FAMILIAR FACES PROGRAM
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- Victor Claud Daniels
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1 Canadian Mental Health Association Ottawa Branch FAMILIAR FACES PROGRAM June 3 rd,
2 Program Description 2 The Familiar Faces program was developed to help individuals years of age with severe mental illness who have experienced: repeat admission within 30 days of discharge from hospital OR repeat unscheduled Emergency Department (ED) visits within 30 days for mental health and/or substance abuse conditions
3 Intended Program Outcomes Client is connected with appropriate community supports Decreased repeat admissions within 30 days of discharge from hospital Decreased ED visits within 30 days of last visit Increased satisfaction with care, housing and tx retention, reduction in substance use Recovery 3
4 Program Implementation Timeline Funded by the Ministry of Health and Long-Term Care April 1, 2014 Program Development & Implementation April October 2014 Initial acceptance of referrals (TOH-Civic site) November 2014 Evaluation 2015 (ongoing) Other ED repeat visit/hospital admission support services funded within the Champlain LHIN 4
5 5 Program Structure
6 -Central Access for all referrals - Simple referral form -A single number/fax reach System Navigation - 3 to 5 day response/attempt to make contact with individual referred -Preliminary assessment tools completed -Needs assessment to identify intensity of service required (TCM, ICM, Addiction services, other community resources) - Service is provided for up to 12 weeks 6
7 Transitional Case Management Outreach Workers ED Hospital Team 7 FTEs (mental health and addiction workers) Short-term service, 9 months maximum Capacity for 105 clients (close to100% capacity with turnover) Crisis Planning and stabilization Addressing all life domain areas including: Housing, Financial, Legal and Medical Strengths Based Case Management Model of service 7
8 Integrated Treatment Approach at CMHA Ottawa Clients have access to a range of multidisciplinary in-house support services including: Primary & Psychiatric care support (Nurse Practitioner, psychiatric nursing, psychiatric consultation) Treatment for individuals with co-occurring substance use disorders, access to DBT tx, tobacco dependence tx Rent supplements After hours/weekend support 8
9 Latest count: 338 Referrals TOH-Civic site: 201 TOH-General site: 26 Montfort: 77 Mobile Crisis: 21 Queensway Carleton: 3 Other: 10 [Inner City Health(2), ROMHC(2), Self(2), Cornwall (1), Centre Medical St-Anne (1), Family (1), YSB (1)] 9
10 Referral Outcomes Referred to TCM 104 Existing CMHA client 38 Declined Service 24 Unable to reach 24 Information only 4 Moved from City/Province: 3 Re-connected with existing adequate support - 19 Referred to DD service: 1 Not eligible for service: 1 Referred to other CMHA program (3), MHCSS (1) Referred to Wabano (11), Arnprior (1), Lanark (1), Prescott-Russell (3) 10 Continuing Follow-up by System Navigation: ~100
11 N=169 Preliminary trends: (Using Data As of February) Males=63% Females=37% Primary Diagnosis Mental Health=35% Addictions=16% Concurrent Disorder=49% 11
12 Preliminary trends Presentations to the ED since being in FF (n=84) - 48 have had 0 returns to ED - 17 have had 1 return - 11 have had 2 returns - 5 have had 3 returns - 3 have had 4 returns 12
13 Upcoming Research Initiative CMHA has contracted with Centre for Research on Community Services (CRECS) at the University of Ottawa to undertake: (1) Conduct a formative evaluation of the Familiar Faces Program (FFP) delivered by CMHA Ottawa in Ottawa hospitals 13
14 Upcoming Research Initiative (2) create an internal monitoring system, summarize and report on the collected monitoring data on clients of FFP, (3) design and conduct an outcome study examining health services use by clients of FFP. (4) the development and submission of a proposal to CIHR for a more rigorous examination of the effectiveness of FFP through a Randomized Controlled Trial or Quasi- Experimental Design 14
15 Questions or Comments? Thank you! 15
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