1. COMMUNITY MENTAL HEALTH SERVICES for the ELDERLY in RURAL MANITOBA COMMUNITY MENTAL HEALTH SERVICES for the ELDERLY in RURAL MANITOBA Parkland Regional Health Authority Laurie Church RPN, BSW Christine Miner RPN, BScMH

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

3. OVERVIEW  The Parkland Region  Community Mental Health Services for the Elderly  History  Services provided  Accessing service  Staffing  Collaborative partners  Challenges in the Rural setting

4. Overview (cont.)  Mental Health Resource Nurse  Development of MHRN in the Personal Care Home setting  Educational Requirements  Roles and Responsibilities

6. Community Mental Health Services for the Elderly  HISTORY  Mental Health Reform  Establishment of traditional services  Expanded range of community services  Special project in Long Term Care

7. Community Mental Health Services for the Elderly  SERVICES PROVIDED  Assessment  Consultation  Case Management  Community Support Worker  Community Presentations  Education  Stats

8. Community Mental Health Services for the Elderly  ACCESSING SERVICE  Written referral from Physicians and other RHA staff (forms available)  Mental Health Intake  Mental Health Crisis Response Service  Direct calls to Community Health Manitoba Provincial Network of Psychogeriatric Program Specialists – minimum data set is used as a guideline in screening referrals

9. Community Mental Health Services for the Elderly  STAFFING  Community Mental Health Workers: 4  Community Support Workers: 2.5  Mental Health Resource Nurses: 5  Mental Health Proctors: casual/ as needed  Administration Support

10. Community Mental Health Services for the Elderly  COLLABORATIVE PARTNERS  Family physicians  Psychiatrists  Home Care  Public Health  Mental Health  Hospitals  Senior Center  Manitoba Housing

11. Community Mental Health Services for the Elderly  COLLABORATIVE PARTNERS (cont.)  RCMP  Lawyers  Other professionals  Clergy  Family members  Community members  Public trustee of Manitoba  Drop in centers

12. Community Mental Health Services for the Elderly  COLLABORATIVE PARTNERS (CONT.)  Alzheimer’s Society  Self – Help Groups (ADAM, MSS, MDAM, AFM,MBIA)  CNIB  Congregate Meal Programs/Meals on Wheels  Financial Institutions

13. Community Mental Health Services for the Elderly  CHALLENGES  Population trend in the Parkland  Culture  Travel  Staffing  Educational opportunities  Need for collaboration & creativity

14. Mental Health Resource Nurse  MHRN IN THE PERSONAL CARE HOME  5 full time MHRN positions  4 regions within the Parkland  11 Personal Care Homes  544 Personal Care Home beds

15. Mental Health Resource Nurse  EDUCATIONAL REQUIREMENTS  Psychiatric Nursing Education diploma  Bachelor of Science in Mental Health or Bachelor of Science in Psychiatric Nursing.  Registered Nurse or Bachelor of Nursing with additional formal Mental Health training.

16. Mental Health Resource Nurse  ROLE & RESPONSIBILITY  Member of multidisciplinary team.  Liaison between the Personal Care Home and external service agencies.  Case manager for Public Trustee clients living in the Care Home.  Education to residents, family and staff regarding mental health and psychosocial issues.

17. Mental Health Resource Nurse  ROLE & RESPONSIBILITY (cont.)  Resident assessment and treatment recommendations.  Direct intervention and counseling  Policy development, implementation, administration and evaluation.  Family support.  Committee involvement.

18. Resources Doupe, Malcom. et. al (October 2006.) Using Administrative Data to Develop Indicators of Quality Care in Personal Care Homes. Manitoba Centre for Health Policy. Faculty of Medicine, University of Manitoba. Martens, Patricia. et. al. (September 2004) Patterns of Regional Mental Illness Disorder Diagnosis and Services Used in Manitoba: A Population-Based Study. Manitoba Centre for Health Policy. University of Manitoba. Parkland Regional Health Authority Annual Report 2005/2006.