BRANT COMMUNITY SERVICE PLAN

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BRANT COMMUNITY SERVICE PLAN

• Childrens Services
• February 23, 2005

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Community Service PlanPreamble

• In December 2001 the Hamilton Niagara Regional
  Office asked CONTACT Brant to facilitiate the
  development of Community Service Plans in
  consultation with service providers, related
  service sectors and consumers.
• Community Service Plans were received by the
  Regional Office in September 2004.
• The Plans contain service provider and consumer
  input and insight regarding system strengths,
  shortcomings and opportunities.
• This information was incorporated into the
  Community Service Plan Strategic Directions and
  Goals.
• The Regional Office recognizes and appreciates
  the collaborative effort put forth by all
  participants in this process.

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Regional Office Response

• During todays meeting the Regional Office will
• provide recommendation specific feedback and
• identify priority focus areas.
• We are committed to ongoing discussion concerning
  the implementation of the Plan.
• In January 2006, we will undergo a full review of
  the Year One priorities with a view to evaluating
  what has changed and how the service system has
  been demonstrably enhanced/improved.

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Key Considerations

• Key considerations guided the Regional Office
  response. Preference was given to
  recommendations and directions that
• focused on demonstrable positive outcome for
  individuals and families
• adopted a systems-oriented approach
• demonstrated collaborative efforts which maximize
  limited resources
• provide effective/efficient residential and
  non-residential options that address priority
  service needs
• are supported by evidence and/or current best
  practice
• enhance transparency and accountability in the
  service delivery system
• address relevant cultural issues
• demonstrate an improved quality and/or quantity
  of critical services and
• work within available resources.

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Brants VisionChildrens Services Sector

• Brants Childrens Mental Health system
  strengthens and supports children and families by
  providing a continuum of effective, preventative,
  early intervention and treatment services within
  a collaborative entrepreneurial culture.

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STRATEGIC DIRECTION A Timely comprehensive
psychiatric support for children and youth in
Brant

• Develop processes with Brant Community Health
  System (BCHS) that include assessment,
  stabilization, admission and discharge criteria.
• Support The Regional Office supports the
  community in their efforts to develop a protocol
  with the Brant Community Health System.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility

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STRATEGIC DIRECTION A Timely comprehensive
psychiatric support for children and youth in
Brant (cont)...

• Brant Children's Services continues to engage
  Hamilton Health Sciences (HHS) in a process to
  Develop a local protocol for accessing acute
  regional beds, local outreach/consultation
  services and ensure the protocol best meets
  Brant's needs.
• Support The Regional Office supports the
  community in their effort to develop a local
  protocol with Hamilton Health Sciences.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility

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STRATEGIC DIRECTION A Timely comprehensive
psychiatric support for children and youth in
Brant (cont)...

• Develop local Tele-psychiatry/video conferencing
  capacity including determine who will provide
  the service (e.g. Child and Parent Resource
  Institute (CPRI), The Hospital for Sick Children,
  HHS, other) and acquire or access local equipment
  and establish protocols to access the service.
• Support The Regional Office supports the
  community in their effort to develop local
  telepsychiatry conferencing capacity.
• Identified in the Community Service Plan as a
  Year One Goal Community Ministry
  Responsibility

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STRATEGIC DIRECTION A Timely comprehensive
psychiatric support for children and youth in
Brant (cont)...

• Maximize Brants capacity to use Child and Parent
  Resource Institutes (CPRI) specialized
  resources.
• Support The Regional Office supports community
  efforts access specialized resources. 
• Identified in the Community Service Plan as a
  Year Two Goal Community Responsibility

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STRATEGIC DIRECTION BMutually supportive
working relationship withFirst Nations

