Strategy 2017–2021 - camh.ca · PDF fileand mental health sites from across Canada ......

Strategy 2017–2021

The 2013–2016 Education Strategy was designed to transform CAMH into a

global educational leader and a model mental health and addiction learning

organization. The ambition was to build an organization where everyone

is a teacher and a learner—where we would provide everyone with the

opportunity to be the best teacher they could be, and ensure the highest-

quality experience for all learners. CAMH is uniquely positioned to be a leading

mental health learning organization. Strongly affiliated with the Department of

Psychiatry at the University of Toronto, it is the largest mental health training

facility for psychiatrists, medical students, nurses, pharmacists, social workers,

occupational therapists and other allied health professionals in Canada.

As an academic health sciences centre and a growing learning organization, it is essential that we create new

knowledge and innovations and share these best practices broadly across CAMH and to the local, provincial,

national and international mental health system.

We have achieved some major milestones together, including the launch of our Student and Simulation centres,

creation of an education scholarship program and network across CAMH, the launch of Portico Network and

formation of its national editorial board, and the launch of Thought Spot, Saying When and Psychiatry in Primary

Care mobile applications. We are excited about what the future holds!

Revolutionizing mental health education and knowledge exchange

CAMH Education 2017–2021

camh education

camh education2

CAMH Education 2017–2021 The 2017–2021 Education Strategy will continue to lead the achievement of the Vision 2020 Learn goal by:

• improving the quality of care through education

• leading inspired learning through inspired teaching

• driving mental health advocacy through education.

While developing these proposed strategic priorities, goals and year one

activities, we felt it was very important to emphasize the foundations that

support every element of this work, including:

• education scholarship

• evaluation

• operational effectiveness

• business development.

Qua

lit

y care

Mental health advocacy

Inspired learning

Qua

lit

y care


Inspired learning

strategy 2017–2021

camh education 3

Strategic Objectives• Demonstrate impacts of education on quality of care.

• Collaborate to drive work that will impact underserved populations.

• Work alongside CAMH clinical programs to integrate education with

quality care initiatives.

Achievements

Opened the first of its kind in North America: CAMH’s Simulation Centre

CAMH Education opened the new Simulation Centre in December 2015. The Centre—the first of its kind in a

mental health specialty hospital in North America—is a safe learning environment for students, trainees, health

professionals and interdisciplinary teams to hone their clinical practice and test new approaches to treating mental

health and physical illness, using simulated patients and mannequins.

Improve quality of care through education

CAMH Education Strategic Pillar 1

Qua

lit

y care

camh education

camh education4

Integrated education with the Safe & Well CAMH quality of care initiative

Education has contributed to the Safe & Well CAMH Initiative through the existing

PMAB (Prevention and Management of Aggressive Behaviour) curriculum, the

piloting of the PMAB revised curriculum and supplementary programs such as

Immediate Post-Event Staff Debriefing, Traumatic Exposure, and Self Care,

which improve staff competencies to prevent and manage escalated behaviours.

CAMH Education is supporting the implementation and evaluation of clinical

huddles. Further work has CAMH Education’s evaluation team collaborating with

Performance Improvement to align Education’s programs with clinical Safe &

Well initiatives to better understand the collective outcomes specifically related to

restraint use.

Improved quality of care by contributing to the development of clinical competencies

Provincially, CAMH Education leads the Opioid Dependence Treatment

Core Course, which is required training for physicians who want to prescribe

methadone and pharmacists who need to qualify to dispense methadone in

Ontario. Additionally, CAMH Education has led the top-to-bottom update of

CAMH’s most successful publication, the Methadone Maintenance Treatment

Client Handbook, now titled Making the Choice, Making it Work: Treatment

for Opioid Addiction. The new edition provides clinicians across the country

with a comprehensive, evidence-based, plain-language guide to help their

clients through a complex, highly structured treatment.

Within CAMH, Education designs, leads and co-ordinates the delivery of the

mandatory two-day Clinical Orientation for new clinical hires. This sets the stage

for success for new clinical staff, as they learn about our culture, quality care and

safety standards before beginning work on the units.

Supported the underserved populations in the community

We led the development of a two-day curriculum on mental health and human

rights for the Ministry of Community Safety and Correctional Services, and

then managed the delivery of the curriculum to approximately 5,000 Ontario

correctional officers and front-line staff and managers.

