Haliburton and
City of Kawartha Lakes
Our CANS Experiences
What the morning looks like
10:00am Marg - brief introduction of CANS tool, what it is, what it can do, Working Together for Kids Mental Health implementation
10:10am CANS video
10:20am Janice Balfour – Learning Disabilities Association
10:30am Michelle Spry – Boys and Girls Clubs, 0-6/Adolescents
10:40am Elaine Fournier – Trillium Lakelands DSB, School application
10:50am Jennifer Kulz – Chimo, Youth Justice
11:00am Michelle Wolfe Miscio - Mental Health, MMA CANS and Intake, our experience
11:10am iPad app
11:20am Michelle Wolfe Miscio – evaluation
11:30am Marg - wrap up and questions
Housekeeping
Adult learning principles
Ask questions of clarification as we go
Ask questions about implications or
bigger questions at the end of each
speaker
What is the CANS/ANSA
A way of objectively looking at an individual’s needs and strengths
Child Adolescent Needs and Strengths (CANS)
Adult Needs and Strengths Assessment (ANSA)
Made up of items that are scored from 0-3
Items can be about mental health, child welfare, child development, youth justice, autism
There are also a number of other modules that can be accessed if there is a need indicated i.e. crisis, trauma
What is CANS/ANSA
Can be used as an identification tool – to indicate what should happen i.e. discussion with parents/youth, referral, more information should be gathered.
Information can be rolled up to the agency/organization level
Information can be rolled up to the system level
Not currently a way to do that like CAFAS scores available provincially – but it is in the works through CHEO and BORN
Hear from the experts
Made a video to capture the thoughts of folks using CANS in our community
Not scripted – just people talking about their experiences
May recognize a couple of the stars – who are part of the presentation today
It’s about 1.5 years old now – so some of us have aged
The Update
If we were to make a sequel or update the video we would include the following:
At Point in Time staff now own it and are driving the implementation – from wanting to talk about how to use it, how to integrate it, service plan
Other organizations are using it – some of which you will hear from today
0-6 in City of Kawartha Lakes – will actually be passing CANS between organizations as clients move from Infant/Child Development to Resource Teacher Programs
Update continued
Moving beyond the individual change to
use to measure how we are doing
organizationally
Trying to use it to stream line things –
everything from referrals, to paper work,
to balancing workload, and most
importantly of all to make things better
for end service users (clients/students)
Janice Balfour Learning Disabilities Association of
Peterborough
City of Kawartha Lakes Services
Technology for Learning Development
Is a one-to-one tutoring program utilizing
Assistive Technology for students JK to
Grade 8. Individualized to student’s needs
with a focus on literacy or numeracy,
Technology training , study skills and
learning strategies.
Stay in School Program
The Stay in School High School Program
(SIS) is a one-to-one program for
students struggling with academic,
personal, and/or social challenges.
Students receive support, and work
towards academic credit achievement,
with an emphasis on study skills,
organization, time management, and self-
advocacy skills.
Use of CANS with TFLD
student that has difficulty with anxiety
and/or school attendance.
Parent expresses concerns about the child’s
behaviour.
Parent can not recognize the child’s
strengths.
Use of CANS with SIS
Completed with almost all of the students.
Benefits of using CANS
Helps to identify the students strengths. This allows us to use the strengths to help develop strategies to deal with the Learning Disability.
Assists in the development of a program that will support the student in developing self advocacy skills.
Allows the parent to see the child’s strengths.
Provides information on additional support or referrals that the student would benefit from.
Michelle Spry Boys and Girls Clubs of Kawartha Lakes
The Boys and Girls Clubs of Kawartha
Lakes are in the beginning stages of using
the CANS within the support services
department.
The following are the programs using the
tool:
Community Outreach Program
Began using the tool with new intakes in October 2013. Each intake the worker completes the FAST (Family Advocacy & Support Tool) as well as the MCYS Working Together version for the youth at risk in the home. The CANS are used to identify needs and create a plan of service with the family. A second CANS set is completed at the time of discharge. The discharge CANS show where goals were achieved and provide recommendations for the needs still a concern.
Adventure Quest
The program is completing the Educational
Identification CANS with each child/youth
that enters the program. The workers are
completing the tool every 3 months with
the participants. The workers are
completing the tool with the family and
school staff.
