1. OCAN Education Full OCAN

2. 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. 33 Full OCAN Training Agenda Welcome & Introductions Objectives Full OCAN Assessment Process Staff Assessment –Components of Staff Assessment –Scoring Need and Help Outputs – Reports Reassessment Aboriginal-specific Resources and Supports Evaluations (e.g. Feedback on Aboriginal Support Validation)

4. Icebreaker

5. 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. 66 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. 7 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)

8. 8 Activity: Putting OCAN Domains into Your Wellness Vision Break into groups Consider your nation’s perspective on wellness Review OCAN domains and their intent Discuss and map how OCAN domains may fit within your wellness vision

9. 9 Debrief Were you able to map OCAN domains to your wellness vision? What challenges did you have? How did you overcome those challenges? How can you develop this further within your health service provider?

10. 10 For example… OCAN and Medicine Wheel Teaching What are your hopes for the future? How do you view your mental health? Is culture (heritage) an important part of your life? What do you think you need in order to get there? Is spirituality an important part of your life? Safety to Self Safety to Others Alcohol Other Dependents Company Child Care Sexual Expression Intimate Relationships Drugs Accommodation Food Alcohol Drugs Looking After the Home Daytime Activities Physical Health Condition and Treatment Telephone Transportation Safety to Self Safety to Others Alcohol Drugs Self-Care Psychotic Symptoms Other Addictions Basic Education Money Benefits Psychological Distress

11. 11 Self-Care Psychotic Symptoms Psychological Distress Alcohol Drugs Other Addictions Basic Education Money Benefits 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? Accommodation Food Looking After the Home Daytime Activities Physical Health Condition and Treatment Telephone Transport Safety to Self Safety to Others Alcohol Drugs Company Intimate Relationships Sexual Expression Child Care Other Dependents For example… OCAN and Haudenosaunee Teaching

12. 12 Application of Full OCAN Elements: Purpose Supports Outputs 3 Elements : Successes Needs Variances Outputs: Summary of Actions ~ Summary of Referrals ~ Reports Consumer Classifying NEED: No NeedMet NeedUnmet Need Additional questions: Hopes, Dreams & Spirituality Self Assessment Staff NEED and HELP ratings: What help is received? Is this enough? Additional questions: Hopes, Dreams & Spirituality Informal Formal Assessment Assessment & collateral information, clinical judgment Conversation Introduction Engagement

13. 13 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

14. 14 OCAN Staff Assessment Score Need Score Help

15. 15 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

16. 16 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

17. 17 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

18. 18 Scoring Help, Question 2, 3a/b OCAN Staff Assessment

19. 19 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

20. 20 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

21. 21 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

22. Examples of Domain Scoring of NEED

23. 23 Scoring Need Accommodation - Person is housed off reserve but requires on-reserve housing for access to services Food - Person buys food and cooks meals independently Looking After the Home - Person’s hoarding and irregular housekeeping is causing daily arguments with family members Self Care – Joe has weekly showers and laundry service at the local YMCA Daytime Activities - Consumer prefers to play bingo and spends their day watching TV Physical Health – Steve denies being HIV+ and refuses to take prescribed HIV medications. He presents at the Aboriginal Health Access Centre with no problems Psychotic Symptoms – Mary has visions of ancestors that she is discussing with the Traditional Healer Information on Condition and Treatment - Person is diabetic and regularly meets with a dietician for education 2 0 2 1 0 9 9 1

24. 24 Psychological Distress – Person having a difficult time coping with residential school experience 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 is barred from visiting friends/family for theft to support alcohol addiction Drugs – Joe admits to smoking a “joint” or two per week to help with his MS Other Addictions – Person has voluntarily signed an agreement with the casino to deny them entry Company – Person is actively engaged in community events and ceremonies Intimate Relationships – Person is second generation residential school survivor and is unable to bond and communicate with family Sexual Expression - Person has trouble with sexual relationship(s) due to sexual abuse Scoring Need 2 0 2 0 1 0 2 2 1

25. 25 Scoring Need Child Care – Person distrusts the community support and struggles with being the sole provider of child care Other Dependents – Person is struggling with caring for multiple extended family members Basic Education – Person receives help to complete forms and read all correspondence Telephone – Person has access to a phone at the administration office Transport – Person uses administration-funded van weekly for shopping and medical appointments Money – Person is struggling with addictions issues and is unable to pay bills on time Benefits – Person is unsure about eligibility for ODSP because of cognitive issues 1 2 2 1 9 2 1

26. 26 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

27. 27 Practice Module includes: Consumer Self-Assessment Assessment conversation script OCAN Staff Assessment with collateral information Practice: Completing Staff Assessment 27

28. Outputs

29. 29 Outputs: Now What? Making OCAN information useful Information in the OCAN can assist in: – prioritizing actions –determining referrals –viewing changes in needs over time

30. 30 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 30 1

31. 31 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 31

32. 32 1.Individual Need Rating Over Time 2.Needs Over Time 3.Summary of Actions and Comments 4.Staff Workload Individual Assessment Reports 32

33. Reassessment

34. 34 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 34

35. 35 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 35 Reassessment

36. 36 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 when: –the consumer has re-entered the Community Mental Health system less than 3 months after a discharge –an existing consumer has been in your HSP more than 3 months and has not completed a previous OCAN –A consumer is receiving CMH services elsewhere and you are starting OCAN for that person. 36

37. 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 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 37

38. Evaluations

40. 40 Thank You!