1. Use of OCAN Standardized Reports Webinar April, 2014

2. Objectives Participants will understand how to: Interpret OCAN standardized reports Review the assessment information specific to your organization Use the reports to inform service planning and quality improvement activities Identify potential data quality issues and discuss ways to address them 2

3. A We’re here Confusion Knowledge and Use Advanced Reports and Use Data Completeness Experience with Data and Reporting Early Stages: OCAN Data & Reports 3

4. Questions OCAN Reports can Help Answer What are the most prevalent areas of need for the client population we serve? What service activities should we focus on? Is the service we provide contributing to positive outcomes for consumers? Are we using a client-centred approach? Is the information going into OCAN accurate? How many clients are living in hostels and shelters? 4

5. 5

6. Research Finding Meeting consumer identified unmet needs improves outcomes in quality of life What does this mean for service delivery? Services should focus on consumer identified unmet needs. 6

7. 7

8. How one HSP used these reports IndicatorsUnmet needs report (2a & 2b) revealed that the #1 unmet need was company Further investigation through OCAN conversations confirmed this During daytime hours centre was open to meet the need but was closed evenings and weekends OCAN inspired a change Extended hours of centre so that their clients had somewhere to go in the evenings and weekends if they were lonely 5. Daytime Activities How do you spend your day? 15. Company Are you happy with your social life? 8

9. 16. Intimate Relationships Do you have a partner? How another HSP used these reports IndicatorUnmet needs report (2a & 2b) revealed a high score for the need for company and intimate relationships OCAN conversations confirmed that members had lost touch with family and friends and were ready to reunite with them OCAN inspired a change Members had already learned to be more skilled with technology by the use of the automated OCAN assessment Met need by encouraging and teaching members how to set up things like and other on-line social networks 15. Company Are you happy with your social life? Do you wish you had more contact with others? 9

10. Research Finding Increasing agreement between consumers and staff improves outcomes in satisfaction with services and therapeutic alliance What does this mean for service delivery? Engaging in transparent discussions between consumers and staff around needs contributes to a recovery approach 10

11. 11

12. Report #4A: Need Analysis – Unmet + Met Needs – Most Recent Consumer Self- Assessment by Functional Centre 12

13. Report #5A: Need Analysis by Age Range (Unmet Need) – Most Recent Consumer Self-Assessment 13

14. Research Finding Converting unmet need to met need or no need leads to better outcomes in quality of life for consumers. What does this mean for service delivery? Services can demonstrate that they are contributing to positive outcomes over time 14

15. 15

16. Materials on the Website The following OCAN 2.0 Standardized Reports Materials are available in English and French on the CCIM website under Education and Training www.ccim.on.ca 16

17. What’s Next Data Quality Part 2: OCAN Quality Toolkit

18. OCAN Quality Toolkit Toolkit intent: –To provide a practical, manageable and meaningful way for HSPs to improve the quality and use of OCAN information Toolkit measure of success: –HSPs “walk away” with a plan to implement at least one strategy around monitoring OCAN quality and using OCAN information on a day-to-day basis for service that benefit consumers served * Using the Quality Toolkit can contribute to an HSP’s overall Quality Improvement Plans 18

19. Questions or Feedback If you have any questions or comments, please contact: Project Support Centre Website: www.ccim.on.ca E-mail: cmhcap@ccim.on.ca Telephone: 1-866-909-5600 19

20. Accessing Reports Invitations were sent out to HSPs who implemented OCAN and IAR HSPs were asked to complete a Reports Recipient Form Transform Shared Services Organization (TSSO) produces and manages the online reporting portal The portal enables you to securely access reports specific to your HSP The reports are produced at the end of each month 20

21. Shared Assessment and Reports There are some local areas using a Shared Assessment Model with the goal of completing a single OCAN every six months for clients using more than one service. The functionality exists to allow an HSPs’ reports to include assessments completed by another HSP as long as their organization and functional centre numbers are included in those assessments. This allows HSPs to receive reports that include their full client population even if they did not complete all of the assessments. This means HSPs completing Core OCANs only may get reports with information from Full OCANs. 21

22. Privacy Notice OCAN Standardized reports are generated from OCAN assessments uploaded to the IAR. All reasonable efforts have been taken to remove direct identifiers from this report. However, the risk of re- identification cannot be reduced to zero. Therefore you are reminded that you may not use the information in this report by itself, or in combination with other information to which you have access, to re-identify any of the individuals whose information is contained in this report. Please ensure that re-identification will not be attempted by any authorized recipient before you share this report with them. 22

23. Bibliography: Research Findings Drukker, M., Dillen, K., Bak, M. et al (2008) The use of the Camberwell Assessment of Need in treatment: what unmet needs can be met? Social Psychiatry and Psychiatric Epidemiology, 43, 410-417) Fleury, M., Grenier, G., & Lesage, A. (2006). Agreement between staff and service users concerning the clientele's mental health needs: A Quebec study. Canadian Journal of Psychiatry, 51 (5), 281-286. ) Junghan, U. M., Leese, M., Priebe, S., & Slade, M. (2007) Staff and patient perspectives on unmet need and therapeutic alliance, British Journal of Psychiatry, 191, 543-547 Lasalvia, A., Bonetto, C., Malchiodi, F., Salvi, G., Parabiaghi, A., Tansella, M., et al. (2005). Listening to patients' needs to improve their subjective quality of life. Psychological Medicine, 35, 1-11.

24. Bibliography: Research Findings Lasalvia et al (2008) Does staff-patient agreement on needs for care predict a better mental health outcome?, Psychological Medicine, 38, 123-133 Leese, M., Johnson, S., Slade, M., Parkham, S., Kelly, F., Phelan, M., et al. (1998). User perspective on needs and satisfaction with mental health services. British Journal of Psychiatry, 409-415 Slade, M., Leese, M., Taylor, R., & Thornicroft, G. (1999). The association between needs and quality of life in an epidemiologially representative sample. Acta Psychiatrica Scandinavica, 100, 149-157.Transcript: Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005). Patient-rated mental health needs and quality of life improvement. British Journal of Psychiatry, 187, 256-261.