Social Work. Clinical Practice Achievements Quality & Safety. Change. Clinical Practice Achievements

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P A G E 1 Social Work Professional Practice Leader (Charlton, King, West 5th): Jimena Silliker, MSW, RSW Number of Members of Discipline Scope of Practice: The Social Worker RSW provides quality social work services congruent with the Code of Ethics and Standards of Practice of the Ontario College of Social Workers and Social Service Workers OCSWSSW). The Registered Social Worker provides psychosocial assessment, counselling/ psychotherapy, case management, patient/ family education, supportive counselling, discharge planning, service coordination and consultation according to best practice standards in order to assist patients to achieve optimum recovery and quality of life. This includes maximizing the benefit patients and families receive from their medical and mental health treatments and transitioning to riskreduced, timely discharges. The Registered Social Clinical Practice Achievements Charlton 32 FTE 6 PTE 1 Casual King 7 FTE 1 PTE West 5th 48 FTE 8 PTE Clinical Practice Achievements Quality & Safety Quality Team participation on General Internal Medicine, Complex Care, Women s and Infant Program, Kidney and Urinary program, Forensics, and the Thoracic Improvement Council Continue to review TAO practice and patient identifiers practice on a regular basis across campuses Co-Lead, Mindfulness Meditation Sessions with patients who have respiratory disease (i.e. CODP; Interstitial Lung Disease): Ongoing collaboration with patient graduate to implement Mindfulness Meditation education and sessions with Respiratory Rehabilitation inpatient/ outpatient Co-Lead, Expanded the monthly Breathing Buddies Support Group by opening program to family members and post lung transplant patients (graduates of the Respiratory Rehab Program). Ongoing development of CBT group for anxiety Co-lead- SMART program steering committee and hospital lead (GIM) Interprofessional Communication Board Committee Member (GIM) (nominated for the Health Professionals Excellence in Practice Award) Unit Champion for Positive Words as roll out of Safe Wards initiative. Development of Form G process for at Risk patients with CCAC partners Anti-Stigma Committee, Schizophrenia and Community Integration Service Outpatient Quality and Patient Safety Council Department of Social Work. In partnership with Core Collaborative Hamilton provided two mandatory workshops (1) Anti-Oppressive/Anti-Racism Practice and (2) Recovery for Mental Health. These workshop assisted by providing best practices in person centered care, development of skill to address oppressive behavior and provided the ability to use a recovery perspective to collaborate with and learn from peers Change Forensic Quality of Worklife Committee, "Enhancing Quality of Worklife: You Should Never Stop Having Fun!" Committee participation in the Rethink Respect Anti Stigma Campaign

P A G E 2 Community Peer Case Review and support Group Completed Development of MyCollaboration site Completed review and updated Social Work Documentation Policy, Deceased Patient with No Next of Kin Policy and Elder Abuse Policy and Procedure Completed comprehensive Department of Social Work Orientation and Resources Toolkit Dept of Social Work prepared and delivered mandatory workshop on Social Work Bio Psychosocial Assessments. Interconnection Women s and Infant Program RSW s plan and implement Moment of Silent Hope Memorial Service for Stillborn and Pregnancy Loss in conjunction with Spiritual Care and McMaster s RSWs in their maternal child program. Services alternate between SJHH and McMaster Children s Hospital. RSW with 2 nurse educators, presented a workshop at the National Conference on Domestic Violence in Toronto. The workshop was entitled Birthing: a Collaborative Approach between mental health and addiction, maternal child nursing and the woman with a trauma history. The focus of the workshop was two-fold: 1) to review the staff education sessions we did for our own staff, highlighting the importance of a collaborative approach (using staff as educators, but also involving the patient voice) and 2) work done by staff on approaching the patient without stigma when dealing with mental health and addiction. Member of a collaborative working work group with HNHB CCAC and St. Joseph s Hospital to reduce ALC designation and ED admissions. In particular, SW leading ALC escalation process. Daily contact between SW manager and CCAC Client Service Manager continue to meet on a regular basis in person and on phone to review potential discharge barriers. CCAC Client Service Manager also in constant contact with Discharge Specialists at Charlton and West 5th sites. SW Manager as site lead for Convalescent Care Program and Transitional Care Bed Program liaise with both programs by attending perspective committees, addressing issues related to transitions, discharge barriers and readmissions. Member and Co lead- Therapeutics Senior Care Education Team continues to present monthly Lunch and Learn Sessions open to all Allied Health and Medical Staff. Some of the topics covered have been Getting Patients to the Right Discharge Program, Compassion Fatigue, Fall and Fraction Prevention, Drug Reaction and Pharmacology in Seniors, Behavioral Support Services and SMART. Academic Pursuits Formal Teaching Professional Competencies Longitudinal Facilitator, DeMichael Degroote School of Medicine, Mc Master University Sessional Instructor for a half-credit graduate level course entitled Foundations for Advanced Social Work Practice with Individuals, University of Windsor Sessional Instructor for a half-credit graduate level course entitled Foundations for Advanced Social Work Practice with Groups, University of Windsor Instructor for the module Social Supports for the e-learn CE course Mental Health and the Law, Forensic Studies, Mohawk College

