St. Joseph’s at Fleming

1. St. Joseph’s at Fleming Charitable Not for Profit Long Term Care Facility

3. Presenter Vicki Barrow Manager of Support Services Role: • Development & Implementation of support services for Residents • Admissions • Resident & Family Council • Auxiliary • Recreation/Therapy Services • Pastoral Care • Social Services • Community liaison

4. Presentation Overview • Organizational Background – Key Features • Demographics • Case Study – Developmentally Delayed • Case Study – Intellectually Challenged • Innovative Initiatives • On-going Challenges • Questions

5. Organizational Background – Key Features A unique partnership between: • Marycrest Home for the Aged • Anson House • Fleming College A model for future partnerships between Long-Term Care and Education

6. Organizational Background - Key Features • 8 Resident Home areas of 25 Residents • 146,000 square feet • Old fashion Town Square that is full of light and artwork • Greenhouse • Fully contained landscaped courtyards (Patios/balconies) • Private/semi/corner suite rooms wired for phone, cable and internet

7. Organizational Background - Key Features • A rich learning environment for staff and students that promotes learning & best practices in geriatric and long term care; • Fleming College’s Institute for Healthy Aging; • Fleming Nursery School located in the Home’s town square that aligns with our intergenerational philosophy of care;

10. Demographics 200 Residents: • Ages range from 36 to 105 • Frail elderly • Mentally ill • Dementia • Brain injury • Developmentally delayed (3 %) • Intellectually challenged (5 %)

11. Resident Profiles Supporting the needs and care of the developmentally delayed and intellectually challenged? The St. Joseph’s at Fleming Approach

12. Case Study – Age 36Developmentally Delayed Diagnosis • Downs syndrome • Congestive heart failure • Chronic renal failure • Benign hypertension/breathing

13. Case Study – Age 36Developmentally Delayed Complexity of care needs • Communication deficits • Physical fragility, Menses • Social and emotional fragility – ward of foster care, interactions with others • Behaviour management challenges • Safety and security

14. Case Study – Age 36Developmentally Delayed Interventions: • Community Living Partnership • Day Programs • Service coordination • Staff Education • Circle training • Complexity of care needs • Family Relationships • Support to foster family

15. Case Study – Age 61Intellectually Challenged Diagnosis • Personality disorder • Chronic Obstructive Pulmonary Disease (C.O.P.D.) • Obesity • Sleep apnea • Anxiety disorder • Osteoporosis

16. Case Study – Age 61Intellectually Challenged Key Issues • Inability to make healthy food choices • Inability to recognize inappropriate dress • Poor hygiene • Interactions with Residents • At risk with criminal justice services re- theft, ineffective coping mechanisms • Communication

17. Case Study – Age 61Intellectually Challenged Interventions: • Adult Protective Services Partnership • Money management • Monthly activity coordination • Groovy girls – Canadian Mental Health Association • Staff education • Understanding the mental health challenges, manipulative behaviour, limited intellectual abilities • Positive reinforcement programs for appropriate behaviour

19. Innovative Initiatives S.M.I.L.E Program Students Mentoring In Long term care Experience

20. Innovative Initiatives cont’d • Joint program between Fleming College and St. Joseph’s at Fleming whereby student obtain course credit for completing the SMILE experience • Research, develop and implement therapeutic program for developmentally delayed and intellectually challenged Residents

21. On-going Challenges • Lack of family involvement • Engagement of community agencies to augment LTC services • Personal finance management • Biases of staff, residents, and families • Duel diagnosis – e.g. dementia • Longer life span • Development and sustainability of appropriate programming for a small segment of the Home’s population

22. Questions