Tab3a_Core_Activities_Outline_for_Training
Contents
1. 2 OCAN Lead H Yes No OCAN Lead O Yes O No Staff Worker Name 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 Referral Source Self Referral Source Request for Service Date YYYY MM DD 2010 09 13 Request for Service Date YYYY MM DD Service Decision Date YYYY MM DD 2010 09 13 Service Decision Date YYYY MM DD Accepted Accepted Service Initiation Date YYYY MM DD 2010 09 13 Service Initiation Date YYYY MM DD Exit Date YYYY MM DD Exit Date YYYY MM DD Exit Disposition Exit Disposition Mental Health Functional Centre 3 Mental Health Functional Centre 4 OCAN Lead O Yes O No OCAN Lead O Yes O No CMH CAP Coordinator Training 14 CCIM Staff Worker Name Staff Worker Name Staff Worker Phone Number Ext Staff Worker Phone Number Ext Organization LHIN Organization LHIN Organization Name Organization Name Organization Number Organization Number P2. Activities for Core OCAN Training Session ONTARIO COMMON ASSESSMENT OF NEED OCAN NG Community Care CCIM ka N Management NG GETS Fo IM ON MA TUON 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
3. Any size of group is fine Debrief can be time consuming depending on the amount of information to be presented or the size of the 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 HSPor 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 fr
4. ce 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 standardized 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 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 opp
5. d and shared with others Consumer consent The agency will provide a consent form to consumers with the OCAN assessment The consent is the place for them to indicate their desire to use OCAN and how they want their information to be shared with others CMH CAP Coordinator Training 13 CCIM Start Date YYYY MM DD 2010 09 13 Consumer Information Summary 1 OCAN Lead Assessment OCAN completed by OCAN Lead HyYes O No 2 Reason for OCAN select one Initial OCAN O Review O Reassessment O Re key O Prior to Discharge O Other e g consumer request O Significant change 3 Consumer Information FISE Name Date of Birth YYYY MM DD 2010 09 13 JJ Estimate Middle Initial 0 Unknown Last Name Preferred Name Tiffaney Health Card Number 234 567 890 Address Version Code RL City i POEN Province Issuing Territory Ontario Postal Code Service Recipient Location county district municipality Ottawa Phone Number Ext Email Address LHIN Consumer Resides in Champlain 3b Gender select one O Male O Female O Other O Consumer declined to answer O Unknown 3c Marital Status select one O Single O Partner or significant other O Separated O Consumer declined to answer O Married or in common law relationship i Widowed O Divorced O Unknown 4 Mental Health Functional Centre Use for the last 6 months Mental Health Functional Centre 1 Mental Health Functional Centre
6. eclined to answer Unknown 26b If Yes since last OCAN 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 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 O None 2 5 CMH CAP Coordinator Training 17 CCIM O Consumer declined to answer 011 O gt 6 O Unknown 28 Community Treatment Order O Issued CTO E No CTO O Consumer declined to answer O 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 O Adjus
7. elationships O Educational Bi Problems with substance abuse O Financial Bi Sexual abuse H Housing O Specific symptom of serious mental illness ea O Threat to oth O Occupational employment vocational E Lina He Q i O Physical abuse real 19 98 O Other 34 Comments Tiffaney was not comfortable talking about many issues We will need to clarify her Aboriginal status and what band Tiffaney said she was from Northern Ontario Referral to crisis beds Provided her with business card for addictions service and referral to local Indian Friendship Centre Completion Date YYYY MM DD 2010 09 13 CMH CAP Coordinator Training 18 CCIM
8. it housing O Private non profit housing O Private house Apt SR owned market rent O Private house Apt other subsidized O Retirement home senior s residence O Rooming boarding house O Supportive housing congregate living O Supportive housing assisted living O Other O Consumer declined to answer O Unknown O Independent O Assisted supported 22 Do you receive any support select one O Consumer declined to answer O Supervised non facility E Unknown nknow O Supervised facility 23 Do you live with anyone select one O Self O Spouse partner O Spouse partner and others O Children O Non relatives O Parents O Consumer declined to answer O Relatives Bi Unknown O Independent competitive 24 What is your current employment status select one O Non paid work experience O Consumer declined to answer O Trade school O Assisted supportive O No employment other activity O Unknown O Alternative businesses i Casual sporadic O Sheltered workshop O No employment of any kind 25 Are you currently in school select one BB Not in school O Vocational training centre O Other O Elementary junior high school O Adult education O Consumer declined to answer O Secondary high school O Unknown O Community college O University 26 Psychiatric History O Yes O No 26a Have you been hospitalized due to your mental health during the past two years select one Hi Consumer d
