2009/10 ANNUAL REPORT - Canadian Mental Health Association

2009/10 ANNUAL REPORT
CANADIAN MENTAL HEALTH ASSOCIATION
ASSOCIATION CANADIENNE POUR LA SANTÉ MENTALE
WINDSOR-ESSEX COUNTY BRANCH

BELIEVE

TABLE OF CONTENTS
CMHA-WECB Mission/Vision................................1
2009 Board of Directors.......................................1
Message from the Board Chair.............................1
Message from the Chief Executive Officer............2
Funding Picture ...................................................3
CMHA-WECB In the Community..........................4
Information Services ............................................6
Improvement Initiatives .......................................7
Human Resources ...............................................7
Reaching Out/Programs and Services....................8
Supported Housing............................................10
Employment Support Services ...........................11
Volunteer Program.............................................12
Workplace Health Services ................................13
Coping with Job Loss ........................................13
Adult Bereavement ...........................................14
Griefworks ........................................................14
City Centre Health Care ....................................15
Get Involved with CMHA-WECB! .........Back Cover

DREAM

CMHA-WECB Mission
and Vision
Vision:
Mentally healthy people in a healthy
society.
Mission:
The mission of CMHA-WECB is to enhance
and promote the mental health of all persons
and support the resilience and recovery of
people experiencing mental illness in our
community through education, prevention,
advocacy and services.
The values of CMHA-WECB are:
Person Centred Approach
Social Justice
Self-Determination
Accessibility
Excellence
Creativity
Integrity
Holism
SLATE OF DIRECTORS
2010-2011
Board Chair
Patricia McMahon, Retired Educator,
Administrator
1st Vice Chair
Rachel Olivero, Diversity Officer,
Greater Essex County District School Board
Treasurer
Ian Kruithof, Retired, CIBC Manager
Directors
David Cree, Lawyer,
Windsor Port Authority
Rick Facciolo, Staff Sergeant,
Professional Advancement,
Windsor Police Services
Anna Jurak, Adjudicator
Suzanne Semeniuk, Retired Teacher
Jennifer Holmes, Attorney, Crown
Attorney’s Office
Bill Wrye, Retired Consultant
Dr. Howard McCurdy, Former Professor,
FP and Head of the Department of Biology,
University of Windsor
MESSAGE FROM THE BOARD CHAIR
The Board We were also proud to host the Chief
of Directors, Commissioner of the Ontario Human Rights
v o l u n t e e r s Commission in Windsor. Commissioner
and staff of Barbara Hall spoke in January at the Caboto
the Canadian Club about the stigma many Ontarians still
Mental Health battle with regards to mental illness and
A s s o c i a t i o n
Windsor-Essex
the issue of housing. Commissioner Hall
addressed many concerns about housing
County Branch (CMHA-WECB) have and discrimination and offered information
experienced challenges and opportunities
over the past year resulting in an even
on how to deal with the stigma within the
housing system which still exists today.
stronger agency to serve the mental health
needs of our community.
Our branch provides strong community
programming and we continue to advocate
With talks ranging from integration of
mental health and addictions services in the
tri-county to future funding of community
programs, our Board and staff have
worked hard to ensure steps are taken to
sustain and grow CMHA-WECB. We have
continued to work within the Tri-County
for secured funding for our non-funded
prevention programs which include adult
bereavement and children’s Griefworks.
These programs are vital to the Windsor-
Essex community and we strongly believe
they should receive ongoing secured
funding.
region to examine new ways of integrating
back-office functions and continue to
explore partnerships with other agencies
to benefit our consumers.
Our Board members have been generous
with their time over the past year and
I would like to thank outgoing Board
members, Gisele Sullens and Sorina Ilea for
Our Board is engaged in talks with the
other CMHA offices in the Erie-St. Clair
region to look at potential areas for
partnership. We continue to offer Human
Resources expertise to these branches
all of their hard work on behalf of CMHA-
WECB. We have a strong board with great
expertise in a variety of areas which helps
to create a solid governing structure for
the organization.
through our Director of Human Resources
and look forward to many more integration There are many opportunities and
opportunities to come.
challenges to come in the next year. All of
the members of the CMHA-WECB Board
The Board has also worked hard at
continuing the recommendations set forth
by Accreditation Canada and has been
look forward to working with the staff and
volunteers who make this agency such an
important part of our community.
increasing its work in areas such as Quality.
A new Quality Council of the Board has
been established and meets regularly to
review the Quality Program of the agency.
Thank you.
Patricia McMahon
This group reports quarterly to the Board
and the focus is to ensure all agency
program scorecards are reviewed and
analyzed for reporting on key performance
indicators and areas for improvement.
1

OPTIMISM
MESSAGE FROM THE CHIEF EXECUTIVE OFFICER
As I reflect on the past
year as Chief Executive
Officer of the Canadian
Mental Health Association
on the topic of integration. This group is in the process
of developing indicators for integration initiatives and
our branch continues to engage in integration talks
within the Tri-County as well as with other like-minded
Windsor-Essex County agencies right here in Windsor-Essex.
Branch (CMHA-WECB)
I am filled with pride of
the work our dedicated
volunteers and staff do
each day to serve the community of Windsor-Essex.
I am proud to say that CMHA-WECB has already
formed a variety of partnerships in the community
with regards to integration of services and back
office functions. For example, we have partnered
with The House of Sophrosyne in the area of finance
This work is significant in helping create a stigmafree
community with regards to mental illness and
to help those experiencing a mental illness live their
best lives.
Living your best life is not easy. We are presented
with challenges and dilemmas which can often
seem insurmountable but our CMHA-WECB family
rises to the occasion and performs with integrity
and respect.
and facilities management. We have also joined
together with Family Services of Windsor-Essex on a
joint counselling proposal and are in talks with other
agencies to form similar partnerships.
All of these partnerships could not be possible
without the great expertise of our staff, management
and executive management team. I am reminded on
a daily basis how fortunate we are to have such a
diversified and dedicated team who are truly the
leaders in community mental health services. Our
It is the integrity and respect that makes me so staff is truly the best.
proud to lead our organization and represent
CMHA-WECB.
I would be remiss if I did not mention how much
time and effort our Board of Directors, led by
This past year, I represented the agency as part of
the Ontario Minister of Health’s Ministers’ Advisory
Group for Mental Health and Addictions. This group
brings together expertise in the mental health and
addictions field from throughout the province and
examines ways to improve the systems in Ontario
that look after these two areas of health care. I am a
Patricia McMahon, has given to CMHA-WECB over
the past year. This has been a year filled with many
meetings, teleconferences and workshops and our
Board members have volunteered many hours of
their personal time to our mission. Thank you for all
you have done to make this past year a success for
CMHA-WECB.
member of the group’s Early Identification and Early
Intervention Task Force and I presented a draft paper
on this topic in February.
Thank you also to the many volunteers who give
of their time each week at CMHA-WECB to help in
a variety of areas. These volunteers are the life-line
It is enlightening to hear that the new Minster Deb
Matthews has placed mental health and addictions
as a high priority in her portfolio. After so many
of our agency and I applaud them for the example
they set for all of us with regards to community
involvement.
years of being known as the “orphan child of the
health care system”, it now appears that mental
health is becoming recognized as an important area
of overall health and an area that needs increased
As we head into another year, I reiterate my pride
of the CMHA-WECB “family” and I look forward to
leading this agency into another incredible year.
attention.
I also represented CMHA-WECB at a Erie-St. Clair Local
Health Integration Network (LHIN) provincial meeting
Sincerely,
Pamela G. Hines, MSW
2

