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Jenny Cameron, CT Victoria Ellison, CO Mental Health & Addiction Services MENTAL HEALTH & ADDICTION SERVICES

MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

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Page 1: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

Jenny Cameron, CT

Victoria Ellison, CO

Mental Health & Addiction Services

MENTAL HEALTH & ADDICTION SERVICES

Page 2: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

Launched April 1, 2015

Had previously been Smokers Helpline which was managed by the Canadian Cancer Society

Department of Health and Wellness’s goal was to incorporate the program within 811 for

ease of access to care

Hours: Monday – Thursday 9:00-22:00, Friday 9:00-19:00, Saturday/Sunday 10:00-18:00.

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018 M E N T A L H E A L T H & A D D I C T I O N S 2

Page 3: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

TOBACCO FREE NOVA SCOTIA PROVIDES

Service is provided in the language of the caller’s choice

Confidential Counselling offered on a regular basis

Development of client led goals

Access to other community resources for the client

Guidance, tips and support in meeting the identified goals.

Quit Kits *does NOT include NRT*

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018 M E N T A L H E A L T H & A D D I C T I O N S 3

Page 4: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

Quit Kits developed by Canadian Cancer Care Society are distributed upon each intake.

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018 M E N T A L H E A L T H & A D D I C T I O N S 4

Page 5: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

Staffed primarily by Counsellors (CO) but Clinical Therapists (CT) assist (intake, calls between

appointments).

All CO’s and CT’s have or are in process of completing their TEACH certification

The overall goal of the TEACH Project is to offer evidence-based, accredited, accessible, and

clinically relevant curricula to a broad range of health practitioners.

This course is held under the auspices of the Office of Continuing Education and Professional Development,

Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The

TEACH Project is a knowledge translation project offering Canada’s only internationally-accredited certificate

program in cessation counselling (Herie et al., 2011; ATTUD). This certificate program provides the context,

background and evidence-based knowledge and skills needed to offer intensive tobacco cessation counselling.

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018 M E N T A L H E A L T H & A D D I C T I O N S 5

Page 6: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

CLINICAL APPROACH

Protocols used by the counselling team at TFNS are based on an understanding harm-reduction

approach, motivational interviewing principles and strengths based approaches.

All clients are met where they are ‘at’ and not directed to quit prior to developing readiness.

An understanding of concurrent issues is incorporated into the program.

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018 M E N T A L H E A L T H & A D D I C T I O N S 6

Page 7: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

Intake

Pre-quit date assessment

1 month post quit date

3 months post quit date

7 months post quit date

12 months post quit date

Slips and Relapses

Extra Support

Additional Support is provided depending on the specific tobacco related counselling needs of the

client for each session.

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018 M E N T A L H E A L T H & A D D I C T I O N S 7

STAGES OF PROGRAM

Page 8: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

TOBACCO FREE NS WEBSITE

HTTPS://TOBACCOFREE.NOVASCOTIA.CA/

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018 M E N T A L H E A L T H & A D D I C T I O N S 8

Page 9: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

SPECIAL CONCERNS CONTENT

The Tobacco Free Website has a large amount of

specialized content for clients/service providers

interested in tobacco cessation information and the

interaction with other areas.

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018 M E N T A L H E A L T H & A D D I C T I O N S 9

Page 10: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

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018 M E N T A L H E A L T H & A D D I C T I O N S 10

Page 11: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

CLIENT DATA : TOBACCO FREE NS

Between Oct 1 – 2015 and Oct. 1 – 2016

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018 M E N T A L H E A L T H & A D D I C T I O N S 11

Table 19 How Client Learned About the Service

New Client Learned of Service Via Percent (%)

Physcian 22.1

Other Healthcare Professional 0.0

Friend / Family Member 1.6

Cigarette Pack 14.3

Television Ad 1.0

Canadian Cancer Society 0.0

Social Media / Online Ad 3.9

Other 20.2

Unknown 36.8

Total 100

Page 12: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

REFERRALS

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018 M E N T A L H E A L T H & A D D I C T I O N S 12

Page 13: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

REFERRAL PROGRAM: SIMPLY FAX A COMPLETED

REFERRAL FORM AND A COUNSELLOR WILL CONTACT

THE CLIENT DIRECTLY.

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018 M E N T A L H E A L T H & A D D I C T I O N S 13

Page 14: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

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018 M E N T A L H E A L T H & A D D I C T I O N S 14

Gender

Male

Female

Anonymous

Gender Percent

(%)

Serviced Client (Unique ID) 100

Female 54.2

Male 38.6

Other 0.0

Anonymous 7.3

Page 15: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

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018 M E N T A L H E A L T H & A D D I C T I O N S 15

Age Categories (yrs.) Percent (%)

Serviced Client (Unique ID) 100

Anonymous 6.7

0-18 1.8

19-24 5.5

25-34 12.6

35-44 12.5

45-54 17.2

55-64 26.5

65-74 12.5

75+ 4.7

Age Categories

Anonymous

0-18 Years

19-24 Years

25-34 Years

35-44 Years

45-54 Years

55-64 Years

65-74 Years

75+ Years

Page 16: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

TOBACCO FREE NOVA SCOTIA HAS BEEN TAILORED TO

SUIT TODAYS HI-TECH WORLD

Text messaging (SMS)

Appointment reminders

Relapse prevention tips (motivational messages)

General information

Initiated by client

Secure chat

Initiated by the client via the website

TFNS – Available during program hours

Complete program available (e.g., ongoing, crisis, general information, etc.)

Group Discussion Forums

Public forums on website

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Page 17: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

MENTAL HEALTH CLINICAL ADVISORY COMMITTEE

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018 M E N T A L H E A L T H & A D D I C T I O N S 17

Purpose

Advise EMC Telehealth regarding clinical infrastructure, tools and content used by clinical staff when providing services to people who access Tobacco Free Nova Scotia programs.

Review the quality improvement program and related metrics, and recommend clinical enhancements and/or processes to mitigate risks for mental health and addiction telehealth services provided by Tobacco Free Nova Scotia.

Contribute to increased provider and resident awareness concerning the availability of Tobacco Free Nova Scotia services through networking and outreach activities with health care professionals and relevant programs.

Page 18: MENTAL HEALTH & ADDICTION SERVICES...Faculty of Medicine, University of Toronto and Centre for Addiction and Mental Health in Toronto, Ontario. The TEACH Project is a knowledge translation

Thank you for your time. Comments or questions?

Jenny Cameron, CT

Victoria Ellison, CO

Mental Health & Addiction Services