Reach Youth Support
The worker is using the Educational
Identification CANS with 3 of the 6 Reach
groups. The CANS will be completed at
intake, March Break, and end of school year.
The worker is completing the tools with
the parents and school staff.
Infant Child Development
The program will be using the CANS –
POC (Preschool Ontario Comprehensive).
Youth Justice Committee
The worker is in the process of compiling
questions from MCYS Working Together
and Youth Mental Health Court Worker
CANS to create a CANS tool that suits the
program specifically. The CANS will be
completed upon diversion and used to
better create a plan/referrals to supports if
needed.
Elaine Fournier Trillium Lakelands District School Board
SCHOOL PERSPECTIVE
USE OF CANS IN A SCHOOL SETTING
Awareness Stage
Working for Children’s Mental Health – Haliburton 2010–2012
Learning about the screening tool
Beginning the dialogue amongst professionals and parents
Beginning to dig deeper with cross sectoral work
Creating a common language
Preliminary
Implementation Stage
Further CANS training
Collaborative Problem Solving training
Refining cross sectoral work
Digging deeper one student at a time
Refining common language
Next Steps
Further capacity building
Thinking about broader implementation
possibilities
Continuing to strengthen partnerships
Jennifer Kulz
Child/Youth and Adolescent Needs and Strengths
(CANS©)
ONTARIO MINISTRY OF CHILDREN AND YOUTH SERVICES
YMHCW VERSION
FOR YOUTH WITH YOUTH JUSTICE INVOLVEMENT
AN INFORMATION INTEGRATION TOOL
CANS© MANUAL
Copyright
Praed Foundation, 1999, 2011
Court Worker
Role of Youth Mental Health Court
Worker
YMHCW version of CANS
Customized to YMHCW role
Used at intake and discharge
Part of how stats are submitted to
ministry
Michelle Wolfe Miscio
Different CANS forms for different client
populations:
◦ Preschool 0-5
◦ School Age 6-17
◦ Crisis
◦ MMA (specialized program)
◦ Respite (in progress)
◦ Intake (shorter versions of Preschool and
School-age CANS)
Example from Preschool CANS CANS PRESCHOOL COMPREHENSIVE
(CANS-POC) Scoring Form
Example: School-Age CANS item
12. PSYCHOSIS
This rating is used to describe symptoms of psychiatric disorders with a known neurological base. The common symptoms of these disorders include psychosis, hallucinations, delusions, unusual thought processes, strange speech, and bizarre/idiosyncratic behaviour.
0 This rating indicates a child/youth with no evidence of thought disturbances. Both thought processes and content are within normal range.
1 This rating indicates a child/youth with evidence of mild disruption in thought processes or content. The child/youth may be somewhat tangential in speech or evidence somewhat illogical thinking (age inappropriate). This also includes a history of hallucinations but none currently.
2 This rating indicates a child/youth with evidence of moderate disturbance in thought processes or content. The child/youth may be somewhat delusional, have brief intermittent hallucinations or speech may be at times quite tangential or illogical.
3 This rating indicates a child/youth with a severe psychotic disorder. Child/youth is fully delusional, has ongoing hallucinations, high levels of paranoia. Unable to engage in meaningful conversation. Symptoms are dangerous to the child/youth or others.
CANS ON THE iPAD
Engages clients
Convenient
Integrated manual
Enter notes
View progress
Treatment planning
Evaluation (data entry)
HOW CAN WE USE CANS TO
EVALUATE OUR PROGRAMS?
CANS completed at Intake can let us
know what kinds of issues clients are
presenting with (individually, by program
and at our agency).
HOW CAN WE USE CANS TO
EVALUATE OUR PROGRAMS?
CANS completed at beginning and end of service and 6 month intervals can help us see if there has been change during our involvement with a client.
◦ Compare CANS scores from initial and discharge to see if there have been changes on specific items.
◦ Example: movement on “Anxiety” item from a 2 or 3 to a 0 or 1 would indicate success in addressing issue of anxiety. (“met need”)
HOW CAN WE USE CANS TO
EVALUATE OUR PROGRAMS?
Other ways include: averaging scores by
domain and comparing initial and
discharge scores by domain; RCI (reliable
change index); actionable needs.
There is a proposal to create a resource
guide to establish benchmarks across all
agencies using CANS.
Examples of how Point in Time has
used CANS for evaluation
High school walk-in clinic
School-age programs
Mindful Martial Arts program
Wrap up and questions