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Welcome to the CMHA Toronto articles page. Here you will find items ranging from personal stories to scholarly papers. Scroll down the page to read their descriptions. We hope that you find our offerings stimulating and inspiring.

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Title:
Silent Patient
Description:

Hello I am the silent patient; a patient that has decided that there needs to be a voice. A piercing voice to inform society that the silence has to stop. This article is based on a true personal journey through the Mental Health System. (12 pages)

Author:
“Sarah”, a client of CMHA Toronto Employment Services
Date:
May 2008

Title:
Arrividerci Trieste: Reflections and Observations about Mental Health Services in Italy After 30 years of Reform
Description:

From March 10–15, 2008 I visited mental health services in Milan, Brescia and Trieste.

Italy has had 30 years of reform while Canada has had 30 years of rhetoric about reform. Despite this, both countries have much to share with each other as both jurisdictions try to improve their mental health services and comparative national studies of various aspects of our respective mental health systems could inform reform efforts in both countries.

Author:
Steve Lurie, Executive Director, CMHA Toronto
Date:
April 2008

Title:
Report on the Survey of Hospitals’ Use of Community Treatment Orders and Case Management Services
Description:

In the fall of 2003, the Centre for Addiction and Mental Health conducted a survey of all hospitals in Toronto that have access to Community Treatment Order (CTO) coordination and case management services. The purpose of the survey was to obtain feedback from mental health professionals regarding

  1. Their experience working with CAMH and the Canadian Mental Health Association (CMHA) on this CTO initiative.
  2. Experiences utilizing CTOs
  3. Reasons CTOs are not used
  4. Ongoing perceptions/beliefs about CTOs

The purpose of this report is to examine the perceptions of clinicians who are served by the CTO project in Toronto, Ontario, Canada, have of CTOs and the services provided by CAMH and CMHA. Ultimately, findings from this survey will serve to evaluate the service, identify gaps and direct future planning for the CTO project. 23 pages.

Author:
Centre for Addiction and Mental Health and Canadian Mental Health Association
Date:
May 2005

Title:
Fighting the stigma of mental Illness
Description:

Last fall, …a biopsy confirmed malignancy and I was quickly admitted for surgery. It was a time of much uncertainty and anxiety, but my recovery was uneventful and characterized by … flowers, fruit baskets, cards, and many visits by friends and family. ….

While hospitalized, I didn't have to worry about my job, my relationships or my home. My employer emphasized that my health was the Number 1 priority. My family was supportive and caring throughout, and my home was waiting for my eventual return.

This is not the way it would have unfolded if I had a psychotic episode, a serious depression or an addiction to prescription painkillers….

Author:
Dr. Paul Garfinkel, CEO, Centre for Addiction and Mental Health.
Date:
May 2005

Title:
New Zealand Notes
Description:

In February and early March 2005 I attended the a meeting of the International Initiative on Mental Health Leadership (IIMHL) which included a site visit to the Manukau District Health Board (Auckland) and in Wellington an international meeting of clinicians, administrators and consumer leaders from New Zealand, Australia, England, Scotland, the U.S. and Canada.

What follows are observations and reflections on the mental health services and the health care environment in New Zealand.

"Turn your face to the sun and the shadows will fall behind you." A Maori saying.

Author:
Steve Lurie, Executive Director, CMHA Toronto
Date:
February 2005

Title:
Comparative Mental Health Policy: Are there lessons to be learned?
Description:
This paper briefly reviews the status of national mental health policy in Australia, the UK, the US and New Zealand. It then examines the evolution of mental health policy in Ontario and provides some commentary on how the Ontario experience is consistent with the experience of other jurisdictions. Finally it examines whether there are lessons to be learned that can be applied in Canada and elsewhere. Steve presented this paper at ICONS (International Conference on Schizophrenia), sponsored by SCARF, the Schizophrenia Research Foundation, in Chennai India.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
January, 2004

Title:
Introduction to The McGill McConnell Papers
Description:
From 1999-2001, CMHA and the McConnell Foundation made it possible for CMHA's executive director to attend an executive program focusing on voluntary sector leadership and management offered by the Faculty of Management at McGill University. This one page paper describes the program, and is an introduction to a selection of Steve's papers that are offered here to stimulate thinking on a number of topics including accountability, organizational ethics and collaboration.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
May, 2002

Title:
Measuring Doing Good Well: Reflections on Organizational and Performance Measurement
Description:
A McGill McConnell paper. Reflections on organizational and performance measurement for non-profit organizations. 13 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
April, 2002

Title:
Mandated Collaboration: Command and Control or Emergent Process
Description:
A McGill McConnell paper. The management and support of forensic clients and people on community treatment orders is an area of interest to both clinicians and policy makers. Collaboration between hospital and community service providers is required and in some instances, mandated. This paper reviews some of the literature about mergers and alliances and examines selected experiences in the mental health field using a case study method. The case studies examine mandated collaboration comparing the development of the forensic MOU (memorandum of understanding) which involved CMHA Metro Toronto and three general hospital ACT teams with the community treatment order collaborative project, which involves our agency, the Centre for Addiction and Mental Health and 11 general hospitals.

