5. Measuring for improvement using leadership metrics and performance measures (Orals)

Driving the transition: An outcome evaluation of Assertive Community Treatment Teams (ACTT) Stepped Care Model 

The Assertive Community Treatment (ACTT) Model historically has been seen as a model where patients would remain in care of the ACTT teams for life. This practice has resulted in teams becoming full and very long waitlist for this best practice treatment. In the Central East region of Ontario the ACTT teams implemented a Stepped Care model in an attempt to create flow and provide patients the appropriate level of care. This initiative led to a reduction of over 32,000 psychiatric bed days for patients that were able to enter ACTT over a two year period and high satisfaction for the patients that left ACTT and entered Stepped Care.


Scott C Pepin – Ontario Shores Centre for Mental Health Sciences 

Faisal Islam – Centre for Addictions and Mental Health 




Creating safer therapeutic environments – Using real time data to reduce the use of seclusion and restraint in mental health care

The use of restraints and seclusion (RS) to manage aggression in mental healthcare is a human rights issue given the potential for physical and psychological harm. This presentation will provide an overview of how a mental health hospital made innovative use of real-time data to inform organizational change to minimize this practice. Status reports listing current patients in RS are populated from E-Health Records and distributed to leadership twice daily. These reports allow leadership to provide timely support and clinical guidance to inpatient teams, unlike traditional practice whereby leadership may review these incidents monthly or quarterly. Since implementation, seclusion duration dropped significantly from an average of 1849 monthly hours pre-implementation to 774 hours (p=.001) post implementation. Using real-time data has brought leaders together to create a culture of accountability engaging them in driving safer practice.


Mark J Rice – Ontario Shores Centre for Mental Health Sciences




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