1. Caring and Sharing: A Community of Practice for Seniors with Responsive Behaviours Mr. Robin Hurst RN BScN, CPMHN,GNC Ms. Karen Ray RN, MScN

2. Conflict of Interest Declaration I declare that I have no conflict(s) of interest that may have a direct bearing on the subject matter of the presentation

3. Overview Responsive Behaviours SHRTN Community of Practice Goals of CoP Knowledge Exchange methods Outcomes

4. Caring and Sharing A community of practice funded by MOH/LTC through Seniors Health Research Transfer Network

5. The purpose of the Seniors Health Research Transfer Network (SHRTN) is to improve the quality of health and health care of seniors in Ontario.

6. Seniors Health Research Transfer Network Seniors Health Research Transfer Network (SHRTN)— A government supported joint initiative convened to facilitate the sharing of knowledge about health care related to Ontario’s seniors. It envisages a future in which caregivers, researchers, and policy makers participate in knowledge exchange initiatives.

7. Knowledge and Exchange

8. Participating Organisations Baycrest Centre for Geriatric Care, The Aphasia Institute, Elisabeth Bruyère Research Institute (EBRI) Schlegel - UW Research Institute for Aging (RIA) Alzheimer Society of Ontario Saint Elizabeth Health Care

9. Community of Practice A place of Learning Learning engine of practice Practice history of learning Informal groupings of people Common interests Develop relationships (Social) Allow them to share expertise and Experiences

10. Community of practice for Seniors with responsive behaviours –Goals A website and online discussion forums for all participants Resources, supports and networks for participants A toolkit of literature, resources and care delivery methods for participants A sustainable community of practice to link participants

11. What are Responsive Behaviours Responsive behaviours have been described in the research (Cohen-Mansfield, 2000) Verbally non-aggressive (verbal complaints, constant requests for attention) Verbally aggressive behaviours (cursing, sexual content) Physically non-aggressive (pacing, undressing, handling objects ) Physically aggressive behaviours (spitting, hitting throwing objects, physical sexual advances and hurting self or others).

12. Web Site Public site for information Resources/ Links to educational events Sharing of Best Practices Ask the Expert Forum Private site Community of Practice

13. Web Site- wwwresponsivebehaviours.ca Responsive behaviour can be managed by different approaches. We have chosen the categories used by the National Guidelines for Seniors Mental Health 2006. LINKS: General Care Assessments Approaches to Care Treatments Research

14. Fireside Chats 90 minute presentations on a variety of topics Able to provide education Teleconferencing Visual Polling Discussions Reach a wide audience across the province

15. Educational programs P.I.E.C.E.S.- U-F.I.R.S.T. ™ Gentle Persuasive Approaches (GPA) Responsive Behaviours C-D ROM(MAREP) Montessori Approach to Dementia Care

16. Topics Admission process to long term care Ontario partnership for Aging and Developmental Disabilities National Seniors Mental Health Guidelines Change Theory Success stories On-line education

17. Example Seniors Mental Health Teams Requesting to have help with sharing knowledge Sharing role of teams Updating re educational Initiatives Private discussions re policies

18. New Development Seniors Mental Health Executive team Mtgs across the province Provided the opportunity for the development of a community of practice for Seniors mental health and behavioural issues

19. Progress Monthly Fireside chats up to 75-100 people across Ontario Joint sessions with other CoP example. Driving with Dementia Identification of Future Sessions Positive feedback

20. Face-to-Face Meetings Attending conferences has a number of advantages including gaining information and networking. To facilitate this information dissemination: Small symposium presentations will be utilized coupled with a webcast function to help send information to more remote areas Other innovative approaches will be used during the symposiums including workshops, networking, toolkit development and a Knowledge Marché

21. Outcomes –Increase awareness and knowledge about issues for seniors with responsive behaviours –Creation of linkages for all participants through websites, networks, etc. –Sharing of knowledge and expertise with all participants –Improved care and health outcomes for seniors with responsive behaviours and their caregivers

22. Contacts Mr. Robin Hurst RN, BScN, GNC, CPMHN Clinical Consultant for Seniors and Mental Health 905-968-6459 rhurst@saintelizabeth.com