1. OCAN Education Full OCAN

2. Objectives Upon completion of the Full OCAN training session, you will learn: OCAN is a consumer-centred, recovery based assessment The components of a Full OCAN How to complete a staff assessment How to interpret and make use of the information gathered in a full OCAN

3. 3 Full OCAN Training Agenda Welcome & Introductions Objectives Full OCAN Assessment Process Staff Assessment –Components of Staff Assessment –Scoring Need and Help Outputs – Reports Reassessment Resources and Support Evaluations

4. Icebreaker

5. 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

6. 6 OCAN benefits For the consumer: –Gives consumers an effective way to voice their needs and preferences –Allows the consumer to provide the relevant level of information, potentially reducing repetition at each stage in their service For the sector: –Assists recovery-oriented service planning at an individual level –Identifies individual needs and helps match these to existing services –Provides a common language that allows cross-sector partnering and planning –Acknowledges the important role that informal support plays in helping with consumer needs For the system: –Ensures that standardized information is collected –Captures aggregate data that will inform planning and decision- making

7. Application of Full OCAN

8. Assessment completion period The assessment start and completion date should be within 30 days of each other Start date of assessment in the system is whichever is started first: Consumer Self-Assessment or Staff Assessment

9. 9 OCAN Staff Assessment Score Need Score Help

10. 10 Scoring Need/Staff Assessment 2 = Unmet need (Serious problem) - With or without help 1 = Met need (No/moderate problem due to help given) - If the help was removed, the problem would be serious 0 = No need (No serious problem) - With or without help 9 = Not known Source: Manual for Camberwell Assessment Tool OCAN Staff Assessment

11. The intent of the needs assessment is to highlight the major issues that stand in the way of a person’s recovery. OCAN Staff Assessment Need rating reference Which of these ratings applies to the need in this domain? 0 Person is independent in this domain or is relatively independent with minimal help that would not lead to a serious problem if stopped. NO NEED NO SERIOUS PROBLEM 1 MET NEED No serious problem because of help given. Would be serious problem if help was stopped 2 UNMET NEED SERIOUS PROBLEM A major issue that stands in the way of person’s recovery, regardless of its cause or whether help is provided UNKNOWN 9 No or not enough information available 11

12. 12 Scoring informal and formal help based on frequency and effectiveness of help 0 = No help 1 = Low help 2 = Moderate help 3 = High help 9 = Not known OCAN Staff Assessment Scoring Help

13. 13 Scoring Help, Question 2, 3a/b OCAN Staff Assessment

14. 14 Comments: Comments will help others understand your scoring. Include all pertinent, “need to know” information. Ensure that the information is valid, thorough, objective, concrete and descriptive Comments should follow your own HSP’s guidelines for electronic documentation. Comments may be viewed by other service providers involved in supporting consumers. Comments may capture historical information and collateral information. OCAN Staff Assessment

15. 15 OCAN Staff Assessment Actions: Actions are only recorded in the Staff Assessment Actions can be identified by the consumer or staff on either assessment or during the conversation Information included: mutually agreed actions in each domain who is responsible for completing the action timelines for completing and reviewing agreed actions

16. 16 Hopes and Dreams: The staff summarizes or elaborates on the hopes and dreams that the consumer expresses in their self assessment or during the conversation OCAN Staff Assessment

17. Examples of Domain Scoring of NEED

18. Scoring Need Accommodation - Suzie is couch surfing. She desperately wants her own place Food - Will enjoys cooking nutritious meals Looking After the Home - Person’s hoarding and irregular housekeeping is causing daily arguments with housemates Self Care – Joe has weekly showers and laundry service at the local YMCA Daytime Activities - Consumer prefers to go out at night and spends their day watching soaps on TV Physical Health – Steve denies being HIV+ and refuses to take prescribed HIV medications. He presents with no problems Psychotic Symptoms – Hears voices but symptoms are moderately controlled by meds dispensed daily by visiting nurse Information on Condition and Treatment - New diagnosis of hypertension, person is attending the Heart and Stroke Foundation for weekly support meetings 2 0 2 1 0 9 1 1 18

