Medications and therapeutic alliance – the discussion on talking/medication– cure in psychiatry continues

The Mental Health Foundation  continues to focus on research and its implication for practice, in order to advance the Recovery Model in psychiatric care. 

Foundation for Excellence in Mental Health Care

…In this issue, Totura and colleagues report on a meta-analysis of studies that evaluated the impact of the therapeutic relationship on the outcome of pharmacologic treatment. Noting that the therapeutic alliance has a powerful effect on outcome in psychotherapy, they wondered whether this would also be observed when pharmacotherapy was a dominant component of treatment. They identified eight studies that met their inclusion criteria. A positive therapeutic alliance had a modest effect on outcome. …

…Other interesting questions are raised by this study. The impact of the therapeutic alliance might challenge our notions of drug specificity. Psychiatric drugs have long been classified according to the putative disease targets—antipsychotics, antidepressants, and so on. But in recent years, there have been ever-broadening indications for each of the classes of psychiatric drugs. As the authors note, the effect of the therapeutic relationship on outcomes is widely acknowledged in the context of psychotherapy, but this research has led to questions about the impact of the specificity of any given psychotherapeutic modality. Further research in this area might further erode our notions that the specific pharmacologic actions of psychiatric drugs have as much import as currently presumed.  …

Please see the article that considers the research shared in Psychiatric Services here:


Pat Armstrong helps us think about Canadian delivery of health care

Pat Armstrong’s 15 minute talk encourages us to consider the structure and process’ of long term care (nursing homes).  It shines a light to help us think about the role of “profit” in health care, and perhaps find our own ways to participate in decision making where ever each of us fits in our system of care.



Getting on, hey send an email: “the long overdue business of transforming Ontario’s income security system”

While the deadline to submit comment screeches in, you can send a “supportive brief email” on, The Income Security Advocacy Centre’s efforts to guide policy and operations reform of social assistance.  It  also would be great to hear of other organizations efforts to guide the Ministry of Community and Social Services

Transforming Ontario’s Income Security System

Learn more about the Ontario Patient Ombudsman via their in depth annual report

The 2016/17 Annual Report and website of the Ontario Patient Ombudsman who is mandated to: 

 … champion for fairness in Ontario’s health sector organizations defined as public hospitals, long-term care homes and home and community care services coordinated by the Local Health Integration Networks (LHINs, formerly CCACs).

It would be useful to hear from practitioners/clients their local experience here in Ottawa as this new initiative has great potential to contribute to care change/improvements.


Ontario Patient Ombudsman

…we are asking patients and caregivers to continue to be fearless in bringing their complaints to our office and for health sector organizations to be fearless in working with us to help improve Ontario’s healthcare system.

See the report here:

“respect, accomplishment, achievement” – for action, learning, knowledge sharing with ICT

A re-post from Stephen Downes’ enewsletter, , sorry, I can’t find his reference, from the reference.  I found listening to this talk useful as the panel is discussing use of ICT amongst – thinking, our individual character, and I dare say, the sociological context.



Presentation itself is from:


Eastern OASW newsletter– theme on cultural diversity

Many of The Bulletin’s articles for this theme of focus are written by individuals grounded in practice.

Culturally sensitive and culturally responsive social work = Inclusive holistic diverse approaches to service. Our Fall Bulletin explores diverse approaches to serving refugee communities, African and Caribbean clients with mental health issues, and developing creative and collaborative measures for multicultural seniors and our First Nations people. …


Go to and click on “About OASW” and “Branches”

“E-referral” and the development of two way communication between programs/agencies in “Champlain”

From Jaime Constable, Senior Project Advisor, Champlain Community Support Network,  Thanks to SWAG for sharing.  I find their efforts interesting by encouraging a two way exchange of information.  Also I am curious on how 211, Information and Referral fits into this.

Description: Champlain Community Support Network

Making your services open to the public on Caredove

Referrals between agencies and from other sectors into community support services have been steadily increasing. Caredove also enables access by community members directly. Clients and caregivers can search for services and set up their own intake appointments. Some agencies have felt ready to open their services on Caredove for public access, and are asking how.

You are welcome to make your services open for public access, and share the Caredove site with your community members.

Here’s how to make services accessible:
1. Ensure that ‘sign ups’ are enable for all your services listed on Caredove
2. To get there, click on the ‘Settings’ tab in Caredove
3. Select ‘Referral Settings’ from the drop down menu
4. In the Service table at the bottom of the page, ensure that ‘Sign ups Enabled’ is set to ‘Yes’ for each service as appropriate.

Help get the word out to our partners

We want to ensure that our health care partners know more about community support services, and about how easy it is to refer their patients on Caredove. We are offering ongoing webinar introductions to the initiative, and helping other organizations sign up for accounts. Please help us get the word out about these opportunities by sharing the flyer linked below with your contacts in other sectors.

Training for health care partners in other sectors
E-referral to community support services in Champlain 

Tuesday, Dec 12 2017
12:00 pm – 1:00 pm

This webinar provides an introduction of the Champlain e-referral to community support services initiative for our partners in other health care sectors. Please share the attached flyer with your contacts in other sectors.

Access the flyer here

Registration open: Champlain E-referral Webinars

Training for Community Support Services Staff
Introduction to Caredove Webinar

Wednesday, Jan 17th, 2017
12:00 pm – 1:00 pm

This webinar is an excellent opportunity for new staff or existing staff who have not yet received Caredove training. Topics covered: Searching for services, sending referrals, the Calendar and Referral inbox features.

Register Now
E-referral Community of Practice Meeting

The Community of Practice sessions are designed to take a deeper look at referral processes and emerging changes in practice related to e-referral across the sector. They are also an opportunity to learn about more advanced special functions of Caredove.

We invite you to share any tips or successes from your experience using e-referral. If you are interested in presenting, or if there are special topics you would like to see covered, please e-mail your feedback to Jaime Constable at

Date: Fri Jan 12 2017
Time: 12:00 pm – 1:00 pm

Register now 



Jaime Constable
Senior Project Advisor
Champlain Community Support Network
Direct: 613-714-9454