OCAN Upgrade Training

Helping to ensure that consumers get the benefits of

this standard assessment

2

AGENDA

• Reflection – Refresh and Refocus

• Reason for Changes• What’s New?

– Need Scoring Update– Practice Need Scoring

• Delivering New Material in your HSP– Brainstorm – Resources

Classification: Low2

3

Objectives

• By the end of this training module participants will be able to:– Identify what is new since their last OCAN training– Identify the impact of the changes on their HSP’s

internal training plans– Deliver OCAN 2.0 training to their HSP

Classification: Low3

4 Classification: Low

Reflect

• What has your experience been using OCAN so far?– Challenges– Observations– Successes

5 Classification: Low

Reason for Changes

• Feedback from the sector and working groups indicated that:– One size does not fit all– Three types of OCAN were needed– Consistency on need scoring is important

6

OCAN at a Glance

What (are your needs)

OCAN

Consumer Self-Assessment

Staff Assessment

Consumer Information Summary

Service Use Record

OCAN

Consumer Self-Assessment

Staff Assessment

Consumer Information Summary

Service Use Record

Who (are you)

Where (do you receive services)

Mental Health Functional Centre Use

7

OCAN 2.0There are three “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

Review

Staff Assessment

9 9

OCAN Staff AssessmentScore NeedScore Need

Score HelpScore Help

10

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 rating applies to the need in this

domain?

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

CMH CAP | User Training

Practice in Scoring Need

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Scoring Need

Accommodation - Suzie is couch surfing. She desperately wants her own place

Food - Will enjoys cooking nutritious meals

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

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

Daytime Activities - Consumer prefers to go out at night and spends their day watching soaps on TV

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

Psychotic Symptoms – Hears voices but symptoms are moderately controlled by meds dispensed daily by visiting nurse

Information on Condition and Treatment - New diagnosis of hypertension, person referred to Heart and Stroke Foundation for weekly support meetings

2

0

2

1

0

9

1

1

13

Psychological Distress - Consumer having a difficult time coping since job loss 2 months ago

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 drinks a litre of vodka and 2 beers a day but denies having problems with alcohol

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

Other Addictions – Attends monthly gamblers anonymous meetings to prevent relapse.

Company - Person enjoys a busy life full of fun activities with friends and family

Intimate Relationships - Person isolated from family and does not have close friends to confide in

Sexual Expression - Person struggling with sexual identity

Scoring Need

2

0

2

0

1

0

2

2

1

14

Scoring Need

Child Care – Person does not have children under the age of 18

Other Dependents – Kim relies on neighbours to walk her dog every day

Basic Education -Person speaks English but has difficulty with reading, writing and understanding English/French forms

Telephone – Person has access to a phone at group home but would like own blackberry

Transport – Person is not comfortable using public transport

Money – Is able to pay bills on time and has a savings account at local bank

Benefits - Person’s citizenship status is in question; not eligible for ODSP

0

0

0

2

2

1

2

1515

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

16

How OCAN Fits Varying Situations

• Use in court support service • Use in crisis • Time to complete OCAN • Use in outreach program

17

Reminder: the Reassessment

• The Reassessment Cycle requires that an OCAN be completed for each assessed consumer every 6 months

• Reassessment is an opportunity to: – Check if the support provided is benefiting the

consumer– Reinforce the partnership between the consumer and

staff – Review/celebrate the progress and revisit next steps

Considerations for Staff Training

Training Staff on What’s New

19

• Venue / Training Environment• Consumer Involvement• Activities, Visuals and Handouts• Collaboration• Incorporating Technology• Incorporating Business Process

Delivering Upgrade TrainingEducation Program Design

20

Exercise: Meaningful Education

• Work in small groups

• Reflect on the questions provided

• Prepare to share your discussion

Where will

training take

place?

Who is in the group? Staff? How

can I involve consumers?

Who is in the group? Staff? How

can I involve consumers?

How do I take technology and

business process into consideration?

How do I take technology and

business process into consideration?

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Support Available

Website: www.ccim.on.ca

Email: cmhcap@ccim.on.ca

Telephone: 1-866-909-5600, Option 4

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Evaluations