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ECHO Ontario First Nations, Inuit, and Métis Wellness

Location: Videoconferencing
When: Weekly
Start: January 2020
Time: TBD
Who: Healthcare providers serving First Nations, Inuit, or Métis communities

Interventions and resources are often allocated to First Nations, Inuit, and Métis communities in times of crisis, but these have often had limited success due to the lack of cultural competence, limited understanding of the local context, and failure to address the wholistic mental health care needs of the community. Often approaches to wellness focus on medical ways of knowing to the exclusion of First Nations, Inuit, and Métis knowledge, values and practices for wellness.  Support for primary care providers to address mental health and addiction needs in a culturally-relevant way has been identified as a promising approach for the delivery of mental and physical health services in First Nations, Inuit, and Métis communities. CAMH chose to address these various needs through the Project Extension of Community Health Outcomes (ECHO) model.

Weekly video-conferences provide an opportunity for healthcare provider “spokes” to present de-identified cases to an expert hub, and receive treatment suggestions.

Why Join?

  • It’s free. ECHO is fully funded by the Ministry of Health and Long-Term Care.
  • It’s virtual. All you need is a computer and a web cam, or a smartphone.
  • It’s fun. Connect with a growing community of primary and community care providers (including physicians, nurse practitioners, social workers, and more) across the province and build a Community of Practice.
  • Earn CME credits. ECHO has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 2.0 Mainpro+ credits per session.
  • It works for you – and our system. ECHO represents a significant opportunity to improve individual knowledge and skills and also reduce disparities in the quality of care for rural and underserved areas.
What Will I Be Learning?

Session # Presentation Topics
1 Integrated Care
2 Type 2 Diabetes: Part A – Guidelines and Management
3 Alcohol Use and Physical Complications
4 Trauma 1: Community, Family, and Creation Stories
5 Trauma 2: Individual and Forgiveness Ceremonies
6 Cancer
7 Depression
8 Flex Session
9 Personal Care and Resilience of Health Providers
10 HIV / HCV
11 Opioid Use and Healing Ceremonies
12 Traumatic Brain Injury
13 Anxiety
14 Type 2 Diabetes: Part B – Complications
15 Culturally Informed Suicide: Strength Based Assessment, Intervention, and Prevention
16 Respiratory Illness
17 Visions, Psychosis, and Schizophrenia
18 Attachment and Rites of Passage
19 Flex Session
20 Maternal Health
What is the Session Structure?

Each session consists of:

  • Introductions and announcements
  • 20-30 minute presentation on a given topic (e.g., Depression)
  • 90 minutes of case-based learning, where healthcare providers (Spokes) present de-identified cases to the Community of Practice and receive recommendations from both the specialist Hub team and other community partner Spokes. All teach, all learn.

Hub Team

ECHO Session

Spoke Sites / Community Partners

ECHO Session- Multi-Screen


What is the Commitment?

  • Attend weekly 2 hour sessions (one representative from your organization should attend at least 70% of the 24 sessions held)
  • Present 1-2 cases to the group during the cycle.
  • Participate in evaluation activities (e.g., surveys, focus groups).
What is Your Contact Information?

Please contact our operations team at .


Hub Team

ECHO Session

Apply Now!


Frequently Asked Questions

What is the Cost?

All of our sessions are free, but require a commitment to actively engage in the peer learning community by sharing experience and presenting cases.

What Equipment is Needed?

ECHO Ontario at CAMH and UofT uses an internet-based video technology called Zoom. Participants can connect to the video sessions through their phone, tablet, laptop, or a computer with a webcam. Technical support is provided.

Is This Only for Physicians?

Any healthcare professional interested in engaging around a topic, sharing their experience, and learning from their peers can attend ECHO sessions. We welcome physicians, nurses, psychologists, counselors, social workers, healthcare administrators, community health workers, pharmacists, and public health practitioners. If you have any questions, please don’t hesitate to contact us.

Will My Case Presentation Be Confidential?

Only non-identifiable information is shared during the sessions. Our sessions are PHIPA compliant and a secure place to share information.

Can My Client Make an Appointment at ECHO?

Clients do not attend and are not seen during Project ECHO sessions. Instead, these sessions facilitate a way in which community providers connect to specialists and other community partners who help co-manage patients.