Activities Outline for Core OCAN
Contents
1. What were some of the benefits of this exercise CMH CAP Coordinator Training 6 Getting to Know You Bingo had cereal for breakfast this morning can speak more than 2 languages is afraid of spiders does not like candy would like to travel to France traveled out of the country this past summer likes to play board games has a birthday in December can tap dance owns a pet bird CMH CAP Coordinator Training likes to watch television has an older sister would like to win one million dollars has been married for more than 2 years does not like shopping enjoys math is a really good cook likes to play soccer can play the piano can juggle rides a bike for exercise likes the rain can drive a motorcycle has read all of the Harry Potter books is wearing something purple CCIM Introduce Your Partner Intent Introduce your partner is an ideal activity for a group with even or odd numbers of participants The intent is to get to know some key information about one or two people in close proximity to you This icebreaker works best when the participants don t know each other or they come from different HSPs Duration Depending on the group size and debrief this activity can take 20 minutes or longer Group size Any size of group is fine Debrief can be time consuming depending on the amount of information to be presented or the size of the2. Paper to record notes How to facilitate Explain the instructions for the activity to the group Have the large group break out into smaller groups of 2 4 Set time limit Move about room to provide assistance if needed Read the instructions out loud to the entire group Instructions Review the completed Core OCAN provided in a small group Discuss the information and what the client profile might be Report back to the large group your understanding of the consumer s situation Answer key The scenario points us to the following assumptions Tiffaney is a young woman of mixed racial background She does not feel comfortable in giving a great deal of information We estimate her age to be in the early thirties She presents to the sandy Hill Community Mental Health Center asking for assistance in getting off the streets She is from Northern Canada Yukon having come to Ottawa about a year ago She has an elderly grandmother in Ottawa She does not have a family doctor and does not share any information about a psychiatrist She does not mention having connection with any other services in Ottawa at this time She does not have a Power of Attorney and indicated she has no concerns about her own capacity to manage her own affairs Tiffaney does share that she has had problems with drugs for about 10 years she does not want to tell any details of this and came to this HSP asking specifically to get help with finding a place to live an
3. a bigger group working together Materials Copy of scenario for each learner and partially completed Mental Health Functional Centre Use form see next page How to facilitate Explain the instructions for the activity to the group Set the time for completion Read the scenario out loud to the entire group Walk around the groups if you ve broken out into smaller work groups provide assistance where necessary Provide correct answers and debrief with the larger group Scenario 1 Hospital ACT Team You are a program coordinator for an ACT team at a local hospital where your main role is determining who may qualify for the program You have just received a referral from a family physician at The University of Degrassi s Student Health Services referring Natasha J to your program on February 11 2009 You are swamped with work today and put the referral in the To Do pile for the next day After carefully reviewing Natasha s referral you accept her into your program and set up her first appointment for March 3 2009 at 0900hrs CMH CAP Coordinator Training 9 Scenario 1 Hospital Team You are a program coordinator for an ACT team at a local hospital where your main role is determining who is suitable for the program You have just received a referral from a family physician at The University of Degrassi s Student Health Services referring Natasha J to your program on February 11 2009 You are swam
