Tuesday November 19th, 2019
In Attendance: Andrea Alves, Laura Grennan, Abanti Tagore, Dielle Miranda, Aristotle Voineskos, Sarah Bromley, George Foussias, Sheila Gallagher, Jen Bertoni, Josette Morin, Kim Hewitt-McVicker, Anne-Marie Baker Devost, , Alexia Jaouich, Alan Cudmore, Dayna Rossi, Lauren Caruana, Lillian Duda, Augustina Ampofo, Eddy Nason, Catherine Ford, Sanjeev Sockalingam, Jenny Hardy, Nicolle Plante- Dupuis, Janet Durbin, Nicole Kozloff, Sophie Soklaridis
ACTION ITEMS
Send research referral script to PSSP – Abanti/Dielle
Send list of which sites have members in the FAC & YAC to all site leads – Laura & Andrea
Send info sheet about study to PSSP – Dielle
Circulate flyer of FAC & YAC member inclusion criteria to sites – PSSP
Disseminate REDCap referral link and desktop saving instructions to all sites – PSSP
Connect CAMH clinicians with Durham clinicians to speak about implementation – Sarah
Sites leads need to be informed about the onboarding package - Dayna
Fidelity reports to be finalized and circulated - Janet
MINUTES:
INTRODUCTIONS & OVERVIEW
Aristotle provided an update on the new sites onboarding, progress over the last year
NEW SITES INTROCUTION
New sites were introduced (ThunderBay, Waterloo-Wellington and Sudbury) and provided a brief description of their clinical services and why they were excited to join EPI-SET
Thunder Bay: clinicians are very enthusiastic; some even asking to come in off time to read and learn the new NAVIGATE materials!
Thunderbay has a mobile team to go out into the community- an implementation nuance that needs to be further discussed
WW has a meeting on Dec 6th with their team to talk about NAV; Sarah suggested that PSSP join the meeting
Sudbury team is also meeting in Jan 2020- PSSP will join the meeting as well
IMPLEMENTATION OF NAVIGATE MODEL OF CARE
Current sites provided an update on how things were going at their sites- what’s working and the implementation challenges.
North Bay: currently only two clinicians and they’ve been doing good job of training and implementing the program, clinicians are training on different roles so there can be overlap and coverage-however could use more support
Durham: clinicians are not fully onboard with this new program yet; working but hoping things will become smoother with more support from PSSP implementation specialists – Sheila suggested that the team needs more in-person support from PSSP
Durham clinician feel that standardized care is not individualized; Eddy spoke to the importance of reinforcing the value of clinicians which is an important part of change management
It was also suggested that SCEIS staff join one of the staff team meetings to talk about their experience with implementation- what they have liked about NAVIGATE, the challenge of changing practise etc.
Adapting to new technology has also been a challenge for some Durham team members (ex; ECHO zoom); this has been quite a shift for the clinic
New sites have expressed interest in joining NAVIGATE
St. Joeseph’s Health Care Hamilton approached Sheila expressing interest in NAVIGATE SEE roles and joining the program
Aristotle suggested that any new sites wanting to join NAVIGATE should be directed to Dielle or Sarah
We will continue our model of operations of onboarding new sites on ongoing basis instead of having them wait till the next year
By next year we should have a learning program ready for new sites
IMPLEMENTATION OF RESEARCH
We are ready to start patient measures component
The REDCap referral link & instructions have been sent to PSSP
All clients within their first year of EPI can be referred over and data collection ready to begin – George
Sites indicated that it would be helpful if clinicians had a script for clients when pitching research to them – including what benefits there are for participating
ECHO
Sanjeev reported that there has been good participation with spokes at the ECHO session average attendance was around 19 spoke members
It was suggested that PSSP remind sites about importance of participation and attendance at ECHO and that ZOOM interface can be accessed from anywhere – via phone or computer, so it makes it easy for members to jump in on the call
By June 2020, ECHOs will switch from monthly to biweekly
It was suggested that spoke members complete the post session survey during the last 10 minutes of the session in order to increase the number of responses – members would need to bring their own phone or laptop to the meeting
UPDATE ON FIDELTIY ASSESMENTS
Fidelity reports underway for current sites; plan to start with fidelity reviews with the news sites – Janet
ADVISORY COMMITTEES
Lillian expressed the importance of having standard model of care for early psychosis; she talked about the importance of decreasing variability in care and standardized treatment across all setting
Augustina reinforced the importance of having standardized care
EPI-SET has done a good job of integrating feedback and input from advisory committees into the study
Site leads suggested that it would be helpful for them to know which sites have FAC & YAC members and which don’t so it will be on their radar and leads can refer members over
New members need to be recruited for YAC & FAC, sites to refer potential members to Dielle and/or EPI-SET research team (Andrea/Laura)
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