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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

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


History
History

  • 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


Membership

Alzheimer Society

Assistant Crown Attorney

CCAC (Home Care)

Community based social work/community support agency

Hospital based social worker with geriatric expertise

Housing

Mental health and addictions

Psycho-geriatrician

Senior Volunteers

Student Interns

Survivors

Victim Services

Violence Against Women sector

Membership


Commitment
Commitment

  • 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

Consultations

Newsletters

Educational sessions

Best practice manual

Conference presentations

Partnerships

Research

Student training

Senior Moments Project

Highly valued by members and presenters

Key Outcomes


Challenges
Challenges

  • Case finding

  • Advocacy problematic for some members

  • Lack of funding

  • Multiple networks

  • Varying understandings of privacy issues


Celebrations
Celebrations

  • 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

Director,

Changing Lives and Family Violence Program

Family Service Toronto

416 595 4049

lisama@familyservicetoronto.org

www.familyservicetoronto.org