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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
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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
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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
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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
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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 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
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How OCAN Fits Varying Situations
• Use in court support service • Use in crisis • Time to complete OCAN • Use in outreach program
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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
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• Venue / Training Environment• Consumer Involvement• Activities, Visuals and Handouts• Collaboration• Incorporating Technology• Incorporating Business Process
Delivering Upgrade TrainingEducation Program Design
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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: [email protected]
Telephone: 1-866-909-5600, Option 4
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Evaluations
