Best Practices - Treatment and Rehabilitation for Seniors with Substance Use Problems

5. Inventory of Specialized Programs (continued)

Program Name: Substance Use Management, Intervention and Treatment (SUMIT)

Address:

Seven Oaks General Hospital
2300 McPhillips Street
Winnipeg, Manitoba R2V 3M3

Phone:

(204) 632-3106

Fax:

(204) 632-8896

Contact People:

Maureen Boyce; Jill Overwater

Website: www.sogh.winnipeg.mb.ca/rehab.html

Organization:

Government

Treatment Orientation:

An accessible program for people who are experiencing difficulty with their use of alcohol or other drugs, including prescription medications. SUMIT works to meet the needs of those people who have suffered as a result of chemical misuse. The program also tries to meet the needs of family and friends of these individuals.

Geographic Area Served:

Seven Oaks General Hospital community in North Winnipeg.

Referral Sources:

Family physicians, home care workers, families and individuals themselves, Addiction Foundation of Manitoba.

Inclusion Criteria for Service:

Age 55 and over and be willing to work toward abstinence or toward setting a goal of decreasing use of alcohol or other drugs over time.

Exclusion Criteria for Service:

Age 54 and under, and those outside the hospital catchment area.

Profile of Clients Served:

Average age: range 55 to 80

Predominant substance(s): alcohol, prescription drugs

Gender ratio: M/F 14/8

Treatment Interventions:

Case management

Assessment (In facility)
Withdrawal management (detox) (In facility)
Individual therapy (In facility)
Group therapy (In facility)
Education (In facility and via outreach)
Support groups - clinician facilitated
Support groups - peer facilitated
Aftercare/maintenance: contact client at intervals

Associated Program Supports:

Transportation

Number of Full Time Equivalent Staff: 0.1

Cinician/therapist: 0.1

Nurse; nurse practitioner: 0.1 (included in clinicians, above)

Background or Experience of Specialist for Seniors with Substance Use Problems:

Not specified

Training Opportunities for Staff:

Peer education
Seminars/video conference
Informal or on-the-job training
Consultation with outside experts
Specific training areas: e.g., courses at the Addiction Foundation of Manitoba

Key Resources:

Program pamphlet developed by staff

Other Services Referred to:

Addiction Foundation of Manitoba's Christy House Family Program; the Chemical Withdrawal Unit at the Health Science Centre.

Key Partnerships:

Seniors gambling consultant at the Addiction Foundation of Manitoba, triage nurse at Chemical Withdrawal Unit, the national health project "Seeking Solutions" network.

Approximate Cost to Run Program:

No program budget, staff are paid by another budget.

Ongoing Monitoring or Evaluation Activities:

None

Reports or Evaluations:

None available

Program Name: Community Outreach Program in Addictions (COPA)

Address:

27 Roncesvalles Ave, Suite 407
Toronto, Ontario M6R 3B2

Phone:

(416) 516-2982

Fax:

(416) 516-2984

Contact Person:

Eileen M^cKee

Organization:

Non-profit

Treatment Orientation:

A community-based organization helping older persons and others in their community address alcohol and other drug problems through innovative and non-judgmental outreach programs.

Geographic Area Served:

Toronto

Referral Sources:

Public health, community care access centres, hospitals, victim services, court system, mental health courts, family, community services and agencies, general practitioner, nurses, care coordinators, subsidized senior housing, seniors' residences, taxis, police, probation and parole.

Inclusion Criteria for Service:
Age 55 or older, living between Humber River and Bathurst, south of
Bloor, or able to get to one of COPA's four satellite offices.

Exclusion Criteria for Service:
Age 54 and under, or if they constitute a risk of violence.

Profile of Clients Served:
Average age: not specified
Predominant substance(s): alcohol, prescription medications
Gender ratio: M/F 2/1

Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment (Via outreach)
Individual therapy (Via outreach)
Group therapy (Via outreach)
Family therapy (In facility)
Education (Via outreach)
Support groups - clinician facilitated
Aftercare/maintenance: contact client at intervals

Associated Program Supports:

Transportation assistance

Number of Full Time Equivalent Staff: 5.0
Management: 1
Administrative/support staff: 1
Outreach workers: 3

Background or Experience of Specialist for Seniors with Substance Use Problems:

Outreach workers are trained in gerontology, community work, addictions.

