A Reference Guide, Nov. 2006
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7. Resources for Use by the Network
i. Communications
CTN, with the assistance of the Communications Advisory Group, and project management from Extraordinary Conversations, has a Communications Plan focusing on building awareness about CTN. The plan includes:
ii. Capacity – Building
Continuing Education
POLICY:
The system wide ChildrenÕs Treatment Network is responsible for ensuring that staff education needs are addressed through program wide and individual continuing education opportunities. Each staff member is responsible for tracking their educational activities for their organizations and colleges.
EXPECTED OUTCOME:
CTN members will be able to update their clinical and non-clinical skills through continuing education opportunities.
PROCEDURE/GUIDELINE:
Training
Fund Application
Name:_______________________________ Professional Designation:____________________
Position:_____________________________ Organization:______________________________
Telephone:________________________ E-mail: ________________________________
How long have you worked in your home organization?_________________________________
Title of Workshop, Conference or training event you will be attending:______________________
________________________________________________________________
________________________________________________________________
Objective of attending this training: _________________________________________________
________________________________________________________________________________________________________________________________
Other experience related to this training: ______________________________
______________________________________________________________
Anticipated Expenses – Registration fee:____________________
Other Costs: ________________ Total Cost:___________________
Funding from other sources? ______________________________________________________
Funding Requested (specify CAN or US $):__________________________________________
Attachment Checklist – Please enclose the following documentation:
q a copy of the course outline and cost breakdown
q Indication of how the knowledge gained could be transferred to other parts of the Network (See checklist)
Training Fund Application
On the basis of the information supplied, I hereby apply for the amount of $___________. In the event that I resign from my current position or organization, I understand that I may be required to reimburse CTN on a pro-rata basis.
I have highlighted the following activity(ies) I will undertake to share the knowledge gained at the workshop or conference, to help increase the overall capacity of the Network:
Make
a presentation at a workshop or meeting
Provide in-servicing or
mentoring to local or specialty teams
Develop a summary or report for sharing across the Network
Other – please describe
below
___________________________________ ___________________________
Signature Date
________________________________ _________________________
Email address Telephone
ManagerÕs Support:
We agree to support this request for funding, including the commitment to participate in knowledge transfer activities after the training opportunity.
_________________________________ _________________________
ManagerÕs Signature Contact Information
SEND THE COMPLETED APPLICATION FORM AND SUPPORTING INFORMATION TO Carolyn Cannon, Executive ASSISTANT Carolyn.cannon@ctn-simcoeyork.ca .
Decision: Approved
Not approved Final: Y___
Info Needed ___________________________
Date _____________________________
Criteria for accessing Training Fund
ChildrenÕs Treatment Network is committed to being a learning organization. It is committed to building capacity in individuals, teams and the system as a whole.
As CTN evolves, training opportunities will be tailored to the strengths and gaps across the network in a proactive Training Plan, based on a skill inventory across the network. Until then, the network will take advantage of training opportunities as they arise, based on the following criteria:
1. Do we need this skill or knowledge?
á Does the training focus on the needed core knowledge base identified by the CTN Intensive Working Group?
á How does it fit with the CTN population
á Is this a specialized skill set that is required but to a limited extent?
á Is this a non-core knowledge or skill that it would be useful for the network to have for consultative, but not regular use? Why?
á Can this training contribute to system improvement? How?
á Is the training based on an evidence-based practice, or is it considered to be a best practice? If it is a promising practice only, what is the value in investing in it?
2. Is this the best way to build necessary capacity?
á Is the need for this training reflected in the CTN Operating Plan?
á How much capacity does the network need? Should the training be organized locally for broader network participation?
á Does the network have existing capacity that might be able to in-service or mentor?
á Is this the right person to train?
á Is this the most affordable way to build capacity?
3. Is there an achievable, realistic way of transferring the knowledge?
á Is the home organization willing to share in the cost, and/or support the employee in attending, then sharing the knowledge with the network?
á How could this knowledge be transferred for capacity-building?
4. Are there other more urgent training priorities and is funding available?
Reimbursement Guidelines
Rationale
CTN is committed to increasing community capacity to support children and youth with special needs, and their families. To that end, CTN will invest in opportunities to develop the knowledge and expertise across the Network that will improve outcomes for kids and families.