• Maximize complementary service delivery and
  planning processes with First Nations by
  Establishing a forum/format for ongoing
  communication and clarifying roles and
  responsibilities regarding service delivery
• Support The Regional Office supports community
  efforts to collaborate and partner with First
  Nation communities to clarify the roles of each
  system in providing services to children on
  Reserve(s), to share best practices in service
  delivery, to coordinate planning efforts and
  provide a seamless system of services to
  families.
• Identified in the Community Service Plan as a
  Year Two Goal Community Responsibility
• Selected by the Regional Office as a Year One
  Priority

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STRATEGIC DIRECTION CChildren and youth
maintained in their home, school and community
whenever possible

• Select, measure and use social indicators of
  at-risk children and families (e.g. maternal
  depression, child maltreatment, neglect,
  physical, sexual, emotional abuse, women
  abuse/family violence, poverty, parenting
  capacity, inter-generational CAS involvement) and
  implement community cross-sectoral responses.
• Explore/Clarify The Regional Office seeks
  clarification on this goal- specifically the
  methodology for gathering this type of
  information and how this information will be
  incorporated into strategic planning.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility

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STRATEGIC DIRECTION CChildren and youth
maintained in their home, school and community
whenever possible (cont)...

• Increase and strengthen comprehensive,
  collaborative supports that maintain
  children/youth in their home, school and
  community including Increased availability of
  respite, Exploring different models of service
  and further developing and implementing programs
  that enhance and maximize parenting capacity.
• Support Regional Office supports this
  community goal and the underlying service model
  premised on the fact that children are best
  served within their own homes. The communities
  commitment to expanding the range of parenting
  programs is noted.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility
• Selected by the Regional Office as a Year One
  Priority

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STRATEGIC DIRECTION DResponsive, readily
accessibleChildrens Mental Health services

• Initiate a community response that will reduce
  the number of clients and the time spent on the
  waiting list by Reviewing best
  practices/research that relate to alternative
  services and supports to families and
  establishing a community process that will manage
  and review wait lists with regular reports from
  Contact Brant.
• Support The Regional Office supports the
  community goal of reducing waiting times by
  implementing services that are researched based
  and that are most appropriate for the individuals
  requiring service.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility
• Selected by the Regional Office as a Year One
  Priority

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STRATEGIC DIRECTION DResponsive, readily
accessibleChildrens Mental Health services
(cont)...

• Enhance service delivery by operating programs
  that are consumer friendly in all aspects and
  considering features such as Implementing flex
  hours/extended hours and Providing services in
  the home, school and local community.
• Support The Regional Office supports community
  efforts to enhance service delivery by operating
  programs that are consumer friendly.
• Identified in the Community Service Plan as a
  Year Two Goal Community Responsibility
• Selected by the Regional Office as a Year One
  Priority

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STRATEGIC DIRECTION DResponsive, readily
accessibleChildrens Mental Health services
(cont)...

• Increase community awareness and promote
  understanding and use of the full spectrum of
  Childrens Services.
• Support The Regional Office supports community
  education to ensure that children, youth,
  families and service provders are aware of the
  range of services available.
• Identified in the Community Service Plan as a
  Year Three Goal Community Responsibility

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STRATEGIC DIRECTION EMaximize child and youth
well-being

• Increase and strengthen prevention programming
  for at risk families.
• Support The Regional Office supports the
  communitys goal of enhancing prevention
  programming for at risk children, youth and their
  families. Reallocation of funding and/or program
  redesign will require Regional Office discussion
  and approval.
• Identified in the Community Service Plan as a
  Year Two Goal Community Ministry
  Responsibility

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STRATEGIC DIRECTION FThe Children's Services
sector well positioned to attract and retain
skilled, dedicated staff

• Improve and enhance staff compensation and
  training in order to ensure staff retention and
  quality client service.
• Explore/Clarify The Regional Office supports
  the Childrens Sector with their efforts to
  attract,recruit and retain qualified staff. The
  Regional Office is aware of recruitment/retention
  issues. The Regional Office will carefully
  review proposals facillitating achievement of the
  above goal.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility

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STRATEGIC DIRECTION GA seamless, flexible and
responsive service system

• Improve service coordination across sectors for
  families by developing a service coordination
  model that includes Childrens Mental Health,
  Child Welfare, Health, Education, Youth Justice
  and other sectors as appropriate.
• Support The Regional Office supports enhanced
  collaboration amongst service providers to ensure
  seamless service delivery.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility
• Selected by the Regional Office as a Year One
  Priority

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STRATEGIC DIRECTION GA seamless, flexible and
responsive service system (cont)...

