Ri Rights of f long-te term care resident nts and the their ir - - PowerPoint PPT Presentation

Ri Rights of f long-te term care resident nts and the their ir familie amilies dur during ing COVID-19 19

Hosted by CLEO in partnership with: Jane Meadus, Advocacy Centre for the Elderly (ACE) Madeleine Hébert, Advocacy North - Sudbury Community Legal Clinic

• Nov. 5, 2020

Supported by:

Disclaimer

This webinar is for general information purposes only and is not legal advice. It is not intended to be used as legal advice for a specific legal problem. This webinar was recorded on Nov. 5, 2020 and reflects developments in the law before that date.

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Land Acknowledgement

We acknowledge that the land from which we are presenting this webinar is the traditional territory of many nations including the Mississaugas of the Credit, the Anishnabeg, the Chippewa, the Haudenosaunee and the Wendat peoples and is now home to many diverse First Nations, Inuit and Métis

• peoples. We also acknowledge that Indigenous

Peoples are the first educators on this land.

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Ou Outline

• 1. Long-term care homes and Covid-19 (Jane Meadus)
• presentation
• Short Q & A
• 2. Consent, capacity, and substitute decision makers (Madeleine Hébert)
• presentation
• Short Q & A
• 3. Level of care forms (Jane Meadus)
• 4. Phone support and other resources for seniors and their families during

COVID-19

• 5. Longer Q & A

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RIGHTS OF LONG-TERM CARE HOME RESIDENTS AND THEIR FAMILIES DURING COVID-19

JANE MEADUS FOR: COMMUNITY LEGAL EDUCATION ONTARIO

November 5, 2020

Long-Term Care Homes and COVID-19: A Complex System

By Jane E. Meadus Staff Lawyer & Institutional Advocate Advocacy Centre for the Elderly

Types of Congregate Living

• Long-Term Care Homes:

– publicly funded healthcare facilities – may be municipal, non-profit, for profit, charitable – Admission through the LHIN – Licensed and inspected by Ministry of Long-Term Care – governed by Long-Term Care Homes Act

• Retirement Homes:

– tenancy, NOT a health facility, – private pay, agreement through lease and contract, leases and contracts, make own determination of who lives there – licensed and inspected by Retirement Home Regulatory Authority, – governed by Residential Tenancies Act and Retirement Homes Act

November 5, 2020 LTCHs and COVID-19 8

Other Congregate Living

• Assisted Living:

– tenancy, not a health facility – care available, often sponsored by government or non-profit – Residential Tenancies Act

• Group Homes:

– tenancy, not a health facility, – care available, may be non-profit, for profit – may be licensed by Ministry of Children, Community and Social Services or Ministry of Health – Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, Homes for Special Care Act, Residential Tenancies Act

• Domiciliary Hostels:

– Tenancy, not a health facility – Care available, may be non-profit, for-profit – Licensed by municipality/city/county who also set policy – Residential Tenancies Act

November 5, 2020 LTCHs and COVID-19 9

Important Provincial Legislation During COVID

• Long-Term Care Homes Act (LTCHA)
• Health Care Consent Act, 1996 (HCCA)
• Substitute Decisions Act, 1992 (SDA)
• Personal Health Information Protection Act,

2004 (PHIPA)

• Health Protection and Promotion Act (HPPA)
• Emergency Management and Civil Protection

Act (EMCPA)

• Retirement Homes Act (RHA)

November 5, 2020 LTCHs and COVID-19 10

Regulations

• Many regulations passed related to

COVID

• Regulations may be related to the various

specific pieces of legislation

November 5, 2020 LTCHs and COVID-19 11

Regulatory Amendment: LTCHA

• Admission
• Discharge
• Readmission
• Staffing
• Waiting lists
• Direct access beds
• Accommodation fees

