Inpatient Mental Health and Addictions Services

Champlain LHIN’s Inpatient Mental Health & Addictions Capacity Plan (News, Summary, Final Report), a study recently completed by the Champlain LHIN and hospital partners, investigates how to improve inpatient mental health and addictions services and bed capacity in Champlain and is aligned with the LHIN’s strategic priority to integrate mental health and addictions services.


The work outlined in the plan and regional surge protocol includes 13 recommendations for a more optimal future state, including the implementation activities of the Champlain regional inpatient program such as the creation of governance structures, holding key stakeholder consultations, planning systems improvements and evidence based decision making.

“First…it’s crucial to have clear communications between health personnel, partner hospitals and
patients. In addition, to have a straight forward easy to understand dashboard that is not
cluttered and to have clear wording that constitutes a Minor, Major surge etc.
Second, is that what certain patients may experience at the ED or on the way to the ED could be
the difference between a person recovering and never going back to a hospital for ED care. On the
other hand a person/patient who is severely depressed, in crisis and/or suicidal that is bounced
around between hospitals could take this experience very hard, negatively and very personally.
They might say to themselves: If the hospital doesn’t care about me what’s the point of living!!
and things can snowball from there thus straining hospital capacities.
Finally, a negative experience and poor discharge planning will affect visits to the ED and
aggravate hospital capacity and resources. A positive experience for persons/patients with a
proper surge protocol, adequate communication between partner hospitals and good discharge
planning will most likely in my opinion minimize the strain on the ED and the need for more surge
beds or in short minimize major surges and improve safety and care for staff and patients.”

A Client’s Perspective


For a 1-page overview of the Champlain Regional Surge Planning Protocol Development: Phase I project and Champlain LHIN background documents, click the images below:

1_Pager_Project Overview.Surge

Champlain Regional Surge Planning Protocol Development: Phase I

Champlain LHIN IP MH&A Capacity Plan_Summary

Champlain LHIN IP MH&A Capacity Plan_Final









Read the Champlain Mental Health and Addictions (MH&A) Surge Response Protocol (Approved May 31, 2018)

Increases, or surges, in demand for mental health and addiction services, whether predicted or not, can pose risks to the capacity and ability to deliver safe and appropriate health care services .

This Surge Protocol was written to address situations where a hospital finds itself in a surge and covers the three basic levels of surge (Minor, Moderate, and Major) with each being more serious in nature than the previous level. All surge levels are addressed to recognize the inter-dependencies and transitions which can occur between the various levels.

Furthermore, in the cycle of surges there are periods of regular operations (Normal Conditions) both before and after a surge and these are critical times to reflect upon past surges and make improvements and preparations for future surges. Information and ideas from reference documents, emails, draft reviews, and meetings have been incorporated to reflect the protocol development process for Champlain.

Launch (‘Go-Live’) Date: July 10, 2018

Champlain MH&A Surge Response Protocol

MHA Regional Protocol.SpecificProtocol.FINAL_June_1_2018.web.Diagram

Surge Escalation and De-escalation Pathways Diagram

MHA Regional Protocol.SpecificProtocol.FINAL_June_1_2018.web.Table

Table of Surge Level Definitions









Surge Protocol Implementation Checklist_July_10_2018

Surge Protocol Implementation Checklist (July 10, 2018)



2018 Aug 2 – Bed Table – Final


Surge Phase II : ALC


1_Pager_Project Overview.Surge Forms.web



Champlain Pathways on Twitter

The Women’s Mental Health program at The Royal is currently looking for 2 volunteers (will receive paid honorarium) 500$ honorarium for each of the 2 research advisors selected. To be considered, or for more infor contact:

Last week from Champlain Pathways's Twitter via TweetDeck