C-SMHAS Service Definitions

This section contains the service definitions developed for the Community SMHAS Project to foster a common understanding / language for service providers across the continuum of mental health and addiction care for seniors, aged 65 and over, living in the Toronto Central LHIN community.

Specialized Psychogeriatric Services

Services that complement / support these specialized pyschogeriatric services

 


Definitions of Specialized Psychogeriatric Services

Crisis Services

Crisis Services for seniors with mental health and addiction issues provide responses 24/7 to clients, who are in a crisis situation and require immediate attention, by assessing their needs and providing short-term intervention. These crisis services may also include linking clients to: community support services (e.g., meals on wheels, day program, friendly visits, etc.); and/or, ongoing specialized psychogeriatric services.

Specialized Case Management

Specialized Case Management for seniors with mental health and/or addiction (MHA) issues is a comprehensive, complex, intensive and frequent service that involves building a trusting relationship with the client/family/network to provide on-going support to help the client function in the least restrictive, most natural environment to achieve an improved quality of life.  The specialized MHA Case Manager for seniors maintains involvement as client needs change and has a direct link with specialized psychogeriatric, addiction, and community support services.  Specific functions may include, but are not limited to:

  • Assessment, planning and goal setting
  • Direct service provision/intervention
  • Monitoring and follow-up
  • Liaison, advocacy, consultation
  • Linking to other resources based on the client’s needs
  • Collaboration with community agencies
  • Support for clients and their families/caregivers

Specialized Outpatient Services

Specialized Outpatient Services for seniors with mental health and addiction issues are usually provided by an interprofessional team with specialized training and skills. This team provides community psychogeriatric and/or addiction services to clients and their families/network in an outpatient clinic – services may include, but are not limited to:

  • Assessment
  • Consultation
  • Treatment
  • Case management
  • Education
  • Client advocacy
  • Linking clients to other services

Specialized Outreach Services

Specialized Outreach Services for seniors with mental health and addiction issues are usually provided by an interprofessional team with specialized training and skills. This team provides community psychogeriatric and/or addiction services to clients living at home in the community, and to their families/network. Such client in-home services may include, but are not limited to:

  • Assessment
  • Consultation
  • Treatment
  • Case management
  • Education
  • Client advocacy
  • Linking clients to other services

 


Definitions of services that complement / support these specialized pyschogeriatric services

Community Support Services

The many types of Community Support Services provided for seniors 65+ with mental health and addiction issues include, but are not limited to:

  • Intervention and assistance services/non-intensive case management
  • Support and counseling
  • Adult day programs (both for frail elderly and people with dementia)
  • Recreational programs
  • Meals on wheels/congregate dining
  • Friendly visiting
  • Transportation
  • Volunteer services
  • Caregiver support services
  • Respite services
  • Peer support services
  • Home support services

Supportive Housing

Supportive Housing provides flexible services and supports in congregate or individual accommodation, which can meet the wide range of needs for seniors with mental health and addiction issues.  These services and supports may include, but are not limited to:

  • Individualized assessment, planning and a choice of service options
  • Assistance with activities of daily living (ADL) and instrumental activities of daily living (IADLs)
  • Coordination and support
  • Monitoring services
  • Services during night or emergency response services
  • Linking clients to community resources
  • Peer support