OCAN Education

Core + Self OCAN

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Objectives

Upon completion of this OCAN training session, you will:

• Know the components of Core + Self OCAN• Know the benefits of the self-assessment • Know how to introduce the self-assessment to

an Aboriginal consumer• Know how to engage an Aboriginal consumer

in conversation prompted by his\her responses in the self-assessment

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OCAN Training Agenda

• Welcome & Introductions• Objectives• Agenda• Icebreaker • Orientation to materials• Review Core OCAN• Core+Self OCAN

– Introduce to consumer– Self-Assessment– Conversation– Next steps

• Wrap-up

Icebreaker

Review of Core OCAN Training

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OCAN 2.0There 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

Consumer Self- Assessment

Staff Assessment

Consumer Information Summary

Mental Health Functional Centre Use

Consumer Self- Assessment

Staff Assessment

Consumer Information Summary

Mental Health Functional Centre Use

Consumer Self- Assessment

Staff Assessment

Consumer Information Summary

Mental Health Functional Centre Use

• 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

OCAN-BR-1.1OCAN-BR-1.1

OCAN-BR-1.2OCAN-BR-1.2

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Core OCAN Elements - Overview

Consumer Demographic Information Mental Health Functional Centre Use Contacts Consumer Capacity Culture, Aboriginal Origin and Citizenship Current Legal Status Accommodation Employment Status Education Level Psychiatric History Income Presenting Issues

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Who is the OCAN Lead?

POP QUIZ

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Core OCAN Elements

• Within an OCAN there can only be one OCAN Lead• The OCAN Lead can be decided by your HSP. It may be the

person most involved with the consumer, the one selected by the consumer or the one completing the fullest OCAN

• If a consumer is involved with more than one functional centre within the HSP, only the OCAN Lead would complete the Core OCAN

• The other functional centre(s) provide input to OCAN Lead to facilitate completion of Core OCAN

• These other functional centre(s) are called Contributing Providers• If a client is receiving services from a program NOT funded as a

Mental Health Functional Centre (e.g., a Federally funded program) this information should be recorded in the “Other Agency” section

DATE-BR-1,2DATE-BR-1,2

OL-BR-1, 4, 5, 6OL-BR-1, 4, 5, 6

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What are the reasons for OCAN?

POP QUIZ

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Reason for OCAN

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Why is it important to record all functional centres involved with each consumer in your HSP?

Where would you find the information to fill in the

Mental Health Functional Centre Use?

POP QUIZ

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Core OCAN ElementsSUB-BR-1SUB-BR-1

OL-BR-2, 3OL-BR-2, 3

MHFCU-BR-1, 2, 3MHFCU-BR-1, 2, 3

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Core OCAN Elements

My Cheat Sheet  My Organization LHIN : My LHINMy Organization Name: Sunny Community

CentreMy Organization Number: 1234My Program Name: Sunny Days My Program Number: 6789My Functional Centre Name: Social RecreationMy Functional Centre Number: 715 10 76 81

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CORE + Self OCAN

• The CORE + Self OCAN consists of the Consumer Information Summary elements, the Consumer Self-Assessment and the Mental Health Functional Centre Use

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Benefits of Core + Self OCAN

• Provides opportunity for Aboriginal consumers to participate in determining their own needs.

• Can potentially link Aboriginal consumers to the most appropriate services based on their needs

• May reduce duplication of assessments in your HSP

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Using an evidence-based tool CANSAS-P*Backed by research:**

• Meeting consumer-identified unmet need improves

outcomes in these areas:

• Well-being

• Relationship - Therapeutic alliance

• Satisfaction with services

• Equivalent research into staff-rated unmet need does not

show the same benefits

• Reassessment improves mental health outcomes

•*Camberwell Assessment of Need Short Appraisal Schedule-Patient•**Source: Mike Slade, Made in Ontario conference and The Power of Shared Information conference (2009)

Recovery and Assessment

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What is Recovery?

