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The Provincial System Support Program's Transition-Aged Youth (TAY) Steering Committee could use your help. 

 

We've learned a lot about all that the System Improvement Service Collaboratives are doing to support TAY (aka 'emerging adults') across Ontario. Now we want to know what's happening elsewhere in the province.  

 

Do you know of any services, initiatives or organizations in Ontario that are helping to support the transition between child and adult services for mental health and/or addictions?

Tell us about them!

 

Check out the TAY Steering Committee infographic attached here to learn more about the project.  

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Last edited by Registered Member
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Here are a few agencies that currently hold the contracts for the TAY programs in the East region:

 

Youth Service Bureau

Program Description: Youth in Transition

The Youth Services Bureau has introduced an innovative new program to support our most at-risk clients. Youth in Transition (You-IT) is a unique new program for youth at risk of becoming homeless or street-involved, and with complex mental health issues. The program is specifically designed to help youth between the ages of 16 and 24.

 

Cornwall Community Hospital

Youth Transition Improvement Program (YTIP) is a partnership with CCH addictions services to improve addictions and mental health system coordination, navigation and access for youth and young adults aged 16 to 24 and their families within Stormont, Dundas & Glengarry, Cornwall, and Akwesasne. Services are offered in French and English. 

 

And one more in the attachment!

 

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I think the initial info graphic is a great starting point. Most 16-24year old youth should find its readability appropriate to their reading comprehension, as well as agency staff. 

I do not know how common prescribing Ritalin to children with ADHD is currently in Ontario, but adolescent physiological changes can cause the Ritalin to have a different effect during late teens, resulting in a craving for a different drug to cope with the changing symptoms. This may be relevant for TAY.

Also, with the advent of recognition of the traumatic histories of most youth with mental health and substance abuse "issues", having agency staff familiar with "trauma-informed" programming (asking "What Happened To You?" rather than "What's Wrong With You?"), and having "Trauma-Informed Services" (such as Intentional Peer Support), and use of WRAP (Wellness Recovery Action Plans) or RIS (Restorative Integral Support)-which involve inter-agency collaboration, which can be facilitated with multi-agency "Wrap-Around" service[s] coordination meetings of staff from the different agencies involved.

With Street-involved and homeless youth, "relational brokenness" may be a common issue. If local churches or interfaith groups are involved in "ministering" to such youth, a 2-page paper published in ACEsConnection.com/Blog entitled: "Attachment Theory and the Gospel explored-How relational brokenness redefines our existence" by Chaplain Chris Haughee of Intermountain [Children/Youth] Residential Services, may be an appropriate "training tool" for such Interfaith or Church groups in the two geographic areas described in the TAY Intro Invitation and Attachment. I'll ponder this post more later, and see if I can't think of further constructive feedback.

Since trauma can be "Trans-generational", and I don't know the number of possible Aboriginal youth in the two selected geographic areas, I think the Health and Welfare Canada reprint of "The Sacred Tree" would be quite appropriate for that group of youth trying to address their spirituality in recovery from either or both substance abuse and/or mental illness. I've only seen english language versions of the Health and Welfare Canada version of it.

 

The Youth Transitioning Protocol in Kingston, Frontenac, Lennox & Addington

                       

The Youth Transitioning Protocol in Kingston, Frontenac, Lennox & Addington (The YTP) continues with initial implementation at five area agencies in KFL&A.  The agencies are: Hotel Dieu Hospital, Addiction and Mental Health Services – Kingston, Frontenac, Lennox & Addington, Kingston Community Health Centres (Street Health Centre), Pathways for Children & Youth, and Youth Diversion (Kairos). 

 

The YTP was developed by the KFL&A Service Collaborative, with the help of the Centre for Addiction and Mental Health (CAMH), to define and clarify the preferred clinical transition pathway from child and youth services into adult services for youth who are: aged 16-24; who are experiencing mental health and/or addiction issues; who require specialized, complex care; and who are transitioning between services.  The YTP is one component of a 3-part package that also includes a Youth Toolkit (a kit that includes a series of worksheets to help youth identify the members of their transition team, identify what they want to discuss during the transition meetings, and set goals and identify priorities) and an Agency Overview of Services for Youth in KFL&A.

 

What People are Saying

 

Jennifer Jackson, Intake Clinician/Clinical Leader with the Heads Up! Program at Hotel Dieu Hospital, says the protocol, developed to assure young people a seamless and successful transition from youth to adult mental health and/or addictions services, is very well organized and thought out. “It delivers good tools and it’s easy to use.  It will easily incorporate into the different programs used at the various agencies involved.  I know it’s going to complement our program at Hotel Dieu Hospital very nicely”, says Jackson.

 

“The entire package is very comprehensive, user friendly and client driven,” reports Darrel Hammond, Community Support Case Manager with AMHS-KFLA. “It brings everyone together.  The youth agency, the adult agency, family, educators and most importantly, the youth toolkit allows the young person an important say in how their transition to adult services will play out.”

 

Jen Brittain from Pathways for Children and Youth says, ”It is a little more labour intensive to plan while following the Youth Transitioning Protocol, but the pay-off for the client is worth it.”

 

Next Steps

 

Once feedback is reviewed from the initial implementation phase, adjustments, as necessary, will be made and full implementation of the Youth Transitioning Protocol across the Kingston, Frontenac, Lennox & Addington will begin in the summer of 2015.  Full training and orientation on the YTP for clinical staff who work with youth and young adults in KFL&A will be arranged for the fall of 2015.  If you have any questions or would like to request a copy of the YTP, please contact chris.sullivan@camh.ca

 

Robert, thank you for sharing your knowledge about important considerations and appropriate approaches to service provision for this age group.

