OCAN Education

Full OCAN

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Objectives

Upon completion of the Full OCAN training

session, you will learn:• OCAN is a consumer-centred, recovery based

assessment• The components of a Full OCAN• How to complete a staff assessment• How to interpret and make use of the information

gathered in a full OCAN

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Full OCAN Training Agenda • Welcome & Introductions• Objectives• Full OCAN Assessment Process • Staff Assessment

– Components of Staff Assessment– Scoring Need and Help

• Outputs– Reports

• Reassessment • Aboriginal-specific Resources and Supports• Evaluations (e.g. Feedback on Aboriginal Support

Validation)

Icebreaker

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OCAN 2.0

There 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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OCAN Benefits

• For the consumer:– Gives consumers an effective way to voice their needs and

preferences– Allows the consumer to provide the relevant level of information,

potentially reducing repetition at each stage in their service • For the sector:

– Assists recovery-oriented service planning at an individual level– Identifies individual needs and helps match these to existing

services– Provides a common language that allows cross-sector

partnering and planning– Acknowledges the important role that informal support plays in

helping with consumer needs• For the system:

– Ensures that standardized information is collected– Captures aggregate data that will inform planning and decision-

making

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OCAN Benefits in Aboriginal Settings

• Recognizes Aboriginal cultures, values and beliefs by incorporating “wholistic” approaches to wellness and recovery, while allowing consumers to participate in the process

• Assists with better continuity of services through integrated data collection and reporting across community mental health

• Encourages ownership of OCAN and its related processes through engagement with Aboriginal representatives

• Potential to help address jurisdictional issues (federal and provincial)

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Activity: Putting OCAN Domains into Your Wellness Vision

• Break into groups • Consider your nation’s perspective on wellness• Review OCAN domains and their intent• Discuss and map how OCAN domains may fit

within your wellness vision

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Debrief

• Were you able to map OCAN domains to your wellness vision?

• What challenges did you have? How did you overcome those challenges?

• How can you develop this further within your health service provider?

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For example…

OCAN and Medicine Wheel Teaching

What are your hopes for the future?

How do you view your mental health?

Is culture (heritage) an important part of your life?

What do you think you need in order to get

there?

Is spirituality an important part of

your life?Safety to Self

Safety to Others

Alcohol

Other Dependents

Company

Child Care

Sexual Expression

Intimate Relationships

Drugs

Accommodation

Food

Alcohol

Drugs

Looking After

the Home Daytime Activities

Physical Health

Condition and Treatment

Telephone

Transportation

Safety to Self

Safety to Others

Alcohol

Drugs

Self-Care

Psychotic Symptoms

Other Addictions

Basic Education

Money

Benefits

Psychological Distress

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• Self-Care• Psychotic

Symptoms• Psychological

Distress• Alcohol• Drugs• Other Addictions• Basic Education• Money• Benefits

• 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?

• Accommodation• Food• Looking After the

Home• Daytime Activities• Physical Health• Condition and

Treatment• Telephone• Transport

• Safety to Self• Safety to Others• Alcohol• Drugs• Company• Intimate

Relationships• Sexual Expression• Child Care• Other Dependents

For example…

OCAN and Haudenosaunee Teaching

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Application of Full OCAN

Elements:• Purpose• Supports• Outputs

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Elements:• Successes• Needs• Variances

Outputs: Summary of Actions ~ Summary of Referrals ~ Reports

Consumer

Classifying NEED:

No Need Met Need Unmet Need

Additional questions: Hopes, Dreams & Spirituality

Self Assessment

Staff

NEED and HELP ratings:

What help is received? Is this enough?

Additional questions: Hopes, Dreams & Spirituality

Informal

Formal

Assessment

Assessment & collateral information, clinical judgment

Conversation

IntroductionEngagement

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Assessment Completion Period

• The assessment start and completion date should be within 30 days of each other

• Start date of assessment in the system is whichever is started first: consumer Self-Assessment or Staff Assessment

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OCAN Staff AssessmentScore NeedScore Need

Score HelpScore Help

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Scoring Need/Staff Assessment

2 = Unmet need (Serious problem)- With or without help

1 = Met need (No/moderate problem due to help given)- If the help was removed, the problem would be serious

0 = No need (No serious problem)- With or without help

9 = Not known

Source: Manual for Camberwell Assessment Tool

OCAN Staff Assessment

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The intent of the needs assessment is to highlight the major issues that stand in the way of a person’s recovery.

OCAN Staff Assessment Need rating reference

Which of these ratings applies to the need inthis domain?

0Person is independent in this domain or is relatively independent with minimal help that would not lead to a serious problem if

stopped.

NO NEEDNO SERIOUS PROBLEM

1MET NEEDNo serious problem because of help given. Would be serious problem if help was stopped

2

UNMET NEEDSERIOUS PROBLEM

A major issue that stands in the way of person’s recovery, regardless of its cause or whether help is provided UNKNOWN

9 No or not enough information available

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Scoring informal and formal help• based on frequency and effectiveness of help

0 = No help

1 = Low help

2 = Moderate help

3 = High help

9 = Not known

OCAN Staff AssessmentScoring Help

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Scoring Help, Question 2, 3a/bOCAN Staff Assessment

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Comments:• Comments will help others understand your

scoring.• Include all pertinent, “need to know” information.• Ensure that the information is valid, thorough,

objective, concrete and descriptive• Comments should follow your own HSP’s

guidelines for electronic documentation.• Comments may be viewed by other service

providers involved in supporting consumers.• Comments may capture historical information

and collateral information.

