AUTHORS: Dr Bob Chaudhuri (1); Robert Thomas(2); Brian Walmark (2); Tom Terry(2);
AFFLIATIATIONS (1): Northern Ontario School of Medicine (NOSM)
AFFLIATIATIONS (2): Keewaytinook Okimakanak (Northern Chiefs Council)
NAHO 2009 National Conference
Community services are complex and fragmented, making care difficult to navigate. To transform care, services need to simplify, wrap around primary care in local teams, and build multidisciplinary teams for those with complex needs. These teams must include mental health, social care, and work closely with specialists and hospitals to coordinate rapid response care in communities or homes. This integrated model can significantly reduce hospital use for those with multiple conditions, but requires changes to contracting, payments, and harnessing community support.
The document provides an initial findings report from research conducted in Bembèrèkè and Sinendé, Benin on mutuelles de santé, or community-based health insurance organizations. A team from the University of Michigan conducted over 90 interviews with mutuelle leaders, community members, and healthcare providers. Their research identified several areas needed for the mutuelles to become more professionalized and sustainable, including improving their value proposition, organizational structure, fee collection processes, and data management capabilities. Addressing these issues could help boost adoption rates of the mutuelles and position them for their new role in Benin's universal healthcare system.
Stroke rehabilitation in the community: commissioning for improvementNHS Improvement
Stroke rehabilitation in the community: commissioning for improvement
provides a comprehensive guide to the development of effective community rehabilitation services. Together with detailed examples of good practice and information about early supported discharge (ESD) service models implemented in England, it explores factors which influence local commissioning, and identifies tools to assist with commissioning and funding rehabilitation. This new publication is particularly relevant to the emerging commissioning landscape, the development of a new outcomes framework, and the positioning of stroke within long term conditions. (Published July 2012)
This document provides an overview of NHS Continuing Healthcare. It discusses the differences between health care and social care, and outlines the framework and tools used to determine eligibility for NHS Continuing Healthcare, including the Fast Track Pathway Tool, Checklist, and Decision Support Tool. The document emphasizes that eligibility is based on the level of an individual's care needs and whether their primary need is for health care rather than social care. It provides guidance on assessing needs against the criteria of nature, intensity, complexity and unpredictability to determine if someone has a primary health need.
This document provides an overview and introduction to NHS Continuing Healthcare. It discusses the difference between health care and social care, and how the NHS Continuing Healthcare framework determines if a person has a "primary health need" and is eligible for fully funded NHS care. The key steps in the NHS Continuing Healthcare process include using the Fast Track Pathway Tool, Checklist, and Decision Support Tool to assess a person's needs and make a recommendation about their eligibility.
The document describes Riverside County's Individual Prevention Services (IPS) program, which was developed to fill the gap between substance abuse prevention and treatment services for individuals at high risk of developing problems. The IPS program provides individualized prevention services through brief interventions at the county's seven substance abuse clinics. It addresses the operational challenges of funding, space, and staffing the program using existing prevention funding redirected from other services. The program aims to serve the "indicated population" identified as being at high risk yet not requiring treatment. It is believed to be the first county program to provide individual-level prevention services integrated into a treatment setting.
Spotlight on continuing health care in strokeNHS Improvement
Stroke patients often have complex needs that make them eligible for NHS continuing healthcare (CHC) funding. However, the CHC process can be time-consuming and delay discharge from hospitals. Several recommendations are provided to streamline the process, including designating a coordinator, integrating social workers into care teams, and conducting assessments in post-acute settings rather than hospitals. Examples from hospitals in England demonstrate how roles like discharge coordinators and computer systems can reduce duplication and speed up the process.
Community services are complex and fragmented, making care difficult to navigate. To transform care, services need to simplify, wrap around primary care in local teams, and build multidisciplinary teams for those with complex needs. These teams must include mental health, social care, and work closely with specialists and hospitals to coordinate rapid response care in communities or homes. This integrated model can significantly reduce hospital use for those with multiple conditions, but requires changes to contracting, payments, and harnessing community support.
The document provides an initial findings report from research conducted in Bembèrèkè and Sinendé, Benin on mutuelles de santé, or community-based health insurance organizations. A team from the University of Michigan conducted over 90 interviews with mutuelle leaders, community members, and healthcare providers. Their research identified several areas needed for the mutuelles to become more professionalized and sustainable, including improving their value proposition, organizational structure, fee collection processes, and data management capabilities. Addressing these issues could help boost adoption rates of the mutuelles and position them for their new role in Benin's universal healthcare system.
Stroke rehabilitation in the community: commissioning for improvementNHS Improvement
Stroke rehabilitation in the community: commissioning for improvement
provides a comprehensive guide to the development of effective community rehabilitation services. Together with detailed examples of good practice and information about early supported discharge (ESD) service models implemented in England, it explores factors which influence local commissioning, and identifies tools to assist with commissioning and funding rehabilitation. This new publication is particularly relevant to the emerging commissioning landscape, the development of a new outcomes framework, and the positioning of stroke within long term conditions. (Published July 2012)
This document provides an overview of NHS Continuing Healthcare. It discusses the differences between health care and social care, and outlines the framework and tools used to determine eligibility for NHS Continuing Healthcare, including the Fast Track Pathway Tool, Checklist, and Decision Support Tool. The document emphasizes that eligibility is based on the level of an individual's care needs and whether their primary need is for health care rather than social care. It provides guidance on assessing needs against the criteria of nature, intensity, complexity and unpredictability to determine if someone has a primary health need.
This document provides an overview and introduction to NHS Continuing Healthcare. It discusses the difference between health care and social care, and how the NHS Continuing Healthcare framework determines if a person has a "primary health need" and is eligible for fully funded NHS care. The key steps in the NHS Continuing Healthcare process include using the Fast Track Pathway Tool, Checklist, and Decision Support Tool to assess a person's needs and make a recommendation about their eligibility.
The document describes Riverside County's Individual Prevention Services (IPS) program, which was developed to fill the gap between substance abuse prevention and treatment services for individuals at high risk of developing problems. The IPS program provides individualized prevention services through brief interventions at the county's seven substance abuse clinics. It addresses the operational challenges of funding, space, and staffing the program using existing prevention funding redirected from other services. The program aims to serve the "indicated population" identified as being at high risk yet not requiring treatment. It is believed to be the first county program to provide individual-level prevention services integrated into a treatment setting.
