Start Your Search

Danielle Impey



Author of

  • +

    OS04 - Cool Tools for Digital Health (ID 25)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/27/2019, 10:30 AM - 11:30 AM, Pod 6
    • +

      OS04.02 - Building an e-mental health toolbox: An implementation toolkit for clinicians (ID 355)

      Danielle Impey, Knowledge Exchange Centre, Mental Health Commission of Canada; Ottawa/CA

      • Abstract

      Purpose/Objectives:
      Experience gleaned from a 2017 rapid review shows that the process of integrating e-mental health as a routine health care tool faces many challenges, is very complex, and requires significant time in most cases. When defining e-mental health, the Mental Health Commission of Canada (MHCC) borrows from the Centre for Mental Health Research in Australia: “Mental health services and information delivered or enhanced through the Internet and related technologies”. To support the uptake, use and evaluation of e-mental health in a clinical setting, the MHCC undertook the development of an implementation toolkit. The purpose of the toolkit was to collect, synthesize and present best and promising resources on how to successfully implement e-mental health into clinical practice. It synthesises evidence-informed tools (e.g. templates, fact sheets, worksheets, assessment tools, etc.) and packaged them in a clear and comprehensive way. The goal is to provide practitioners working at the point of care with guidance and support around integrating e-Mental health with their existing client populations.


      Methodology/Approach:
      The MHCC partnered with Dr. Lori Wozney and the IWK Health Centre in Halifax, NS to undertake the development of the toolkit. Building upon the findings of a 2017 environmental scan and literature review, Dr. Wozney and team undertook a scan and content audit of current e-mental health implementation resources to identify key topics, current gaps in resources and evidence-based tools relevant for the target audience. Where necessary, content was either developed or adapted for inclusion in the toolkit.


      Finding/Results:
      Although there are tools that exist which are applicable to the Canadian mental healthcare system, there continues to be gaps in tools and resources that are specific to clinical needs. Since technology is evolving at such a rapid pace, it is important to stay abreast of changing needs of clinicians. Effort was made to contextualize itself within the larger e-mental health/e-health environment to avoid duplication of tools/resources, though work to enhance the toolkit will continue through 2018, into 2019. The toolkit is available in English and French (where French tools existed) on the MHCC website.


      Conclusion/Implications/Recommendations:
      More implementation tools for clinicians are needed. By providing evidence-based and evidence-informed implementation tools, clinicians may be better-equipped to assess things like organizational readiness, change management, and workflow management as it pertains to e-mental health.


      140 Character Summary:
      Building the Toolkit for e-Mental Health Implementation, an MHCC resource for mental health professionals to implement e-mental health innovations.

  • +

    OS10 - Four Implementation Vignettes (ID 17)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/27/2019, 04:30 PM - 05:30 PM, Pod 6
    • +

      OS10.01 - e-Mental Health Demonstration Project: Implementing and evaluating Stepped Care 2.0© (ID 429)

      Danielle Impey, Knowledge Exchange Centre, Mental Health Commission of Canada; Ottawa/CA

      • Abstract

      Purpose/Objectives:
      In 2017, the Mental Health Commission of Canada (MHCC) launched an e-mental health (e-MH) demonstration project to improve access to mental health services in publicly funded health systems. The MHCC, the Government of Newfoundland and Labrador, and the core team at Memorial University of Newfoundland lead by Dr. Peter Cornish, are working closely together to implement and evaluate Stepped Care and e-mental health programming in 15 clinical sites across Newfoundland and Labrador. Stepped Care 2.0© is an evidence-based, rapid access system of delivering programs, including same day, flexible access to mental health resources, including face-to-face and e-MH components, while promoting client autonomy & resilience. Patients receive the least intensive treatment with the greatest likelihood of improvement. Care is stepped up or down depending on client need/preference and is continuously monitored. e-Mental Health refers to the use of the internet and other electronic communication technologies to deliver mental health information & care, and these services have been found to be an effective and complementary option. This rapid access approach aims to reduce wait times and to improve access. The objectives of the project are to: 1. Introduce innovative approaches and new technologies to mental health and addictions service delivery in the province (i.e. stepped care and e-mental health programming). 2. Reduce wait times for services. 3. Improve mental health outcomes.


      Methodology/Approach:
      Data for the evaluation component is collected from healthcare providers and site managers through training workshop and feedback surveys, usage data from pilot sites, outcome scales and interviews. Data is collected from clients via anonymous patient surveys developed by the evaluation team. A report will be produced amalgamating the feedback received during a quality improvement workshop on the project.


      Finding/Results:
      Preliminary results have shown a decrease or elimination of wait lists at some implementation sites. Feedback on the change management and training process by health care providers has been positive. We expect to show improved mental health outcomes through the introduction of stepped care and the e-mental health services offered. The final report will be released in spring 2019.


      Conclusion/Implications/Recommendations:
      The rapid access approach of the e-mental health demonstration project aims to reduce wait times and to improve access. Results from the project evaluation will inform opportunities to improve and scale-up Stepped Care 2.0© and similar mental health care approaches.


      140 Character Summary:
      The MHCC's e-mental health demonstration project seeks to improve access by implementing and evaluating Stepped Care and e-mental health rapid access approaches.