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2018-19 Annual Report

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Message from the Board Chair & Executive Director

The 2018-2019 fiscal year was another very busy one for Addiction Services for York Region (ASYR). We continue to be committed to provide the best possible programs and services for people affected by addictions.

In 2018-2019, the agency considered its strategic plan. As part of this process, ASYR reached out to its staff and community partners to hear their perspectives. We are grateful to everyone who participated and provided us with feedback on our work. Your input was important and we hope that you will find your suggestions reflected in our new Mission, Vision and Values.

Our new Mission is upbeat and recognizes the importance of offering hope as we work with our clients through providing outstanding service and innovation:

Uniting to offer hope and promote recovery through outstanding service and innovation.

We believe our new Vision provides the broad framework for all of our work. We know that many people affected by addictions have experienced trauma. We see our new Vision recognizing the importance of creating a safe place for people to have the opportunity to heal:

A world where all people have the opportunity to heal.

Based on what we heard from everyone involved in the discussions, our updated Values will provide a framework from which we must consider all of our work:

Respect – We respect, honour and champion all who walk through our doors
Inclusivity – We are inclusive and celebrate unique strengths  and diverse communities
Flexibility – We offer flexible, person-centred care
Access – We work to ensure access to programs and services
Quality – We seek feedback from clients, partners, staff and the community to improve our programs and services

Strategic Directions

We also reviewed our Strategic Directions. Much has changed since our 2013 Five-Year Strategic Plan was developed. ASYR has grown and transformation is taking place within the health system in Ontario.

We considered our current work, conversations over the last few years with our major funder and our work with community partners. We believe our new Strategic Directions provide us with a roadmap for the next three years as we move forward:

  • Organizational Excellence
  • Service Expansion
  • Strategic Partnerships and Collaboration
  • Building Awareness

Organizational Excellence

During the last year, ASYR has been working hard on strengthening its work in Quality Improvement. As this work continues, we look forward to increasing our QI initiatives and to providing an opportunity for clients and community partners to provide feedback on this important work.

We are also committed to increasing our understanding of anti-oppression and anti-racism (AOAR). Our Cultural Responsiveness, Equity and Inclusivity (CREI) Committee worked with a consultant earlier in the fiscal year to design a two-day training session for staff. This was an important session and ASYR continues to work on the results.

We recognize this is a journey. More work needs to be done, and we look forward to the continued leadership, commitment and support of the CREI Committee to strengthen our understanding and commitment to AOAR practices.
Our newly established Wellness Committee was successful in starting to implement Wellness initiatives for our staff. We look forward to our Wellness Committee providing more opportunities for staff in the future.

We know there is more work to be done to improve our organizational excellence. We are committed to collaborating together with staff, community partners and the Board to develop a roadmap that will help us achieve this strategic direction.

Service Expansion

A new satellite office for ASYR

As part of the commitment to our funder, ASYR opened a new satellite office to serve South Simcoe residents. Based in the Millpond Medical Centre, ASYR now has a strong team of clinicians that are offering a wide range of service in South Simcoe.

ASYR continues to work with our partners in North York West to confirm a location for a satellite office. We hope to open one in 2020.

RAAM Clinics

ASYR continues to offer Rapid Access Addictions Medicine (RAAM) Clinics in a number of Central LHIN hospitals. ASYR is pleased to work in partnership with six hospitals to offer this service. We are committed to finding innovative ways to expand RAAM clinics in the community and work with community partners to find innovative ways to access this service.

Building Awareness

ASYR was pleased to be the recipient of a grant from Gambling Research Exchange Ontario to develop and implement a public awareness and education campaign on problem gambling. This funding enabled ASYR to partner with York Region Transit to bring awareness and education about gambling to potential clients.

We know that we have a lot more work to do to build awareness of our programs and services; we will continue to seek opportunities to do this.

Strategic Partnerships and Collaborations

With the announcement of changes in the health system in early 2019, ASYR has been actively involved in a variety of planning tables to bring the voice of addictions.

ASYR was deeply involved in the development of five full applications to establish Ontario Health Teams as a signatory partner. ASYR was also invited to collaborate on two additional submissions.

The planning for these Ontario Health Teams has provided an opportunity for many different organizations in health care to come together to develop a system that will respond to the health needs of Ontarians, no matter which door they walk in.

