KFL&A Family Advisory Committee: Call for Members

Vision: The children and youth of Kingston, Frontenac, Lennox & Addington (KFL&A) are well supported by the mental health service system.

The aim of the Family Advisory Committee is to bring together family members who are interested in participating in a regular forum to collaborate with and improve child and youth mental health services in KFL&A.

If you are interested in joining this committee, please complete the application below.

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* 1. Name:

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* 2. Address:

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* 3. Telephone

Home:

Work:

Cell:

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* 4. Email:

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* 5. What is the best way to contact you?

Home phone

Work phone

Cell phone

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* 6. How did you hear about this opportunity?

Social media

Friend or colleague

Local agency or service provider

Other (please specify)

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* 7. We are seeking individuals with an interest in the Child and Youth Mental Health system. Please check all that apply to you.

I am a person with lived experience of the Child and Youth Mental Health system

I am a family member of someone with lived experience of the Child and Youth Mental Health system

Other (please specify):

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* 8. We are seeking individuals who are able to commit in the following ways. Please check all that apply to you.

I have time in my schedule to be a committee representative (attend meetings as often as once a month for 2-3 hours in Kingston).

I understand the importance of thinking broadly about these issues, beyond my own personal experience.

I am ready to speak up and share suggestions and potential solutions to help improve the care for other children/youth and their families.

I understand that I have the right to confidentiality and that confidentiality is based on mutual trust and respect of all members and their shared information.

My motivation is to help future children/youth and their families.

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* 9. Why are you interested in joining the Family Advisory Committee in KFL&A?

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* 10. We are seeking people with diverse perspectives for the committee. Which perspectives would you be willing to bring to the committee (for example: personal perspective, racialized perspective, LGBTQ perspective, rural perspective, francophone perspective, new immigrant perspective, perspective of a person with a disability etc.)?

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* 11. What will you add or bring (skills/characteristics/knowledge/experience) to the committee?

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* 12. How do you feel about sharing your personal story/your family voice with the broader objective to make a difference in the Child and Youth Mental Health system?

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* 13. How would you deal with conflict or a disagreement on the committee?

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* 14. The Child and Youth Mental Health system takes the need for confidentiality very seriously. Do you have any concerns around confidentiality?

Yes (please explain):

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* 15. Is there anything else you would like to add for our consideration?

If you are interested in participating, however foresee financial barriers to your involvement, there may be some financial assistance available for childcare or transportation (please note the committee is currently meeting virtually).

An honourarium may be offered for your participation on the committee.

Next steps: As part of the process, a member from the Family Advisory Committee will have a conversation with you (by telephone) to outline what this role entails, discuss your experiences, and answer any questions you may have. If you are not chosen for the committee, we hope you will be able to be involved in the other ways parents and caregivers will be sharing their views on improving service.

Thank you for taking the time to complete this application.