Training Opportunities for Staff:

Peer education
Seminars/video conference
Informal or on-the-job training
Specific training areas: e.g., brief intervention, elder abuse
Motivational interviewing
Counselling skills

Key Resources:

"Alternatives" package

Other Services Referred to:

Senior services that are in their area: Meals on Wheels, day hospital, community care access centres, regional geriatric program for psychiatric assessments in their home, physiotherapy, occupational therapy, any service that does home visits.

Key Partnerships:

Addiction Services, home visiting services, community and medical services, gerontology services.

Approximate Cost to Run Program:

Not specified

Ongoing Monitoring or Evaluation Activities:

Not specified

Reports or Evaluations:

Not specified

Program Name: Lifestyle Enrichment for Senior Adults (LESA)

Address:

Centretown Community Health Centre
420 Cooper Street
Ottawa, Ontario K2P 2N6

Phone:

(613) 233-5430

Fax:

(613) 233-2062

Contact Person:

Betty MacGregor

Organization:

Non-profit

Treatment Orientation:

Holistic, client-centred, harm reduction approach

Geographic Area Served:

Ottawa region

Referral Sources:

45% health care providers, 25% self and family, 20% other addiction agencies, 10% other

Inclusion Criteria for Service:

Age 55 and over

Exclusion Criteria for Service:

Age 54 and under

Profile of Clients Served:

Average age: range 55 to 96

Predominant substance(s): alcohol, prescription drugs

Gender ratio: M/F 50/50

Treatment Interventions:

Case management
Multidisciplinary case conferencing
Assessment (In facility and via outreach)
Withdrawal management (detox) (Via outreach)
Individual therapy (In facility and via outreach)
Group therapy (In facility and via outreach)
Family therapy (In facility and via outreach)
Education (In facility and via outreach)
Aftercare/maintenance: contact client at intervals
Social/recreational outings

Associated Program Supports:
Transportation

Number of Full Time Equivalent Staff: 5
Management: 1
Administrative/support staff: 1
Clinician/therapist: 3
Nurse; nurse practitioner: 1 of the 3 clinicians
Outreach workers: 3 of the 3 clinicians

Background or Experience of Specialist for Seniors with Substance Use Problems:
Nursing. Masters in Counselling. Masters in Social Work.

Training Opportunities for Staff:
Peer education
Seminars/video conference
Informal or on-the-job training
Consultation with outside experts
Workshops on care for the caregiver, on case management, and CPR
training, also on concurrent disorders, geriatric nursing,
violence/abuse.

Key Resources:

Two documents developed by Lifestyle Enrichment for Senior Adults, Community Outreach Program in Addictions, and Centre for Addiction and Mental Health called "Alternatives" and "Choosing to Change". Also a research paper called "The Client Speaks" developed by Lifestyle Enrichment for Senior Adults and Centre for Addiction and Mental Health.

Other Services Referred to:

Other addiction agencies and geriatric services

Key Partnerships:

Psychogeriatric services, regional geriatric services, Council on Aging, Centre for Addiction and Mental Health, Health Department of Ottawa, other community health centres, hospitals, addiction agencies, community care access centres, Canadian Mental Health Association, seniors' residences, long-term care facilities.

Approximate Cost to Run Program:
$300 006

Ongoing Monitoring or Evaluation Activities:

Working with University of Ottawa to develop user-friendly tools to capture changes such as quality of life (emotional changes), isolation/loneliness, as well as "harms reduced" and the client's readiness to change.

Reports or Evaluations:

"Participatory Research on Innovative Addictions Treatment for Older Adults: Clients of the LESA Program Describe What Makes a Difference" by P. West and K. Graham; and "A Harm Reduction Approach to Treating Older Adults: The Clients Speak" by K. Graham, P. J. Brett, and J. Baron.