Developmental Developmental ServiceService And And Long Term Care Long Term Care

From From Pilot Project to Pilot Project to Partnership Partnership

Overview Overview

• How it all beganHow it all began• The Steering CommitteeThe Steering Committee• The ProjectThe Project• ImplementationImplementation• Life at Malton VillageLife at Malton Village• Future PlansFuture Plans

THE PARTNERSHIPTHE PARTNERSHIP

• In May 2003 a representative from In May 2003 a representative from the Residential Services the Residential Services Management Committee of Peel Management Committee of Peel approached the Region of Peelapproached the Region of Peel

Regarding placement of some of Regarding placement of some of their ageing clients with complex their ageing clients with complex medical care needs into long term medical care needs into long term care.care.

• Five Developmental Services Agencies• The CCAC • The Ministry of Health and Long Term Care• Representatives from the Ministry of Community and Social Services • Representatives from the Region of Peel

Struck a committee to further examine this partnership.The group met monthly

THETHE STEERING STEERING COMMITTEECOMMITTEE

Why Did We Form?Why Did We Form?

• Community Agencies recognized that Community Agencies recognized that ageing individuals who have a ageing individuals who have a developmental challenge and medical developmental challenge and medical care needs cannot always be care needs cannot always be supported in the communitysupported in the community

• Agencies in Peel were experiencing Agencies in Peel were experiencing difficulty coping with the emerging difficulty coping with the emerging needsneeds

Why did we form?Why did we form?

• Long Term Care in Peel was faced Long Term Care in Peel was faced with a surplus of “beds”with a surplus of “beds”

• This created a unique opportunity to This created a unique opportunity to develop a mutually beneficial develop a mutually beneficial partnership between the sectors.partnership between the sectors.

Characteristics of the Characteristics of the ProjectProject

• Collaboration to meet the needs of Collaboration to meet the needs of persons with developmental Disabilitypersons with developmental Disability

• Responsive supportsResponsive supports• Continuity in supports between sectorsContinuity in supports between sectors• Shared resources Shared resources • Shared knowledge and understanding Shared knowledge and understanding

between sectorsbetween sectors• Provide a quality of life Provide a quality of life • Person focused servicePerson focused service• Seamless support modelSeamless support model

Goal Goal

• To develop a model that would ease the To develop a model that would ease the transition of person with developmental transition of person with developmental disabilities into long term care taking into disabilities into long term care taking into account their unique needs and interestaccount their unique needs and interest

• To support 10 – 16 individuals with To support 10 – 16 individuals with intellectual disabilities to lead enriched intellectual disabilities to lead enriched and meaningful lives in LTC in partnership and meaningful lives in LTC in partnership with their families and communitywith their families and community

What did We Do?What did We Do?• We held two planning sessions involving We held two planning sessions involving

representatives from both sectors using the representatives from both sectors using the Project Logic model to develop a proposal to Project Logic model to develop a proposal to be submitted to MCSS for funding which was be submitted to MCSS for funding which was approved.approved.

• Once prospective individuals were deemed by Once prospective individuals were deemed by CCAC’s to be eligible for long term care then CCAC’s to be eligible for long term care then each would have the opportunity to choose each would have the opportunity to choose from available spaces in Malton Village from available spaces in Malton Village

• Work continued on the components and the Work continued on the components and the project was launched in 2004project was launched in 2004

Application and Review Application and Review ProcessProcess

• CCAC Case Worker assessed client in CCAC Case Worker assessed client in their home for eligibility.their home for eligibility.

• Applications received from CCAC Applications received from CCAC • Applications reviewed by Admissions Applications reviewed by Admissions

Committee at Malton Village Committee at Malton Village • When deemed eligible bed offer madeWhen deemed eligible bed offer made• Tour to make a decision on a move into Tour to make a decision on a move into

Malton Village.Malton Village.

