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Action Planning

Action Planning. Measures. Change Ideas. Aim. Aim. Within 8 months, we aim to improve child and adolescent mental health in participating BC practices as evidenced by improved scores on KADS, SCARED and SNAP and CGI. We will focus on:.

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Action Planning

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  1. Action Planning

  2. Measures Change Ideas Aim

  3. Aim • Within 8 months, we aim to improve child and adolescent mental health in participating BC practices as evidenced by improved scores on KADS, SCARED and SNAP and CGI.

  4. We will focus on: • Early identification and diagnosis of anxiety, depression and ADHD • Appropriate use of various evidence-informed treatments anxiety, depression and ADHD • Appropriate application of standardized methods of measurement in the care of mental disorders in children and youth • Enhancement of physician and MOA knowledge about and awareness of community mental health resources for children and adolescents • Enhanced family physician collaboration with community partners in the mental health care of children and adolescents

  5. We will focus on: (continued) • Enhancement of physician and MOA knowledge about and awareness of community mental health resources for children and youth • Enhanced family physician collaboration with community partners in the mental health care of children and youth • Improve experience of the health care providers, patients and their families Collaboration with specialist physicians, Schools, MCFD CYMH and other clinical and community partners

  6. Measures • # of patients screened positive/diagnosed with the anxiety, ADHD, and depression • % patients screened positive/diagnosed with anxiety,ADHD or depression (“identified”) who are treated with protocol-driven, non-pharmaceutical interventions • % of “identified” patients who are treated with protocol-driven medications • % of “identified” patients who experience improved health outcomes after at least 3 months of treatment as evidenced by changes in scores

  7. Moving forward … with measurement “If it is not measured, it's not medicine.” - Dr. Marshall Dahl “Some is not a number, soon is not a time.” - Dr. Don Berwick “Without data, everyone is perfect.” - Dr. Paul Murray “Data drives improvement.” - Dr. Neil Baker “The pride in which you wallow, without data may be hollow.” - Dr. Dan MacCarthy

  8. Measurement

  9. Changes to try • Identification and screening of children and youth • Creation of a registry • Treatment processes • Team-based care - GP’s, Schools, other care providers • Linking with community programs and supports

  10. Example: Registry What is it? • A list • A database What is it used for? • Tracking best practice • Proactive follow-up What types are there? Paper list Excel spreadsheet Binder Flagged chart EMR based Hollander Analytical Services Tool

  11. Key Resources • Child and Youth Action Planning Form • PSP website: http://www.pspbc.ca

  12. Change: Screening in GP office PLAN: Question: • How long will facilitating the first competition of the SCARED screening tool take in a GP visit? Who, What. Where, When: • When the Smith family comes in on Tuesday we will ask them to complete the SCARED screening tool in the waiting room prior to meeting with the GP. Data to Collect: • How long will it take to complete the form? • How long will going over the results with the family take? • What additional information may be needed from the school?

  13. When you get home DO – complete your test STUDY – examine the results ACT - What will your next step be?

  14. A A A P P P S S S D D D Just try it! Cycle 3 DATA Cycle 2 Cycle 3: Try the new process on all patient with suspected anxiety for 2 weeks, does this work on full sclae? Cycle 1 Cycle 2: Test administering the SCARED in a new way based on lessons learned. Test MOA involvement in giving out and scoring the screen Use of Screening Tools Cycle 1: Test having completing SCARED screen with 1 patient. How long does the screen take? How will you score it? How will you discuss the results with the family?

  15. Action period planning – team activity • With your community team (e.g. GP, MOA, School Counselor, Mental Health Clinicians…), discuss what changes you will test in the action period • Fill out the action planning form • Write the PLAN for your first Plan, Do, Study, Act cycle

  16. When in doubt – Ask the Experts!

  17. Action period expectations • Try tests of change. • Measure and track your progress. • RSTs practice visits. Support throughout the action period you can expect: Practice visits from the coordinator.

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