PAC.AMH@ahs.ca www.ahs.ca/advisorycouncils

Addiction & Mental Health Provincial Advisory Council

Meeting Summary December 06th & 07th, 2019 / Alberta Room, Sheraton Cavalier Calgary Hotel

Meeting Summary is DRAFT and subject to approval at the next meeting of the

Addiction & Mental Health Provincial Advisory Council

Introducing your Addiction & Mental Health Provincial Advisory Council members: In attendance: Dr. Geoff Tagg (Chair), Lindy Fors, Ariel Haubrich, Candice Horne,

Kaj Korvela, Denise Lambert, Emily Macphail, Dr. Austin Mardon, Terry O’Riordan, Timena Osborne

Alberta Health Services: Barry Andres, Allison Bichel, Katherine Chubbs, David O’Brien, Janine Sakatch, Crystal Stewart

Regrets: Karen Andresen, Diane MacNaughton, Barbara Murray, Bavie Sara

Presentations

Council received two presentations:

Cannabis – One Year After Recreational Legalization Shiela Bradley, Manager Promotion, Preventions & Community Initiatives – Provincial Addiction & Mental Health, CSAMH Michelle Fry, Program Consultant I, Addiction Prevention Unit – Provincial Addiction & Mental Health, CSAMH

Highlights included:

Overview of cannabis legalization activities: non-medical utilization October 2018; edibles, extracts and topicals (EEC) October 2019

Restrictions for EEC include THC limits by weight; restriction of ingredients and flavours that could increase appeal and/or risk of food-borne illness; child-resistant packaging; strict manufacturing controls for production of cannabis EEC to control quality of products

Edible cannabis can take up to four (4) hours for users to feel full effects; consuming more within this timeframe can increase the risk of adverse effects

Effects of edible cannabis can last up to 12 hours with some residual effects lasting longer

Cannabis should not be smoked or vapourized around children; cannabis should be kept in original, clearly labelled container, out of sight and reach of children

Cannabis use can impact brain development for people under 25

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Questions and comments from Council:

Arrests and charges for small amounts of cannabis have decreased but it is too soon to verify any health benefits of legalization of recreational utilization

Concern expressed around cannabis edibles that look like candy; noted metabolization of edibles is very different than inhalation

AHS ID Program Celina Dolan, Manager Housing Initiatives and AHS ID Program – Provincial Planning and Capacity Management, CSAMH

Highlights included:

Vulnerable clients may be entitled to healthcare but are unable to access it without a personal health card or appropriate ID

AHS ID Program seeks to obtain and store ID to improve access to community health and government support services

Program has established Authorized Certifiers across Alberta to expedite processes across Alberta Veterans Services; Alberta Works; Assured Income for the Severely Handicapped (AISH); Immigration, Refugees and Citizenship of Canada (IRCC); Justice and Solicitor General (JSG); Alberta Medical Association Special Investigations Unit (SIU); and Veterans Affairs

Program has served 12,000 net new clients and 34,000 follow up transactions since 2014 providing an improved sense of identity and empowerment; increased community stabilization; and health improvements such as home care, prescriptions, lab, addiction supports and more

www.ahs.ca/id or https://www.youtube.com/watch?v=9yVxSPE_jts to view video, Homeless to Happiness – A story from the AHS ID Program

Questions and comments from Council:

Appreciation expressed for AHS ID Program and services provided

Safety concern expressed and recognized for clients in-line for services; this is being addressed through AHS Protective Services

Volunteers with ID Program are recruited from AHS Volunteer Services.

Community Input

1 community member attended this meeting.

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Council Business

Council discussed the following items:

Seven people have been put forward to the AHS Board as recommended for Council membership to fill vacancies arising in 2020

Council will hold elections for Chair and Vice Chair at their next meeting; interested members are encouraged reach out for more information and/or to put name forward

Council reviewed Top Concerns document, Emily Macphail and Denise Lambert will revise and return to AHS by Friday, December 13th for circulation to Council for feedback due December 29th.

