“Making our community better by preventing substance abuse”

Agenda:

9:00am – 9:15am ~ Welcome & Introduction of new coordinator

9:15am – 10:30am ~ MCSCS: Community Safety and Well-Being Planning Pilot Leads

10:30am – 10:45am ~ Break

10:45am – 12:30pm ~ Pillar Updates

12:30am – 1:30pm ~ Lunch

1:30pm – 3:00pm ~ Winnipeg Biz Members: Rick Joyal, Jason Syvixay and Kristy Rebenchuk presentation

Who we are…..•a collaborative group of over 35 local community partners (approximately 139 members).•work with our community and various organizations to improve overall health, aiming to more effectively protect those at risk of harm from concurrent issues, associated abuse and homelessness.

Task Force Coordinator…..•Please welcome Patty Letourneau

Patty LetourneauCoordinator

Contact Information:Office – 547-4100Cell – 464-4004

Email – ksamhtf@kmts.ca

Year One Work Plan 2014-2015

Community Safety and Well-Being

Planning Pilot Leads

Pillar Updates

Children & Youth:Our focus:

•to work along with the Youth Justice Service Collaborative to assist them in bringing about some positive systemic change in the larger youth justice service network.

• to educate the youth justice service network on moving towards a more ‘trauma informed’ model of service delivery that is better suited to the historic and devastating legacy of loss that has earmarked our region’s aboriginal communities.

•Such a shift will hopefully move people from working in isolation to working out of a collaborative community based model that:

•Moves from looking at what’s wrong with a youth… to better understand what has happened to the youth and a recognition of the skills and abilities that they bring with them as we move towards finding solutions.

•Moves from reacting to and ‘working on’ the youth… to ‘working with’, building relationships and supporting the youth in developing a sense of community and finding their way forward.

•Shifting from seeing the youth as lacking skills/abilities… to seeing the youth as being a resourceful survivor that often feels overwhelmed by life events over which he/she has largely had little to no control through his/her growing years

• Sharpening our focus on working more effectively with the higher risk youth who consume a great deal of our local service resources.

We feel that great strides have been made locally both through:

•the Northwestern FASD Clinic advisory network which have received Ministerial funding to carry on with our diagnostic clinics. The clinic has set the goal of doing 40 assessments in the 2014/15 year. These clinics are being held in Fort Frances, Sioux Lookout and Kenora.

•The Youth Justice Service Collaborative have contracted with the Klinic Program (Winnipeg) to conduct an ongoing series of trainings in 2014/15 for local service providers in ‘Becoming Trauma Informed’ service providers and agencies. The collaborative is also arranging for a local training in using the Gain SS mental status screening tool in the New Year.

•The ‘Open Doors’ after-school program has been launched successfully at Beaver Brae Secondary School on Thursdays from 3:30 to 4:45 PM. The Kenora Circus program has partnered with the OPP on this and more recently the Northwestern Health Unit has stepped up to offer an after-school program on the Mondays.

Adult:

Our goals:•Identify gaps in service•Improve communication and coordination between service providers•Work together in the spirit of collaboration to enhance the treatment system•Collaborate to improve local training opportunities

Over the past year

we have worked

on the following

initiatives:

Kenora Drug Treatment Court

The KDTC will increase public safety by addressing root causes of crime. The KDTC will:

•Monitor and support offenders as they work to end their dependence on illegal drugs•Reduce the number of crimes committed to support drug dependence•Reduce the harm people cause themselves and others through their drug use

The court started in January 2013 and has been set up as a demonstration project with small numbers.

Kenora Drug Treatment Court

Vision: To break the cycle of drug use, criminal

behaviour and incarceration by establishing a partnership between courts, treatment

and community agencies.After input from community partners this court has extended it’s mandate

to include Alcohol Offenses.

Kenora Drug Treatment Court

The Drug Court discussion group, comprised of agencies that provide support through the forensic system,

met to discuss gaps in services.

From that discussion thefollowing groups were offered

at the Kenora District jail: •Structured Relapse Prevention

•Mindfulness

MAP – Managed Alcohol Program

Managed Alcohol Programs are designed for chronic alcoholics, many of whom have long histories of public intoxication and regularly consuming non-palatable alcohol products. Clients live in a residence, participate in the up-keep of the residence and follow the house rules.