November 5, 2020 LTCHs and COVID-19 12

Regulatory Amendments: RHA

• RHs being subject to the same policies

and directives as LTCHs

November 5, 2020 LTCHs and COVID-19 13

Regulatory Amendments: EMCPA

• Work redeployment
• Agreements between health services

providers and RHs

• Limiting employee’s work to a single home

November 5, 2020 LTCHs and COVID-19 14

Orders: Federal

• Under the

– Quarantine Act – Aeronautics Act

• Relate to international travel

November 5, 2020 LTCHs and COVID-19 15

Orders: Provincial

• Minister of Health

– two orders related to supply of PPE; June 8, 2020 replaced version of March 27, 2020

• Chief Medical Officer of Health & Local Medical

Officers of Health

– Pursuant to s. 22 of the HPPA – Class orders – against a group of individuals – Individual orders – against one specific person or entity – Allow forced isolation, detention, where person exposed to, has, infectious disease

November 5, 2020 LTCHs and COVID-19 16

Directives

• Chief Medical Officer of Health has

authority to issue directives to health professionals and organizations under EMCPA s. 77.7

November 5, 2020 LTCHs and COVID-19 17

Directives

Directive For Whom Version Dates 1 Health Care Providers and Health Care Entities March 12, 2020 March 30, 2020 2 Health Care Providers (Regulated Health Professionals

• r Persons who operate a Group Practice of Regulated

Health Professionals) March 19, 2020 May 26, 2020 3 Long-Term Care Homes under the Long-Term Care Homes Act, 2007 Retirement Homes under the Retirement Homes Act, 2010 (by regulation) March 22, 2020 March 30, 2020 April 8, 2020 April 15, 2020 May 21, 2020 May 23, 2020 June 10, 2020 August 28, 2020 September 9, 2020 September 14, 2020 4 Ambulance Services and Paramedics under the Ambulance Act March 24, 2020 March 30, 2020 5 Hospitals within the meaning of the Public Hospitals Act and Long-Term Care Homes* within the meaning of the Long-Term Care Homes Act, 2007 *only included long term care homes since April 10; prior to that was only public hospitals March 30, 2020 March 31, 2020 April 10, 2020 October 5, 2020 October 8, 2020

November 5, 2020 LTCHs and COVID-19 18

Guidance Documents and Resources for LTCHs/RHs

November 5, 2020 LTCHs and COVID-19 19

Document Title Date Guidance for LTCHs April 15, 2020 Screening Tool for LTCHs & RHs May 6, 2020 Outbreak Guidance for LTCHs April 15, 2020 Guidance for mask use in LTCHS & RHs April 15, 2020 RH COVID-19 Visiting Policy October 9, 2020 COVID-19 Test Requisition June 12, 2020 COVID-19 Surveillance Testing – Guidance regarding RH Staff and Resident Testing June 12, 2020 COVID-19: Visiting LTCHs

Long-Term Care Homes Act

November 5, 2020 21

Home: The Fundamental Principle

• The fundamental principle to be applied in the

interpretation of this Act and anything required

• r permitted under this Act is that a long-term

care home is primarily the home of its residents and is to be operated so that it is a place where they may live with dignity and in security, safety and comfort and have their physical, psychological, social, spiritual and cultural needs adequately met.

LTCHs and COVID-19

November 5, 2020 22

Resident’s Bill of Rights

• Twenty-seven (27) rights
• Specifically states that it is enforceable as a

contract

• Guides interpretation of:

– The Act and regulations – Agreements between the licensee and Crown/agent – Agreements between the licensee and resident/SDM

