Category: Mental Health

Ottawa’s Cycle Salvation, social enterprise, individuals building community

The role of social enterprise to support people to enter employment, employment calibrated to a person’s- need, skills is unique in the continuum of Vocational Program development.  In my own practice I’ve found greater potential to actually find the best fit for an individual is through a social enterprise approach.   Maybe it is because of the structure and values in play where, while there always is a boss and a job to do, there are bigger outcomes and expectations involved.   This brief video gives a taste of such an approach.

BTW, they are always looking for bike donations.

See the video here:

Learn more about Causeway’s social enterprise efforts here


Making the Mental Health Recovery Model a Community/Hospital — two way street

Sean Kidd, Kwame McKenzie, and Gursharan Virdee, bridge our community based and recovery focused care to the hospital context.  As a front line worker I found it a refreshing relook at the challenge of

“…situate this very large care sector with a dialogue that, to date, has focused almost exclusively on outpatient and community practices. …”

Mental Health Reform at a Systems Level: Widening the Lens on Recovery-Oriented Care Sean A Kidd, PhD, CPsych, CPRP,1 Kwame J McKenzie, MD, MRCPsych,2 and Gursharan Virdee, MSc (PsyD Candidate)3

…However, should hospitals more effectively engage in efforts toward mental health reform, the challenges of transition out of hospital may be considerably reduced. First, there would be a less radical shift in the model of care, with recovery-oriented hospital care more seamlessly merging with outpatient and community care. …

Final Report of the Ontario — Mental Health and Addictions Leadership Advisory Council

This report will be a key driver of accountability across systems and organizations  for mental health and addictions reform in Ontario. 

1. Improve mental health and well-being for all Ontarians;
2. Create healthy, resilient, inclusive communities;
3. Identify mental health and addictions problems early and intervene;
4. Provide timely, high quality, integrated, person-directed health and other human services.

Advisory Council Ann Rep 2017 Cover.jpg

…We have explored the availability and quality of mental health and addictions services, and identified critical gaps in services and supports. We have focused on equity as a key pillar and marker of system effectiveness, particularly as it relates to diverse and marginalized populations, but more generally as a way to respond to the impacts of discrimination, stigma and other inequities faced by all Ontarians experiencing mental illness or addictions. We have dealt with the issue of system fragmentation, and the difficulties individuals and families face when trying to understand and access the services and supports they need in their communities. We have developed a strategy to build and fund supportive housing for people living with mental illness and addictions across Ontario, which will help provide a foundation for recovery and wellness and provide access to a fundamental social determinant of health. We have also looked at mental health and addictions services from the perspective of overall quality, and the measurement data needed to assess system performance and set performance targets. …

“60%of the factors
that make us ill,
impact our mental health and
limit recovery can be classed as
social determinants of health.”

See the Final Advisory Council report  here:

See the Provincial Strategy Document here:

Eastern Ontario Social Workers talk of their practice in Mental Health

“Mental Health and Social Work”, Eastern Branch of the Ontario Association of Social Workers Bulletin theme.

“Social Work in Mental Health” ……………………….. 7

“Over the last few decades, the field of mental health care has progressively evolved from being a stand-alone area of practice that was largely institutionally based, to one that has become more community oriented, fitting within a broader spectrum of health and wellness. We regularly hear of programs promoting the prevention of mental health disorders such as anxiety, depression, and ‘burnout’, or campaigns raising awareness about suicide and addictions, to name a few. While social work in the field of mental health care continues to play a prominent and unequivocal role in the provision of quality and client-centered care, it also constitutes a unique opportunity for collaborative practice with allied professionals who possess a varied skill-set and knowledge base. ….

