Steering Committee: Feb 19, 2020

Wednesday Feb 19th, 2020

In Attendance: Dayna Rossi, Abanti Tagore, Laura Grennan, Lillian Duda, Augustina Ampofo, George Foussias, Janet Durbin, Aristotle Voineskos, Alexia Jaouich

Regrets: Sanjeev Sockalingam, Sarah Bromley

ACTION ITEM:

• Send Laura recruitment update for next FAC – Abanti completed

• Buy laptop and security for Sudbury – Laura

• Update Laura after call with Sudbury team – Dayna

• Connect with North Bay re: REDCap referral link question – Dayna

• Send out REDCap survey of potential topics for the April flex sessions to clinicians - Abanti

• Send over fidelity reports to Abanti for next Steering Committee – Janet

AGENDA ITEMS:

Contracts/REB/Administrative

• CAMH REB amendment submitted to offer Amazon gift card as option for participant reimbursement and some additional small fixes; site REB submissions to follow after CAMH approval

• Sarah is working with legal at CAMH to formalize a psychiatry support contract with Thunder Bay; will be reviewed by Slaight team once finalized

• Krista has notified that laptop has been delivered to Niagara, we will follow up with them if there is any further support required

Advisory Committees

• FAC & YAC will be discussing topics to contribute to newsletter at upcoming meetings

FAC

• Next FAC meeting is on February 20th, 2020 – Dr. Voineskos will be attending

• New FAC members joining from Durham and Waterloo this week! We have members from all research sites except Sudbury

YAC

• Next YAC meeting is on March 6th, 2020 – Dr. Foussias will be attending

• Ongoing: YAC looking for interested youth to be referred from sites, and will be sending out a message through EPION mailing list; currently there are only members from Niagara and Toronto on the YAC

Patient Measures

• First family member scheduled for research today! Second member to be scheduled

• Durham participant (completed baseline) is no longer continuing EPI services – how to proceed?

• Inclusion criteria: participants need to be receiving NAVIGATE and if they are not then technically they are not eligible for the research

• Proceed normally as is for now until we hear back from their clinic that they are fully discharged and not getting NAV

• EPI-SET dedicated laptop at CAMH has been set up for data collection - thank you George!

• CAMH IT will be coming down to our testing rooms to see if we can set up our laptops with the Ethernet cable for research visits

• Contacted North Bay and Durham re: setting up research laptop with an Ethernet cord instead of wifi

• Discussions on REDCap Referral link - first appointment date question from North Bay

• Dayna to find out from sites exactly what the challenges are with this question

• From what we understand, date of admission to clinic should be static info in EMRs

• Important for data analysis purposes, first time that they are receiving NAVIGATE e.g. if they’re 9 months into treatment then our first assessment shouldn’t be considered a baseline session

• For recruitment reports, we should report the following 4 items:

• Approaches: # of clients asked about research by site clinicians, regardless of yes or no

• Referrals: # of clients that have said “yes” to be contacted for research when asked by clinician

• Consented: # of participants who have completed informed consents

• Baseline Completed: # of participants who have completed all baselines assessments

• at least SCID, BPRS, QLS

Implementation/Onboarding/Training

• Post-training call site attendance update:

• Prescriber call had representation from North Bay only

• Director call had representation from Waterloo and North Bay

• IRT call had good representation from all sites

• Family call rescheduled due to scheduling conflict with trainer

• SEE Workers from all sites to have call with SCEIs SEE clinicians on March 9that 11am

• All the roles will eventually have calls set up pending availability from CAMH and sites

• Drop-in sessions with SCEI clinicians to begin once post-training calls end on an as needed basis

• Sudbury and Waterloo have begun soft launches of NAVIGATE and will be fully implemented soon at which point they will begin research portion

• Following the Sudbury site visit, the team indicated that they needed IT infrastructure and other resources before they can begin patient recruitment

ECHO

• Next ECHO session is Tuesday, February 25th on the topic of CBT Basics

• Didactic presenter is Faye Doell – Sarah is coordinating with her

• Case presenter is Kerri Bennet from Niagara; case already received

• ECHO site attendance & survey completion update

• Prescribers: NB consistently on all calls, TB on since Oct, WW prescriber attended once

• All other roles have been consistently attending all calls

• Survey completion - Aug: 50%, Sept: 18%, Oct: 42%, Nov: 20%, Jan: 48%

• At first ECHO planning meeting for next cycle we discussed logistics, curating new curriculum for second cycle, discussions on quantitative and qualitative spoke feedback, CME accreditation

• Potential topics for flex session: Peer Support Role in NAVIGATE, Psychosis & Developmental Issues, Substance Induced Psychosis: Cannabis, Role Playing session with different roles and complex cases