Search
Search
Provincial grant supports innovations in mental health care for youth
On Friday, November 23, 2018, the Mental Health INcubator for Disruptive Solutions (MINDS) of London-Middlesex welcomed community members and stakeholders at Innovation Works for an update on the work of the MINDS team and announced the generous contributions of the Ontario Trillium Foundation.
Local MPPs Peggy Sattler (London West) and Terence Kernaghan (London North Centre), with OTF Grant Review Team member Chris Harding were on hand to congratulate the MINDS members, including Pillar Nonprofit Network, and hear more about how the $75,000 OTF Grant will contribute to the mental health of transitional aged youth in the London and Middlesex region.
As a research project through Lawson Health Research Institute, MINDS is taking a unique approach to improving the mental health of the community’s transitional age youth – people ages 17 to 25.
A key aspect is to successfully work in partnership with youth to make sense of and address this complex challenge.
“Today’s youth are unlike any generation before,” explains Dr. Arlene MacDougall, Director and Principal Investigator for MINDS. “Many of our processes, structures, models and concepts that we have used to serve, educate, employ, care for and communicate with youth in the past are no longer appropriate, relevant or effective for the youth of today.”
Dr. MacDougall is also Director of Research and Innovation for mental health care at St. Joseph’s Health Care London and Assistant Director for mental health research at Lawson.
Youth today are more diverse, connected and educated. Although many are reaping benefits from these qualities, others are facing significant challenges such as finding a full time job, being social excluded, negative effects of digital life including cyberbullying and physical health challenges like rising obesity.
“Evidence from acute care and community sectors shows an increase in the number and acuity of mental health and addiction challenges experienced by our local transitional age youth,” states Dr. MacDougall. “We see this as a persistent and ‘wicked’ challenge – it is difficult to define and many factors contribute to it.”
Over the last few years, across Canada and locally, there have been higher rates of emergency visits and inpatient hospitalizations for youth with mental disorders; an increase in the number of youth seeking help for mental illnesses; and, youth experiencing increased rates of anxiety, depression and suicidal thoughts and attempts.
“We have been listening to local youth and their adult allies. We are hearing from youth with lived experience of mental illness and those who do not have a lived experience. And we are working on making sense of the upstream social drivers and components of poor mental health for transitional age youth,” explains Dr. MacDougall.
“On the flip side, we are exploring the potential action areas, levers and opportunities for shifting our community and our system to promote youth mental and emotional wellbeing – reaching them sooner and in the way they need.”
As a social innovation lab, MINDS will use a collective impact framework to develop and test high impact solutions. This provides a structured process and creative environment where the team can prototype radical but possible innovations, while merging with youth-led participatory action research.
“The collective impact framework enables us to can tackle deeply entrenched and complex social problems. It is an innovative yet structured approach to making collaboration work across government, business, philanthropy, non-profit organizations and citizens to achieve significant and lasting social change.”
MINDS has the support of a diverse network of key individuals and partnering organizations including cross-sectoral service providers, community leaders, mental health advocates and youth from the region. This includes Lawson, St. Joseph’s, London Health Sciences Centre, Western University, mindyourmind, Goodwill Industries and CMHA Middlesex. The project has also received funding support from St. Joseph’s Health Care Foundation.
“We are thrilled that many partners in the community are coming together to look for disruptive solutions that will create a lasting impact for youth,” explains Dr. MacDougall. “To the best of our knowledge, this is the first social innovation lab dedicated to improving community mental health to be established in Canada.
The Ontario Trillium Foundation (OTF) is an agency of the Government of Ontario, and one of Canada’s leading granting foundations. OTF awarded more than $120 million to some 700 projects last year to build healthy and vibrant communities in Ontario.
Reducing social isolation with new community resource
LONDON, ON – Researchers in London are sharing a new resource that can help municipalities and other organizations better understand social isolation and implement solutions proven to be effective. With input from over 35 community partners and people with lived experience, the research team hopes this tool can be used to support community-based initiatives that counteract poverty and homelessness while promoting mental health and social inclusion.
“The pandemic has highlighted the issues of isolation and homelessness, and we know there is a connection between mental health and poverty. Unfortunately, right now, many people don’t see solutions in sight,” explains Dr. Cheryl Forchuk, Assistant Scientific Director at Lawson Health Research Institute. “Our new resource offers an expanded understanding of isolation and homelessness based on a very broad view and many different perspectives. We have taken it a step further and given examples of solutions that are working.” She is the lead researcher for CURA (Community-University Research Alliance): Poverty, Mental Health and Social Inclusion.