Decision-making
CTN will use the criteria identified in the application to make determinations about funding as quickly as possible after the deadline. The priority for funding will be areas of knowledge in which the Network requires additional capacity. Every effort will be made to maximize the use of training funds so as much capacity can be built as possible. Until a Network training plan is in place, decisions will be made by the CTN Management Team, based on the application submitted. Decisions will be marked ÔFinalÕ or ÔCan be appealed if more information is availableÕ.
Funding
Subject to the availability of funding and the application of the criteria, CTN may be able to provide full or partial support for fees and related expenses.
Expenses, including travel, accommodation and meals, will be paid based on the actual cost incurred and receipts submitted, in accordance with the expense policy of the home organization.
Advance payment of course/conference fees, once approved, may be arranged with reasonable notice. Reimbursement may be requested by CTN if, within a year of the training opportunity, the funded person leaves their organization and their newly developed capacity is unavailable to the Network.
Requests must be pre-approved. Unless otherwise arranged, they will be paid when expenses and receipts have been submitted to Carolyn Cannon at: Carolyn.cannon@ctn-simcoeyork.ca
Fax: 705 – 726-2870 Tel : 877-719-4795 (252)
Mail to : 165 Ferris Lane, Barrie, L4M 2Y1
October 31, 2006
iii. Resource Centers
The Resource Centre is an information service, and provides opportunities for local visibility for CTN SY. Composed of a visible store front which is user friendly and offers accessible materials to families, teachers, therapists and consumers, it also will have a ÒvirtualÓ library that contains current and relevant information and research findings with linkages to other appropriate portals.
Guiding Principles and Operating Practices
á A community-based, family-centred, visible face of CTN SY;
á One-stop, easy access for families, children, youth, CTN SY staff, and other service provider staff to obtain information and access CTN SY tools, client files, and service plans;
á Linked to central management/administrative/decision support/logistical functions of CTN SY to access resources (e.g. staff, supplies, equipment, space), systems, tools, protocols, standards, and operational norms;
á Resource function is part of each local team function — each team member needs to be knowledgeable about CTN SY services, local childrenÕs services including recreation, education, mental health, developmental services, acute paediatric care, advocacy;
á At one central location in each of Simcoe County and York Region, a larger resource area will be located — computer terminal for use of families, Òvirtual libraryÓ, information on local and Simcoe/York childrenÕs services resources, and access to support groups will be established;
á Although the CTN is a ÔvirtualÕ network, not a ÔcentreÕ, it is important to have physical locations where staff, children and families can go. As well, where possible, the locations will have a visible presence to the public in terms of signage and possible street level or storefront presence.
Simcoe County Resource Centre will include space to allow for:
á Office space for the Clinical Director;
á Therapy space including paediatric therapy gym, activity room (including sensory integration capacity), small treatment areas, and medical/clinic room with video/audio recording capability;
á Specialty clinic space;
á Observation rooms;
á Equipment storage area;
á Access to shared meeting and group space;
á Touch-down space for Local Team members and CTN administrative staff.
York Resource Centre will include the same types of space as the Simcoe County Resource Centre, as well as space for:
á Chief Executive Officer;
á Executive Assistant;
á Clinical Director and Access Director.
Please refer to the Functional Program following the resource centre floor plans.
Simcoe Resource Centre
Opening March 2007
York Resource Centre
Functional Program
Introduction
The ChildrenÕs Treatment Network of Simcoe York (CTNSY), established in 2005, is one of 20 ChildrenÕs Treatment Centres (CTCÕs) in Ontario. It will provide a fully integrated range of new and existing professional rehabilitation and other support services to meet the needs of children and youth and their families, living in Simcoe and York regions.
Most clients served by CTNSY will have complex physical needs with associated developmental, behavioural, communication and/or educational needs.
The CTNSY will encompasses:
á individualized and integrated therapy and care delivered in the clients local community, to the extent possible;
á family centred service;
á streamlined access, coordination and continuity of therapy and care;
á shared responsibility and accountability with other providers of service.
The CTNSY will be organized in a unique and distinctly different manner than other CTCÕs; it will reflect a fully integrated system approach to service delivery. It will build on the capacity of existing service providers and address existing gaps in service by augmenting service delivery and infrastructure supports. The result will be a fully coordinated system of therapy and care enabling children, youth and their families to achieve optimal outcomes.
While the CTNSY will directly employ staff, many staff will be employees of existing community organizations contracted to provide various levels of service. The CTNSY will have 10 local teams situated throughout Simcoe and York regions.
