CMHO's Policy Work
Children's Mental Health Ontario (CMHO) takes a leadership role in advocating for the well-being of children and families, promoting an environment that leads to good mental health and promoting quality children's mental health programs.
We influence the development of public policy through:
- Policy analysis and the development of policy papers that articulate our position on children’s mental health issues and recommend areas for reform.
- Responses to government legislation and/or policy positions.
- Party Leader Responses to CMHO Commitment Letter
- Policy Statements Advocating Transformation of Child and Youth Mental Health Services
- Pre-Budget Submissions and Presentations
- Pre-Budget 'Asks'
- Response to CFSA Review
- Submission to Dr. Charles Pascal, Early Learning Advisor
- Brief Advocacy Survey
- CMHO Press Releases
- A Summary of Discussions Regarding Ontario's Policy Framework for Child and Youth Mental Health
- Roberts/Smart Centre
Party Leader Responses to CMHO Commitment Letter
In advance of the October 6th (2011) provincial election, CMHO sent commitment letters to all 3 party leaders asking them to pledge their continued support for child and youth mental health. Each of their responses is below.
Children's Mental Health Ontario Toronto, ON, Canada(September, 2011)
Premier Dalton McGuinty's Response (PDF, 3 pages)PC Leader, Tim Hudak's Response (PDF, 1 page)
NDP Leader, Andrea Horwath's Response (PDF, 1 page)
Policy Statements Advocating Transformation of Child and Youth Mental Health Services
One of CMHO's goals in the years ahead is to provide leadership and engage our members to reform Ontario’s child and youth mental health system. From November 2010 until May 2011, CMHO mobilized four Policy Taskforces to help develop and articulate specific proposals for change. These position statements have been developed based on the best-available data, the experience of other jurisdictions and the front-line knowledge of child and youth mental health agencies and workers throughout Ontario. Parents, youth, and other key stakeholders in the child and youth mental health system have also informed the position statements’ analysis and recommendations.
It is our intent that the recommendations in these four position statements will inform decision-making within the Government of Ontario, and assist in mobilizing all stakeholders to pursue and embrace reforms that ensure every child and youth can get the mental health help they need, when they need it, as close to home as possible.
It is our hope that these four position statements will promote debate and discussion about child and youth mental health during the 2011 Ontario election campaign, and set the stage for transformational change that builds on recent funding enhancements, the all-party recommendations of the Select Committee on Mental Health and Addictions, and the province’s recently-released 10-year strategy for mental health and addictions.
Children's Mental Health Ontario Toronto, Ontario, Canada(July 2011)
Funding Principles for Child and Youth Mental Health (PDF, 7 pages)Integration of Ontario's Child and Youth Mental Health System (PDF, 12 pages)
Ontario must improve on the service gaps in child and youth mental health supports, long wait times and difficulty parents experience navigating the system as it currently exists. Priority should be given to ensuring that mental health is considered and recognized as an integral component of overall health, and that those in the primary health care system, child welfare, youth justice, public health and child care sectors have the ability to respond effectively to young people in need. Attention must be paid to coordinating services, including better case coordination and cross-sector service planning. These processes should be informed by the use of evidence-informed practices that are monitored and evaluated, with the knowledge disseminated as a regular, ongoing business function within a culture of innovation.
In a climate of escalating demand for service and fiscal limitations it is critically important that service providers strive to deliver high quality, effective services that are accountable to funders. Consumers of child and youth mental health services should expect a consistent level of accessibility and quality across Ontario, with sufficient flexibility to reflect the diversity of the province’s communities. Setting and monitoring achievement of standards across all funded child and youth mental health services is a practical, feasible way to measure achievement of the strategic goals and priority areas for action as outlined in the Ministry of Children and Youth Services (MCYS) policy framework. Accreditation is a means of ensuring that high standards are consistently met. Accreditation should be required for government funded organizations with a specific mandate to provide child and youth mental health intervention/treatment and should be encouraged for children’s service whose primary mandate is not treatment, but may be recreation, child care, education, physical health or mentorship. In addition to accreditation, system-wide benchmarks should be established related to service accessibility, client engagement and outcomes measurement and use of evidence-informed practices. New funding dedicated to quality improvement, measurement of system-wide benchmarks and the implementation of evidence-based practices and program evaluation will be needed to ensure success.
