NADD Call to Action

votenowWe invite you to join us in a collective action that leads to a more effective response to the pressing needs of individuals with a dual diagnosis across their lifespan. A confluence of energy, increased political wcalltoaction1ill, policy and program leadership and resource enhancement has arisen in Ontario to address the system shortfalls associated with mental wellness of individuals with developmental disabilities and their families, if  used effectively.
NADD is calling for a strategic, systematic, integrated and accountable system that enables equitable access to quality services. Informed by the National Coalition on Dual Diagnosis (2011), NADD has identified the following five (5) system elements that are required to implement change.

  1. A continuum of services
    • A clear vision of how services are to be organized with clear pathways into and out of service
  2. Enabling government policy
    • Coordinated investment and stewardship
  3. Competent and capable workforce
    • Undergraduate, post graduate and continuing education
      with an emphasis on interprofessional care
    • Program accreditation and professional certification
    • Benchmarks for the number of professionals required per
      population base
  4. Equitable access to a core basket of quality services
    • Access to intensive, specialized and continuing physical
      mental health care in community or hospital based
    • Focus on the specific risks associated with transitional stages across the life span
      Long term housing with clinical supports and services for those with more complex needs
  5. Applied research and program evaluation
    • Continuing and new investments in programs and services based on informed, if not best practices, and not solely on cost.



votenowRead more about the five (5) system elements and demonstrate your support by filling our Call to Action Survey.  Please visit this website regularly in coming months for continued updates on how you can help to support this important initiative including providing your input in shaping of our evolving action plan.

Please also share this with families, local planning bodies, professional networks and join us at our November 7th AGM to have more say.  To register for the AGM, contact Victoria Houle at


Annual General Meeting Date Change

Greetings NADD members…

I am writing to you on behalf of the Board of Directors of the NADD Ontario chapter regarding a change in our annual general meeting (AGM) date. Typically, our AGM has been held in late spring. However, we are all aware of the rapidly changing political landscape these days, which has resulted in some unresolved projects leading into the June election.

The all-party Select Committee has been meeting since the fall of 2013 conducting interviews and receiving reports on the state of the developmental service sector. Although their interim report has been released, a final report cannot be expected now, until after the election. Similarly, the long-awaited Ombudsman report has had many final report revised dates and again, a final report cannot be expected this spring. Lastly, the MOHLTC and MCSS have convened a provincial workgroup to develop an implementation framework that will replace the Joint Policy Guideline for the Provision of Community Mental Health and Developmental Services for Adults with a Dual Diagnosis. Each of these projects have major implications for our service systems across sectors, and are ones that NADD Ontario are paying close attention.

NADD Ontario prides itself in making accessible the most current available information and resources in the field of Dual Diagnosis. With this in mind, the Board has decided to reschedule the AGM into the fall to allow for the political landscape to settle, and for these projects to come to completion. It is our goal then, to plan our AGM accordingly so that we can have each of these projects spoken to, and to then engage in a rich discussion of how these projects then inform the work of NADD Ontario, and how we can use and leverage this information to move our mission forward; To advance mental wellness for persons with developmental disabilities.

So again on behalf of the Board, please accept my apologies for the change in date, and I encourage you to watch for details on the new fall date and location for our AGM. As well, you will find updated information on our website at

Warmest regards,
Trevor Lumb, Co-Chair, Board of Directors, NADD Ontario

c/o Central West Specialized Developmental Services
53 Bond Street, Oakville, ON, L6K 1L8
w:(905) 844-7864 ext. 321
c: (905) 483-0491

The NADD Consortium Project

NADD is introducing a new online directory of IDD/MH providers. The consortium consists of provider organizations that offer outpatient and/or inpatient services addressing the clinical needs of people with a dual diagnosis. The NADD Consortium is intended to foster the development of:

  1. A strong network for clinical referrals. You can inquire as to potential referrals, eligibility of service, served demographic, insurance coverage, and more.
  2. Interest in research. The NADD Consortium project can be a supportive platform for single or multi site research.If you are interested in conducting clinical research concerning people with a dual diagnosis, please contact Dr. Robert J. Fletcher DSW ( in regard to the coordination, policy, and conduct of such projects.

