Mental Health Matters
STIGMA
STIGMA
annual report 2014–2015
Ce document est disponible en français.
This document is available at http://www.mentalhealthcommission.ca SUGGESTED CITATION: Mental Health Commission of Canada. (2015).
Mental Health Matters, Annual Report 2014–2015, Ottawa, ON:
Mental Health Commission of Canada.
©2015 Mental Health Commission of Canada
Production of this document is made possible through a financial contribution from Health Canada.
The views represented herein solely represent the views of the Mental Health Com mission of Canada.
ISBN: 978-1-988005-91-1
Legal deposit National Library of Canada
Table of Contents
Message from the Chair and CEO . . . 3
Informing the Future: Mental Health Indicators for Canada . . . 8
HEADSTRONG Summits . . . 12
#308Conversations . . . .16
Working with First Responders . . . .20
Updates on 2014–15 Initiatives . . . .23
Recovery Initiative . . . .24
At Home/Chez Soi . . . .25
Knowledge Exchange Centre . . . .26
Mental Health First Aid . . . .28
Opening Minds . . . .30
Workplace . . . .32
Communications and Stakeholder Relations . . . .34
A Mental Health Action Plan for Canada . . . .36
Financial Statements . . . .38
Leadership and Governance . . . 47
in addition to reflecting on the achievements of the 2014/15 fiscal year, this Annual Report also affords us the opportunity to examine the impact of our accomplishments more broadly. The past 12 months have resulted in the culmination of many important initiatives — which will serve as the foundation for even greater action in years to come. While encapsulating the totality of our efforts is beyond the scope of this introduction, we feel it is important to highlight several milestones that are emblematic of the ongoing work carried out by our Board Members, Executive Leadership Team, directors, staff, advisory councils and researchers.
However, it is of crucial importance to note that the work of the MHCC is only made possible through the unwavering commitment of our vast network of partners — which has grown to 350 strong, spanning the breadth of our nation.
Message from the Chair & CEO
This year marked a seminal period in the life of the Mental
Health Commission of Canada. We have delivered on a
number of important initiatives stemming from Changing
Directions, Changing Lives: The Mental Health Strategy for
Canada and have continued to work with our partners in
the mental health community to challenge our fellow
citizens to improve their own mental health — and the
health of those around them.
In creating the MHCC, your Government has built a very solid foundation for a future where all Canadians can recover from their distresses. Now comes the task of building the walls, roof, floor, and windows so that this strong foundation can serve its ultimate purpose: to be a unique place where all Canadians can learn to recover effectively and without high financial cost to society.”
— Fran Silvestri, President and CEO, International Initiative for Mental Health Leadership (IIMHL)
At the MHCC, our goal has been, and will remain, improving the lives of Canadians living with mental health problems and illnesses. Yet, how we go about addressing this challenge is undergoing a subtle shift.
When the MHCC was created in 2007, our mandate included: developing Canada’s first mental health strategy; tackling stigma; leading and facilitating the exchange of knowledge; and, fostering a recovery-oriented approach to care.
This year, we have seen much of this effort come to fruition.
Changing Directions, Changing Lives remains at the heart of all we do. In fact, it is so integral to our vision for Canada that the MHCC Youth Council is adapting the entire document in an effort to reach an even greater number of younger Canadians. Interpreted through a youth lens, the power and poignancy of the Strategy will be made
more accessible to all. This is a testament to its integral value and relevance.
Engaging young people continues to be a crucial part of our work. Canada’s youth are among the four key groups identified as potential game- changers by Opening Minds. If we can inspire younger Canadians to wage battle against stigma, we may see its eradication in just one generation.
This year, HEADSTRONG, the Opening Minds’
Youth Anti-Stigma Initiative, has seen tremendous success across the country. Through events held in schools and communities, the program anticipates a cascading effect directly reaching more than 100,000 young people.
Moving the conversations about mental health from behind closed doors into open, community- wide activities is critical. One of the key ways in which the MHCC is leading this transformation is through #308Conversations events. This initiative
harnessed the influence of federally elected Members of Parliament to organize and host suicide prevention dialogues in their constituencies.
We know these conversations are important, because we understand that we have to reach Canadians where they live, and where they work.
The MHCC’s National Standard for Psychological Health and Safety in the Workplace has gained significant traction across the country. This year saw the release of Assembling the Pieces, an implementation guide to aid organizations on the journey towards adoption of the Standard. Further, a Case Study Project of more than 40 organizations is well underway.
Our “Workplace” team is also working diligently to reach non-traditional workplaces beyond
conventional office spaces. These efforts are paying dividends, as we now see first responders — from coast to coast to coast — embracing anti-stigma
efforts, as well as investing in training and
education around mental health and mental illness.
The engagement of first responders is being carried out in tandem with critically important community work, like Housing First, to ensure that people living with serious mental illness are diverted from correction facilities, emergency rooms and shelters to decent and supported housing. The roll-out of training and technical assistance for Housing First is helping to alleviate pressure on these expensive alternatives.
The challenges around addressing mental illness, and its very real impact on society, cannot be overcome by the sole efforts of any single entity.
Truly, it takes a village, so we are very fortunate to be working with so many traditional and non- traditional partners in our quest to improve the lives of Canadians. However, the MHCC remains uniquely positioned to articulate potential
70
of disability costs are attributed to%
mental illness.500,000
Canadians in any given week are unable to work due to mental health problems.
1/3
of workplace disability claims are related to mental illness.MHCC Quick Facts
solutions, serve a coordinating role and spur key decision makers to action. Along these lines, we are particularly proud of the release of Informing the Future: Mental Health Indicators for Canada.This first-ever compilation of nation-wide data indicators that relate to mental health provides healthcare professionals and policy makers with the information required to help determine policy priorities and spending allocations.
In the coming months, we will build on
Changing Directions, Changing Lives through the development and publication of a Mental Health Action Plan for Canada. Our goal is for the Action Plan to articulate a realistic and practical approach to achieving the recommendations set out in the Strategy. In order to accomplish this, the Action Plan will be developed in consultation with our numerous community-based and government partners across the country.
While our accomplishments of this past fiscal year were myriad, none are more critical than achieving our renewed mandate. That this goal was reached a precedent-setting two years ahead of schedule is a testament to the value we bring to the mental health community, and is an endorsement of our track record over these past eight years.
