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Project Team: February 3, 2021

Attendance: Andrea Alves, Brannon Senger, Tallan Byram, Carol Maxwell, Dayna Rossi, Lillian Duda, Lauren Caruana, Lauren de Freitas, Josette Morin, Sara Rutkowski, Kim Hewitt-McVicker, Janet Durbin, George Foussias, Monica Choi, Sandy Brooks, Nicole Kozloff, Rameiya Paramalingam, Aristotle Voineskos, Victoria Villanueva, Sarah Bromley, Maurey Nadarajah, Sanjeev Sockalingam, Melanie Barwick, Diana Urajnik, Dielle Miranda

Regrets: Anne-Marie Baker Devost, Kerri Nagy


  • Explore COVID survey preliminary data analysis plan at next Patient Measures meeting – Andrea

  • Respond to the doodle poll Rameiya sent out to coordinate site meetings – CAMH staff/PIs

  • Reach out to prescribers to determine availability/interest in an evening session – Ras

  • Follow-up with first 3 sites around Fidelity assessment support – Janet/PIs

  • Coordinate FAC/YAC attendance at site meetings – Brannon/Andrea


Site Meetings

  • Rameiya is coordinating an informal touch-base meeting with each site and a small group from the project (clinicians, family/youth advisors, research team)

  • Thank you to all site leads who provided dates in March

  • We are currently coordinating attendees and will send finalized meeting dates out soon


  • The 4th edition of the EPI-SET newsletter will be released in a few days and summarize updates and upcoming work across all project areas

Patient Measures/Recruitment

  • 91 referrals and 44 enrolled

  • 2 more scheduled this week and following-up on some clients who no-showed/wanted to reschedule

  • We are also scheduling in 6-month follow-ups throughout February, and family members (for enrolled participants who consent to have family members participate)

  • Site leads can contact Andrea and Brannon during appointments with clients if you would like us to tell them about the research opportunity (currently this can be done through email, but we are setting up work phones and will send out those details soon).

  • Our research assessments include COVID-related surveys (isolation/resiliency).

  • We will take a look at the data soon and share information that will be helpful for everyone to see, in the same way that Fidelity data has been shared with sites.

Implementation – ECHO

Survey Feedback and Curriculum Planning

  • The hub team will be reviewing survey feedback and planning upcoming curriculum

  • Surveys are a great source of info to determine what topics we should cover – if site leads have any additional input, please let us know at any time, as we want to ensure we respond to different sites’ needs.

  • Survey incentives have been great, and it’s important to have an element of fun!

Attendance and Availability

  • Attendance has trended slightly upwards over the last several months

  • The current time is best for some sites as it does not interfere with lunch

Engaging Prescribers

  • Follow-up on having an evening session on a topic relevant to prescribers’ needs

  • General feedback from sites is that prescribers may be willing to have a session in the evening (too overbooked during the day), but we should get their feedback on:

  • A time of evening that works best

  • A specific need/issue to address

  • Remind prescribers about the type of CME credits they can get

  • Thunder Bay prescriber has confirmed their interest in an evening session

  • North Bay prescriber has EPI time on Tuesdays, but could likely be available for evening

  • Need to be very clear about the objective of this (NAVIGATE, support for challenging scenarios, etc.)

  • New psychiatrist at Waterloo is orientating with George and existing psychiatrist, which is great

  • Feedback from prescribers: role of NAV is unclear and how it differs from existing standard of care – increasing clarity around this is important

Upcoming Sessions

  • Feb 5: Psychosis and Developmental Delays; case presentation by Thunder Bay

  • Feb 19: Measurement-Based Care; case presentation by Niagara

  • March 5: Emotional Regulation Techniques

Site Lead Updates


  • Increased peer, family and nursing role to full-time for 2 months, which is important for supporting the peer NAV group.

  • Family groups are going very well with 35-40 individuals in each group, a 4 part-program that includes psycho-education and discharge planning. NAV has helped with the family groups.

  • Challenges: staff still trying to present NAV in a non-formalized way as standard of care, have had a client decline when offered NAV.

  • Feedback: may be helpful to describe the components of the program and present as coordinated specialty care.

  • The Cleghorn program which is not participating in EPI-SET has picked up NAV material as well

  • Has COVID/lockdown impacted clients? Just starting to see referrals with stress connected to COVID contributing to their first break and noticing effects there more. People's concerns around COVID and not wanting to see clinicians in person. It would be ideal if they were getting consistent care.

Thunder Bay

  • Currently working on developing documentation processes, improving user-friendliness

  • Family group has been run by an agency; soon, will deliver own family group

  • Looking at peer mentorship with help from Cleghorn which has a great program running