Suicide is the leading cause of non-accidental death among 10-24 year olds in Canada and in 2007 accounted for 20.2% percent of all deaths in this age group. Furthermore, suicide among Aboriginal youth is estimated to occur at rates five to six times higher than among non-Aboriginal youth. On average, nearly ten young lives are recorded as lost through suicide every week across the country. In spite of this, Canada as a whole, and Ontario in particular, remains without a strategy for suicide prevention. The Government of Ontario must identify child and youth suicide as a significant public and mental health concern and establish an Interministry Task Force with a mandate to develop and release a Child and Youth Suicide Prevention Strategy.
Pre-Budget Submissions and Presentations
CMHO's submissions/presentations to the Standing Committee on Finance and Economic Affairs since 2001.
Toronto, Ontario, Canada: Children's Mental Health Ontario(2001 - present)
Submission 2012 (PDF, 6 pages)Submission 2011 (PDF, 8 pages)
2011 Pre-budget Presentation to the Standing Committee on Finance and Economic Affairs (Feb 1, 2011; PDF, 4 pages).
Submission 2009 (PDF, 9 pages)
Submission 2008 (PDF, 15 pages)
Submission 2007 (PDF, 5 pages)
Submission 2006 (PDF, 4 pages)
Submission 2005 (MS DOC, 4 pages)
2005 Pre-budget Presentation (PDF, 20 pages).
2004 Presentation (PDF, 19 pages).
Pre-Budget 'Asks'
Toronto, Ontario, Canada: Children's Mental Health Ontario.
2007 (PDF, 1 page)2002 (PDF, 6 pages)
Response to CFSA Review
Children's Mental Health Ontario provided a response to the Ministry of Children and Youth Services' review of the Child and Family Services Act. Legislation requires a review of the Act every five years. This review was broad in its scope, including a look at improving the child and youth mental health services to aboriginal children and youth living on reserves.
Toronto/Ontario, Canada: Children's Mental Health Ontario(2010)
Response (PDF, 6 pages)Submission to Dr. Charles Pascal, Early Learning Advisor
Dr. Charles Pascal, the Early Learning Advisor to the Premier, asked CMHO for its advice in establishing full day learning for four and five year olds. At Dr. Pascal’s invitation, CMHO provided some recommendations. The report is focussed on the relationship between our agencies and schools, programs that are working well (and are not funded), the Roots of Youth Violence Report and the impact of poverty on a child’s ability to learn.
Toronto, Ontario, Canada: Children's Mental Health Ontario(February 2009)
The Report (PDF, 6 pages)Brief Advocacy Survey
This survey was administered to CMHO's member centres in order to obtain information about their staffing and financial issues. Results from the survey supported CMHO's advocacy for more funding for child and youth mental health.
Toronto, Ontario, Canada: Children's Mental Health Ontario
Survey Results 2009 (PDF, 11 pages)Survey Results 2006 (PDF, 12 pages)
CMHO Press Releases
Children's Mental Health Ontario Toronto, Ontario, Canada
Release: September 9, 2009 (PDF, 1 page)"Canada ranks an astonishing fourth highest in the world in suicide rates of Canadian teenagers, 15-19 years in age, according to the Organisation for Economic Co-Operation and Development’s (OECD) first report on the well-being of children, Doing Better for Children."
CMHO issued this statement to the media following the release of Ontario's 2010 budget.
A Summary of Discussions Regarding Ontario's Policy Framework for Child and Youth Mental Health
Children's Mental Health Ontario partnered with the Ministry of Children and Youth Services in hosting 14 cross provincial community discussions between September 30 and October 28, 2005. These discussions sought the range of views of diverse stakeholders on key issues related to a CYMH policy framework for Ontario. This report summarizes feedback that was collected at these discussions from more than 300 services providers, parents and youth.Toronto, Ontario, Canada: Children's Mental Health Ontario(Nov, 2005)
Discussion Paper (PDF, 49 pages)Roberts/Smart Centre
The Roberts/Smart Centre in Ottawa - once considering bankruptcy protection if unable to secure increased provincial funding - continues to provide services to some of the province's most vulnerable and hard-to-serve youth. Immediately upon learning of the potential closure of the Roberts/Smart Centre, Children's Mental Health Ontario was able to raise critical awareness of the issue in the provincial legislature and in meetings with key officials at the Ministry of Children and Youth Services. Below are news articles and releases showcasing advocacy efforts by CMHO, political representatives, the staff and Board of Directors at the Roberts/Smart Centreand CUPE Local 2376 to keep the centre's doors open.
