May 29 th , 2017 For individuals and families at the time of - - PowerPoint PPT Presentation

Dana Vladescu, Director, Clinical Services Alzheimer Society of Brant, Haldimand Norfolk, Hamilton Halton May 29th, 2017

 For individuals and families at the time of

diagnosis and throughout the course of the disease

 LEARN more about the disease and living well  CONN

NNEC ECT with others in similar situations

 ENGAGE

AGE through meaningful activities

 Intake and Referral  Support and Counselling  Education  Psychogeriatric Resource Consultants  BSO-Community Outreach Team

 Phone: 905 529 7030  Fax: 905 529 3787  On line referral form:

https://www.alzhn.ca/our-services/first-link- referral-form/

• For people with dementia and/or carers

 Intake Coordinator Hamilton

• Dawn Claus
• intake@alzhh.ca

 Developed to meet the needs of people whose

lives have been affected by Alzheimer’s disease and related dementias. Our Counsellors provide telephone, in-office or in-home assessments and work with all those involved to develop an individualized response to their needs

 This program also offers:

• Dementia-related individual and family support
• Case conferencing
• Advocacy
• Information about and referrals to community resources

First Steps

(for the person newly diagnosed + carer)

Next Steps

(early-mid stage)

Care Essentials

(middle stage)

Options for Care

(LTC)

Care in the Later Stages

(end of life)

Disease Progression

 Over 50 PRCs across Ontario, funded by the MOH &

LTC

 Hosted by local hospitals/organizations  In Hamilton, the employer is the Alzheimer Society;

2 PRCs located at the Hamilton office of the HNHB LHIN (next to Placement Services)

 Their focus is on persons with Alzheimer’s Disease

• r related dementias who exhibit responsive

behaviours

 The clients are the Formal Care Providers of this

population

 The PRC provides education & consultation to

formal care providers of the target population, including regulated & unregulated health care providers:

• Staff of Long-term Care homes
• Care Coordinators of HNHB LHIN & their contracted

agencies

• Adult Day Programs
• Community Support Agencies e.g. Alzheimer Society,

Good Shepherd, Wesley Urban Ministries etc.

 The PRC is not:

• A direct service provider
• A case manager
• An emergency response service

 In-person or phone consultations  Home visits with contracted agency

staff/supervisor

 Follow-up education to agency staff as

needed

 This program is offered in collaboration

with the local mental health crisis team

 The BSO COT staff are not only trained in

person-centered care, gentle persuasive approaches but also have specialized training in the management of responsive behaviours.

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HNHB BSO – Centra rali lize zed by Hub (Regions of HNHB LHIN)

BSO O Pop

• pulat

ulation: ion:

 Older adults  Cognitive impairments due to age-related dementia, mental

health, addiction and other neurological conditions

 Responsive or challenging behaviour

Crisis isis:

 A sudden increase in an individual’s behaviour  Increased risk to self or others  Distress due to refusal of services or treatment  Sudden onset of responsive behaviour ie: wandering, verbally

responsive, physically responsive etc.

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 Enhance existing community crisis systems  BSO staff working together with the existing crisis teams  Clients supported with strategies until transitioned from crisis to longer term supports  Reduce escalation of crisis  May be first intersection with health care system

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• Respond to crisis situations in the community within 24

to 48 hours

• Consult with community partners around situations

involving older adults with responsive behaviour

• Share information with client consent or within circle of

care

• Support with transitions (community-hospital and vice-

versa). We do not transport client’s to LTC, there is a separate team for this. We will however support and educate family on approaches to try

• Bridge community support while client is on the LTCH

wait list

• Ensure proactive, contingency planning to help reduce

potential crises

• Advocate for client and navigate client care

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For BSO clients who are displaying responsive behaviours

• staff makes a referral to BSO COT through COAST
• BSO COT will follow-up with family or friends to

assess client and obtain background information

• Perform cognitive assessments
• Educate on interventions at home
• Facilitate referral to geriatrician/specialist
• Education provided to Caregiver
• Recommendations provided to referral source, GP, or
• ther involved parties.

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BSO Community Outreach Team (BSO COT): Accessing Crisis Services for Responsive Behaviours

For Information and to Make a Referral Call: Hamilton (COAST) 905-972-8338 Niagara (COAST) 1-866-550-5205 Haldimand Norfolk (CAST) 1-866-487-2278 Brantford (St. Leonard’s) 519-759-7188 or 1- 866-811-7188 Burlington (COAST Halton) 1-877-825-9011

Questions ?