At the time of writing, the government has not announced which submissions have been approved to move to the next step. Nonetheless, this is very important work and reflects our commitment to continue active involvement so that people affected by addictions will be able to access programs and services across the health system.

Thank You

We would be remiss if we didn’t thank each and every staff member for their continued commitment to our clients. Your willingness to work with clients on their journey is very much appreciated. We will continue to work hard to provide you with the resources you need to continue your outstanding work.

We would also like to thank our Board Members. Your leadership and commitment to our Mission, Vision, Values and Strategic Directions is so important to our success.

Thank you to the Central LHIN, the Ministry of Children, Community and Social Services, the Regional Municipality of York and the former Gambling Research Exchange Ontario for the financial support provided for our work.

To our community partners, your involvement, support and belief in our work is so much appreciated. We look forward to continuing to partner together as we strengthen our ability to connect care for our clients.

Allan Hoyle – Chair, Board of Directors   |     Penny Marrett – Executive Director

Revenue – $7,991,947

Ministry of Health & Long-Term Care (91%)
Ministry of Children & Youth Services (1%)
Strategic Partnerships (8%)
Other Income (1%)

Expenses – $7,989,941

Program Investments (86%)
Professional Development (1%)
Operations (13%)
Amortization (<1%)

2019 Audited Financial Statements (PDF)

For the year ending March 31, 2019

  • Total Client Visits – 29,857 *
  • Total Individuals Served – 7,959 *
  • Total Group Sessions – 891 *
  • Total Group Participants – 7,345 *
  • Top 3 Substances Used in the Last 12 Months
    • Alcohol
    • Cannabis
    • Cocaine

* The client numbers are from April 2018 to March 2019 and reflect total participants across all programs offered including specialized partnership programs such as Housing First and Back on Track.

ASYR has been actively involved in discussions and submitting applications to provide care through the OHT model. ASYR remains committed to ensure the voice of addictions is strong in these discussions. Although at the time of writing this report, the Ministry has not announced the first group of OHT designates, it is expected that the Ministry will be making this announcement in late November.

On February 26, 2019, the Minister of Health, the Hon. Christine Elliott, announced changes in the health system with the goal of creating an integrated public health system by coordinating the work of existing provincial agencies and programs. This change would mean that there would be one agency – Ontario Health – that would oversee health care delivery, improve clinical guidance and provide support for providers to ensure the best possible quality of care for Ontarians.

Ontario Health will be responsible for:

  • System management and performance
  • Improving quality of care
  • Measuring and managing how the system works
  • Enabling innovation
  • Providing clinical leadership
  • Ensuring financial accountability

Over time, the following provincial agencies will transition to become part of Ontario Health:

  • 14 Local Health Integration Networks (LHINs)
  • Cancer Care Ontario
  • Health Quality Ontario
  • eHealth Ontario
  • Trillium Gift of Life Network
  • Health Force Ontario Marketing and Recruitment
  • Health Shared Services Ontario

Ontario Health Teams

As part of these changes, Ontario also announced the establishment of Ontario Health Teams (OHT). OHTs are being established throughout Ontario with the goal of organizing care that is more connected to Ontarians in their local communities. OHTs will work as one coordinated health care team – no matter where they provide the care.

Providers are being encouraged to work collaboratively to form an OHT in their local community. An OHT will need to include certain providers, but will also be able to consider other providers, dependent on the needs of the population that will be served. These providers include, but are not limited to:

  • Primary Care
  • Acute Care
  • Addictions & Mental Health
  • Long-Term Care
  • Home Care
  • Community Care
  • Health promotion and prevention
  • Rehabilitation and complex care
  • Palliative care
  • Secondary care, including specialist services
  • Residential care and short-term transitional care
  • Emergency health services
  • Laboratory and diagnostic services
  • Mid-wifery care
  • Other social and community services, as needed by the population

Ontario Health Teams will be approved and implemented over the coming years. At maturity, each OHT will have:

  • The ability to offer Ontarians digital choices, such as virtual care (telephone, virtual visits, e-mail) and timely access to digital health records
  • The ability to communicate and share information across the network
  • The ability to drive performance improvements within and across the network clinical and data standardization, and advance analytics and strong information management practices to enable population health management, quality improvement and outcomes measurement

The Ontario government has also introduced legislation to establish the Mental Health and Addictions Centre of Excellence. The Centre will be housed within Ontario Health, once the legislation has passed. The Centre will be responsible to develop clinical, quality and service standards, develop metrics to measure performance, provide resources and support to providers, OHTs and others related to addictions and mental health.

