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OCAN Education
Full OCAN
2
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 [email protected] • OCAN Knowledge (OK) Café
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Evaluations
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Thank You!