LTCHs and COVID-19

November 5, 2020 23

Enforcement of Rights

• Resident’s Rights can be enforced as a contract against

the home

• The government can set out regulations as to how the

Residents Rights are to be respected and promoted by the home

LTCHs and COVID-19

Staffing and Hours of Care

• There are no mandatory staffing ratios
• Only require 1 RN on for the building at

any time

• There are no requirements as to number
• f personal support workers (PSWs)
• There are no requirements as to hours of

care – presently estimate is 2.3 hours/resident/day

November 5, 2020 LTCHs and COVID-19 24

Staffing Requirements

• LTCHs are required to meet the care

needs of the residents

• Must have a detailed plan of care that is

consented to by the competent resident or their substitute decision-maker

• Must provide care in accordance with that

plan of care

November 5, 2020 LTCHs and COVID-19 25

Complaint Process

• Homes have complaint process provided

to resident/SDM

• Can use that process but it is NOT

mandatory

• Home must investigate and report on

complaints

• Complaints in writing must be provided to

the Ministry

November 5, 2020 LTCHs and COVID-19 26

Complaints to Ministry of Long-Term Care

• Allegations of abuse/neglect – mandatory

reporting to the Ministry of Long-Term Care by anyone except resident

• Anyone can make complaint to the

Ministry Action Line (866-434-0144)

• MLTC to inspect homes and prepare

report – all reports publicly available at publicreporting.ltchomes.net

November 5, 2020 LTCHs and COVID-19 27

Patient Ombudsman

• Complaints about long-term care homes,

hospitals, and home-care can be made to Patient Ombudsman

• They look at situation, see if they can help

resolve – do not take “sides”

• Complaints must be in writing
• Patientombudsman.ca

November 5, 2020 LTCHs and COVID-19 28

Regulated Health Professionals

• Complaints can be made about regulated

health professionals such as doctors and nurses

• Complaints are made to their colleges, such

as the College of Physicians and Surgeons of Ontario; College of Nurses of Ontario

• Personal support workers are unregulated,

no body to complain to

November 5, 2020 LTCHs and COVID-19 29

Issues During Pandemic

• Visits
• Detention
• Lack of Information
• Failure to Treat
• Failure to Obtain Consent

November 5, 2020 LTCHs and COVID-19 30

Directive #3: To LTCHs and RHs

• Chief Medical Officer of Health (CMOH) direction

to home on various issues including visitors, detaining residents

• Question as to whether CMOH can use directive

to restrict persons in this way

• Issues related to the primacy of the Long-Term

Care Homes Act; Charter compliance

• Retirement Homes are tenancies

November 5, 2020 LTCHs and COVID-19 31

Visits

• Visits are governed by Directive #3
• For approximately first 4 months – no

visits

• Began to open to outdoor visits, indoor

visits

• Clarified “essential visitor – caregiver”
• Depends on what “stage” area home is in

as to who can visit

November 5, 2020 LTCHs and COVID-19 32

Visits – LTCHS Stage 3

• General Visitors - 2 visitors at a time;

scheduled, limited number visiting

– Outdoor – no testing, cloth mask – Indoor – attest to negative test, mask provided by home

• Essential caregiver – 2 designated by

resident/SDM; attest to negative test, no restrictions on time; no limit on number in home; PPE provided by the home

November 5, 2020 LTCHs and COVID-19 33

Visits – LTCHS - Stage 2 or Symptomatic/Isolated Resident

• No General Visitors
• Essential Caregiver – only 1 at a time
• PPE Provided by the home

November 5, 2020 LTCHs and COVID-19 34

Visits – RHs Not Under Alert/High Alert

• Provision of information package to residents,

families, staff

• Dedicated indoor and outdoor areas
• General visitors – 2 at a time – outdoor face-

covering; indoor surgical mask – provided by visitor, pass general screening

• Essential visitors – 2 designated by

resident/SDM, pass general screening – provide

• wn surgical mask, PPE as needed

November 5, 2020 LTCHs and COVID-19 35

Visits – RHS – Alert/High Alert or Symptomatic/ Isolated Resident

• Alert/High Alert – local Public Health Unit

to determine

• Symptomatic/Isolated Resident – only

essential caregiver may visit NOTE: Where a RH is co-located with a LTCH, the LTCH rules may apply

November 5, 2020 LTCHs and COVID-19 36

Detention

• March 22, 2020 – residents of LTCHs and RHs detained

by Chief Medical Officer of Health in Directive #3

• Detention of approximately 72,000 LTCH residents;

60,000 RH tenants

• Unknown number of other residents in congregate living
• RH Residents allowed short absences as of June 18
• LTCH Residents allowed short absences as of

September 9

• There have been no Orders made for detention under s.

