Mental Health and Addictions Community Capacity Implementation Project 

  • Refreshed Final Report (appendices) (2014)
    The report recommendations represent further system level changes that are needed to maximize client outcomes and achieve value for money. South West LHIN staff will work with MH&A service providers and the Coalition to prioritize areas of focus, key actions for each geographic area and associated timelines. 


In 2011, the South West Mental Health and Addictions (MH&A) Community Capacity Implementation Project was initiated and overseen by the South West Addiction and Mental Health Coalition (the Coalition) with the support of the South West LHIN.  The purpose of the project was to identify system capacity issues and system pressures in the North (Grey, Bruce), Central (Huron, Perth) and South (Oxford, Elgin, Middlesex) planning areas of the LHIN and to develop recommendations for service integration and service enhancements to create a stronger system of community-based mental health and addiction services.  Based on an analysis of service capacity and utilization and an extensive consultation process with service provider and consumer representatives, 49 recommendations were developed for consideration by the South West LHIN. 

The South West MH&A Community Capacity and Implementation Project Final Report was received from Jim Whaley, the consultant who prepared the report, on November 16, 2011 and shared with the South West LHIN Board of Directors at its November 23, 2011 meeting. 

Implementation of the MH&A Community Capacity recommendations has been identified as a priority in the Integrated Health Service Plan (IHSP) 2013-2016.  Prior to and since finalization of the initial report, multiple investments have been made based on the recommendations provided in the report including $7.8 million representing 90 new community-based staffing positions. See

As part of the 2013/14 Priorities for Investment strategy, it was identified that a refresh of the Community Capacity Report was required to review implementation progress from the original report and set forth further recommendations for system redesign. Specifically, the objectives of the Community Capacity refresh project included:

  • Determine system level outcomes achieved to-date based on 2011 recommendations;
  • Update key data points from 2011 report;
  • Engage stakeholders in dialogue about progress, success stories and current service pressures; and
  • Develop system level indicators and criteria to monitor performance and track transformation.

The refreshed report focuses on progress to date, making best use of the new investments, demonstrating system level outcomes, and some further areas to consider for service enhancement based on a review of existing capacity and levels of standardization including performance targets and service delivery models. The report outlines recommendations under nine domains that are focused on key areas for system improvement for the South West LHIN. The priority areas of action identified are:

  • Supportive housing
  • Coordinated access
  • Peer support
  • Crisis response
  • Primary Care
  • Special priority populations including Francophone and Aboriginal
  • Quality and Performance
  • Service Enhancement

The Coalition, representing each of the MH&A Networks, will engage in discussion around regional and local priorities beginning in September and will further the discussion with their Network partners through October with the aim to confirm an implementation plan in November. An example of primary areas of focus will be demonstrating further outcomes related to ED diversion tactics in London-Middlesex and coordinated access in the London-Middlesex, Oxford and Elgin areas. A summary of the implementation plan and confirmed timelines will be shared with the South West LHIN Board of Directors by December 2014.