Item - 2013.EX36.10
Tracking Status
- City Council adopted this item on December 16, 2013 with amendments.
- This item was considered by the Executive Committee on December 5, 2013 and adopted without amendment. It will be considered by City Council on December 16, 2013.
EX36.10 - An Integrated Service System Approach to Vulnerability
- Decision Type:
- ACTION
- Status:
- Amended
- Wards:
- All
City Council Decision
City Council on December 16, 17 and 18, 2013, adopted the following:
1. City Council request the Government of Ontario to review the Mental Health Act to provide accommodation for those suffering from Compulsive Hoarding.
2. City Council request the Government of Ontario to reconsider the phrase "has shown or is showing a lack of competence to care for himself or herself" in section 15 (Application for psychiatric assessment), section 16 (Justice of the peace’s order for psychiatric examination) and section 17 (Action by police officer) in Part II of the Act (Hospitalization) to ensure application to problem hoarders and, if deemed appropriate, changed as necessary to properly address problem hoarders.
3. City Council request the Government of Ontario to provide adequate outpatient treatment options for problem hoarders.
4. City Council request the Government of Ontario to review the Conditions for Involuntary Admission under section 20 (Duty of Attending Physician) in Part II of the Act (Hospitalization) to assess whether it is appropriate to allow for options cited in Part 3 above to be included
5 City Council authorize the Executive Director, Social Development, Finance and Administration to establish the Specialized Program for Interdivisional Enhanced Responsiveness (SPIDER) on a 'proof of concept' basis.
6. City Council authorize that the 2014 Operating Budget of Social Development, Finance and Administration be increased by $199,000 gross and zero net to reflect the two new temporary staff positions and the funds be allocated through Interdivisional Recovery (IDR) from the Toronto Employment and Social Services Division.
7. City Council authorize that the 2014 Operating Budget of Toronto Employment and Social Services be adjusted to include a draw of $199,000 equal to the gross expenditures from the Social Assistance Stabilization Reserve and transfer the funds to Social Development, Finance and Administration through Interdivisional Charges (IDC).
8. City Council forward a copy of this Item to the Board of Health for information.
Background Information (Committee)
https://www.toronto.ca/legdocs/mmis/2013/ex/bgrd/backgroundfile-64007.pdf
Communications (Committee)
Motions (City Council)
That:
1. City Council request the Government of Ontario to review the Mental Health Act to provide accommodation for those suffering from Compulsive Hoarding.
2. City Council request the Government of Ontario to reconsider the phrase "has shown or is showing a lack of competence to care for himself or herself" in sections 15 (Application for psychiatric assessment), 16 (Justice of the peace’s order for psychiatric examination) and 17 (Action by police officer) in Part II of the Act (Hospitalization) to ensure application to problem hoarders and, if deemed appropriate, changed as necessary to properly address problem hoarders.
3. City Council request the Government of Ontario to provide adequate outpatient treatment options for problem hoarders.
4. City Council request the Government of Ontario to review the Conditions for Involuntary Admission under section 20 (Duty of Attending Physician) in Part II of the Act (Hospitalization) to assess whether appropriate to allow for options cited in Part 3 above to be included.
