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 Annual Statistics and Trends for 2017

Psychiatric Patient Advocate Office

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

 

Annual Statistics and Trends for 2017

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 clients 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 to almost all 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 2017

 Rights Advice Activity - 14 year trend

 Year

 2003

 2008

 2015

 2016

 2017

 Total

 11,949

 24,905

 37,152

 39,563

 41,742

 

Community Treatment Orders in 2017

 Community Treatment Orders - 14 year trend

 

 Year

 2003

 2008

 2015

 2016

 2017

 Total

 817

 2,955

 9,890

 10,738

 11,661

 

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.

 

Advocacy Issues Addressed

 Advocacy Activity - 14 year trend

 

 

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 - 14 year trend

 

 Issue

 2015

 2016

 2017

 Legal

 3,455

 3,592

3,648

 Social

 1,088

 899

938

 Therapeutic

 2,483

 2,277

2,318

 Total

 7,342

 6,768

6,904

 

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 - 14 year trend

 Issue

 2015

 2016

 2017

 Legal

 202

 153

 201

 Social

 27

13

 23

 Therapeutic

 87

 89

103

 Total

 316

 255

327

 

Advocacy Files Opened by Patient Status in 2017

 

Advocacy Files opened by patient status in 2017

 

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 2017:

 

   

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