Article Figures & Data
Tables
- Table 1
Mapping of Forensic Service Initiatives to Domains of Organizational Change (after Seeleman et al.)16
Domain Actions Organizational Commitment (policy and leadership) Fair and Just CAMH wide Equity, Diversity, and Inclusion (EDI) initiative Clear reporting and investigating process for instances of oppression Mandatory training for existing and on-boarding staff Leadership training to lead and enhance initiatives Equity in hiring and human resource processes Leadership processes for need identification, action, and measurement Staff/Workforce (competencies) Implicit Bias and Anti-Black Racism training Cultural and religious awareness training (i.e., San'yas Indigenous Cultural Safety Training Program) Cultural Formulation Interview (CFI) and Culturally Adapted CBT training Adverse Childhood Experiences training Clinical supervision through health equity lens Incident debrief through health equity lens and race-based team conversations Service Access and Delivery (provision and accessibility of services, resources, and support) Support patient engagement and empowerment through education and workshops Implementation of the Cultural Formulation Interview and Culturally Adapted CBT Team treatment plans include early access to culture-specific resources and integration of the CFI Forensic Female Pathway Faith-based meals and food practices, including an Indigenous dinner option Culture-specific grooming services Aboriginal Services provide access to traditional healing practices Interpretation services for in-the-moment care Translation of all written materials provided to patients Culture-specific Peer Support Promoting Responsiveness (to the needs of patients and families) Family engagement strategy, including family information packages Patient-led experience sharing with teams Leadership and team processes for identification of needs, determining action plans, and measurement of improvement Community Outreach (education, collaboration, and access to resources) Community partnerships to build culturally specific resources (legal, social, psychological services) and inform service delivery Promote and disseminate information through provincial and national forensic mental health organizations Communication of cultural formulation in forensic reports and testimony University partnerships to enhance training and improve access and care Data Collection (what, when, and how to inform continuous improvement) System for rolling data collection Disaggregated patient data Seclusion and restraint Length of stay Admissions and readmissions Violent incidents Pass usage Program participation Staff incident reports Horizontal violence and oppression data collection Patient and staff satisfaction surveys and focus groups Pre- and post-surveys of training, programs, and service delivery Staff retention and exit survey data Measurement of therapeutic alliance Trainee interest in forensic psychiatry Audit of teaching modalities, documentation, and forensic reports from an EDI lens
