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 Annual Statistics and Trends for 2016

Psychiatric Patient Advocate Office

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

 

Annual Statistics and Trends for 2016

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.  The PPAO also provides advocacy services to nine Speciality Psychiatric Facilities. The PPAO works with mental health client and their families, stakeholders and legal services in the mental health setting.

 

Rights Advice

The PPAO provides rights advice to patients in the hospital, who are on a Mental Health Act (MHA) form.  The PPAO provides this service at 81 of the 84 Schedule 1 facilities 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 for their Substitute Decision Maker(s), if any.

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 2016

 Rights Advice Activity - 13 year trend

 Year

2003

2008

2015

2016

Total

11,949

24,905

37,152

39,563

 

Community Treatment Orders in 2016

 Community Treatment Orders - 13 year trend

Year

2003

2008

2015

2016

Total

817

2,955

9,890

10,738

 

Advocacy

The PPAO provides advocacy services to patients in nine designated psychiatric facilities 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.

 Legal Issues Symbol  

Legal Issues

The PPAO defines legal issues as those that touch upon the laws which govern the circumstances of a patient’s life, care and treatment at the facility

 

Social Issues Symbol Social Issues

Social Issues can relate to the financial or personal property of individuals, hospital environments and privilege systems, access to meaningful recreational and vocational activities, accommodation of patients’ sexuality or cultural sensitivity.

 

Therapeutic Issues Symbol Therapeutic Issues

Therapeutic issues are defined as those impacting a patient’s care and treatment while in hospital.

 

 

Advocacy Issues Addressed

 Advocacy Activity - 13 year trend

 

 Advocacy Issue Addressed

Total Count

Percentage

Therapeutic

876

31.88%

Social

345

12.55%

Legal

1,527

55.57%

 Total

2,748

100%

 

Advocacy Interventions

 

Instructed Advocacy: 

Advocacy that is undertaken directly by an advocate based on a client instruction.  The process is guided by the principles of self-determination, client empowerment and self-advocacy. 

Individual instructed advocacy includes efforts aimed at supporting, empowering or acting on behalf of an individual. Sometimes viewed as “going to bat” for a person, individual advocacy helps clients who feel they have not been treated as they should have been.  The advocate outlines options and the client determines the path to issue resolution. 

 

Instructed Advocacy - 13 year trend

 Issue

2015

2016

Legal

3,455

3,592

Social

1,088

899

Therapeutic

2,483

2,277

Total

7,342

6,768

 

Non Instructed Advocacy:

In keeping with the principles of self-determination, client empowerment and self-advocacy, non-instructed advocacy is conducted on behalf of an individual who for some reason is unable to instruct the advocate at the given time.  Issues may concern the quality of life of an institutionalized person or those where failure to take action will compromise the health, estate, personal security or dignity of the client.

Non-Instructed Advocacy - 13 year trend

 Issue

2015

2016

Legal

202

153

Social

27

13

Therapeutic

87

89

Total

316

255

 

Advocacy Files Opened by Patient Status in 2016

Advocacy Files opened by patient status in 2016

 Advocacy File Opened

Total Count

Percentage

Informal Adult

1

0.04%

Forensic

1,510

64.89%

Involuntary

559

24.02%

Outpatient

21

0.90%

 Unspecified

129

5.54%

 Voluntary

107

4.60%

Total

2,327

100%

 

Education

The PPAO provides education to the public, clients, health care providers, families, social service agencies and other stakeholders about patients' rights and entitlements. 

The PPAO educates the public through presentations, workshops, and its web site: www.ppao.gov.on.ca

Some of the educational sessions conducted by our staff in 2016:

 

 Education

Location

  • Orientation for new Staff on PPAO, Advocacy and Patient Rights ( 11 sessions)
  • St. Joseph’s Health Care, Hamilton
  • Patient Rights to the Residential Care Facilities Managers
  • St. Joseph’s Health Care, Hamilton
  • Presentation to lawyers on Legal Aid panels regarding Mental Health
  • St. Joseph’s Health Care, Hamilton
  • New Staff Orientation (11 sessions)
  • Ontario Shores Centre for Mental Health Services, Whitby
  • Orientation for Geriatric Nursing Staff
  • St. Joseph’s Care Group, London
  • Orientation for new Staff
  • St. Joseph’s Care Group, London
  • Rights Advice Education/Orientation
  • Brockville General Hospital
  • PPAO, Patient Advocate and Rights Adviser Roles, St Lawrence College Practicum Nursing Students
  • Brockville Mental Health Centre
  • Patient Advocate Role, Consent and Capacity in a Mental Health Setting
  • St Lawrence College Nursing Student, St Lawrence College, Brockville
  • Patient Advocate Role, Nurses in the Forensic Treatment Unit
  • Brockville Mental Health Centre
  • Advocacy, Nurses and Managers in the Secure Treatment Unit
  • St Lawrence Valley Correctional & Treatment Centre
  • Informed Consent/Health Care Consent Act, Nurses and Managers in the Secure Treatment Unit
  • St Lawrence Valley Correctional & Treatment Centre
  •  Rights Advice and Mental Health Legislation Education
  •  Brockville General Hospital
  •  New Staff Orientation
  • Centre for Addiction and Mental Health Services, Toronto
  • Introduction to Psychiatric Patient Advocate Office, Rights Advice and Advocacy – 6 sessions
  • Centre for Addiction and Mental Health Services, Toronto
  •  Introduction to Psychiatric Patient Advocate Office, Roles of the Rights Adviser and Patient Advocate within the mental health legal system and 'Alternative' Careers in Law
  • Osgoode Hall Law School's Community and Legal Aid Services Programme (CLASP) - [the Student Legal Clinic]
  •  Patient Ombudsman
  • Waypoint Centre for Mental Health Care, Penetanguishene
  •  Annual Care Connections Forum
  • Rama
  • Legal Aid Community Clinic Initiative
  •  Barrie
  • Board Presentation – Patient / Family Council
  • Waypoint Centre for Mental Health Care, Penetanguishene
  • Peer Support
  • Waypoint Centre for Mental Health Care, Penetanguishene
  • Patient relations office
  • Waypoint Centre for Mental Health Care, Penetanguishene

   

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