Frequently Ask Questions: staged screening and assessment

What is the new staged screening and assessment process?

This new process involves an evidence-based, staged approach for screening and assessment of individuals accessing service within the addiction treatment system. This staged approach responds to the need for an integrated process that is effective at:

  • Identifying co-occurring mental health problems;
  • Providing better matching to the appropriate level of service;
  • Creating a solid foundation for treatment planning; and
  • Providing detailed agency and LHIN-level client profiles for planning and evaluation.

The tools used in the staged screening and assessment process are as follows:

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Who will be involved?

The process is being implemented within LHIN/Ministry of Health and Long-Term Care funded addiction service agencies across Ontario. Implementation is beginning in approximately half of the LHINs with the other half engaged in planning for implementation in 2016.

How will it be implemented?

Implementation Science (IS), a proven approach to moving evidence-based research into practice to improve client outcomes, will be employed for the roll out of the new staged screening and assessment process. IS involves purposeful, planned and active implementation, supporting fidelity and sustainability. The supports for training, coaching and fidelity monitoring available through IS increase an organization and staff’s ability to effectively implement and sustain the new practices.

LHIN-level implementation plans will be developed collaboratively with LHIN leads and local system planning tables, taking into account local system characteristics such as central/coordinated access and other tools in use. LHIN-level implementation teams, comprised of local representatives and project staff, will be established to guide and support the process.

What supports are available?

Staff will be provided with training on the full suite of tools and will attain certification as site interviewers of the GAIN Q3 MI ONT. Project coordination, evaluation and knowledge exchange support will be provided by the central DTFP Implementation Team within the Provincial System Support Program at CAMH. Implementing agencies and staff will receive ongoing support from Regional Implementation Coaches.

What kind of training is required?

Training on the process will take place through a combination of web-based and in-person training. Initial training for early adopter agencies will be delivered by the DTFP Implementation Team. A group of trainers will be established and supported within each LHIN to provide ongoing training and sustainability. Initial training is anticipated to begin in late September in the first wave of LHINs.

Who can I contact for more information?

For more detailed information regarding the Staged Screening and Assessment project and provincial implementation, please contact: Angela Martella, Implementation Coordinator, at aAngela [dot] Martella [at] camh [dot] ca or 416 535 8501 ext. 32951.

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