• Where children and youth have multiple needs,
  enhance and establish collaboration and shared
  responsibility of all relevant sectors (e.g. dual
  diagnosis, youth moving to adult services).
• Support The Regional Office supports the
  community effort to ehance collaboration to
  emphasize the share responsibility to provide
  services to children in Brant. The service
  system should ensure that children, who are in
  need of a variety of services, receive the most
  appropriate services from the most appropriate
  providers in a collaborative manner.
• Identified in the Community Service Plan as a
  Year Three Goal Community Responsibility
• Selected by the Regional Office as a Year One
  Priority

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STRATEGIC DIRECTION HA full spectrum of
evidence based services

• Develop and use information service (IT) to its
  fullest potential in order to identify, manage,
  measure and monitor community needs, services and
  outcomes.
• Support The Regional Office supports community
  efforts to utilize potential of information
  services to inform development of the service
  system. The Regional Office will carefully review
  proposals facillitating achievement of the above
  goal.
• Identified in the Community Service Plan as a
  Year One Goal Community Responsibility

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STRATEGIC DIRECTION HA full spectrum of
evidence based services (cont)...

• Develop and deliver a full spectrum of services
  supported by valid research, outcome measures and
  best practices.
• Support The Regional Office supports the
  community goal of developing and delivering a
  full spectrum of evidence based
  programs/services. The Regional Office will
  carefully review proposals facillitating
  achievement of the above goal.
• Identified in the Community Service Plan as a
  Year One Goal Community Ministry
  Responsibility

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STRATEGIC DIRECTION HA full spectrum of
evidence based services (cont)...

• Develop and implement an external evaluation
  process in order to determine the impact of
  Brant's Community Service Plan on service
  delivery.
• Support The Regional Office supports community
  interest in evaluating the impact of the CSP on
  service delivery.
• Identified in the Community Service Plan as a
  Year One Goal Community Ministry
  Responsibility

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Year One Priorities - Regional Office

• Maximize complementary service delivery and
  planning processes with First Nations by
  Establishing a forum/format for ongoing
  communication and clarifying roles and
  responsibilities regarding service delivery.
• Increase and strengthen comprehensive,
  collaborative supports that maintain
  children/youth in their home, school and
  community including Increased availability of
  respite, Exploring different models of service
  and further developing and implementing programs
  that enhance and maximize parenting capacity.
• Initiate a community response that will reduce
  the number of clients and the time spent on the
  waiting list by Reviewing best
  practices/research that relate to alternative
  services and supports to families and
  establishing a community process that will manage
  and review wait lists with regular reports from
  Contact Brant.

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Year One Priorities - Regional Office (cont)...

• Enhance service delivery by operating programs
  that are consumer friendly in all aspects and
  considering features such as Implementing flex
  hours/extended hours and Providing services in
  the home, school and local community.
• Improve service coordination across sectors for
  families by developing a service coordination
  model that includes Childrens Mental Health,
  Child Welfare, Health, Education, Youth Justice
  and other sectors as appropriate.
• Where children and youth have multiple needs,
  enhance and establish collaboration and shared
  responsibility of all relevant sectors (e.g. dual
  diagnosis, youth moving to adult services).

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Brant Community Service PlanChildrens Services

• Next Steps
• CONTACT Brant will facilitate the development of
  a Work Plan and co-ordinate the implementation of
  this plan.
• Implement Priority Goals identified for Year One.
• Community may choose to act on additional goals.
• Community to determine the best way to move
  forward.
• Evaluate progress toward achieving those goals in
  January 2006.