Haliburton and

City of Kawartha Lakes

Our CANS Experiences

What the morning looks like

10:00am Marg - brief introduction of CANS tool, what it is, what it can do, Working Together for Kids Mental Health implementation

10:10am CANS video

10:20am Janice Balfour – Learning Disabilities Association

10:30am Michelle Spry – Boys and Girls Clubs, 0-6/Adolescents

10:40am Elaine Fournier – Trillium Lakelands DSB, School application

10:50am Jennifer Kulz – Chimo, Youth Justice

11:00am Michelle Wolfe Miscio - Mental Health, MMA CANS and Intake, our experience

11:10am iPad app

11:20am Michelle Wolfe Miscio – evaluation

11:30am Marg - wrap up and questions

Housekeeping

Adult learning principles

Ask questions of clarification as we go

Ask questions about implications or

bigger questions at the end of each

speaker

What is the CANS/ANSA

A way of objectively looking at an individual’s needs and strengths

Child Adolescent Needs and Strengths (CANS)

Adult Needs and Strengths Assessment (ANSA)

Made up of items that are scored from 0-3

Items can be about mental health, child welfare, child development, youth justice, autism

There are also a number of other modules that can be accessed if there is a need indicated i.e. crisis, trauma

What is CANS/ANSA

Can be used as an identification tool – to indicate what should happen i.e. discussion with parents/youth, referral, more information should be gathered.

Information can be rolled up to the agency/organization level

Information can be rolled up to the system level

Not currently a way to do that like CAFAS scores available provincially – but it is in the works through CHEO and BORN

Hear from the experts

Made a video to capture the thoughts of folks using CANS in our community

Not scripted – just people talking about their experiences

May recognize a couple of the stars – who are part of the presentation today

It’s about 1.5 years old now – so some of us have aged

The Update

If we were to make a sequel or update the video we would include the following:

At Point in Time staff now own it and are driving the implementation – from wanting to talk about how to use it, how to integrate it, service plan

Other organizations are using it – some of which you will hear from today

0-6 in City of Kawartha Lakes – will actually be passing CANS between organizations as clients move from Infant/Child Development to Resource Teacher Programs

Update continued

Moving beyond the individual change to

use to measure how we are doing

organizationally

Trying to use it to stream line things –

everything from referrals, to paper work,

to balancing workload, and most

importantly of all to make things better

for end service users (clients/students)

Janice Balfour Learning Disabilities Association of

Peterborough

City of Kawartha Lakes Services

Technology for Learning Development

Is a one-to-one tutoring program utilizing

Assistive Technology for students JK to

Grade 8. Individualized to student’s needs

with a focus on literacy or numeracy,

Technology training , study skills and

learning strategies.

Stay in School Program

The Stay in School High School Program

(SIS) is a one-to-one program for

students struggling with academic,

personal, and/or social challenges.

Students receive support, and work

towards academic credit achievement,

with an emphasis on study skills,

organization, time management, and self-

advocacy skills.

Use of CANS with TFLD

student that has difficulty with anxiety

and/or school attendance.

Parent expresses concerns about the child’s

behaviour.

Parent can not recognize the child’s

strengths.

Use of CANS with SIS

Completed with almost all of the students.

Benefits of using CANS

Helps to identify the students strengths. This allows us to use the strengths to help develop strategies to deal with the Learning Disability.

Assists in the development of a program that will support the student in developing self advocacy skills.

Allows the parent to see the child’s strengths.

Provides information on additional support or referrals that the student would benefit from.

Michelle Spry Boys and Girls Clubs of Kawartha Lakes

The Boys and Girls Clubs of Kawartha

Lakes are in the beginning stages of using

the CANS within the support services

department.

The following are the programs using the

tool:

Community Outreach Program

Began using the tool with new intakes in October 2013. Each intake the worker completes the FAST (Family Advocacy & Support Tool) as well as the MCYS Working Together version for the youth at risk in the home. The CANS are used to identify needs and create a plan of service with the family. A second CANS set is completed at the time of discharge. The discharge CANS show where goals were achieved and provide recommendations for the needs still a concern.

Adventure Quest

The program is completing the Educational

Identification CANS with each child/youth

that enters the program. The workers are

completing the tool every 3 months with

the participants. The workers are

completing the tool with the family and

school staff.