9. loss theft or compromise Under no circumstances including but not limited to negligence shall MOHLTC be liable for any direct indirect special punitive incidental or consequential a cc Table of Contents Activities for Core OCAN Training Session 222 nananana anan anananananananaaaana 4 a Comm n ity INO UG ON amak A AAKALA Aa 4 Community INORG GULANG CL PN 5 D Gefling To Know You BINGO Lasam a AA KAN A AAAAN inaaianei aaaea daina eaaa 6 Getting to Know You BINGO kaawa aanak NANGANAK ANA 7 c o eL AA SHH npn oN nave nani aaan a ararat 8 Activity 1 Mental Health Functional Centre Use s sssssssssrnsssunnnsnnunnonunnnonnunonnnnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnannnnnann 9 Scenario 1 Counselling and Treatment Program a nananana annawawaannawanaannawawsanawansannawansannasansansasaasansananaan 10 Activity 2 Housing definition ch Naan AA ANAN AGA 11 Activity 3 Develop an understanding of consumer s situation using Core OCAN JJ nananana asana na anawanaanan 12 Cofre OGAN paa cuz chad cite Cia ech cae elena AG 13 PAA cciM Activities for Core OCAN 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 c Community Introductions 20 minutes any size Yes Activities Title Duration Group Size Optional 1 Mental Health F
10. munity Introductions Worksheet Colleague Name Information PA cc 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 re
11. ndicated she has no concerns about her own capacity to manage her own affairs She has no money and no property Tiffaney does share that she has had problems with depression and 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 and any other help that she would be able to get from the service CMH CAP Coordinator Training 12 CCIM Core OCAN 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 Important points to communicate to the consumer Use of consumer responses The answers consumers provide to questions in OCAN will be used to help them get the support they need This information may only be used and shared with other agencies if they agree A consumer may refuse to share any information they wish and may change their mind at a later time Choosing not to complete OCAN will not prevent consumers from receiving services gt Information collected using the self assessment represents their view of where they are today gt Sharing that information can be an essential part of getting the services they need gt They decide how and when their information is use
12. nt program at an Aboriginal Health Access Centre AHAC where your main role is determining who is suitable for the program You have just received a referral from a nurse practitioner from within the AHAC referring Natasha J to your program on February 11 2009 You call and schedule an assessment appointment on March 1 2009 where Natasha will meet with the primary worker and the psychiatrist Following the assessment session you review collateral information and present the information to the team The team decides to accept Natasha into the ACT program on March 7 2009 Mental Health Functional Centre 1 OCAN Lead Yes No Staff Worker Name Staff Worker Phone Number Ext Organization Name New City AHAC Organization Number 000 Program Name New City Counselling and Treatment Program Number 1111 Functional Centre Name Clinic Program Counselling and Treatment Functional Centre Number 7 5 10 76 12 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 Referen
13. om a fictional scenario Duration 30 minutes Group size This activity can be conducted with small break out groups of 2 to 4 or as a bigger group working together Materials Copy of scenario for each learner and partially completed Mental Health Functional How to facilitate Centre Use form see next page 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 Counselling and Treatment Program You are a program coordinator for a counselling and treatment program at an Aboriginal Health Access Centre AHAC where your main role is determining who may qualify for the program You have just received a referral from a nurse practitioner from within the AHAC referring Natasha J to your program on February 11th 2009 You call and schedule an assessment appointment on March 1 2009 where Natasha will meet with the primary worker and the psychiatrist Following the assessment session you review collateral information and present the information to the team The team decides to accept Natasha into the ACT program on March 7 2009 CMH CAP Coordinator Training 9 Scenario 1 Counselling and Treatment Program You are a program coordinator for a counseling and treatme
14. ortunity 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 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 aboriginal woman a widow She presents to the sandy Hill Community Mental Health Center asking for assistance in getting off the streets She is form Northern Ontario having come to Ottawa about a year ago She has an elderly grandmother in Ottawa to whom she is attached but who is living in a retirement home and cannot assist her She has not found 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 i