Looking forward, the Mental Health Commission of Canada will continue to serve the best interests of Canadians living with mental health problems and illnesses — and their families.
In the interim, we are pleased to have the opportunity to present a look back at this pivotal year in the life of the MHCC, which mirrors the progress happening right across the country.
Louise Bradley, MS, RN, CHE President and CEO
David Goldbloom, OC, MD, FRCPC Board Chair
the mental health commission of canada
It is our belief that the extension of the MHCC mandate beyond 2017 is of utmost importance to advancing the mental health agenda in Canada and to implementing more of the Mental Health Strategy recommendations.
Too much crucial work still needs to be accomplished by MHCC and partner organizations to allow its mandate to expire before the completion of its responsibilities.”
— John Higenbottam and Dave Gallson, Co-Chairs, The Canadian Alliance on Mental Illness and Mental Health (CAMIMH)
Sincerely,
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1. Participants at the 2014 SPARK training workshop, Making the Connection: Moving Knowledge to Action. Winnipeg, MB, June 10-12, 2014.
2. #308Conversations Launch. (L-R) Harold Albrecht, MP; Louise Bradley, MHCC President & CEO; and, Mark Henick, MHCC Board Director. Ottawa, ON, May 5, 2014.
3. MHCC representatives accept the Canada Award for Excellence Gold Level Verification (Level 4). (L-R) Erika Wahlstrom, MHCC Human Resources Advisor; Ed Mantler, MHCC Vice President, Programs & Priorities; Louise Bradley, MHCC President & CEO; Luciano Bernes, MHCC Director, Human Resources; and, Lisa Lueken, MHCC Human Resources Advisor. Toronto, ON, October 30, 2014.
4. Moncton Site At Home/Chez Soi Final Report Launch. (L-R) Louise Bradley, MHCC President & CEO; Hon. Claudette Bradshaw, former Moncton At Home/
Chez Soi Site Coordinator; and, Hon. David Alward, Premier of New Brunswick.
Moncton, NB, May 27, 2014.
Informing the Future:
Mental Health Indicators for Canada
Informing the Future is linked to Strategic Direction 6.2 of the Mental Health Strategy for Canada, which
recommends developing an agreed upon set of indicators against which each jurisdiction in Canada can measure its progress in transforming the mental health system.
The ability to share and access data related to
mental health problems and illnesses is crucial to the
achievement of meaningful change around the way
Canadian decision makers view mental health.
“The information produced by this research will paint a fuller picture of mental health in this country. More important, these indicators will tell us how well — or poorly — the health system is responding to Canadians’ mental health needs.
And what, together, we need to do about it.”
— Dr. David Goldbloom, Chair of the Mental Health Commission of Canada
The Mental Health Addictions Information Collaborative includes: Statistics Canada;
the Public Health Agency of Canada; Health Canada; the Canadian Institute for Health Information; the Canadian Centre on Substance Abuse;
and the Canadian Institute for Health Research.
The collaborative identifies opportunities and facilitates efforts to improve existing data resources and develop new ones that address information gaps on mental health problems and illnesses.
to meet this challenge, the MHCC launched Informing the Future: Mental Health Indicators for Canada in partnership with the Centre for Applied Research in Mental Health and Addiction at Simon Fraser University.
The goal of this research is to create a pan-Canadian set of mental health and mental illness indicators which illustrate a more complete picture of mental health in Canada. The indicators provide information on the mental health status of children and youth, adults and seniors, as well as demonstrate how the mental health care system responds to mental illness.
This information can then be used to set priorities and inform policy making about where best to direct efforts, such as identifying gaps in mental health services, assisting stakeholders in setting priorities and assessing progress, and addressing the recommendations outlined in the Strategy. This report represents an important voice in a larger conversation in Canada about effective collection and use of data to best support mental health and recovery.
Research and consultation with stakeholders focused on key indicators, with considerable effort made to introduce several non-traditional indicators, beyond population health surveys.
The goal was to broaden the scope of measurement, while monitoring and providing a more complete picture of mental illness and mental health.
Thirteen indicators, released in January 2015, introduced the project and the MHCC presented a more extensive list in the spring of 2015.
26.3
percent26.3% of Canadians aged 15 years or older with mental disorders reported, in 2012, there was a time they needed mental health care but did not receive care
77.2
percent77.2% of Canadians aged 12 to 19 years reported their mental health as very good or excellent in 2011/2012
15.4
percent15.4% of Canadians aged 15 years or older reported, in 2009, having experienced discrimination or been treated unfairly by others over the past five years
66.9
percent66.9% of immigrants aged 12 years or older described their sense of belonging to their local community as somewhat strong or very strong in 2011/2012
28.4
percent28.4% of working Canadians aged 15 to 75 years reported that most days at work were quite a bit stressful or extremely stressful in 2011/2012
22.6
percent22.6% of Canadians aged 15 years or older reported that most days were quite a bit stressful or extremely stressful in 2011/2012
37.9
percent37.9% of Canadians with mental health conditions aged 15 years or older reported, in 2009, having experienced discrimination or been treated unfairly by others over the past five years
per 100K
10.8
10.8 out of every 100,000 Canadians died by suicide in 2011
Gathering the Data
The indicators in Informing the Future were drawn from a wide variety of sources including: Statistics Canada studies; national surveys; and administrative databases. They were selected based on the following criteria:
Meaningfulness: relevance to the Strategy Validity: scientifically sound
Feasibility: readily available data Replicability: data continues to be available over time
Actionability: amenable to improvement
Each indicator was given a colour to illustrate its status:
● GREEN indicates good performance and/or the indicator is moving in a desirable direction
●
YELLOW indicates no change,some concern, or uncertain results.
For example, an increase in the diagnosis rate of a mental health condition could mean the prevalence is increasing or that health
professionals are better at detecting it
●
RED indicates significant concernsand/or the indicator is moving in an undesirable direction
Highlights from What We Learned
72.1
percent72.1% of Canadians aged 20 to 64 years reported their mental health as very good or excellent in 2011/2012.
percent
6.6
6.6% of Canadian college and university students in 2013 reported having intentionally cut, burned, bruised, or otherwise injured themselves over the past 12 months
This is the first time in Canada that a comprehensive collection of indicators related to mental health has been compiled in one place.
The information is available to all Canadians through an accessible “dashboard”
on the MHCC website.
