Understanding Ontario Common Assessment of Need (OCAN) for Mental Health

1. <Insert Date> Aboriginal Working Group (AWG)Community Mental Health Common Assessment Project (CMH CAP)OCAN Aboriginal Support Validation Information for Board Members

2. What you need to know • What is Ontario Common Assessment of Need (OCAN? • What is happening with OCAN today? • What is the OCAN Aboriginal Support Validation? • What is happening with the validation today? • What does it mean to participate in the validation? Note: Slides with gray background are provided for your reference, but can be presented as needed.

3. What is Ontario Common Assessment of Need (OCAN?)

4. Local Health Integration Networks (LHINs) Infrastructure & Operations IT Implementation & Support Security, Privacy & Risk Management Transition Community Care Information Management (CCIM) CCAC CSS CMH&A LTCH CHC SCCH Common Intake AssessmentTool InterRAI Community Health Assessment Ontario Common Assessment of Need Resident Assessment Instrument MDS 2.0 Assessment Projects Long Stay Assessment Software Screener for the CHA Integrated Assessment Record Integrated Data Strategy Management Information Systems Management Information Systems Management Information Systems Management Information Systems Management Information Systems Management Information Systems Business Systems Human Resources Information Systems Human Resources Information Systems Human Resources Information Systems Human Resources Information Systems Initiation stage Currently rolling out Completed and/or transitioned CCAC = Community Care Access Centres CSS = Community Support Services CMH&A = Community Mental Health and Addictions LTCH = Long-Term Care Homes SCCH = Small & Complex Continuing Care Hospitals CHC = Community Health Centres

5. CMH CAP Vision

6. What is OCAN? Ontario Common Assessment of Need (OCAN) is a standardized, consumer-led decision making tool that allows key information to be electronically gathered in a secure and efficient manner. • Assists client-leddecision-making at an individual level • Identifies individual needs and helps match these to existing services and identifies service gaps • Provides aggregate data to informorganizational, regional and provincial level planning and decisionmaking that is consistent with a recovery approach • Further facilitates inter-agency communication through common data standards

7. Phase 1 – Initiation (with stakeholder representation) Analysis of many assessments tools Selection of a core tool – Camberwell Assessment of Need Province-wide consultations to introduce the tool Formation of working groups Phase 2 - Pilot Piloting of the automated OCAN in 16 CMH organizations Early learnings gatherings NE LHIN Implementation pilot (NE LHIN OCAN Aboriginal Evaluation) Phase 3 - Implementation Provincial roll-out Formation of Aboriginal Working Group OCAN Aboriginal Support Validation Integration with a changing CMH landscape Powerful reporting to drive enhanced consumer-centered service and system planning Project Overview and Development 2006 2008 2009 2010 2011 2012 7

8. OCAN at a Glance What (are your needs) Who (are you) Where (do you receive services)

9. Types of OCAN 2.0 There are three (3) “types” of OCAN: • The COREOCAN consists of the Consumer Information Summary and the Mental Health Functional Centre Use • The COREOCAN consists of the Consumer Information Summary and the Mental Health Functional Centre Use • The CORE + SelfOCAN consists of the Consumer Information Summary elements, the Consumer Self-Assessment and the Mental Health Functional Centre Use • The CORE + SelfOCAN consists of the Consumer Information Summary elements, the Consumer Self-Assessment and the Mental Health Functional Centre Use • The Full OCAN consists of the Consumer Information Summary, the Consumer Self-Assessment, the Mental Health Functional Centre Use and the Staff Assessment

10. FunctionalCentre Use of OCAN Full OCAN Core OCAN • Peer/Self-help Initiatives • Crisis Intervention • Community Mental Health Clinic • Eating Disorders • Assertive Community Treatment • Case Management • Clubhouse • Early Intervention • Social Rehabilitation/ Recreation • Support within Housing • Short-term Residential Crisis Support Beds • Day/Night Care • Counseling and Treatment • Diversion and Court Support • Dual Diagnosis • Psychogeriatric • Forensic • Vocational Employment • Concurrent Disorders ! The Provincial Consumer Working Group recommends the use of Core + Self OCAN for Peer/Self-help Initiatives as a peer-to-peer recommendation

11. OCAN Domains

12. Five Additional Questions

13. Consumer Self-Assessment Rating need

14. Staff Assessment

15. What is happening with OCAN today?

16. LHIN Engagement COMPLETE » IN PROGRESS OCAN/IAR Last updated: October 27, 2011

17. What is the OCAN Aboriginal Support Validation?

18. Aboriginal Working Group Vision Mental / Adult Spiritual / Elder Emotional / Child Physical / Youth ● Resolve Federal - Provincial Jurisdiction Issues ● Integrate MH and Addiction Services ● Equality with mainstream Health Services ● Transparency Aboriginal Mental Health Services ● Community Services ● Education ● Equitable Access ● Housing ● Employment ● Home ● Family ● Elders ● Language ● Community ● Traditional Healers ● Medicine People ● OCAN