The paper offers observations on the extent to which collaboration is an emergent process that is responsive to its particular environment and explores power dynamics and how trust and flexibility affect outcomes in a positive or negative sense. 70 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
June, 2002

Title:
Can CMHA Audit Itself Ethically?
Description:
A McGill McConnell paper. CMHA has a mixture of internal and external accountability requirements now. We have a mission. We have many internal and external stakeholders. These include: clients, staff and volunteers, Board of Directors, Ministry of Health, United Way, colleague agencies, and the broader public.

There are concerns, given the multiplicity of accountability requirements, that an ethical auditing process should add value, rather than simply take additional time for compliance reporting.

This article describes what is in place now at CMHA and makes proposals for a future process that has since been adopted. 4 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
February, 2000

Title:
What Does it Mean to be National?
Description:
A McGill McConnell paper. This research project identifies and describes how various roles and structural practices allow organizations to work toward their maximum potential. While the report does not make specific recommendations on the best national role and/or structure, it does offer a process by which organizational leaders can explore their own role/structural issues and tensions within their organizations. Strengths and challenges have been identified within seven organizations in order to develop a sense of the climate and environment found in national organizations today. The final product of this research includes tools to help guide organizational discussion on national roles and structures towards positive future outcomes. 22 pages
Author:
Joyce Van Deurzen, Ray Folkins, Steve Lurie (Executive Director, CMHA Metro Toronto) Michael McKnight, Penny Milton, Henriette Thompson, Marianne Wilkinson.
Date:
February, 2001

Title:
15 Minutes with Vandana Shiva: Reflections on Globalization
Description:
This description of author's meeting with Vandana Shiva includes reflections on globalization, globalization and the voluntary sector, and the meaning of globalization for his work at CMHA. 15 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
November, 2000

Title:
The Minimum Data Set Pilot Project: Overview of the Data
Description:
89 provider organizations from across the province participated in the minimum data set pilot test. Organizations reported their aggregate client data at the program level. Each provider organization was asked to classify itself by service category. Provider organizations included provincial psychiatric hospitals, public hospitals and community mental health agencies. 10 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
March, 1998

Title:
Notes on Homelessness, Mental Illness and Substance Abuse
Description:
Summarizes the themes from the Ontario, Toronto and US material the writer has reviewed, supplemented by some discussions he has had with people who work in the field. The summary will include what is known about the populations, an overview of problems from a systems perspective, and a review of what is known about promising practices with a view to setting the stage for the development of workable strategies which are likely to reduce homelessness as well be supported by most stakeholders. 10 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
July, 1997

Title:
A Supportive Housing Plan for Toronto
Description:
It is acknowledged that Toronto has a homelessness problem and that up to 1/3 of the homeless population have mental health problems. Shelters are overflowing and there are reports of psychiatric facilities discharging consumers directly to the streets or shelters.
The literature on homelessness identifies mental illness and poverty as risk factors for homelessness and stresses that solutions must include access to a range of housing forms and flexible support services.
Starting November 1997, a group of community mental health and housing providers met with staff from the Centre for Addiction and Mental Health, municipal officials and representatives from Canada Mortgage and Housing to develop a plan to meet the challenge of developing 5000 affordable housing units as called for by the Golden Task Force. Our plan is consistent with the Task Force themes of shared responsibility among the community and three levels of government. We believe we can achieve the target for supportive housing set by the Task Force. 3 pages.
Author:
Steve Lurie, Executive Director, CMHA Metro Toronto
Date:
October, 1998

Title:
Marathon Finish
Description:
"What do you do for exercise?"
That was my therapist twenty years ago. I told him I took long walks and did yoga. He said nothing, but I realised that he did not think much of that. He mentioned that some of his clients had found strenuous exercise had helped their depression, and I went home and did some thinking.

The story of how Virginia Wilson took up running, completed a marathon and promoted mental health awareness with her famous T-shirt slogan. 3 pages.

Author:
V.S. Wilson, CMHA Metro Toronto Board of Directors, CMHA Toronto Workshop Facilitator and Personal Experience Speaker
Date:
Mental Health Matters, CMHA Toronto newsletter, Winter 2002

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