Expression of Interest s8

Call for Expressions of Interest

Communities of Interest focused on child and youth mental health and addictions

PLEASE LIMIT YOUR SUBMISSION TO FIVE PAGES TOTAL. PLEASE SUBMIT THE COMPLETED FORM BY 5 PM ON FRIDAY, JULY 5, 2013 BY EMAIL TO:

Keri West

Knowledge Broker

Centre for Addiction and Mental Health

Phone: (416) 535-8501, ext. 36465

Email:

APPLICANT CONTACT INFORMATION
Name:
Title:
Organization:
Phone number:
Email address:
Mailing address:
Please list any previous funds received from either EENet or the Centre:

The following fields are expandable. However, your complete submission should not exceed five pages total.

PROPOSED COMMUNITY OF INTEREST
Topic area:
Description:
1. What is the expected composition of the CoI (please complete the “CoI Membership Table” in Appendix A)? Who needs to be involved in order for the CoI to be successful? How will you ensure commitment from these individuals?
2. Which Ministry of Children and Youth Services-funded organization(s) will support/sponsor the CoI?
3. How does the CoI align with EENet and the Centre’s shared vision and purpose?
4. How does the CoI align with the priority areas for knowledge identified in the Creating Together initiative and the Shared Responsibility Policy Framework?
5. What are the goals of the CoI? How are these directly relevant to child and youth mental health and addictions in Ontario?
6. What specific activities will the CoI engage in between August 1st, 2013 and March 31st, 2014 that align with the goals of the CoI?
7. How will the CoI address gaps or priority areas for knowledge in the child and youth mental health and addictions field in Ontario?
8. Are there existing CoIs, or similar forums, dealing with the same topic in Ontario? If so, how will this CoI complement their efforts?
9. How will the CoI engage stakeholders?
10. What is the sustainability strategy for the CoI?
11. What barriers or challenges might you face with the CoI? How will you tackle them?
12. How will you evaluate the activities of the CoI? How will you know if the CoI has been successful?
13. What are the main costs you anticipate for the development and operation of the CoI over and above those provided by EENet and the Centre?
14. How will you ensure the work of the CoI has broader system impact?
15. How will you ensure a health equity lens is applied to the activities of the CoI?

Organizations interested in partnering with an existing CoI, should, in addition to the above questions, complete the following:

ADDITIONAL QUESTIONS FOR PROPOSED PARTNER CoIs
16. Is the proposed CoI an add-on to an existing CoI or similar network? If so, please describe the form and focus of the existing network. Why is it important to add a child and youth mental health and addictions lens to the dialogue?
17. What would be required for the partnership to be successful?
18. What resources will be contributed by your organization?
19. What resources will be required from EENet/the Centre (please refer to the section above for available supports)?

Submitted by: ______Date submitted: ______

Name (please print) (mm/dd/yyyy)

APPENDIX A: CoI Membership Table

CoIs should have broad representation from stakeholder groups from across the child and youth mental health and addictions sectors, and other related sectors.

Please complete the CoI Membership Table below, indicating your prospective and confirmed members.

Name / Organization
(if applicable) / Stakeholder Perspective(s)
(i.e., Person with lived experience, youth, family member, researcher, clinician, provider, decision-maker, policymaker, etc.) / Sector
(i.e., Mental health and addictions, justice, education, etc.) / Location in Ontario / Prospective or confirmed member
(i.e., has the person already made a formal commitment to participate?)