 

Thank you Sam and Chris for the information about interventions in your regions. It's great to see there are specific programs and protocols for TAY in Eastern Ontario.

 

Our scan continues! Please keep adding to this thread as you become aware of services or initiatives in Ontario focused on supporting TAY with mental health/addictions.  

Youth Services and the TAY Program in south eastern Ontario

 

Established in 1984, Youth Habilitation Quinte Inc. (Youthab) is a community based non-profit organization in H-PE dedicated to assisting youth aged 16 to 24. Our goal is to help young people living in the Quinte area to obtain and maintain safe and affordable housing, good mental health and employment.  Programming has been tailored for youth in each of these three areas including TAY.

 

TAY in H-PE

Following two years of piloting, TAY funding has been annualized by the South East Local Health Integration Network (LHIN). Jennifer Corelli, our TAY Connector coordinates transitions and community supports for youth between 16 and 24 years of age who are struggling with mental health and/or addiction issues. Jennifer assists youth in their transition from one mental health and/or addictions service provider to another and/or connecting them with services for housing, employment, education, finances, health care, and daily activities to improve their emotional well-being.

 

In addition, Youthab has received funding from the South East LHIN for a TAY Connector position in Lanark, Leeds & Grenville (LL&G) and Kingston Frontenac Lennox & Addington (KFL&A).

 

TAY in LL&G  

The children’s and adult Addictions and/or Mental Health (AMH) agencies in LL&G felt that TAY should be piloted in Lanark due to its high needs population. TAY was launched in June 2015 starting in Smiths Falls and Perth.  Heather Vrbanac, our TAY Connector, is located at Open Doors (children’s mental health services) in Smiths Falls.  

 

TAY in KFL&A

In collaboration with the core AMH agencies within the KFL&A Service Collaborative (SC) and the SC Coordinator, it was decided that TAY would launch in September 2015. TAY services complement the various youth programs and services in KFL&A and will be positioned clearly to youth, families and service providers.  

 

TAY Connectors Provide:

  • Coordination with transitions from one system to another
  • Systems navigation and service coordination
  • Intensive case management services
  • Interim mental health counselling
  • Empowerment to develop life skills and make good decisions

 For TAY project enquiries, please email lilyl@youthab.ca

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Here are some programs available in Thunder Bay, ON, with links to the agency websites. Hopefully you can find this helpful!

 

 

http://www.tbaycounselling.com...tion-worker-program/

Thunder Bay Counselling Centre – Youth in Transition Worker Program

-ages 16-24

-support for youth leaving the child protection system (support re: all life areas, including MH & A)

http://www.tbaycounselling.com/uturn

-counselling services for youth/young people

 

http://www.alphacourt.ca/artic...n-transition-135.asp

Alpha Court Community Addiction & Mental Health Services

-ages 16-24

-confirmed mental illness (diagnosis) or symptoms of mental illness

-support offered to promote skills necessary for youth to live independently in community

 

http://www.dilico.com/yow/

Youth Outreach Services – Dilico

-supports at-risk youth in the City of TBay (ie: youth living in at-risk neighbourhoods

-promotes healthy lifestyle choices

 

http://search.211north.ca/record/TBY0739

June Steeve Lendrum Family Resource Centre

-ages 16-24

-on-site service & coordination with other partners

 

http://www.kanachihih.ca/

-ages 16-25; First Nations male youth

-chronic solvent abuse treatment – stay can be for up 2 years for rehabilitation

 

http://www.childrenscentre.ca/.../Substance_Abuse.htm

Children’s Centre Thunder Bay – New Experiences Program

-aged 12-18; for youth experiencing substance use issues

 

http://sjcg.net/services/menta...ling/youth/main.aspx

Sister Margaret Smith Centre (St. Joseph’s Care Grou) – Youth Programs

-16-24

-for youth who are struggling with multiple issues and experiencing difficulties transitioning between the youyh & adult systems

Transitional Age Youth

Tele-psychiatry Consultation

Service

 

The Transitional Age Youth Tele-psychiatry Service provides a one-time consultation for youth ages 16 to 24 who are experiencing serious mental health concerns or at risk of developing them. 

The service is geared to the consultation needs of health care providers with the goal of supporting effective early interventions. 

It is offered in Midland, Penetanguishene, Muskoka, Collingwood, Wasaga Beach and surrounding areas six days per month offering health care providers diagnostic assistance, treatment advice and recommended follow-up.  


How TAY works...

  • Referrals are made by primary care practitioners - the physician, nurse practitioner, or paediatrician - by completing a Waypoint referral form and following the process outlined on the form.  The referral package is to be submitted to Waypoint's Central Intake Department
  • A client ​​self-report is provided for the youth to complete
  • From Central Intake, the Waypoint referral form, client self report and all collateral information ​is forwarded to TAY staff for review of suitability
  • Upon receipt of all required information from the primary care practitioner, an appointment is scheduled
  • Where applicable, consent for further collateral information will be requested
  • Following the appointment, a comprehensive consultation report is provided to the health care provider with diagnostic assistance, treatment advice and recommended follow-up
  • A check-in will occur with the client following the consultation to reinforce recommendations, identify barriers to follow-up and assist in connecting to follow-up recommendations

Read more here and as part of EENet's Promising Practice series here.

 

 

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