Key Education Scholarship Initiative

“My recent scholarly work

has focused on the use of

simulation in undergraduate

psychiatry, exploring the depth

of learner engagement.”

– Dr. Latika Nirula

5,407 copies sold

Making the Choice, Making

It Work: Treatment for Opioid

Addiction has sold 5,407

copies since the revision

launched Nov. 2016. We

disseminated 113,449

copies of its predecessor,

the Methadone Maintenance

Treatment Client Handbook,

from 2002 to 2016.


camh education 5

Defining Our Future

Apply simulation as a tool for quality improvement

CAMH Education is leading the implementation of simulation education

courses to support quality and systems improvement. The College of

Physicians and Surgeons of Ontario (CPSO) currently requires physicians

prescribing methadone to take a two-day practicum to complete their

Opioid Dependence Treatment Certificate Program. To address difficulties

finding practising clinicians to act as supervisors, CAMH Education

designed a simulation-based methadone prescriber practicum to

certify practising physicians in methadone maintenance treatment. The

training takes place in the CAMH Addiction Medicine Clinic’s facility, using

simulated patients from Workman Arts. The pilot was well received and

the CPSO is investigating how to align the existing practicum and the

simulation component.

Continue to improve Education’s integration with clinical programs by supporting quality care initiatives, such as Safe & Well CAMH

Education will continue to align our courses with all Safe & Well training

initiatives across the hospital, and will develop an implementation plan

for the revised PMAB programming, using evaluation findings. CAMH

Education’s evaluation team will continue to collaborate with Performance

Improvement on evaluation plans for new and existing Safe & Well initiatives

to look at collective outcomes and impact.

Respond to the nationwide opioid crisis

We will adapt our Opioid Dependence Treatment training for National

Guidelines to meet the needs of the opioid crisis, by training health care

practitioners to provide treatment solutions across Canada. We will be

creating an online-only version that maintains the interprofessional quality

of the course and broadens the reach to include remote and rural areas.


“In my recent work I’ve been

investigating how the concept

of a learning organization can be

used to maximize our potential

for applying best practices to the

care of patients, their families

and staff. Another critical area

of interest for me is relationship-

centred care, specifically the

relational dimension of the family

in psychiatric care.”

— Dr. Sophie Soklaridis

7 Safe & Well initiatives

CAMH Education is involved

in 7 of the 11 Safe & Well

initiatives being tracked

through Performance

Improvement for alignment

of safety elements.

camh education

camh education6

Strategic Objectives• Strengthen and improve staff development and supports

• Enhance knowledge mobilization

Achievements

Launched CAMH Teaching Network

In April 2014, we launched the CAMH Teaching Network, a driven and diverse group of teachers at CAMH with

an interest in faculty development and education scholarship. This group has spearheaded the development

and delivery of teaching skills workshops—including adding simulation as a modality for inspired teaching—and

contributed to education scholarship at CAMH. The network is supported by the Centre for Faculty Development

(a partnership between University of Toronto and St. Michael’s Hospital), with links to other comparable networks

at other TAHSN hospitals.

Inspired learning

Lead inspired learning through inspired teaching



camh education 7

Created and launched the CAMH Student Centre and centralized Student Affairs

CAMH Education officially opened the CAMH Student Centre in June 2014.

Since then, we have used the Student Centre as the catalyst to enhance the

student experience by centralizing Student Affairs, offering Interprofessional

Education (IPE) sessions to students, IPE placements, and seminars in

collaboration with the Professional Practice Office (PPO), clinical staff and the

Education team. We also centralized the student evaluation process, which has

resulted in increased response rates on the student experience surveys that

inform our continuous improvement initiatives.

Launched Portico Network

In 2016, CAMH Education launched Portico Network—a network of addiction

and mental health sites from across Canada created with support from our

generous donor and developer, Bell. Powered by CAMH, Portico connects health

care providers, social service workers and other professionals to clinical tools and

evidence-based materials. Among these tools are the Primary Care Addiction

and Psychiatry in Primary Care toolkits—practical, actionable resources for

health care providers who work in a primary care setting and who have patients

with mental health or substance use problems.

