Speaker, when people have the courage to reach out for mental health help, there must be someone there to listen and guide them to proper services.

When Amanda called a 24/7 hotline, and despite the receptionist exclaiming, “Wow, that’s a lot,” there was no one Amanda could talk to in that moment.

Children’s mental health wait-lists are years long. Students aren’t getting any mental health supports in schools. There are just so many other areas where this government can’t get their act together.

Why is this government underfunding CMHA and disregarding their wise funding requests in budget 2024?

On Friday, London MPPs had the chance to tour the Health Outreach Mobile Engagement, or HOME, bus as part of RNAO’s Take Your MPP to Work day. It’s an impressive collaboration between CMHA Thames Valley Addiction and Mental Health Services, London Cares Homeless Response Services, London InterCommmunity Health Centre, Middlesex-London Paramedic Services and Regional HIV/AIDS Connection.

In 2021, these partners came together to improve the health outcomes and health equity of highly marginalized individuals in London. The team meets clients where they are, offering low-barrier yet full-scope primary and acute care, follow-up care and referrals to other wraparound services.

The bus is tight but incredibly efficient. What struck me most was how nimble this brilliant program was. On the team of nurse practitioner, registered nurse and community worker, the RNs spoke about how this allowed them to work to their full scope of practice.

This model builds trust and relationships, re-establishes connections and provides access to vital wraparound supports to help people get their health and lives on track. No one gets turned away.

A quote that will remain with me was, “There are no hard-to-serve people, only hard-to-access services.”

Hard-working RNs and the team at LIHC were clear where provincial funding comes up short. What is missing is wage parity for nurses. It’s the not-so-well-kept secret that nurses are dramatically underpaid for home and community care. They receive a fraction of what long-term-care and acute care nurses are paid. Additionally, community health centres have not seen a base budget increase in over a decade.

It’s time this government stopped attacking nurses and front-line workers. Respect them, thank them, pay them properly and invest in the community-based health care that community health centres provide.

Sometimes when MPPs talk about health care and long-term care, they miss the great work being done in the community support services sector.

People want to age at home, and community support services help meet that need. Caregivers risk burnout and financial burden without these services. Some may even feel pressure to quit their job to look after a loved one. No one should feel forced to make this choice.

Community support services are cost-effective, personalized and help free up beds in hospitals and long-term care. Recently, I had the opportunity to meet with the Alzheimer Society, Cheshire Independent Living Services, St. Joe’s hospice and many more. Users of these services see a 43% decrease in avoidable ER visits. In addition, when community support services are available, hospital stay lengths are decreased more than 30%. Care at home costs $42 a day while long-term care is $126; in hospitals, at least $842. Saving $800 per day is pretty cost-effective. It’s literally 5% of the cost.

However, like other parts of our health care system, lack of funding means service reductions and staff are continually asked to do more with less. This sector, primarily made up of women, faces a variety of struggles, including the inability to hire and retain staff.

Ontarians want to be supported at home. I call upon this government to make the necessary investments in community support services so that people can stay where their heart is: at home with loved ones.

Recently, I had the privilege of joining my colleagues in London to tour the new Carepoint Consumption and Treatment Service building. Evidence shows that consumption and treatment services provide many benefits to those who access services and benefits the neighbouring community, including reducing overdoses as well as a proven track record of successful connections to health and wraparound social services. In London, this program has reversed 713 overdoses and served over 1,000 clients. This new site will provide more opportunities to expand these programs and save even more lives.

Carepoint has had a long and difficult uphill battle, but we’ve really seen the London community open their minds and hearts, recognizing the importance of supporting marginalized people. I would like to thank Brian Lester, Dr. Sonja Burke, Megan Van Boheemen, Lily Bialas, Dr. Alex Summers, Shaya Dhinsa, Dr. Chris Mackie, Scott Courtice, Dr. Sharon Koivu, Dr. Andrea Sereda, Pam Hill, Linda Sibley, John Pare, Ed Holder, Karen Burton and many more.

After an exhaustive search for an ideal location, the retiring owners of John Bellone’s Musical Instruments, John and Moira Bellone, kindly offered their building to support the community to save lives.

What will always remain with me is Dr. Sonja Burke’s emphasis that every person has value, meeting them where they are, hugging each person and educating our community about harm reduction. Welcome to the neighbourhood.