This project is a first step – this research has uncovered several important areas where we have inadequate data to make evidence-informed policies and decisions. Through coordinated effort, we can improve our information on mental health in order to move forward with the best tools to effectively shape policy and programs and improve mental health in Canada.
Examines other potential indicators for the Strategy.
Reviews other indicators being used internationally to determine if they can be measured in Canada.
Informing the Future creates a national set of mental health and mental illness indicators,
serving as a foundation for evidence-informed mental health policy and practice in Canada. These indicators:
Include a mix of population health and systems performance measures;
Help to sustain a focus on key strategic issues identified by the Strategy;
Allow stakeholders to gauge and monitor progress; and, Identify possible gaps in surveillance.
55 22
The MHCC exhaustively researched 55 indicators that present a snapshot of mental health problems, issues and illnesses in Canada.
Over a 22-month period commencing in July 2013, the MHCC funded and coordinated this project which has been undertaken by the Centre for Applied Research in Mental Health and Addictions at Simon Fraser University.
Informing the Future Quick Facts
Highlights
Informing the Future
HEADSTRONG Summits
In Canada, seven out of ten people living with mental health problems say their illness began before their 18th birthday. Their stories are coloured by the damaging impact of stigma; in fact, many say the stigma is worse than the illness itself.
In an effort to address this challenge, and reach out
to young people to influence positive change, the
MHCC created HEADSTRONG, an evidence-based
youth anti-stigma initiative.
I now want to make a difference in someone’s life, like this Summit has made in mine.
Thank you for providing me with the opportunity to feel that I belonged… like I was, and still am, part of a larger community.”
— National HEADSTRONG Summit participant Participants of the National Youth Anti-StigmaSummit in Ottawa, November 16-22, 2014.
Nothing like this has ever been done in Canada before.
It’s exciting to help give youth the knowledge and tools to have more conversations about mental health and stigma, and to empower them to support friends and family — and themselves.”
— Simran Lehal, Mental Health Commission of Canada, Youth Council
designed to raise awareness, and to enhance dialogue about mental health — including highlighting the benefits of seeking help as early as possible — the MHCC took on the role of coordinating agent, bringing together community organizations, schools and youth.
A major milestone in the initiative was the National Youth Anti-Stigma Summit, held in Ottawa in early November. Bringing together more than 100 young people from every province and territory, the week featured an action-packed agenda filled with personal stories of hope and recovery, mental health education, and opportunities for self-expression through poetry, music, visual arts and social media.
The National Summit also served as a training ground for coordinators responsible for the regional summits that followed. These events mirrored the National Summit, with a focus on contact-based education and school-centred activities. The MHCC was actively engaged with regional, community- based partners in providing training, toolkits and webinar support.
In the intervening months, 37 summits were held in nine provinces and one territory, directly reaching more than 5,000 students. The cascading effect of HEADSTRONG has the potential to reach at least 100,000 high school students across Canada.
Balancing Our Minds 2015: Everyday Champions of Wellness summit, held in Vancouver on February 12, 2015, is one example of the many impressive regional efforts modeled on HEADSTRONG. The Government of British Columbia, the Vancouver Canucks and the MHCC collaborated on this event,
Contact-Based Education
Contact-based education involves people who have experienced a mental illness sharing their personal journeys of recovery with students to inspire discussion.
In some cases, teacher lesson plans accompany the classroom presentations.
The success of contact-based
anti-stigma interventions has
been generally supported
throughout international
studies as a promising practice
to reduce stigma.
where more than 1,800 young people from across British Columbia gathered at Vancouver’s Rogers Arena to combat stigma and to learn about mental health problems among youth.
A similar effort will take place clear across the country, where a young mental health champion, Patrick Hickey, was inspired by his attendance at the National Headstrong Summit to organize a province-wide Mental Health Matters conference. Scheduled for April 24–25, 2015, prominent political figures including Newfoundland and Labrador’s Premier, the Honourable Paul Davis, will gather with students from over 100 high schools to affirm their commitment to mental wellness and to brainstorm ways to share that message within their home communities.
HEADSTRONG was designed to run in tandem with the 2014–15 school year. However, buoyed by the success of the program to date, participating organizations are confident that the momentum gained this year will carry over well beyond the turning of a calendar page.
“We’re building momentum and capacity across Canada,” affirms Louise Bradley, President and CEO of the MHCC, “we believe the legacy of HEADSTRONG will live on, continuing to reach young people and change lives.”
Click to learn more about HEADSTRONG
Consult the
HEADSTRONG Toolkits
See HEADSTRONG photos on Instagram See HEADSTRONG videos
Read about HEADSTRONG rallies to end stigma
#308Conversations
Tragically, nearly 4,000 Canadians die by suicide each year. Of those who take their own lives, it is estimated that as many as 90 percent were experiencing a mental health problem or illness. In an effort to address this staggering reality, the MHCC answered the call for a pan-Canadian approach.
In order to reach Canadians in every part of the country,
the MHCC mobilized our country’s most established and
influential national network—the Parliament of Canada.
“The MHCC has done an exceptional job with the #308Conversations initiative and getting parliamentarians involved in helping spread the word from coast-to-coast- to-coast. I am fortunate to work in an environment that is open to the discussion of this matter and encourage all my colleagues, of all parties, to continue to help with this initiative to end the stigma surrounding mental illness.”
— Hon. Lisa Raitt, Minister of Transport and MP for Halton
taking its name from our 308 federal constituencies, #308Conversations, launched on Parliament Hill on May 5, 2014, was designed to spark community-wide dialogues about suicide prevention across the country. By leveraging the influence of Members of Parliament, and equipping them with the tools to lead meaningful discussions, the goal was to raise awareness and gather critical information from an engaged local audience.
Despite the growing awareness of mental health issues, many Canadians contemplating suicide are reluctant to seek help or unaware of available options. #308Conversations is intended to inspire individuals to take an active role in suicide prevention within their community and encourage those experiencing thoughts of suicide to seek out support networks and service providers.
There are a number of excellent examples of how the #308Conversations initiative has served to mobilize a concerted community effort. Frank Valeriote, MP for Guelph, ON, was among the many MPs to champion this initiative. He welcomed over 200 concerned citizens to his town hall. Similarly, the Hon. Lisa Raitt, Minister of Transport and MP for Halton, ON, held a more intimate gathering of diverse community stakeholders, who met for a compelling and provocative discussion, attended by Louise Bradley, President and CEO of the MHCC.