4. Activities for Core OCAN Training Session ONTARIO COMMON ASSESSMENT OF NEED OCAN These educational materials and the information contained herein are protected by the Copyright Act and are owned by the Ministry of Health and Long Term Care MOHLTC CCIM has obtained consent to use copy and distribute these materials These educational materials are proprietary to MOHLTC and may only be copied or distributed without MOHLTC s permission solely for educational and implementation purposes provided that i this notice is reproduced on all copies ii these materials are not modified in any way or republished iii these materials and not provided nor distributed alone or in conjunction with any other materials iv these materials are not used in a commercial manner and or distributed for money or other consideration and v these materials are not posted or transmitted on any website Reproduction of multiple copies of these educational materials in whole or in part for the purposes of commercial distribution is prohibited These educational materials are designed solely for use with the education and implementation support program provided by CMHCAP These materials alone are not sufficient for a successful and complete OCAN implementation The recipient of these materials by its their retention and use agrees to protect these educational materials from any loss theft or compromise Under no c
5. IM Elementary junior high school Some college university Unknown 32 What is your primary source of income select one Employment Social assistance O Other Employment insurance Disability assistance Consumer declined to answer Pension Family O Unknown ODSP L1 No source of income 33 Presenting Issues Activities of daily living Problems with addictions Attempted suicide Problems with relationships O Educational Problems with substance abuse Financial Sexual abuse ll Housing Specific symptom of serious mental illness Legal Threat to others O Occupationallemployment vocational Threat to self Physical abuse Other 34 Comments Tiffaney was not comfortable talking about many issues We will help her to find housing supply her with clothing from the clothing room and we have invited her to attend the lunch program Completion Date Y Y Y Y MM DD 2010 09 13 CMH CAP Coordinator Training 20 CCIM
6. M b Getting to Know You Bingo Intent Get to know you Bingo is a game designed to introduce you to other workshop participants in a fun way It works well even when you may already know the participants because you ll get to learn something new about your colleagues Duration Allow the participants 10 15 minutes to get the information or until someone yells Bingo Debrief if used can take 5 minutes Group size The best group size for Get to know you Bingo is 15 30 participants Materials Bingo sheets see next page Pens markers or pencils Room to move around amp mingle How to play Each participant receives a bingo sheet At the start of the game participants get up and walk around the room introducing themselves to others and finding out whether people fit into the categories on the bingo form Winning the game is at the discretion of the facilitator For smaller groups winning can be just one completed line horizontal vertical or diagonal Or you can allow participants to record a person s name more than once For larger groups filling the whole sheet will allow participants to meet more in the group Consider not allowing participants to record a name more than once The winner yells Bingo and will read back their winning results The group will verify if the results are correct Consider offering a token prize for the winner Debrief What were some of the challenges of this exercise
7. chool 25 Are you currently in school select one O Vocational training centre Other L1 Adult education L1 Community college Consumer declined to answer O Unknown 26 Psychiatric History Yes No 26a Have you been hospitalized due to your mental health during the past two years select one ll Consumer declined to answer 1 Unknown 26b If Yes Total number of admissions for mental health reasons If Initial OCAN list hospital admissions for the past 2 years OR if Reassessment list hospital admissions since last OCAN CMH CAP Coordinator Training 18 CCIM Total number of hospitalization days for mental health reasons If Initial OCAN list total number of days spent in hospital for the past 2 years OR If Reassessment list total number of days spent in hospital since last OCAN 26b If Yes Total number of admissions for mental health reasons If Initial OCAN list hospital admissions for the past 2 years OR if Reassessment list hospital admissions since last OCAN Total number of hospitalization days for mental health reasons If Initial OCAN list total number of days spent in hospital for the past 2 years OR If Reassessment list total number of days spent in hospital since last OCAN 27 How many times did you visit an Emergency Department in the last 6 months for mental health reasons None Consumer declined to answer L1 1 gt 6 L1 Unknow