Spotlight on continuing health care in strokeNHS Improvement
Stroke patients often have complex needs that make them eligible for NHS continuing healthcare (CHC) funding. However, the CHC process can be time-consuming and delay discharge from hospitals. Several recommendations are provided to streamline the process, including designating a coordinator, integrating social workers into care teams, and conducting assessments in post-acute settings rather than hospitals. Examples from hospitals in England demonstrate how roles like discharge coordinators and computer systems can reduce duplication and speed up the process.
Understanding Context that Produces Inequality_Kai_10.12.12i v2CORE Group
The document discusses contextual analysis and how understanding context is important for addressing inequities and extreme poverty. It outlines Concern's approach which views poverty as multi-dimensional, involving lack of assets, risk/vulnerability, and inequality. The approach involves analyzing the local context to understand who the extreme poor are, why they are poor, what maintains their poverty, opportunities that exist, and what needs to change. Key aspects of the context like assets, livelihoods, services, social factors, hazards/risks, and vulnerability are examined. Conducting a thorough contextual analysis is important for holistically designing anti-poverty programs.
2014_Making Room_Living with a hoarding condition in Hackney - who am I and h...Breda Spillane
This document summarizes research on hoarding disorder and the population of residents in Hackney, London who exhibit hoarding behaviors. Key findings include:
1) There is a population of Hackney residents who hoard but no clear support pathways.
2) Hoarding is recognized as a distinct disorder but not yet in the UK.
3) Recommendations are made to establish support services and raise awareness for those with hoarding disorder in Hackney.
This document discusses various methods of intervention and change in community psychology, including consultation, crisis intervention, early childhood interventions like Head Start programs, and self-help groups. Consultation involves a consultant providing expertise to help a consultee better serve their clients. Crisis intervention aims to help people in acute stress to prevent chronic mental illness. Head Start prepares disadvantaged preschoolers for school through locally run programs. Self-help groups provide emotional support and coping strategies through shared experiences. Paraprofessionals and community health workers also extend the reach of professionals.
The document discusses Indiana's Permanent Supportive Housing Initiative, which aims to create at least 600 units of permanent supportive housing in Indiana over six years. It provides supportive housing to individuals experiencing long-term homelessness by combining affordable, permanent housing with voluntary support services. Studies show supportive housing is effective at improving stability and health outcomes while reducing costs to other public systems like hospitals, shelters, and jails. The initiative is a public-private partnership led by the Indiana Housing and Community Development Authority and other state agencies to adopt a housing first model and end long-term homelessness in Indiana.
This document discusses individual service funds (ISFs) and their role in delivering personalized care and support. Some key points:
- ISFs allow individuals to use their personal budgets to purchase support from chosen providers, who then manage the funds on the individual's behalf according to their specified needs and preferences.
- ISFs have evolved from initial uses in Scotland in the late 1990s and were later included in models of self-directed support. More recently, some providers and councils have adopted ISFs to help meet personal budget targets.
- When done well, ISFs can maximize choice and control for individuals over how their support is designed and delivered. They represent an important strategy for realizing the vision of fully personalized support
Ignore LTC Planning at the Risk of Your Own Financial Peril.Dolf Dunn
This whole area of extended healthcare in retirement is so important to get right that I went and earned my CLTC designation. This area of your financial planning needs to be lead by someone who actually knows the subject matter. What is the difference between LTC planning and the Fiscal Cliff? You have great control over how you deal with LTC planning whereas you have no real say in what was decided by congress and the president last week.
The document discusses the importance of evaluating outcomes in service delivery. It notes that while services often focus on outputs like clients served, evaluating outcomes is important to determine if a service is making a meaningful difference. Evaluating outcomes can improve services by providing insights into who benefits most and which program elements are most effective. Both monitoring data and evaluations are important, with evaluations helping to assess effectiveness, processes, and cost-effectiveness. The document outlines different evaluation methodologies and challenges in measuring outcomes.
The document summarizes the progress made during a 5 day Lean Launchpad process for a proposed mobile medicine startup. Over the 5 days, the team: 1) Restarted with a new customer focus; 2) Discovered limitations in their initial business model through customer interviews; 3) Conducted a deep dive to further validate problems and solutions; 4) Explored new pathways like telemedicine reimbursement policies; and 5) Analyzed the financial projections, concluding the model is profitable but requires continued clinic growth. In total they conducted 77 customer interviews to refine their model.
The SAIATU Project provided in-home social support services to complement palliative clinical services for individuals with advanced terminal illnesses and their families. It aimed to improve comprehensive care and facilitate in-home end-of-life care. The programme served 40 patients from February to October 2011, providing 479 visits and 467 telephone calls. 79.5% of patients died at home, and family satisfaction with care was high, with an average rating of 8.5 out of 10.
Illinois Governor's Commission on Community Safety and Reentry Commission and Working Group: Report by the Housing Subcommittee, October 6, 2005; www.dhs.state.il.us/reentry/
A Community Assessment Tool to Measure Syringe Access ReadinessCDC NPIN
The document introduces a community assessment tool called A PLACE that can be used to measure a community's readiness for syringe access services (SAS). It consists of six components: Awareness, Policy, Leadership, Alliances, Cultural competency, and Establish/Expand. The tool is intended to help communities leverage their strengths to address SAS needs and reduce HIV/HCV transmission among injection drug users.
Predictive Models for Health and Social Care: A feasability studyNuffield Trust
This document summarizes a feasibility study on using predictive models with linked health and social care data to identify individuals at high risk of future social care needs. The study found that routine data can be used to build predictive models, though data linkage across systems is challenging due to issues like missing NHS numbers in social care data. Models were able to moderately predict individuals over 75 at risk of entering residential care or having over £5,000 in social care costs within a year, with room for improvement in predictive values. The study demonstrated the potential for predictive modeling but also limitations of current data systems.
The Lived Experience of Nursing Home Residents in the Context of the Nursing ...anne spencer
The document summarizes a study exploring nursing home residents' experiences of their nursing home as home. It provides background on aging populations and challenges of transitioning to long-term care. The study uses grounded theory methodology to interview residents and staff across urban and rural nursing homes in Ireland. Preliminary results indicate residents were admitted due to health issues limiting independent living or loneliness following life changes like spouse death. The full study aims to understand how nursing homes can maximize feeling like home for residents.
The North Star Initiative began in 2006 as a review of behavior support practices in Hamilton County Developmental Disabilities Services. It aimed to reduce aversive behavior plans and build positive relationships. Since then, North Star has grown and partnered with other agencies to promote positive behavior support through training, resources, and cultural change. Future plans include expanding training through additional Journey to the North Star sessions and training more staff as facilitators to spread the philosophy.