More than 40 MP-hosted Conversations have taken place, drawing involvement and support from local mental health organizations, survivors of suicide loss and front-line healthcare providers.
Complimenting these face-to-face discussions, the online response has proven extremely positive, and has sparked a rich and productive cyber-dialogue.
Louise Bradley, Mental
Health Commission of Canada President and CEO, said, "We know that journalists play a pivotal role in influencing how Canadians think about — and how other journalists report on — mental health issues.
Particularly important is the sensitive and safe reporting on suicide.
“Mindset: Reporting on Mental
Health is a field guide forjournalists by journalists — people who understand the news business from the inside.
Our role at the MHCC was one
of facilitation. Our faith that
journalists would do a good
job paid off. We're proud to
have helped make this good
and necessary work possible."
These dialogues have revealed a wealth of promising practices, initiatives and leadership at the local level that are now being shared nationally. In an effort to quantify this array of compelling qualitative data, the Suicide Prevention Team has documented the stories, feedback, challenges and solutions present at the community level, available online. These Conversations have afforded the MHCC the opportunity to gain a broad and far-reaching perspective on suicide prevention in Canada and has also furnished the MHCC and our partners with key insights that will inform future plans for a community- based model of suicide prevention.
Encouraged by the MPs who hosted roundtables and town halls, the local organizations and individuals who embraced the campaign, and a strong response on social media, the MHCC has extended support for the MP-led events beyond the initial duration of the campaign and will offer resources on an ongoing basis. As well, the toolkit originally offered to MPs has been made publicly available so that anyone in the suicide prevention community may access the materials to host their own #308Conversation.
#308Conversations is intended to
inspire individuals to take an active role in suicide prevention within their community, and encourage those experiencing thoughts of suicide to connect with support networks and service
providers.
#308Conversations was launched during Mental Health Week with the objectives of providing real tools at the community level and building a knowledge exchange network by collecting information on local initiatives that are taking place across Canada.
This project has increased awareness of the MHCC amongst parliamentarians around the work we do in mental health, and has shown them how to become engaged in our efforts.
#308conversations has focused on the issue of suicide prevention, recognizing that historically, there have been challenges in adopting a coordinated approach across the mental health spectrum.
The project has broadened not only the knowledge-base, but also the community of stakeholders on suicide prevention in Canada, creating an atmosphere receptive to more diverse and unique approaches.
Co-led the National Collaborative for Suicide Prevention in association with the Public Health Agency of Canada (PHAC) and the Canadian Association for Suicide Prevention and over 15 other national and community organizations.
Supported the launch of the Mindset field guide project, created in concert with suicide prevention leaders and subject matter experts to inform and educate journalists on how to best report on mental illness and suicide in a non-stigmatizing and non- discriminating manner.
Continued work with PHAC to support its efforts in the
development of the Federal Framework for Suicide Prevention.
Compiled an array of resources for survivors of suicide loss on the MHCC website.
Sponsored and presented at the Canadian Depression Research and Intervention Network conference held in Ottawa at the end of March.
Co-hosted an event on Parliament Hill in recognition of World Suicide Prevention Day with Inuit Tapiriit Kanatami.
Hosted a virtual conference in collaboration with the Canadian Association for Suicide Prevention.
Key Accomplishments
Suicide Prevention
Working with First Responders
For those who work in dangerous and highly-stressful environments, preserving psychological health is as
crucial as protecting physical safety. At the same time, first responders —police personnel, firefighters and paramedics — face real challenges when, in the performance of their duties, they encounter people experiencing a mental health crisis.
In many ways, the efforts we are undertaking with first
responders represent a powerful example of how the diverse
aspects of our work at the MHCC converge.
the challenges facing first responders are numerous, ranging from interacting with individuals experiencing a mental health crisis to managing the impact of witnessing a catastrophic event. In addition, these men and women are striving to create a stigma free work environment in an atmosphere where the “just get over it”
attitude has prevailed for far too long.
In order to meet these challenges, the MHCC has partnered with national and local organizations that are representative of all first responders.
By way of example, over the past year:
The Road to Mental Readiness (R2MR) training continues to grow and be successful among police organizations across Canada. Most recently, MHCC has partnered with Department of National Defence and Calgary Police Services to create an adaptation suited to a police organization’s culture and values.
The MHCC co-hosted a Discussion Forum on the Psychological Health and Safety of Emergency Service Workers, in partnership with Ontario’s Public Services Health & Safety Association.
The event was attended by more than 50 employers, mental health experts, researchers, and representatives of professional associations, and focused on tools or resources available to assist this group of workers.
The MHCC co-hosted a conference on mental health and resiliency with the Canadian Association of Chiefs of Police, which explored ways to improve the psychological health and safety of police personnel, and emphasized prioritizing the mental health and safety of those who work in police services. It was attended by over 200 law enforcement leaders, mental health practitioners, educators, and members of the police with lived experience of mental health problems and illnesses.
The CACP believes the MHCC is uniquely positioned to provide advice and support to the CACP and its membership by focusing on best
practices and research to reduce the number of interactions with police and to ensure better outcomes for people living with mental health problems and illnesses, including within police organizations.”
— Chief Clive Weighill, President, Canadian Association of Chiefs of Police
The MHCC released TEMPO — Training and Education about Mental Health for Police Organizations — which includes a comprehensive survey of Canadian police organizations, an international comparative review of police learning programs, and direct interviews with a variety of police and mental health professionals.
Its recommendations include more uniform inclusion of non-physical interventions (verbal communications, interpersonal skills, and de-escalation, defusing, and calming techniques) in use-of-force training for police.
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1. Moncton Site At Home/Chez Soi Final Report Launch. (L-R) Paul-Émile Bourque, Dean, Faculty of Health Sciences and Community Services, University of Moncton; Hon. David Alward, Premier of New Brunswick; Paula Goering, At Home/Chez Soi Lead Researcher;
and, Louise Bradley, MHCC President & CEO.
Moncton, NB, May 27, 2014.
2. MHCC employees join members of the Case Study Research Project team at the annual meeting. (L-R) Ed Mantler, MHCC Vice President, Programs & Priorities; Merv Gilbert, Simon Fraser University; Rebecca Zappelli, Simon Fraser University; Michael Teed, Bishop’s University; Dan Bilsker, Simon Fraser University; and, Nitika Rewari, MHCC. Halifax, NS, April 13, 2015.
