Implementation of Early Psychosis Intervention Program ... - EENet

6Implementation Supportso Most sites were part of an EPI program network to support clinical care and/or non-clinicalfunctions such as training, resource development, and community outreach. Moreinformation is needed about how the networks function and their potential to enhancepractice among members, especially small program sites.o Some small programs reported challenges in accessing necessary expertise and managingtravel time. Telemedicine, travelling regional mobile teams and network partners can assistsmall programs to deliver care as required. More information is needed to understand whatsupports are received and what else could be offered.o Most programs reported time challenges, especially for public education, referral networkdevelopment, and developing linkages with other services and supports. Efficiencies could beachieved if some tasks were taken on or supported locally, regionally, or provincially, suchas development of educational materials, outreach to referral sources, and outreach to otherpotential service collaborators (inpatient units, crisis services, vocational supports).o The EPI model is complex, combining a number of evidence-based practices. Availability ofwritten protocols to support implementation of the various model elements was generallylow. However, use of tools to support more standardized care delivery (such as checklists,templates and assessment measures) was frequently suggested. These could be developed at aregional or provincial level. One network is already developing and sharing service protocolsamong its members. The Ontario Common Assessment of Need 1 may be helpful.o Accessing medical care (psychiatric and primary care) was a challenge. Suggested strategiesto facilitate access included funding support (e.g., sessional fees), medical staff training inEPI model, and greater use of mobile treatment teams and telemedicine.o Most programs reported being able to meet the response time after referral targets set out inthe Standards. However, a small minority reported keeping a waitlist and use of translation orinterpretation services was low, raising questions about EPI program accessibility to allOntarians in need.o Cost of medications was a noted barrier to using low dose anti-psychotic medications. Betterdrug coverage in benefit plans and easier application processes (e.g., related to OntarioDisability Support Program (ODSP) and Trillium) were suggested.o Many programs suggested increased use of social networking and youth friendly technologysuch as web, texting, e-mail. At present, policies in some organizations are not supportive ofthese approaches, especially hospital settings.1 Ontario Common Assessment of Need is a standardized client assessment being implemented in communitymental health programs in Ontario.