15. own Name Address Phone Number City CMH CAP Coordinator Training 15 CCIM Ext Email Address Province Postal Code Last seen 9 Consumer Capacity select all that apply 9a Power of Attorney for Personal Care Power of Attorney or SDM Name Address Phone Number Ext O Yes B No O Consumer declined to answer Unknown 9b Power of Attorney for Property Power of Attorney Address Phone Number Ext O Yes No O Consumer declined to answer O Unknown 9c Guardian Name Address Phone Number Ext 9d Areas of concern Finance property Treatment decisions Finance property Treatment decisions O Yes E No O Consumer declined to answer O Unknown O Yes No O Yes No O Yes No O Unknown O Yes No O Unknown O Unknown O Unknown 10 Age in years for onset of mental illness 10 11 Age of first psychiatric hospitalization YYYY MM 2010 09 10 Mixed ethnic group 13 What culture do you consumer identify with O Unknown O N A O Unknown O N A W Unknown ONA H Estimate O Consumer declined to answer CD Estimate Consumer declined to answer O Estimate H Consumer declined to answer 12 Date when consumer first entered your organization 14 Aboriginal Origin select one Aboriginal O Non aboriginal O Consumer declined to answer O Unknown 15 Citizenship Status select one Bi Canadian citizen O Permanent resident O Temporar
16. rogram 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 O Yes O No Bi None available O Consumer declined to answer CJ Unknown Name Address Phone Number City Ext Province Email Address Postal Code Last seen 6 Psychiatrist Information O Yes O No O None available Bf Consumer declined to answer 3D Unknown Name Address Phone Number City Ext Province Email Address Postal Code Last seen 7 Other Contact H Yes O No O Consumer declined to answer Unknown Contact Type Family Name Genevieve Kentillia Address Thorwood Place Retirement Phone Number 613 555 1111 City Ottawa ak PESOS Province Ontario Naa vee Postal Code Last seen 2009 12 25 Other Contact O Yes E No O Consumer declined to answer O Unknown Contact Type Name Address Phone Number City Ext Province Email Address Postal Code Last seen 8 Other Agency O Yes EB No O Consumer declined to answer O Unkn
17. sults are correct Consider offering a token prize for the winner Debrief What were some of the challenges of this exercise 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 c 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
18. tment disorders Bi Mood disorder O Anxiety disorder O Personality disorders O Delirium dementia and amnestic and cognitive disorders O Schizophrenia and other psychotic disorders O Developmental handicap O Sexual and gender identity disorders O Disorder of childhood adolescence E Sleep disorders O Dissociative disorders O Somatoform disorders O Eating disorders Bi Substance related disorders O Factitious disorders O Intellectual disability or impairment O Impulse control disorders not elsewhere classified O Consumer declined to answer O Mental disorders due to general medical conditions O Unknown 30 Other Illness Information select all that apply O Concurrent disorder substance abuse i Other chronic illnesses O Dual diagnosis developmental disability O Other physical disabilities 31 What is your highest level of education select one O No formal schooling Bi Some secondary high school O College university O Some elementary junior high school O Secondary high school O Consumer declined to answer O Elementary junior high school O Some college university O Unknown 32 What is your primary source of income select one O Employment i Social assistance O Other O Employment insurance O Disability assistance O Consumer declined to answer O Pension O Family O Unknown O ODSP O No source of income 33 Presenting Issues O Activities of daily living O Problems with addictions O Attempted suicide O Problems with r
19. unctional 30 minutes Small groups of 2 4 orone No Centre Use large group working together 2 Housing Definition 10 15 minutes Small 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 do 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 CMH CAP Coordinator Training What were some of the challenges of this exercise What were some of the benefits of this exercise Com
20. y resident O Refugee O Consumer declined to answer O Unknown 16 Length of time lived in Canada number of years months 32 years 17 Service recipient preferred language English 18 Language of service provision English 19 Do you currently have any legal issues select one O On probation 21 Where do you live select one O Civil O Criminal O None Consumer declined to answer O Unknown 20 Current Legal Status select all that apply Pre Charge Outcomes O Pre charge diversion O Charges withdrawn O Court diversion program O Stay of proceedings Pre Trial O Awaiting sentence on ae O NCR O Awaiting fitness assessment O Conditional discharge O Awaiting trial with or without bail O Conditional sentence O Awaiting criminal responsibility assessment ncr O Restraining order O In community on own recognizance O Peace bond O Unfit to stand trial O Suspended sentence Other Custody Status O No legal problem includes absolute discharge and time served O ORB detained community access end of custody O ORB conditional discharge E Consumer declined to answer O On parole O Unknown CMH CAP Coordinator Training 16 CCIM O Approved homes amp homes for special care O Correctional probation facility O Domicillary hostel O General hospital O Psychiatric hospital O Other specialty hospital BB No fixed address O Hostel shelter O Long term care facility nursing home O Municipal non prof
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Tab3a_Core_Activities_Outline_for_Training