1. Court Outcomes Data Project
Thursday, February 26, 2015
Michael Dunn, Provincial HSJCC Co-Chair
Sarah Gauthier, Canadian Mental Health Association - Sudbury/ Manitoulin
Hélène Philbin-Wilkinson, North Bay Regional Health Centre
@HSJCC
Provincial HSJCC

2. HSJCC Webinar
Thank you to CMHA Ontario and the Evidence Exchange Network (EENet) for providing support to host this webinar!
To ask a question, please type your question in the chat box.
Power-point presentation will be ed to you following the webinar.
Please complete the brief feedback survey following the webinar.
@HSJCC

3. Overview of Presentation
About the HSJCC
Northeast Regional Outcomes Project
Live Tour of Online Portal
Questions & Comments
@HSJCC

4. Presenters
Michael Dunn, Director of Research, Evaluation & Quality Improvement, Canadian Mental Health Association - Simcoe County Branch, Co-Chair of the Provincial HSJCC
Sarah Gauthier, Justice Program Coordinator at CMHA - Sudbury/ Manitoulin Branch, Chair of the Sudbury /Manitoulin District HSJCC and Co-chair of the Northeast Regional HSJCC
Hélène Philbin-Wilkinson, Director of Dual Diagnosis and Mental Health & the Law Services at North Bay Regional Health Centre, Northeast Regional HSJCC Member
@HSJCC

5. HSJCC Network
Established based on the Provincial Strategy to Coordinate Human Services and Criminal Justice Systems in Ontario (1997)
Responding to a recognized need in the province to coordinate resources and services, and plan more effectively for people who are in conflict with the law
Priority consideration is for people with a serious mental illness, developmental disability, acquired brain injury, drug and alcohol addiction, and/or fetal alcohol syndrome
@HSJCC

6. HSJCC Network HSJCC Network is comprised of 43 Local HSJCCs
14 Regional HSJCCs
Provincial HSJCC
Each HSJCC is a voluntary collaboration between health and social service organizations, community mental health and addictions organizations and partners from the justice sector including crown attorneys, judges, police services and correctional service providers
Funded by the Ministry of Health and Long-Term Care
@HSJCC
Provincial HSJCC

7. Provincial HSJCC Provincial HSJCC consists of
Regional HSJCC Chairs representing their Regions
Ex-officio members from important stakeholder groups such as Correctional Service of Canada, Ontario Provincial Police and Ontario Association of Chiefs of Police, Legal Aid Ontario, and Community Networks of Specialized Care
Ex-officio representatives from 5 Provincial Ministries:
Attorney General
Children and Youth Services
Community and Social Services
Community Safety and Correctional Services
Health and Long-Term Care
@HSJCC

8. Stay tuned for further details on these webinars!
Upcoming Webinars
March 26, 2015, 12 pm to 1 pm – Pre-Charge Diversion
April (date and time to be determined), 2015 – Hamilton Rapid Response Team
Stay tuned for further details on these webinars!
@HSJCC
Provincial HSJCC

9. Contact Information
For more information about the Provincial HSJCC, or to join the mailing list visit: For more information about CMHA Ontario, visit: For more information about EENet, visit:
@HSJCC
Provincial HSJCC

10. Northeast Regional Outcomes Project
Sarah Gauthier BA
Hélène Philbin-Wilkinson BScN, Reg. N., MN

11. Agenda Background Development Process Measures
Regional & District Trends
Implications
Lessons Learned
Live Tour of Online Portal
Sarah

12. Northeast Region Spans 400 000 square kilometers
Represents over 40% of Ontario’s land mass
With 4.2& of population
Compared to rest of the province we have higher rates of:
Alcohol abuse, smoking
Chronic conditions
Unscheduled emergency department visits for mental health and substance abuse
Hospitalizations related to mental illness and self-injury (ages 15years and older)
25 hospitals (4 x Schedule 1, 1 x Regional Health Centre)
48 community mental health and addictions services
1 CCAC
Hélène

