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Implementation Committee: June 10, 2020

In attendance: Sheila, Kim, Dayna, Abanti, Lauren, Charlotte, Alan, Josette, Sandy, Alexia, Mary Hanna, Janet, Heather, George, Sarah, Kerri

Action Items:

- Invite FAC/YAC to next monthly implementation call with site leads so they can address any research recruitment questions – Dayna

- Create poll to find a better time for ECHO calls going forward – Abanti/Dayna

Minutes:

Research Component Updates

Josette/North Bay

- The team works well together, communicates daily and knows everything about each others clients; we have 5 enrolled in research now, but what’s challenging is we don’t have a tracking method – should sites be creating their own tracking tool or will CAMH be developing something?

- Hard for us track because we forget who we’ve asked even though we put reminders everywhere

Sheila/Durham

- We were sending very few referrals, and the staff thought if clients weren’t receiving NAVIGATE fully then they weren’t going to refer – have cleared this up, clinicians just have to ask everyone

- We have about 60 patients that are getting some aspect of NAVIGATE, but not every component

- The clinical meetings with Abanti/Dielle are really helpful and we’re talking about the research questions that come up right there and then

- I’ve been tracking on my own excel sheet, started it 2-3 weeks ago, asking clinicians monthly who/how many they’ve asked to participant in research, yes/or and why and which modules of NAVIGATE they’re getting

- Having this tracking added a level of motivation to clinicians and having those conversations every single week is helpful

- George: giving people these opportunities can make them feel valued, we want their input and feedback and this might inadvertently increase their engagement; FAC/YAC to attend the next monthly implementation call so they can also address some of these concerns

Kim/Waterloo

- Do we refer people if we’re enot sure they’re going to stay in the program/are reluctant?

- George: people may disengage and drop out of care, just refer and the research team will take it from there, site teams do not have to worry about that


ECHO Discussion/Clinical Support

Kim/Waterloo

- It comes down to practicalities, we recognize that we came late too the ECHOs and those weren’t really great for us and it’s becoming challenging

- It’s not about us valuing it, we may have staff but I don’t feel like I can mandate it right now because of the way we have our program set up; we’re running through lunch and doing NAV before and after and so it feels like a difficult piece to push

- How are other sites mandating it and negotiating with their staff?

- Perhaps we can do alternating days for the calls each month?

- We’re just tilting into acceptance of NAVIGATE and I want to tenderly encourage the acceptance instead of mandating it

Sheila/Durham

- It was challenging, the staff were talking about burnout and it was way too much with all the post training calls, webinars and all other training materials

- You have to spread it out and not have as many meetings – once it becomes repetitive, you find that you’re talking about the same thing over and over again

- It’s on a day that our psychiatrist is there, some people can participate but not everyone can attend these calls

Team

- No issues with TB and Sudbury with the Tuesday slots

- We will have to find a better day to move the calls entirely and maximize the utilization of time so it’s not repetitive and fosters a community of practice


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