How to get mental health help for your child

It’s CMHA‘s Mental Health Week! 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.

istock_000002405095large

FAMILY DOCTOR

Many parents often turn to their family doctor or pediatrician for mental health support.  A recent Toronto Star article 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 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, 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 both Toronto and York Region who 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.”

3 women who inspire us

It’s International Women’s Day! To celebrate, we put together a list of three women who inspire us. These remarkable individuals live right here in Toronto and York Region—changing lives and making our community a better place to live each and every day.

JOSHNA MAHARAJ: Joshna’s appetite for community change is insatiable. As a busy chef with big ideas, the South African native has demonstrated a tremendous passion for turning her culinary interests into community activism. After graduating from McMaster University, Joshna spent time living in India before returning to Toronto to pursue a career in the food industry. Joshna believes passionately that food “is a crucial piece of community building and rejuvenation.” She began her culinary career at The Stop Community Food Centre and also volunteered at FoodShare, a United Way-supported agency, where she helped develop a student nutrition program. At the Scarborough Hospital, for example, she worked tirelessly to overhaul the patient menu to include healthier, more culturally-appropriate options—the first project of its kind in Ontario. These days she’s busy working on her vision to bring large-scale change to the healthcare, rehabilitation and education sectors so that people can access fresh, local food when they visit places like hospitals and universities. “Food is such a perfect common denominator,” says Joshna. “It nourishes our bodies, but it also nourishes our spirit. There is a connection and a conviviality that comes from gathering in a kitchen, community garden or at a table. These are things that really give people a sense of belonging.” We love Joshna’s passion for her work and her tireless efforts to bring people together around food. We can’t wait to see what she cooks up next!

CHEYANNE RATNAM: At just 14, Cheyanne experienced hidden homelessness, couch-surfing with friends after she was forced to leave home because of family conflict and abuse. Cheyanne, who is Sri Lankan, was eventually placed into the care of the Children’s Aid Society where she remained during high school, yet managed to excel. Despite struggling with homelessness and a number of other barriers—including mental health issues like depression—Cheyanne was determined to build a better life for herself—and others just like her. Today, she’s thriving, after graduating from university and pursuing a busy career in the social services sector where she advocates on behalf of homeless newcomer youth and young people in and out of the child welfare and adoption system. One of her proudest accomplishments? In 2014, she co-founded What’s the Map—an advocacy and research group that has started a cross-sectoral conversation on how to remove barriers and better meet the needs of newcomer homeless youth. Cheyanne is also a public speaker for the Children’s Aid Foundation and a coordinator at Ryerson University for an education symposium for youth in care. And despite a busy schedule, she still finds time to mentor young people experiencing homelessness and other barriers. We’re inspired by Cheyanne’s remarkable resiliency and passion to help young people. And we’re not the only ones! Last year, her alma mater, York University, recognized her with a prestigious Bryden Award that celebrates remarkable contributions to the university community and beyond. “I hope to send a message to young people who are facing barriers that they are not alone and that it’s ‘OK to not be OK’. I want them to know that we’re here to help. The present circumstances should not define who you are or who you’ll become.”

SUSAN MCISAAC: We may be a little biased, but we think our recently-retired President and CEO, Susan McIsaac, is an extraordinarily inspiring individual who has dedicated her life’s work to championing social justice. During her 18 years at United Way (six years at the helm), Susan was a key architect of United Way’s transformation from trusted fundraiser to community mobilizer and catalyst for impact. She’s an inspiring example of a bold and compassionate leader who cares deeply about making a difference in the lives of people and families across our region. “We have an opportunity—and a responsibility—to make sure the kind of disenfranchisement that has cracked the foundation of other places doesn’t jeopardize our home,” explains Susan. “To make that happen, we need to re-commit ourselves to ensuring that anyone and everyone who works hard can get ahead.” It’s this very sense of commitment that continues to reverberate throughout the community services sector and beyond. So much so, in fact, that just last month, Susan was awarded the TRBOT’s Toronto Region Builder Award for her significant contribution to improving communities, and in 2014 was named one of Canada’s Top 100 Most Powerful Women by WXN.

How to get mental health help for your child

Do you have a child or teen who’s struggling with their mental health and aren’t sure where to get help? We reached out to several experts to put together this tip sheet for parents that can help you recognize some of the signs of mental illness 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.

istock_000002405095large

FAMILY DOCTOR

Many parents often turn to their family doctor or pediatrician for mental health support.  A recent Toronto Star article 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 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, 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 both Toronto and York Region who 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.”

Your social media cheat sheet: February edition

Good_Act_to_Follow_HomePage_SlideWe know you care about the big issues. Things like poverty, youth unemployment and neighbourhood inequality.

That’s why we do our best here at Imagine a City to keep you up-to-date with the latest on social issues that affect us all—and what we’re doing to tackle these challenges.

A big part of this discussion happens online—right here on our own blog and in countless other social media forums where community partners, thought leaders, journalists and other influencers weigh in on important issues.

Here’s our list of some of our favourite blogs, websites and social media accounts we think are worth checking out.

1. Sara Mojtehedzadeh (@SaraMojtehedz)

Sara Mojtehedzadeh

Sara Mojtehedzadeh
Work & Wealth Reporter, Toronto Star

Are you in-the-know when it comes to poverty and labour issues in our community? If so, Sara Mojtehedzadeh probably has something to do with it. The Toronto Star Work and Wealth reporter is a leading authority on precarious employment and equity issues across the province—and a total must-follow on Twitter. We’re a huge fan of Sara because of her tireless efforts to give some of the most vulnerable residents in our community a voice and because she’s a champion of change. She’s also helped shine a light on our groundbreaking research into precarious employment that revealed more than 40% of people in the Hamilton-GTA experience some degree of insecurity in their work. “It’s important to acknowledge how absolutely fundamental work is not just to income and wealth, but to our sense of purpose, identity and well being,” Sara explained in a recent interview with the Canadian Media Guild. And with a background in conflict and peace studies and comparative politics, it’s evident that covering the work and wealth beat is more than just a job for Sara—it’s her passion.

2. Kwame McKenzie: Wellesley Institute blog

Dr. Kwame McKenzie

Kwame McKenzie
CEO, Wellesley Institute

How are health and poverty related? Kwame McKenzie, CEO of the Wellesley Institute, and a regular blogger for the organization, recently wrote this compelling post on the importance of ensuring everyone has equal access to healthcare, regardless of the barriers they face. Kwame is also a United Way board trustee and a CAMH psychiatrist who is considered a leading expert on the social causes of mental illness, suicide and the development of effective, equitable health systems. He argues that socioeconomic challenges such as income inequality, poor housing, stress and access to nutritious food drive disparities in health, making it more difficult for low-income individuals to be healthy and to access health services. Kwame believes that all three levels of government and multiple partners across the city need to work together to ensure that health and policy go hand-in-hand.

3. Furniture Bank (@furniture_bank)

Furniture Bank

We think Furniture Bank is a really great example of an innovative social enterprise. This socially-driven business, supported by United Way, helps individuals and families who are newcomers or are transitioning out of homelessness or abusive situations turn a new house into a home by providing furniture at no cost. It also provides training and work opportunities to people facing barriers to employment. Visit Furniture Bank’s Instagram account for photos of funky furniture items they receive for donation and inspiring stories of lives changed—including one Syrian refugee family whose home was furnished just in time for the holidays.

Want to learn more about social enterprise? Then be sure to check out the upcoming Social Enterprise Toronto Conference on March 10.

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