ASYR is committed to working with the Centre, addictions and mental health sector, OHTs and others related to addictions and mental health as this work moves forward.

Streamlined Access is a referral service for individuals, aged 16 and over, living with addictions and/or mental health challenges or dual diagnosis (developmental disability and mental health challenge) and works to connect people with available programs and services in the community.

The service is led by the York Support Services Network. ASYR (Housing Support Services), CMHA York Region-South Simcoe, Krasman Centre, LOFT Crosslinks Housing & Support Services and Southlake Regional Health Centre are all active partners in this system.

Services available include:

  • Intensive Case Management
  • Assertive Community Treatment Teams and Psychogeriatric Assertive Community Treatment Teams
  • Supportive Housing Services

Eligibility for services is based on evidence-based criteria.

Individuals may contact Streamlined Access directly by:

Calling: 289.340.0348 or 1.844.660.6602 or
Faxing: 1.905.898.6457
Visiting: StreamLine Hub  

Streamlined Access services are available in York Region and South Simcoe. Funding is provided by the Central LHIN.

ASYR is grateful to its funders:

  • Central Local Health Integration Network
  • Ministry of Children, Community and Social Services
  • Regional Municipality of York
  • Gambling Research Exchange Ontario

ASYR values the partnerships it has with other agencies and organizations. Thank you to each and every organization that partners with us. Together, we can make a difference in people’s lives.

  • RAAM Clinic Partnerships
    • Enhanced Care
    • True North Clinic
    • Humber River Hospital
    • Markham-Stouffville Hospital
    • Mackenzie Richmond Hill Hospital
    • North York General Hospital
    • Southlake Regional Health Centre
    • Stevenson Memorial Hospital
  • Community Clinics
    • Enhanced Care
    • True North Clinic
    • Keswick Pharmacy & Medical
  • The Wellness Collaborative
    • Across Boundaries
    • Black Creek Community Health Centre
    • Caritas School of Life
    • Krasman Centre
    • Vitanova Foundation
  • Ontario Health Teams
    • Eastern York Region North Durham
    • North York Toronto Health Partners
    • North Western Toronto
    • South Simcoe
    • Southlake Community
    • Vaughan Community
    • Western York Region
  • Community Partners
    • 360 Kids
    • ADAPT
    • Addictions and Mental Health Ontario
    • Alliston Family Health Team
    • Belinda’s Place
    • Blue Door Shelters – Porter Place, Leader Place & Kevin’s Place Youth Shelter
    • Canadian Mental Health Association, Toronto
    • Canadian Mental Health Association, York Region–South Simcoe
    • Catholic Community Services of York Region
    • Centre for Addiction and Mental Health
    • Community Drug Strategy for York Region
    • COMPASS (Community Partners with Schools)
    • ConnexOntario
    • COTA
    • Family Services York Region
    • Georgina Nurse Practitioner-Led Clinic
    • LOFT-Crosslinks Housing & Support Services
    • Nottawasaga Opioid Advisory Committee
    • Ontario Addiction Treatment Centres (OATC)
    • Opioid Education Response Group (York Region)
    • Problem Gambling Institute of Ontario
    • Royal Victoria Hospital
    • Sandgate Women’s Shelter
    • Simcoe County School Board
    • Simcoe Muskoka Catholic District School Board
    • Simcoe Muskoka Public Health
    • Steps to Recovery
    • Sutton Youth Shelter
    • Welcome Centre Immigrant Services Markham North, Markham South, Newmarket & Richmond Hill
    • York Catholic District School Board
    • York Region Children’s Aid Society
    • York Region District School Board
    • York Regional Police
    • York Region Public Health
    • York Support Services Network

To Receive a Hard Copy of Our Annual Report

If you would like to receive a hard copy of the 2019 Annual Report, please send us an email with your contact details and the name of the document you are requesting. We will provide you with a PDF copy by return email.

Please note, our hard copy version is not fully accessible.