Vote (Amend Item (Additional)) Dec-16-2013 2:16 PM
| Result: Carried | Majority Required - EX36.10 - Matlow - motion 1 |
|---|---|
| Total members that voted Yes: 33 | Members that voted Yes are Paul Ainslie, Maria Augimeri, Ana Bailão, Michelle Berardinetti, Shelley Carroll, Raymond Cho, Gary Crawford, Vincent Crisanti, Janet Davis, Mike Del Grande, Frank Di Giorgio, Sarah Doucette, Doug Ford, Mary Fragedakis, Mark Grimes, Norman Kelly, Mike Layton, Chin Lee, Peter Leon, Gloria Lindsay Luby, Josh Matlow, Mary-Margaret McMahon, Joe Mihevc, Peter Milczyn, Denzil Minnan-Wong, Frances Nunziata (Chair), Cesar Palacio, John Parker, Anthony Perruzza, David Shiner, Michael Thompson, Adam Vaughan, Kristyn Wong-Tam |
| Total members that voted No: 2 | Members that voted No are John Filion, Gord Perks |
| Total members that were Absent: 10 | Members that were absent are Josh Colle, Glenn De Baeremaeker, Paula Fletcher, Rob Ford, Giorgio Mammoliti, Pam McConnell, Ron Moeser, James Pasternak, Jaye Robinson, Karen Stintz |
Vote (Adopt Item as Amended) Dec-16-2013 2:17 PM
| Result: Carried | Majority Required - EX36.10 - Adopt the item as amended |
|---|---|
| Total members that voted Yes: 34 | Members that voted Yes are Paul Ainslie, Maria Augimeri, Ana Bailão, Michelle Berardinetti, Shelley Carroll, Raymond Cho, Vincent Crisanti, Janet Davis, Mike Del Grande, Frank Di Giorgio, Sarah Doucette, John Filion, Doug Ford, Mary Fragedakis, Mark Grimes, Norman Kelly, Mike Layton, Chin Lee, Peter Leon, Gloria Lindsay Luby, Josh Matlow, Mary-Margaret McMahon, Joe Mihevc, Peter Milczyn, Denzil Minnan-Wong, Frances Nunziata (Chair), Cesar Palacio, John Parker, Gord Perks, Anthony Perruzza, David Shiner, Michael Thompson, Adam Vaughan, Kristyn Wong-Tam |
| Total members that voted No: 0 | Members that voted No are |
| Total members that were Absent: 11 | Members that were absent are Josh Colle, Gary Crawford, Glenn De Baeremaeker, Paula Fletcher, Rob Ford, Giorgio Mammoliti, Pam McConnell, Ron Moeser, James Pasternak, Jaye Robinson, Karen Stintz |
EX36.10 - An Integrated Service System Approach to Vulnerability
- Decision Type:
- ACTION
- Status:
- Adopted
- Wards:
- All
Committee Recommendations
The Executive Committee recommends that:
1. City Council authorize the Executive Director, Social Development, Finance and Administration to establish the Specialized Program for Interdivisional Enhanced Responsiveness (SPIDER) on a 'proof of concept' basis.
2. City Council authorize that the 2014 Operating Budget of Social Development, Finance and Administration be increased by $199,000 gross and zero net to reflect the two new temporary staff positions and the funds be allocated through Interdivisional Recovery (IDR) from the Toronto Employment and Social Services Division.
3. City Council authorize that the 2014 Operating Budget of Toronto Employment and Social Services be adjusted to include a draw of $199,000 equal to the gross expenditures from the Social Assistance Stabilization Reserve and transfer the funds to Social Development, Finance and Administration through Interdivisional Charges (IDC).
4. City Council forward a copy of this report to the Board of Health for information.
Origin
Summary
This report outlines a proposal for a dedicated unit to provide for a more integrated approach to extreme individual and community impact cases that involve residents facing increased vulnerability.
Various City Divisions and Agencies are the first responders to complex property and community standards issues, some of which are as a result of a person experiencing vulnerability. City staff have encountered extreme cases of chronic hoarding of animals, possessions and refuse, multiple property standards and fire code violations, bed bug and other pest infestations, and while they take the immediate appropriate actions to remedy the circumstance at the time, often additional, chronic issues may go unresolved from the perspective of both the individual resident and/or surrounding neighbourhood residents. In some cases, individual residents may persist in exercising their legal rights to refuse assistance, including mental health and substance use related interventions.
In an effort to improve the City's capacity to respond effectively to these extreme cases that involve multiple City Divisions and Agencies, the City is developing a new unit, the Specialized Program for Interdivisional Enhanced Responsiveness (SPIDER) to assist in the coordination and navigation of health, social and community service systems. This navigation support will be reserved for only the most extreme cases involving interaction among multiple service systems and will ensure that: (1) the various City responses are coordinated; and (2) existing health, social and community services are proffered to reduce the recurrence of cases and improve resident and community outcomes.
Background Information
https://www.toronto.ca/legdocs/mmis/2013/ex/bgrd/backgroundfile-64007.pdf