Where's the hope? Dialogues for Solidarity - Session 4ReShape
This session explored current work experiences in HIV care from a specialist point of view and looked at how current conditions impacted related care providers. Reflecting on the changing nature of HIV care and the changing needs of people living with HIV, the session examined the policy implications of a fragmented system and the patients' perspective on HIV care.
The Care Providers session was expected to lay the groundwork for a future session on the failing Health Economy as a leading issue.
Stuart Lane: Choice and shared decision makingNuffield Trust
The document summarizes a presentation on personal health budgets given at the Nuffield Trust Annual Health Strategy Summit in 2011. The presentation discusses how personal health budgets aim to give patients more control over their healthcare by enabling them to choose services that suit their needs. It notes the potential benefits for patients' health, wellbeing and experience. It also highlights opportunities to learn from personalization in social care and to take new approaches to public service delivery through co-production and breaking down barriers between professionals and recipients. Challenges include driving cultural change in the healthcare system and developing robust evidence to demonstrate the effectiveness and efficiencies of personal health budgets.
21 May 2012 - National End of Life Care Programme
Following on from the 2010 release of the programme's Supporting people to live and die well: a framework for social care at the end of life, Phase 1 of its implementation has been completed and evaluated. Key learning from Phase 1, particularly from the eight social care test sites, has been collated in this publication, which focuses on:
Training
Engagement
Services
Transferability and sustainability
Top tips from each of the test sites are identified, and Phase 2 of the social care framework implementation is outlined. This includes initiatives being developed across the country, the publishing of a Route to Success publication for social work and the creation of a social care champions' network.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Evaluation of the NZGG Self-Harm & Suicide Prevention Collaborative MHF Suicide Prevention
The document summarizes the evaluation of New Zealand's Suicide and Self-Harm Prevention Collaborative, which used collaborative methodologies across 14 district health boards to improve practices for assessing and managing people at risk of suicide. Key findings were that the collaborative approach was successful in implementing guidelines and driving quality improvement, but required significant resources. Success factors included effective national and local support structures, learning and applying the breakthrough methodology, and having local project teams represent all relevant departments.
Dr Leon Le Roux - Introducing the framework for community mental health suppo...Innovation Agency
Presentation by Dr Leon Le Roux, Clinical Director/ Consultant Psychiatrist, Lancashire Care NHS Foundation Trust: Introducing the framework for community mental health support, care & treatment on Wednesday 13 March at Haydock Park Racecourse.
This document provides an update on actions from the Winterbourne View Joint Improvement Programme Board. It discusses that there are currently around 3,500 people in hospital placements for learning disabilities or autism, with 1,200 in assessment and treatment units, and over 400 having no identified commissioner. It outlines plans for commissioners to review all inpatient cases by June 2013 and develop personalized community support plans, with the goal of all individuals receiving community support by June 2014. The document also discusses the development of a framework for these reviews and future guidance.
Understanding Context that Produces Inequality_Kai_10.12.12i v2CORE Group
The document discusses contextual analysis and how understanding context is important for addressing inequities and extreme poverty. It outlines Concern's approach which views poverty as multi-dimensional, involving lack of assets, risk/vulnerability, and inequality. The approach involves analyzing the local context to understand who the extreme poor are, why they are poor, what maintains their poverty, opportunities that exist, and what needs to change. Key aspects of the context like assets, livelihoods, services, social factors, hazards/risks, and vulnerability are examined. Conducting a thorough contextual analysis is important for holistically designing anti-poverty programs.
2014_Making Room_Living with a hoarding condition in Hackney - who am I and h...Breda Spillane
This document summarizes research on hoarding disorder and the population of residents in Hackney, London who exhibit hoarding behaviors. Key findings include:
1) There is a population of Hackney residents who hoard but no clear support pathways.
2) Hoarding is recognized as a distinct disorder but not yet in the UK.
3) Recommendations are made to establish support services and raise awareness for those with hoarding disorder in Hackney.
This document discusses various methods of intervention and change in community psychology, including consultation, crisis intervention, early childhood interventions like Head Start programs, and self-help groups. Consultation involves a consultant providing expertise to help a consultee better serve their clients. Crisis intervention aims to help people in acute stress to prevent chronic mental illness. Head Start prepares disadvantaged preschoolers for school through locally run programs. Self-help groups provide emotional support and coping strategies through shared experiences. Paraprofessionals and community health workers also extend the reach of professionals.
The document discusses Indiana's Permanent Supportive Housing Initiative, which aims to create at least 600 units of permanent supportive housing in Indiana over six years. It provides supportive housing to individuals experiencing long-term homelessness by combining affordable, permanent housing with voluntary support services. Studies show supportive housing is effective at improving stability and health outcomes while reducing costs to other public systems like hospitals, shelters, and jails. The initiative is a public-private partnership led by the Indiana Housing and Community Development Authority and other state agencies to adopt a housing first model and end long-term homelessness in Indiana.
This document discusses individual service funds (ISFs) and their role in delivering personalized care and support. Some key points:
- ISFs allow individuals to use their personal budgets to purchase support from chosen providers, who then manage the funds on the individual's behalf according to their specified needs and preferences.
- ISFs have evolved from initial uses in Scotland in the late 1990s and were later included in models of self-directed support. More recently, some providers and councils have adopted ISFs to help meet personal budget targets.
- When done well, ISFs can maximize choice and control for individuals over how their support is designed and delivered. They represent an important strategy for realizing the vision of fully personalized support
Ignore LTC Planning at the Risk of Your Own Financial Peril.Dolf Dunn
This whole area of extended healthcare in retirement is so important to get right that I went and earned my CLTC designation. This area of your financial planning needs to be lead by someone who actually knows the subject matter. What is the difference between LTC planning and the Fiscal Cliff? You have great control over how you deal with LTC planning whereas you have no real say in what was decided by congress and the president last week.
The document discusses the importance of evaluating outcomes in service delivery. It notes that while services often focus on outputs like clients served, evaluating outcomes is important to determine if a service is making a meaningful difference. Evaluating outcomes can improve services by providing insights into who benefits most and which program elements are most effective. Both monitoring data and evaluations are important, with evaluations helping to assess effectiveness, processes, and cost-effectiveness. The document outlines different evaluation methodologies and challenges in measuring outcomes.
