Collaborative Practice and Learning Environments Funded by: Health Canada and AB Health & Wellness December 9/10, 2010, Calgary Esther Suter Siegrid Deutschlander Jeanne Besner Health Systems and Workforce Research Unit Health Professions Strategy & Practice

2 Participating Sites 2 community mental health programs; serve adults with psychiatric problems with pervasive impairments across different areas of functioning (Axis 1 diagnosis). Interprofessional staff mix (SOWK, nursing, psychology therapists, independent living support workers, OT) Services: intake assessments, psychiatric consultations, individual and group therapy, medication management, outreach and transition support. Regular student placements from nursing, social work, occupational therapy, psychology and psychiatry.

3 Baseline Assessment Data collected from May 15, 2010 – August 31, 2010 –Observation check list –Staff interviews –Social Network Survey Presenting data back to staff for validation Opportunities for intervention: Staffing, client referral processes, approaches to care, team collaboration, organizational culture, client/family-centred care, student placements

4 Staff Strategies Sharing of complex clients Using observation room for teaching/feedback Addictions expertise (addictions counselor, continuing education opportunities, addictions assessment tools) Staff retreat for communication, team building, visioning Workshop for staff and students (IP competencies framework, IP mentoring)

5 Student Strategies Fall 2010: 5 students were placed at the two community MH clinics (2 nursing students, 3 SOWK students) 1.IP mentoring: students spent time with other providers to learn about their role as part of the team (shadowing, spending time with clients, case conference, triage meetings, team meetings) 2.Student discussion sessions: 2-hr sessions every 2 weeks to discuss CIHC IP competencies and debrief on IP mentoring activities (role clarification, conflict management skills, collaborative leadership)

6 Mid-Term Evaluation Interviews with students and faculty instructors Discussions with preceptors Debrief about IP experience with all staff Student reflections