19. OCAN Benefits in Aboriginal Settings • Recognizes Aboriginal cultures, values and beliefs by incorporating “wholistic” approaches to wellness and recovery, while allowing consumers to participate in the process • Assists with better continuity of services through integrated data collection and reporting across community mental health • Encourages ownership of OCAN and its related processes through engagement with Aboriginal representatives • Potential to help address jurisdictional issues (federal and provincial)

20. Why the OCAN Aboriginal Support Validation? • The Evaluation of OCAN in Aboriginal Programs in the North East LHIN (Sutherland/Maar) recommended improvements to the use of OCAN in Aboriginal settings. • An Aboriginal Working Group was formed to address the evaluation findings. ! The Evaluation of OCAN in Aboriginal Programs in the North East LHIN is available online at www.ccim.on.ca

21. Recommendations • The Aboriginal Working Group developed recommendations related to the following categories*: • Aboriginal Engagement • Education and Training • Administrative Supports and Processes ! The Aboriginal Working Group Report is available online at www.ccim.on.ca

22. Recommended OCAN Aboriginal Supports • The OCAN Aboriginal supports include: • Aboriginal-specific training materials, such as case studies, training binders, consumer pamphlet, etc • Aboriginal Education Specialist to deliver training and support to validation participants • Aboriginal Subject Matter Expert to address questions pertaining to Aboriginal landscape and issues

23. What is the OCAN Aboriginal Support Validation? • The purpose of the OCAN Aboriginal Support Validation is to evaluate the recommended OCAN Aboriginal supports to determine their impact on the cultural appropriateness of OCAN delivery within Aboriginal populations

24. Guiding Principles for the Validation • Culturally appropriate • Respects Aboriginal culture and incorporates the principles of cultural competency and cultural safety • Consumer-centred • Acknowledges the Aboriginal consumer’s role in the assessment process; takes a ‘wholistic’ approach • Flexible to accommodate cultural diversity • Aware of the distinctiveness of each Aboriginal population (e.g., First Nations, Inuit and Métis; on-reserve and off-reserve; urban, rural and remote) • Collaborative • Guided by Aboriginal Health Service Providers and transparent to the Aboriginal population in general; respects the spirit of principles related to ownership, control, access and possession of data (OCAP)

25. What is happening with the validation today?

26. Validation Timeline

27. What does it mean to participate in the validation?

28. As participants in the validation, you will… • Contribute to the development of Aboriginal-specific training materials and supports for OCAN • Guide recommendations for future OCAN implementation in Aboriginal settings • Network with other community mental health organizations providing service to the Aboriginal community • Take advantage of the implementation supports available through CMH CAP

29. Who is participating in the validation?

30. What we’ve heard... “We’ve been involved with the implementation of OCAN for well over a year as a pilot. It wasn’t easy, but we really appreciated the support we received. We are participating in the validation to see whether the work we had done regarding the OCAN Aboriginal support will make it easier in terms of implementation… to see if we have made a difference in making the support even more supportive. We are happy to be a part of it.” Germaine Elliott Mental Health Program Coordinator Enaahtig Healing Lodge and Learning Centre

31. Your Validation Change Team • Executive Lead • “champions” OCAN • provides direction • makes decisions • removes roadblocks • Coordinator/ Back-up • becomes OCAN educator/expert • trains OCAN users • provides support • facilitates information flow • Technical Lead • implements automated solution • manages vendor relationship • validates functionality • works collaboratively • Consumer Lead • attends OCAN education sessions • provides input on decisions • represents the consumer community • facilitates consumer engagement • Clinical Lead • attends OCAN education sessions • provides on-site support • addresses clinical issues • ensures accurate use of OCAN

32. Common Assessment User Project Support for the Validation Getting prepared Regional support Information sessions and kick-off Aboriginal education specialist(s) Implementation leads Business implementation analysts Accessing resources CCIM website Specific help Reaching the project Subject matter experts in business process, technology, clinical issues, communications, consumer strategy, privacy/security, Aboriginal landscape CMH CAP Support Centre Validation Support Team Staying updated Regular touch points – teleconference/WebEx Training and education Aboriginal educator(s) to train on a series of education modules Getting together On-site support as required and available

34. Thank you! Project Support Centre Telephone: 1-866-909-5600 Hours: 8:30 a.m.-4:30 p.m. weekdays Email: cmhcap@ccim.on.ca Website: www.ccim.on.ca