Crisis Services
What criteria do we use to select the best suited program or solution?
Answer: Assessment, Intake and Discharge – (Counselling Services Eligibility Criteria and Referral)
How are referrals made to community counselling programs?
Answer: Referrals to community counselling programs can be made through TANDEM or as an aftercare for those who are residing in Humana’s live-in programs.
The Service Process/Plan of Care is reviewed at least annually. But if progress is not as expected or new problems develop, how often should the plan of care be reviewed or revised? Who is part of the plan of care?
Answer: The plan of care is a collaborative process and can included anyone the individual would like to participate. Plans can be reviewed or revised as needed at prescribed intervals. When there is a lack of progress, new strategies should be considered.
Name 3 Mandatory Training?
Answer: Accessibility for Ontarians with Disabilities Act (AODA), Quality Assurances Measures (QAM), First Aid, Health and Safety, WHIMS, Adolescent Suicide Prevention and Intervention (ASPI), Medication Administration Training, Safe Management, Safe Food Handling and Water Activities.
When does planning for discharge of a service begin?
Answer: At the beginning of engagement or during the referral.
What program are we linked to that will help us navigate this selection process?
Answer: TANDEM is a partnership between Humana Community Services (Humana), Vanier Children’s Mental Wellness, and Craigwood. It is a one-stop referral and intake point to connect children, youth and families to immediate and on-going mental health support. It operates 24/7 for ages 13 up to 18 years of age.
What does the developmental services eligibility criteria and referral process look like?
Answer: Potential clients will complete a “supports intensity scale” assessment as part of the intake process which assesses participants needs, behaviours, level of comprehension and understanding and overall eligibility.
How soon after a Plan of Care meeting should a report be generated?
Answer: A report is generated within 30 days of the meeting.
True or False: Participants have the right to be full informed of decision made about them and have a say.
Answer: True
What needs to happen to the hard copy and electronic copy at discharge?
Answer: Audit of the file and the hard copy is closed and ready for storage.
What tools can staff use to support a participant through Mental Health Assessment.
Answer: Staff are trained in Suicide Intervention and can seek out crisis support Emergency Psychiatric Consultation through Tandem.
What are the eligibility criteria for foster parents?
Answer: Participants and families expressing an interest in fostering are informed about expectations and qualifications. Those wanting to continue the process are sent a package of information and relevant application forms. A home study will be undertaken once all necessary documents have been received.
When reviewing a service plan, what areas are reviewed and modified as progress is made?
Answer: The following areas that reviewed and modified are: Assessment Findings, Goals, Methods and Safety and Risk Issues.
True or False: Children and young people in live in-placements have the right to speak in private and have home visits with their family, even if restricted visits.
Answer: False
Who is included in care planning?
Answer: Participants, Families, service providers, Humana Supports, any other wrap around supports.
What can staff do if the Risk is deemed Imminent?
Answer: If Risk is imminent staff can access either the Children’s Hospital through LHSC if the participant is under 18 years of age. If the participant is over the age of 18 staff can access the adult emergency of any hospital in the area.
What does a referral process consist of for OPR placements in live-in treatment programs?
Answer: A fee for service is required for OPR participants by children’s aid societies. The referring agency provides a package consisting of a background history, previous hospital and agency reports, and assessment reports which aid in identifying suitability for placement. Placements in Humana’s live-in sites are voluntary, therefor, a thorough engagement process is completed with potential admissions and youth consent is obtained prior to admission.
Where would you find the information for modifications to a Service Plan?
Answer: Plan of Care Meetings, Program Goals and Strategies and InterRAI CHYMH Assessment
What is the protocol for Family Court Clinic (LFCC) within Humana?
Answer: Provide one to one, intensive service to child/young person in Ministry funded facilities in Middlesex County, including therapeutic care and youth justice settings.
What is the multi-stage process of a third party review committee?
Answer:
- Pre-hearing held by telephone within 10 days
-Asked to explain in writing their thinking on the placement and the existence of any other options
- full hearing before a panel of one, two or three people (including testimony of various people and reviewing documents)
- Within 30 days, the board will release their decision of the outcome
What support services are available to help with transport if the participant will not go with staff, or if the participant is escalated to a point where transport is viewed as unsafe?
Answer: Staff can access 911 which will triage the appropriate response between ambulance or police.
What does a CYMH Ministry funded placement referral consist of?