8. culture do you consumer identify with Mixed ethnic group 14 Aboriginal Origin select one Aboriginal L1 Non aboriginal L1 Consumer declined to answer L1 Unknown 15 Citizenship Status select one Canadian citizen Temporary resident Consumer declined to answer 0 Permanent resident Refugee O Unknown 16 Length of time lived in Canada number of years months 29 years 17 Service recipient preferred language English 18 Language of service provision English 19 Do you currently have any legal issues select one L1 Civil L1 Criminal None ll Consumer declined to answer Unknown 20 Current Legal Status select all that apply Pre Charge Pre charge diversion Court diversion program Pre Trial L1 Awaiting fitness assessment L1 Awaiting trial with or without bail L1 Awaiting criminal responsibility assessment ncr In community on own recognizance Unfit to stand trial Custody Status ORB detained community access ORB conditional discharge Outcomes L1 Charges withdrawn Stay of proceedings Awaiting sentence NCR L1 Conditional discharge Conditional sentence Restraining order Peace bond Suspended sentence Other L1 No legal problem includes absolute discharge and time served end of custody CMH CAP Coordinator Training 17 CCIM On parole On probation ll Consumer decline
9. d any other help that she would be able to get from the service She has family in the Yukon and her mother s family is aboriginal CMH CAP Coordinator Training 12 CCIM Using CORE OCAN This agency is using the Core OCAN which comprises only the Consumer Information Summary and Service Use and not the Consumer Self Assessment or Staff Assessment parts of OCAN The Core OCAN captures the information that this agency reports as a community mental health service provider CMH CAP Coordinator Training 13 Start Date YYYY MM DD 2010 09 13 Consumer Information Summary 1 OCAN Lead Assessment OCAN completed by OCAN Lead 5 Ono Review Reassessment Re key Prior to Discharge Other e g consumer request L1 Significant change First Name Date of Birth YYYY MM DD 1981 06 19 L Estimate Middle Initial E Unknown Health Card Number 234 567 890 Version Code RL Issuing Territory Yukon Last Name Preferred Name Tiffaney Address City Province Postal Code Phone Number Ext Email Address 3b Gender select one O Mae Female Other Consumer declined to answer Unknown Service Recipient Location county district municipality Ottawa LHIN Consumer Resides in Champlain 3c Marital Status select one O Single Partner or significant other Separated Consumer declined to ans
10. d to answer Unknown 21 Where do you live select one L1 Approved homes amp homes for special care Correctional probation facility Domicillary hostel L1 General hospital Psychiatric hospital Private non profit housing Private house Apt SR owned market rent Private house Apt other subsidized Retirement home senior s residence Rooming boarding house Assisted supported Supervised facility Other specialty hospital L1 Supportive housing congregate living No fixed address Supportive housing assisted living Hostel shelter Other Long term care facility nursing home Consumer declined to answer Municipal non profit housing L1 Unknown 22 Do you receive any support select one L1 Independent L1 Supervised non facility L1 Consumer declined to answer Unknown 23 Do you live with anyone select one Self Spouse partner Spouse partner and others Non relatives O Consumer declined to answer Unknown L1 Independent competitive Assisted supportive L1 Alternative businesses Sheltered workshop 24 What is your current employment status select one L1 Non paid work experience Casual sporadic Consumer declined to answer O No employment other activity Unknown L1 No employment of any kind Not in school Elementary junior high school Secondary high school L1 Trade s
11. ddress Thorwood Place Retirement City Ottawa Province Ontario Postal Code Last seen 2009 12 25 Other Contact Yes l No Consumer declined to answer 0 Unknown Contact Type Name Address Phone Number City Ext Province Email Address Postal Code Last seen 8 Other Agency CMH CAP Coordinator Training 16 CCIM Yes No Consumer declined to answer L Unknown Name Address Phone Number City Ext Province Email Address Postal Code Last seen 9 Consumer Capacity select all that apply 9a Power of Attorney for Personal Care Yes Consumer declined to answer L Unknown Power of Attorney or SDM Name Address Phone Number Ext 9b Power of Attorney for Property Yes Consumer declined to answer 0 Unknown Power of Attorney Address Phone Number Ext 9c Guardian O Yes Consumer declined to answer L Unknown Name Address Phone Number Ext 94 Areas of concern Finance property O Yes Unknown Treatment decisions Yes Unknown 10 Age years for onset of mental illness 10 Estimate Consumer declined to answer Unknown N A 11 Age of first psychiatric hospitalization Estimate Consumer declined to answer Unknown O N A 12 Date when consumer first entered your organization O Estimate Consumer declined to answer Unknown O N A 2010 09 10 13 What