Growth and progress
The exponential growth that occurred several years ago, consistent with the heightened awareness of mental health, has stabilized. It is hoped that
as the Provincial economic conditions continue to improve so will mental health and addictions funding from the Ministry of Health and Long Term
Care / Erie St. Clair Local Health Integration Network, including funding for our primary care centre, City Centre Health Care.
CMHA-WECB Sources of Revenue 2009/2010
MOHLTC/LHIN 82%
City Centre Health Care 14%
Fundraising 2%
United Way 1%
Workplace Health 1%
$12,000,000
CMHA-WECB Funding Growth
$10,000,000
$8,000,000
$6,000,000
$4,000,000
$2,000,000
$-
2004 2005 2006 2007 2008 2009
Information Services
The Information Services team continues to prepare and provide the Quarterly Operational Service Statistics Report (QOSR) to Managers and the
Executive team. This report is used to identify trends and assist in planning.
The team continues to refine the data elements collected to improve our reporting and contribute to the outcome-based planning of the organization.
Over the last year the branch has worked closely with Consolidated Health Information Services and the University of Western Ontario in an effort
to plan and move our internal reporting systems into a more integrated system.
In June of 2009, the team completed a cleanup of non-compliant data in our Clinical Management software. Overall, we reduced the number of
non-compliant data entries by 89%. The team continues to monitor this area in conjunction with the Program Managers.
3

CMHA-WECB in the Community –
COURAGEThe past
year showed, once again, the tremendous support and
commitment the people of Windsor-Essex have for community mental
health services. The year was filled with great events that celebrated
the community while helping support our neighbors and friends who
struggled with issues relating to mental health.
Our fundraising efforts included a mix of new and “old” CMHA events
along with three direct mail campaigns, a new internal campaign,
foundation grants, third party events and corporate donations. We
were thrilled at the response to our first ever Spring Into Action Walk/
Run which raised over $5,000 for CMHA-WECB and offered families
an opportunity to enjoy some physical exercise and time together
at the Vollmer Recreation Complex in LaSalle. Many volunteers also
joined us at the Walk/Run to create a great morning for the CMHA-
WECB “family”.
The Black and White event and Go Green Golf Tournament were
also well-attended and supported by individuals and businesses in
the community. We also offered more “Cooking with Chef Mimmo”
classes right in the CMHA kitchen at the 1400 Windsor Ave office.
These classes were well attended and offered a new, different way for
people to support CMHA while exploring the joys of cooking.
Chef Mimmo and Koolini Italian Eater entrepreneur Leo Deluca took
their support of CMHA-WECB even further when they decided to
offer a portion of the sales of Mimmo’s first cookbook to the agency.
We worked with Mimmo and Leo throughout the year to promote the
cookbook and reach the community with the message of exploring
hobbies, such as cooking, and the importance of enjoying meals
together with family and friends and the benefit this can have on
one’s mental health.
The Links Fore Wink third party tournament organized by CMHA
volunteer Elaine Douglas and her family in memory of her daughter
Wendy Douglas-Menard was another great success raising $10,000 for
4
1. Mike Watters, Martha Young, Mike Greenaway and Julie Knowles at the CMHA Go
Green Golf Tournament.
2. McKenna and Maya Sarafin take a break at the Spring Into Action Walk/Run.
3. Doug Wolfe and Karen Niforos from Devonshire Mall attend the CMHA Food Drive for
the Unemployed Help Centre.
4. Brenda and Dr. Howard McCurdy at the Black and White event.
5. (Bottom photo): The 2010 Black and White Committee: (left) Ornella Liburdi, Pam
Whited, Guiliana Hinchcliffe, Patty Anderson, Lynn Budrewicz, Joanne Brown, Nneka
Allen, Karen Doughty, Carmela Nardella, Alyssa Whited, Billie Jones, Pam Allen.

CMHA’s bereavement program. The Douglas family did another
amazing job on their event and have offered tremendous
support to our organization.
We were also fortunate to be the recipients of a new Ontario
Trillium Foundation grant which will help us create new outreach
tools and educational materials to be utilized in the bereavement
programs. These programs continue to be non-funded and rely
on community donations for ongoing support.
We were thrilled to receive a grant from the Ontario Law
Foundation to offer a free workshop last October on “Mental
Health and the Justice System” which was presented to a sold
out crowd. In addition, the grant also allowed us to publish a
new resource booklet for the community on the topic of the
justice system and mental health services.
Fighting stigma continues to be one of the major objectives
of our community relations activities and last year we brought
singer/songwriter Judy Collins to the Caboto Club to discuss her
own battle with addiction and the loss of her only son to suicide.
Collins offered an entertaining talk on the ups and downs of
fame and the constant struggle of living with addiction.
Last year we also produced the second group of Mental Health
for Life television shows in conjunction with Cogeco Cable
11. Cogeco has been extremely supportive of our agency and
allowed us to shoot four new shows about mental health. This
is an original show produced only by CMHA-WECB and airing
on the local Cable 11 channel.
We thank all of our generous donors and volunteers for their
support over the past year and we look forward to working with
them in the year to come.
1. (left side, top) Chef Mimmo prepares food at the Cooking with Chef Mimmo
CMHA class.
2. Volunteers Pam and Alyssa Whited at the Go Green Golf Tournament.
3. The 2009 Spring Into Action Walk/Run Committee.
4. CMHA staff Penny O’Keefe, Lori Tempesta, Silvana Dennison and Carrie Davis.
5. (top right) City Centre Health Promoter Laura Liebrock poses at a Detroit
Tigers game. Laura won tickets to the game through an internal fundraising
campaign.
6. The 2009 Volunteer of the Year, Teresa Eves, poses with her Dad.
7. A table at an event hosted by Viewpointe Winery to benefit CMHA.
8. Attendees are served food at the Black and White event.
5

AMBITION
6
Quality Program
The CMHA-WECB is committed to creating a culture of continuous quality improvement. The process is driven
by Accreditation Canada standards of excellence. It began through the formation of a Quality Council in 2005
and expanded into the formal, comprehensive Quality Program that is currently in place.
People are the essence of a good quality improvement program. The annual quality report is a summary of
the work and accomplishments of many people across the organization. The number and diversity of the
people involved in the quality activities of CMHA-WECB and the Community Care Health Centre make this
a remarkable year! We have looked within our organization, our services, the ways we deliver services, the
administrative functions that support these services and have reached out to the consumers, their families and
caregivers, and our community partners to ask them whether the services meet their needs and how we can
improve.
Our Goals
• A continuous review of processes, proactively looking for areas of strength and areas that could be
improved to reduce risk and ensure the safety of our clients.
• Transparency and accountability for outcomes of care and service.
• Inclusion of internal and external stakeholders in the development of quality improvement
processes.
• Collection and analysis of data to measure performance, outcomes and quality of care.
• Comparing results to peers using standards of excellence and established benchmarks.
• Researching and applying best practices.
• Communicating the targets, standards and outcomes internally and externally.
Our Achievements in the Past Year
• Development of a restructured Quality Council, as a Board of Directors Committee, whose role is
to provide operational responsibility and leadership by monitoring the productivity of the Branch’s
services, review benchmark achievements and provide recommendations to the CEO and staff in
regards to improvements to service delivery. This committee reports quarterly to the Board.
• Improvement in the Risk Management component of the Quality Program with processes to
effectively measure harm and development of targeted strategies to prevent recurrence. This has
resulted in a shift away from initiatives exclusively focusing on analysis of error to those targeting
events or systems linked to the harm. This component of the program collects, tracks and trends
data on serious occurrences, near misses, complaints, privacy issues, medication errors, ethical issues
and many other mandatory reporting elements. Analysis of this data has resulted in improvements to
reduce risk and prevent recurrence, improve client and employee safety, and improve the complaint
resolution process.
• The first agency-wide Serious Occurrence/Risk Report was completed in December 2009 and has
been reviewed by Directors and staff. This report provides organization wide and program specific
information related to risk issues. The report can be used as a resource to identify topics for safety
evaluations, areas of improvement, and education needs. Risk issues can be evaluated by program,
by category as recommended by the Canadian Patient Safety Institute, or by risk level.
• An annual, proactive safety analysis (Failure Mode and Effects Analysis) that focuses, this year, on
Discharge Planning for Intensive Case Management.
• Delivery of a revised Consumer Survey that focuses on the client’s perception of quality of services
and outcomes, and perception of collaborative care rather than overall satisfaction with services.
• Addition of family and community surveys to ensure we are evaluating our services from not only the
clients’ perspective but from that of the family members, caregivers, and our community partners.
• Development Self-Assessments tools to evaluate the function of the Quality Committees.
• Improved communication to staff through regularly scheduled quality presentations at unit
meetings.
• Revision of the quality recognition process to expand the organization’s acknowledgement of the
quality improvements initiated by our staff members.
“ Quality is not an act but a habit”
(Aristotle)

Accreditation
Human Resources
CMHA-WECB is proud to have
received full accreditation status
from Accreditation Canada in 2005
and again in 2008. All programs and
services provided by CMHA-WECB and
the Community Care Health Centre
meet or exceed national standards
of excellence and meet all required
organizational practices for client
safety.
Organization and Program
Scorecards
One of the major achievements for the Quality Program, in the past
year, is the completion of the Program Quality Scorecards. The challenge
for the mental health sector is clear. The use of performance measures
and the movement toward achieving established quality benchmarks is
becoming part of every organization’s culture of quality improvement.
Scorecards focus activities on our purpose, allow evaluation of results,
identify activities needed for continuous quality improvement and provide
a quantifiable measure of success in achieving established goals.
Reporting our key performance indicators on the organization wide
scorecard and on individual program scorecards allows everyone in the
CMHA-WECB to “own” the quality improvement process and involves
changing hearts and minds to integrate quality improvement into day
to day activities. Each scorecard was developed using the Accreditation
Canada domains of quality, best practice guidelines and standards
for programs, mandatory reporting requirements and accountability
agreements.
Scorecards are updated regularly, quarterly or annually, with a focus on:
Integration of strategic planning, management and budgeting
into a holistic system
Identification of areas of improvement and implementing
strategies for improvement
Communication of strategies that are actionable
Measurement and management of processes and outcomes
Clarity of communication Improvement in accountability and
transparency
100
80
60
40
20
0
2006 2007 2008 2009
Staff reporting
understanding of
the Quality
Program
Target
CMHA-WECB grew by 20 new staff in the period April 1, 2009 through
March 31, 2010. As a result, our total number of staff members grew
from 154 to 174. During the period, we ran 40 competitions; some to
replace staff who resigned and some for new positions. There were still
two competitions open as of March 31, 2010, which were just in the
process of completion. Staff were hired in numerous areas; Management,
Administration, Community Support - Intensive Case Management,
Early Intervention, Employment Services, Transition House and City
Centre Health Care. We participated in the Service Canada Summer
Student Program and the Women’s Enterprise Skills Training of Windsor
Inc. (W.E.S.T.) Program which supports unemployed women with a
special emphasis on visible minority women and immigrant/newcomer
women, and women facing difficulties finding employment The budget
constraint was a challenge we meet by leaving some positions unfilled.
This placed stress on the remaining staff, but allowed us to balance the
budget. We left some positions vacant to assist in managing the budget
challenges as we had to leave positions without issuing any lay-off
notices to staff.
Training and Development
We began Fundamentals of Case Management Training for our
Community Support Workers in September 2009, and completed it in
April, 2010. This is a program developed by the Ontario Federation of
Community Mental Health and Addictions Programs in collaboration
with McMaster University. It aims to standardize case management
practice in Ontario. There are ten modules in this program. Staff who
complete all ten will receive a certificate.
This year, all our staff took a day away from the office to focus on our
mandatory training areas and to ensure our continued compliance
with Accreditation Standards. Mandatory training includes: Privacy,
Ethics and Human Rights to name a few. There were also numerous
opportunities for training and professional development, in-house and
externally. Some examples include: Introduction to Cognitive Behavioral
Therapy, OHA Pandemic Webcasts, ODSP Education, Access to Justice
Seminar, Food Handling Certification, Management Effectiveness
Profile System Workshop, Seminar on Power of Attorneys, RDSPs,
(Registered Disability Savings Plan) Ontario Works, Diversity and Cultural
Competence, Performance Appraisals, Non-Violent Crisis Intervention,
CPR, Defibrillator and First Aid and HIV and Substance Use Training.
Wellness Committee
In the 2009-10 reporting year the Wellness Committee became involved
in planning staff events for Mental Health Week which is held each year
in May. These events included a Kickoff Breakfast, Massage Therapy,
Laffs at Lunch, Therapeutic Touch, Reflexology and Yoga. In addition to
the Mental Health Week events a variety of Lunch and Learns were also
held, topics included: Group Retirement Plan, Basic Protections, Basic
Money Management, Savings and Retirement, Portfolio Management
and Retirement Planning and Analysis. information on benefits. They
also arranged a lunchtime walking group and Weight Watchers at
Work.
CMHA-WECB Full Time Equivalent Comparison
CMHA-WECB Full Time Equivalent Comparison
Year FTE's
Year 1985 19.95 FTE's
1990 48.25
1995 1985 47.0019.95
2000 1990 65.0548.25
2003 1995 74.5047.00
2004 75.20
2005 2000 97.7065.05
2006 2003 107.8074.50
2007 2004 124.3375.20
2008 138.70
2005 97.70
2009 145.90
2006 107.80
2007 124.33
2008 138.70
2009 145.90
CMHA-WECB FULL-TIME EQUIVALENT COM
CMHA-WECB FULL-TIME EQUIVALENT COMPARISON
150.00
140.00
130.00 150.00
120.00 140.00
110.00
130.00
100.00
90.00 120.00
80.00 110.00
2005 2006 2007 2008 2009
100.00
Year
90.00
80.00
2005 2006 2007 72008
Year

UPWARD
Programs and Services
Early Intervention
This program provides early identification,
assessment and treatment for individuals aged 14
to 35 exhibiting symptoms of psychosis for less
than two years. The goal of the program is to avoid
or minimize the consequences associated with
untreated psychosis. The focus is on minimizing
the disruption to lives and to assist young people in
maintaining or returning to educational, vocational
and social activities. Support and education is
provided to both the individuals who experience
psychosis and for their families. Under the clinical
direction of Dr. Tamison Doey, the Early Intervention
Program receives referrals from Psychiatrists, Family
Physicians, hospitals, family, community agencies
and mental health professionals.
2007 – 57 served; 2008 – 61 served;
2009 – 63 served
Diversion and Court Support
Justice Support Services helps individuals who are
involved in or at risk of involvement in the criminal
justice system. Court support workers provide
support to individuals with mental illness involved
in the court system and link them to other mental
health services/treatment as needed to ensure that
people with a mental illness who are involved with
the criminal justice system receive appropriate and
timely support and treatment. Referrals come from
a variety of sources including lawyers, doctors,
hospitals, family members, police, other community
agencies and self-referrals. On October 8, 2009
the Justice Team hosted a one day workshop titled
“Navigating the Criminal Justice System” at the
Caboto Club sponsored by the Law Foundation of
Ontario. Approximately 70% of the 200 guests in
attendance were from various community agencies
and the remaining 30% were from the general public
including clients and their families. The day included
the unveiling of a resource booklet containing
information about 672 Court and those issues that
people appearing in court may be facing.
2007 – 54 served; 2008 – 126 served;
2009 – 378 served
Crisis Safe Bed
The “Safe Bed” program provides 24 hour, 7 days per
week, short-term support and access to a safe place for
stabilization and linkage to mental health supports.
2007 – 15 served; 2008 – 17 served;
2009 – 16 served
8
Transition House
Transition House is a time limited residential service
that provides 24 – hour staff supports for individuals
with severe and persistent mental illness. Provides
housing for clients who need a short residential stay
for support during medication review/changes or
for stabilization purposes. Individuals are assisted
with linkages to mental health and community
services and transition to independent community
based housing
2007 – 14 served; 2008 – 11 served;
2009 – 13 served
Dual Diagnosis
This program provides services to individuals over 16
years of age, who have a pre-existing developmental
disability, and mental illness. The CSW works with
the client/family to determine goals and link to
resources. Referrals to the program come from
Windsor Regional Hospital
2008 – 18 served;
2009 – 28 clients served
Intensive Case Management
Promotes independence and improved quality
of life with the primary focus on people with a
serious mental illness through the coordination
of appropriate services and the provision of on
going support as needed. Case managers work
with clients to develop personal recovery goals and
provide linkages to resources such as supportive
counseling, crisis planning medication support, skill
development and advocacy.
2007 – 1,419 served; 2008 31 FTE – 1,419 served;
2009 25 FTE – 1,314 served
Concurrent Disorder Program
Provides ongoing support to individuals who are
experiencing addiction and mental health issues.
The program currently offers individual and group
support and case management services. The
STAGES group, (Sobriety Through Accessing Group
Education and Support) provides an ongoing
maintenance and peer support for individuals who
have already received treatment for addictions. This
integrated service is offered to clients registered
in CMHA services and non-registered clients who
may have received treatment elsewhere in the
community.
2008 4 FTE – 120 served
2009 4 FTE and 1 .5 position – FTE 4.5
1. Dr. Andrew Taylor, Patrick Taylor and Nancy Jammu-Taylor pose at the CMHA Food Drive kick-off. Patrick asked friends and family to bring
donated canned goods in lieu of gifts to his birthday party.
2. CMHA Mental Health Promoter Jill Cadarette (right) talks to Houida Kassem at the taping of Mental Health for Life – a tv show produced
by CMHA-WECB.
3. CMHA staff Anna Lafreniere and Julie Lauzon.

Outreach Services
100
Advocacy Services
This program helps people with a problem and
a mental illness, solve or access appropriate
services in the community and provides
education and support to family members.
2 FTE 2007 – 102 served: 2008 – 146
served; 2009 – 317 served
350
300
250
200
150
100
50
0
80
60
40
20
0
2007 2008 2009
Clients Served in 2007
Clients Served in 2008
Clients Served in 2009
Community Outreach
Community Outreach provides support and
linkage to community mental health services.
This service works closely with emergency
shelters and hostels in the community and
provides outreach to homeless and others that
may require services but are socially isolated.
1 FTE 2007 – 32 served; 2008 – 44 served;
2009 – 87 served
2007 2008 2009
Clients Served in 2007
Clients Served in 2008
Clients Served in 2009
Community Treatment Orders
The Community Treatment Order (CTO)
program provides community support services
to individuals to assist them to maintain
wellness in the community as an alternative
to hospitalization. It is a formal agreement
between the individual, the psychiatrist and
6000
community 5000 support providers i.e. CMHA
Clients Served
Community 4000 Support Worker, in Injection 2007 Clinic,
3000
Clients Served
Substitute Decision Maker, etc. The CTO
2000
in 2008
plan 1000identifies what the person Clients Served and their
in 2009
0
supports
2007
must
2008do 2009to help then stay well and
out of hospital. This includes intensive case
management supports.
2 FTE 2007 – 40 served; 2008 – 46 served;
2009 – 42 served
46
44
42
40
38
36
2007 2008 2009
Clients
Served in
2007
Clients
Served in
2008
Clients
Served in
2009
Hospital Outreach
This program provides support and linkage
to community mental health services for
individuals with a mental illness who are in the
hospital. Discharge planning and community
outreach are key aspects of the program.
2007 – 39 served; 2, 0.8 FTE 2009 – 1616
served
2000
1500
1000
500
0
2009
Clients
Served in
2009
Information and Referral
Information and referral services provide
mental health information and referrals for
anyone looking for mental health related
services in Windsor-Essex County. Individuals
unsure which mental health service will meet
their needs, or even what services are available
in Windsor-Essex can make one call and speak
with an Information and Referral Community
Support Worker. Calls to Information and
Referral have decreased from the previous
year from 4,157 calls to 3382
2 FTE 2007 – 4,250 served; 2008 – 5,835
served; 2009 – 3981 served
6000
5000
4000
3000
2000
1000
0
2007 2008 2009
5000
4000
3000
2000
1000
0
2007 2008 2009
Clients Served
in 2007
Clients Served
in 2008
Clients Served
in 2009
Request for
Information
Answered at
I&R
Urgent Response
The Urgent Response program provides
timely short-term consultation/assessment
and assistance for older adults living in
long-term care homes who have a serious
mental illness and/or a behaviour concern.
The program helps individuals avoid
unnecessary hospital stays and assists
long-term care staff by providing crisis
prevention/intervention, and training to staff
and caregivers.
1 FTE 2007 – 55 served; 2008 – 56 served;
2009 – 39 served
60
50
40
30
20
10
0
2007 2008 2009
Mental Health Program for Older Adults
(MHPOA)
This is a new program that started in April
2009. The key parties of this program
are: CMHA-WECB and Windsor Regional
Hospital.
The worker provides intensive case
management to older adults referred by WRH
and acts as a liaison to other CMHA case
management services.
The objectives of the program are:
• to improve the mental health of older
adults in the community
• to maintain older adults in their homes by
providing supports to caregivers and securing
available community resources and
5000
• to identify and meet the unique needs of
4000
older adults in the community by means
3000
of counselling and support services.
2000
0.8 FTE 2009 – 20 served
1000
20 0
2007 2008 2009
15
10
5
0
2009
Clients Served
in 2007
Clients Served
in 2008
Clients Served
in 2009
Request for
Information
Answered at
I&R
Case Management for
Cases Open in CMHA
and MHPOA
Community Support Service Coordinator
(CSSC) A new position as of Feb 22 2010
The Community Support Service Coordinator
works in partnership with other HDGH mental
health professionals and liaises with HDGH
and CMHA Community Support Workers re
mutually shared clients.
The role of the Community Support Service
9

ONWARD
Outreach Services (CONT’D)
Coordinator (CSSC) is an on site resource for the
Psych Assessment Nurses (PAN) in the ER, for crisis
workers with the Community Crisis Centre and the
staff of the Partial Hospital Program (PHP).
For clients receiving CMHA services, the CSSC is
able to respond to workers of the above HDGH
programs to collaborate on a plan of care that
would see the client utilize existing CMHA services
Supported Housing
For those living with a mental illness, supported housing is a key component in improving quality of life and
enhancing the potential for a continuing recovery. Adopting a “Housing First” model, CMHA-WECB is an
important provider of community based supported housing, striving to provide housing options that match
our client’s needs. The chart included below depicts the different streams of housing available in our basket of
services.
Currently the branch supports almost 200 clients in independent living accommodations across Windsor-Essex
County. The Agency partners with nearly 60 independent community landlords and property owners in this
endeavor to provide safe, stable and affordable housing to clients of the branch. This collaboration has proven to
be a significant factor in breaking down stigma in the community and opening up other opportunities for those
in recovery from a mental illness.
Additionally, the branch owns and operates three semi-independent residential housing properties that provide
supportive housing to 13 individuals in a group living setting. Supports for clients living in these housing programs
are portable, and attached to the consumer rather than the residence, providing support as appropriate given
presenting needs. A fourth property, Transition House, operates as a high support group home that is staffed 24
hours per day, and houses an additional 10 residents. This housing choice is designed to be transitional in nature,
while providing the life skills support necessary for moving to more independent accommodation.
Lengths of stays are in the range of 3 to 6 months, depending on individual resident needs.
Together the housing stock CMHA provides offers a good mix of group and independent living options that are essential
to addressing client choice and needs. Whatever the housing stream, the stability gained by the provision of affordable
and safe accomodations allow those with a mental illness to work on other personal goals essential to their recovery.
Distribution of
Supported Housing Types
78% 4%
10
8%
4%
6%
Transition House
Group Homes
HI Program
HARSP
COAHP
as an alternative to the ER whenever it is appropriate
to do so.
For clients who are eligible but not involved with
CMHA, or other community services, the CSSC
could facilitate access through the short term case
management function.
The position is in its infancy stage and will evolve
with input from HDGH and CMHA over time.
Length of Stay - Independant Housing
60
50
40
Months 30
20
10
0
2005-06
2006-07
2007-08
2008-09
2009-10

Employment Support Services
Employment is an essential component to recovery for those experiencing
a serious mental illness (SMI). Persons with a serious mental illness are
less likely to be employed than any other group of persons with a
disability (Statistics show only 1 in 10 SMI clients are employed).
The Employment Support Services Program (ESS) seeks to break the
chronic cycle of unemployment and isolation that occurs for many of
those experiencing a serious mental illness. The end result is a better
level of overall wellness, improved self-esteem and quality of life.
Clients of the program have access to a number of onsite services.
Supports such as job preview, job coaching, experiential training,
resume development, work hardening, interview strengthening, and
employment search skills come together, all with the aim of getting the
client employed and keeping them employed in jobs that engage their
interests and provide an improvement to their income levels, societal
attachment and overall wellness.
The Individual Placement & Support service model (IPS), focusing on paid
employment of the individual’s choice, rapid employment engagement,
and the provision of time unlimited supports where needed, continues
to provide excellent results in assisting clients to attain their employment
goals.
Despite a challenging economic climate, and an even more difficult
employment environment across the province, the ESS program
continues to build from the success of previous years, with employment
remaining above 50 percent of those in service. Clients of the
program have been successful in attaining employment within various
industries including; retail, grocery, culinary, hospitality, janitorial,
building maintenance, education / instruction, healthcare, agriculture,
construction, security, accounting / finance, childcare, automotive
repair, warehousing, and manufacturing.
During the period, the program has been working with the City of
Windsor Ontario Works Department developing a proposal to provide
employment supports to clients on their case roster that are experiencing
a mental illness and wishing to pursue employment. Our proposal
was accepted in January of this year and will see service begin in
the spring of 2010. It is expected to serve an additional 80 people in
the community who might not have otherwise been able to access
specialized employment supports.
ESS continues to work towards creating partnerships with local
businesses in order to raise the awareness of mental health issues
within the workplace, and to create and or identify employment
opportunities for our clients. We view these partnerships as critical
in breaking down the stigma that exists, while making a positive
impact on employment statistics like those referenced above for our
consumers.
Recently the Mental Health Commission of Canada has developed an
advisory committee to investigate issues surrounding the employment
and potential for employment of persons with mental health illness
in an effort to determine how best to ensure access to gainful
employment and/or continued employment, sustainable income, and
essential health benefits for those that become employed. CMHA-
WECB is hopeful this effort, along with the services we provide, send
the important message to clients that they are not alone, that they
can reclaim their well-being, and there is hope for a better tomorrow
through employment and employment related activities.
Client
Employment
Rate %
60
50
40
30
20
10
0
2006-07 2007-08 2008-09 2009-10
Andrew Renaud Chris Coulson Eli El-Moosleh and Staff
11

ACHIEVEOn January
Mental Health
Promotion
18, 2010 our second annual Blue
Monday event received unprecedented media
coverage and ensured the event’s success. Over
40 vendors (including for the first time, several for
profit health related services) met with nearly 200
people, most of whom remained throughout this
mental health event to hear our impressive speakers.
Both Feel Good Bingo and Stress Bingo have proven
to be popular educational tools, allowing the
department increased access to youth (grade school
and secondary) and newcomer populations.
Achieving Balance and Control: The ABCs of Coping
with Stress and Change (6 weeks at a nominal fee)
has seen a sharp increase in popularity. Plans are
underway to meet this need by offering it again
before fall, with the Summer 2010 program to be
located in the county. Over 50 inquiries were made
regarding the Winter 2010 Session, ensuring that
group capacity was met handily. Summer 2010
pre-registrations are already being received. As
one Winter 2009 participant shared with his BIA
colleagues, family and friends, it was “the best $40
I ever spent!”
In 2009, Education offered 46 presentations
(on a variety of mental health/illness topics) and
disseminated information at an additional 40 health
fairs throughout Windsor-Essex County (18 of which
were held in the county). The program continues
to reach both a substantial percentage and diverse
cross-section of Windsor-Essex County due in large
part to the energies and commitment of trained
Agency Ambassadors, Speakers and Resource
Centre volunteers. While Education has experienced
a steep decrease in the number of volunteers,
it has witnessed a marked increase in the quality
and commitment of those assigned. Due to the
efforts of volunteers (Eleanore, Jean and Rachael)
in particular, CMHA-WECB now offers a staggering
array of mental health and illness-related topics in
over 45 languages. The program has networked
with Multicultural Council of Windsor and the New
Canadian Centre of Excellence to guarantee these
resources reach those in need.
Fall 2009 saw the official kick-off of Finding Your
Voice. This speakers’ bureau project provides a
platform for those in recovery to share their stories
and wisdom. Over 80 people attended one of the
two Finding Our Voice presentations during Mental
Illness Awareness Week 2009.
Last year, 205 people lined up for a Mental Health
Check-up (at Blue Monday, St. Clair College, Seniors
Centre and University of Windsor). We continue to
widely promote our free, anonymous online Mental
Health Checkups to reach people who heretofore
suffered in silence. In 2009 542 people took this
online test.
1 FTE.................Number Served 11,399 (2009)
11,684 (2008)
11,661 (2007)
12
MENTAL HEALTH PROMOTION
FOR OLDER ADULTS
The Gerontology Mental Health Promotion
Program provides information to and about older
adults through public education, consultation and
caregiver support as well as training workshops
for professional caregivers regarding mental health
needs of older adults in Windsor-Essex. In 2009-
2010, our Mental Health Promoter – Gerontology
conducted 83 educational talks or information
tables. A key activity over the past two years has
been a partnership between this program and the
Community Health Worker for Older Adults at
Sandwich Community Health Centre. These two
positions targeted at-risk older adults in Windsor’s
West End by offering a three-prong approach to
programming. Each workshop offered elements of
mental health education, healthy lifestyles education
and socialization. This method of programming has
seen average attendance at workshops double from
10 in past years to a current average of 21. As a
result, CMHA and SCHC were invited to conduct
a poster presentation at the Annual Canadian
Association of Gerontology conference in October
2009.
2008/2009 1 FTE – 1908 served
2009/2010 1 FTE – 2682 served

Volunteer Services
With more volunteers than we have staff the Volunteer Program stays very busy! We are fortunate at our agency to have over 198 active
volunteers, all with big hearts and make a difference for us in various ways. Over the last year, volunteers have supported us in a variety of ways
including, the Board of Directors, Consumer Council, event committees, fundraising and education.
This winter we created a new online system to enhance our communication with volunteers and our efficiency in the program. This new area on
our website offers online orientation, access to volunteer contact information, a calendar of volunteer events and opportunities and an area for
volunteers to log their hours. The new online volunteer section of the website has allowed our program to provide orientation to 155 volunteers
since September 2009. The capacity for us to receive volunteers has increased and the intake process has improved. Over the last seven months
5,000 volunteer hours have been reported and we are pleased that volunteers are taking the initiative to report their hours. We anticipate a rise
in the number of hours reported and an increase in the accuracy of our reporting.
We have also supported various student placements over the past year. We have had students from a variety of academic disciplines; Nursing,
Social Work, Psychology, Medical Office Support. These placements provide great opportunities for the student and our agency. Volunteers and
students add value to our agency and we are thankful for the many hours generously given to us to promote and enhance the mental health of
all people.
Volunteers do not necessarily have the time; they just have the heart.
Workplace Health & Counselling
Services
– Elizabeth Andrew
Workplace Health Services (WHS) is our Employee Assistance
Program (EAP) We contract with companies to provide services to
their employees and the employee’s dependents. Short term solution
focused counseling, crisis supports, assessment and referral services
were provided.
We continue to see an increase in the usage of these services:
2006 - 319 clients
2007 - 371 clients
2008- 509 clients
2009- 564 clients
Over 90% of presenting problems fall into 3 broad categories,
psychological issues, family issues and relationship issues.
This year there has been a noticeable increase in employee’s seeking
support for work related stress.
In 2009, WHS-EAP had 19 active contracts with companies in Windsor
Essex-County and beyond. Although we lost two contracts this year
we have obtained a contract with the Corporation of the Town of
Lakeshore.
Fee for service counseling is available to individuals and families
seeking services. Although this services is available we have had
limited utilization of this service. The current economic situation has
impacted this program.
The demand for crisis response has also increased. Companies
have requested our service to support their employees who have
experienced the loss of a co-worker or a, client.
Workplace Health Promotion workshops and seminars continue to
be requested by businesses. These are seen as an effective, low cost
way to educate employees about stress, health, and other topics
requested by the employers.
This year we presented 43 workshops with over 500 participants
The Manager of Workplace Health Services is a member of the
National Workplace Training Program working group. The focus of
this group is to assist n the development of a national program to
provide a variety of workplace interventions for organizations seeking
assistance to address mental health issues in the workplace
Coping with Job Loss
Job loss continues to be a reality for many of our community members.
We have partnered with the Unemployed Help Centre to provide
required supports. In the summer of 2009 we held a food drive for
their food bank. We collected over 3000 canned goods.
We have been holding weekly group sessions at the UHC. Clients
are involved in a six week session to address the emotional impact
of unemployment. For individuals experiencing distress over their
employment status, short term individual counseling sessions are
available.
Educational sessions are available for businesses and workers facing
unemployment or are underemployed. Services have been requested
by companies to support the workers they are laying off.
Over the past year 53 individuals received short term counseling. We
held 53 group sessions with 547 participants
We have recently partnered with the Labor Adjustment Committees.
Stating April 2010 we will be providing weekly group sessions to their
members.
13

Adult Bereavement
Kid’s Grief works
The Bereavement Program provides education and support to help
individuals understand, cope and express grief in a healthy way.
Individual appointments with specialists are provided, as well as, peer
led support groups for those experiencing recovery from grief.
This year our specialists provided professional consultation to the
WHS-EAP and provided on site Grief Crisis to Haitians living in
Windsor who were impacted by the earthquake in Haiti.
Our Bereavement team was instrumental organizing our first
candlelight vigil in memory of children who have died. Over 700
people attended the vigil which was part of the World Wild Candle
Lighting Event.
2008 2009
1.8 FTE........... Number of Served, 718 935
Number of Groups, 100 110
Number of Volunteers, 18 30
Number of Workshops, 25 24
Over the past year our Bereavement Specialists were interviewed on
the radio and for various print media stories.
This specialized program assists
children and youth to cope with
grief and trauma after the death of
an important person in their lives.
The program also educates the adult
community attached to the child so
they too can support grieving children
in a healthy way.
In partnership with The Windsor
Chapel funeral home we created
Lucky‘s Journey, a coloring book for
children experiencing grief. This book
is now available to assist caregivers
supporting children who are grieving.
Over the past year the Grief Therapists has completed her studies
in Cognitive Behavior Therapy for children who have experienced a
trauma. An adolescent group will be starting in April 2010.
This group is supervised by the Counselor and facilitated by a trained
Child and Youth Worker. The children are encouraged to interact
with peers and begin to see that they are not alone.
As of April 2009 the staffing has reduced to 1 FTE.
14