They, in return, are given one standard drink of wine in 90 minute intervals beginning at 8:30 amand continuing until 4:00 pm. There will be a two hour interval between 4:00 pm and 6:00 pm for dinner services where no alcohol is served 90 minute intervals will then commence from 6:00 pm until the final services at 12:00 am.

If a client is unable to present themselves at the server, they will not be given alcohol.

MAP – Managed Alcohol Program

Studies show that MAPs impacts clients,government and the local citizens in a positivemanner. Clients have improved hygiene, sleep habits, improved general health and perceived

happiness. MAPs also serves as the first step towards beating

an addiction formerly thought to be insurmountable. Relevant studies also found that MAPs offered

measured savings in the form of fewer police calls,fewer emergency room (ER) visits and better

overall health.

MAP – Managed Alcohol ProgramUPDATE:

Working group comprised of the agency Lead Changes Recovery Homes, the City of Kenora, OPP, Northwestern

Health Unit and Lake of the Woods District Hospital working on the following areas:

•submitted a proposal to the LHIN’S for funding •investigating other funding support options for capital

expenditures as well as ongoing funding•visited other services to review operational policies and

procedures, funding, medical supports, intake process, facility layout, dosage monitoring, etc.•reviewing potential sites

We are hoping to add a Managed Alcohol Program option to our treatment continuum in the near future.

Our Education Goals Include:

•collaboratively offering community education, Health fairs•information packages as part of the OPP RIDE Program •yearly education session for the forensic system •yearly education sessions as part of Drug Awareness Week

What is Harm Reduction?

•Seatbelts

•Smoke detectors

•Life jackets

•Condoms

•Needle exchange

Harm Reduction ProgramPrinciples

•Meeting people where they are at

•Realistic, obtainable goals

•Do no harm

•Drug use through Public Health lens

•Recognizes the value and dignity of every human being

4 Programs:

•Safe Needle Disposal

•Overdose Prevention Program

•Needle Exchange Program

•Ambassador Program

Safe Needle Disposal

Overdose Prevention Program

Goals•Prevent overdoses- prevention education

•Prevent overdose deaths- recognizing signs of OD, know what to do (& what not to do), Naloxone

•A prescription medication

•1 supplier in Canada – Sandoz

•Average cost: $11.35/ ampoule

•Reverses opioid overdose

About Naloxone

Reduce the incidence and burden of blood borne infection to the individual, the community and to protect the health of the entire population.

Needle Exchange Program

Goal

Needle Exchange Program

Needle Exchange Program Costs

1 box of needles = $10.92

1 injection kit = $2.00 with assembly

1 Hep C treatment = $26,000 at $2000/month

1 Liver transplant = $120,000-$690,000

Canadian Medical Association 2003

“….peer workers are the bridge or conduit between service users (or potential users) and the agency”

Toronto Harm Reduction Task Force

Peer Ambassador Program

CommunityBased

Outreach

Provide info PHN

Drive Program/Relevant Services

Improve Healthof Clients

AdvocacyImprove Access

to ServicesEducation

Role ModelSafe Drug Use

Peer Ambassador Program

Alcohol - The Price

•World Health Organization identified alcohol as a leading risk factor for chronic disease

•Linked to more than 60 diseases including:•cancer

•gastrointestinal diseases

•neurological disorders

•cardiovascular disease (especially stroke)

•negative impacts on the developing fetus

Substance Misuse

The Cost of Substance Misuse in Canada (in Billions of Dollars)

“Individuals who use drugs do not forfeit their human

rights”

Navi Pillay

UN High Commissioner for Human Rights

“Holding Offenders Accountable with

Appropriate Linkages to Community Support”

Challenges:

Alcohol and drug use - continue to fuel the vast majority of violence, property crime, street crime and disorder

Substance Abuse Prevention = Safe and Secure Community

Total Detachment Occurrence Information

2010 2011 2012 2013 2014(end of October)

Total Incidents

18,900 18,325 17,688 16,475 14,246

Violent 509 454 400 363 317

Property

1014 1103 947 735 799

2010 2011 2012 2013 2014(end Oct)

