Champlain

THE RESPITE AND RELIEF PROGRAM

Creating a Circle of Care

Kim Peterson, Champlain CCAC Vice President, Clinical Care Manon Desjardins, Champlain CCAC Care Coordinator

Carol-Lynn Page, Champlain CCAC Care Coordinator Lead

Champlain

BRIEF HISTORY… Beginnings

Initiated in 2008, implemented in April 2009

Region: Eastern Counties, Ontario

Partnerships

Funders:

Ministry of Health and Long Term Care –Champlain Local Health Integrated Network (LHIN)

Collaborative Team:

Alzheimer Society

Canadian Mental Health Association (Apr ‘08 – Mar ‘11)

Tri-County Mental Health

Champlain Community Care Access Centre (Administrator)

Champlain

Champlain CCAC Territory

Champlain

PROGRAM INITIATIVE

Our Vision:

Empower caregivers to self-direct their respite needs.

Our Approach:

Elder Mediation

Specialized Education

Our Goals:

To create a circle of care

Prevent premature admission to LTCF (Dementia client)

Prevent hospital visits and or admission (Caregiver)

Champlain

ELIGIBILITY CRITERIA Client:

Has valid Ontario Health Insurance

Resides within Stormont, Dundas, Glengarry, and Prescott, Russell or Akwesasne

Ottawa area (July 2013)

Caregiver:

Cares for a person with Alzheimer disease or a related dementia at home or in a retirement home

Receives standard orientation by referring agency

Willingness to journey with the mediator towards the creation of a circle of care

Champlain

Flow Chart

Champlain

ROLE OF THE MEDIATOR

Builds a relationship of trust with the families to unite a caregiver’s support network into a common position while addressing conflict issues as they present.

Builds partnerships, collaborates with Care Coordinators and community partners

Creates a circle of Care:

Helps prevent Caregiver burnout

Decrease admission to LTC Facilities (dementia clients)

Delays admission to LTC Facilities (dementia clients)

Champlain

MEDIATOR: KEY FUNCTIONS

Abides by the Elder Mediation Code of Ethics

Resolves issues before a crisis situation occurs

Utilizes focused conversation and mediation skills pro-actively to achieve goals.

Acts as a neutral, impartial third party and fosters links between caregiver, client, circle of care, and CCAC.

Assists parties in exploring issues resulting from a diagnosis of dementia.

Helps people in preserving and/or restoring their relationship.

Empowers the Senior to remain in their home.

Champlain

Education Level I- 40 Hour Course:

Basic Mediation

Conflict Resolution

Level II – 40 Hour Course:

Advanced Mediation

Conflict Resolution

Level III – Practicum- 10 Day Course:

Mediation role play of actual cases

Champlain

Acquired Skills

Self-reflection: becoming aware of my own feelings,

how I communicate, how I listen to others and how I ask

questions.

Difficult Conversations: my approach is more

confident and non-judgmental as I empower families to help

themselves.

Power: its role and how to shift the balance of power.

Champlain

Acquired Skills

Shifting Gears: instead of providing “the fix” for

families, I assist them to articulate their hopes and fears and

shift their focus towards working together to explore options

for the elder.

Conflict: becoming aware of my own conflict style,

helping me shift my attitude, giving me tools to work with

when conflict presents itself.

Champlain

PROGRAM INDICATORS

09/10 Projected

09/10 Actual

10/11 Projected

10/11 Actual

11/12 Projected

11/12 YTD

12/13 Projected

12/13 YTD

0

20

40

60

80

100

120

140

160

180

09/10 Projected 09/10 Actual 10/11 Projected 10/11 Actual 11/12 Projected 11/12 YTD 12/13 Projected 12/13 YTD

Champlain

Length of time clients kept out of LTC

0

10

20

30

40

50

60

1 - 100 101 - 200 201 - 300 301 - 400 401 - 500 501 - 600 601-700 701-800 801-900 901-1000 1001+

# of Clients

Champlain

WHAT HAVE WE LEARNED?

Invites Caregivers to become engaged in the process of identifying their needs and taking charge of their life direction.

Elicits collaborative communication to ensure clarity and consistency in the output of messages to all parties.

Responds to the needs of families by creating a unique care plan that increases informal support while preserving relationships.

Respects the Seniors’ wish to remain at home.

Champlain

Creation of Community of Practice

Desire to share knowledge and experience

To stay connected

To create solutions

To develop and maintain competency

Peer Networking

To create a forum for open minded thinking

Champlain

Community of Practice Quotes

“The training has opened up a new way of thinking and experiencing life…both at work and at home.”

Brenda O’Brien

“Conflict is neither bad nor good, but how the conflict is handled is what matters”

Cheryl A. Picard

Champlain

QUESTIONS?