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 |