premier and Minister of Health, Sylvia Jones, Solicitor General, and Michael Tibollo, Associate Minister of Mental Health and Addictions publicly announced the new Framework and Toolkit https://hsjcc.on.ca/our-work/projects/police-hospital-transition-framework/

EENet Communities of Interest

• Formed in 2015:

• CAMH Evidence Exchange Network• CMHA Ontario• John Howard Society of Ontario• Wellesley Institute• Addictions & Mental Health Ontario

• Knowledge exchange among people working in the housing, health and justice systems, and with people who have lived experience

• Closed Quarters: Challenges and Opportunities in Stabilizing Housing and Mental Health Across the Justice Sector released February 2019

• HSJCC informed release and design

• Examines issues faced by people whose needs are at the intersection of housing, mental health, and justice system involvement, and makes related recommendations

• https://eenet.ca/ClosedQuarters

Housing, Health and Justice COI

• Formed in 2012• Think Tank Day held in January 2019• Racialized Populations and Mental Health Court Diversion

released in May 2019• Examines how diversion is applied to racialized populations, the

need for race-based data collection in the justice system and how to improve the well-being of racialized populations moving through justice system

http://ontario.cmha.ca/wp-content/uploads/2019/05/Racialized-Populations-and-MH-Court-Diversion-May-2019.pdf

Racialized Populations and Mental Health and Addictions COI

EENet Communities of Interest

Looking ahead to 2019/2020

Survivors of Homicide Violence and Mental Health

• Family members and friends of victims of homicide violence face unique mental, physical, and spiritual health challenges

• Research has historically focused on perpetrators and victims of homicide violence, leaving policy makers with little data to develop culturally responsive and evidence-based interventions

• Project aims to enhance awareness of the needs of this population, identify existing services, profile promising practices and determine where culturally relevant responses are needed

• Project advisory committee asked Provincial HSJCC to participate given our broad membership and expertise within the network

• Survey for service providers is live! https://www.surveymonkey.com/r/2RNBKT9

Aboriginal Legal Services Fred Victor

CMHA Champlain East Branch Provincial HSJCC Secretariat

CMHA HKPR Branch Rainbow Health Ontario

CMHA Kenora Branch South Asian Legal Clinic of Ontario

CMHA Ontario University of Toronto Faculty of Social Work

CMHA Windsor Essex Branch Women's Health in Women's Hands CHC

Distress Centres of Greater Toronto Working for Change

Looking ahead to 2019/2020

Collaborative Crisis Response Models

• Increasing number of teams composed of police and mental health/addictions professionals working to support persons in crisis

• Little research on the outcomes of these models

• Provincial working group was formed:

• Reviewing and analyzing promising practices to create geographically and culturally sensitive framework and toolkit to support further development and consistent funding of these models

Akwesasne Mohawk Police Service McMaster University

CMHA Ontario Ministry of Health

CMHA Kenora Branch Ministry of the Solicitor General

CMHA Peel Dufferin Branch Ontario Association of Chiefs of Police

CMHA Thunder Bay Branch Ontario Provincial Police

CMHA Waterloo/Wellington Branch Ottawa Police Service

Centre for Addiction and Mental Health Provincial HSJCC

Cornwall Hospital The Ottawa Hospital

Cornwall Police Service Toronto Mobile Crisis Intervention Team Program

HNHB LHIN (LHIN 4) Toronto Police Service

London Police Service

CKE and Member Engagement

Communications & Knowledge Exchange

- Activities are overseen by the Communication and Knowledge Exchange Committee.

- Purpose is to increase communication, connection and collaboration within network.

- Activities include:- HSJCC Website- Monthly HSJCC Webinars- Bimonthly newsletter- HSJCC Mailing List- Member Engagement Plan- Provincial HSJCC Conference

Knowledge Exchange: A complex set of activities involved in advancing knowledge generated from research into effective changes in policy and practice.

HSJCC Network Member Engagement Plan

A guide for committees to address engagement issues containing an overview of Member Engagement Survey and strategies for addressing engagement challenges.

