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Implementation of Ontario Perception of Care Tool for Mental Health and Addictions

For information about the first phase of this project please see eenet.ca/dtfp/client-satisfaction-project.

Project lead:
Kim Baker, Implementation Supervisor, Provincial Systems Support Program, Centre for Addiction and Mental Health

Project description/objectives:
The Centre for Addiction and Mental Health developed and validated the Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA). This evidence-based tool standardizes how agencies that provide substance use, mental health and concurrent disorders services obtain client perception of care feedback.

Two versions are available – one for registered clients, another for family members, significant others and supporters – in both English and French.

Evaluating client perception of care data is an important way to measure client experiences within the healthcare system. The actionable items within OPOC-MHA can be used to bring about necessary change in areas such as enhancing access, quality of care and safety.

Project Objectives:

  • Implement the OPOC-MHA across all Local Health Integration Network (LHIN)-funded substance use, concurrent disorder and mental health services throughout Ontario.
  • Build a centralized database to store and analyze regional and provincial perception of care data.
  • Evaluate and monitor how the tool is being implemented at an agency and LHIN level.

Value for the System:

  • OPOC-MHA empowers service users by providing a standardized, evidence-based and psychometrically sound way to provide feedback.
  • This tool can contribute to quality improvement, performance monitoring and program evaluation.
  • Information gathered with this tool will enable us to evaluate services across the system, LHINs and province, capturing the experiences of our clients to improve the quality of care.

Supported Implementation:

  • The OPOC-MHA is being rolled out across the province using implementation science, a purposeful and effective framework for implementing new practices. The implementation process will include:
  • Development of LHIN-specific implementation plans.
  • Training and capacity building for the new tool.
  • Opportunities to provide feedback on implementation and related supports through participation on LHIN and/or agency implementation teams; contributing to evaluation.

Frequently Asked Questions:

What is the Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA)?
OPOC-MHA is a validated and copyrighted instrument developed by the Centre for Addiction and Mental Health (CAMH) to measure client perception of care in mental health and addiction services. There are two versions:

  • One is to be completed by registered clients (38 items);
  • The second version is for family members/supporters (e.g., a parent who has a child in the program, a spouse or partner), who are not registered clients, but who are also receiving services from the program (17 items).

Demographic information is also collected to help organize the information and identify potential inequities in treatment. Client perception of care is gathered across the following seven areas:

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Who is the OPOC-MHA administered to?
The OPOC-MHA is designed for clients and family members, significant others and supporters of mental health and addiction services and is:

  • Available in both English and French;
  • Validated for clients 12 years of age or older; and
  • Appropriate for a literacy level of grade-six or higher.

How and when is it administered?
OPOC-MHA can be completed electronically or on paper, and can be distributed at any point in the person’s treatment and support process. Completion time is about 10 to 15 minutes.

Each agency and/or program can determine how and when the tool should be administered, but must follow four key requirements:

  • Provide the entire questionnaire;
  • Ensure anonymity;
  • Ensure completion is voluntary; and
  • Provide facilitation, as needed.

Who will be involved in the implementation?
The OPOC-MHA is being implemented in all LHIN/ Ministry of Health and Long-term Care funded mental health, addictions and concurrent disorder services in Ontario. Implementation is beginning in approximately half of the LHINS, with the other half engaged in 2016.

What implementation supports are available?
The DTFP Implementation Team at CAMH is using implementation science to support the roll-out of OPOC-MHA. This evidence-based framework for implementing new practices is proven to enhance effective implementation and sustainability. Implementing agencies will be provided orientation and training on the implementation of OPOC-MHA. Project coordination, evaluation, data collection and analysis, and knowledge exchange support will be provided by the central team. Regional implementation coaches will support agency level implementation.

Who can I contact for more information?
For more detailed information regarding the OPOC-MHA and provincial implementation, please contact Renée Behrooz, Implementation Coordinator, at 416 535 8501 ext. 34041, or Renee.Behrooz [at] camh [dot] ca.

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UPDATES

Tool and centralized data repository are now “live”

Posted March 23, 2016

The web-based OPOC-MHA tool and centralized data repository are now “live” at www.opoc.ca. Nine early adopter agencies participated in the inaugural orientation webinar on March 3, 2016. The early adopters are currently testing out the functionality of the website and will provide feedback to the DTFP team.