19. Psychological Distress - Consumer having a difficult time coping since job loss 2 months ago Safety to Self - Person hospitalized 3 months ago for suicide attempt; receiving helpful counselling Safety to others - Person does not have a need in this domain Alcohol - Person drinks a litre of vodka and 2 beers a day but denies having problems with alcohol Drugs – Joe admits to smoking a “joint” or two per week to help with his MS Other Addictions – Attends monthly gamblers anonymous meetings to prevent relapse. Company - Person enjoys a busy life full of fun activities with friends and family Intimate Relationships - Person isolated from family and does not have close friends to confide in Sexual Expression - Person struggling with sexual identity Scoring Need 2 0 2 0 1 0 2 2 19 1

20. Scoring Need Child Care – Person does not have children under the age of 18 Other Dependents – Kim relies on neighbours to walk her dog every day Basic Education -Person speaks English but has difficulty with reading, writing and understanding English/French forms Telephone – Person has access to a phone at group home but would like own Blackberry Transport – Person is not comfortable using public transport Money – Is able to pay bills on time and has a savings account at local bank Benefits - Person’s citizenship status is in question; not eligible for ODSP 0 0 0 2 2 1 9 20

21. In each of the 24 domains, the staff is determining and recording the scores for need and help For every Met or Unmet Need, the help score must be completed For No Need, the help score is not completed, but help should be reflected in Comments Extra questions in the domain are always completed Action and Comments fields can be recorded, as needed Information gathered informs the ongoing work with the consumer and is reflected in reports OCAN Staff Assessment Key Points 21

22. Practice Module includes: Consumer Self-Assessment Assessment conversation script OCAN staff assessment with collateral information Practice: Completing Staff Assessment 22

23. Outputs

24. Outputs: Now What? Making OCAN information useful Information in the OCAN can assist in: – prioritizing actions –determining referrals –viewing changes in needs over time

25. At the end of the assessment, all actions documented will be automatically listed in a chart Priorities need to be entered manually PriorityDomainAction AccommodationSubmit application for supported housing Summary of Actions 25 1

26. At the end of the assessment, referrals and the current status of the referral can be documented in this chart An outcome of the Summary of Referrals is the identification of gaps in service Optimal Referral SpecifyActual Referral SpecifyReason for Difference Status of Referral Drop down listName of optimal referral Drop down listName of actual referral Drop down list Summary of Referrals 26

27. 1.Individual Need Rating Over Time 2.Needs Over Time 3.Summary of Actions and Comments 4.Staff Workload Individual Assessment Reports 27

28. Reassessment

29. What is reassessment? a structured, documented review using OCAN an opportunity for consumers and providers to regularly review status of needs, identify accomplishments and inform next steps consists of the core elements, consumers self assessment, the staff assessment and information from other sources e.g. providers and family members 29 Reassessment

30. Many reasons can cause an increase in consumer- identified unmet needs from assessment to reassessment including: consumer’s perceived decline in these areas consumer’s journey of recovery allows them to identify different or new unmet needs Reassessment 30

31. Reassessment A “Reassessment” OCAN is completed every 6 months by the OCAN Lead – This is referred to as the Reassessment Cycle It is also completed: –On the six-month reassessment cycle if consumer has re-entered the Community Mental Health system less than 3 months after a discharge –When an existing consumer has been in your HSP more than 3 months and has not completed a previous OCAN –When a consumer is receiving CMH services elsewhere for at least 3 months and you are starting OCAN for that person. 31

32. Available Resources & Supports 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 www.ccim.on.cawww.ccim.on.ca Project Support Centre 1-866-909-5600 cmhcap@ccim.on.ca cmhcap@ccim.on.ca OCAN Knowledge (OK) Café 32

33. Please don’t forget your evaluation!

34. Thank You!