Recent Developments In The Effects of Early Parental Intervention and Subsequent Adaptation of Children, Adolescents & Adults With Commonly Diagnosed & Mental Health Disorders: An Indictment Of Poverty & Dysfunctional Parenting
The implications of waiting until children fail are costly to individual people and communities. Numerous studies have been conducted reviewing the long-term effects of early childhood prevention and early intervention programs on young children at risk and their families.
The Centre for Family, Child and Adolescent Advancement (CFCAA) in Toronto, Canada, mandate is to provide pragmatic prevention and intervention services to at-risk parents and their children. This unique wrap around family intervention concept was recognized as a model in the Ontario Mental Health and Addictions Strategy: Creating healthy communities, a Subcommittee Report to Minister's (of Health and Long Term Care) Advisory Group on the 10- Year Mental Health and Addictions Strategy, December 2010.
Wrap around family intervention services with in-home Occupational Therapy services to support families in relation to: positive parenting/disciplinary skills; daily routine stabilization; nutrition/meal planning/preparation; budgeting; homework/tutoring support; school liaison/advocacy; parental/youth career guidance; family bonding activities; community/resource access, etc. Rapid access to integrated psychological, psychoeducational, neuropsychological and psychovocational assessment with the OTs supporting parents in reviewing assessment recommendations to special-needs school conferences and assuring school/home follow-up. Services are provided in partnership with Native Child and Family Services of Toronto (NCFST), after an initial pilot a decade ago and then were brought in-house with NCFST main office location; it is now being implemented in their Galloway/Kingston Rd location (www.rtwintegratedhealth.com/services-offered/public-service-program-initiatives/). The clinical model (www.cfcaa.com/index2.html) was reviewed by Healthy Communities (social determinants of health) Subcommittee and sited as a model in Ontario Mental Health and Addictions Strategy: Creating healthy communities, Minister's Advisory Committee, Ontario Ministry of Health and Long Term Care, January 2010.
Wrap around family intervention services with in-home Occupational Therapy services
Creating a psychological barrier-free natural progression to post secondary education.
UTSC/RSI Community Health Centre (CHC) providing interdisciplinary mental health, traumatic brain injury/FASD, treatment/rehabilitation and family intervention services with Indigenous specialization.
This concept is in the initial exploratory stages and would be housed on the University of Toronto Scarborough Campus (UTSC), with proximal access to the Toronto Pan Am Sports Centre. While the Centre would service the community at large, it would specialize in addressing the unique needs of the proximal urban Indigenous community in the adjacent Kingston Road/Galloway area. It is recognized that the Indigenous community in general is known to have both high rates of mental health and substance concerns as well as significantly higher rates of traumatic brain injury (TBI) and Fetal Alcohol Spectrum Disorder (FASD) incidence relative to the community at large. With leadership provided by the clinician-scientists within the psychology department of UTSC and the Rehabilitation Science Institute (UT), the intervention model would be broadly that of clinical-vocational outcome measurement-guided care. Guided by the expertise of Native Child and Family Services of Toronto (NCFST) services would offer a blend of traditional Indigenous and western approaches, catering to individual Indigenous patient preferences/needs. Best practice interdisciplinary care would provide interdisciplinary learning experiences for health and allied-health related professional trainees; the involvement of the acclaimed Wilson Centre (UT) would establish a clinical-research informed framework towards continual enhancement of best practice training in interdisciplinary care. Research linkages with the Waakebiness-Bryce Institute for Indigenous Health (WBIIH-UT) could enhance iterative best practice pursuits relative to Indigenous patient outcomes. An outcome measurement guided care framework would also guide patient centric care while fostering an iterative feedback loop between the adoption and development of increasingly efficacious evidence-based multi-disciplinary clinical/rehabilitation intervention modalities. An inaugural meeting was held in later 2016 including all of the above stakeholders, the Ministry of Health and Ontario Psychological Association CEO.
Two-day training on CFCAA wrap around model
The Gladue process is a Supreme Court of Canada mandated assessment of Indigenous persons whereby such individuals undergo an exhaustive psychological developmental assessment to assist the court in considering alternative sentencing approcahes to foster rehabilitation, community reintegration, reduced recidivism, and to "place particular attention to the circumstances of aboriginal offenders" in efforts to redress: "The drastic overrepresentation of aboriginal peoples within both the Canadian prison population and the criminal justice system".
Initiation of new cultural and healing lodge and northern reserve live-edge wood skills training hub in partnership with local business (www.rocawoodworks.ca
), and possible involvement of University of Toronto Scarborough's The Hub entrepreneurship centre, Critical Development program and business program.Together with NCFST/NLC, we are in the exploratory stages of a similar wood skills training program and/or totem carving program in the Kingston-Galloway community of Scarborough--one of, if not the, largest urban Indigenous communities in Canada.