22 of the HPPA which is what gives authority to detain

November 5, 2020 LTCHs and COVID-19 37

Recent Changes to Short Absences - LTCHs

• Resident must submit request to home for

absence other than medical – home to approve

• If go on absence, no swab or isolation

required on return

• Must mask if can tolerate
• No absences other than medical where

home in Stage 2

November 5, 2020 LTCHs and COVID-19 38

Temporary Absences

• Overnight up to 14 days
• LTCH residents must submit request to

home for approval

• No temporary absences when home in

Stage 2 (LTCHs) or Alert/High Alert (RHs)

• Must isolate for 14 days upon return

November 5, 2020 LTCHs and COVID-19 39

Lack of Information

• Legislation:

– Personal Health Information Protection Act – Health Care Consent Act – Long-Term Care Homes Act

November 5, 2020 LTCHs and COVID-19 40

Personal Health Information Protection Act

• If resident is competent, no information
• ther than very general information can be

provided to family, friends, without the express consent of the resident

• If resident is not competent for treatment
• r release of personal health information,

their substitute decision-maker(s) are entitled to information

November 5, 2020 LTCHs and COVID-19 41

Health Care Consent Act

• Patient (resident) or if they are incapable,

their SDM, are entitled to information to make decisions about treatment

November 5, 2020 LTCHs and COVID-19 42

Long-Term Care Homes Act

• Resident can always release information by

consent in PHIPA

• Under the regulations to the LTCHA, resident

can designate a person to be included in discussions or issues related to care plan;

• requirement that SDM or person designated by

resident/SDM be promptly notified of serious illness or injury

November 5, 2020 LTCHs and COVID-19 43

Consent to Treatment

• Pursuant to the HCCA, no treatment can take

place without informed consent except in very limited emergency situations

• If resident not capable, the health practitioner

MUST obtain INFORMED consent from the SDM before any treatment provided

• When homes in lock-down, appears consent is

not being obtained in many situations

November 5, 2020 LTCHs and COVID-19 44

Failure to Treat

• Treatment not being offered
• In first wave, homes stated they WOULD

NOT send residents to hospital

• Issue related to “Level of Care”

documents, “Advance Care Directives”, “Living Wills”, etc.

November 5, 2020 LTCHs and COVID-19 45

Qu Question

• ns?

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RI RIGHTS OF OF LONG ONG- TE TERM CAR ARE RE RESIDENT NTS AND ND THE THEIR FAM AMILI LIES DUR DURING COVI VID-19 19

MADELEINE HEBERT

ADVOCACY NORTH FOR ELDERS/SENIORS

THURSDAY, NOVEMBER 5, 2020

AD ADVOCACY NO NORTH FOR EL ELDER ERS AND SE SENIORS

Advocacy North is a collaborative effort of all 11 Northern Community Legal Clinics (Muskoka to Moosonee to Kenora), in the area of Elder and Seniors Law. Areas of law

• POA (personal care/property)
• Consent and Capacity
• Long-term care homes
• Elder Abuse
• Consumer-protection

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WH WHAT Y T YOU OU NE NEED TO KN KNOW RU RULES FOR R CO CONSENT TO TRE TREATM TMENT NT

It is important to understand the fundamental aspects of the law that relates to consent to treatment in Ontario.

The Health Care Consent Act (HCCA) contains the following elements about consent to treatment:

1) It gives a legally-binding definition for “capacity” to make treatment decisions. 2) It requires that informed consent be obtained before treatment can be administered, except in defined emergencies. 3) It describes the elements and meaning of informed consent. 4) It includes the giving of informed consent for a course or plan of treatment. 5) It allows for substitute consent to be obtained on behalf of an incapable person, and it provides authority to administer emergency treatment without consent in limited circumstances where the need arises.