The document summarizes the progress made during a 5 day Lean Launchpad process for a proposed mobile medicine startup. Over the 5 days, the team: 1) Restarted with a new customer focus; 2) Discovered limitations in their initial business model through customer interviews; 3) Conducted a deep dive to further validate problems and solutions; 4) Explored new pathways like telemedicine reimbursement policies; and 5) Analyzed the financial projections, concluding the model is profitable but requires continued clinic growth. In total they conducted 77 customer interviews to refine their model.
The SAIATU Project provided in-home social support services to complement palliative clinical services for individuals with advanced terminal illnesses and their families. It aimed to improve comprehensive care and facilitate in-home end-of-life care. The programme served 40 patients from February to October 2011, providing 479 visits and 467 telephone calls. 79.5% of patients died at home, and family satisfaction with care was high, with an average rating of 8.5 out of 10.
Illinois Governor's Commission on Community Safety and Reentry Commission and Working Group: Report by the Housing Subcommittee, October 6, 2005; www.dhs.state.il.us/reentry/
A Community Assessment Tool to Measure Syringe Access ReadinessCDC NPIN
The document introduces a community assessment tool called A PLACE that can be used to measure a community's readiness for syringe access services (SAS). It consists of six components: Awareness, Policy, Leadership, Alliances, Cultural competency, and Establish/Expand. The tool is intended to help communities leverage their strengths to address SAS needs and reduce HIV/HCV transmission among injection drug users.
Predictive Models for Health and Social Care: A feasability studyNuffield Trust
This document summarizes a feasibility study on using predictive models with linked health and social care data to identify individuals at high risk of future social care needs. The study found that routine data can be used to build predictive models, though data linkage across systems is challenging due to issues like missing NHS numbers in social care data. Models were able to moderately predict individuals over 75 at risk of entering residential care or having over £5,000 in social care costs within a year, with room for improvement in predictive values. The study demonstrated the potential for predictive modeling but also limitations of current data systems.
The Lived Experience of Nursing Home Residents in the Context of the Nursing ...anne spencer
The document summarizes a study exploring nursing home residents' experiences of their nursing home as home. It provides background on aging populations and challenges of transitioning to long-term care. The study uses grounded theory methodology to interview residents and staff across urban and rural nursing homes in Ireland. Preliminary results indicate residents were admitted due to health issues limiting independent living or loneliness following life changes like spouse death. The full study aims to understand how nursing homes can maximize feeling like home for residents.
The North Star Initiative began in 2006 as a review of behavior support practices in Hamilton County Developmental Disabilities Services. It aimed to reduce aversive behavior plans and build positive relationships. Since then, North Star has grown and partnered with other agencies to promote positive behavior support through training, resources, and cultural change. Future plans include expanding training through additional Journey to the North Star sessions and training more staff as facilitators to spread the philosophy.
Where's the hope? Dialogues for Solidarity - Session 4ReShape
This session explored current work experiences in HIV care from a specialist point of view and looked at how current conditions impacted related care providers. Reflecting on the changing nature of HIV care and the changing needs of people living with HIV, the session examined the policy implications of a fragmented system and the patients' perspective on HIV care.
The Care Providers session was expected to lay the groundwork for a future session on the failing Health Economy as a leading issue.
Stuart Lane: Choice and shared decision makingNuffield Trust
The document summarizes a presentation on personal health budgets given at the Nuffield Trust Annual Health Strategy Summit in 2011. The presentation discusses how personal health budgets aim to give patients more control over their healthcare by enabling them to choose services that suit their needs. It notes the potential benefits for patients' health, wellbeing and experience. It also highlights opportunities to learn from personalization in social care and to take new approaches to public service delivery through co-production and breaking down barriers between professionals and recipients. Challenges include driving cultural change in the healthcare system and developing robust evidence to demonstrate the effectiveness and efficiencies of personal health budgets.
21 May 2012 - National End of Life Care Programme
Following on from the 2010 release of the programme's Supporting people to live and die well: a framework for social care at the end of life, Phase 1 of its implementation has been completed and evaluated. Key learning from Phase 1, particularly from the eight social care test sites, has been collated in this publication, which focuses on:
Training
Engagement
Services
Transferability and sustainability
Top tips from each of the test sites are identified, and Phase 2 of the social care framework implementation is outlined. This includes initiatives being developed across the country, the publishing of a Route to Success publication for social work and the creation of a social care champions' network.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Evaluation of the NZGG Self-Harm & Suicide Prevention Collaborative MHF Suicide Prevention
The document summarizes the evaluation of New Zealand's Suicide and Self-Harm Prevention Collaborative, which used collaborative methodologies across 14 district health boards to improve practices for assessing and managing people at risk of suicide. Key findings were that the collaborative approach was successful in implementing guidelines and driving quality improvement, but required significant resources. Success factors included effective national and local support structures, learning and applying the breakthrough methodology, and having local project teams represent all relevant departments.
Dr Leon Le Roux - Introducing the framework for community mental health suppo...Innovation Agency
Presentation by Dr Leon Le Roux, Clinical Director/ Consultant Psychiatrist, Lancashire Care NHS Foundation Trust: Introducing the framework for community mental health support, care & treatment on Wednesday 13 March at Haydock Park Racecourse.
This document provides an update on actions from the Winterbourne View Joint Improvement Programme Board. It discusses that there are currently around 3,500 people in hospital placements for learning disabilities or autism, with 1,200 in assessment and treatment units, and over 400 having no identified commissioner. It outlines plans for commissioners to review all inpatient cases by June 2013 and develop personalized community support plans, with the goal of all individuals receiving community support by June 2014. The document also discusses the development of a framework for these reviews and future guidance.
Raising Awareness of Dementia, prepared by the Thames Valley Knowledge Team. This document will be of interest to those wishing the raise the awareness of dementia amongst non-specialist health and social care staff. The document describes projects taking place across the South of England and provides links to existing on-line resources that may be of use.
Telehealth ROCKS RAISE Health Innovations Presentation - HIT September 2023KC Digital Drive
These slides were presented at the September 2023 meeting of the KC Digital Drive Health Innovation Team.
The University of Kansas Medical Center's Telehealth ROCKS program is a federally-funded collaborative effort involving government, state and local organizations, universities, health care providers, and school districts to collectively meet the behavioral health needs of children and their families. The program focuses on comprehensive approaches, including a focus on the social drivers of health, targeted services, and clinical care.
The document discusses community-based rehabilitation (CBR) as a strategy for rehabilitation, equal opportunities, and social inclusion for people with disabilities. It defines CBR as efforts by people with disabilities, their families, and communities combined with support from health, education, and social services. The principles of CBR are solidarity and dignity. A good CBR program builds on community resources, involves coordination between government programs and hospitals, and has commitment from professionals and politicians.