More information at

NADD Ontario – Submission to the Select Committe on Development Services

NADD Ontario is in full support of the goals of the all party Select Committee on Developmental Services and the intent of addressing the urgent need for a comprehensive developmental services strategy. The many recent stories heard by the Ontario Ombudsman and the Select Committee represent the failure of the various government funded systems to respond in a preventative and proactive manner to situations that often begin during childhood – leading to serial failures within and across all of the various sectors responsible, resulting in disruption to the life of the individual and their family members.  Read full article:  Jan 20 2014

How CAMH is Influencing Public Policy

CAMH’s Strategic Plan, Vision 2020:, re-affirms our commitment to advocating for public policies that are responsive to the needs of people with mental illness and addictions. As one of the six pillars of this plan, CAMH is committed to “Driving Social Change” by playing a leading role in transforming society’s understanding of mental illness and addiction and building a better mental health care system. CAMH aims to be a champion for health equity, social justice and inclusion for those with mental illness and addiction. To help achieve these aims, CAMH communicates evidence-based policy to stakeholders and policymakers.

Health Care Access Research and Developmental Disabilities (H-CARDD): Partnering for Progress

Please take a moment to look at this very important new knowledge translation site for Developmental Disabilities.

H-CARDD ( has just released health information on the largest research cohort (66,000 individuals) in North America, if not the world. While the data is Ontario based, the findings are applicable to other similar jurisdictions.  Further research is currently underway to look at specific groups including women and dual diagnosis. Keep this link for regular reference.  Read more

National Family Caregiver Guidelines Released June 27, 2013

The Mental Health Commission of Canada (MHCC) has launched National Guidelines for a Comprehensive Service System to Support Family Caregivers of Adults with Mental Health Problems and Illnesses.

Built on recommendations made by ‘Changing Directions, Changing Lives: The Mental Health Strategy for Canada,’ these national Guidelines contain 41 recommendations intended to improve the capacity of caregivers to provide the best possible care to adults with mental illness, while looking after their own well being.

The complete document is available for download at:

Letter to Office of the Ombudsman of Ontario – from Susan Morris, President of NADD Ontario

February 4, 2013
Office of the Ombudsman of Ontario
Bell Trinity Square
483 Bay St., 10th Floor, South Tower
Toronto, Ontario  M5G 2C9
Attention: André Marin, Ontario Ombudsman

Dear Mr. Marin,
The Ontario Chapter of the National Association of Dual Diagnosis is a voluntary registered non profit association representing families and service providers who work in the health and developmental service sectors. Our mission is to advance mental wellness for persons with developmental disabilities and their families through the promotion of excellence in mental health care. This is achieved through publications, supporting families, individuals and students to attend conferences, as well as initiating and participating in inter-ministerial discussions with government representatives. We are self funded through membership fees.

Dual Diagnosis in Ontario refers to people who have both a developmental disability and mental health need.1 The estimated prevalence rate of developmental disabilities in the general population is between 1-3 %, and of these, approximately 40% will experience a mental health difficulty or display significant challenging behavior (often a symptom of a medical, emotional or psychiatric concern) during their lifetime.2 3 This means that at the higher end, of the 495,000 Ontarians with a developmental disability 162,000 experience a dual diagnosis.

NADD Ontario welcomes the recently announced investigation by the Ombudsman’s Office into services for adults with developmental disabilities, in particular a review of the response by MCSS to urgent situations and the co-ordination, monitoring and facilitating access to services of individuals in crisis. The experience of our membership is that the system is in crisis and the increase in referrals to your office is a reflection of this broader crisis.

Continue with reading more of the letter