Goals:(1) Improve participation of HSJCC members of

the Local, Regional and Provincial committees, (2) Enhance communication and collaboration of

Local and Regional HSJCCs with one another, (3) Improve flow of information between the

Provincial HSJCC, and the Regional and Local committees, and

(4) Recruit new members to the HSJCC Network.

HSJCC Member Engagement Activities

HSJCC Network Member Engagement Plan released November 2017.

Facilitated Workshops:• South East Ontario Regional and Local HSJCCs –

April 17, 2019• North East Regional HSJCC - November 8, 2018• Champlain Regional HSJCC – November 6, 2018• Simcoe-Muskoka Regional and Local HSJCCs –

June 7, 2018

HSJCC Secretariat Presentations• Peterborough - November 2018• Halton – September 2018• Peel – June 2018• Toronto – February 2018• Waterloo- Wellington – February 2018

Key Themes and Best Practices

- Vision, Goals and Objectives- Revisit vision statement- Make visible at each meeting

- Linkages- Identify representatives to ensure flow of info

between Local, Regional and Provincial table- Use newsletters, mailing list, Provincial highlights

- Committee Structure - Review Terms of Reference- Structure meeting agendas- Create orientation packages

- Accountability- Rotating co-chairs, additional roles- Working groups and subcommittees

- Accessibility- Video conferencing

Knowledge Exchange

HSJCC KE Guide• What is Knowledge Exchange?

• Kinds of evidence

• HSJCC Stakeholders

• Knowledge Exchange Strategies

• Planning Template

• Measuring Success

• Created with the support of the Evidence Exchange Network (EENet). For more information about EENet, please visit www.eenet.ca.

STAKEHOLDER DESCRIPTION MAIN MESSAGES KE GOALS KE STRATEGIES

Name the

stakeholder group

to be addressed.

Each row of the

planning template

will correspond to

a single

stakeholder group.

Describe the

stakeholder group in

question.

The description can

be borrowed from

earlier in this guide or

expanded to include

more relevant

information.

Outline the key

messages that you want

to convey to this

stakeholder group

through your

knowledge exchange

strategy.

Articulate 2 – 4 key

messages for this group

in the form of a simple

sentence. These should

be related to the

underlying reasons that

knowledge exchange

activities are taking

place.

Indicate which of the

identified KE goals you

want to accomplish with

this stakeholder.

Not every KE goal needs

to be pursued with each

stakeholder.

KE goals may include:

GENERATING…

- awareness

- interest

- behaviour change

- policy action

IMPARTING…

- knowledge

- tools

INFORMING…

- research

OTHER…

- specify

Outline the different KE strategies

that you will pursue to meet your

goals for this stakeholder group.

Provide some basic details about

what each strategy will entail. These

strategies will guide further action

planning and evaluation.

Provincial HSJCC Biennial Conference

November 4 – 6, 2019Brings together over 400 professionals from human services and justice sectors to share promising practices, build cross-sector networks and engage in innovative solutions.

Featuring:- 4 Keynote Speakers: Phil Borges

(Crazywise Film), Michael Bryant, Stephane Grenier, Jonathan Rudin

- 2 Keynote Panels- 36 Concurrent Sessions- 11 Poster Presentations

Early Bird Registration ends September 12, 2019

Learn more at hsjccconference.ca

Discussion Questions

- What are some of the most common issues, concerns or misconceptions you have heard from HSJCC members?

- What is the most interesting aspect of working with the HSJCC Network?

- What can HSJCC members look forward to over the next year?

QUESTIONS?Contact Us: • Joseph Szamuhel, Project Manager jszamuhel@ontario.cmha.ca• Christine Conrad, Policy Analyst – Justice Lead, CMHA Ontario

cconrad@ontario.cmha.ca• Candace Vena, Network Coordinator cvena@ontario.cmha.ca• Tasha Rennie, Network Engagement and Communications Officer

trennie@Ontario.cmha.ca

Stay Connected:• Visit our website: www.hsjcc.on.ca• Join the mailing list: https://hsjcc.on.ca/newsletter/• Follow us on twitter: @hsjcc