3. Participants at the National Conference on Ending Homelessness. (L-R) Paula Goering, At Home/Chez Soi Lead Researcher; Geoff Nelson, Professor of Psychology, Wilfred Laurier University, Co-Leader of the At Home/Chez Soi National Qualitative Research Team; Oliver, Vancouver Housing First Speakers Bureau; Catherine Hume, MHCC Director, Housing and Homelessness;
Ed Mantler, MHCC Vice President, Programs
& Priorities; and, Sam Tsemberis, Founder and CEO of Pathways to Housing.
Vancouver, BC, November 3 – 5, 2014.
4. National At Home/Chez Soi Final Report Launch. (L-R) Cameron Keller, former MHCC Vice President, Programs & Priorities; Paula Goering, At Home/Chez Soi Lead Researcher;
Hon. Candice Bergen, Minister of State (Social Development); Louise Bradley, MHCC President & CEO; and, Patrick Dion, Vice Chair, MHCC Board of Directors.
Ottawa, ON, April 8, 2014.
5 & 6. Participants of the National Youth Anti-Stigma Summit in Ottawa, November 16-22, 2014.
Updates on 2014–15 Initiatives
Recovery
Initiative Opening Minds
At Home/
Chez Soi Workplace
Knowledge Exchange Centre
Communications and Stakeholder Relations
Mental Health
First Aid
Fiscal 2014–15 saw the completion of the key elements of the Recovery Initiative (Recovery Declaration, Recovery Inventory and Recovery Guidelines):
“I definitely think that the Guidelines capture key ideas conducive to fostering recovery-oriented milieus.
The document addressed all the major suggestions that I, and many of my peers, have for improving mental health services.”
— Expert reviewer feedback on Recovery Guidelines
APRIL
2014 Second meeting of national recovery “champions”
endorsed the objectives of the Recovery Initiative
MAY
2014 Launch of the Recovery Declaration
OCTOBER
2014
Launch of the Recovery Inventory with over 1,000 recovery-related resources
MARCH
2015
National consultations on the Guidelines, with completed and revised Guidelines in production for June launch
Click to learn more about Recovery
Read the Recovery Declaration and show your support
Consult and contribute to the Recovery Inventory
Recovery Initiative
Read about the development of the Recovery Guidelines
150+
1,400
More than 150 housing-related articles have been published or are in the works.
Over 1,400 people across Canada have received in-person Housing First training.
At Home/Chez Soi Quick Facts
Click to learn more about
At Home/Chez Soi
The At Home/Chez Soi National Final Report was launched in Ottawa on April 8th, 2014 with the participation of the Hon. Candice Bergen, Minister of State (Social Development). This was followed by the launch of the Final Reports of all five demonstration sites (Vancouver, Winnipeg, Toronto, Montreal, Moncton) throughout the spring and summer of 2014. These results affected significant policy change across the country, including helping to spur the Federal Government’s renewal of the Homelessness Partnering Strategy.
In June 2014, the online Canadian Housing First Toolkit was released. It provides valuable resources, information and tips to support the implementation of Housing First and is being used by communities across Canada, and internationally.
Interest in the At Home/Chez Soi findings remains unabated. To date, almost 100 research articles have been published, with a further 50 underway.
In addition, the At Home/Chez Soi research teams are leading a two-year (January 2014 – March 2016) follow-up project that will help to explain the outcomes for participants subsequent to the conclusion of At Home/Chez Soi. As well, a qualitative research project will explore the implementation and policy context post- At Home/Chez Soi.
Since the launch of Housing First Training and Technical Assistance in May 2014, 14 communities have received on-site training, 24 communities of practice meetings have been held, and over 1,400 people across Canada have received in-person Housing First training.
Read about how Housing First works to end homelessness
Download the At Home/Chez Soi National Final Report
At Home/Chez Soi
Emerging Adults
Youth transitioning into adult mental health services is a significant area of concern in Canada because youth who are engaged in child and adolescent mental health services, and who require continued services, are often not well supported as they prepare to enter the adult mental health system. Emerging adults (EAs;
16 to 25 years of age) who disengage from mental health services are at a significantly higher risk of developing more enduring mental health problems.
As part of the Youth Transitioning into Adult Mental Health Services Uptake and Engagement Project, the MHCC has been working with a research team from the Children’s Hospital of Eastern Ontario to produce a full-length report detailing the current state of policies and practices in the area of youth transitioning from child and youth to adult mental
health and addiction services. The MHCC is working with a wide range of stakeholders from across Canada to inform this work.
In anticipation of the release of Taking the Next Step Forward: Building a Responsive Mental Health and Addictions System for Emerging Adults, the MHCC released the Executive Summary of Taking the Next Step Forward in January 2015.
Taking the Next Step Forward builds an
impressive case for why emerging adults matter as a designated population within the broader field of child and youth mental health; why transition services are desperately needed; how transition policies might be adapted from existing international and provincial/territorial best practices and evidence-based policies; and, how new policies on the provincial/territorial and regional levels will help advance service delivery for emerging adults.
Knowledge Exchange Centre “On behalf of the Sheldon Kennedy Child Advocacy Centre (CAC), it is an honour to support the MHCC and to encourage the Government of Canada to renew the MHCC mandate in the 2015 budget.
At the CAC, we take great pride in the innovative, collaborative and transformative way we offer hope, help and healing to children, youth and families impacted by child abuse. As you know, the links between mental health issues and child abuse are well documented in the research, in the
experiences of those who have been abused, and through our own data collection at the CAC."
– Sheldon Kennedy, Board Member of the Sheldon Kennedy Child Advocacy Centre
SPARK
The MHCC hosted the third annual SPARK (Supporting the Promotion of Activated Research and Knowledge) Training Institute on June 9 and 10, 2014 in Winnipeg, MB. The successful applicants represented a cross- section of sectors in mental health, including people with lived experience of mental illness and a family caregiver.
Through the Knowledge Exchange Centre, the MHCC provided strategic advice and leadership to the Swedish Association of Local Authorities and Regions in order to replicate the MHCC SPARK Training Institute model in Stockholm.
What is Knowledge Translation (KT)?
