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 Annual Statistics and Trends for 2015

Psychiatric Patient Advocate Office

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

 

Annual Statistics and Trends for 2015

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 2015

 37,152 Rights Advice Forms issued in 2015 (See Table below for details)

Program

Form 3 

Form 4

Form 4A

Form 21

Form 24

Form 27

Form 30

Form 33c

Form 33t

Form 49i

Form 49r

Total

TCPF

2,461

2,284

5

328

294

5

54

160

808

405

141

6,945

CBRA

16,467

4,031

 1

626 

386

7

16

245

3,590

1,678

3,160

30,207

Total

18,928

6,315

6

954

680

12

70

405

4,398

2,083

3,301

37,152

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

 

Community Treatment Orders

 9,890 CTOs issued in 2015 (See Table below for details)

 Program

49 Issue

49 Renew

49 SDM

Total

Tertiary Care Psychiatric Facilities

405

141

416

962

Community-Based Rights Advice

1,678

3,160

4,090

8,928

Total

2,083

3,301

4,506

9,890

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 2015 (See Table below for details)

 

 Advocacy Issue Addressed

Total Count

Percentage

Therapeutic

837

33.43%

Social

336

13.42%

Legal

1,331

53.15%

 Total

2,504

100%

 

Advocacy Interventions

 7,329 Advocacy Actions in 2015 (See Table below for details)

 

 Advocacy Intervention

Total Count

Percentage

Assist 

912

12.44%

Assist client to complete forms 

393

5.36%

Assist client to self advocate 

148

2.02%

Consult 

1,405

19.17%

Discuss options 

1,292

17.63%

Draft written material

256

3.49%

Provide information

1,845

25.17%

Refer

172

2.35%

Negotiate

135

1.84%

Arrange meetings

104

1.42%

Investigate

247

3.37

Other

420

5.73%

Total

7,329

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 2015 (See Table below for details)

 

 Issue

Action Type

Total Count

Percentage

Legal

Instructed 

3,455

47.06%

Legal

Non-Instructed

202

2.75%

Social

Instructed

1,088

14.82%

Social

Non-Instructed

27

0.37%

 Therapeutic

Instructed

2,483

33.82%

Therapeutic

 Non-Instructed

87

1.18%

 

Total

7,342

100%

Advocacy Files Opened by Patient Status

 2,210 New Advocacy Files Opened in 2015 (See Table below for details)

 

 Advocacy File Opened

Total Count

Percentage

Forensic/involuntary 

4

0.18%

 Forensic

1,323

59.86%

Informal Adult

7

0.32%

Informal Child

0

0.00%

Involuntary 

542

24.52%

Not Admitted

32

1.45%

Unspecified

107

4.84%

Voluntary

195

8.82%

Total

2,210

100%

   

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