PRE PRESUMP MPTIO ION OF DECIS ISIO IONAL CAPACIT ITY

Health Care Consent Act, s.4 Person presumed to be capable for treatment, admission to care facilities and personal assistance services.

• EXCEPTION Person entitled to rely on presumption UNLESS he or she has reasonable grounds to

believe the other person is incapable with respect to treatment, admission to care facilities or personal assistance services, as the case may be.

Health Care Consent Act, s.15 May be capable in respect to some treatments and incapable in respect to others May be incapable with respect to treatment at one time and capable at another

LE LEGI GISLA LATION N RELA LATING NG TO INC NCAPACITY ST STATUTORY FRAMEWORK

SUBSTITUTE DECISION ACT, 1992

It establishes the legal criteria to determine when a person has the ability to make decisions that are fundamental to his/her well-being (Two different schemes: property and personal care). The ability to make these types of decisions is termed capacity and the decisions are termed consent. It creates a definition of capacity, but unfortunately in non-HCCA issues, gives authority to give substitute consent only where there is a POAPC or guardian of the person

HEALTH CARE CONSENT ACT, 1996

It creates a uniform set of rules for consent to treatment. These rules apply to all types of treatment, no matter where the treatment is given. So, they also apply to psychiatric treatment, both inside and

• utside of the hospital, and are the same

for all patients including involuntary and informal patients.

HE HEAL ALTH H CAR ARE E VS VS. PE PERSONA NAL CAR CARE E DE DECISIONS

Health care (see Health Care Consent Act) Capacity and substitute decision-making to make a treatment decision or decision about plan of care/treatment in all 3 areas Capacity to make decision about admission to; and personal assistance services in LTC homes and retirement home Personal care (as defined in Substitute Decision Act) It is about substitute decision-making - and only if there is a guardian or attorney for personal care - if not - then the SDA has no application

• Health Care
• Nutrition
• Shelter
• Clothing
• Hygiene
• Safety

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LE LEGA GAL L DE DEFINITION OF CA CAPACI CITY TO TO CONSENT TO TO TREATMENT

Section 4(1) of Health Care Consent Act A person is

• f consenting to a treatment if the

person is able to a) “understand” the information that is relevant to making a decision about the treatment, AND b) “appreciate” the reasonably foreseeable consequences of a decision or lack of decision

Reminder: A person is presumed to be capable with respect to treatment unless reasonable grounds to suspect incapacity exist.

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LE LEGA GAL L DE DEFINITION OF OF CAPACITY TY FO FOR PE PERSON ONAL CA CARE DE DECISI SIONS S

• S. 45 of the Substitute Decisions Act

These are decisions about health care, shelter, clothing, nutrition, hygiene and safety A person is INCAPABLE of personal care if the person is not able to a) “understand” the information that is relevant to making a decision concerning his or her own health care, nutrition, shelter, clothing, hygiene or safety OR OR b) is not able to “appreciate” the reasonably foreseeable consequences of a decision or lack of decision

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TO TO UN UNDE DERSTAND AND AND TO AP APPRECIATE Wh What does it mean?

It is NOT a clinical condition or diagnosis or a score on a test (such as MMSE or the MOCA) Must have the cognitive ability to understand the general information given regarding the proposed treatment and the ability to appreciate, that may include the ability to remember. Must have the ability to weigh the information in the context of his or her life circumstances (Mental process requiring analysis) In addition to memory, this requires the ability to reason and to make decisions. If you can’t remember the information – even if you understood it, then you cannot apply it to your own situation.

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Li List of persons who who may give su substi titu tute c e con

• nsen

sent t

• n
• n In

Incapable e Pe Person’s Behalf

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WH WHAT AR T ARE TH THE P PRINCIPLE LES T S TO GU O GUIDE TH THE DE DECI CISIONS unde under the he Healt alth h Car Care Co Conse nsent Act ct?