Client ProfilesClient Profiles

• 7 referrals were made 5 approved initially 7 referrals were made 5 approved initially • Average age 50 + (52, 55, 56, 69)Average age 50 + (52, 55, 56, 69)• Major diagnosis developmental Major diagnosis developmental

disabilitiesdisabilities• Most individuals had been supported by Most individuals had been supported by

DS sector for most of their livesDS sector for most of their lives• Individuals lived in group homes or Individuals lived in group homes or

apartmentsapartments

Initial ProjectInitial Project• Staffing Staffing • A full time project coordinator was A full time project coordinator was

hired to work with LTC centre and hired to work with LTC centre and community agency referrals community agency referrals

RoleRoleOrientation of LTC staff to value based issues Orientation of LTC staff to value based issues

relatingrelatingto persons with developmental challenges to persons with developmental challenges Train LTC staff to unique behavioural issuesTrain LTC staff to unique behavioural issuesSupport family members and facilitators in Support family members and facilitators in

the the transition process in planning for the transition process in planning for the

individualindividual

Project CoordinatorProject Coordinator

• Act as liaison to the DS sector Act as liaison to the DS sector • Provided ToursProvided Tours• Visited potential clients to share Visited potential clients to share

information on Malton Villageinformation on Malton Village• Help identify strengths and needsHelp identify strengths and needs

2005 - 20072005 - 2007

• The initial pilot project lasted until June of The initial pilot project lasted until June of 20062006

• 7 individuals resided at Malton Village 7 individuals resided at Malton Village • Formal evaluation conducted Formal evaluation conducted • Individual continued to be integrated into Individual continued to be integrated into

Malton VillageMalton Village

• 2007 MCSS presented individuals residing in 2007 MCSS presented individuals residing in Institutions (HRC) to RSMC to determine Institutions (HRC) to RSMC to determine interest in supporting individuals who required interest in supporting individuals who required LTCLTC

MCSS – C W Region – Facility Initiative MCSS – C W Region – Facility Initiative 2005-20092005-2009

- An Individualized Support Plan- An Individualized Support Plan

• February 2007 MCSS identifies February 2007 MCSS identifies individual who requires Long Term Care individual who requires Long Term Care SupportSupport

• Family tours Malton Village and agrees Family tours Malton Village and agrees to moveto move

• Malton Village agrees to accommodate Malton Village agrees to accommodate individualindividual

• Mary Centre agrees to provide Support Mary Centre agrees to provide Support • Previously developed relationship with Previously developed relationship with

Malton Village and Mary Centre through Malton Village and Mary Centre through Pilot Project is renewedPilot Project is renewed

MaryMary

• MaryMary is 48 year old woman who lived most is 48 year old woman who lived most of her life at Huronia Regional Centreof her life at Huronia Regional Centre– Lower body paralysisLower body paralysis– uses wheelchair for Mobilityuses wheelchair for Mobility– limited communication and relies on support limited communication and relies on support

staff for all personal carestaff for all personal care

• Mary Centre staff visit HRC to meet Mary Centre staff visit HRC to meet Mary.Mary.• Malton Village staff visit HRC to meet Malton Village staff visit HRC to meet

MaryMary..

MaryMary

• MC and MV meet at HRC with Mary, MC and MV meet at HRC with Mary, her family and HRC staff to review her family and HRC staff to review her needsher needs

• MC and MV meet with MCSS and MC and MV meet with MCSS and Family at Malton Village to develop Family at Malton Village to develop support plan based on needssupport plan based on needs

• Plan includes one-to-one support for Plan includes one-to-one support for first three months.first three months.

• Additional cost for support. Additional cost for support.

Role of Support WorkerRole of Support Worker

• To support individual to participate in To support individual to participate in activities of interest within the facilityactivities of interest within the facility

• To work with facility staff in meeting the To work with facility staff in meeting the social and emotional needs of the social and emotional needs of the individualindividual

• To help develop networks of support and To help develop networks of support and friendship within the long term settingfriendship within the long term setting

• To maintain community and family To maintain community and family connections connections

Clarified RolesClarified Roles

• Malton Village provides: Malton Village provides: • Medical CareMedical Care• Personal Care Personal Care

• Mary Centre provides:Mary Centre provides:• Ongoing support to enhance opportunities for Ongoing support to enhance opportunities for

integration and interaction with the other integration and interaction with the other residents of Malton Villageresidents of Malton Village

• Ongoing family involvement in the lives of the Ongoing family involvement in the lives of the individualsindividuals

• Ongoing community involvement and inclusion Ongoing community involvement and inclusion to enhance the life of the individualto enhance the life of the individual

Life at Malton VillageLife at Malton Village

• Mary Centre currently supports three Mary Centre currently supports three individuals at Malton Village individuals at Malton Village

• These individuals receive support to These individuals receive support to participate in activities with the general participate in activities with the general seniors population at Maltonseniors population at Malton

• Ensures that meaningful recreation and Ensures that meaningful recreation and leisure programs are accessed and that leisure programs are accessed and that participation is not used to simply pass time.participation is not used to simply pass time.

