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 |