• S. 21 (for giving or refusing consent to treatment), s 42 (admission to a care

facility) & 59 (personal assistance service) of the HCCA provides that:

The guardian/POA shall make a decision in accordance with the wishes/instructions, if known. If wish/instructions unknown or it is impossible to follow the wish/instructions, than the decision shall be made in conformity with the incapable person’s best interest. The guardian/POA SHALL use reasonable diligence in ascertaining whether there are wishes or instructions. A later wish/instructions expressed while capable prevails over an earlier one.

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WH WHAT ARE E THE E FACTORS TO BE E CO CONSIDERED FOR BEST INTEREST?

In addition to the values and beliefs held by the patient and any wishes expressed by the patient Whether the treatment or admission to LTC or personal assistance service is likely to,

• i. improve the quality of the recipient’s life,
• ii. prevent the quality of the recipient’s life from deteriorating, or
• iii. reduce the extent to which, or the rate at which, the quality of the recipient’s life is likely to

deteriorate.

Whether the quality of the recipient’s life is likely to improve, remain the same or deteriorate without the treatment, admission to LTC personal assistance service. Whether the benefit the recipient is expected to obtain from the treatment, admission to LTC

• r personal assistance service outweighs the risk of harm to him or her.

Whether a less restrictive or less intrusive treatment, admission to LTC or personal assistance service would be as beneficial as what is the subject of the decision. For personal care service, whether it fosters the recipient’s independence.

Wha What t is is Valid alid Con Consent?

Health Care Consent Act, s.11

• 1. Must relate to the proposed treatment
• 2. Must be informed consent
• 3. Must be given voluntarily
• 4. Must not have been obtained through

misrepresentation or fraud

Wha What t is is Informe med d Cons nsent? t?

Health Care Consent Act, s.11

• 1. The person received the following information about the

proposed treatment that a reasonable person would require to make such a decision: nature, expected benefits, material risks, material side effects, alternative courses of action, and likely consequences of not receiving treatment

• 2. The person received responses to further questions that he or she

may have about these matters

IN INFORME RMED CO CONSENT

ADVANCE CARE PLANNING IS NOT INFORMED CONSENT WISHES ARE NOT DECISIONS Even if a patient has done advance care planning, health practitioners MUST talk to the patient or the incapable patient’s SDM to get an informed consent before treatment

HO HOW AD ADVAN ANCE CA CARE RE PL PLAN ANNING IS IS D DONE

A person may communicate his/her wishes orally, in writing, or by whatever means he/she uses to communicate. A VOLUNTARY process. Health facilities/practitioners CANNOT REQUIRE a patient to do advance care planning OR to use any particular form or method of advance care planning (i.e. levels of care forms) Advance care plans, level of care documents, living wills are NOT consents. They are only statement of wishes –onsidered only if the person is incapable and speaks to the SDM who interprets them. THEY ARE NOT INSTRUCTIONS/CONSENT FOR THE HEALTH PRACTITIONER.

OB OBLIGA IGATIONS IONS OF OF HE HEALTH H PRACTIT ITIONE IONERS WHE HEN N SE SEEKI KING I INFORMED C CONSE SENT F FROM A AN SD SDM

Talk to the RIGHT SDM that meets requirements to be an SDM.

Talk

Tell SDM of obligations to make decision according to patient’s WISHES/ BEST INTERESTS

Tell

Provide SDM with necessary information to make an INFORMED CONSENT.

