Best Practices - Treatment and Rehabilitation for Seniors with Substance Use Problems
5. Inventory of Specialized Programs (continued)
Program Name: Seniors Well Aware Program (SWAP)
Address:
411 Dunsmuir Street, 3 rd Floor
Vancouver, British Columbia V6B 1X4
Phone:
(604) 987-7927
Fax:
(604) 669-8294
Contact Person:
Denise Bradshaw
Website:  www.vch.ca/swap/
Organisation:
Non-profit
Treatment Orientation:
None specified
Geographic Area Served:
Vancouver, Burnaby, New Westminster
Referral Sources:
Open
Inclusion Criteria for Service:
Age 55 and over
Exclusion Criteria for Service:
None specified
Profile of Clients Served:
Average age: 73
Predominant substance(s): alcohol, benzodiazepines, over-the- counter drugs
Gender ratio: M/F 60/40
Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment. (In facility and via outreach)
Individual therapy. (In facility)
Withdrawal Management (detox) (In facility and via outreach)
Individual counselling. (In facility and via outreach)
Family support (Via outreach)
Education (In facility and via outreach)
Support groups - clinician facilitated; peer facilitated
Aftercare/maintenance: contact client at intervals
Theatre group
Social events
Associated Program Supports:
Supportive housing
Transportation
Medical care
Residential care
Number of Full Time Equivalent Staff: Not specified
Management: 1.0
Clinician/therapist: 1.0
Physician: 2.0 sessional
Nurse/nurse practitioner: 2.6
Social workers: Not specified
Background or Experience of Specialist for Seniors with Substance Use Problems:
Not specified
Specialized Training for Staff:
Peer education
Seminars/video conference
Informal or on-the-job training
Consultation with outside experts
Specific training areas: geriatric medicine, geriatric mental health,
community development.
Key Resources:
Alcohol Use Does Not Stop at Your Door; Barriers to Treatment for Older Adults
Other Services Referred to:
Variety of services
Key Partnerships:
Simon Fraser University - Gerontology Department
Vancouver Coastal Health Authority: Community Health Services
Fraser Health Authority: Geriatric Mental Health
BC Housing Health Services Program
Senior's community centres
Approximate Cost to Run Program:
Not specified
Ongoing Monitoring or Evaluation Activities:
Not specified
Reports or Evaluations:
Not specified
Program Name: Victoria Innovative Seniors' Treatment and Assessment Program (VISTA)
Address:
2828 Nanaimo Street
Victoria, British Columbia V8T 4W9
Phone:
(250) 953-3966
Fax:
(250) 356-9342
Contact Person:
Heather Cook, Manager Geriatric Psychiatry Programs
Organization:
Government: Regional Health Authority
Treatment Orientation:
VISTA believes that physical, psychological, behavioural, environmental and spiritual factors interact in the experience of wellness. They recognise this to be particularly true for older people who may be caught in a web of age-related concerns which include the misuse of alcohol and/or prescription drugs, and elder abuse/neglect issues. VISTA supports a variety of therapeutic approaches that value individual differences, personal responsibility, and self-determination. Its objective is to work in partnership with other agencies to provide integrated services designed to meet the unique needs of seniors.
Geographic Area Served:
Victoria and surrounding region
Referral Sources:
Referral can be made by anyone, including family, individual, agencies, physicians.
Inclusion Criteria for Service:
Seniors with an addiction issue, over the age of 55 who require an outreach service.
Exclusion Criteria for Service:
Under age 55
Profile of Clients Served:
Average age: 73
Predominant substance(s): alcohol
Gender ratio: M/F 44/56
Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment (Via outreach)
Withdrawal management (detox) (Via outreach)
Individual therapy (Via outreach)
Group therapy
Education (Via outreach)
Support groups - clinician facilitated; peer facilitated
Aftercare/maintenance: contact client at intervals
Associated Program Supports:
Residential care
Number of Full Time Equivalent Staff: 11
Management: 1
Administrative/support staff: 1
Clinician/therapist: 7
Physician/geriatrician: 1
Nurse; nurse practitioner: 1
Outreach workers - all clinicians, the nurse, and the physician (when
required).
