Implementation of Early Psychosis Intervention Program ... - EENet

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75IVNext StepsThis report is intended to support quality improvement work related to implementation of theOntario Ministry of Health and Long Term Care EPI Program Standards in Ontario.Dissemination of the ReportThe Standards Implementation Steering Committee (SISC) plans to make the full version of thisreport available electronically to all EPI programs in Ontario. In addition all programs includedin the survey are receiving a shorter report which allows them to compare their data to that ofother programs in their network (if applicable) as well as to the provincial mean.Each LHIN will receive the executive summary of the report, main messages, and data for theprograms in their jurisdiction. SISC members will meet with the mental health leads from theLHINs to brief them about the findings and discuss implications. The full report will also beavailable to the LHINs and the Ministry.Sector ConsultationSISC members will convene opportunities through regular OWG meetings, regional networkmeetings and the annual conference to consult with EPI practitioners and program staff anddiscuss the findings of the report. Topics for consideration include:o Using the findings as a tool to identify opportunities for improving or enhancing clinicalpracticeo Identifying ways that program networks can further support individual programs inimplementing the Standardso Identifying priority projects and actions for the OWG to undertake to support Standardsimplementationo Facilitating opportunities to work with LHINs and the Ministry on issues related toStandards implementationo Sharing feedback on Standards implementation and action steps through the OWG.Knowledge TransferAs there is little literature to date on supporting system-wide implementation of EPI Standards inany jurisdiction, the SISC recognizes the importance of sharing the findings of this studyprovincially, nationally and internationally. SISC members are identifying opportunities forknowledge transfer such as journal articles, webinars, and conference presentations. The firstopportunity is a poster presentation at the International Early Psychosis Association conferencein San Francisco in October 2012.
76Topics for Further InvestigationThe survey findings suggest the need to further explore a number of topics, including:• Opportunities to define and share practice protocols related to implementation of specificStandards elements• Opportunities for centralized supports such as educational tools, training, and outreach• The nature and function of program networks among EPI programs in Ontario• Models of service delivery for family work and an assessment of the challenges andopportunities related to implementing Standards related to family work• The availability of client level dataFurther, the SISC has identified the need to plan for a second phase of this process to look at theseven EPI Standards that were not included in this study.
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Implementation of Early Psychosis I
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2Table of ContentsTable of Contents
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4Key MessagesSurvey Participationo
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6Implementation Supportso Most site
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8Executive SummaryIntroductionBackg
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10The graph below reports global pe
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122. Family involvement in assessme
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143. Anti-psychotic medications tre
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16Standard 4 Results: Psychosocial
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18Main Report“It is now well appr
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20agreement; low caseloads (10 to 1
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22developed by the National Health
Page 25 and 26: 24IISurvey OverviewBackgroundIn 201
Page 27 and 28: 26Figure 2: Survey participation re
Page 29 and 30: 28IIISurvey ResultsResults are repo
Page 31 and 32: 30Table 1B: Program details by spon
Page 33 and 34: 32Standard 1: Facilitating Access a
Page 35 and 36: 34o Outreach most often included pr
Page 37 and 38: 36Summary of Results:o Only 31% of
Page 39 and 40: 38o Overall, 40% of programs had a
Page 41 and 42: 40Standard 2: Comprehensive Client
Page 43 and 44: 42What would help programs to meet
Page 45 and 46: 443. Access to psychiatric assessme
Page 47 and 48: 46o More funding and more consisten
Page 49 and 50: 48Standard 3: TreatmentThe survey e
Page 51 and 52: 50o Team processes (e.g., regular t
Page 53 and 54: 52o Using social media and youth fr
Page 55 and 56: 54Table 16: Procedures and protocol
Page 57 and 58: 56o In addition, some programs note
Page 59 and 60: 58Table 19: Working with inpatient
Page 61 and 62: 60Table 20: Client and family psych
Page 63 and 64: 62Approaches used by programs for c
Page 65 and 66: 64o Difficulties with client and fa
Page 67 and 68: 66Standard 4: Psychosocial Support
Page 69 and 70: 68Main challenges to providing psyc
Page 71 and 72: 70Table 29: Family education and su
Page 73 and 74: 72Standard 6: Graduation from the P
Page 75: 74o An alumni program and services,
Page 79 and 80: 78McGorry, P. (2012). At issue: Coc
Page 81 and 82: 80HealthThorold 4 Early Interventio
Page 83: 82Englehart,Kirkland Lake,New Liske
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