Interdepartmental Collaboration: The Use of EMR to Inform Risk Management

Jean-Laurent Domingue, Diane Hoffman-Lacombe, Waad Semaan and Steve Michel

Abstract:

The needs of forensic clients are dynamic and electronic assessment data can help inform service planning. This presentation will discuss the data being collected in EMR by the Integrated Forensic Program, how this data is informing program planning, and our future directions for clinical decision support.

Improving the Quality of DASA-IV Assessments on Forensic Inpatient Units: An interprofessional Quality Improvement Project

Patti Socha, Jennifer Swift, Dr. Maxym Choptiany, Yaakov Keilhikis, Angie Loumankis, Edison Villareal, Boris Bard and Gabriella Golea

Abstract:

To identify, prevent and manage aggression on forensic inpatient settings, there is evidence to support the use of structured risk assessment tools by clinicians to guide clinical judgment and develop risk management strategies. At CAMH, point-of-care staff rely on the Dynamic Assessment of Situational Aggression—Inpatient Version (DASA-IV) as one tool to predict imminent aggression, communicate risks, and guide management plans. The clinical utility of the DASA is dependent on the strength of a team’s risk assessment capabilities and knowledge. Our project aims to improve the inter-rater reliability of a forensic secure inpatient team’s DASA-IV assessments by co-developing with staff an innovative DASA-IV training program.

Dr. Maxym Choptiany is a staff psychiatrist on the Secure Forensic unit at CAMH in Toronto, Ontario.

Patti Socha is a social worker and Advanced Practice Clinical Leader in the forensic division of the Complex Care and Recovery Program at CAMH.

Jennifer Swift is a Behavioural Therapist on the secure forensic unit in the in the Complex Care and Recovery Program at CAMH.

Edson Villareal is a Registered Nurse and Nurse Educator in the Professional Practice office at CAMH .

Gaby Golea is a Registered Nurse and the Director of Interprofessional Practice at CAMH.

Yaakov Keilhikis is a Registered Nurse and an Advanced Practice Clinical Leader in the department of Quality patient safety and risk.

Angie Loumankis is a Registered Nurse and an Advanced Practice Clinical Leader in the department of Quality patient safety and risk.

Address the Mental Health Needs of Inmates at Toronto South Detention Centre through Services and Education

Kiren Sandhu and Tanya Connors

Abstract:

The partnership between the Centre for Addiction and Mental Health (CAMH), a leading mental health and addictions hospital, and the Toronto South Detention Centre (TSDC), a remand correctional facility, presents an opportunity to provide specialized mental healthcare to inmates with Serious Mental Illness (SMI). Front-line staff working with mentally disordered inmates are presented with an opportunity to support inmates presenting with SMI. CAMH designed and administered a needs assessment to TSDC staff to inform the design of the specialized mental health curriculum. The poster will illustrate the process of designing and implementing a needs assessment, and review the needs assessment and its findings.

Kiren Sandhu, MSW, RSW is an Advanced Practice Clinical Leader in the Complex Care and Recovery Program at the Centre for Addiction and Mental Health (CAMH). In addition to her Masters of Social Work degree from the University of Toronto, Kiren holds a BA in Criminology from Simon Fraser University. Kiren has experience working on a women's medium sure forensic unit and the secure observation treatment unit. She has held various clinical positions, working mainly in the area of forensics and mental health. Kiren has many years of experience facilitating programming in the federal correctional system in British Columbia.

Tanya Connors, MSW, RSW is the manager of the Forensic Early Intervention Service (FEIS) which is a new Centre for Addition and Mental Health pathway initiative in partnership with the Toronto South Detention Centre (TSDC). FEIS provides inmates early screening and assessment for mental illness that enhances case management and timely access to acute forensic services for individuals identified with specific forensic mental health needs Tanya completed her MSW from Wilfred Laurier University and has worked in mental health and addictions for over 17 years in a variety of settings including community mental health clinics, supportive housing and hospital settings. She joined CAMH as the Court Liaison for the Toronto Drug Treatment Court, and formally managed the Downtown East Clinic and the Forensic Consultation and Assessment Team (FORCAT).

Gambling in the community: How at risk populations will be affected

Karly McCabe

Abstract:

With the anticipated development of a new casino in Peterborough, the HKPR Regional Human Services and Justice Coordinating Committee (HSJCC) is interested in determining the affect that its opening will have on social services within the city. This research surveyed organizations from Peterborough that would likely be affected by a new casino in the city, including mental health and addictions support, financial support services, the justice system, youth shelters, housing services and family counselling services. Similar organizations were surveyed from Ajax and Belleville, two cities with newly opened casinos

Karly McCabe is a HBSc student at Trent University, who has just completed her undergraduate degree in Forensic Science and Anthropology. Over the 2016-2017 academic year Karly had the opportunity to conduct research for the Regional HSJCC committee in Peterborough regarding the impact that a new casino will have on social services and at risk populations. Karly's research consisted of qualitative data primarily, collected from surveys distributed to social service workers within Peterborough as well as the experiences that two other cities had when their casino was opened. The results of her research were eye opening to both herself and the individuals that were surveyed, and she hopes that this data can be utilized in the future to better prepare for developments similar to this.