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

2. 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. 4 Community Care Information Management (CCIM) CCACCSSCMH&ALTCHCHCSCCH Local Health Integration Networks (LHINs) Integrated Data Strategy Assessment Projects Business Systems Common Intake Assessment Tool Long Stay Assessment Software Management Information Systems Human Resources Information Systems Management Information Systems Human Resources Information Systems Management Information Systems Human Resources Information Systems Management Information Systems Human Resources Information Systems InterRAI Community Health Assessment Ontario Common Assessment of Need Resident Assessment Instrument MDS 2.0 Management Information Systems Completed and/or transitionedInitiation stageCurrently rolling out 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 Management Information Systems Integrated Assessment Record Screener for the CHA Infrastructure & Operations IT Implementation & Support Security, Privacy & Risk Management Transition

5. 5 CMH CAP Vision

6. 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-led decision-making at an individual level Identifies individual needs and helps match these to existing services and identifies service gaps Provides aggregate data to inform organizational, regional and provincial level planning and decision making that is consistent with a recovery approach Further facilitates inter-agency communication through common data standards

7. 77 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 2006 2008 Project Overview and Development 2010 2009 2011 2012

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

9. 9 Types of 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

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

11. 11 OCAN Domains

12. 12 Five Additional Questions

13. 13 Consumer Self-Assessment Rating need

14. 14 Staff Assessment

15. What is happening with OCAN today?

16. 16 LHIN Engagement MILESTONEESCSWWWHNHBCWMHTCCCESECHNSMNENW LHIN ENGAGEMENT INFORMATION SESSION EXECUTIVE LEAD FORUM N/A » KICK-OFF (%)83%94%89%95%100% 73%71%78%91%74%50%100%65% PRE GO-LIVE EDUCATION »» GO-LIVE (%) »» 9% » 33%39%41%6%82%42%50%46%17% IAR GO-LIVE (%) »»»»»»»» 21%50% » 17% DATA SUBMISSION (%) »»»»»»»» 21%50% » 17% POST GO-LIVE EDUCATION »»»»»»» 25% » IMPLEMENTATION COMPLETE (%) 5%8%4% Last updated: October 27, 2011 COMPLETE » IN PROGRESS OCAN/IAR

17. What is the OCAN Aboriginal Support Validation?

18. 18 Aboriginal Working Group Vision

19. 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. 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. 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. 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. 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. 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. 26 Validation Timeline

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

28. 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. 29 Who is participating in the validation? LHINHSP Name South WestSouthwest Ontario Aboriginal Health Access Centre Hamilton Niagara Haldimand Brant Six Nations of The Grand River De Dwa Da Dehs Nye>s Aboriginal Health Access Centre Toronto CentralAnishnawbe Health Toronto ChamplainWabano Centre for Aboriginal Health CMHA Champlain East North Simcoe Muskoka Enaahtig Healing Lodge and Learning Centre Muskoka-Parry Sound Community Mental Health Service North EastMamaweswen, The North Shore Tribal Council Noojmowin Teg Health Centre Weeneebayko Area Health Authority Shkagamik-kwe Health Centre North WestDilico Anishinabek Family Care Gizhewaadiziwin Health Access Centre Sioux Lookout Meno-Ya-Win Health Centre Kenora Chiefs Advisory

30. 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. 31 Your Validation Change Team Executive Lead “champions” OCAN provides direction makes decisions removes roadblocks Technical Lead implements automated solution manages vendor relationship validates functionality works collaboratively Coordinator/ Back-up becomes OCAN educator/expert trains OCAN users provides support facilitates information flow Clinical Lead attends OCAN education sessions provides on-site support addresses clinical issues ensures accurate use of OCAN Consumer Lead attends OCAN education sessions provides input on decisions represents the consumer community facilitates consumer engagement

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

33. 33

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