Project Sponsor The Centre for Addiction and Mental Health (CAMH), as sponsor of Systems Improvement through Service Collaboratives (SISC), is working with the six provincial ministries, advisory bodies, expert panels, community agencies and key stakeholders and partners to successfully implement the project. A brief description of each group’s role in overseeing and implementing the project is outlined below.
CAMH provides leadership and accountability for SISC. It is responsible for drawing on expertise and resources in the field and for engaging experts and system leaders as required. CAMH also provides organizational and regional resources to assist in the establishment, implementation, and evaluation of Service Collaboratives across Ontario. Additionally, CAMH has convened and leads the Provincial Collaborative Advisory Group (PCAG). PCAG provides strategic input and support for planning and implementation of the 18 service collaboratives. It is comprised of representatives from key sector organizations as well as ex-officio members from each of the ministry partners (e.g. Ministries of Child and Youth Services, Health and Long-Term Care, Community Safety and Correctional Services, the Attorney General, Training, Colleges and Universities, and Education).
Provincial Oversight Committee
With representation from multiple ministries, this group will align with initiatives in other sectors. This committee is ensuring the initiative reflects the direction of the Excellent Care for All Act and Ontario’s Comprehensive Mental Health and Addictions Strategy
Provincial Collaborative Advisory Group
Made up of representatives from key sector organizations, this group provides strategic input and support for planning and implementation. For a list of members, click here
. It includes three expert panels: The Scientific Expert Pane
l is providing input into the provincial evaluation framework and scorecard, as well as SISC program evaluation. The Service User Panel
is providing advice to CAMH on SISC development and implementation from a service user perspective. The Justice and Mental Health Expert Panel
is providing CAMH with strategic advice on the intersections between the justice and mental health systems specifically. For a list of members, click here
Local strategies and outcomes are being implemented by each Service Collaborative, with the support of CAMH's regional and central resources. The graphic below depicts the communication, advice and accountability structure for all the key players of the project.
CAMH's Central Resources
Performance Measurement & Implementation Research (PMIR)
Performance Measurement and Implementation Research (PMIR) provides expertise and support to the Service Collaboratives in implementation science, performance measurement, and evaluation. PMIR scientists play key leadership roles in developing the implementation science framework for the initiative, and establishing performance indicators to measure SISC processes and outcomes. PMIR is responsible for designing and carrying out the evaluation of SISC at the provincial level. The team also facilitates connections among, and provides support to, the work of the Regional Evaluation Coordinators and the development of local level evaluation plans.
CAMH is applying innovative approaches to building, sharing and supporting the application of evidence across Ontario. Evidence Exchange Network (EENet)
is playing a key role in this process. EENet is a province-wide mental health and addictions network that connects researchers, service providers, decision-makers, system planners, policymakers, persons with lived experience and families within the province. EENet promotes the use of research evidence in decision-making by providing an infrastructure that links evidence with mental health and addictions stakeholders. Through EENet and with the support of Knowledge Exchange Leads across the province, the Service Collaboratives increase engagement in knowledge generation, and improve access to the best available evidence. Knowledge generated will be shared with other Service Collaboratives, and with the system more generally.
CAMH's Regional Resources
Regional Implementation Coordinators (RIC)
RICs will play a key liaison role for the Service Collaboratives. They are responsible from the early stage of identifying and engaging potential Service Collaborative members through to providing consistent support in designing, implementing and evaluating SISC. RICs work closely with the Knowledge Exchange Unit to develop plans for spreading lessons learned from Service Collaborative change processes and moving specific interventions into new locations and communities.
Knowledge Exchange Leads (KE Leads)
As the local representative of EENet, the Knowledge Exchange Leads support the Service Collaboratives by increasing engagement in knowledge generation, improving access to the best available research evidence to support decision-making and sharing what is learned from each Service Collaborative.
Regional Evaluation Coordinators (REC)
RECs work closely with PMIR and play a key role in the evaluation of the Service Collaborative initiative. With the PMIR team, RECs coordinate the exchange of information and data between PMIR, the Regional Implementation Team and the Service Collaborative for planning and evaluation purposes. RECs are critical to knowledge exchange and in ensuring that successes and learning from each of the Service Collaboratives (especially for evaluation purposes) can be spread to other communities across the province.
Equity and Engagement Leads (E & E Leads)
Equity and Engagement Leads support the Service Collaboratives by providing Equity and Engagement expertise, resources, and support and ensuring a health equity lens is applied consistently throughout the initiative. The E & E Leads are responsible for leading the process of completing the Health Equity Impact Assessment (HEIA)
on engagement and intervention, ensuring that health inequities are not increased and decreased where possible, reviewing documents and processes to ensure HEIA consideration through all phases of the initiative, and supporting the Service Collaborative to implement and monitor mitigation strategies.
Coaches work directly with agencies that are implementing improvements and evidence-based practices. They provide or facilitate on-site and/or virtual education, training, and mentorship to staff who are directly involved in the implementation of changes to programs/systems at the local level. They have expertise in Change Management, Implementation Science and/or Quality Improvement approaches. Coaches work with RICs to plan the implementation of changes to agencies based on the strategies developed by the Service Collaborative and with RECs to measure and evaluate the effectiveness of the process for change.