Best Practices - Treatment and Rehabilitation for Seniors with Substance Use Problems
5. Inventory of Specialized Programs (continued)
Program Name: Older Persons Unique Solutions (OPUS-55)
Address:
Centre for Addiction and Mental Health
33 Russell Street
Toronto, Ontario M5S 2S1
Phone:
(416) 595 6128
Fax:
(416) 595-6619
Contact Person:
None specified.
Organisation:
Non-profit.
Treatment Orientation:
OPUS 55 adopts a harm reduction philosophy and provides client centred care through an eclectic mix of narrative therapy, solution-focussed therapy, cognitive therapy, behavioural change therapy.
Geographic Area Served:
Toronto
Referral Sources:
Clients must self-refer. If there are barriers such as language or culture or hearing problems, referrals can be facilitated by other people. Other referring people (family, home care providers) are encouraged to help the client self-refer.
Inclusion Criteria for Service:
Age 55 and over, with a substance misuse problem.
Exclusion Criteria for Service:
Age 54 and under
Profile of Clients Served:
Average age: 69
Predominant substance(s): alcohol, prescription drugs
Gender ratio: M/F 1/2
Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment (In facility)
Individual therapy (In facility)
Group therapy (In facility)
Family therapy (In facility)
Education (In facility)
Associated Program Supports:
Supportive housing
Transportation Residential care
Other: Withdrawal management is offered by Centre for Addiction and Mental Health
Number of Full Time Equivalent Staff: 1.0
Management: 0.4
Clinician/therapist: 0.6
Background or Experience of Specialist for Seniors with Substance Use Problems:
Clinician is a registered nurse and a social service worker with training in narrative therapy, solution-focussed therapy, cognitive therapy, and substance misuse.
Training Opportunities for Staff:
Seminars/video conference
Specific training areas: e.g., education on gerontology, geriatric psychiatry, and on seniors with substance misuse problems.
Key Resources:
Choosing to Change (handbook)
Video "Small Steps" in progress
Website in progress
Other Services Referred to:
Other programs within Centre for Addiction and Mental Health. Staff may help clients access physicians.
Key Partnerships:
Riverdale Hospital, Community Outreach Program in Addictions, Project Advisory Committee for "Seeking Solutions: Canadian Community Action for Seniors and Alcohol Abuse.
Approximate Cost to Run Program:
Not specified
Ongoing Monitoring or Evaluation Activities:
Not specified
Reports or Evaluations:
Not specified
Program Name: St. Joseph's Care Group - Addiction Services - Older Adults Program
Address:
Sister Margaret Smith Centre
P.O. Box 3251, Station "P"
Thunder Bay, Ontario P7B 5G7
Phone:
(807) 343-2425
Fax:
(807) 343-9447
Contact Person:
Wendy Dolan
Organization:
Non-profit
Treatment Orientation:
Client-centred program that uses the harm reduction model. Clients choose their own goals, abstinence is not a necessary goal. The program pace is matched to the client, is skills-based and offers counselling.
Geographic Area Served:
Northwest Ontario region
Referral Sources:
Addiction assessment and referral network in Northern Ontario; physicians, self-referrals, agencies that have mandates to work with older adults.
Inclusion Criteria for Service:
That they be capable of functioning within the program. They should be an older adult, with older being defined by their presenting age rather than their chronological age.
Exclusion Criteria for Service:
A diagnosis of Korsakoff's syndrome or advanced dementia.
Profile of Clients Served:
Average age: mid 60s
Predominant substance(s): alcohol, prescription drugs
Gender ratio: In treatment: 50/50 In detox: more males than females.
Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment (In facility and via outreach)
Withdrawal management (detox) (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)
Support groups - clinician facilitated
Aftercare/maintenance: an ongoing, open ended group.
Associated Program Supports:
Transportation
Medical care
Residential care
Number of Full Time Equivalent Staff: 3
Clinician/therapist: 3
Physician: 1 once a week
Outreach workers: 3 of the 3 clinicians
Background or Experience of Specialist for Seniors with Substance Use Problems:
Courses in gerontology and training in the area of seniors with
substance use problems.
Training Opportunities for Staff:
Peer education
Seminars/video conference
Informal or on-the-job training
Consultation with outside experts
Specific training areas: Gerontology course via teleconference;
training on community development.
Key Resources:
Developed an education and early intervention program package; and developed a training package for caregivers.
Other Services Referred to:
Older adults aftercare program if they are from the city of Thunder Bay, otherwise any alcohol and drug counselling programs in their outlying community. A discharge summary is sent to the physician if staff have the client's permission.
Key Partnerships:
National health project: Seeking Solutions; any community agencies who work with client groups.
Approximate Cost to Run Program:
Not specified
Ongoing Monitoring or Evaluation Activities:
Not specified
Reports or Evaluations:
Not specified
Program Name: Groupe Harmonie
Address:
1801, boul. de Maisonneuve Ouest, Suite 500
Montreal, Quebec H3H 1J9
Phone:
(514) 939-2640
Fax:
(514) 934-3776
Contact Person:
Lise Thérien
Website:
 www.iquebec.ifrance.com/grharmonie/accueil.html
Organisation:
Non-profit
Treatment Orientation:
Come to the aid of people aged 55 and over, with medications,
alcohol, or other drugs use problems.
Geographic Area Served:
Downtown Montreal - CLSC Metro, St-Henri, Petite Bourgonne,
Pointe St Charles
Referral Sources:
Self referral, physicians, social workers, hospitals
Inclusion Criteria for Service:
Aged 55 and over, not diagnosed with serious medical condition.
Exclusion Criteria for Service:
No severe mental health problems or suicidal tendencies.
Profile of Clients Served:
Average age: 70 years old for women, 68 years old for
men (for in-home services)
59 years old for women and 62 years for
men in brief therapy
Predominant substance(s): Alcohol
Gender ratio: M/F 50/50
Treatment Interventions:
Case management
Multidisciplinary case conferencing
Assessment (In facility and via outreach)
Individual therapy (In facility and via outreach)
Family therapy (In facility and via outreach
Education (via outreach)
Aftercare/maintenance: contact client at intervals
Other: Offers consultation and education to professionals, and in-home support services to clients and their families.
Associated Program Supports:
None
Number of Full Time Equivalent Staff: 2
Administrative/support staff: 1
Clinician/therapist: 1 (same as above)
Background or Experience of Specialist for Seniors with Substance Use Problems:
Not specified
Training Opportunities for Staff:
Seminars/video conference
Key Resources:
None specified.
Other Services Referred To:
Rehabilitation centres, mental health, drop-in centres, local doctors of the "Centre locaux des services communautaires (CLSC)" in the region of the client.
Key Partnerships:
None specified
Approximate Cost to Ru Program:
Not specified
Ongoing Monitoring or Evaluation Activities:
Not specified
Reports or Evaluations:
Not specified
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