Developmental Service and Long-Term Care: From Pilot Project to Partnership

1. Developmental Service And Long Term Care From Pilot Project to Partnership

2. Overview • How it all began • The Steering Committee • The Project • Implementation • Life at Malton Village • Future Plans

3. THE PARTNERSHIP In May 2003 a representative from the Residential Services Management Committee of Peel approached the Region of Peel Regarding placement of some of their ageing clients with complex medical care needs into long term care.

4. THESTEERING COMMITTEE • 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

5. Why Did We Form? • Community Agencies recognized that ageing individuals who have a developmental challenge and medical care needs cannot always be supported in the community • Agencies in Peel were experiencing difficulty coping with the emerging needs

6. Why did we form? • Long Term Care in Peel was faced with a surplus of “beds” • This created a unique opportunity to develop a mutually beneficial partnership between the sectors.

7. Characteristics of the Project • Collaboration to meet the needs of persons with developmental Disability • Responsive supports • Continuity in supports between sectors • Shared resources • Shared knowledge and understanding between sectors • Provide a quality of life • Person focused service • Seamless support model

8. Goal • To develop a model that would ease the transition of person with developmental disabilities into long term care taking into account their unique needs and interest • To support 10 – 16 individuals with intellectual disabilities to lead enriched and meaningful lives in LTC in partnership with their families and community

9. What did We Do? • We held two planning sessions involving representatives from both sectors using the Project Logic model to develop a proposal to be submitted to MCSS for funding which was approved. • Once prospective individuals were deemed by CCAC’s to be eligible for long term care then each would have the opportunity to choose from available spaces in Malton Village • Work continued on the components and the project was launched in 2004

10. Application and Review Process • CCAC Case Worker assessed client in their home for eligibility. • Applications received from CCAC • Applications reviewed by Admissions Committee at Malton Village • When deemed eligible bed offer made • Tour to make a decision on a move into Malton Village.

11. Client Profiles • 7 referrals were made 5 approved initially • Average age 50 + (52, 55, 56, 69) • Major diagnosis developmental disabilities • Most individuals had been supported by DS sector for most of their lives • Individuals lived in group homes or apartments

12. Initial Project • Staffing • A full time project coordinator was hired to work with LTC centre and community agency referrals Role Orientation of LTC staff to value based issues relating to persons with developmental challenges Train LTC staff to unique behavioural issues Support family members and facilitators in the transition process in planning for the individual

13. Project Coordinator • Act as liaison to the DS sector • Provided Tours • Visited potential clients to share information on Malton Village • Help identify strengths and needs

14. 2005 - 2007 • The initial pilot project lasted until June of 2006 • 7 individuals resided at Malton Village • Formal evaluation conducted • Individual continued to be integrated into Malton Village • 2007 MCSS presented individuals residing in Institutions (HRC) to RSMC to determine interest in supporting individuals who required LTC

15. MCSS – C W Region – Facility Initiative 2005-2009- An Individualized Support Plan • February 2007 MCSS identifies individual who requires Long Term Care Support • Family tours Malton Village and agrees to move • Malton Village agrees to accommodate individual • Mary Centre agrees to provide Support • Previously developed relationship with Malton Village and Mary Centre through Pilot Project is renewed

16. Mary • Mary is 48 year old woman who lived most of her life at Huronia Regional Centre • Lower body paralysis • uses wheelchair for Mobility • limited communication and relies on support staff for all personal care • Mary Centre staff visit HRC to meet Mary. • Malton Village staff visit HRC to meet Mary.

17. Mary • MC and MV meet at HRC with Mary, her family and HRC staff to review her needs • MC and MV meet with MCSS and Family at Malton Village to develop support plan based on needs • Plan includes one-to-one support for first three months. • Additional cost for support.

18. Role of Support Worker • To support individual to participate in activities of interest within the facility • To work with facility staff in meeting the social and emotional needs of the individual • To help develop networks of support and friendship within the long term setting • To maintain community and family connections

19. Clarified Roles • Malton Village provides: • Medical Care • Personal Care • Mary Centre provides: • Ongoing support to enhance opportunities for integration and interaction with the other residents of Malton Village • Ongoing family involvement in the lives of the individuals • Ongoing community involvement and inclusion to enhance the life of the individual

20. Life at Malton Village • Mary Centre currently supports three individuals at Malton Village • These individuals receive support to participate in activities with the general seniors population at Malton • Ensures that meaningful recreation and leisure programs are accessed and that participation is not used to simply pass time. • The nature of the activities are quite diverse and will include things such as pub socials, birthday parties, coffee with friends, sensory stimulation and community outings

21. Preliminary Best Practice • Dispelling myths about persons with developmental challenges and LTC • Providing information on the transition process • Generating information for individuals, their families and support workers about LTC • Ongoing liaison between sectors to enable both systems to build upon new learning. • Learn from each other how to identify and support the unique needs of the individual in LTC

22. Benefits • The creation of lead roles w/in each agency • Have a on-going liaison between sectors to enable both systems to learn from other • Develop a LTC referral protocol for individuals with developmental disabilities • Continuation of involvement from the community agencies for a transition period

23. Benefits • Mary Centre was able to offer support to an individual 18 year old inappropriately placed in long term care. • Further enhanced the relationship with LTC and provided an opportunity for others to receive support. • Staff at Malton Village have gained skills through the Community Support Worker • Staff are comfortable approaching the CSW when they have a question.

24. Successes • 2 individuals inappropriately placed in long term care have now been integrated back to the community to appropriate residential placements. • Connections with other long term care centres in Peel are developing • MCSS and Residential Services Management Committee Peel support the Mary Centre Long Term Care initiative • 9 individuals place in LTC centres will receive support by April 1/09

25. Future Direction • To work with individuals from community homes with transition to LTC through planning and support prior to move. • There are currently 197 individuals over the age of 50 residing in the Region of Peel • There are 23 individuals with developmental challenges over the age of 50 who are currently in LTC. • We have identified 12 individuals between 18 and 40 who have been place in LTC

26. Future Direction • To connect with Long Term Care Facilities in Peel • To identify individuals who’s Medical needs can be better met in Long Term Care • To indentify individual who are inappropriately placed in long term care • To secure ongoing funding from MOH&LTC and MCSS

27. Any Questions?