Meaningful connections for homeless residents of Moss Park

Meaningful connections for homeless residents of Moss Park Joyce Rankin, Adrien Levesque, Nalini Pandalangat, Nicole Kirwan Street Health, Anishnawbe Health Toronto, Sherbourne Health Centre, St. Michael’s Hospital Opportunity Statement There is an opportunity to increase access to appropriate community-based services and supports for homeless individuals who are living with mental health and addictions issues in Moss Park. Charts Diagnostics St. Michael's Distribution of Resource sheets for residents living in Moss Park 9 N=40 1% 22% Health Bus Services: where would you have gone today if the Health Bus wasn’t available? 8 8 7 ED 6 6 6 Building relationships between health sectors that normally work in silos takes time 6 6 27% 5 GP 5 5% Addressing critical power dynamics between hospital and community is important 5 4 4 Not Sure 3 3 3 3 3 Would not have gotten help 2 2 2 The gift of cross-sector collaboration is that it is possible to use differences as assets (perspectives, resources, experiences) Working across sectors to improve quality care can be rewarding and fun 2 1 1 Other 2 0 M -30 3 0 M -40 4 0 M -50 4 0 M -50 5 0 M -60 5 0 M -60 5 0 M -60 6 0 M -70 6 0 F 70 30 F 40 40 F 50 50 F 60 60 -7 0 0 45% M Also, there is an opportunity to promote cross-sectoral collaboration between organizations in Moss Park to improve health outcomes for homeless individuals living with mental health and addictions issues Reflection-What we Know Now # of reported needs • We held several community engagement sessions to help scope the project # of resource sheets taken All too often we approach the striking challenges of health care with piecemeal and siloed solutions Cross. Sectoral Quality Improvement Meaningfully connecting services providers in Moss Park is a necessary first step before working on improving quality care 9 • Collecting quantitative baseline data was a challenge, but we were able to interview the residents of Moss Park to collect qualitative data on their experiences accessing health and social care Navigator Role in Moss Park 8 7 6 Referral Made (4) Telephone call made (3) 5 Information Sheet provided (2) 4 Verbal Info provided (1) Next Steps/ Lessons Learned # of reported needs • Human and fiscal resources were challenged throughout the project, and through tests of change 3 Reports Not Having a support person (0=yes) 2 1 • Continue to test impact of rapid access to health services among QI cross-sectoral partner organizations Client Story Gerald is a 51 year old homeless man who has been staying in shelters in Moss Park for the past 8 years. He has been involved on and off with mental health and addictions services. He worries about his physical health and cannot remember the last time he saw a doctor. He does not have anyone he can turn to for help and support. He would like to find an apartment, maximize his benefit entitlements and get a dog to love. Measures Outcome: • # of residents meaningfully connected to desired health and social services Process: • # of residents offered community resources sheets that accept • # of residents who are connected by a navigator to services in Moss park • # of residents connected by the rapid access referral (Sherbourne Health bus) • Share new Moss Park specific Community Resource Sheets with community stakeholders M Intervention/Change Ideas 3 0 M -40 4 0 M -50 5 0 M -60 5 0 M -60 5 0 M -60 6 0 M -70 6 0 F -70 20 F -30 40 F -50 50 -6 0 0 9 • Neighbourhood-specific community resource sheets to provide information about available health & social services 8 7 Meaningful connection Wordle for Moss Park 6 6 5 • Assign expert mental health and/or addictions workers to work as service navigators to link individuals with desired services and supports • Implement rapid access to intensive case management services at Street Health and St. Michael's Hospital 8 55 Health Assessment 5 Harm Reduction Safe Sex 4 Counselling 3 3 2 2 1 2 2 3 2 Case Management Winter Supplies 2 1 1111 0 T 1 T 2 T 3 T 4 Organizational Enablers • Shared commitment to cross-sectoral collaboration • Shared responsibility to improve access to health and social services • Shared understanding of the service needs of the target population • Shared interest in designing innovative services for disadvantaged populations • Engage community stakeholders in conducting further tests of change to promote building meaningful connections with target population • Increasing services available on evenings and weekends • Consciousness-raising exercises and training for service providers • Promote the need for peer support advocates and/or personal navigators for clients who are experiencing mental health and addiction issues. Contact Name: Adrien Levesque Title: Health Promoter Organization: Anishnawbe Health Toronto Email: Alevesque@aht. ca Phone: 647 -999 -3807