P A G E 3 Faculty Academic appointment in the Department of Family Medicine, Division of palliative care at McMaster University Professional Competencies Tutor, McMaster School of Medicine, Tutor with Division of Palliative Care (TOSCE program) Assistant Practicum Professor Part-time, Faculty of Social Work, Wilfrid Laurier University Part-Time Instructor, Mohawk College, Introduction to Mental Health and the Law: Forensics Studies, Continuing Education Health Sciences McMaster University Program for Inter-professional Practice, Education and Research Faculty McMaster University Part-time assistant professor, Department of Psychiatry and Behavioral Neurosciences Assistant Professor-Part-time, Department of Psychiatry and Neurosciences Field Instruction: Bachelor and Master Social Work students Examiner of CASPer responses from MD applicants and for MD students taking the OSCE clinical sessions ) and the TOSCE clinical sessions, as Assistant Professor, McMaster University, Faculty of Health Sciences Tutor for Psychodynamic Psychotherapy course, Clinical Behavioral Science program Longitudinal facilitator for Professional Competence, Internal Teaching CPI instructor Supervisor for 4th/5th year psychiatry resident doing psychodynamics pychotherapy Facilitator, Presentations to Nursing Staff, presentations to nursing staff of Nephrology on dealing with Challenging Families SW orientation to new dialysis nursing staff, new nurse practitioner in our program and a nursing student Presenter, Family & Friends Information Session A Day in the Life Living with Kidney Disease. Co-Supervisor, Health Policy Student from Brock University Field Instructor Social Service Student (Mohawk College) Continuing Education -Master of Science in Criminology & Criminal Justice through the University of Leicester, UK -Certification by the American Board of Forensic Social Workers as a Master Forensic Social Worker (CMFSW) -Completed the undergraduate university course Risk Management & Safety in Health Services, Athabasca University -Recertification as a Crisis Prevention Institute (CPI) instructor by completing the course Trauma Informed Care: Instructor Excellence Renewal Training -Continued e-learning modules on hospital leadership through the Institute for Healthcare Improvement -Completed CBT Level III through McMaster Clinical Behaviour Sciences Program -Master degree (x3), McMaster School of Social Work, Windsor University, Dalhousie University - Currently enrolled and training in Behavioral Tech's DBT training - Completed CAMS and GAIN certification - Completed Levels II and III Conversational Certification in French. University of Toronto Continuing Ed. Program Field Instructor for Social Work Students (BSW and MSW), various universities. In-service to Clinical Clerks and Medical Students, Social work role in the K&U Program. Examiner for two full-day sessions of the Multiple Mini Interview (MMI) process for MD applicants at McMaster University (Mar ); Examiner for two full-day sessions of the Teaching Objective Structured Clinical Evaluation (TOSCE) for MD students preparing for the Mental Status Examination practical at McMaster University (Nov ). SW (Women s and Infants Program) provide teaching sessions for nursing students on the role of social work within the program, as well as education to working with our client population. Topics reviewed include, mental health, addiction, domestic violence, preterm delivery issues and more. Effective communication is reviewed, including strategies on how to work with the aggressive or volatile patient. A strength based and non-judgmental focus is emphasized. SW Presentation to Midwifery students a half day to the McMaster University midwifery students together with a woman who delivered a stillborn baby. The focus was on pregnancy loss, including miscarriage, stillbirth and neonatal death. We offered education, information and suggestions on ways to offer support to families who experience the loss of a baby.

P A G E 4 Presenter, Perceptions of Care by Families of Forensic Out-Patients Social Work Week Educational Rounds Presenter, Advocacy in Real Time: A Social Worker s Pursuit of a LTC bed for a geriatric Forensic Mental Health Patient Social Work Week Educational Rounds Teaching Psychology Residents DBT Skills Teaching Psychiatry Residents DBT Skills Kidney Medical fair (once per year) to student physicians Poster Presentation at the 27th Annual Research Day of McMaster s Department of Psychiatry The Court of Public Opinion: A Study of Online Comments on the Luka Magnotta Trial Poster Presentation at the 32nd Annual Conference of the National Organization of Forensic Social Work, The Court of Public Opinion: A Study of Online Comments on the Luka Magnotta Trial, Arlington. VA Leadership Certified Worker Member and OPSEU representative Joint Health & Safety Committee, West 5th Campus Chair, Social Work Peer Support Group Group Facilitator Focus Groups: several patient focus groups with Respiratory Rehabilitation Support Group to assist with program development for Caring for My COPD programs in the local LHIN. Project Lead & Co-Chair, Home First Refresh and Transitional Care Bed Program at St. Joseph s Hospital Internal Lead Resource Matching and Referral Project Lead, Forensic Dialectical Behaviour Therapy Team Anti-Stigma Conference Planning Committee (lead for Market Place) Co chair- Therapeutics Senior Care Education Team SW manager co lead and facilitated with CCAC Client Service Manager meeting with most West 5th nurse managers to provide a forum for discussion related to collaborative discharge planning Social Workers at Charlton Site partnered in two projects, Health Links and Community Connector Pilot project leading in the delivery of referrals and uptake Social Work continues to lead and implement ALC according to the provincial definition and develop an ALC working plan and ways and opportunities in which our ALC rate can be lowered. Social Workers in acute care have engaged with two pilot projects, Health Links and the Community Care Connector program. Social Workers will review and refer to new programs based on their clinical assessments. these programs. Numerous meetings with respective program leadership have taken place and will continue in order to look at best practice, patient center care and reinforce incremental referrals for each of the programs.

