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 Annual Statistics and Trends for 2012

Psychiatric Patient Advocate Office

Direct Services Division, Ministry of Health & Long-Term Care

 

Annual Statistics and Trends for 2012

The PPAO is the first and largest mental health advocacy and rights protection program in Canada.  PPAO clients are at the centre of the service we provide.  The PPAO provides rights advice to nearly all psychiatric facilities throughout Ontario i.e. Schedule 1 hospitals covered by the Community -Based Rights Advice Program (CBRA) and nine Tertiary Care Psychiatric Facilities (TCPF).  The PPAO also provides advocacy services to nine Tertiary Care Psychiatric Facilities.  The PPAO works with mental health client and their families, stakeholders and legal services.

 

Rights Advice

The PPAO provides rights advice to patients in the hospital, who are on a mental health act form.  The PPAO provides this service at 84 of the 87 Schedule 1 hospitals in the province.

The Rights Adviser's role is to:

  • Explain the Mental Health Act form
  • Explain the available options
  • Provide help to carry out those options

The PPAO provides services in more than 100 communities.  These services are for people being considered for a Community Treatment Order (CTO) or renewal of a CTO and their Substitute Decision Maker(s).

The PPAO provides rights advice in person within 24 hours, 98% of the time.  The PPAO continues to provide the same level of service using the same number of resources, in spite of increasing volumes.

 

Rights Advice Activity in 2012

 32,145 Rights Advice Forms issued in 2012 (Please see Table below for details)

 Program

Form  3

Form 4

Form 21

Form 24

Form 27

Form 33c

Form 33t

Form 49i

Form 49r

Total

TCPF

2,634

2,446

315

272

4

125

833

299

63

 6,991

CBRA

14,385

3,258

628

427

15

205

2,922

1,229

2,085

25,154

 Total

17,019

5,704

943

699

19

330

3,755

1,528

2,148

32,145

 

Description of Mental Health Act (MHA) Forms and corresponding Consent and Capacity Board (CCB) applications

 MHA Forms

 Description

 CCB Application

Form 3 Person made an involuntary patient

Form 16

Form 4 Person's involuntary status renewed

Form 16

Form 4 - 4th renewal Fourth renewal of patient's involuntary status - mandatory review required

Form 19

Form 21 Person Found incapable to manage property

Form 18

Form 24 Person's incapacity to manage property renewed

Form 18

Form 27 12 to 15 year old person made an involuntary patient

Form 25

Form 33c - PHI Person found incapable to consent to collection, use and disclosure of personal health information (PHI)

Form P1, P3

Form 33t Person found incapable to consent to treatment

Form A

Form 49  Notice of intention to issue or renew a community treatment order

Form 48

 

Community Treatment Orders

 6,493 CTO Forms issued in 2012 (See Table below for details)

 Program

49 Issue

49 Renew

49 SDM

Total

Tertiary Care Psychiatric Facilities

299

63

261

623

Community-Based Rights Advice

1,230

2,086

2554

5870

Total

1,529

2,149

2,815

6,493

 

Advocacy

The PPAO provides advocacy services to patients in nine of the 10 Tertiary Care Psychiatric facilities (TCPF) in Ontario.  Advocacy is a process that ensures that the rights of patients are protected, that their needs are met, and that they are supported in making decisions that affect their care, treatment, and lives.

The role of the Patient Advocate is to review the issue(s) with the client and provide options for resolution.  They consider the nature and complexity of the issue; the client's ability to self-advocate; information about the client's attempts to resolve the issue; the special needs of the client; barriers to access; and the nature of the client's instructions.  Once this is completed, the Patient Advocate works with the client to find a common agreeable resolution to the issue as quickly as possible.

 

Advocacy Issues Addressed

 Advocacy Issues Addressed in 2012 (See Table below for details)

 Advocacy Issue Addressed

Total Count

Percentage

Therapeutic

974

32.93%

Social

407

13.76%

Legal

1,577

53.31%

 Total

2,958

100%

 

Advocacy Interventions

 7,371 Advocacy Interventions in 2012 (See Table below for details)

 Advocacy Intervention

Total Count

Percentage

Assist 

972

13.19%%

Assist client to complete forms 

346

4.69%

Assist client to self advocate 

84

1.14%

Consult 

1,408

19.10%

Discuss options 

1,267

17.19%

Draft written material

176

2.39%

Provide information

1,857

25.19%

Refer

219

2.97%

Negotiate

173

2.35%

Arrange meetings

175

2.37%

Investigate

275

3.73%

Other

419

5.68%

Total

7,371

100%

 

Instructed and Non-Instructed Advocacy

Instructed Advocacy is conducted upon client instruction.  Non-Instructed Advocacy is conducted on behalf of an individual who for some reason is unable to instruct the advocate at the given time.

 Instructed and Non-Instructed Advocacy Actions in 2012 (See Table below for details)

 Issue

Action Type

Total Count

Percentage

Legal

Instructed 

3,720

50.47%

Legal

Non-Instructed

323

4.38%

Social

Instructed

972

13.19%

Social

Non-Instructed

31

0.42%

 Therapeutic

Instructed

2,206

29.93

Therapeutic

 Non-Instructed

119

1.61%

 

Total

7,371

100%

 

Advocacy Files Opened by Patient Status

 2,666 New Advocacy Files Opened in 2012 (See Table below for details)

 Advocacy File Opened

Total Count

Percentage

Forensic/involuntary 

20

0.8%

 Forensic

1,469

55.1%

Informal Adult

2

0.1%

Informal Child

3

0.1%

Involuntary 

729

27.3%

Not Admitted

44

1.7%

Unspecified

174

6.5%

Voluntary

225

8.4%

Total

2,666

100%

   

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