Military Community and Family Policy – Cooperative Extension as Force MultiplierKeith G. Tidball
The document discusses how Cooperative Extension can help address the Total Force Fitness needs of military communities. It introduces Cooperative Extension and outlines how its existing programs map onto the 8 domains of Total Force Fitness, including physical health, nutrition, environmental education, and family support. It then provides recommendations for how to determine community needs, match them with Cooperative Extension capabilities, and develop plans to address gaps, such as conducting a community assessment and leveraging Cooperative Extension's training resources and local relationships.
Innovation in commissioning and provisioning of community healthcare - Counti...Clever Together
Benedict Hefford is Director of Primary and Community Services at Counties Manukau Health, where he is also the executive lead for integrated care:
http://www.countiesmanukau.health.nz/AchievingBalance/System-Integration/system-integration-home.htm. As Director, Benedict is responsible for both operational delivery and commissioning of health and social care services in South Auckland – a culturally diverse and economically deprived area of New Zealand with over 500,000 residents.
Benedict has 20 years healthcare experience encompassing senior management, commissioning, and strategic roles in both New Zealand and the UK. Prior to joining CM Health, he was Director of Commissioning (Social Care and Health) in central London. Benedict’s previous experience also includes re-designing community care services at Hammersmith and Fulham PCT and Capital Coast Health, as well as developing national health strategies as a Senior Policy Analyst with the NZ Ministry of Health. Benedict holds an MSc in Public Services Policy & Management from King’s College London; a Postgraduate Diploma in Health Services Management; and a BSW (Hons).
The document discusses different approaches to rehabilitation, including institutional based rehabilitation (IBR) and community based rehabilitation (CBR). IBR focuses on medical issues and takes place in cities/institutions, while CBR is community based, involves persons with disabilities in decision making, and provides holistic services. CBR is more proactive, identifies issues early, and provides guaranteed follow up care at people's doorsteps at a lower cost than IBR. The document also notes some limitations and advantages of CBR programs.
This document discusses the need for reforming adult autism services as the population of individuals with autism spectrum disorder (ASD) reaches adulthood. It notes that ASD rates have increased tenfold in 15 years and that most individuals with ASD are currently under age 14, meaning services must expand to support more adults. Left unaddressed, this will overwhelm housing, vocational support, healthcare and social services while costing $3.2 million per person over their lifetime. The document advocates for increasing funding for housing, vocational rehabilitation, and other supports to allow this growing population of adults with ASD to live independently.
This document discusses the need for reforming adult autism services as the population of individuals with autism spectrum disorder (ASD) reaches adulthood. It notes that ASD rates have increased tenfold in 15 years and that most individuals with ASD are currently under age 14, meaning services must expand to meet growing demand. Left unaddressed, this will overwhelm housing, vocational support, healthcare and social programs while costing $3.2 million per person over a lifetime. The document advocates for increasing funding for group homes, vocational rehabilitation and other services to support independent living and prevent a crisis as this generation of individuals with ASD becomes adults.
The document summarizes the work of Artists Helping the Homeless (AHH) programs in Kansas City, including Be The Change, Bodhi House, and plans for Kato House and Kato Clinic. It discusses:
- AHH was founded in 2010 to reduce homelessness and costs, supported by Saint Luke's Hospital.
- Programs provide transportation, housing, advocacy, and help people access services to improve outcomes. This has saved over $10 million in emergency costs.
- Future plans include Kato House for transitional youth and Kato Clinic to provide on-site medical care.
General Practice Transformation Champions: GP led integrated care in DorsetNHS England
This document summarizes the integrated care system in Dorset, England which serves around 800,000 people. It outlines the various organizations that make up the system including 86 GP practices, hospitals, local authorities, and mental health providers. It describes efforts to transform care through initiatives like establishing multidisciplinary teams, improving access to services, and shifting care delivery closer to patients' homes. Examples of new models of care that have been implemented include a frailty hub and an urgent care center. The document emphasizes themes like collaboration, standardization, prevention, workforce redesign, and using data to guide transformation efforts.
Nnapf’s renewal project on cultural aftercare practices case studyP. Jenny Gardipy
Thank you for sharing this information about Kitigan Zibi Health and Social Services' aftercare practices. Please let me know if you have any other questions.
Improving Sustainability of BC's Home and Community Care SystemBCCPA
This document outlines priorities and focus areas for community health and care work in Island Health, which serves over 767,000 people in British Columbia. It discusses the Ministry of Health context, including initiatives like patient medical homes and specialized community programs. It then provides an overview of Island Health, noting the aging population and higher rates of chronic conditions compared to the rest of BC. The priorities for community health and care work are establishing primary care homes, strengthening community health services, enrolling those at risk or rising risk, and strengthening linkages across the system. Areas of focus under each priority are described in detail.
This project aims to address mental health inequalities and integrate a non-medical mental health model into primary care settings. It will do this by influencing how GPs discuss mental health with patients and providing access to needs assessments. The goals are to integrate the model into primary care over 12 months, evaluate the impact on patients, staff and services, and disseminate the learnings. Outcomes could include improved mental health, reduced health service use, and more equitable care. The needs assessment approach targets practical problems that contribute to distress and limit recovery.
Cultural diversity competency framework for disability servicesHamish Robertson
The document discusses what service providers need to know to effectively work with Culturally and Linguistically Diverse (CALD) communities. It outlines five key answers from the Cultural Diversity Competency Framework (CDCF): 1) recognize that diversity is constant, 2) there is significant unmet need in CALD communities, 3) this need can only be met through principles of equity and economics, 4) answers involve principles and processes for sustainability, 5) diversity initiatives often fail due to lack of planning and follow through past implementation. The CDCF provides a framework to help organizations assess and improve their cultural competence.
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
The document discusses equity and access issues in India's Integrated Child Development Services (ICDS) program and proposes ways to address them. It notes that ICDS aims to protect children's rights to nutrition, health and learning. However, some groups face barriers in accessing ICDS services due to cultural, religious or household factors. To promote equity, ICDS must be universal and reach all children, with a focus on the most vulnerable populations. Gaps in both supply of services and community demand must be identified through discussions with local communities and analyses of coverage data. Prioritizing outreach and improving information sharing can help address exclusion and ensure ICDS benefits all children.
MINDS HUB - One-Stop Touchpoint for Persons with Disabilities PeiminLin3
An estimated up to 80% adult persons with disabilities (PWDs) / persons with intellectual disabilities (PWIDs) in Singapore may be undiagnosed or unserved, and are not attending regular services.