12. group If it is a particularly large group choose one interesting fact to introduce your partner Materials Flipchart markers optional How to facilitate Ask the participants to break into pairs If there is an odd number in your group there may be one group of 3 participants Depending on the information that s important to gather consider having participants answer the following questions from their partner person s name or department program name length of time with the HSP most memorable moment at work most memorable moment not at work something unique about the person background experience with training others To assist with memory you may write these questions on a flipchart or whiteboard The facilitator will ask the partners to introduce each other Debrief What were some of the considerations in sharing the information about your partner with the larger group What were some of the challenges of this exercise What were some of the benefits of this exercise CMH CAP Coordinator Training 8 Activity 1 Mental Health Functional Centre Use Intent To give learners the opportunity to practice completing Part 5 of the Core OCAN Mental Health Functional Centre Use for the last 6 months with information collected from a fictional scenario Duration 30 minutes Group size This activity can be conducted with small break out groups of 2 to 4 or as
13. ircumstances including but not limited to negligence shall MOHLTC be liable for any direct indirect special punitive incidental or consequential Table of Contents Activities for Core Training Session 4 a Comm nity 4 Community Introductions MM 5 b Getting to Know You BIDQO 6 Getting t Know You BINJ ct t 7 Introduce Your aaaeaii anai A 8 Activity 1 Mental Health Functional Centre Use irren tnmen htnc ttn nante uten nates 9 Scenaro 1 Hospital ACT TeaM mc 10 Pew EZ ne MP a iadan 11 Activity 3 Develop an understanding of consumer s situation using Core 12 CORE c 13 CCIM Activities for Core Training Session Icebreakers Title Duration Group Size Optional a Community Introductions 30 minutes 12 or less participants Yes b Getting to know you 20 minutes 15 30 participants Yes Bingo Community Introductions 20 minutes any size Yes Activities Title Duration Group Size Optional 1 Mental Health Functional 30 minutes Small groups of 2 4 orone No Centre Use large group working together 2 Housing Definition 10 15 minutes Sma
14. ll groups of 2 4 or one No large group working together 3 Develop an 60 minutes Small groups of 2 4 No understanding of a including consumer s situation debrief using Core OCAN a Community Introductions Intent Community introductions are intended to involve the entire group of participants in the introduction of their classroom colleagues People will learn many things about their group members depending on the type of question they ask This is a great activity to debrief around questioning styles Duration 30 minutes Group size Due to the rather long debrief for this activity it s recommended for group sizes up to 12 participants Materials Community Introductions Worksheet see next page Participants will need paper pens to record answers Name tags will help for participants who not know each other How to facilitate Participants will ask questions of each of their colleagues and there are three rules 1 participants cannot answer a question they ve already answered 2 participants cannot give more information than is asked in the question 3 questions must be open ended not yes no questions Debrief What were some of the challenges of this exercise What were some of the benefits of this exercise CMH CAP Coordinator Training Community Introductions Worksheet Colleague Name Information CCI
15. n 28 Community Treatment Order L1 Issued Consumer declined to answer 0 Unknown 29 Diagnostic Categories select all that apply This information is collected from a variety of sources including self report and should not be used for diagnosis without being confirmed by a qualified diagnosing practitioner Adjustment disorders ll Mood disorder Anxiety disorder Personality disorders Delirium dementia and amnestic and cognitive disorders L1 Schizophrenia and other psychotic disorders L1 Developmental handicap L1 Sexual and gender identity disorders L1 Disorder of childhood adolescence Sleep disorders Dissociative disorders Somatoform disorders Eating disorders Substance related disorders Factitious disorders Intellectual disability or impairment Impulse control disorders not elsewhere classified L1 Consumer declined to answer Mental disorders due to general medical conditions L1 Unknown 30 Other Illness Information select all that apply Concurrent disorder substance abuse ll Other chronic illnesses Dual diagnosis developmental disability Other physical disabilities 31 What is your highest level of education select one No formal schooling lll Some secondary high school L1 College university Some elementary junior high school Secondary high school Consumer declined to answer CMH CAP Coordinator Training 19 CC