External Committees P A G E 5 Program For Faculty Development, Discovering Leadership Resilience Team Department of Psychiatry and Neurosciences, Clinical Behavioral Sciences-Group Studies Area Elected Council Member, Ontario College of Social Workers and Social Service Workers; currently sitting on the Discipline Committee, the Fitness to Practice Committee, and the Governance Committee Member of the Social Work Divisional Council, Wilfrid Laurier University Division of Palliative Care 5 Days in Palliative Care Committee, Palliative Undergrad Teaching committee Vice President, Board of Directors for Artaban Non-Profit Housing Member, Kidney Foundation Board Member of the Ontario Social Work Association Hamilton Branch. Mohawk College, Concurrent Disorders Program Advisory (member) Lead the Concurrent Disorders Action tables across the HNHB LHIN (we have tables that meet in Burlington, Hamilton, Niagara, Brantford, Haldimand-Norfolk monthly) (*this is part of my job, but are newly formed groups that specifically relate to the project and report to the LHIN) Member of the Niagara Mental health and addiction Charter group (through Niagara connects) Member of Centre for Addictions & Mental Health (CAMH) LHIN-wide Implementation Committee for Staged Screening and Assessment Prooess McMaster University, School of Psychiatry & Neurosciences, Faculty of Health Sciences, Steering Committee Member for Clinical Behavioural Studies Program McMaster University, Faculty of Health Sciences, Program for Faculty Development, Discovering Resiliency Leadership Team Member Member of LGBTQ committee at Child and Adolescent Services Member, Ontario Renal Network Member, Field Intruction Committee, Mc Master University External Presentations Mc Master University, School of Social Work, MSW Research Day PUBLICATION: The court of public opinion: An examination of posted comments by the public about the Luka Magnotta trial of criminal responsibility. Canadian Journal of Criminology and Criminal Justice. Discipline Goals 2016 Quality & Safety Social Workers will continue to participate in GPA re/certification program. Social Workers in the Dept of SW will continue to work in the scaling and spreading of the with Health Links Model at the Charlton Site. Social Workers in the Dept of SW will continue to actively participate in the development and spreading of the Home First ReFresh Philosophy and will work with Clinical Infomatics to assist with the trailing and development of HNHB LHIN Home First reporting requirements SW will continue to promote adherence to TOA and proper documentation practices SW will continue to promote and adhere to the (two) patient identifier protocol

Change Social Workers in the Dept of SW will be actively engaged in the spreading and scaling of the Health Links Model. This is a model of care which is an intensive, integrated model focusing on patient centered goals to address the needs of people living in with complex chronic conditions through a collaborative care plan and more meaningful engagement. Dept of SW will be trialing Community P A G E 6 Social workers will continue to attend community committees with the aim to enhance relationships and assist with seamless transitions of our patients to the different discharge locations within our community SW (Discharge Specialists) representation continues in the LHIN initiatives: LTCH transitions: Nurse Led Outreach Teams (NLOT), Resource Matching and Referral (RM &R) RSWs have also represented in consultation tables at HBHNCCAC s Palliative Care Community Engagement/Feedback session, St. Peter s Hospital- Slow Reactivation Feedback session Research & Education The Policy and Procedure subcommittee of the SWPPC will continue to review and amend as necessary policies and procedures to ensure our understanding of best practices is reflective and supported by our policies, procedures and care paths Continue to populate SW MyCollaboration to better standardize practice, link RSW s across the organization and provide a resource platform. Master s Dissertation studying on-line comments related to the Luka Magnotta trial, Department of Criminology, University of Leicester Participated in a research study the National Initiative for the Care of the Elderly (NICE) regarding the use of various tools for geriatric patients Execute GPA evaluation research Project (Therapeutics Senior Care Education Team), in partnership with St. Joseph s Home Care. This research proposal was also submitted to the PAC Interdisciplinary Research Award but will go ahead with or without the funding award from PAC.