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The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

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Page 1: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

The Mental Wellness Team pilot projectAn example of collaboration

Health and Social Services Forum for the First Nations, QuebecJanuary 29, 2014

Page 2: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Context

Project funded by the National Anti-Drug Strategy

Project is the result of collaboration between FNIH, the FNQLHSSC and the MSSSQ

Two pilot communities

Page 3: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

The pilot communities

Lac Simon

Kitcisakik

Population: 1500Located 32 km from Val-d’Or

Population: 450 Located 92 km from Val-d’Or

Page 4: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Phases of the pilot project

Planning phase Consultation among the local partners and

population Consultation among external partners

Implementation phase Implementation of the team Implementation of the MWT services

Page 5: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

General mandate and roles of the mental wellness team

Strengthening wellness and autonomy among the pilot communities by implementing culturally-appropriate mental health prevention, promotion and intervention services while supporting existing programs and services.

Offering services to the population Providing clinical supervision, support and training

to the local resources Working in collaboration with the internal teams

and external partners

Page 6: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

The mental wellness team

Interdisciplinary team (4 members):• Clinical advisor• Mental health worker• Social worker• Cultural worker

First Nations and mental health expertise

Page 7: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Action strategy Community development approach

1. Community mobilisation2. The cross-sector concerted approach3. Commitment on behalf of local and political leadership4. Individual, organisational and community empowerment

Services to be offered established according to the needs expressed by the communities and the external partners

Page 8: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Organisational structure

External partners(Public and community network)

Outer circle to inner circle:

FNQLHSSC – Health CanadaBand councils of Kitcisakik and Lac SimonLocal follow-up committeeKitcisakik and Lac Simon health directorsMental Wellness TeamCommunities of Kitcisakik and Lac SimonYouth, adults, Elders and families

Page 9: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Concerted actions

Ongoing improvement committee: Kitcisakik and Lac Simon health centres, CSSSVO, Valpabem, Normand Centre, MWT

Creation of a mental health consultation slip: allows for facilitating information exchanges when a community member consults the emergency services of the Val-d’Or hospital in a crisis situation

Nomination of liaison agents in the communities in order to establish linkages with the regional Abitibi-Témiscamingue child psychiatry services: facilitates service continuity when a child from the communities receives a referral for child psychiatry services

Page 10: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Concerted actions

Traditional cultural activities: Forest retreats, Sharing Circle, sweat lodge, etc.

Clinical inter-community networking: Tool exchanges, collaboration between workers, etc.

Training: Medicine wheel, mental health first aid, etc.

Page 11: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Upcoming concerted actionsAlternative justice committee in the community of

Kitcisakik

Working groups with the CSSSVO: Improving the services provided to Aboriginal people who access the Val-d’Or hospital emergency services

Formal mental health protocols – dependence between the communities and the Quebec network

Page 12: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Challenges encountered

Inter-community

Different service organizations

Constant evolution of the needs

Anishinabe cultural practices that are specific to each of the communities

Staff turnover

Page 13: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Challenges encountered

Cross-sector

Lack of knowledge regarding the Anishinabe culture among the off-reserve partners

Lack of knowledge regarding the structuring of the public network among the communities

Discriminatory prejudices on both sides

Language

Staff turnover

Page 14: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Possible solutions for successful collaboration

Maintaining a communication network among the communities and between the communities and the external partners

Liaison work through a liaison agent

Training on Aboriginal culture

Identification of contacts among each of the organisations

Signed formal collaborative agreements

Page 15: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Community standing from a regional perspective

Community member involvement in regional

events (Regional Forum on Mental Health, Symposium on Suicide Prevention, etc.)

Page 16: The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014

Thank you!Have a nice day!

Annie DuciaumeMWT Clinical Advisor

Lac Simon and KitcisakikTel.: 819-736-2107Fax: 819-736-2299

[email protected]