Sometimes described as closing the gap between what we know and what we do, KT involves bringing together the people who create knowledge and the people who use knowledge (e.g., researchers, family caregivers, peer support workers, mental health professionals, addictions counsellors, and policy makers) to find new and effective ways to put learning into practice.
e-Mental Health
The MHCC launched e-Mental Health in Canada: Transforming the Mental Health System Using Technology in Manchester, England at the International Initiative on Mental Health Leadership Conference in June 2014.
The MHCC identified an opportunity to collaborate with the Canadian Institutes for Health Research (CIHR) and the Graham Boeckh Foundation both with a vested interest in e-Health — to co-host a one-day meeting with e-Mental health national and international experts. The meeting was planned and executed through the Best Brains Exchange program, a signature initiative offered by CIHR. In November 2014, a Best Brains Exchange was hosted in Montreal, QC. This event involved approximately 30 experts who discussed: the current state of knowledge on the development and use
of e-Mental health policies, services and technologies; how these approaches may be applicable for Canadian children and youth as well as their families; and identified where gaps and best evidence exist.
The Best Brains Exchange produced the following outcomes:
Increased knowledge among researchers, service providers and decision makers about the state of the evidence on e-Mental health, both internationally and within Canada;
Suggestions on how existing e-Mental health services and programs could be improved, coordinated and/or evaluated; and
Assessed the feasibility for the establishment of a national network of innovation communities.
Key considerations included its structure, adoption, governance, scalability, sustainability, cost effectiveness, and improved access.
In an effort to harness Mental Health First Aid Canada’s potential as a world-class operation, and in acknowledgement of the increasing volumes of work, MHFA Canada underwent a significant operational review to maximize delivery of training and resources and increase market share. On July 9, 2014, the MHCC announced that Her Excellency Sharon Johnston would be the honourary 100,000th Canadian trained in MHFA, and as of March 31, 2015 that number had grown to 132,724.
Veterans Version
In November 2014, Veterans Affairs Canada (VAC) announced that the Government of Canada would invest in the development and implementation of a Canadian veteran-specific version of Mental Health First Aid (MHFA) training for veterans and their families. The customized version of MHFA for veterans will respond to the need for quality,
timely and relevant mental health services for Canada’s veterans. MHFA will be working with both veterans and their families at the critical time of transition from military to civilian life.
Peer support will also be an important component of the implementation of this training within VAC.
MHFA Canada will customize selected course content that includes veteran-specific case studies, statistics, and supports and will also develop the evaluation framework in the near future.
Northern Peoples Adaptation
Building on the demonstrated success of MHFA’s evidence-based training, this course is tailored to Northern realities, communities and perspectives.
MHFA – Northern Peoples adaptation was launched on June 25, 2014 at the Northwest Territories Legislative Building in Yellowknife. The pan- territorial advisory group was instrumental in the creation of this adaptation. The look and feel of
Mental Health First Aid
Since January 2013, more than
76,000
participants from over
5,000
communities in every province and territory representing in excess of
14,000
organizations took part in over 4,000 courses delivered by over 1,000 instructors.
MHFA instructors have trained over
130,000
Canadians since 2007.
Mental Health First
Aid Quick Facts
“Mental health is a topic very close to my heart. In order to deepen my understanding of people who suffer from mental illness, I am taking part in this two-day course. By doing so, I also want to continue to add my voice to those who are speaking out against the stigmas associated with mental illness.”
— Her Excellency Sharon Johnston
the curriculum was informed by a broad range of stakeholders, including photography and artwork specific to Northern peoples.
This collaborative development process has become a model for other MHFA adaptations.
In 2013-14, the Government of Nunavut secured further pan-territorial funding to conduct an additional roll-out of the curriculum. Working with the three territories (Yukon, NWT & Nunavut), MHFA plans to create an action plan for the coming year to replace MHFA–Basic with MHFA–
Northern Peoples as the standard in the North.
MHFA for First Nations
Some participants in Inuvik, NWT chose the Inukshuk as their teaching tool. MHFA Canada staff incorporated it into the MHFA Inuit curriculum.
We would like to acknowledge the Mental Health Commission of Canada for allowing the authentic development of a First Nations product that truly incorporates the feedback from each community.
This product will have a significant impact on our communities and the mental wellness of our people.
This should be written as a case study on best practice in First Nations-led adaptation for other organizations to follow.”
— Instructors and Elders from the six partnercommunities, MHFA-FN development
6 out of 10 46 %
60% people with a mental health problem or illness won't seek help for fear of being labeled.
46% of people believe mental illness is used as an excuse for poor behaviour.
Opening Minds Quick Facts
Online Continuing Medical Education Anti-Stigma Course for Physicians
This online Continuing Medical Education accredited course is available free of charge to Canadian physicians and healthcare
providers through Memorial University (MU) in Newfoundland and Labrador. Jointly funded by MHCC, Mood Disorders Society of Canada (MDSC) and Canadian Medical Association, this evidence- based program is built on existing examples of successful and promising programs specific to healthcare providers. MHCC generated the bulk of the research, contact-based educational videos and recommended the experts who developed the curriculum. Early evaluation results are helping to inform the completion of the nursing online anti- stigma course, for which MHCC is again an active partner/creator with MDSC, the Canadian Nurses Association and MU. The nursing online course was completed in early 2015.
The Working Mind
Launched in 2013, the collaboration between MHCC’s Opening Minds program (The Working Mind stigma reduction training for the workplace) and the Government of Nova Scotia, has been very successful. Preliminary evaluation results show that participating in TWM is a catalyst to reducing stigma and increasing resiliency. Participants say they find it useful in both their home and working lives. To date, ten facilitators have delivered TWM to 234 managers and 81 employees. Nova Scotia is now planning a government-wide roll-out for their approximately 11,000 employees. Opening Minds worked with the Government of Nova Scotia to run a Master Trainer course in November 2014. Following that, the Government of Nova Scotia now has four Master trainers with the skills to inform the five-day train-the-trainer course.
Opening Minds will continue to evaluate this site until September 2015.
Opening Minds
Innovator Award/
Special Recognition
In February, Opening Minds received international recognition for its innovative approach to reducing the stigma associated with mental illness. The Innovator Award was presented at the Together Against Stigma Conference in San Francisco, CA.
The caption for the award reads: “Program which creates a major impact through new approaches that inspire new possibilities and/or disrupt prevailing views.”
Extras
The anti-stigma research work being conducted by the various teams within the Opening Minds initiative was published in the Canadian Journal of Psychiatry in October 2014.