Liquor Licence Act

2387 2191 1825 1585 1477

Disturb the peace

175 179 169 137 115

Unwanted persons

423 497 477 404 408

Mental Health

143 131 126 161 155

Trouble with Youth

186 159 162 193 168

Missing Persons

526 684 729 700 783

Miscellaneous

Priority Risks in Community: •Drugs•Alcohol•Alcohol related deaths – homelessness•At risk youth •High risk repeat offenders•High crime multi-unit residences•Bullying – community wide, not just schools•School violence (and prevention)

Initiatives:

•Focus on High Risk Repeat Offenders

•Support to Drug Treatment Court

•Support to Alcohol Court

•Support to Mental Health Court

•Support to proposed Managed Alcohol Program

•BMHS – Brief Mental Health Screener

•Mental Health referrals and Protocols

•At Risk Youth

LCBO: Kenora store•The store participated in the Big Belly poster and awareness campaign for FASD. There was an interactive display outside the store for customers to get more information.

•Challenges are:

• where under the age of 25 is in question

• impaired individuals trying to purchase

• suspected second - party sales

•Numbers are tracked by staff pressing the Challenge Button on the till and then are prompted to ask additional questions.

•In 2012-2013, the store tallied just over 15,233 challenges.

•In 2013-2014 it rose to 18,261 including 1930 customers who were refused service.

OPP KIDS (Knowledge Issues Decisions Supports)

Program delivered to grade 6 students. With the use of videos, workbooks and interactive games, officers are talking directly with kids about the law, peer pressure, issues relating to online and social media, along with drug and mental health awareness. 

Testimonial from a teacher:

“My grade six students participated in the new OPP Kids Program, last year. This new program is essential for our Net Gen of students here at the KPDSB. The DARE program was very effective but, the reality is that students are now living in an ever changing technology based world. This reality requires that the OPP KIDS Program address and provide essential education, skills, and knowledge to the students about using technology appropriately and safely. I am excited to report that the program is very informative, thorough, and very effective in addressing BOTH content areas.  My students were excited, engaged, and interested to learn/discuss all content. The effectiveness of this new program also has a lot to do with the excellence, professionalism, dedication, and enthusiasm of the two constables teaching it!  I extend my thanks to them both and cannot wait for my class this year to participate in this extremely valuable program!” 

Strengthening Families for the Future – April & May

2014SFF is an 8 week program involving families with children between the ages of 7 to 11. Dinner is served prior to program. Children under age 7 attend child supervision and those older than 11 can choose to assist with program activities or do their own activities.

The goals are to: 1.Reduce children's or adolescents’ intention to use alcohol or other drugs, and to reduce other behavior problems.2.Increase children’s resilience & life skills, including communication, resisting peer pressure, recognizing their feelings & solving problems.3.Increase positive and effective parenting skills and improve family communication.

Highlights:•Costly - grant from Kenora and Lake of the Woods Regional Community Foundation•10 parents and 16 youth•7 siblings in the free child care program•4 out of 8 families used the free

feeling like I’m not alone communication

with my children

talking through our difficulties

new ways to solve problems

What I liked best….

Something That Was Difficult

Speaking up….working hard

Talking about things that make you sad

Learning that I wasn’t parenting the best way

Talking about things that make you angry

Talking about hard things in your life

Leaving my child

Speaking up about hard times in your family

Learning more about why I parent the way I do

Hearing and seeing kids that are hurting

Realizing that what was happening was connected to how we were raised

Something I am Working On

Having a happy and healthy home for my children

Better family

Being kind and spending more time with my family

Healthy family

Controlling anger better

listening

Better communication

Respecting people during class

Communication to stop fights

Looking Forward:

1.Continued support for implementation of SFF and OPP KIDS.2.Move forward with planning and implementation of the P.A.R.T.Y. (Prevent Alcohol & Risk-related Trauma in Youth) Program.3.New collaborations with LWDH’s CHOICES program which encourages youth between the ages of 12 to 17 to make informed and relevant decisions and to promote positive choices in their lives. 4.Continued education within the community through various forms of media.

“Homelessness may not be only a housing problem, but it is always a housing problem; housing is necessary, although sometimes not sufficient, to solve the problem of homelessness” (Dolbeare, 1996:34).