All CTNSY facilities will be located within existing community (host) organizations. The teams to be located in Barrie and Newmarket will be considered CTNSY Òresource centresÓ; they will have additional resources and space to provide more specialized and resource intense services to the regions.
Further, most administrative (e.g., finance, human resources support, etc.) and all support services (e.g., housekeeping) will be provided by the host organizations. CTNSY administrative staff will be located within the resource centre in Barrie.
The CTNSY is in its very early stages of development and implementation. In parallel with defining the range of services and optimal size and location of each team, it must also begin to negotiate agreements with host organizations for the provision of space and other supports.
The document which follows is a modified functional program. It outlines three levels of space requirements, depending on the size and type of team to be located in the local communities. The primary purpose of this document is to assist CTNSY in discussions with potential host organizations regarding
á the designated space required by CTNSY at a host organization;
á services and space the CTNSY is wishing to share with the host organization;
á administrative and other supports that CTNSY requires the host organization to provide.
Functions
Core services provided by each local CTNSY team will include:
á physiotherapy
á occupational therapy
á speech language pathology
á case management
Depending on need in the local community, services may also include
á recreation therapy
á EI/school personnel
á local information resource
In addition to the above, each resource centre will provide specialized services which may include
á subspecialty assessments and follow-ups
á assessment of needs for, prescription of, modification of, and teaching to use, adaptive seating and power mobility equipment
á augmentative communication including assessment and fitting of customized technical devices
á assessment and customizing of special adaptive devices for toys for recreation and socialization
á assessment and treatment of feeding and swallowing disorders
á psychological assessments and counselling
á assessment and fitting of orthotics
Operational Assumptions
Hours of Operation
Hours of operation will be dependent on the number of staff assigned to each team. For the most part, teams will operate over an eight hour period, five days a week, with extended evening and weekend hours, as required.
Referral, Registration and Arrival
Families who are new to the system and have a child with multiple needs, will be referred to the System Access Team. It will be a collaborative access mechanism allowing children and youth to access the most appropriate service in a streamlined and coordinated manner. Families who are knowledgeable and have a child with a single need will typically access the organization to which they know/are known.
The access team will screen and assess the clientÕs needs and then refer them to the most appropriate organization(s). A case manager will follow the client and his/her family to assist in coordinating and accessing services across the system.
Scheduling of first time and follow-up appointments for CTNSY services will be provided by the host organization.
On arrival at each site, clients and their families will register at the host organizationÕs reception area. They will wait in the waiting area until the time of their appointment. Within each resource centre there will be a family resource area, close to the waiting area, for families to access information.
Many clients will also be seen in their own homes and in community locations such as preschools, schools, community centres, etc.
Service Delivery
Physiotherapy, Occupational Therapy and Speech Language Pathology
Therapists will provide assessment and therapy services in designated therapy areas. They will also meet with children, parents and community service providers in meeting rooms to provide education, consultation and information regarding a childÕs progress.
Speech language pathology visits will occur individually or in small groups in multi-use training rooms. Parents and community service providers will observe therapy within the training rooms or in adjacent observation rooms.
Feeding assessments will occur in one of the training rooms, and will involve the therapist, child, one to two parents and possibly one to two other staff. Observation of the assessment may occur in an adjacent observation room.
Therapists will each have an assigned workstation to complete indirect care functions, such as coordinating referrals, documenting assessment and treatment findings, ordering of equipment and making confidential telephone calls. Workstations will be located close to the areas where staff provide therapy. Generally, not more than four workstations will be in one room.
Clinics
Most clinics will occur at the resource centres. A multipurpose therapy/treatment room will be used for clinics that require access to specialized equipment (e.g., seating clinics). Clinics that include physical examinations and discussion with the client and family will occur in an examination room, for the most part. Meetings between clients, parents and staff will also occur in conference/group rooms.
Information and Communications
A family resource area will be located in each resource centre, adjacent to the waiting area, and will accommodate resource information including the internet, for clients and parents to access.
Staff will access common databases and information networks to obtain clinical (with parentsÕ consent), financial and utilization information. This information will be accessed by staff in their own work areas.
Client records will be stored in a separate filing cabinet at each site.
Support services such as housekeeping and maintenance will be provided by the host organization.
Workload
The workload of each team has not been established. It will be based on the client needs and the existing gaps in services that exist within each local community.
Staffing
Staffing for each team has not been developed. It is anticipated that, in total, there will be about 90 FTE, across the 10 teams, in the future.
