The Integrated Plan of Care
Process Map
Stage 1: Checklist
Confirm Criteria
Draft the IPC-CANS
- have you done a?
- have you done b?
- have you done c?
Identify the Need
http://onlineCANStool.com
Answer yes to all following questions to proceed:
- Is the client at serious risk of harm to self and/or others, exhibiting behaviors such as cutting, suicidal ideation, serious physical assault of another, etc.?
- Is the client experiencing multiple intersecting complex needs that are severe and broad that lead to major challenges for the client to participate meaningfully in society?
- Is a collaborative response required to respond to the needs of the client?
Start
Is the client:
- between 6 and 18 years of age?
- currently accessing two or more services from across sectors or has the client in the past received services from multiple service providers?
- experiencing minimal success with current services and the rationale for lack of progress or improvement is unclear and worrisome?
- presenting behaviours that, if left unattended, place them, their family and/or community at serious risk?
continue
serving
client
Discuss the IPC Process with the client and/or family and/or supporters.
Wabano Centre for Aboriginal Health
The client self-identifies and wishes to participate in Aboriginal Integrated Plan of Care process.
Connect to the System Navigator
The client is not interested.
Continue serving client.
The client self-identifies, but prefers not to be involved in the Aboriginal Integrated Plan of Care process.
Option of involving an Aboriginal service in the Integrated Plan of Care process is offered.
Ask Aboriginal
Identifying
questions
The client
is interested.
Ask
Francophone
Identifying
questions