OCAN Staff Assessment

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OCAN Staff Assessment

Actions:

• Actions are only recorded in the Staff Assessment• Actions can be identified by the consumer or staff on

either assessment or during the conversation

Information included:• mutually agreed actions in each domain• who is responsible for completing the action• timelines for completing and reviewing agreed actions

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Hopes and Dreams:• The staff summarizes or

elaborates on the hopes and dreams that the consumer expresses in their self assessment or during the conversation

OCAN Staff Assessment

Examples of Domain Scoring of NEED

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Scoring NeedAccommodation - Person is housed off reserve but requires on-reserve housing for

access to services

Food - Person buys food and cooks meals independently

Looking After the Home - Person’s hoarding and irregular housekeeping is causing daily arguments with family members

Self Care – Joe has weekly showers and laundry service at the local YMCA

Daytime Activities - Consumer prefers to play bingo and spends their day watching TV

Physical Health – Steve denies being HIV+ and refuses to take prescribed HIV medications. He presents at the Aboriginal Health Access Centre with no problems

Psychotic Symptoms – Mary has visions of ancestors that she is discussing with the Traditional Healer

Information on Condition and Treatment - Person is diabetic and regularly meets with a dietician for education

2

0

2

1

0

9

9

1

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Psychological Distress – Person having a difficult time coping with residential school experience

Safety to Self - Person hospitalized 3 months ago for suicide attempt; receiving helpful counselling

Safety to Others - Person does not have a need in this domain

Alcohol - Person is barred from visiting friends/family for theft to support alcohol

addiction Drugs – Joe admits to smoking a “joint” or two per week to help with his MS

Other Addictions – Person has voluntarily signed an agreement with the casino to

deny them entry Company – Person is actively engaged in community events and ceremonies

Intimate Relationships – Person is second generation residential school survivor and is unable to bond and communicate with family

Sexual Expression - Person has trouble with sexual relationship(s) due to sexual

abuse

Scoring Need

2

0

2

0

1

0

2

2

1

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Scoring Need

Child Care – Person distrusts the community support and struggles with being the sole provider of child care

Other Dependents – Person is struggling with caring for multiple extended family members

Basic Education – Person receives help to complete forms and read all correspondence

Telephone – Person has access to a phone at the administration office

Transport – Person uses administration-funded van weekly for shopping and medical appointments

Money – Person is struggling with addictions issues and is unable to pay bills on time

Benefits – Person is unsure about eligibility for ODSP because of cognitive issues

1

2

2

1

9

2

1

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• In each of the 24 domains, the staff is determining and recording the scores for need and help

• For every Met or Unmet Need, the help score must be completed

• For No Need, the help score is not completed, but help should be reflected in Comments

• Extra questions in the domain are always completed• Action and Comments fields can be recorded, as needed

• Information gathered informs the ongoing work with the consumer and is reflected in reports

OCAN Staff AssessmentKey Points

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Practice Module includes:• Consumer Self-Assessment• Assessment conversation script• OCAN Staff Assessment with collateral

information

Practice: Completing Staff Assessment

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Outputs

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Outputs: Now What?

Making OCAN information useful

• Information in the OCAN can assist in:– prioritizing actions – determining referrals– viewing changes in needs over time

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• At the end of the assessment, all actions documented will be automatically listed in a chart

• Priorities need to be entered manually

Priority Domain Action

Accommodation Submit application for supported housing

Summary of Actions

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1

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• At the end of the assessment, referrals and the current status of the referral can be documented in this chart

• An outcome of the Summary of Referrals is the identification of gaps in service

Optimal Referral

Specify Actual Referral

Specify Reason for Difference

Status of Referral

Drop down list Name of optimal referral

Drop down list Name of actual referral

Drop down list Drop down list

Summary of Referrals

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1. Individual Need Rating Over Time

2. Needs Over Time

3. Summary of Actions and Comments

4. Staff Workload

Individual Assessment Reports

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Reassessment

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What is reassessment?• a structured, documented review using OCAN• an opportunity for consumers and providers to regularly

review status of needs, identify accomplishments and inform next steps

• consists of the core elements, consumers self assessment, the staff assessment and information from other sources e.g. providers and family members

 

 

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Many reasons can cause an increase in consumer-identified unmet needs from assessment to reassessment including:

• consumer’s perceived decline in these areas• consumer’s journey of recovery allows them to

identify different or new unmet needs

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Reassessment

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Reassessment• A “Reassessment” OCAN is completed every 6 months

by the OCAN Lead – This is referred to as the Reassessment Cycle

• It is also completed when:– the consumer has re-entered the Community Mental

Health system less than 3 months after a discharge– an existing consumer has been in your HSP more

than 3 months and has not completed a previous OCAN

– A consumer is receiving CMH services elsewhere and you are starting OCAN for that person.

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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!