For the purposes of identifying space, four levels of space requirements will be used:
á Small Local Team: The local team will have a physiotherapist, occupational therapist and speech language pathologist; up to 3 FTE in total.
á Large Local Team: The local team will have 10 to 12 FTE in total comprised of physiotherapy, occupational therapy, speech language pathology, case managers, recreation therapists, EI/school personnel local information resource persons and visiting specialists.
á Simcoe County (Barrie) Resource Centre: The resource centre will include the staffing of a large local team option two as well as staffing and clinics for −augmentative communication −seating and mobility −feeding and swallowing −additional specialist clinics.
á York Region Resource Centre: The resource centre will include the space of the Simcoe County (Barrie) Resource Centre, as well as space for −chief executive officer −administrative assistant −clinical coordinator.
Considerations for Space and Design
Location
All CTNSY spaces should be located together, on one level, preferably ground level. Should the ground floor not be available, CTNSY space must be directly accessible to an elevator. The entrance to the building must be close to parking, and have a protected drop off area.
Overall Requirements
CTNSY space should be located within an organization that emulates a non-institutional environment with an emphasis on wellness. Spaces should be bright and open, with wide corridors, entrances and doorways and significant natural light. CTNSY spaces must be highly functional and supportive for children, youth and their families. This entails convenient access to multiple areas used by children and families, adequate space for parents to be involved in therapy and education, and age appropriate decor and facilities.
All areas must be easily accessible by children with motor, cognitive and perceptual impairments. However, there must also be opportunities for children and youth to experience some challenges within a safe environment. Spaces should also be fully accessible by staff and families, some of whom may also have physical disabilities.
Clients and their families must be able to move easily throughout the facility where CTNSY is housed. A physical layout reinforced by good orientation cues is essential. The milieu of the host organization must support self confidence and enable children to find their way easily and begin to master their environment.
Easily accessible outside play areas that incorporate therapy areas into the design are also highly desirable.
Within the host organization, circulation spaces may be used for both therapy and circulation, particularly those adjacent to therapy and training areas. Hallways leading to the therapy areas such as the gym should be able to be considered therapeutic hallways. The purpose will be to create a teaching environment in a relatively protected area that exposes clients to common obstacles that can limit mobility and that they may experience in community settings. Ideally, they should vary in width and length and possess some challenges for clients to master. They should not be a main thoroughfare.
The facilities must provide flexibility for future changes and shifts among programs and services over time. As much as possible, areas should be adaptable to accommodate different functions.
The design and finishes of the host organization must be durable and sensory friendly. For example, flooring must be easy to keep clean and dry, and walls, particularly those in main thoroughfares, must have bumpers to protect clients learning how to manoeuvre mobility devices.
Specific CTNSY Requirements
The following are essential for the designated CTNSY spaces
á Each SLP therapy room should accommodate the client, a parent and the therapist and contain a counter and sink.
á An observation room should be adjacent to the SLP treatment room(s).
á The OT activity room should accommodate up to eight clients, space for table activities and a kitchenette, including a sink.
á Each PT gym must have space for various pieces of equipment (the amount of equipment will vary according to the size of the team), a play area for up to six children and a walking area. The PT gym in the resource centres should also be able to accommodate sensory integration equipment.
á The PT gym and OT activity room should be adjacent.
á Therapy rooms require natural light yet should not have direct views to the outside which tend to be distracting for children.
á The resource areas, to be located in the resource centres, should be adjacent to the waiting rooms of the host organization. The will be sized to accommodate reading materials, a computer workstation and a workstation for parent use.
á Each team requires access to the following spaces which can be shared with the host organization. While included in the CTNSY space requirements, they will not have to be included if the host organization has them within its space and can accommodate the activity of the CTNSY team
o a group room sized to accommodate up to 6 persons
o an interview room sized to accommodate up to 4 persons
o a parent training room sized to accommodate up to 20 persons.
