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Building Consultation Teams. Lisa Manuel, PhD Family Service Toronto National Elder Abuse Conference November 4, 2009. Goals of Presentation. Review development of consultation team Ensuring success Overview of FST team process Addressing confidentiality and privacy issues

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Building Consultation Teams

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Building consultation teams

Building Consultation Teams

Lisa Manuel, PhD

Family Service Toronto

National Elder Abuse Conference

November 4, 2009

Goals of presentation

Goals of Presentation

  • Review development of consultation team

  • Ensuring success

  • Overview of FST team process

  • Addressing confidentiality and privacy issues

  • Key challenges

  • Key outcomes and celebrations

  • Talk, discuss, network



  • 1997 – First meeting in Toronto to explore concept

  • 1998 – 1999 – Grant applications

  • 2000 – Development work funded internally

  • 2001 – Orientation meeting

  • 2002 – First consultation meeting

  • 2009 – Seventh consecutive year

Development process

Development Process

  • Research in other jurisdictions

  • Survey of organizations

  • Development of policy manual

  • Focus groups

  • Invitations to join team

Ensuring success

Ensuring Success

  • One identified lead organization and person

  • Highly supportive organization

  • Committed team members/ambassadors

  • Goals and principles agreed to and followed

  • Defined intake process

  • Clear ground rules about who participates

  • Confidentiality and privacy issues respected

Ensuring success cont d

Ensuring Success cont’d

  • Ongoing updates to community

  • Quick turn around with respect to requests for consultation

  • Respected leaders as members

  • Voices of survivors and senior volunteers

  • Widespread and ongoing publicity

  • Support for follow-up

Mission of eact

Mission of EACT

To consult on cases involving the abuse of older adults in order to suggest options to improve their life situations.

Goals of eact

Goals of EACT

  • Provide a forum for people working with older adults experiencing abuse to consult on situtions they are working with

  • Provide support between meetings

  • Develop statistical profiles

  • Report on activities to stakeholders

  • Track results of suggested options to develop evidence-based outcomes

Key principles

Key Principles

  • Confidentiality

  • Anonymity

  • Self-determination

  • Maximization of options

  • Least intrusive alternative

  • Involvement of abused older adult in carrying out suggested

  • Cultural sensitivity


Alzheimer Society

Assistant Crown Attorney

CCAC (Home Care)

Community based social work/community support agency

Hospital based social worker with geriatric expertise


Mental health and addictions


Senior Volunteers

Student Interns


Victim Services

Violence Against Women sector




  • Letter of understanding

  • Available three hours per months plus travel

  • Monthly schedule

  • Signatures

  • Consultation in between meetings

  • Confidentiality

Types of cases reviewed

Types of Cases Reviewed

  • Complex

  • Multiple types of abuse occurring

  • Ethical dilemma

  • Specialized expertise required

  • Refusal of service

  • Cases at any point of engagement

Who utilizes the team

Who utilizes the team?

  • Two possible ways to focus team

    • Team members only

    • Open to team and community

Intake form

Intake Form

  • One page overview

  • Strategies attempted to date and outcome

  • Kind of advice requested from team

  • Demographic information

Structure of case presentations

Structure of Case Presentations

  • Introductions

  • Ground rules

  • Brief overview

  • Clarifying questions

  • Suggested options

  • Follow up

Role of team leader

Role of Team Leader

  • Coordination of meetings

  • Recruitment of team members

  • Securing cases for review

  • Screening for conflict of interest

  • Minute taking

  • Community resource

  • Evaluation

  • Developing educational sessions

Role of team members

Role of Team Members

  • Confidentiality

  • Best interest of client

  • Interim consultations

  • Commitment to team

  • Ambassadors in community

  • Provide advice

Working with privacy issues

Working with Privacy Issues

  • No names

  • Identifying information changed

  • Reviewing ground rules

  • Confidentiality vs. privacy

  • Knowing the legislation

Key outcomes



Educational sessions

Best practice manual

Conference presentations



Student training

Senior Moments Project

Highly valued by members and presenters

Key Outcomes



  • Case finding

  • Advocacy problematic for some members

  • Lack of funding

  • Multiple networks

  • Varying understandings of privacy issues



  • 100+ consultations to date

  • Three newsletters

  • Best Practice Manual

  • Grant to work across sectors

  • Pat’s Place developed

  • Multiple conference presentations

Celebrations cont d

Celebrations cont’d

  • Resource to other communities

  • Student training (international and local)

  • Robust data set

  • Information sheet for Provincial government on safety planning

  • “Go to” forum

  • Team cohesion and commitment in an exeptionally busy world

Contact information new

Contact Information - NEW

Lisa Manuel


Changing Lives and Family Violence Program

Family Service Toronto

416 595 4049

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