OCAN Education Core + Self OCAN

22 Objectives Upon completion of this OCAN training session, you will: Know the components of Core + Self OCAN Know the benefits of the self-assessment Know how to introduce the self-assessment to an Aboriginal consumer Know how to engage an Aboriginal consumer in conversation prompted by his\her responses in the self-assessment

33 OCAN Training Agenda Welcome & Introductions Objectives Agenda Icebreaker Orientation to materials Review Core OCAN Core+Self OCAN –Introduce to consumer –Self-Assessment –Conversation –Next steps Wrap-up

Icebreaker

Review of Core OCAN Training

6 OCAN 2.0 There are three (3) “types” of OCAN: The CORE OCAN consists of the Consumer Information Summary and the Mental Health Functional Centre Use The CORE + Self OCAN 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 The CORE OCAN consists of the Consumer Information Summary and the Mental Health Functional Centre Use The CORE + Self OCAN consists of the Consumer Information Summary elements, the Consumer Self- Assessment and the Mental Health Functional Centre Use OCAN-BR-1OCAN-BR-1.1OCAN-BR-1.2

7 Core OCAN Elements - Overview Consumer Demographic Information Mental Health Functional Centre Use Contacts Consumer Capacity Culture, Aboriginal Origin and Citizenship Current Legal Status Accommodation Employment Status Education Level Psychiatric History Income Presenting Issues

8 Who is the OCAN Lead? POP QUIZ

99 Core OCAN Elements Within an OCAN there can only be one OCAN Lead The OCAN Lead can be decided by your HSP. It may be the person most involved with the consumer, the one selected by the consumer or the one completing the fullest OCAN If a consumer is involved with more than one functional centre within the HSP, only the OCAN Lead would complete the Core OCAN The other functional centre(s) provide input to OCAN Lead to facilitate completion of Core OCAN These other functional centre(s) are called Contributing Providers If a client is receiving services from a program NOT funded as a Mental Health Functional Centre (e.g., a Federally funded program) this information should be recorded in the “Other Agency” section DATE-BR-1,2 OL-BR-1, 4, 5, 6

10 What are the reasons for OCAN? POP QUIZ

11 Reason for OCAN

12 Why is it important to record all functional centres involved with each consumer in your HSP? Where would you find the information to fill in the Mental Health Functional Centre Use? POP QUIZ

13 Core OCAN Elements SUB-BR-1 OL-BR-2, 3 MHFCU-BR-1, 2, 3

14 Core OCAN Elements My Cheat Sheet My Organization LHIN : My LHIN My Organization Name: Sunny Community Centre My Organization Number: 1234 My Program Name:Sunny Days My Program Number:6789 My Functional Centre Name:Social Recreation My Functional Centre Number:

15 CORE + Self OCAN The CORE + Self OCAN consists of the Consumer Information Summary elements, the Consumer Self-Assessment and the Mental Health Functional Centre Use

16 Benefits of Core + Self OCAN Provides opportunity for Aboriginal consumers to participate in determining their own needs. Can potentially link Aboriginal consumers to the most appropriate services based on their needs May reduce duplication of assessments in your HSP

17 Using an evidence-based tool CANSAS-P* Backed by research:** Meeting consumer-identified unmet need improves outcomes in these areas: Well-being Relationship - Therapeutic alliance Satisfaction with services Equivalent research into staff-rated unmet need does not show the same benefits Reassessment improves mental health outcomes *Camberwell Assessment of Need Short Appraisal Schedule-Patient **Source: Mike Slade, Made in Ontario conference and The Power of Shared Information conference (2009)

Recovery and Assessment

19 What is Recovery? Mental health recovery has many definitions. William A. Anthony defines it as: “A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and roles. It is a way of living a satisfying, hopeful and contributing life even with limitations caused by the illness” Anthony WA (1993) Recovery from mental illness: the guiding vision of the mental health service system in the 1990s Psychosocial Rehabilitation Journal, 16, 11-23