This results in deteriorating conditions and ultimately a pre-mature need for PWD/PWIDs to be kept in residential institutions. It is important to keep PWIDs in the community, as placing them in homes or institutionalised facilities will only further deteriorate their conditions, and isolate them from the community.
There is also a significant mental, emotional and physical strain on caregivers who have to manage the challenges that come with caregiving for aging PWDs/PWIDs.
To address this, MINDS Hub offers an array of healthcare and social support services all under one roof. Located in the heartlands of Singapore, MINDS Hub ensures PWDs/PWIDs and their families have more support closer to their homes, enabling them to participate actively in the community and to live independently.
The document discusses the importance of permanency for youth in foster care through family reunification and reintegration into their communities. It describes Casey Family Programs' goal of reducing the need for foster care by half while strengthening families. The CPS Reintegration Project aims to move youth with complex needs from group homes back into family care through intensive wraparound services. The video highlights key values like prioritizing permanency for all youth, family engagement, cultural competency, and providing long-term support post-reunification.
Similar to A Pilot Project for Mental Health Service Treatment Provision for Residential School Survivors (20)
This document discusses bullying within Aboriginal communities. It notes that:
- Nearly all Aboriginal youth have experienced bullying or lateral violence from their peers. Lateral violence refers to bullying among one's own community or ethnic group.
- 95% of young Aboriginal people have witnessed lateral violence and bullying at home. 95% of bullying among Aboriginal people is directed at other Aboriginal people.
- Lateral violence stems from colonization and oppression and is a way for oppressed groups to internalize pain and direct it at their own community instead of confronting larger systems of power. It causes negative mental health impacts.
- Forms of lateral violence include verbal and nonverbal attacks, sabotage, and scapegoating.
Diane McClymont Peace, Environmental Health Research Division, First Nations and Inuit Health Branch, Health Canada. Presentation at the HOUSING REALITIES FOR INUIT 2012 WORKSHOP organized by Inuit Tuttarvingat of NAHO, February 16, 2012.
Tom Kovesi MD
Pediatric Respirologist
Associate Professor of Pediatrics
Children’s Hospital of Eastern Ontario
University of Ottawa
Ottawa, Canada
Presentation at the HOUSING REALITIES FOR INUIT 2012 WORKSHOP, organized by Inuit Tuttarvingat of NAHO, February 16, 2012, Ottawa, Ontario.
This document summarizes a presentation on housing, health, and the ongoing crisis for Inuit in Canada. It notes that Inuit have significantly lower life expectancy and higher rates of infant mortality and respiratory diseases than other Canadians. Housing is often overcrowded and in need of repair. Research is needed to better understand the links between housing conditions and health impacts and to identify policies to address the ongoing housing crisis for Inuit in Canada.
This document discusses factors contributing to housing (in)security and homelessness in the Northwest Territories of Canada. It explores how the meaning of "home" is context-dependent and multidimensional for Indigenous communities, involving connections to land, family, community, and traditional way of life. The document presents stories from individuals experiencing homelessness and housing insecurity, and examines how northern housing and social policies can both help and hinder solutions.
National Aboriginal Housing Association
Association Nationale d’Habitation Autochtone
Presentation
NAHO Speakers Series
Housing is Health: What Remedies for Urban Aboriginal Peoples?
Ottawa Ontario
March 1, 2012
Charles W. (Charlie) Hill, Executive Director
Social media is not a replacement of previous forms of communication. Keep doing those things you used to do, social media is just another tool. The strength of social media is that it can empower your audiences to participate in your communication and brand development….hopefully in a good way.
Social media is not a replacement of previous forms of communication. Keep doing those things you used to do, social media is just another tool. The strength of social media is that it can empower your audiences to participate in your communication and brand development….hopefully in a good way.
This document summarizes a project to engage Inuit youth in tobacco use reduction through video stories about quitting smoking. [1] The National Aboriginal Health Organization and Inuit Tuttarvingat developed the Inuit Tobacco-free Network to share knowledge about tobacco use reduction. [2] They hired Inuit youth to film video testimonials from people in their communities who have quit or tried to quit smoking. [3] The videos were used in a classroom contest in Nunavut schools to encourage youth to think about the harms of smoking and consider quitting. The contest provided feedback on the videos and strategies to improve youth tobacco prevention efforts.
Canadian Public Health Association
Annual Conference June 22 2011
Dianne Kinnon, Inuit Tuttarvingat, National Aboriginal Health Organization
Martin Lougheed, Inuit Qaujisarvingat: The Inuit Knowledge Centre, Inuit TapiriitKanatami
NAHO 2011 Speaker Series, Ottawa, February 23, 2011
Pierre S. Haddad PhD
Department of Pharmacology Université de Montréal
This talk is dedicated to the memory of Elders
Sam Awashish, René Coon Come,
Smally Petawabano and Sally Matthews
26th International Papillomavirus Conference: Satellite Symposium
Enhancing HPV Prevention among Indigenous Populations: International Perspectives on Health and Well-Being
Montreal, Quebec
July 5, 2010
Panel 1 , Researching the Burden of HPV Disease, Immunization, and Cervical Screening among Indigenous Populations.
26th International Papillomavirus Conference: Satellite Symposium
Enhancing HPV Prevention among Indigenous Populations: International Perspectives on Health and Well-Being
Montreal, Quebec
July 5, 2010
Panel 2: Primary and Secondary Prevention of HPV Diseases, Cervical and other cancers among Indigenous Populations: Promising Interventions and Wise Practices.
26th International Papillomavirus Conference: Satellite Symposium
Enhancing HPV Prevention among Indigenous Populations: International Perspectives on Health and Well-Being
Montreal, Quebec
July 5, 2010
Panel 1 , Researching the Burden of HPV Disease, Immunization, and Cervical Screening among Indigenous Populations.
26th International Papillomavirus Conference: Satellite Symposium
Enhancing HPV Prevention among Indigenous Populations: International Perspectives on Health and Well-Being
Montreal, Quebec
July 5, 2010
Panel 2: Primary and Secondary Prevention of HPV Diseases, Cervical and other cancers among Indigenous Populations: Promising Interventions and Wise Practices.
