ACTION ITEMS:
Coordinate a meeting in October for eNAV project to solidify implementation plan – Dr. Kozloff
Follow-up with Al and Waterloo Peer Support Worker regarding presentation plan – Dayna
Integrate feedback into the COVID-19 tracker document – Andrea (completed)
Administrative/REB/Contracts
CFIR
REB approval received from North Bay and Niagara
Waiting to hear back from Sudbury, Waterloo, and Durham
Contract – received feedback from SickKids, will respond by next week
Staffing Updates
Augustina has been offered role of Program Assistant at Slaight. Congratulations, Augustina! Augustina will continue her roles with EPI-SET and the ED to EPI study.
Abanti will be transitioning to another role at CAMH after October 2nd. We are very grateful for all of her hard work on EPI-SET!. Abanti is transitioning her roles to Andrea and Brannon.
Brannon is the main point of contact for ECHO, and Andrea is supporting as well
Andrea is the main point of contact for Patient Measures
Both are attending site meetings and involved in recruitment
COVID-19 Activity Tracker
CIHR has requested that we submit COVID-related project activities from June through September
We reviewed a draft of the activity tracker and gathered feedback below:
ECHO section
Add that there was an additional session in April about COVID and NAVIGATE delivery
Add that support/resources continue to be provided to sites for adaptation to virtual care
Add that case format was adapted to be more flexible
E-NAVIGATE section
Add language to convey that program manual has started to be adapted for virtual care, ongoing
Evaluation is initially concentrated at CAMH and lessons learned will be shared with sites
Patient Measures
Total Referrals received: 47 (Durham: 22; NB: 6; Niagara: 14; Waterloo: 3; Sudbury:2)
Baseline completed: 22 (Durham: 10; NB: 4, Niagara: 5; Waterloo: 2; Sudbury: 2)
6-month F/U completed: 2
Upcoming participants: 2 participants have been completed this week (Sudbury and Waterloo)
Clinicians have updated us on several referrals we had difficulty contacting, we are reaching out again
Clinicians anticipate several more clients being asked about research this week
We continue to meet and discuss strategies for engaging referrals - calling for appointment reminders as been successful
We will also confirm participant contact information routinely
ECHO
7th ECHO session took place last Friday (first session on new Friday schedule)
27 spoke clinicians in attendance; 15 survey responses
Next session: Friday, October 2nd on the topic of Family Education (part 1)
Didactic presented by Vivian and Lillian
Case presented by Sudbury
Waterloo would like to present both didactic and case for the Peer Support ECHO session—we have asked for more information on their plan, as they are fairly new to NAVIGATE
We really appreciate their enthusiasm
We would want them to comment effectively on how Peer Support links to NAVIGATE
Dayna will follow-up with Al and the Waterloo Peer Support Worker regarding the content they would present on
Spokes have not previously presented the didactic at any other ECHOs; this doesn’t go against the model but would be a first
Perhaps Waterloo could present a few slides from the overall didactic to share their expertise, and Slaight Peer Support Worker, Sara, can help tie to NAVIGATE
IRT was discussed during Cycle 1; we are following-up with PSSP regarding site orientation to updated IRT materials, as this will inform the next IRT ECHO session
Today’s Implementation Call will be discussing the transition to the new materials with site leads
Advisory Committees
YAC
Next meeting is this Friday, September 25th
We will be discussing engagement opportunities/video
We have Dr. Kozloff coming in November and Andrea will obtain YAC interests/questions beforehand
FAC
Planning engagement opportunities for FAC members to attend October ECHO session, and site Family groups
At Waterloo site meeting this week, clinician mentioned they had a very engaged family member who may be interested in contributing. Brannon has sent FAC info along and encouraged the referral.
e-NAVIGATE
Catherine Ford is a collaborator on the grant and we are glad to have her on the team!
Funding:
CIHR - 1 year grant to focus the work mostly at CAMH implementation evaluation with potential for knowledge translation to other sites
University of Toronto - received funding for 2 years, this proposal included more of an emphasis on coordinated dissemination to other EPI-SET sites
This extends the work for 2nd year and formalizes the way that we intend to spread this work through the EPI-SET project
We’ve discussed the overlap of funding with UofT and they committed to funding the 2nd year
We will send them our budget from CIHR to see if they will potentially add some funding for the first year of the work, and may propose they support the Coordinator role in the first year
Feedback/Questions
We should present this project to sites at Project Team so they know this is coming down the pipeline
Especially as sites will get to know Melanie more during the CFIR work
It will help sites understand the timeline and when things will get done by
What will the implementation supports look like for the other sites?
Emphasis is on CAMH as the testing/full implementation and evaluation site
While Alexia is on the grant, we did not budget for involvement of implementation specialists
The work for supporting other programs would primarily occur in year 2, informed by what is found in the core evaluation during year 1.
Since NAVIGATE was being delivered pre-COVID at CAMH as a clinical service, is this virtual program already launched?
Yes, but while CAMH released virtual mental health supports on multiple aspects of virtual delivery, it is not coordinated in a systematic way that checks how clinicians have boosted their training to delivery high quality virtual care.
It would help to coordinate with Dr. Crawford and her team who put out the material, to understand what is currently available/still being planned, and how we can leverage that at Slaight (i.e. identifying a champion in each role, or having every clinician complete it). This would then be coordinated with Sarah, who is a knowledge user on the grant.
Given that it is already being delivered, this is an opportunity to look at the practice profile for NAVIGATE and compare/contrast/describe what did and did not change (other than modality). Since this is a 1 year timeline, would need to quickly decide who would be involved.
Next Steps
Prioritizing REB submission for October 1st
Hiring for the team
Providing ministry with budget and knowledge translation plan