•   The nature of the activities are quite The nature of the activities are quite diverse and will include things such as pub diverse and will include things such as pub socials, birthday parties, coffee with friends, socials, birthday parties, coffee with friends, sensory stimulation and community outingssensory stimulation and community outings  

Preliminary Best Preliminary Best PracticePractice• Dispelling myths about persons with Dispelling myths about persons with

developmental challenges and LTC developmental challenges and LTC • Providing information on the transition Providing information on the transition

process process • Generating information for individuals, Generating information for individuals,

their families and support workers about their families and support workers about LTC LTC

• Ongoing liaison between sectors to enable Ongoing liaison between sectors to enable both systems to build upon new learning. both systems to build upon new learning.

• Learn from each other how to identify and Learn from each other how to identify and support the unique needs of the support the unique needs of the individual in LTCindividual in LTC

Benefits Benefits

• The creation of lead roles w/in each agency The creation of lead roles w/in each agency • Have a on-going liaison between sectors to Have a on-going liaison between sectors to

enable both systems to learn from otherenable both systems to learn from other• Develop a LTC referral protocol for Develop a LTC referral protocol for

individuals with developmental disabilitiesindividuals with developmental disabilities• Continuation of involvement from the Continuation of involvement from the

community agencies for a transition periodcommunity agencies for a transition period

Benefits Benefits • Mary Centre was able to offer support to an Mary Centre was able to offer support to an

individual 18 year old inappropriately individual 18 year old inappropriately placed in long term care.placed in long term care.

• Further enhanced the relationship with LTC Further enhanced the relationship with LTC and provided an opportunity for others to and provided an opportunity for others to receive support.receive support.

• Staff at Malton Village have gained skills Staff at Malton Village have gained skills through the Community Support Workerthrough the Community Support Worker

• Staff are comfortable approaching the CSW Staff are comfortable approaching the CSW when they have a question.when they have a question.

SuccessesSuccesses• 2 individuals inappropriately placed in long 2 individuals inappropriately placed in long

term care have now been integrated back to term care have now been integrated back to the community to appropriate residential the community to appropriate residential placements. placements.

• Connections with other long term care Connections with other long term care centres in Peel are developingcentres in Peel are developing

• MCSS and Residential Services MCSS and Residential Services Management Committee Peel support the Management Committee Peel support the Mary Centre Long Term Care initiative Mary Centre Long Term Care initiative

• 9 individuals place in LTC centres will 9 individuals place in LTC centres will receive support by April 1/09receive support by April 1/09

Future DirectionFuture Direction

• To work with individuals from community To work with individuals from community homes with transition to LTC through homes with transition to LTC through planning and support prior to move. planning and support prior to move.

• There are currently 197 individuals over There are currently 197 individuals over the age of 50 residing in the Region of Peel the age of 50 residing in the Region of Peel

• There are 23 individuals with There are 23 individuals with developmental challenges over the age of developmental challenges over the age of 50 who are currently in LTC.50 who are currently in LTC.

• We have identified 12 individuals between We have identified 12 individuals between 18 and 40 who have been place in LTC18 and 40 who have been place in LTC

Future Direction Future Direction

• To connect with Long Term Care To connect with Long Term Care Facilities in Peel Facilities in Peel

• To identify individuals who’s Medical To identify individuals who’s Medical needs can be better met in Long Term needs can be better met in Long Term CareCare

• To indentify individual who are To indentify individual who are inappropriately placed in long term care inappropriately placed in long term care

• To secure ongoing funding from To secure ongoing funding from MOH&LTC and MCSS MOH&LTC and MCSS

Any Questions?Any Questions?