System Gap

Hamilton is addressing the needs of transitional aged youth with mental health and/or addiction issues as they move from youth to adult services. To select this gap, an in-depth dialogue regarding the possible system gaps was undertaken with the Hamilton Service Collaborative. A Selection Criteria and Prioritization exercise was utilized to narrow in on the system change point most relevant for the Hamilton community. Some of the earliest engagement conversations with key stakeholders revealed the gap between the youth and adult service sector as a primary concern for Hamilton service agencies. This concern, along with a short list of other gaps was further explored through discussions at Service Collaborative meetings and a presentation on possible interventions that could impact these identified service gaps.


The Hamilton Service Collaborative will implement the Transition to Independence Process (TIP) model the Hexagon Tool was used to critically examine the feasibility and applicability of each intervention on the short list, but the TIP model came out as the intervention that best addressed the cross-sectoral issues the Service Collaborative had raised. The TIP Model is an evidence-supported model for working with Transition Age Youth with emotional/behavioural difficulties. It is a community-based system where provision of services follows youth across sectors. It engages youth in futures-planning process through transition domains, including education, employment, living situation, community life functioning and personal well-being.

Local Evaluation Plan

The local Hamilton evaluation plan for the Transition to Independence Process (TIP) model will focus on outcomes for Youth, Service Providers, Agencies and the System. Outcomes being monitored include: Youth: Increased sense of self efficacy and self sufficiency across key life transition domains; Service Provider: Increased ability to deliver TIP competently and with fidelity; Agency: Increased capacity for youth engagement, increased degree to which agency culture is consistent with TIP youth-focused principles; System: Increased consistency of care for transitional aged youth, increased access to evidence-informed and developmentally appropriate service for youth. Details of the evaluation plan and methods to measure outcomes will be further defined throughout Initial Implementation. Because both the Hamilton and Waterloo-Wellington Service Collaboratives are implementing the TIP model, they regularly share lessons learned and communicate about their evaluation strategies. This enhances both the Collaboratives’ capacity by allowing them to draw from and build on the other’s experiences and successes.


Exploration - complete Installation - in progress Initial Implementation Full Implementation

For more information, please contact:

Alan Cudmore, Regional Implementation Coordinator
905-525-1250 ext. 8157