COMMUNITY COMMUNITY MENTAL HEALTH MENTAL HEALTH SERVICES SERVICES forfor thethe ELDERLYELDERLYinin

RURAL MANITOBARURAL MANITOBA

Parkland Regional Health AuthorityParkland Regional Health AuthorityLaurie Church RPN, BSWLaurie Church RPN, BSW

Christine Miner RPN, BScMHChristine Miner RPN, BScMH

There are no known conflict(s) of There are no known conflict(s) of interest that will have a direct interest that will have a direct bearing on the subject matter of this bearing on the subject matter of this

presentationpresentation. .

OVERVIEWOVERVIEW

The Parkland RegionThe Parkland Region

Community Mental Health Services for the ElderlyCommunity Mental Health Services for the Elderly HistoryHistory Services providedServices provided Accessing serviceAccessing service StaffingStaffing Collaborative partnersCollaborative partners Challenges in the Rural settingChallenges in the Rural setting

Overview (cont.)Overview (cont.)

Mental Health Resource NurseMental Health Resource Nurse Development of MHRN in the Personal Care Home Development of MHRN in the Personal Care Home

settingsetting Educational RequirementsEducational Requirements Roles and ResponsibilitiesRoles and Responsibilities

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

HISTORYHISTORY

Mental Health ReformMental Health Reform Establishment of traditional Establishment of traditional

servicesservices Expanded range of community Expanded range of community

servicesservices Special project in Long Term Special project in Long Term

CareCare

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

SERVICES PROVIDEDSERVICES PROVIDED Assessment Assessment ConsultationConsultation Case ManagementCase Management Community Support WorkerCommunity Support Worker Community PresentationsCommunity Presentations EducationEducation StatsStats

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

ACCESSING SERVICEACCESSING SERVICE Written referral from Physicians and Written referral from Physicians and

other RHA staff (forms available)other RHA staff (forms available) Mental Health Intake Mental Health Intake Mental Health Crisis Response ServiceMental Health Crisis Response Service Direct calls to Community HealthDirect calls to Community Health

Manitoba Provincial Network of Manitoba Provincial Network of Psychogeriatric Program Specialists – Psychogeriatric Program Specialists – minimum data set is used as a guideline minimum data set is used as a guideline in screening referralsin screening referrals

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

STAFFINGSTAFFING Community Mental Health Workers: 4Community Mental Health Workers: 4 Community Support Workers: 2.5Community Support Workers: 2.5 Mental Health Resource Nurses: 5Mental Health Resource Nurses: 5 Mental Health Proctors: casual/ as Mental Health Proctors: casual/ as

neededneeded Administration Support Administration Support

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

COLLABORATIVE PARTNERSCOLLABORATIVE PARTNERS Family physiciansFamily physicians PsychiatristsPsychiatrists Home CareHome Care Public HealthPublic Health Mental HealthMental Health HospitalsHospitals Senior CenterSenior Center Manitoba HousingManitoba Housing

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

COLLABORATIVE COLLABORATIVE PARTNERS (cont.)PARTNERS (cont.) RCMPRCMP LawyersLawyers Other professionalsOther professionals ClergyClergy Family membersFamily members Community membersCommunity members Public trustee of ManitobaPublic trustee of Manitoba Drop in centersDrop in centers

Community Mental Health Services for the Community Mental Health Services for the ElderlyElderly

COLLABORATIVE PARTNERS (CONT.)COLLABORATIVE PARTNERS (CONT.) Alzheimer’s SocietyAlzheimer’s Society Self – Help Groups (ADAM, MSS, MDAM, AFM,MBIA)Self – Help Groups (ADAM, MSS, MDAM, AFM,MBIA) CNIBCNIB Congregate Meal Programs/Meals on WheelsCongregate Meal Programs/Meals on Wheels Financial InstitutionsFinancial Institutions

Community Mental Health Services Community Mental Health Services for the Elderlyfor the Elderly

CHALLENGES CHALLENGES Population trend in the Population trend in the

ParklandParkland CultureCulture TravelTravel StaffingStaffing Educational opportunitiesEducational opportunities Need for collaboration & Need for collaboration &

creativitycreativity

Mental Health Resource Mental Health Resource NurseNurse

MHRN IN THE MHRN IN THE PERSONAL CARE PERSONAL CARE HOMEHOME 5 full time MHRN 5 full time MHRN

positionspositions 4 regions within the 4 regions within the

ParklandParkland 11 Personal Care 11 Personal Care

HomesHomes 544 Personal Care 544 Personal Care

Home bedsHome beds

Mental Health Resource Mental Health Resource NurseNurse

EDUCATIONAL REQUIREMENTSEDUCATIONAL REQUIREMENTS Psychiatric Nursing Education Psychiatric Nursing Education

diplomadiploma Bachelor of Science in Mental Bachelor of Science in Mental

Health or Bachelor of Science in Health or Bachelor of Science in Psychiatric Nursing.Psychiatric Nursing.

Registered Nurse or Bachelor of Registered Nurse or Bachelor of Nursing with additional formal Nursing with additional formal Mental Health training.Mental Health training.

Mental Health Resource Mental Health Resource NurseNurse

ROLE & RESPONSIBILITYROLE & RESPONSIBILITY Member of multidisciplinary team.Member of multidisciplinary team. Liaison between the Personal Care Liaison between the Personal Care

Home and external service Home and external service agencies.agencies.

Case manager for Public Trustee Case manager for Public Trustee clients living in the Care Home.clients living in the Care Home.

Education to residents, family and Education to residents, family and staff regarding mental health and staff regarding mental health and psychosocial issues.psychosocial issues.

Mental Health Resource Mental Health Resource NurseNurse

ROLE & RESPONSIBILITY ROLE & RESPONSIBILITY (cont.)(cont.) Resident assessment and Resident assessment and

treatment recommendations.treatment recommendations. Direct intervention and Direct intervention and

counseling counseling Policy development, Policy development,

implementation, administration implementation, administration and evaluation.and evaluation.

Family support.Family support. Committee involvement.Committee involvement.

ResourcesResources

Doupe, Malcom. et. al (October 2006.) Doupe, Malcom. et. al (October 2006.) Using Administrative Using Administrative Data to Develop Indicators of Quality Care in Personal Care Data to Develop Indicators of Quality Care in Personal Care Homes. Manitoba Centre for Homes. Manitoba Centre for Health Policy. Faculty of Health Policy. Faculty of Medicine, University of Manitoba.Medicine, University of Manitoba.

Martens, Patricia. et. al. (September 2004) Patterns of Regional Martens, Patricia. et. al. (September 2004) Patterns of Regional Mental Illness Disorder Diagnosis and Services Used in Manitoba: Mental Illness Disorder Diagnosis and Services Used in Manitoba: A Population-Based Study. Manitoba Centre for Health Policy. A Population-Based Study. Manitoba Centre for Health Policy. University of Manitoba.University of Manitoba.

Parkland Regional Health Authority Annual Report 2005/2006.Parkland Regional Health Authority Annual Report 2005/2006.