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I Just had a great discussion  with the Renfrew ACTT Team members about client transition, "shift in service" issues, while providing back the results of their teams ATR Team profile.  As a more rural focused team, they describe strongly...in detail, focus on formal and "natural" networks/community that people on the teams live within.  

 

Hopefully the team will speak up on how they do this in the CoP, but the focus of an ACT team on community networks, while for sure an everyday component of our work, deserves greater focus and attention of the role of an ACT team within: community services and support people to be part of the community.  I say this, as we all here in Ontario at least, celebrate mental health week and advocate for "social inclusion," and "ending the stigma."

 

 

In Anna Scheyett, Carrie Pettus-Davis, and Gary Cuddeback's report Assertive Community Treatment as community change intervention (see file attachment below) they identified that ACT can support moving "beyond individual focus to examine impact on community service systems."  

 

This is super relevant when we think of people moving from ACT, which I like to frame as "shift in service," advancing people's recovery goals.  We need to know people will be well supported by others where ever they go.

 

 

 

 

 

 

 

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"Assertive Community Treatment as community change intervention"
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I think advancing the idea of fit of need to recovery is to include more peer and community development activities into the “future” of recovery practices.. 

 

Jim Mandiberg of the Silberman school of social work, Hunter College CUNY does some interesting conceptualizing and I think frames/bridges somewhat the system of care beyond services to what was conceptualized in CMHA’s A Framework For Support http://www.cmhaff.ca/framework-support

into more practical steps for many people and their supporters.

 

In his slide presentation below (see file) he address's some of the factors listed below with the strategy of Community Economic Development:

 

How do excluded people gain power, influence, and choices 

about who they want to be, and where they want to be?

 

The importance of market forces in bringing about change
rather than exclusively relying on laws, policies, and services.

 

Enticing but unhelpful offers by traditional mental health 

services that keep people dependent.

 

Teams taking an approach of looking at client access to both the formal and informal economy where interests and skills are developed in an entrepreneurial fashion could be well linked to many client's personal recovery goals.  

 

Personally I see potential in through the work I have been doing with several partner groups on a performance/coffee house known as The Creative Cafe, here in Ottawa (see file below). Can't say a sharp business plan is in play, but rich in value as a community development vehicle that supports people on skills and being in the community.

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This report is a highly readable and practical on intersectoral collaboration that shines an implementation lens on how systems and organizations can work together. While about youth homelessness it provides transferable approaches for helping clients and advancing our local systems of care.  I like it because it values the local context and reality workers and clients are living within.

 

It can be read and acted upon on a frontline basis and incorporates the multiple perspectives of: client, worker, manager, system planner with some basic benchmarks and process’.

Link to report: http://www.homelesshub.ca/reso...alysis-intersectoral

 

intersectoral

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  • intersectoral
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Community Health Network Study examining how social contacts, meaningful activities and the places that people with mental health problems-- benefit health and well-being

 

Much of daily support and care in ACTT is about understanding the community context and supports the individuals we help are living in.  Our own role within client networks and the ensuing exchange in advancing a client’s recovery and planning is a constant in our work, but could use greater legitimacy as an evidence informed practice.  Martin Webber, one of the authors of this study explains:

 

 

“The study aimed to understand the personal networks of people living with a mental health problem from their own perspective. We were also interested in how personal well-being was supported by the exchange of resources so that we could better understand how individuals’ networks could be supported by practitioners and mental health providers.”

 

The Study defined three kinds of networks and their relevance to an individual’s health and wellbeing:

 

  • Diverse and active networks
  • Family and stable networks
  • Formal and sparse networks

 

See a summary of findings on Webber’s blog http://martinwebber.net/archives/1792

These two guidebooks on Best Care outlines key practices that apply wherever we are in the health system including ACT.  It links to Accreditation Canada evaluation activities, with its focus on patient centred care. Useful in our everyday efforts in planning care with clients via the Ontario Common Assessment of Need (OCAN) etc.

“Health Quality Ontario’s bestPATH initiative focuses on the three key elements of health care delivery that define the best “PATH:” Person-centred, Appropriate, Timely Healthcare. bestPATH will focus the health care system on optimizing the care it delivers to Ontarians with chronic diseases.”

 

Supporting Health Independence - http://www.hqontario.ca/Portal...-independence-en.pdf

 

Transitions of Care -  http://www.hqontario.ca/Portal...e-transitions-en.pdf

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