The Centre for Addiction and Mental Health (CAMH) is developing electronic access channels to Ontario’s Staged Screening and Assessment (SS&A) mental health and addictions (MH&A) clinical assessments. SS&A is a set of four standardized and validated assessment tools used by clinicians to produce evidence-informed treatment plans and referrals for clients entering addiction treatment services. SS&A includes:
- Global Appraisal of Individual Needs – Short Screener (GAIN-SS), quickly identifies possible mental health and substance use issues requiring further exploration.
- Modified Mini Screener (MMS) for adults and the Problem Oriented Screening Instrument for Teens (POSIT) for those 17 and are second stage screeners and completed if results from the GAIN-SS raise concerns about potential mental health issues.
- The Global Appraisal of Individual Need Quick3 Motivational Interviewing Ontario (GAIN Q3 MI ONT) is a comprehensive assessment that helps clients share their life circumstances across a broad range of areas, with a particular focus on substance use. This assessment and resulting clinical reports provide a sound foundation for treatment planning and referral decisions.
By implementing the Fast Healthcare Interoperability Resources (FHIR) specification to capture and expose MH&A assessment data assets in an interoperable manner, this initiative aims to:
- Provide seamless access to MH&A assessment data from EMRs and HIS systems
- Improve MH&A assessment service planning by offering accurate and timely information on MH&A service referrals and wait times
- Enable development of technology, such mobile apps and virtual assistants, that can reduce the time clinicians need to assess clients, and help engage clients in their treatment services when and wherever it is convenient for them.