Defining Our Future

Introduce competency-based teaching and learning

Working with the Postgraduate Medical Education office in the Department

of Psychiatry and directed by the Royal College of Physicians and Surgeons

of Canada, we will begin to implement the Competence by Design (CBD)

program—an initiative to improve psychiatrist training and lifelong learning—for

resident physicians. The CBD initiative will transition specialist medical education

from a traditional time-based model to a hybrid form of competency-based

medical education (CBME). CBD is a multi-year, transformational change

initiative. It focuses on outcomes, asking the question, “What abilities do

physicians need at each stage of their career?” This new approach to teaching


“ The CAMH Teaching Network was awarded an excellence grant from the

Faculty of Medicine to investigate applying implementation science to assess

the factors impacting a successful motivational interviewing program for an

inpatient mental health unit as a pilot study.” — Tim Godden, MSW, RSW

CAMH provided placements for

more than 1,500 students

in 2016–2017.

CAMH was ranked first

amongst TAHSN hospitals

for students participating in

IPE activities.

The Teaching Excellence

Competencies Model and

Guide is being used by 123

individuals across

17 different health

disciplines

camh education

camh education8

and learning will organize psychiatrist training around desired outcomes and looks at ensuring that all the needed

competencies for practice are met. The greater goal of CBD is to enhance patient care by improving learning and

assessment across the continuum from residency training to retirement.

Improve CAMH’s teaching capacity and strengthen the learner experience

This year, we are developing an internal program to support the teaching competency of our staff, physicians and

residents. It will build upon successes and lessons learned from previous workshops developed in the areas of

clinical supervision, learner feedback, preceptor training and nurse educator competency. This internal teacher

development program will strengthen our organization’s capacity to provide quality and innovative education and

training to internal and external audiences, including the public.

Enhance student services

2017–2018 will culminate in the final piece of centralization—student onboarding through the new Student

Registration System (SRS). The SRS will provide administrative efficiencies and improved data quality to support

strategic decision making. The web-based SRS will also allow us to launch a Virtual Student Centre, providing

enhanced collaboration opportunities between students, education co-ordinators and clinical supervisors.

Expand Portico Network

Portico Network’s goals are to be a leader in knowledge exchange in Canada and worldwide, and to include a

range of resources and perspectives in its partnerships and content. To achieve this, Portico is expanding to

increase its reach across Ontario and Canada and the breadth and quality of evidence-based resources. This

expansion includes a collaborative project with Western University that aims to build resilience in teachers working

across the province. The Teach Resiliency portal, hosted on Portico Network, will launch in the spring of 2017.

76 partner and connected sites

Portico Network has

Maintain North American leadership in medical-psychiatry simulation-based training

Building on the success of Maudsley Simulation (NHS) in the United Kingdom and our collaboration with them,

we are drawing on their existing curriculum and our own local expertise to offer innovative courses relevant to the

North American health care context. In spring 2017, the Simulation Centre is collaborating with SickKids Hospital

to offer a simulation-based medical psychiatry training that will provide interprofessional teams across the

Medical Psychiatry Alliance with partnership tools and skills for working with children and youth who have

co-occurring mental and physical illness.


camh education 9

Strategic Objectives• Enhance the Patient and Family Education program

• Become system leaders in promoting advocacy and

social change through education

• Enhance visibility of CAMH Education

Achievements

Connected patients and teaching

From Surviving to Advising pairs CAMH psychiatry residents with academic advisors who also have lived

experience of a mental illness. This innovative program provides residents with a chance to form a relationship with

someone with lived experience, and thereby gain insight and a deeper understanding of the challenges of living

day-to-day with a mental illness. In 2016, we co-produced the first training course by service users and psychiatric

educators, then delivered it to a select group of 19 people with lived experience to develop their capacity to fill

educator roles in the From Surviving to Advising program.

Drive mental health advocacy through education



camh education

camh education10

Improved access to mental health services through mobile health solutions

CAMH Education’s Digital Innovation team has increased access to evidence-

based mental health and addiction resources by adapting CAMH publications

into mobile applications. The Saying When app—available for iOS and

Android—is the mobile version of a self-monitoring program in the guide

Saying When, based on research and evaluation of various treatment methods

for patients with alcohol problems. The app uses the same tools that have

consistently helped people control their drinking for more than 25 years.