Go to the Spring 2018 bulletin here


 Helping Kids and Families be their Best: Social
Work Practice in Mental Health at CHEO……….. 8

 Rural Mental Health: Caring for the Whole Person
in a Community Health Centre …………………….. 9

 Reflections on Health Quality – Ontario’ s
Proposed Quality Standards for Schizophrenia
(Care in the Community for Adults) ………………. 10

 Thoughts from a Privileged Place…………………. 12

 “Bits” of Social Work Practice in the Community
Mental Health System – Everyday Psychiatric
Care and Reform Directions to Advance the
Recovery Model ………………………………………….. 13

 Book Review: Psychological Warfare at Work:
How Harassers and Bullies Injure Individuals
and Organizations ……………………………………….. 15

2018 (Vol. 44 No. 1)

Champlain Walk in Clinics – addressing mental health … and more

Description of role of the Walk in Clinic model being used here in Ottawa, here is a brief video on Wabano’s  service approachIt would be great to see any evaluations done on this approach in the context of overall population health in Champlain.  Anyone know of one?

General Information on Champlain Walk in Clinics are here:

Webinar “Introduction and History of Cultural Psychiatry”

From: Society for the Study of Psychiatry and CultureCultural Psychiatry 101 Episode 1

5 February 2018

1–2:30 pm (est)

Register here: https://psychiatryandculture.o…tural-psychiatry-101

Introduction and History of Cultural Psychiatry

Presenter: Laurence J. Kirmayer, MD, James McGill Professor and Director, Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University

Learning Objectives

  1. To understand the concerns of cultural psychiatry.
  2. To identify the main lines of historical development of cultural psychiatry. 3
  3. To recognize the relevance of current concepts of culture to psychiatric theory, research, and practice.

Laurence J. Kirmayer, MD, FRCPC, FCAHS, FRSC, is James McGill Professor and Director, Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University. He is Editor-in-Chief of Transcultural Psychiatry, and Director of the Culture & Mental Health Research Unit at the Institute of Community and Family Psychiatry, Jewish General Hospital in Montreal, where he conducts research on culturally responsive mental health services for immigrants and refugees, the mental health of Indigenous peoples, and the philosophy of psychiatry. He founded and directs the annual Summer Program and Advanced Study Institute in Cultural Psychiatry at McGill and the Network for Aboriginal Mental Health Research. He is a Fellow of the Canadian Academy of Health Sciences and the Royal Society of Canada. Co-edited volumes included: Understanding Trauma: Integrating Biological, Clinical, and Cultural Perspectives (Cambridge University Press), and Healing Traditions: The Mental Health of Aboriginal Peoples in Canada (University of British Columbia Press);  Cultural Consultation: Encountering the Other in Mental Health Care (Springer); the DSM-5 Handbook for the Cultural Formulation Interview  (APPI): and Re-Visioning Psychiatry: Cultural Phenomenology, Critical Neuroscience and Global Mental Health (Cambridge).


Medications and therapeutic alliance – the discussion on talking/medication– cure in psychiatry continues

The Mental Health Foundation  continues to focus on research and its implication for practice, in order to advance the Recovery Model in psychiatric care. 

Foundation for Excellence in Mental Health Care

…In this issue, Totura and colleagues report on a meta-analysis of studies that evaluated the impact of the therapeutic relationship on the outcome of pharmacologic treatment. Noting that the therapeutic alliance has a powerful effect on outcome in psychotherapy, they wondered whether this would also be observed when pharmacotherapy was a dominant component of treatment. They identified eight studies that met their inclusion criteria. A positive therapeutic alliance had a modest effect on outcome. …

…Other interesting questions are raised by this study. The impact of the therapeutic alliance might challenge our notions of drug specificity. Psychiatric drugs have long been classified according to the putative disease targets—antipsychotics, antidepressants, and so on. But in recent years, there have been ever-broadening indications for each of the classes of psychiatric drugs. As the authors note, the effect of the therapeutic relationship on outcomes is widely acknowledged in the context of psychotherapy, but this research has led to questions about the impact of the specificity of any given psychotherapeutic modality. Further research in this area might further erode our notions that the specific pharmacologic actions of psychiatric drugs have as much import as currently presumed.  …

Please see the article that considers the research shared in Psychiatric Services here: