How to get mental health help for your child

We recently reached out to several mental health experts to put together a tip sheet for parents. It can help you recognize some of the signs of mental illness in children and youth and learn more about resources in your community where you can access services and supports.

SIGNS THAT YOUR CHILD OR TEEN MIGHT BE STRUGGLING

One of the first signs that your child or teen may be struggling with mental illness? They may start to behave in a way that is unusual or out of character for them. For example, if they used to be quite social and outgoing and they suddenly become more isolated, even refusing to go to school or interact with their peers, this could be a red flag.  “You may also notice changes in a child’s appetite or sleeping patterns,” says Myra Levy, Clinical Director at East Metro Youth Services, a United Way-supported agency. “Sometimes mental health concerns, for example depression and anxiety, can also be triggered by a stressful or traumatic event including a divorce, a serious breakup or a death in the family. Your child or teen may tell you that they’re not feeling happy or that they’re having thoughts about suicide.” It’s also important to remember that you are not alone: 10 to 20 per cent of Canadian youth are affected by a mental illness or disorder and only one in five children who need mental health services receives them.

WAYS TO GET HELP:

IN AN EMERGENCY

If you suspect your child or teen is at risk of harming themselves or others, and you feel that you’re not able to keep them safe, take them to a hospital emergency department right away, advises Dr. Joanna Henderson, a psychologist and Director of the Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health at CAMH. In less urgent situations, Dr. Henderson also suggests that parents can call United Way-supported Distress Centres for support and advice on other appropriate community or professional resources to help your child. Young people can also call the Kids Help Phone to speak to a counsellor and to learn more about other mental health supports in the community.

Malika Favre Unignorable art of

FAMILY DOCTOR

Many parents often turn to their family doctor or pediatrician for mental health support. The Toronto Star notes that, according to the Ontario Medical Association, family physicians deliver about half of all mental health services in Ontario. This includes supports such as assessments, therapy and prescribing medication. If your family doctor or pediatrician works as part of a multidisciplinary team, he or she can also refer children and their parents to other healthcare professionals on the team including psychologists, nurse practitioners or social workers. All of these services are typically covered by OHIP when delivered in this setting.

COMMUNITY MENTAL HEALTH CENTRES

There are also a number of accredited community-based mental health centres, including United Way-supported East Metro Youth Services, where parents and their children can access a range of mental health services. The best way to find a centre near you is to visit Connex Ontario or call United Way-supported 211 for resources in Peel, Toronto and York Region. Some community mental health centres offer walk-in clinics where parents and their children can access help with no doctor’s referral/diagnosis or appointment required. The services provided by these centres are also paid for by the government, private donors and, in some cases, supported by organizations, including United Way. Additional services range from one-on-one/group counselling sessions to more intensive options including alternative classrooms and residential treatment programs. United Way also invests in a variety of community-based mental health programs that support vulnerable and marginalized groups including LGBTQ+ and homeless youth. Counselling services at community mental health centres are typically provided by professionals with Masters-level designations in social work, psychology or counselling. “Although traditionally there have been wait lists to access psychiatry or community counselling services, walk-in clinics are supporting early access and reduced wait times,” says Alanna Burke, former Clinical Manager at East Metro, which is the lead agency for infant, child and adolescent mental health in Toronto. The agency, in partnership with the Hospital for Sick Children piloted a telepsychiatry project and plans to scale up the initiative across the city to connect young people with psychiatrists to provide faster diagnosis.

SPECIALISTS

Many family doctors will also refer parents and their children/teens to specialists including psychiatrists, psychologists and psychotherapists. Psychiatrists are medical doctors who can assess and diagnose mental illnesses including depression, anxiety, bipolar disorder or ADHD, among others. They are also licensed to provide therapy and prescribe medication. Although services provided by psychiatrists and other specialists in the publicly-funded system (including hospitals) are covered by OHIP, wait times for doctors can be significant and variable, depending on circumstances, says Henderson. Psychologists, who do not typically require a doctor’s referral, can diagnose mental illness and provide therapy, but can’t prescribe medication. When they work in the publicly-funded system their services are covered by OHIP. While wait lists to see psychologists in private practice can be shorter, the hourly cost to see this type of specialist ranges from approximately $150- $250-per-hour. Henderson says some specialists offer a “sliding scale” of hourly fees for lower-income clients. Specialists such as psychologists and psychiatrists offer a range of therapies for children and teens including cognitive behavioural therapy, dialectical behavior therapy and mindfulness—in both an individual and group settings. There are also a small number of school board social workers in school boards in Peel, Toronto and York Region that offer supports to students in a school setting. “As a parent of a child or teen struggling with mental illness, it’s also important to take care of yourself,” adds Henderson. “We know that when families are getting support together, that can really lead to positive outcomes.”

Want to learn more?

Coming together to build a stronger York Region

Wayne Emmerson
Chairman & CEO, York Region

Wayne Emmerson is currently serving his first term as York Region Chairman and CEO. He has more than two decades of political experience, most recently as the Mayor of the Town of Whitchurch-Stouffville for 17 years. He has also served as a board member for a number of organizations including the Markham-Stouffville Hospital, the GTA Mayors’ Committee and the Greater Toronto Services Board. The Regional Municipality of York and United Way have a long history of collaboration, and as Chair & CEO of York Region, Emmerson has been a champion of United Way’s work.

York Region is now one of Canada’s fastest-growing large urban municipalities with nearly 1.2 million people and approximately 25,000 new residents moving here every year. Overall, York Region is a diverse, vibrant and prosperous area with a very good quality of life.

While we celebrate a steady influx of new residents and businesses, like all rapidly growing municipalities we face some daunting issues including homelessness, an aging population and a growing number of vulnerable people with complex needs such as mental health and addiction problems.

The partnership between York Region and United Way Toronto & York Region has been extremely valuable as we deal with the challenges that come with unprecedented growth and a vast geographical area.

YorkStreet

By working hand-in-hand with United Way we are able to anticipate challenges, get ahead of problems and build community capacity. In the face of growing need, we have come together to develop meaningful career opportunities for youth facing multiple barriers, we have focused on helping Syrian refugees settle into their new homes after escaping the horrors of war and we have collaborated to ensure that precious financial resources are directed to as many worthy agencies and programs as possible.

Most recently, York Region and United Way produced a joint report on homelessness. The document entitled, Understanding the Numbers: Working Together to Prevent, Reduce and End Homelessness in York Region is important because it provides us with a much better picture of homelessness across the Region.

understandingthenumbers_reportcover

With this report in hand, York Region and United Way will build on our current initiatives, address service gaps and analyze the effectiveness of our programs and services.  We will work with all partners towards mobilizing investments, resources and strategies that help deliver on the provincial government’s target to end chronic homelessness by 2025.

York Region and United Way have a long history of developing solutions and supporting our most vulnerable citizens in a time of need. Through collaboration these professionals have made a positive difference in the lives of our residents. I applaud everyone for their compassion and unwavering commitment to helping others. Their contribution to York Region’s exceptional quality of life is invaluable.