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Project Team: April 7, 2021

Attendance: Andrea Alves, Lauren Caruana, Kerri Nagy, Josette Morin, Dayna Rossi, Diana Urajnik, Heather McKee, Rameiya Param, John Riley, Brannon Senger, Aristotle Voineskos, Sara Traore, Lauren de Freitas, Victoria Villanueva, Lillian Duda, Dielle Miranda, Carol Maxwell, Anne-Marie Baker Devost


Action Items

  • Contact sites for April 16 case presentation – Rameiya

  • Extract research participant data for duration of untreated psychosis and share with sites – Andrea

  • Share Ontario Perception of Care (OPOC) survey with sites – Dr.Kozloff/Andrea

Main Updates/Decisions Made

  • REB: Received CAMH REB approval for recent amendment, will proceed with site REBs next

  • Clinician Training/Annual Meeting: planning 2 half-days in June

  • ECHO: post-cycle 2 evaluations and cycle 3 curriculum to be released soon

  • Patient Measures: sites to complete referral form for all clients who are asked (yes’s and no’s); research team to share participant’s symptom and functioning scores with sites

Administrative Updates

Review Impact Summary (see attached)


Site Meetings

  • Thanks to all sites for participating in the annual site meetings, we had great discussions and will be incorporating feedback into upcoming ECHOs and trainings

Annual Meeting/Booster Training

  • Planning for early June with a half-day clinician training, and a half day meeting to discuss progress/opportunities

  • No travel required this time – will be more convenient

  • Site lead feedback:

    • North Bay, Niagara, Thunder Bay prefer 2 half-day morning meetings, as less clients are booked in the mornings

    • Dayna will connect with the remaining sites to confirm

    • Half day training with activities to support training needs

    • Site leads to share staffs’ needs with PSSP or research team so we can create a useful training for clinicians

    • Will also be useful for new staff that have joined

    • If the sites have suggestion for training, and any new staff we can think about how to use that time to support them

CAMH REB

  • We have just received approval from CAMH REB for our recent amendments which include:

  • Option to text referrals for setting up research appointments

  • Option for family members to complete surveys via email instead of videocall

  • Research Recruitment Poster for sites

    • We will proceed with site REB submissions next


ECHO

ECHO Surveys/Evaluations

  • Will be sending out self-efficacy survey and post-echo evaluations to obtain feedback; have not confirmed dates for this yet

  • Also determining logistics for the qualitative interviews for ECHO


Upcoming Sessions

  • April 16th on CBT (Part 2) with case presentation TBD

  • May 7th on IRT (Part 2) with case presentation by Thunder Bay


Site Lead Updates

North Bay

  • Had a great meeting with the research/Slaight team

  • Liked the idea of a welcoming/orientation to NAV for clients that Slaight does, but might be hard with smaller number of clients

  • 22 clients right now, clinicians have been busy with a move

  • Getting a new manager starting this week

  • Still seeing clients mostly virtually but option to meet face-to-face and come in for injections

  • Clinicians say that clients have not been in hospital, but might be feeling more low/isolating more, and hard it’s hard to encourage clients to do more when they can’t really go anywhere

Niagara

  • Clients are being seen virtually and in-person

  • High number of referrals and clients that are unwell

  • Have experienced high turnover and need more staff, but staff are persevering and working hard to serve clients with a high standard of care

  • Peer support started a walking group

  • Interested in tracking the duration of untreated psychosis for each client

  • Research team may be able to provide this information to sites for any clients that participate in research, as we conduct a thorough SCID interview

  • For the half-day clinician training, would look forward to Tallan being a client for a training scenario

Thunder Bay

  • Intakes are moving forward but some did not show or were not a fit so recruitment has lagged a little

  • Meeting with Janet to review Fidelity assessment and discuss some areas for improvement

Sudbury:

  • Influx of COVID cases at the hospital with 2 units on lockdown, including mental health inpatients

  • Nurses are being redeployed from community care, including an EPI nurse (for approx. 6 weeks)

  • The team is already quite small so will be strategizing for the next little while to provide best care


Recruitment

Recruitment Updates/Strategies

  • 101 clients referred and 55 enrolled

  • Referrals have slowed down in March

  • A reminder for clinicians to complete the Referral Form whether clients say yes or no to being contacted by the research team; this provides a better reflection of the volume of clients being asked and helps us to improve our strategies for recruitment

  • 6-month and 12-month follow-ups are also underway

  • 19 6-month follow-ups have been completed with 3 more due this month

  • 2 12-month follow-ups have been completed with 2 more due this month

Sharing participant assessment scores with sites

  • An added benefit of having clients participate in research is the additional measurements conducted, which can provide more information about symptoms/functioning

  • The research team will be providing a brief summary of symptom and functioning scores to sites, for those participants who consent to have their scores shared with their clinical teams

e-NAV

  • Co-ordinating a method for individual sites to share their innovations with the CAMH team and disseminate these practices to all sites

  • Youth/family advisors and knowledge users have been actively working on evaluation plan

  • Similar to EPI-SET, e-NAV is using fidelity assessments, qualitative interviews and chart reviews.

  • CAMH recently rolled out a virtual client experience survey which will go to clients across CAMH

Advisory Committees

  • Both committees have enjoyed having speakers/project investigators attend their meetings

  • Informative about opportunities for participation

  • Provides sense of unity and organization, particularly for this project that has so many pieces

  • Advisors welcome your questions and want to contribute, please let them know if you have any questions or opportunities

Family Advisors

  • The group has good representation, with 8 members (North bay, Niagara, Durham, Waterloo and latest member has experience from Chatham)

  • Advisors share their experiences with the mental health system, and are eager to volunteer and help however they can

  • Actively participating in ECHO sessions and site meetings

  • Family advisors see the value in NAV and need for family support and education as part of NAV

Youth Advisory

  • Currently, each advisor is working on making a video about their individual experiences

  • Scripts were sent to CAMH Public Affairs for review

  • Recently met with Youth Engagement Facilitators at CAMH to learn about an animation program that has been successfully used for videos

  • The group has 5 members and happy to have more representation, particularly from clients who have received NAVIGATE

    • As clients at sites complete their EIP service, consider recommending them to this advisory committee

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