Federal Public Service
In early 2015, the Government of Canada and the Public Service Alliance of Canada announced plans to launch a joint task force to improve mental health and safety in the federal public service including a review of how to best apply the objectives of the Standard.
Implementation Handbook
Assembling the Pieces: An Implementation Guide to the National Standard for Psychological Health and Safety in the Workplace was developed in partnership with MHCC, Canadian Standards Association Group and the Great-West Life Centre for Mental Health in the Workplace.
The Guide was launched at the Better Workplace Conference in Calgary in November 2014. Due to MHCC’s contributions, electronic versions of the product are free and accessible to all organizations regardless of size and sector over the next four years.
Health Sector Outreach
MHCC has made a significant effort to positively affect workplace mental health within healthcare settings. In partnership with HealthCareCAN, we have co-hosted a series of well-received
roundtable sessions with health leaders to generate greater awareness of the Standard and impart practical information and tools (including the handbook) to facilitate implementation, involving direct engagement with the MHCC Case Study health organizations.
Case Study Research Project
One of the key objectives of the Case Study Project is to influence employers at large to implement the Standard. As such, the MHCC is showcasing the leadership of participating organizations as they address workplace mental health.
To date, more than 66 events have been organized in collaboration with Case Study organizations to promote the Standard. Presentations, panel, roundtable discussions, and workshops are among the successful formats employed at local, provincial, and national levels.
4,000
To date, there have been over 25,000 downloads of the National Standard
4,000 copies of the Assembling the Pieces Implementation Guide have been downloaded from the MHCC web site.
Assembling the Pieces Quick Facts
25,000
Workplace
In the Spring of 2015, the Annual Case Study Project meeting was held in Halifax.
Key project players had the opportunity to network, learn, and share experiences. It was well-attended with more than 70 participants, including Case Study organizations, researchers, expert panel members, and members of the Steering Committee (which guides and oversees the project and consists of representatives from BNQ, CSA, funders etc.). Highlights of the day’s full agenda included presentations from the MHCC and the research team, knowledge cafés, and breakout sessions. Participants appreciated the interactive format which ensured an effective and efficient exchange of knowledge.
Subsequently, a project survey was distributed to track organizational progress, determine if additional tools are required, and gauge the effectiveness of the support provided by the MHCC (e.g. Assembling the Pieces, Collaborative Spaces and expert panel sessions).
Case Study Highlights 2015
“The content you provided was exactly what I was hoping for.
I appreciate that you broke down the Standard into four puzzle pieces with clear suggestions for strategies and outcomes.”
– Workshop Participant, Halifax
The dissemination of timely, relevant and accurate mental health information is integral to the mandate of the MHCC. 2014-15 was marked by a concerted effort to position the MHCC as an invaluable public resource, ensuring that the media, public figures and political actors could turn to the MHCC as a trusted, impartial advisor.
This effort resulted in demonstrable successes, both in social and conventional media.
Furthermore, the MHCC underscored its call for a renewed mandate through a full complement of government and stakeholder relations activities beginning in mid-2014.
Through countless targeted meetings with mental health community leaders and key advocates, we were able to strengthen our collective voice to highlight the crucial role the MHCC plays within the national landscape. The MHCC’s renewal can be attributed to the ongoing work of raising awareness and inspiring political will among federal, provincial, and territorial elected representatives.
Communications and Stakeholder Relations
Newsletter subscribers:
26,500
6,000 new subscribers since January 2015:
+29 % 68
campaigns (January 2015-present)with a recipient list close to
300,000
Email Marketing Outreach:
Communications
Quick Facts
1
2
3
5 4
Photo Credit: Don Feria, Associated Press for Each Mind Matters.Photo credit: Marie-Andrée Blais
1. Mindset Media Guide Town Hall. (Pictured) Cliff Lonsdale introduces Fear and Fact:
Challenges in Reporting on Violence, Mental Illness, and Justice. Calgary, AB, March 11, 2015.
2. Release of Informing the Future: The Mental Health Indicators for Canada.
(L-R) Dr. Elliot Goldner, Professor, Centre for Applied Research and Mental Health, Simon Fraser University; Louise Bradley, MHCC President & CEO; Her Excellency Sharon Johnston; Dr. David Goldbloom, MHCC Board Chair; Dr. David O’Toole, President & CEO, Canadian Institute for Health Information;
and, Natasha Morano, Vice President, Economic Club of Canada. Ottawa, ON, January 22, 2015.
3. Hon. Michael Wilson and a participant at one of the many Mental Health Action Plan stakeholder consultations.
4. Delegates at the International Together Against Stigma Conference. (L-R) Dr. Wayne Clark, Panel Facilitator, Micheal Pietrus, MHCC Director, Opening Minds; Johanne Bratbo, Denmark; Andrew Thorp, Australia;
Sue Baker, U.K.; and, Paolo del Vecchio, U.S.
San Francisco, CA, Feb. 20, 2015.
5. Participants in the MHFA Inuit Pilot Training Course. (L-R) Northern Peoples Instructors Esther Powell & Peggy Day. Facilitators Martha Inukpuk & Lucy Kumarluk. Ottawa, ON, Jan. 26–30, 2015.
A Mental Health
Action Plan for Canada
In early 2015, the MHCC conducted a series of
consultations in each province and territory with the aim of engaging key provincial government and community stakeholders in the development of a Mental Health Action Plan for Canada. These consultations will be
supplemented by contributions from a Citizens Reference
Panel that will be held June 17-21, 2015, in Ottawa.
“Following on the success of the Strategy, the next challenge will be the
development of a Mental Health Action Plan through a series of consultations with key community-based stakeholders and dialogue with political
representatives. Through such an Action Plan all Canadians will be in a better position to participate in our quest to promote mental health awareness and improve the lives of people living with mental health problems and illnesses.”
— Louise Bradley, President & CEO, Mental Health Commission of Canada
The goals of the MHCC’s 2015 national consultations were as follows:
To engage stakeholders and leverage their expertise to improve and enrich the Strategy through the creation of a Mental Health Action Plan for Canada;
To identify areas of priority in the provision of mental health and to improve access to services across the mental health spectrum;
To identify areas in which a broader approach to mental health could be improved over the next decade of the Commission’s mandate.
These national discussions have been structured around the six strategic directions set out in the Strategy.