26th International Papillomavirus Conference: Satellite Symposium
Enhancing HPV Prevention among Indigenous Populations: International Perspectives on Health and Well-Being
Montreal, Quebec
July 5, 2010
Opening Address
Valorie Whetung
Director of the First Nations Centre
Knowing Your Roots: Indigenous Medicines, Health Knowledge
and Best Practices
Café Scientifique
October 2010
More from National Aboriginal Health Organization (20)
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central19various
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
2. A Pilot Project for Mental
Health Service Treatment
Provision for Residential
School Survivors
AUTHORS: Dr Bob Chaudhuri (1); Robert Thomas(2); Brian
Walmark (2); Tom Terry(2);
AFFLIATIATIONS (1): Northern Ontario School of Medicine (NOSM)
AFFLIATIATIONS (2): Keewaytinook Okimakanak (Northern Chiefs
Council)
3. Canada's Indigenous population is a vulnerable group in the
health care system, with specific mental health and healing
needs that are not widely being met.
4. Indigenous peoples face certain historical,
cultural-linguistic, socioeconomic, and
system barriers to access to mental health
care that government, health care
organizations, and social agencies must
work to overcome.
Current health indicators undermine
Canadian Indigenous health status, including
mental health.
5. To address some of these
inequities in health and
health care, some Indigenous
health organizations have
recently developed services
to mental health that include
traditional cultural approaches
to healing.
6. However, Indigenous health and
healing information and practices are
practically non-existent through the
mainstream health care system, which
is dominated by Western approaches.
7. An Indigenous paradigm of health has been
successfully employed by Indigenous peoples for
thousands of year prior to the arrival of Europeans
and colonialism.
This study seeks to create new and different
methods of treating First Nations people linking
traditional Indigenous healing practices and
western practices using a community mental
health care delivery system as well as
teleconferencing
It should be noted that teleconferencing is an
antiquated term . In reality we mean
videoconferencing (Internet Protocol IP)
8. The focus of this research is to investigate the successes and
challenges by this new delivery system, which offers both
Indigenous and Western forms of healing to clients in mental
health service agencies, and to get descriptive information from
their clients about success of such an approach.
9. The KO Indian Residential School
Survivors Program - IRSSP
• The mental health treatment services delivery model for a pilot
project (the KO Indian Residential School Survivors Program -
IRSSP) being jointly proposed by the Sioux Lookout First
Nations Health Authority (SLFNHA) NODIN Child and Family
Intervention Services and by Keewaytinook Okimakanak (KO),
the Northern Chiefs Council, a tribal council serving six first
nations in Ontario‟s far north.
• This pilot project combines the resources of
Multiple First Nation partners and communities.
Unfortunately, the Legacy of Residential Schools
And Intergenerational trauma has had a large
Effects in NorthWestern Ontario among other
Places in Canada.
10. IRSSP
• The project will facilitate both counselling and
community supports for Indian Residential
School survivors in the KO First Nation
communities of Deer Lake, Fort Severn,
Keewaywin, North Spirit Lake, and Poplar Hill.
• Both traditional and western methods for
Mental Health treatment of “Post-Colonial” or
Residential School Trauma survivors will be
employed.
12. IRSSP
• The overall purpose of the KO Indian
Residential School Survivors Program (IRSSP) is
to:
– 1. Provide appropriate and sufficient community-based
therapy.
– 2. Support services to promote healing from IRS trauma for
survivors and families within their home community.
– 3. KO is in charge of facilitating the funds for this program.
13. IRSSP
• Unfortunately, we have learned the hard way that conventional
models of mental health treatment services delivery for survivors
of Residential Schools from remote northern Ontario First
Nations have generally resulted in client recidivism.
• As well, high costs associated with the conventional models of
service delivery have meant that service delivery must be highly
structured to control costs. High travel costs mean reduced
access to client services.
• Examples of how the KO IRSSP video-enabled therapy and
traditional healing would address some of the existing service
delivery challenges are:
14. Comparison of Existing Model with proposed KO IRSSP Community-Based Model
Existing Service Delivery Challenges KO Model to Address Challenges
-High cost of travel: financial; social/family; -Less therapy-related travel with more community-
personal/spiritual based services mean more effective use of resources
and greater access to services by more IRS survivors.
-Gaps in existing community based support 24/7 - KO Project provides connection and continuity
with client, treatment plan and therapist or
traditional healer.
-Existing „fee-for-service‟ (FFS) model is too similar - IRSS clients best served & have the greatest chance
to Residential Schools. Very challenging for clients of success in treatment when both therapy & after-
from remote settings, who need to be very self- care activities are based in the client‟s home
motivated and in an urban or road access community, where the natural, most culturally-
community for realistic chances of success. appropriate and most effective client supports exist.
Family, survivor peers and community context are
required for client success
- Non-conformity with accepted characteristics of -Therapy models / treatment planning will conform
successful treatment for IRS Survivors (family- to unique specialized requirements for successful
based, trans-generational)
IRSS tx
15. Comparison of Existing Model with proposed KO IRSSP
Community-Based Model Continued
Existing Service Delivery Challenges KO Model to Address Challenges
Continued Continued
-Existing Local Mental Health Workers often lack - Local IRSSP Coordinators will be trained to a
clinical experience, have little or no training, minimum standard in basic counselling
provide little if any case management, maintain a (NODIN) and TGTM, will be supported to
high caseload, respond primarily to crisis complete required case management functions,
needs/situations, do not maintain regular and will work with and provide support for
schedule of client consults, and suffer from lack Survivors and families on long-term and inter-
of staff support.
generational effects of residential school trauma
16. Comparison of Existing Model with proposed KO IRSSP
Community-Based Model Continued
Existing Service Delivery Challenges KO Model to Address Challenges
Continued Continued
-Failures in past with IRS Survivors are due to -KO IRSSP Local Coordinators will
lack of aftercare/follow-through on Plans coordinate/facilitate after-care and follow-up at
(resulting in high system and community/family the community level to ensure access to and
utilization of local supports. Specialized social
costs due to recidivism)
supports available only in home community.
-Existing FFS model is appropriate for more -KO IRSSP model specialized to address long-
immediate acute social needs and not residential term individual, collective and intergenerational
school trauma aspects of trauma and treatment planning
- NODIN stressed – responding to acute - immediate acute needs met locally or
needs/crisis w/NODIN
- IRS trauma was collective. Treatment must have -KO IRSSP develops integrated treatment plans
collective component. which may indicate unique and innovative
approaches to utilize local supports / family /
Committees
17. IRSSP
• Telemedicine-enabled therapy, traditional healing and support
services for Residential School Survivors from the KO First
Nations will be cooperatively developed and initially supervised
by a mental health professional (the IRSSP Pilot Coordinator) at
the KO Office in Balmertown.