20 Mental Wellbeing – First Nations Mental wellness is achieved when one is in harmony with oneself and one’s surroundings; it allows individuals to function effectively and deal with new challenges. Mental Health Working Group (2002) Mental Wellness Framework: A Discussion Document for Comprehensive Culturally Appropriate Mental Health Services in First Nations and Inuit Communities, Ottawa: Health Canada

21 OCAN and Recovery Principles Values Empowerment Consumer perspective and input is central to information gathered in OCAN and the determination of priority areas to work on. Values and Elicits Hope The OCAN tool includes open ended questions where consumers share and later discuss hopes and dreams. Values Self Determination OCAN focuses heavily on consumer-voiced needs, through the assessment of 24 concrete life domains. Works Toward the Elimination of Prejudice and Discrimination The OCAN approach views a consumer as a whole person and an active participant in the assessment process, not as a diagnosis (“patient”) Values Meaningful Choice Consumers engage with their workers to focus on their perspective in preparation for action and service planning. Based on recovery principles from the Self Help Alliance of Waterloo Wellington Dufferin

22 Introducing Core + Self OCAN to Aboriginal Consumers Review the purpose of OCAN with focus on recovery Offer options for support Discuss collection, use and disclosure of personal health information (PHI) Inform how assessment information will be used by health service providers Inform consumer when and where their comments will be used now and in the future

23 Consumer Self-Assessment Rating need

24 Consumer Self-Assessment Additional Questions Please write a few sentences to answer the following questions: What are your hopes for the future? What do you think you need in order to get there? How do you view your mental health? Is spirituality an important part of your life? Is culture (heritage) an important part of your life?

25 Introducing Core + Self OCAN to Aboriginal Consumers As a group, brainstorm… What are some of the considerations when introducing Core + Self OCAN to people you are working with? 25

26 Introduction of Self-Assessment to Aboriginal Consumers Examples of Factors: Language UsedLiteracy Level Mental StatusCognitive Status Privacy IssuesAvailable Supports Length of ExplanationTheir Starting Point Your Personal Perspective Some others… ? 26

27 Introduction of Self-Assessment to Aboriginal Consumers Divide into groups Create a script that you can use when introducing the OCAN Assessment, considering these factors. 27

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29 Let’s Practice! Individually: –Complete OCAN Self- Assessment Discuss in a group OCAN Consumer Self-Assessment 29

30 Engages the person with lived experience and the person with assessment knowledge in a conversation focused on the consumer’s strengths, challenges and goals for recovery. Assessment Conversation

31 The Assessment Conversation Tips for a successful assessment conversation: Provide a safe space Allow the conversation to unfold naturally Explore variances Be flexible Summarize key points I have a voice I hear you loud and clear

32 The Conversation: Clarity of Content Example: Be aware of how the consumer identifies unmet need, met need and no need. At every step clarify what the consumer means by their choice. Do not encourage the consumer to change responses. Example: Avoid the term ‘navigate the system’. Example: Hearing voices may not always be a sign of psychotic symptoms. Example: Consumer may have a different view of homelessness than staff. Take the time to clarify what the conversation is about and ensure clarity of the content

33 Conversation Activity Divide into pairs Decide on roles: consumer and staff Have a conversation using the completed Self–Assessment in your workbook as a prompt for the conversation focused on needs Discuss with larger group

34 Next Steps As a group, brainstorm what the next steps are following your conversations with consumers

35 Wrap-up Supported training sign-up Evaluations

37 Available OCAN Aboriginal Support Validation Resources Resources Your Change Team OCAN Implementation Guide OCAN Learning Materials –For Staff –For the Coordinator Train the Trainer Manual Quick reference guides Consumer support materials Supports Member section on CCIM website Project Support Centre OCAN Knowledge (OK) Café 37

Evaluations

39 Thank You!