Provide

Confirm that SDM is complying with decision-making obligations, and if not, consider CCB Form G application

Confirm

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RIGHTS OF LONG-TERM CARE HOME RESIDENTS AND THEIR FAMILIES DURING COVID-19

JANE MEADUS FOR: COMMUNITY LEGAL EDUCATION ONTARIO

November 5, 2020

Level of Care Documents

• Often signed on admission
• Part of package of documents
• No context
• No discussion of what they mean, how to

be used

• Often signed by family, SDM

November 5, 2020 LTCHs and COVID-19 66

Not Consents

• These documents are NOT consents
• They CANNOT be signed by a family

member/SDM

• They MAY BE a statement of wishes if

– Signed by the resident – Was a discussion of what document was, how it would be used

November 5, 2020 LTCHs and COVID-19 67

Statement of Wishes

• Most recent competent wish overrides
• thers EVEN IF they were in writing and

the new one is oral or by some other method

• These “wishes” – whether in a document,
• ral, or some other method – speak to the

SUBSTITUTE DECSISION-MAKER, and NOT the health practitioner

November 5, 2020 LTCHs and COVID-19 68

How to be Used

• If signed by resident, understood
• The document “speaks” to SDM
• Up to SDM to determine what the person

meant and whether it is applicable to situation

• For COVID, unlikely that these documents

had any value, as COVID did not exist when signed therefore cannot apply

November 5, 2020 LTCHs and COVID-19 69

DNR-C Forms

• Are not wishes, advance directives
• Emergency personnel are not health

practitioners, therefore required by law to provide all life-saving treatment, including CPR

• DNR-C document directs that the emergency

personnel do not have to provide CPR

• Do not have apply in any other context

November 5, 2020 LTCHs and COVID-19 70

November 5, 2020

Advocacy Centre for the Elderly

2 Carlton Street, Suite 701 Toronto, ON M5B 1J3 Phone: 416-598-2656 Toll Free: 1-855-598-2656 Fax: 416-598-7924 Website: www.acelaw.ca Twitter: @acelawyers

LTCHs and COVID-19 71

COVID:19 Updates on the law and legal services

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stepstojustice.ca

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Guided Pathways to Powers of Attorney (POA)

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Ho How w it work rks

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• “interview” asks you easy-to-understand

questions

• your answers determine what other questions

you’re asked

• explains legal terms and gives relevant legal

information along the way

• auto-populates the legal document you need

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Fo For more information on Guided Pathways visit:

ht https://st stepst stojust stice.ca ca/gu guidedpathways/ es estate-gu guided-pa pathways

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Fo For a presentation on Guided Pathways, co contact:

michelle.cader@cleo.on.ca

For support by y phone :

• Community legal clinics
• Find your local clinic at: legalaid.on.ca/legal-clinics/
• Advocacy Centre for the Elderly
• 1-855-598-2656
• www.acelaw.ca
• Advocacy North for Elders & Seniors
• 1-800-697-8719
• www.sudburylegalclinic.com/contact-us/

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Go Government:

• Office of the Public Guardian and Trustee
• 1-800-366-0335
• https://www.attorneygeneral.jus.gov.on.ca/english/fami

ly/pgt/overview.php

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For support by y phone (2):

• Ontario Legal Information Centre
• centreinfojuridique.ca
• 1-844-343-7462
• Law Society Referral Service
• findlegalhelp.ca
• 1-855-947-5255
• Ministry of
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Ad Addition

• nal l

leg egal i infor

• rmation
• n &

& r res esou

• urces

es:

• CLEO’s resources for seniors (Health & Disability)
• Every Resident – Bill of Rights for people who live in Ontario long-term care

homes

• Powers of Attorney for Personal Care
• Continuing Power of Attorney for Property
• Elder Abuse
• https://www.cleo.on.ca/en/resources-and-publications/resources-topic
• Steps to Justice and Justice pas-à-pas - legal topics:
• Health and Disability - https://stepstojustice.ca/legal-topic/health-and-

disability

• Wills and Powers of Attorney - https://stepstojustice.ca/legal-topic/wills-and-

powers-of-attorney

• Elder Abuse Prevention Ontario (EAPON)
• http://www.eapon.ca/

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• u for
• r join

joinin ing us!

Subscribe – cleoconnect.ca/subscribe/ Steps to Justice – stepstojustice.ca/covid-19

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