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
Training in the use of assessment instruments
Key Resources:
Educational resources developed for Seniors groups and other health care providers.
Other Services Referred to:
In-patient geriatric psychiatry programs, long term care, home support services, elderly outreach, Cool Aid, and day programs.
Key Partnerships:
Sponsors: Victoria Gerontology Association, Capital Health Region seniors health programs
Funding: Ministry of Health Continuing Care Programs, Capital Health Region
Community Partners: Capital Health Region, primary and community care programs, long term care, home nursing care, community rehabilitation, nutrition, quick response team, hospital liaison, acute care hospital staff, residential care facilities, home support agencies, Elderly Outreach Service, Oak Bay Lodge, Veterans Affairs Canada, Capital Region Housing, senior peer counsellors, Silver Threads Service.
Approximate Cost to Run Program:
$430 000 per annum
Ongoing Monitoring or Evaluation Activities:
No formalized ongoing evaluative mechanisms
Reports or Evaluations:
None completed
Program Name: Substance Abuse in Later Life (SAILL)
Address:
Rockyview General Hospital
Seniors Health Acute Care Outpatient Department
7007-14th Street S.W., Calgary, Alberta T2V 1P9
Phone:
(403) 541-3441
Fax:
(403) 212-1230
Contact People:
Christine Saltuklaroglu; Linda Hutchings; Heather McHugh
Organization:
Government
Treatment Orientation:
The SAILL program's mission is to provide flexible treatment approaches designed to reduce the effects of later life substance abuse and improve mental, physical, social and spiritual quality of life. To achieve this mission, a philosophy of harm reduction is adopted which emphasises a goal of complete abstinence but also focuses of efforts to reduce substance misuse and minimise damaging effects whenever abstinence is not achieved.
Geographic Area Served:
Calgary Health Region
Referral Sources:
SAILL may receive referrals from families, home care workers, other physicians, in-patient referrals from Rockyview General Hospital or other hospitals, community agencies, social workers. Each referral must ultimately be accompanied by a referral from the family physician.
Inclusion Criteria for Service:
Age 60 and over with substance use problems.
Exclusion Criteria for Service:
No one who is in a long term care facility or who has a moderate-severe dementia problem, and no one with a severe hearing loss.
Profile of Clients Served:
Average age: 74 or 75
Predominant substance(s): 90% alcohol, some prescription drugs
Gender ratio: M/F 35/65
Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment (In facility and via outreach)
Individual therapy (In facility and via outreach)
Group therapy (In facility)
Family therapy (In facility)
Education. (In facility and via outreach)
Aftercare/maintenance: contact client at intervals and offer a
social monthly support luncheon for former and new clients
Associated Program Supports:
Medical care
Number of Full Time Equivalent Staff: 1.5 until March of 2002
Clinician/therapist: 1.5 until March 2002
Psychologist: accessible if needed
Psychiatrist: accessible if needed
Physician: 1 is accessible
Nurse; nurse practitioner: 0.2 (included in clinicians, above)
Background or Experience of Specialist for Seniors with Substance Use Problems:
All have been to in-services and education sessions (.2 RN; .5 Masters
in Social Work; .8 Recreational Therapists)
Training Opportunities for Staff:
Peer education
Informal or on-the-job training
Consultation with outside experts
Key Resources:
Practising Harm Reduction Psychotherapy (by Patt Denning);
Changing for Good (by Prochaska); Behavioural Couples Therapy for Alcoholism (by Rotunda & O'Farrell)
Alcohol Use Disorders Identification Test; Michigan Alcoholism Screening Test - Geriatric Version; Several handouts, exercises and videos through our educational group component.
Other Services Referred to:
Alberta Alcohol & Drug Abuse Commission, Alcoholics Anonymous, facilities with programs for detoxification.
Key Partnerships:
Older Persons and Alcohol List (OPAAL) network, Alberta Alcohol and Drug Abuse Commission, Calgary Health Region seniors health geriatric consultation, and mental health services.
Approximate Cost to Run Program:
Not specified
Ongoing Monitoring or Evaluation Activities:
Not specified
Reports or Evaluations:
Not specified
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