Reach Youth Support

The worker is using the Educational

Identification CANS with 3 of the 6 Reach

groups. The CANS will be completed at

intake, March Break, and end of school year.

The worker is completing the tools with

the parents and school staff.

Infant Child Development

The program will be using the CANS –

POC (Preschool Ontario Comprehensive).

Youth Justice Committee

The worker is in the process of compiling

questions from MCYS Working Together

and Youth Mental Health Court Worker

CANS to create a CANS tool that suits the

program specifically. The CANS will be

completed upon diversion and used to

better create a plan/referrals to supports if

needed.

Elaine Fournier Trillium Lakelands District School Board

SCHOOL PERSPECTIVE

USE OF CANS IN A SCHOOL SETTING

Awareness Stage

Working for Children’s Mental Health – Haliburton 2010–2012

Learning about the screening tool

Beginning the dialogue amongst professionals and parents

Beginning to dig deeper with cross sectoral work

Creating a common language

Preliminary

Implementation Stage

Further CANS training

Collaborative Problem Solving training

Refining cross sectoral work

Digging deeper one student at a time

Refining common language

Next Steps

Further capacity building

Thinking about broader implementation

possibilities

Continuing to strengthen partnerships

Jennifer Kulz

Child/Youth and Adolescent Needs and Strengths

(CANS©)

ONTARIO MINISTRY OF CHILDREN AND YOUTH SERVICES

YMHCW VERSION

FOR YOUTH WITH YOUTH JUSTICE INVOLVEMENT

AN INFORMATION INTEGRATION TOOL

CANS© MANUAL

Copyright

Praed Foundation, 1999, 2011

Court Worker

Role of Youth Mental Health Court

Worker

YMHCW version of CANS

Customized to YMHCW role

Used at intake and discharge

Part of how stats are submitted to

ministry

Michelle Wolfe Miscio

Different CANS forms for different client

populations:

◦ Preschool 0-5

◦ School Age 6-17

◦ Crisis

◦ MMA (specialized program)

◦ Respite (in progress)

◦ Intake (shorter versions of Preschool and

School-age CANS)

Example from Preschool CANS CANS PRESCHOOL COMPREHENSIVE

(CANS-POC) Scoring Form

Example: School-Age CANS item

12. PSYCHOSIS

This rating is used to describe symptoms of psychiatric disorders with a known neurological base. The common symptoms of these disorders include psychosis, hallucinations, delusions, unusual thought processes, strange speech, and bizarre/idiosyncratic behaviour.

0 This rating indicates a child/youth with no evidence of thought disturbances. Both thought processes and content are within normal range.

1 This rating indicates a child/youth with evidence of mild disruption in thought processes or content. The child/youth may be somewhat tangential in speech or evidence somewhat illogical thinking (age inappropriate). This also includes a history of hallucinations but none currently.

2 This rating indicates a child/youth with evidence of moderate disturbance in thought processes or content. The child/youth may be somewhat delusional, have brief intermittent hallucinations or speech may be at times quite tangential or illogical.

3 This rating indicates a child/youth with a severe psychotic disorder. Child/youth is fully delusional, has ongoing hallucinations, high levels of paranoia. Unable to engage in meaningful conversation. Symptoms are dangerous to the child/youth or others.

CANS ON THE iPAD

Engages clients

Convenient

Integrated manual

Enter notes

View progress

Treatment planning

Evaluation (data entry)

HOW CAN WE USE CANS TO

EVALUATE OUR PROGRAMS?

CANS completed at Intake can let us

know what kinds of issues clients are

presenting with (individually, by program

and at our agency).

HOW CAN WE USE CANS TO

EVALUATE OUR PROGRAMS?

CANS completed at beginning and end of service and 6 month intervals can help us see if there has been change during our involvement with a client.

◦ Compare CANS scores from initial and discharge to see if there have been changes on specific items.

◦ Example: movement on “Anxiety” item from a 2 or 3 to a 0 or 1 would indicate success in addressing issue of anxiety. (“met need”)

HOW CAN WE USE CANS TO

EVALUATE OUR PROGRAMS?

Other ways include: averaging scores by

domain and comparing initial and

discharge scores by domain; RCI (reliable

change index); actionable needs.

There is a proposal to create a resource

guide to establish benchmarks across all

agencies using CANS.

Examples of how Point in Time has

used CANS for evaluation

High school walk-in clinic

School-age programs

Mindful Martial Arts program

Wrap up and questions