CAMH Education has also expanded the reach of Psychiatry in Primary Care

by adapting it into a mobile app. Currently available for iOS tablets, the app

gives family physicians tools and resources to support rapid diagnosis and

intervention in a way that has never been available in Canadian doctors' offices

before now.

Partnered to open the Office of Family Engagement

CAMH Education, in collaboration with the Professional Practice Office, opened

the Office of Family Engagement, a new entity at CAMH that will elevate the

voices of families within the hospital. Families empowered through this office will

provide guidance on everything from clinical program changes to supporting the

creation of new consumer health information.

Defining Our Future

Expand opportunities for co-created curriculum with patients

Building on the success of the initial From Surviving to Advising program,

we will create and disseminate best practices for co-production of mental

health professional training, and develop more opportunities for co-production

of mental health professional training in Ontario. In addition, we will develop a

community of practice for service user educators, both in-person and online.

Enhance and innovate digital assets

CAMH Education is updating Thought Spot, a mobile app and website co-

created by CAMH Education and post-secondary students to help students

cope with life stressors and meet their mental health and wellness needs. This

optimization process will enhance the user experience, and is the first step that

leads to a CIHR-funded randomized control trial on Thought Spot’s impact on

students’ information-seeking behaviours.

34,700 downloads

CAMH Education mobile

apps have been downloaded

34,700 times.


“The focus of my educational research

lies in the development of methods

through which individuals with lived

experiences of mental illness and

marginality are engaged in effective

and equitable methods of knowledge

exchange with other stakeholders.

I am also engaged in the study of

methods through which specialist

clinician approaches to psychiatric

rehabilitation might be revised to

support their modified delivery by

non-professional caregivers.”

— Dr. Sean Kidd


camh education 11

www.camh.ca/education www.camhblog.ca/learn @camhEdu

The MiChecker mobile app designed by CAMH Education is a fun and

engaging tool that helps people living with developmental disabilities achieve

independence through games, reminders and goal setting. Using an app, a

wearable device and a web component to create a “circle of care” in day-to-

day routines, app users can collaborate with parents, family members and

health teams, and are rewarded through digital pet interactions and unlocking

new elements through the game. We entered the app in the pitch competition

at GameON Ventures (North America’s top industry forum for interactive

entertainment), and from 800 international submissions, whittled down to 20

organizations, Education’s team won the competition. Funding opportunities to

put this design into development are currently being explored.

Develop and create the RBC Patient and Family Resource Centre

Opening in 2020, the RBC Patient and Family Resource Centre will allow

CAMH to meet many of the diverse educational needs of patients and families,

from consumer health information to community-based resources, and beyond.

A robust period of research and evaluation is underway, and partnering with the

Library, Student Centre and the Empowerment Council office is just the start to

our goal of bringing the public into CAMH and promoting informal connections

between staff, students, patients, families and the community.

Drive advocacy through public education

CAMH Education has adapted clinical knowledge for the general public—

through our extensive Mental Health 101 tutorials and customer service

and de-escalation training programs—to build awareness and knowledge of

mental health challenges and reduce stigma. Over the next four years, CAMH

Education, in collaboration with Communications and Community Partnerships,

the Empowerment Council, CAMH Foundation and the Department of Psychiatry,

will develop an enhanced Advocacy through Education program, focusing on

patient, family and community needs locally, nationally and internationally.

35,267 visits

From April 2015 to March 2016,

there were 35,267 visits to the

Mental Health 101 pages.

56 abstracts

In 2015–2016 CAMH Education

published 33 articles and

presented 56 abstracts at

peer-reviewed conferences.

1,703 participants trainedSince February 2013, the Customer Service Training program, a non-clinical version of the CAMH

Prevention and Management of Aggressive Behaviour (PMAB) curriculum, has been delivered to

20 organizations for a total of 1,703 participants trained. The clinical PMAB program has been

delivered to three external health care organizations for a total of 90 participants.

camh education

Strategy 2017–2021 - camh.ca · PDF fileand mental health sites from across Canada ......

Documents

Transcript of Strategy 2017–2021 - camh.ca · PDF fileand mental health sites from across Canada ......