Today during a virtual book launch, the team from the CURA discussed details of a new publication from Canadian Scholars: Poverty, Mental Health, and Social Inclusion, edited by Drs. Forchuk and Rick Csiernik. Community partners from Connect for Mental Health (peer support), Impact Junk Solutions from CMHA Elgin-Middlesex, and Goodwill Industries shared more about their successful programs.
The book brings together research, real stories and information about programs from the London and area community that are working to address these issues. Most of the chapters includes a wide range of co-authors, including psychiatric consumer-survivors, academics, students, front-line service providers and leadership from community partners.
“In order to find real solutions, the voices of people using the services must be at the centre. Their stories and experiences have been a very important part of producing this book,” says Betty Edwards, Executive Director at Can-Voice, a consumer-survivor group, and Community Director for CURA. “For us to move the needle, we need collaboration across different sectors, for example health, income support, housing and social services. No one sector can solve these issues on their own.”
The book summarizes the foundational work by the CURA to better understand the inter-relationships between poverty and social inclusion for psychiatric survivors. Social inclusion involves the full participation of marginalized groups in the social and economic benefits of society which can be difficult to achieve for people with the “double jeopardy” of poverty and mental illness.
“After five years of funding and several published research papers, we wanted to pull the findings together as a whole so that it would be more easily accessed and implemented by a wide range of people and organizations,” adds Dr. Forchuk. “Our hope is that other cities and service providers can pick up this book to see what we’re doing in London, and consider ways that they may reach out to their citizens to address social exclusion. It is also an academic tool to prepare the next generation as they continue to tackle the wicked problem of homelessness.”
Incorporating an arts-based approach, the book also features photographs taken by photographer Justin Langille who would spend about a month with each of the programs offering solutions and partnered with consumer survivors to capture accurate depictions of what they considered important messages.
“I reflect back on the past 15 months of the pandemic and know how isolated I have felt at times. Imagine the feelings of isolation or being forgotten that would come with experiencing homelessness? And for some, it’s been most of their adult lives,” shares Dr. Csiernik, Professor at King’s University College at Western University. “We know that many people during the pandemic have lost homes, jobs and food security. Some may have new or worsening mental health disorders. The learnings and solutions like the ones presented in the book are needed now more than ever.”
A central focus of the CURA team has been understanding homelessness – what lead someone to experience homelessness and how do we as a society respond? By bringing together different perspectives, the CURA team uncovered the issue of hospital discharge to homelessness, leading to research projects at London Health Sciences Centre and St. Joseph’s Health Care London that integrates the City of London’s housing and homeless approach. They have been better able to tailor youth specific homeless interventions after more awareness of the unique challenges of homeless youth. Driven by an information gap identified by the CURA, Dr. Forchuk’s team recently announced a research project testing data algorithms to track and identify who is homeless and where they are located.
-30-
DOWNLOADABLE MEDIA
Photo credit for all images: Justin Langille Photography
A supported housing unit rendered uninhabitable by an individual suffering from mental illness, which was a challenge for Impact Junk Solutions to de-clutter. (Photo credit: Justin Langille Photography)
Diane assembles parts on the floor of the Goodwill’s RMHC Social Enterprise program in St.Thomas in April 2014. (Photo credit: Justin Langille Photography)
Steve helps a co-worker navigate a couch out from a basement in the Blackfriars neighbourhood in London, Ontario in April 2014. Returning to work has been essential for Steve’s successful recovery from mental illness and substance abuse. (Photo credit: Justin Langille Photography)
Goodwill RMHC Social Enterprise program employee Donald applies reflective tape to a stack of pylons in March 2014. (Photo credit: Justin Langille Photography)
Lawson Health Research Institute is one of Canada’s top hospital-based research institutes, tackling the most pressing challenges in health care. As the research institute of London Health Sciences Centre and St. Joseph’s Health Care London, our innovation happens where care is delivered. Lawson research teams are at the leading-edge of science with the goal of improving health and the delivery of care for patients. Working in partnership with Western University, our researchers are encouraged to pursue their curiosity, collaborate often and share their discoveries widely. Research conducted through Lawson makes a difference in the lives of patients, families and communities around the world. To learn more, visit www.lawsonresearch.ca.
Senior Media Relations Consultant
Communications & Public Engagement
T: 519-685-8500 ext. 73502
Celine.zadorsky@lhsc.on.ca