In a series of facilitated meetings, a cross-section of individuals with an interest in mental health formed small groups and participated in a number of detailed discussions, reporting back to the full group of participants.
For those unable to participate in person, the MHCC developed an interactive online adaptation of the Discussion Guide, which was made available in order to be as inclusive as possible.
The Mental Health Commission of Canada (MHCC) was created to develop a mental health strategy for Canada and to enable that strategy to transform the nation’s mental health system.
Task one has been accomplished.
The MHCC’s Changing Directions, Changing Lives: The Mental Health Strategy for Canada is seen as one of the strongest mental health strategies in the world. It has catapulted Canada into a position of world leadership on mental health issues.
“I have been asked to speak about the exciting progress Canada is making in forums around the world,” says Louise Bradley, MHCC President and CEO. “The global appetite for innovation is insatiable.”
Independent Auditors’ Report to the Members of the Mental Health Commission of Canada
We have audited the accompanying financial statements of Mental Health Commission of Canada which comprise the statement of financial position as at March 31, 2015, the statements of operations, changes in net assets and cash flows for the year then ended, and notes, comprising a summary of significant accounting policies and other explanatory information.
Management’s Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of these financial statements in accordance with Canadian accounting standards for not-for-profit organizations, and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
Auditors’ Responsibility
Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on our judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, we consider internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
Opinion
In our opinion, these financial statements present fairly, in all material respects, the financial position of Mental Health Commission of Canada as at March 31, 2015, and its results of operations and its cash flows for the year then ended in accordance with Canadian accounting standards for not-for- profit organizations.
Year ended March 31, 2015
Chartered Accountants, September 10, 2015, Calgary, Canada
Financial Statements
2015 2014 Liabilities and Net Assets
Current liabilities
Cheques issued in excess of deposits Accounts payable and accrued liabilities Deferred program fees MHFA
Deferred contributions – operating (note 5)
$ 50,846 1,115,284 90,988 2,820,191
$ - 1,648,100 144,022 7,673,841
Deferred capital contributions (note 6) Net assets
MHFA - Program Development Reserve (note 7) Unrestricted net assets
4,077,309 1,039,456
282,514 1,094,134
9,465,963 1,660,151
- 1,687,805
$ 1,376,648 $ 1,687,805 Commitments (note 8)
Subsequent event (note 11)
$ 6,493,413 $ 12,813,919
See accompanying notes to financial statements
2015 2014
Assets
Current assets
Cash and cash equivalents Short term deposits (note 3) Accounts receivable GST receivable
Deposits and prepaid expenses Inventory
$ - 4,022,507 202,523 873,333 315,081 40,513
$ 1,301,752 8,215,835 497,044 778,973 299,942 60,222
Capital assets (note 4)
5,453,957 1,039,456
11,153,768 1,660,151
$ 6,493,413 $ 12,813,919
Statement of Financial Position
March 31, 2015, with comparative information for 2014
On behalf of the Board:
Director, Patrick Dion Director, James A. Morrisey
2015 2014 Revenues
Grant Income (note 5):
Federal Core Funding
Federal core funding allocated to capital (note 6) Mental Health First Aid grant received and spent Other grants recognized during the year Deferred revenue recognized - At Home Deferred revenue recognized - federal core funding
Deferred revenue recognized - Mental Health First Aid
Deferred revenue recognized – other grants
$ 14,250,000 - 232,804 306,920 - 4,418,936 453,742 -
$ 14,550,000 (1,494,377) 1,028,064 60,194 3,201,650 2,322,895 - 129,114 19,662,402 19,797,540 Mental Health First Aid income
Interest and other income
Amortization of deferred capital contributions (note 6)
2,156,428 71,315 644,752
2,092,900 192,647 691,009
$ 22,534,897 $ 22,774,096 Expenses
Direct client services Salaries and benefits Services
Travel Rent
Meetings and events Materials
Amortization of capital assets (note 4)
$ - 10,504,559 6,542,155 1,575,700 935,045 1,204,844 1,438,999 644,752
$ 1,125,650 8,581,250 6,821,991 1,709,186 878,869 853,774 1,485,352 691,009 22,846,054 22,147,081 Excess (deficit) of revenues over expenses $ (311,157) $ 627,015
Statement of Operations
Year ended March 31, 2015, with comparative information for 2014
See accompanying notes to financial statements
March 31, 2015 Unrestricted
MHFA Reserve Fund
2015 Total
2014 Total Balance, beginning
of year
Excess (deficit) of revenue over expenses Transfer funds to MHFA Reserve Fund (note 7) Transfer MHFA Reserve Funds to Unrestricted (note 7)
$ 1,687,805 (311,157) (600,000)
317,486
- - 600,000
(317,486)
$ 1,687,805 (311,157) -
-
$ 1,060,790 627,015 -
- Balance, end of year $ 1,094,134 $ 282,514 $ 1,376,648 $ 1,687,805
Statement of Changes in Net Assets
Year ended March 31, 2015, with comparative information for 2014
See accompanying notes to financial statements
2015 2014 Cash provided by (used in):
Operations:
Excess (deficit) of revenues over expenses Items not affecting cash flows:
Amortization of deferred capital contributions (note 6)
Amortization
$ (311,157)
(644,752) 644,752
$ 627,015
(691,009) 691,009 (311,157) 627,015 Net change in non-cash working capital balances:
Contract advances Accounts receivable GST receivable
Deposits and prepaid expenses Inventory
Accounts payable and accrued liabilities Deferred program fees
- 294,521 (94,360) (15,139) 19,709 (532,816) (53,034)
631,623 (449,864) 27,768 (195,219) 21,037 (2,904,313) 99,202 (692,276) (2,142,751)
2015 2014
Financing:
Renewal of contributions spent Deferred contributions
$ (19,662,402) 14,832,809
$ (19,797,540) 16,092,000 (4,829,593) (3,705,540) Investments:
Renewal of short term deposits (net) Purchase of capital assets
4,193,328 (24,057)
5,893,235 (1,494,378) 4,169,271 4,398,857 Decrease in cash and cash equivalents
during the year (1,352,598) (1,449,434)
Cash and cash equivalents, (cheques issued in
excess of deposits), beginning of year 1,301,752 2,751,186 Cash and cash equivalents, end of year $ (50,846) $ 1,301,752
Statement of Cash Flows
Year ended March 31, 2015, with comparative information for 2014
See accompanying notes to financial statements