13. NBRHC Mental Health & the Law
8 Community agencies
24 Court locations
NBRHC Mental Health & the Law
Hélène

14. Partnerships with Purpose
Service agreements since 2000
Outlining roles and responsibilities
Timely access
Optimizing resource utilization
Track service trends
Inconsistent definitions and unclear rational for data collection
Inconsistent methods of reporting
Unclear understanding of the system demands in each area
Inability to validate trends and inform funding
How do we hold ourselves accountable?
Common goal of improving access and connections to service
Hélène

16. Background How do we know we are making a difference?
How do we measure program & system performance?
Surveyed other programs across the province
No provincial standard measures or common definitions
Traditional data collection aka “ caseload statistics”
Support from Northeast Regional HSJCC & North Bay Regional Health Centre
Sarah or Hélène

17. Timeline
CMHA- Sudbury/ Manitoulin went live 2012 with three process measures
Demonstrated data after 6 months to HSJCC and partners
Partners agreed to the development of a Regional portal building on the three measures
Agreement to engage consultant and financial commitment
Northeast Regional Portal went live April 1, 2013
Phase 2 was funded by the NE LHIN to enhance current measures and further develop system outcomes measures
Sarah

18. Development Process Sarah Improvement Define Measure Analyze Improve
Control
Sarah

19. Collaborative process guided by Brian Tramontini
Sarah and Hélène - Represents the groups thinking

20. Measures
Phase 1
Diversion Success Rate: How successfully are people diverted from the criminal justice system and into the mental health system?
Alternate Disposition (diversion) Success Rate:Are we successful in advocating for improved dispositions?
Admission Aversion Rate:How many clients inappropriate admissions to forensic units are avoided?
Sarah

21. Measures
Phase 2
Diversion Recidivism: How many people, while on a mental health diversion, were known to reoffend within the diversion period?
Fitness Recommendation Consistency Rate: Was the agency fitness recommendation consistent with the physician assessment recommendation?
Release from Custody Rate: How many clients are released on a recognizance back to the community based on the involvement of the mental health court worker?
Sarah

22. Data Collection No unique identifiers
Each agency utilizes their own client data base reference #
Agency & Court
Demographics: age category, sex, aboriginal, primary and secondary diagnosis, needs
Sarah

23. Data Collection Use of OCAN categories / language
Data integrity – permissions, mandatory fields
Integrated into current practices
age
gender Dx
Outcomes
Sarah

24. Sarah

25. District and Regional Trends
Youth recidivism rates are higher in Sudbury & Nipissing
Intervention increases success rate of release on bail for Dual Diagnosis population
Courts consistently follow recommendation of Justice Programs when ordering Fitness to Stand Trial assessments
Demographics: more males being diverted than females in most districts, gap is narrowed with youth
Hélène

26. Sarah

27. Implications Combines qualitative and quantitative data
Common language and measures to achieve our common goal
Allows for flexibility in processes within the districts
Outcome based accountability framework that informs service delivery
Relevant evidence to identify system pressures
Starting to understand cost savings at a program and system level
Supports a culture of quality improvement in line with the Excellent Care for All Act
Despite barriers of geography and distance it fosters collaboration and a supportive partnership
Assists in determining allocations of funds and resources
Hélène

28. Lessons learned Commitment at all levels Different levels of readiness
Need a champion and evidence that it works
Competing priorities and needs
Common language early on to motivate engagement
Essential to have expertise in outcome performance and data management
Requires training and on-going support and involvement of all partners
Utilizing partnership agreement
Hélène

29. Future Directions Continued data collection & analysis
Quality Improvement Planning
Re-establishing the baseline and targets
Setting the standard for an evaluative framework
Sarah

30. Online Portal Tour
Sarah to do tour of portal

31. Thank you / Questions?