Mental Health Programs

Services for Seniors – Mental Health Program North Simcoe Muskoka

Wendat Services for Seniors provides two distinct programs aimed at supporting older adults to live with dignity, choice and quality of life. The Mental Health Program is aimed at supporting the older adult with complex mental health needs living in the community in addition to those with challenging behaviours as a result of an age-related or neurodegenerative disease process.

1. Transition Service:

This service acts as a bridge in the transition of client specific care needs and management strategies across systems of care. The objective of the service is to provide a transition plan focused on reducing the intensity and frequency of responsive behaviours so that the individual can successfully move from one supportive housing situation to an alternate supportive environment. The individual may be living in their own home, or with family, be resident in a hospital, Long Term Care or another type of supportive housing.  The Behaviour Nurse works in concert with the client, family and all care partners in the client’s current environment and their destination environment.

Our Team:

Our team is composed of a Program Manage, full-time Transition Behavioural Nurses trained in Best Practices for this population: Gentle Persuasive Approaches, Crisis Intervention, PIECES, Montessori Method, and standardized cognitive and behavioural assessments.

Client profile:            

  • Persons aged 65 and over with a serious mental illness and/or complex medical and neurodegenerative disease process.
  • Persons under 65 years of age who suffer from a cognitive impairment related to a neurodegenerative disease process or a complicated Serious Mental Illness.

              AND                                        

  • Who exhibit behavioural disturbances interfering with ability to function on a social, emotional or interpersonal level

Eligibility Criteria:

  • Receiving support from a care team/support service ex: hospital - acute and Mental Health, CCAC  in-home, LTC, Retirement Homes, Group Homes, etc
  • Meets criteria under client profile above
  • Plans for a discharge to another care team in the community within NSM LHIN
  • Assessments available related to presenting diagnosis, behaviours, co-morbid medical conditions
  • Behaviour/risk management interventions are required to effect a safe transition
  • Facilities (Hosp and LTC) and support services willing to collaborate in development and implementation of transition plan of care

 

Behaviours Identified for Service: 

One or more of the following behaviours is present:

  • Aggression – threat to others/self
  • Client/patient in restraints – physical and pharmacological
  • Past history of aggressive acting out
  • Verbal aggression or sexual expression
  • Resistance to Care requiring interventions at LTC Home level of ability to implement
  • Specific symptoms of Serious Mental Illness
  • Intrusive behaviours

 

Hours of Operation:

Office hours are from 9:00 a.m. – 5:00 p.m.  Monday through Friday

Behaviour nurses offer flexible hours related to client care needs

 

How to apply:

Request for service can be made by primary healthcare provider, hospital personal, by NSMCCAC Client Care Coordinators, staff of Long Term Care Home awaiting return of resident from Hospital or in consideration of acceptance for admission, Mental Health Resource Consultants, Family, Completion of Referral Form

Referral Form: Mental Health Transition Referral Form  available online by clicking here.

Contact Information:

Program Manager, Services for Seniors

Phone: 705-355-1022            Ext: 228            Fax: 705-355-1026            

 


2. Mobile Social Work Service:

This service is available to seniors with mental health concerns and complex care needs who reside alone or with family and are experiencing difficulty coping in their environment.

Our Team:

Our team is comprised of a Program Manager and full-time Social Workers trained in Mental Health and Geriatric issues

Client Profile:

  • Persons aged 65 and over with complex mental health concerns and complex care needs
  • Resides alone or with family
  • Experiencing challenges which interfere with their ability to function on a social, emotional or interpersonal level.

Service to Seniors under 65 will be considered on a case to case basis

NOTE: Priority will be given to Seniors who are at high risk and experiencing increasing frailty with contributing medical and psychosocial stressors

 

Eligibility Criteria:

  • Meets criteria under client profile above
  • Residing in North Simcoe Muskoka
  • Living alone or with a family member in their own home/apartment
  • May be a resident in a Retirement Home or Assisted Living environment

 

Risks Identified for Service:

  • Caregiver burnout
  • Home situation is “stressed”
  • Possibility of abuse has been identified
  • Change in physical, emotional and/or mental status of either client or caregiver
  • Loss/change/social isolation
  • History of psychiatric problems
  • Access to supports limited or non-existent – informal and formal 

 

Mobile Social Work Service Goals:

  • Work collaboratively with referral source, primary care provider and other support services in enabling improved functioning in the senior’s home environment
  • Provide psychosocial assessments and risk identification
  • Provide information and referrals to appropriate resources in community
  • Provide individual and family counselling to address areas of concern/risk
  • Provide appropriate interventions related to: Family dynamics, Care-giver burnout, Elder abuse and neglect
  • Enhance senior’s social environment to raise sense of well-being and improve quality of life

                       

Hours of Operation:

Office hours are from 9:00 a.m. – 5:00 p.m. Monday through Friday

Social workers offer flexible hours related to client  needs

 

How to apply:

Request for service can be made by healthcare professionals, community agencies, self or family  

Completion of Referral Form

Referral Form: Mobile Social Work Intake Form  available online by clicking here.

Contact Information:

Program Manager, Services for Seniors

Phone: 705-355-1022            Ext: 228            Fax: 705-355-1026              

Program Category: