Ontario’s mental health and addiction system is increasingly moving towards performance measurement, indicator development, and quality improvement. With a focus on client-centredness and client voice, the Champlain Continuous Quality Improvement Collaborative (CQIC) seeks to change the way we use client feedback to improve local mental health and addiction services.

CQIC brings together mental health, addiction, and concurrent disorder stakeholders. CQIC uses client feedback from the Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA) to identify areas for potential quality improvement interventions. The OPOC-MHA is a validated tool that can help service providers identify where to focus their energy to improve services for clients. Together, we will learn from challenges and successes and take action to enhance overall quality of care.

This initiative is being led by the Ottawa Regional Implementation Team (RIT) from the Provincial System Support Program (PSSP) at the Centre for Addiction and Mental Health (CAMH).

Status of project

Using OPOC-MHA feedback from clients, CQIC has decided to focus on Transition and/or Discharge Planning. The CQIC members will identify and implement a strategy or intervention to improve clients’ experience during this crucial aspect of their care.

In order to improve clients’ experience with transition and/or discharge planning, the CQIC Steering Committee has identified three needs:

  • A common understanding of effective transition and discharge planning;
  • Training, capacity building, and/or skill development for staff; and,
  • Developing a common tool or toolkit that will help promote sustainable practice change

Glossary of Terms

  • CQIC – Continuous Quality Improvement Collaborative
  • Discharge planning – Planning for a client’s transition out of a service, program and/or agency.
  • Indicator development – The development of specific, measureable markers of accomplishment and/or progress.[1]
  • OPOC-MHA – Ontario Perception of Care Tool for Mental Health and Addictions
  • Quality improvement – A framework used to systematically improve how care is delivered to clients.[2]
  • Transition planning – Planning for the transfer of a client between services, programs, agencies and/or clinicians/staff.

[1] Center for Disease Control (no date). Developing Evaluation Indicators. Retrieved from:

[2] Agency for Healthcare Research and Quality (no date). Practice Facilitation Handbook: Module 4. Retrieved from:

Who is involved?

To date, CQICs have been initiated in the South West and Champlain regions. CQIC partners include service users, direct service providers, leadership from mental health, addiction and concurrent disorder programs, as well as Local Health Integration Network (LHIN) representatives. The Provincial System Support Program (PSSP) at the Centre for Addiction and Mental Health (CAMH) is facilitating the CQIC in each regional area.

Next steps

The South West and Champlain CQICs are each working towards implementation of an intervention. In addition, these two initial sites are evaluating the effectiveness of the CQIC model.


For more information, please contact:

Deanna Huggett, Implementation Specialist