City Centre Health Care
2008 2009
1. FTE.......... Number Served, 90 80
Number of Groups 2 2
Number of Group Participants 7 10
The Griefworks program received some media attention. The
specialist was interviewed for a radio show and for print media.
The group that supported the CMHA-WECB “Lucky’s Journey” colouring book: Melinda
Hinch, Margaret Muzyka, Julia Kelly-Dion, and Dennis Smith.
The City Centre Health Care Operating as a satellite of Windsor-Essex
Community Health Centre, continues to provide comprehensive
primary care service for persons living in the prescribed downtown
catchment area and for persons having a serious mental illness in
Essex County.
Last year, the City Centre Health Care (CCHC) served a total of 6,
043 clients with total service events equalling 13,068.
In 2009 the CCHC operated with two Nurse Practitioners, but
through the Grow Your Own Nurse program offered through the
Ministry of Health and Long Term Care, we were able to secure a
nurse who worked in the CCHC in an RN capacity until she received
pass notification as an NP. We also had two primary care physicians,
two medical secretaries, one temporary full time receptionist, one
Registered Practical Nurse (RPN), two therapists, one dietitian, one
podiatrist, and one health promoter
One of the NP’s in the CCHC has been trained in IUD insertion and as
a result has made this service available to our clients.
Our dietitian and one of the therapist ran a 6 week program “Food
for Thought” which provided support and education for people to
learn effective strategies to break the pattern of mindless eating. This
program was for women 18 years and older, and was offered at the
Kingsville location.
CCHC have bee enrolling unattached clients referred from HDGH.
Thus far we have had 102 referrals and 19 have been seen by a
physician. Many of the referrals have been unreachable, and as a
result many have not been able to be provided with an appointment.
The team is looking at creative ways to ensure clients get attached to
the services they need.
CCHC played a very active role in preparing for the global pandemic
threat last year. The CCHC staff were busy ensuring that we were
prepared to address clients who presented with flu like symptoms,
and took the necessary precautions when assessing and treating
clients. The team secured the procedure room as our triage room,
and the front line staff surveyed clients as they came in to the centre
to determine if they needed a mask, or to be taking directly to the
triage room to be seen by a clinician. We only experienced one case of
a client with the symptoms, and he had recently visited Mexico. We
were further able to secure extra H1N1 Vaccine, and focused initially
on the priority groups. Our efforts along with the other WECHC’s
efforts contributed greatly to the low numbers of people visiting the
emergency rooms with symptoms.
CCHC was able to partner with Madonna University in Livonia
Michigan, and secured a psychology intern who began her internship
in May of 2009. The intern was able to provide psychological testing,
assessments, and treatment, she was both supervised by the manager
of the CCHC and the CMHA psychologist. Her internship will end in
April of 2010.
CCHC held their annual retreat on Friday September 11, 2009
where Dr. Nick Kates was the presenter. Dr. Kates is a professor in
the department of Psychiatry and Behavioural Neurosciences at
McMasters University with a cross appointment in the Department
of Family Medicine, and is the program director of Hamilton Family
Health Team. The retreat was held at Branteny’s B&B on Malden road.
This site was a little oasis, nicely nestled at the end of a dead end
street, with trees, flowers, birds, deer’s, and a host of other wild life. It
was a day filled with information, optimism, and readiness for change.
We all left there inspired, and motivated. We were all very excited to
have Pam Hines our CEO join us for a portion of the retreat.
Clients Served 2007/08 – 6,822
2008/09 – 11,238
2009/10 – 13,069 15

“Coming to CMHA, quite literally, saved my life.”
– Anonymous CMHA client
Get Involved with CMHA-WECB!
CMHA-WECB relies on the generous support of the Windsor-Essex community in both volunteer time and
donations. There are a number of ways you can become involved with the great work done at CMHA in your
community. Here are some ideas:
• Membership. For only $20 a year, you can show your commitment to community mental health services.
CMHA-WECB membership entitles you to enjoy some great, educational member-only events held
throughout the year. You can purchase your membership online at www.cmha-wecb.on.ca.
• Consider becoming a CMHA volunteer. Our new volunteer online process makes volunteering easy and
accessible. You can also find information about volunteering on our web site or by phoning 519.255.9940
ext. 225.
• Become a monthly donor. Simply check the “monthly option” on the CMHA-WECB donation card.
• Consider leaving a planned gift to CMHA-WECB in your will or estate. A planned gift ensures our
community will be able to access community mental health services for years to come.
• Educate yourself by attending one of our many public education workshops. Phone our office or
visit the web site for a list of upcoming educational opportunities.
• Give a tribute or in memoriam gift. Honor someone you love by offering a donation in their name.
• Planning a wedding or special occasion Offer a donation in lieu of favors to CMHA-WECB. It is the
gift that lasts well past your event.
CANADIAN MENTAL HEALTH ASSOCIATION
ASSOCIATION CANADIENNE POUR LA SANTÉ MENTALE
WINDSOR-ESSEX COUNTY BRANCH
• Get your workplace involved by starting a fun event to raise money for CMHA-WECB such as an office
bbq lunch or dress down day. Have everyone donate a small entrance/ participation fee and donate the
collected fees to CMHA-WECB.
There are many other ways to participate in the CMHA-WECB family, please phone our Advancement
Office at 519.255.9940 ext. 224 or visit www.cmha-wecb.on.ca.
the
way
to
help
the
most
CANADIAN MENTAL HEALTH ASSOCIATION
ASSOCIATION CANADIENNE POUR LA SANTÉ MENTALE
WINDSOR-ESSEX COUNTY BRANCH
1400 Windsor Avenue, Windsor, ON N8X 3L9
Phone 519-255-7440 • Fax 519-255-7817 • cmha-wecb.on.ca