Mission Accessible, Affordable Housing for All

People.

The Housing Pillar acknowledges that housing is a right’s based intervention, and that all people in our community deserve access to safe, affordable, accessible, barrier-free housing with no preconditions for people suffering with addiction disorders and/or mental illness.

We believe that working collaboratively with our community partners and building capacity with housing options will transform lives by ending homelessness, and will work towards ensuring people have supported recoveries with community integration using Housing First philosophies.

Vision

Over the past 25 years:

•Canada’s population has increased by almost 30%

•Annual national investment in housing has decreased by over 46%

•Federal spending on low-income housing (per capita) has dropped from $115 to $60/person (the Homeless Hub)

The Facts

The Facts

• Nearly 1 in 5 household experience extreme housing affordability problems – meaning they are spending > 50% of their income on rent (the Homeless Hub)

• Locally there are 2,908 citizens in Kenora who cannot obtain affordable, adequate and accessible housing. (MKH 2013 Affordable Housing Needs Analysis)

Time for ChangeWe must shift our focus from managing the problems of homelessness and put more emphasis on prevention. Currently we rely heavily on:•Emergency services•Hospitals•Shelters•Police services

These are costly options and not sustainable.

Average Monthly Cost of Housing Someone While Homeless

Shelter Bed = $1,932.00Provincial Jail = $4,333.00Hospital Bed = $10,900.00

Compare this with avg. monthly costs of:

Rental Supplement = $701.00 (TO Stat)Social Housing = $199.92 (TO Stat)(Wellesley Institute’s Blueprint to End Homelessness (2007)

The Cost of Homelessness $$$

“The heart of all plans to end homelessness involves using Housing First interventions.”

(Homeless Hub)

Housing First Interventions

The Housing Pillar has identified three main areas of focus for the group:

1. Housing Development Options

2. Housing Projects – Builds

3. Community Awareness/Supportive Environments

Dividing the group to work on specific areas enable more efficient and effective processing in hopes to create better outcomes.

Focus Committees

Housing Development Options

Target Activities:

•Contribute to the creation of a community housing database that remains current and is sustainable

•Facilitate the development of housing proposals that incorporate input from both service agencies and identified client groups

•Engage with local agencies to structure housing support services that increase success of housing placements

Housing Development Options

Housing Projects - Builds

Target Activities:

•Prioritize housing options for development

•Identify potential funding sources for building & obtain application information

•Recruit potential partners for housing builds

•Support build partners in developing specific housing projects

Housing Projects - Builds

Target Groups:

•Youth

•Homeless (Episodic/Chronic)

•Low-income families with dependent children

•People impacted by addictions

•People affected by mental health dysfunctions

•People with physically disabling health issues

•Seniors

Housing Projects - Builds

Community Awareness/Supportive

Environments

Target Activities:

•Advocate for Housing First on behalf of those impacted by addictions and/or mental health issues within our community

•Increase community partnerships

•Develop sector support for affordable, appropriate and accessible housing projects(citizens, service agencies/organizations, businesses, municipal leaders)

•Research and report on local housing issues

Community Awareness/Supportive

Environments

Target Groups:

•Citizens within our community

•Agencies/organizations serving our community

•Business community

•Municipal leaders

Community Awareness/Supportive

Environments

Future Plans for the Housing Pillar

•Continue to increase community education

•Continue to assess Local housing issues

•Build on ‘Housing First’ philosophies

•Work with the government leaders to enable affordable, accessible and adequate housing

•Partner to develop housing projects that will house those who are challenged with substance abuse and/or mental health issues

Future Plans for the Housing Pillar

•Province has committed to develop evidence based solutions to help end the homelessness issue through the “Poverty Reduction Strategy – 2014-19”, acknowledging the benefits of Housing First philosophies & working on preventative measures as well as increased funding for supportive housing programs

•City of Kenora has identified Affordable Housing as one of their top priorities within the 2015-2020 strategic plan

•Project Homefind is developing a sustainable community measurement resource using the V-SPDAT tool in partnership with KSAMHTF and Making Kenora Home

Partnering Opportunities

Wrap-up-

Questions-

Thanks