Before participating, the DTFP Implementation Coach met with agency representatives to discuss OPOC-MHA implementation and develop an agency action plan.  An OPOC-MHA Lead was also identified at each agency to oversee website administration details.  The next orientation webinar for the second round of adopters will take place in April.

The centralized, web-based platform will eventually include the development of standardized reports to support quality improvement at the program level. Aggregated reports will also support quality improvement at the LHIN and system levels.

The DTFP Team also met with EENet’s Persons with Lived Experience and Family Member panel to discuss how agencies could share their OPOC data with service users.  Input from this group is guiding the development of a feedback poster template that can be used by providers to ‘close the loop’ with their service users.

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The Ontario Perception of Care Tool for Mental Health and Addictions: How does this impact programs and clients?

Posted January 29, 2016

Watch the second webinar in the Health Canada Drug Treatment Funding Program (DTFP) Ontario webinar series! This webinar took place on Friday, January 29, 2016.

This webinar provides:

  • An overview of the evidence-based tool which standardizes how programs that provide services for substance use, mental health and concurrent disorders obtain client perception of care feedback from registered clients and family members, significant others and supporters;
  • A walkthrough of the online version that will inform organizations of what steps are required to start using the OPOC tool;
  • Information about the type of reports that can be generated from the tool’s use, which can support quality improvement;
  • An update on the tool implementation status and plans (including training and capacity building); and
  • Information about impacts to the system, programs, and clients.

To view the recording click here. To see the slides click here.

Presenters:

  • Renée Behrooz, Implementation Coordinator, Provincial System Support Program, CAMH
  • Kevin Acuna, Research Analyst, Provincial System Support Program, CAMH

The short videos below were also included in the presentation. In the first, Brian Rush, DTFP Consultant; Scientist Emeritus, Social and Epidemiological Research Department, CAMH, highlights how the OPOC-MHA is a validated tool. In the second clip, Brian highlights the value of OPOC-MHA, and in the third, he discusses the effectiveness of the OPOC-MHA on a variety of populations.

Check out the videos below:

How is OPOC validated? from EENet on Vimeo.

How will OPOC enhance quality of care in Ontario? from EENet on Vimeo.

Is OPOC effective with a variety of populations? from EENet on Vimeo.

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Join OPOC webinar in January 2016

Posted December 15, 2015

Join the second Ontario DTFP webinar on Friday, January 29, from 1 to 2:30 PM and learn about how the Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA) will impact programs and clients?

Date: Friday, January 29, 2016
Time: 1 to 2:30 pm EST

This webinar will include:

  • An overview of the evidence-based tool which standardizes how programs that provide services for substance use, mental health and concurrent disorders obtain client perception of care feedback from registered clients and family members, significant others and supporters;
  • A walk-through of the online version that will inform organizations of what steps are required to start using the OPOC tool;
  • Information about the type of reports that can be generated from the tool’s use, which can support quality improvement;
  • An update on the tool implementation status and plans (including training and capacity building); and
  • Information about impacts to the system, programs, and clients.

For more information about this webinar see the flyer and to register click here.

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OPOC tool being rolled out across Ontario

Posted December 8, 2015

The OPOC-MHA extends beyond client satisfaction, looking at the client’s perception of the services they receive relative to a standard of quality care in key areas. The tool is being rolled out in addiction and mental health organizations across Ontario, with work underway in about half of the Local Health Integration Networks (LHINs).

Key activities underway include:

  • A central, web-based data repository is under construction! OPOC-MHA will have its own technological home, allowing data analysis at program, agency, LHIN and system levels.
  • Standardized reports, as well as an implementation guide and orientation webinar, are in development.
  • LHIN-level implementation plans are in development for the first wave of the roll out.
  • Early adopter agencies and OPOC site beta testers are being identified.

Important next steps include launching the data repository and beta-testing functionality, refining orientation and implementation materials, and building reporting capabilities.

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Ontario DTFP Projects Hold Knowledge Exchange Event

Posted October 20, 2015

The Ontario DTFP projects participated in a knowledge exchange launch event on October 19, 2015. Over 80 participants from across the province joined to strengthen collaborative efforts to enhance Ontario’s addiction treatment system.

To see the OPOC-MHA poster that was presented at this event click here.

For more information, visit eenet.ca/dtfp/evidence-exchange-network-eenet-2.