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ATR / Transition and Flow Report for Champlain LHIN

Hello all ACT Teams! 

Please find attached in this post a pdf for the ATR / Transition and Flow Report for the Champlain LHIN. We hope that this report will encourage discussion not only on the ATR scale, but on all practices and barriers (clinical and structural) related to transition from ACTT. Please see below the Introduction from the report!

"Flow of clients on and off an ACT team is a key focus for service providers and is supported by the strategic initiatives of the Champlain LHIN’s Integrated Health Plan. A focus on flow ensures that more people with mental health conditions will have access to ACTT’s intensity of service. A significant impact on flow is an ACT team’s ability to assess and identify transition readiness of clients to less intensive services. A standardized assessment that can be used by ACT teams to measure transition readiness may be a valuable addition to ACTT practice.


The Community Mental Health Program (CMHP) of The Royal, in collaboration with other teams in the Eastern Ontario ACT Network, has initiated a pilot project over the last three years to evaluate the use of the Assertive Community Treatment Transition Readiness Scale© (ATR) and its effectiveness to support client transition and recovery within teams across the Champlain LHIN, as well as other networks. The Champlain LHIN approached the CMHP of The Royal to summarize and discuss the findings of this pilot project and its relevance to team flow.


This report will describe the development of the ATR scale, the process of the pilot project, and an evaluation of the use of the ATR to date across the Champlain LHIN. In addition, as requested by the LHIN, a summary of current transitional barriers among teams in the Champlain LHIN will be provided with a focus on differences among teams based on geographical areas (urban vs. rural). Lastly, in consideration of all team feedback and the ATR pilot project throughout the last three years, recommendations are proposed for further implementation of the ATR scale."

Thank you!

Andrea LeFebvre

Research Assistant, CMHP, The Royal

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