• Regional coordination of program development, community
consultation and IRSS Committee development, assistance to
Chiefs & Councils in assigning support responsibilities to local
worker(s), program promotion, training, approvals and billing for
overall therapy and traditional healing services through NIHB,
worker support and advocacy, and coordination of evaluation
activities, will be the responsibility of the KO IRSSP Pilot
Coordinator.
18. IRSSP
• Local IRSSP Program responsibilities will include establishing a
local support network amongst survivors, local promotion of
IRSSP and supports, providing and/or facilitating referrals,
coordinating client services (both local via tele-medicine or other
and NODIN), client and group advocacy, facilitating and
encouraging client follow-through on treatment plans.
• Providing (or facilitating access to) emergency counselling if
needed between clinical sessions, and participating in evaluation
activities.
• These responsibilities will be fulfilled by existing local mental
health workers who will be tasked with additional responsibilities
under this IRSS Program.
19. IRSSP
• The mental health Single Agreement for Service Model will
provide the general template for collaborative treatment.
• Essential face-to-face consults with therapists normally accessed
by video-technology will occur early on in the treatment process
-- either up-front or after the first few therapy sessions – and will
occur in the client‟s home community context via a community
visit by the therapist.
• As well, consults with traditional healers will include a face-to-
face consult early on in the treatment process (via a community
visit), and will then progress to regular video-enabled consults
for a majority of the treatment sessions.
20. IRSSP
• IRSSP therapy and traditional healing services may be accessed by IRS
survivors and their families in a number of ways:
• 1) Direct contact with the IRSSP Local Coordinator by the
survivor or family member(s);
• 2) Direct contact with KO Health Services or KOTM, which
informs the Pilot or the Local Coordinator;
• 3) Direct contact with the KO IRSSP Pilot Coordinator, who will
contact the Local Coordinator;
• 4) Contact at-a-distance with related crisis and support contact
lines, which will then contact the IRSSP.
• IRSSP therapist and traditional healing services will require “prior-approvals”
from NIHB. Prior-approval will be applied for once a referral is made to
IRSSP staff. When necessary, IRSSP staff will assist the IRS applicant in
completing the necessary forms to apply for „prior-approval‟. The next slide
will define the necessary information required for „prior-approval‟.
21. IRSSP
• The necessary information for “prior approval” in the
application includes:
• a) a letter from the Chief/Council recognizing the person as a
Traditional Healer/Elder, and that they welcome the Elder to
the community on such and such a date;
• b) name and address of the Elder/Healer;
• c) confirmation from the Elder/Healer that there is an
appointment with former IRS student(s) - dates and times
scheduled or that the person is attending a healing event;
• d) if there is a community healing event - date and agenda of
the event;
• e) name, address, phone #, date of birth and DIAND # (band
number) of the former IRS student plus names and dates of
birth of family members;
• f) if the person is a family member of a survivor, the actual
survivors personal information, ie. DOB, DIAND#, School
attended;
• g) travel dates, for accommodation - dates requested.
22. .
IRSSP Treatment Process
• When this information is received, travel
arrangements will be reviewed and the applicant
will receive an IRS prior approval number from the
NIHB office (which may take seven working days
to process).
• Once the video-session or community visit has
occurred, an invoice is submitted to NIHB
including the prior-approval number (IRS###), as
well as a statement identifying all expenses with
attached original receipts for accommodation,
transportation, and a written and signed
confirmation of attendance for each day of travel.
• Once treatment plans are approved by NIHB,
prior-approvals may apply to multiple consults as
part of the overall plan.
23. IRSSP KOTM best practices (1)
• Counselling environment, successful client engagement and
confidentiality issues during video therapy sessions and remote
sessions with a traditional healer will be addressed by applying
existing guidelines / protocols established by KO Tele-Medicine
(KOTM) over the last five years. KOTM serves 26 remote First
Nations communities in Ontario‟s far north.
• These practises are articulated in the following KOTM
documents:
• Telecounseling Consultation Information Sheet – a client
information sheet which describes KOTM and Telecounselling
(IP protocol), as well as providing detailed information for
clients on “What Happens During a Telecounselling
Appointment”, “What About Privacy / confidentiality?”, “What
are the Potential Risks?”, the Benefits to Telecounselling, as well
as what other options are available.
24. IRSSP KOTM best practices (2)
• Protocol for Telepsychiatry Consults – a program delivery
tool for KOTM staff to ensure sensitive, confidential, effective
and proper consults, and covering topics such as background
noise, other persons in the clinic area, technical issues related to
equipment operation, as well as other service delivery aspects
required for successful consults such as Oaths of Confidentiality
for staff and necessary consent forms for clients.
• IT User Guide – providing technical instruction for use of
phone and video suite equipment
• Privacy and Confidentiality Policies section from the KOTM
Policy and Procedures Manual
• Protecting Your Personal Health Information – KOTM
client information brochure
25. Timeline and Evaluation
• The evaluation / assessment of video-enabled therapy and
traditional healing services through the KO IRSSP will be on-
going and result in a final report at the end of the Pilot period
(March 2010), and for each subsequent year of service delivery.
• Outside evaluators will work collaboratively with IRSSP staff to
determine the scope and focus of the assessment activities and
design an evaluation plan. Evaluative tools will be administered
at the end of most IRSSP activities, including all video-enabled
sessions and any formal support functions/events held in each
First Nation.
• As well, staff and Committee training will be evaluated by
participants for relevancy, appropriateness and usefulness.
• Quantitative analysis of statistics, together with projection of
costs for same level of service/activity if not video-enabled, will
provide some relative measure of cost effectiveness when
compared to existing models which support client travel away to
urban settings for therapy or healing services in isolation from
family and peer supports.
26. IRSSP Implementation Workplan
July 2009 – March 2010
• Summary Objectives/Activities to be completed:
– Program Design
– Establish local IRS Support Communities
– Community Consultations
– Hiring – the appropriate coordinators
– Confirming Traditional Healers
– Training – include case management, confidentiality, basic
counselling, crisis intervention
– Program Promotion
– Service Delivery
– Program Planning – Year 2
– Program Evaluation/Assessment
27. Current KO Mental Health Clients
• KO Mental Health Office reports that the
present KO mental health client list (all 5 FNs)
totals 78 individuals
• 39 of which are direct IRS survivors
• 18 are inter-generational victims, and the
remaining
• 21 (primarily children) present other MH issues.
• Once in operation, the IRSSP will increase # on
list