16. ped with work today and put the referral in the To Do pile for the next day After carefully reviewing Natasha s referral you accept her into your program and set up her first appointment for March 3 2009 at 0900hrs Mental Health Functional Centre 1 OCAN Lead No Staff Worker Name Staff Worker Phone Number Ext Organization LHIN 6 Organization Name New City Hospital Organization Number 000 Program Name New City ACT Team Program Number 1111 Functional Centre Name Clinic Program MH Assertive Community Treatment Teams Functional Centre Number 715 10 76 20 Service Delivery LHIN 6 Notes CMH CAP Coordinator Training 10 Activity 2 Housing definition Intent To give learners the opportunity to practice referencing the user manual for definitions to complete item 23 of the Core OCAN Duration 10 15 minutes Group size This activity can be conducted with small break out groups of 2 to 4 or one large group working together Materials User manual for each learner Copy of scenarios to complete for each learner Copy of User Reference Guide How to facilitate Explain the instructions for the activity to the group Have the large group break out into smaller groups of 2 4 Read the scenario out loud to the group Direct learners to the user manual to complete the activity while referencing the User Reference Guide Stress why its important to be familiar with s
17. taff Worker Name Staff Worker Phone Number Ext Staff Worker Phone Number Ext Organization LHIN Organization LHIN Organization Name Organization Name Organization Number Organization Number Program Name Program Name Program Number Program Number Functional Centre Name Functional Centre Name Functional Centre Number Functional Centre Number Service Delivery LHIN Service Delivery LHIN Referral Source Referral Source Request for Service Date YYYY MM DD Request for Service Date YYYY MM DD Service Decision Date YYYY MM DD Service Decision Date YYYY MM DD Accepted Accepted Service Initiation Date YYYY MM DD Service Initiation Date YYYY MM DD Exit Date YYYY MM DD Exit Date YYYY MM DD Exit Disposition Exit Disposition 5 Family Doctor Information Yes None available Consumer declined to answer L Unknown Name Address Phone Number City Ext Province Email Address Postal Code Last seen 6 Psychiatrist Information Yes No None available lll Consumer declined to answer Unknown Name Address CMH CAP Coordinator Training 15 CCIM Contact Type Significant Other Phone Number City Ext Province Email Address Postal Code Last seen 7 Other Contact B Yes No Consumer declined to answer L Unknown Name Genevieve Kentillia grandmother Phone Number 613 555 1111 Ext Email Address A
18. tandardized definitions in the User Reference Guide Instructions Refer to the User Reference Guide to identify the housing type in each of the following scenarios Scenario 1 Joe is new to your HSP and you learn about various parts of his life Among the details you hear Joe tells you that he lives with his parents in their home and does not pay rent What is the Housing Type in this situation Answer Key Accommodation Private House Apt Other Subsidized Scenario 2 Susan has been in your HSP for several years You are now completing a Core OCAN in your HSP Susan Lives in Valley View Adult Care facility which is funded by the municipality and privately owned and operated What is the Housing Type in this situation Answer Key Domiciliary Hostel Municipal funded privately owned and operated accommodation providing room and board Note while this may not be common this provides the participants an opportunity to look up definitions CMH CAP Coordinator Training 11 Activity 3 Develop an understanding of consumer s situation using Core OCAN Intent To give learners the opportunity to interpret Core OCANs they might receive and to gain a better understanding of the importance of completing Core OCAN accurately Duration 60 minutes including debrief Group size This activity can be conducted with small break out groups of 2 to 4 debrief in a larger group Materials Copy of complete Core OCAN
19. wer Married or in common law relationship Widowed Divorced O Unknown 4 Mental Health Functional Centre Use for the last 6 months Mental Health Functional Centre 1 Mental Health Functional Centre 2 OCAN Lead B Yes OCAN Lead Yes Staff Worker Susan Smith Staff Worker Name Staff Worker Phone Number 613 777 1111 Ext 1237 Staff Worker Phone Number Ext Organization LHIN Champlain Organization LHIN Organization Name Sandy Hill Community Health Centre Organization Name Organization Number 00000 Organization Number Program Name Peer Support Program Name Program Number 01234 Program Number Functional Centre Name Functional Centre Name Functional Centre Number Functional Centre Number Service Delivery LHIN Champlain Service Delivery LHIN CMH CAP Coordinator Training 14 CCIM Referral Source Self Request for Service Date YYYY MM DD 2010 09 13 Service Decision Date YYYY MM DD 2010 09 13 Accepted Service Initiation Date YYYY MM DD 2010 09 13 Exit Date YYYY MM DD Exit Disposition Referral Source Request for Service Date YYYY MM DD Service Decision Date YYYY MM DD Accepted Service Initiation Date YYYY MM DD Exit Date YYYY MM DD Exit Disposition Mental Health Functional Centre 3 Mental Health Functional Centre 4 OCAN Lead Yes OCAN Lead Yes Staff Worker Name S
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