Host Organization Spaces
The following spaces must be available within the host organization and sufficiently sized to accommodate the activity associated with CTNSY
á reception and waiting areas
á photocopy/mail room
á file storage area
á wheelchair accessible client and staff washrooms; one washroom must also include an adult sized change table
á staff lunch room
á housekeeping rooms
á conference/classroom able to accommodate 30 to 40 seats
Space Allocation
Resource Centre, Simcoe County (Barrie) |
NSF |
No. |
Total |
|
Departmental Gross Area (square feet) Gross to Net Ratio Net Square Feet (NSF) |
|
|
7,665 1.50 5,110 |
|
CTN Designated Spaces |
||||||||||
|
1 |
. |
1 |
Treatment room, SLP |
|
|
|
140 |
2 |
280 |
|
|
1 |
. |
2 |
Observation room |
|
|
|
80 |
1 |
80 |
|
|
1 |
. |
3 |
Physiotherapy gym |
|
|
|
1,280 |
1 |
1,280 |
|
|
|
|
|
¥ height table |
1 |
@ |
80 |
|
|
|
|
|
|
|
|
¥ double plinth |
3 |
@ |
100 |
|
|
|
|
|
|
|
|
¥ floor mats |
2 |
@ |
80 |
|
|
|
|
|
|
|
|
¥ parallel bars |
2 |
@ |
50 |
|
|
|
|
|
|
|
|
¥ steps |
2 |
@ |
20 |
|
|
|
|
|
|
|
|
¥ play area |
1 |
@ |
200 |
|
|
|
|
|
|
|
|
¥ walking area |
1 |
@ |
100 |
|
|
|
|
|
|
|
|
¥ sensory integration area |
1 |
@ |
300 |
|
|
|
|
|
1 |
. |
4 |
Team room |
|
|
|
240 |
3 |
720 |
|
|
|
|
|
¥ workstations |
4 |
@ |
60 |
|
|
|
|
|
1 |
. |
5 |
ADL washroom, OT |
|
|
|
120 |
1 |
120 |
|
|
|
|
|
¥ 2 pc. |
1 |
@ |
80 |
|
|
|
|
|
|
|
|
¥ change table |
1 |
@ |
40 |
|
|
|
|
|
1 |
. |
6 |
Activity room, OT, seats 8 |
|
|
|
400 |
1 |
400 |
|
|
1 |
. |
7 |
Storage, PT, OT, SLP |
|
|
|
150 |
1 |
150 |
|
|
1 |
. |
8 |
Snoezelen room |
|
|
|
350 |
1 |
350 |
|
|
1 |
. |
9 |
Exam room |
|
|
|
120 |
2 |
240 |
|
|
1 |
. |
10 |
Clinic room |
|
|
|
450 |
1 |
450 |
|
|
1 |
. |
11 |
Storage |
|
|
|
150 |
1 |
150 |
|
|
1 |
. |
12 |
Resource room |
|
|
|
100 |
1 |
100 |
|
|
1 |
. |
13 |
Office, multipurpose |
|
|
|
120 |
1 |
120 |
|
|
|
|
|
Subtotal |
|
|
|
|
|
4,440 |
|
|
|
|
|
Shared Spaces |
|
|
|
|
|
|
|
|
1 |
. |
14 |
Group room, seats 6 |
|
|
|
150 |
1 |
150 |
|
|
1 |
. |
15 |
Parent training room, seats 20 |
|
|
|
400 |
1 |
400 |
|
|
1 |
. |
16 |
Interview room, seats 4 |
|
|
|
120 |
1 |
120 |
|
|
|
|
|
Subtotal |
|
|
|
|
|
670 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Resource Centre, York Region |
NSF |
No. |
Total |
|
|
|
Departmental Gross Area (square feet) |
|
|
6,960 |
|
|
Gross to Net Ratio |
|
|
1.50 |
|
|
Net Square Feet (NSF) |
|
|
4,640 |
|
CTN Designated Spaces |
|||||||||
|
1 |
. |
1 |
Treatment room, SLP |
|
|
|
140 |
2 |
280 |
|
1 |
. |
2 |
Observation room |
|
|
|
80 |
1 |
80 |
|
1 |
. |
3 |
Physiotherapy gym |
|
|
|
1,280 |
1 |
1,280 |
|
|
|
|
¥ height table |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ double plinth |
3 |
@ |
100 |
|
|
|
|
|
|
|
¥ floor mats |
2 |
@ |
80 |
|
|
|
|
|
|
|
¥ parallel bars |
2 |
@ |
50 |
|
|
|
|
|
|
|
¥ steps |
2 |
@ |
20 |
|
|
|
|
|
|
|
¥ play area |
1 |
@ |
200 |
|
|
|
|
|
|
|
¥ walking area |
1 |
@ |
100 |
|
|
|
|
|
|
|
¥ sensory integration area |
1 |
@ |
300 |
|
|
|
|
1 |
. |
4 |
Storage |
|
|
|
180 |
1 |
180 |
|
1 |
. |
5 |
Team room |
|
|
|
240 |
3 |
720 |
|
|
|
|
¥ workstations |
4 |
@ |
60 |
|
|
|
|
1 |
. |
6 |
ADL washroom, OT |
|
|
|
120 |
1 |
120 |
|
|
|
|
¥ 2 pc. |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ change table |
1 |
@ |
40 |
|
|
|
|
1 |
. |
7 |
Activity room OT, seats 8 |
|
|
|
400 |
1 |
400 |
|
1 |
. |
8 |
Resource room |
|
|
|
100 |
1 |
100 |
|
1 |
. |
9 |
Snoezelen room |
|
|
|
350 |
1 |
350 |
|
1 |
. |
10 |
Office, multipurpose |
|
|
|
120 |
1 |
120 |
|
|
|
|
Subtotal |
|
|
|
|
|
3,630 |
|
|
|
|
Shared spaces |
|
|
|
|
|
|
|
1 |
. |
11 |
Group room, seats 6 |
|
|
|
150 |
1 |
150 |
|
1 |
. |
12 |
Parent training room, seats 20 |
|
|
|
400 |
1 |
400 |
|
1 |
. |
13 |
Interview room, seats 4 |
|
|
|
120 |
1 |
120 |
|
|
|
|
Subtotal |
|
|
|
|
|
670 |
|
|
|
|
Administrative Areas |
|
|
|
|
|
|
|
1 |
. |
14 |
Office, clinical coordinator |
|
|
|
120 |
1 |
120 |
|
1 |
. |
15 |
Office, chief executive officer |
|
|
|
120 |
1 |
120 |
|
1 |
. |
16 |
Office, admin assistant |
|
|
|
100 |
1 |
100 |
|
|
|
|
Subtotal |
|
|
|
|
|
340 |
|
Large Local Team |
|
NSF |
No. |
Total |
|
|
Departmental Gross Area (square feet) Gross to Net Ratio Net Square Feet (NSF) |
|
|
5,085 1.50 3,390 |
|
CTN Designated Spaces |
|||||||||
|
1 |
. |
1 |
Treatment room, SLP |
|
|
|
140 |
2 |
280 |
|
1 |
. |
2 |
Observation room |
|
|
|
80 |
1 |
80 |
|
1 |
. |
3 |
Physiotherapy gym |
|
|
|
860 |
1 |
860 |
|
|
|
|
¥ Height table |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ double plinth |
2 |
@ |
100 |
|
|
|
|
|
|
|
¥ floor mats |
2 |
@ |
80 |
|
|
|
|
|
|
|
¥ parallel bars |
2 |
@ |
50 |
|
|
|
|
|
|
|
¥ steps |
1 |
@ |
20 |
|
|
|
|
|
|
|
¥ play area |
1 |
@ |
200 |
|
|
|
|
|
|
|
¥ walking area |
1 |
@ |
100 |
|
|
|
|
1 |
. |
4 |
Storage |
|
|
|
140 |
1 |
140 |
|
1 |
. |
5 |
Team room |
|
|
|
240 |
3 |
720 |
|
|
|
|
¥ workstations |
4 |
@ |
60 |
|
|
|
|
1 |
. |
6 |
ADL washroom, OT |
|
|
|
120 |
1 |
120 |
|
|
|
|
¥ 2 pc. |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ change table |
1 |
@ |
40 |
|
|
|
|
1 |
. |
7 |
Activity room OT, seats 8 |
|
|
|
400 |
1 |
400 |
|
1 |
. |
8 |
Office, multipurpose |
|
|
|
120 |
1 |
120 |
|
|
|
|
Subtotal |
|
|
|
|
|
2,720 |
|
|
|
|
Shared spaces |
|
|
|
|
|
|
|
1 |
. |
9 |
Group room, seats 6 |
|
|
|
150 |
1 |
150 |
|
1 |
. |
10 |
Parent training room, seats 20 |
|
|
|
400 |
1 |
400 |
|
1 |
. |
11 |
Interview room, seats 4 |
|
|
|
120 |
1 |
120 |
|
|
|
|
Subtotal |
|
|
|
|
|
670 |
|
Small Local Team |
|
NSF |
No. |
Total |
|
|
Departmental Gross Area (square feet) Gross to Net Ratio Net Square Feet (NSF) |
|
|
3,300 1.50 2,200 |
|
CTN Designated Spaces |
|||||||||
|
1 |
. |
1 |
Treatment room, SLP |
|
|
|
140 |
1 |
140 |
|
1 |
. |
2 |
Observation room |
|
|
|
80 |
1 |
80 |
|
1 |
. |
3 |
Physiotherapy gym |
|
|
|
630 |
1 |
630 |
|
|
|
|
¥ height table á |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ double plinth |
1 |
@ |
100 |
|
|
|
|
|
|
|
¥ Floor mats |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ parallel bars |
1 |
@ |
50 |
|
|
|
|
|
|
|
¥ steps |
1 |
@ |
20 |
|
|
|
|
|
|
|
¥ play area |
1 |
@ |
200 |
|
|
|
|
|
|
|
¥ walking area |
1 |
@ |
100 |
|
|
|
|
1 |
. |
4 |
Storage |
|
|
|
80 |
1 |
80 |
|
1 |
. |
5 |
Team room |
|
|
|
180 |
1 |
180 |
|
|
|
|
¥ workstations |
3 |
@ |
60 |
|
|
|
|
1 |
. |
6 |
ADL washroom, OT |
|
|
|
120 |
1 |
120 |
|
|
|
|
¥ 2 pc. |
1 |
@ |
80 |
|
|
|
|
|
|
|
¥ change table |
1 |
@ |
40 |
|
|
|
|
1 |
. |
7 |
Activity room OT, seats 8 |
|
|
|
300 |
1 |
300 |
|
|
|
|
Subtotal |
|
|
|
|
|
1,530 |
|
|
|
|
Shared Spaces |
|
|
|
|
|
|
|
1 |
. |
8 |
Group room, seats 6 |
|
|
|
150 |
1 |
150 |
|
1 |
. |
9 |
Parent training room, seats 20 |
|
|
|
400 |
1 |
400 |
|
1 |
. |
10 |
Interview room, seats 4 |
|
|
|
120 |
1 |
120 |
|
|
|
|
Subtotal |
|
|
|
|
|
670 |
iv. How to Access:
Space
Therapeutic space will be available at all local team sites for therapists within the network to use for work with children and youth. Included within this space will be a physiotherapy gym, OT activity room, SLP/Psychology treatment/assessment spaces, and observation rooms. Within the resource centres medical/clinic rooms and specialty services space will be available. Each site will share meeting room, group room, training space and staff space with other community partners. Additionally, team touch-down space with computer workstations will be available.
A mechanism will be created for accessing this therapeutic space that will be specific to each local team site. Currently only the Barrie local team space is available for use within the network. To access this space simply contact Carolyn Cannon at 877-719-4785 ext. 252 to book the required space. As each site becomes established, a specific process will be developed for accessing the appropriate therapeutic space.
Equipment
Basic therapeutic equipment will be available at each local team site. In addition, access to loaner or trial equipment through third party vendors will be established.
The following equipment will be available at each local team site:
|
|
Double Plinths |
|
|
Mat Tables |
|
|
Wall Mirrors |
|
|
Rolling Mirrors |
|
|
Parallel Bars |
|
|
Steps (convertible) |
|
|
Playcentre |
|
|
Therapy Balls 18" |
|
|
Therapy Balls 25" |
|
|
Therapy Balls 33" |
|
|
Floor Mats 4'X8" |
|
|
Positioning Wedges 10" |
|
|
Positioning Wedges 8" |
|
|
Rolls 10"X36" |
|
|
Rolls 12"X48" |
|
|
Rolls 8"X24" |
|
|
Rolling Stools |
|
|
Feeding seats and universal corner seats |
|
|
Scooter boards |
|
|
Nesting furniture |
|
|
Trip Trapp chairs |
|
|
Balance Boards |
|
|
Weighted balls, foam balls, small rubber balls |
|
|
Weighted vests, weighted lap pads, wrist/leg weights |
|
|
Core disks |
|
|
ChildrenÕs tables and chairs |
|
|
First Class Chair – small and large |
|
|
|
|
Resource Centres include all of the above plus the following: |
|
|
|
Ultra-low speed treadmill with LiteGait gait trainer |
|
|
Climbing wall |
|
|
Platform Swing |
|
|
Airwalker Swing |
|
|
Deluxe Bolster Swing |
|
|
Steamroller Deluxe |
|
|
|
Assessment Instruments/Tests
The following assessment instruments/tests will be available at each local team site:
|
ADOS Kits |
|
Peabody Developmental Motor Scales with software kit |
|
Movement ABC |
|
BEERY Test of Visual Motor Integration |
|
Infant/Toddler Sensory Profile |
|
Sensory Profile |
|
Adolescent/Adult Sensory Profile |
|
Alberta Infant Motor Scales (not yet acquired) |
|
Bruininks Test of Motor Proficiency |
|
TVPS(n-m)-R |
|
TVPS(n-m)UL-R |
|
TVMS-R |
|
TVMS-UL |
|
PLS-4 |
|
SPAT-D |
|
SPELT-P2 |
|
SPELT-3 |
|
PPVT-III A&B/EVT Kits with Assists |
|
Vineland Adaptive Behaviour Scales |
|
DSM-IV Manual (not yet acquired) |
|
Piers-Harris 2 |
|
MDI-C |
|
GFTA-2 Test |
|
GMFM |
|
CELF-Preschool-2 |
|
EOWPVT |
|
CELF-4 |
|
PAT with computerized scoring |
|
The Listening Test 2 |
|
The WORD Test-2 Adolescent |
|
Test of Problem Solving - Revised Elementary |
|
TOPS – Adolescent |
|
Functional Communication Profile |
|
CTOPP |
|
PLAI-2 |
|
OWLS |
|
Elementary-Word-2 |
|
Board Maker with addendums |
|
|
|
Resource Centres have all the above plus: |
|
Wechsler Presch & Pri Scale of Intelligence with Scoring Assistant |
|
Wechsler Intelligience Scale for Children |
|
Weshsler Individual Achievement Test |
|
Bayley Scales Infant & Toddler Development |
The above equipment or instruments/tests will be available for use by December 2006. A process will be established for direct access at each site through the local team facilitators as each site is established and local team facilitators are in place.
Interpreter Services
CTN will provide a cultural/language informant/interpreter to all assessment and treatment sessions as deemed necessary by the family and clinician.
Clinicians will access their existing resources within their agency first, and then will investigate availability within their local team with the assistance of the Team Facilitator.
A professional interpreter is booked for all assessments when the family is not bilingual with English (i.e. the working language of the family is not English). Family members/friends are not acceptable interpreters, unless it is the wish of the family.
All recheck/reevaluation and goal setting appointments will be professionally interpreted when the family is not bilingual with English.
A professional interpreter is booked for the childÕs treatment sessions when the family is not bilingual with English. The number of treatment sessions that will require professional interpretation services will vary from family to family.
Some families may have a family member or friend that the family and clinician feel comfortable in using for translation.
It is anticipated that a minimum of half of the treatment sessions will require translation services, but that with increased knowledge of the treatment methodology, expectations and a good working relationship with the clinician, families might feel comfortable without this assistance.
Written documentation, where possible, should be provided to the family in the language that they can read. The Single Plan of Care contract with goals and brief home programming should be provided in the familyÕs first language.
Expected Outcome
All families in York Region will have access to CTN services regardless of their mother tongue.
Procedure/Guideline
1. ACCESS will highlight that a referred child is learning a second language other than English and make note whether an interpreter is required to communicate with the parents.
2. If an interpreter is required to book an appointment, the service coordinator will determine if there is anyone in their local team that can make this initial contact call on their behalf. It is the Team FacilitatorÕs role to keep this roster of languages at the local team up to date with current contact numbers.
3. Bridge Translations would be contacted for phone interpretation if there is no accessibility to this language at the local team. A Bridge Translation Interpretation Assignment form would need to be filled out to book this phone interpretation.
4. The clinician would explain to the interpreter the purpose of the conversation and would then place the interpreter on hold while the clinician in turn phones the family. Once the family has picked up the phone, the interpreter is brought back on line for three way teleconferencing.
5. An interpreter is booked for each appointment or series of appointments using the Bridge Translations Interpreter Assignment Form.
6. Bridge Translations will fax back the form with the confirmation information completed. A copy of this form is also faxed to CTN, Attn: Carolyn Cannon.
7. The interpreters can be asked to translate brief home programs at the end of a therapy session for the families to take home and apply the learned skills in their home language.
8. In event that the appointment with the interpreter needs to be cancelled, it is the clinicianÕs responsibility to phone Bridge Translations at 1-888-243-9926 ext.0
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