Canada
News Release - Possible Bankruptcy (PDF, 2 pages)News release issued by Roberts/Smart's Board of Directors on the Centre's possible bankruptcy/closure (May8, 2009).
News Release issued by the Board of Directors of the Roberts/Smart Centre stating that after a series of discussions with officials at the Ministry of Children and Youth Services and their local bargaining agent, the Centre's doors will remain open.
This news release states that the union and agency both agree that the situation at Roberts/Smart is the result of the chronic under-funding of the child and youth mental health sector (CUPE, May 13, 2009).
PC MPP Sylvia Jones' letter to the Hon. Deb Matthews, Minister of Children and Youth Services, in regards to the possible closure of Roberts/Smart. The letter also briefly discusses the importance of early intervention in treating mental illness; Letter 2 - From Liberal MPP Yasir Naqvi (Ottawa Centre) to CMHO: A letter from Liberal MPP Yasir Naqvi reiterating the importance of the Roberts/Smart Centre to the Ottawa community as well as stating the Ministry's initiatives to ensure the Centre's doors remain open (PDF, 1 p).
An email from CMHO Executive Director and CEO Gordon Floyd to all members of provincial parliament and members of the Select Committee on Mental Health and Addictions regarding the possible closure of the Roberts/Smart Centre.
Official Queen's Park Hansard transcript of members of provincial parliament Lisa MacLeod, Norm Sterling and France Gélinas questionning the government on its plans for preventing the closure of the Roberts/Smart Centre; May 26 Transcript: Official Queen's Park Hansard transcript of NDP MPP France Gélinas highligting the need for increased funding for child and youth mental health during third reading of Bill 162: Budget Measures Act (PDF, 56 pages).
Newspaper Articles/Letters to the Editor Newspaper articles and Letters to the Editor regarding the possible closure of the Roberts/Smart Centre in Ottawa and the interim, workable solution that was reached to keep the centre's doors open.
- Roberts/Smart flip-flop buys centre time (HTML, 2 pages): The Roberts/Smart Centre's union agrees to a three-year, workable solution; the province has launched a review of the centre (The Ottawa Citizen, May 29, 2009).
- Youth need this help (HTML, 1 page): Letter to the Editor about the possible closure of the Roberts/Smart Centre (The Ottawa Citizen, May 14, 2009).
- Youth mental health mishandled: experts (HTML, 3 pages): Youth mental health should be funded as a program vs. a medical service. This article was written in response to the possible closure of the Roberts/Smart Centre (The Ottawa Citizen, May 14, 2009).
- Don't forsake these teens (HTML, 2 pages): An editorial about the political short-sightedness of not providing funding for child and youth mental health written in response to the possible closure of the Roberts/Smart Centre (The Ottawa Citizen, May 15, 2009).
- We should know better (HTML, 1 page): A Letter to the Editor about the possible closure of the Roberts/Smart Centre (The Ottawa Citizen, May 15, 2009).
- Nowhere else to go (HTML, 3 pages): An article about the possible closure of the Roberts/Smart Centre in Ottawa (The Ottawa Citizen, May 20, 2009).
- Rural Ontario needs services for youth at risk (HTML, 1 page): A Letter to the Editor highlighting the lack of mental health and addiction services for youth in rural Ontario. The comments were prompted following an opinion piece in the Ottawa Citizen about the possible closure of the Roberts/Smart Centre (The Ottawa Citizen, May 20 2009).
- Roberts/Smart mental-health centre to stay open (HTML, 2 pages): The Roberts/Smart Centre is to remain open following its Board's decision to rescind an earlier vote authorizing staff to file for bankruptcy at the end of May (The Ottawa Citizen, May 29, 2009).











Children’s Mental Health Ontario wants to partner with the provincial government in developing a funding framework for child and youth mental health. The framework must sustain an equitable, effective, and responsive system and support the continuum of mental health services for all children and youth from early intervention through to identification, assessment and treatment. Coordination, flexibility, excellence in practice and service, sustainability and recognition of the unique needs across Ontario are all cornerstones of what an ideal funding formula must contain to appropriately address the needs of children and youth with mental health issues across Ontario.