Dr. Austin Mardon shared his story about his travel to Rome, Italy and audience with Pope Francis

Council was made aware of Cannabinoid Hyperemesis Syndrome symptoms and treatment

Chair’s Report Council Chair, Dr. Geoff Tagg, shared the Council of Chairs met Friday, December 6th via videoconference:

Debrief regarding the Advisory Council Fall Forum

Health Advisory Councils’ Review Update

Presentation on Connect Care Wave One Launch and next steps

Community Engagement Update on Budget, Top Concerns, Satisfaction Survey, Work Plans and Annual Reports

Presentation on AHS Bone & Joint SCN

Remarks from Dr. Verna Yiu, AHS President and CEO and Dr. Brenda Hemmelgarn, Chair Community Engagement Committee of the AHS Board; Question & Answer session with Dr. Hemmelgarn, Dr. Yiu and Colleen Turner, Vice President Community Engagement and Communications

Presentations circulated out of the meeting are available by request through Council Coordinator

Council Activities Updates

Council members participating at committee and working group tables provided update on the following:

AHS Provincial Addiction Counselling Practice Group

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AHS AMH Provincial Youth Addiction & Mental Health Advisory Council

AHS Provincial Addiction Curricula & Experiential Skills Training Initiative

AHS AMH Advisory Group: Harm Reduction for Psychoactive Substance Use Policy

AHS Citizen Advisory Team – Calgary Zone at South Health Campus

AHS Addiction & Mental Health Update Addiction & Mental Health Strategic Clinical Network™

Senior Provincial Director Allison Bichel

Updates to Council were provided on the following AMH SCN™ activities:

e-Mental Health

CanREACH

Treatment Resistant Depression (TRD)

Repetitive Transcranial Magnetic Stimulation (rTMS)

Alberta Pain Strategy

Provincial Addiction & Mental Health, Community Seniors Addiction & Mental Health

Executive Director Barry Andres

Updates to Council were provided on the following Provincial Addiction & Mental Health

activities:

Mental Health Services Protection Act

Alberta Government Mental Health and Addiction Advisory Council

4,000 New Addiction Recovery Spaces

Connect Care Implementation

Cannabis Edibles, Extracts and Topicals

Opioid Dependency Treatment (ODT) Achievements

Council members were invited to volunteer as time and interest permits for the following

opportunities:

AMH Service Excellence Team: Jun 2020 through Fall 2021

AMH Service Excellence Presentation to Surveyors: Fall 2021, potentially Spring 2022

AMH Required Operational Practice (ROP) initiatives feedback: Sep 2020 through Fall 2021

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AHS Advisory Council Update Coordinator, Crystal Stewart

Council members are encouraged to attend AHS Health Advisory Councils, list of upcoming meetings by geography provided

Council members encouraged to provide feedback on the AHS Advisory Councils’ Fall Forum 2019, Fall Forum Debrief document circulated

Updates on Connect Care Wave One Launch and Influenza Immunization 2019/2020 Campaign will be provided via email following the meeting

Anyone interested in applying to the AHS Addiction & Mental Health Provincial Advisory Council can do so through the AHS website. The next meeting of the Addiction and Mental Health Provincial Advisory Council is scheduled for Saturday, March 14th, 2020 via videoconference. This meeting is closed to the public.

Learn about the four organizational goals of AHS in the 2017-2020 AHS Health Plan and Business Plan.

Join us in changing the conversation from illness to wellness.

Our meetings are open to the public. Dates and locations are available here.

Find your Health Advisory Council here. Visit the webpage for more info. Contact us at: pac.amh@ahs.ca

Call: 1-877-275-8830

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MEETING EVALUATION 06/07 December 2019 7 received of 12 possible

Strongly Agree

Agree

Neither Agree

nor Disagree

Disagree Strongly Disagree

Topics were related to the purpose of our Council 7

Topics were an effective use of time 5 2

Topics were enjoyable/ interesting 6 1

Council members were engaged and actively participated 6 1

Feedback

What was the most valuable thing accomplished?

The Concerns document. While we didn’t finish, the discussion framing concerns is important.

Information sharing that can be promoted to increase awareness in my network.

AHS ID was great

A view of the vastness and interconnectedness of all health and other issues.

Good information

Rich conversation

Understanding the meeting process

What did you enjoy most at this meeting?

AHS ID Program – WOW!

I really like the Friday presentation (Cannabis – One Year After Recreational Legalization)

Interchange of ideas. Ability to speak openly and be heard.

Agenda was really well structured (2) First part of Saturday

Quarterly Updates – Allison & Barry (AHS Addiction & Mental Health SCN™ & AHS Provincial Addiction & Mental Health)

The dialogue (2) Discussions What would you recommend to improve future meetings?

Keep the format

Friday night prep for Sat. agenda to provide incentive to think about and review topics for discussion

Other comments:

The Hotel and food were quite good

Loved the new Hotel!

Thank yo