• Mental health recovery has many definitions. William A. Anthony defines it as:

“A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and roles. It is a way of living a satisfying, hopeful and contributing life even with limitations caused by the illness”

Anthony WA (1993) Recovery from mental illness: the guiding vision of the mental health service system in the 1990s

Psychosocial Rehabilitation Journal, 16, 11-23

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Mental Wellbeing – First Nations

• Mental wellness is achieved when one is in harmony with oneself and one’s surroundings; it allows individuals to function effectively and deal with new challenges.

Mental Health Working Group (2002) Mental Wellness Framework: A Discussion Document for Comprehensive Culturally Appropriate

Mental Health Services in First Nations and Inuit Communities, Ottawa: Health Canada

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OCAN and Recovery Principles

Values EmpowermentConsumer perspective and input is central to information gathered in OCAN and the determination of priority areas to work on.

Values and Elicits HopeThe OCAN tool includes open ended questions where consumers share and later discuss hopes and dreams.

Values Self DeterminationOCAN focuses heavily on consumer-voiced needs, through the assessment of 24 concrete life domains.

Works Toward the Elimination of Prejudice and DiscriminationThe OCAN approach views a consumer as a whole person and an active participant in the assessment process, not as a diagnosis (“patient”)

Values Meaningful ChoiceConsumers engage with their workers to focus on their perspective inpreparation for action and service planning.

Based on recovery principles from the Self Help Alliance of Waterloo Wellington Dufferin

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Introducing Core + Self OCAN to Aboriginal Consumers

• Review the purpose of OCAN with focus on recovery

• Offer options for support • Discuss collection, use and disclosure of

personal health information (PHI)• Inform how assessment information will be

used by health service providers• Inform consumer when and where their

comments will be used now and in the future

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Consumer Self-Assessment

Rating need

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Consumer Self-AssessmentAdditional Questions

Please write a few sentences to answer the

following questions:

• 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?

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Introducing Core + Self OCAN to Aboriginal Consumers

As a group, brainstorm…

• What are some of the considerations when introducing Core + Self OCAN to people you are working with?

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Introduction of Self-Assessment to Aboriginal Consumers

Examples of Factors:

Language Used Literacy Level

Mental Status Cognitive Status

Privacy Issues Available Supports

Length of Explanation Their Starting Point

Your Personal Perspective

Some others… ?

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Introduction of Self-Assessment to Aboriginal Consumers

• Divide into groups

• Create a script that you can use when introducing the OCAN Assessment, considering these factors.

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Let’s Practice!

• Individually:

– Complete OCAN Self- Assessment

• Discuss in a group

OCANConsumer Self-Assessment

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Engages the person with lived experience and the person with assessment knowledge in a conversation focused on the consumer’s strengths, challenges and goals for recovery.

Assessment Conversation

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The Assessment Conversation

Tips for a successful assessment

conversation:

• Provide a safe space

• Allow the conversation to unfold naturally

• Explore variances

• Be flexible

• Summarize key points

I have a voice

I hear you loud and

clear

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The Conversation: Clarity of Content

• Example: Be aware of how the consumer identifies unmet need, met need and no need. At every step clarify what the consumer means by their choice. Do not encourage the consumer to change responses.

• Example: Avoid the term ‘navigate the system’.• Example: Hearing voices may not always be a sign of

psychotic symptoms.• Example: Consumer may have a different view of

homelessness than staff.

Take the time to clarify what the conversation is about and ensure clarity of the content

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Conversation Activity

• Divide into pairs• Decide on roles: consumer and staff• Have a conversation using the completed

Self–Assessment in your workbook as a prompt for the conversation focused on needs

• Discuss with larger group

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Next Steps

As a group, brainstorm what the next steps are following your conversations with consumers

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Wrap-up

• Supported training sign-up• Evaluations

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Available OCAN Aboriginal Support Validation ResourcesResources• 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.ca • Project Support Centre 1-866-909-5600 cmhcap@ccim.on.ca • OCAN Knowledge (OK) Café

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Evaluations

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Thank You!