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.

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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 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, 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.”

Why Community Hubs matter

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Laura Harper Manager, Dorset Park Community Hub

Laura Harper
Manager, Dorset Park Community Hub

What are community hubs? And why are they so important for people and families living in poverty across our region? If you’ve been following the news recently, you may remember that Hubs garnered an important mention in the Ontario government’s latest Throne Speech. That’s because these “one-stop-shops” for social and health services—all under one roof—play an important role in ensuring that everyone across our province has access to the opportunities they need to thrive.

To learn more about these important resources—a crucial part of United Way’s community-building work—Imagine a City spoke with Laura Harper, Senior Manager, Programs and Services, Agincourt Community Services Association, and Hub Manager at United Way’s Dorset Park Community Hub.

1. What is a Community Hub?

Working together with donors and community partners, United Way has opened seven Community Hubs throughout our region with an eighth currently in development. These Hubs serve more than one purpose. Although they act as a one-stop shop where people can access vital programs and services all under one roof, they are also places where residents come to build community. In 2005, Toronto identified 13 priority neighbourhoods that are home to some of our most vulnerable residents—many of whom are isolated from crucial social services, supports and infrastructure. Community Hubs bridge these gaps. Although neighbourhoods throughout our communities differ greatly, that’s the common thread between them. Whether a neighbourhood is made up of a high concentration of newcomers, residents living on a low income, single mothers or youth who aren’t graduating, Community Hubs bring together resources to provide a place that supports the diverse growing needs of a community.

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2. What services do they offer? 

Community Hubs offer a wide breadth of services based on a community’s needs—that’s why the Hub model is so effective. We’re able to work with community leaders and residents to identify needs and discuss what their vision is for the space. For example, at the Dorset Park Community Hub, we were able to match community partners to the needs of the community to offer food bank access, newcomer settlement supports, early childhood programs and employment resources. We also offer recreational space including a computer lab and community kitchen.

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3. Why are Community Hubs so important?

Community Hubs are an important part of building stronger neighbourhoods because they involve people who live in the community—and know the issues first-hand—in every stage of the development and ongoing operation. Residents are engrained in the decision-making process because they want to make their community better. When Dorset Park residents saw that a Community Hub was opening, they felt truly invested. They felt that a funder like United Way believed in them so they took ownership of the space. The Hub represents opportunity for the community—opportunity to have their needs met, cultivate new relationships, discover a sense of empowerment and to become active participants in creating a stronger neighbourhood. 

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4. What role do local residents play in supporting the activities and ongoing operation of the Hubs?

Community Hubs could not thrive without the support of residents. Before the Hubs opened, residents wanted to get engaged in their community, but lacked the infrastructure, mentorship and organization to get community-led initiatives off the ground. They wanted a space where they could come together and start projects of their own.

An example I always highlight is the Women`s English Circle that started when a group of women identified that many newcomers in the community wanted to learn English. Though the program was initially successful, when it moved over to the Dorset Park Community Hub, membership grew exponentially. Now, 80 women actively participate in the program, most of whom were formerly isolated. This resident-led program not only gives women the opportunity to learn English, but perhaps more importantly, it’s connecting them with other women in the community. Now, the participants are actively engaging in other resources, have become volunteers and are even running initiatives of their own.