Answer: Vetting and review is facilitated by the Community Services Coordination Network (CSCN) or Developmental Services Ontario (DSO). An extensive package of background information is reviewed by a Local Resolution committee and the family and participant are involved in this process. The summary report of the Local Resolution committee outlines the reasons for referral, the youth’s immediate needs and view, interventions previously used to address presenting issues and why the committee believes that intensive services are required. The referral package compiled by the case manager, the summary report of the Local Resolution committee, and the written decision of the Service System Resolution team are included in the case record.
What is a Rights Review and how often is it reviewed and by who?
Answer: A rights review is an application by the agency to a committee who reviews the application, meets with the individual and the agency to determine if that individuals’ rights should be infringed upon. The application needs to provide substantial evidence to prove that certain rights should be limited to that individual. This can include medication, finances, food. An example maybe someone with PICA and access to food maybe restricted. This is reviewed frequently to determine if an individual’s situation has changed. Most commonly it is reviewed 6 months to 1 year.
What is the role of the classroom support worker?
Answer: To provide safety and security to the classroom and to address behavioral issues of the child/ young persons as they arise.
What is an RPAC review?
Answer: The Residential Placement Advisory Committee (RPAC) conduct residential placement reviews and to advise, assist and inform parents, children, child/young person and service providers as to the availability and appropriateness of residential services and alternatives to residential services, in order to facilitate and/or improve the social supports for children and child/young person at risk.
What resources does the London Community Counselling Program Provide?
Answer: This program provides a variety of services tailored to each youth’s individual needs. Supports for youth 12 up to 18 years of age may include:
What is an interRAI CHYMH Assessment?
Answer: An assessment tool that uses collected data to define and target care planning.
What is reviewed on an annual basis that is a requirement of by the Ministry of Community and Social Services for Developmental Services?
Answer: An Individual Support Plan is completed early at the admission process and reviewed annually.
Alleged, Witnessed or suspected abuse may be Level 1 serious occurrence and reportable in one hour if what 3 things occur?
Answer: There is an immediate threat to the health, safety or well-being of the individual or others. There is a current service provider staff, volunteer, etc. is implicated in the alleged, witnessed or suspected abuse. The individual is receiving threats or harassments from a human trafficker.
What does a tour allow opportunity for?
Answer: For a preliminary discussion of the participants goal and needs and the provision of information regarding the services that Humana can offer.
How is access to immediate service assured?
Answer: Access is assured in two ways. The first is by securing access during the crisis. The second is through helping the participant secure support from another agency or program.
How does Humana provide trauma-informed care to participants?
Answer: A key component of trauma-informed care is to create choice wherever possible. Give participants opportunity to make decisions about their lives and recognize them as the experts on what they need. Humana meets clients where they are in terms of their needs and understands that behind every behavior is a need and/or trauma response.
Explain how Program Goals and Strategies are determined, what those include and when this occurs.
Answer: Early in the pre-admission process, discussions begin about possible program goals, intervention strategies, and expected outcomes. During this, information is gathered and includes: referral package, collateral documents, consent from the participant, SDM information, observations during intake and the orientation process.
What is a primary worker?
Answer: is a person to assure case coordinator is assigned to each child or youth in the program.
What is the minimum of contact between services at time of discharge?
Answer: There is at lease one contact between staff and the person who will work with the child or youth after discharge to inform them about the services the child or youth has received and to support the transition.
What will make the transfer smooth?
Answer: Providing a “warm transfer” into the support program by beginning to build relationships and resources prior to the full admission.
What is a written plan of care report?
Answer: A document that outlines all aspects of care for the past 30 days of treatment that reflects progress towards desired outcomes.
Explain who is involved in the monitoring and successfulness of an individual’s Plan of Care. How is this information gather?
Answer: The individual has the option and right to participate in their individual plan. Successfulness of the plan is monitored by the individuals circle of care. This can include anyone from parents, support workers, probation officers, teachers etc. Updates and information should be shared at therapeutic programming, shift changes, team meetings and with discussion with legal guardians.
What activities are completed to ensure ongoing communication and team building is foster within teams?
Answer: Shift Change discussions, staff meetings, communication books, supervision, case reviews and team retreats.
What is client centered approach?
Answer: the service process promotes child, youth and family involvement, capacity and shared decision making throughout service planning, intervention and review.