Guidelines for Comprehensive Mental Health Services for ...

Guidelines for Comprehensive Mental Health Services for Older Adults in Canada

PREPARED BY

Penny MacCourt, PhD, MSW, University of Victoria

Kimberley Wilson, PhD(c), MSW, Canadian Coalition for Seniors' Mental Health

Marie-France Tourigny-Rivard, MD, FRCPC, Chair, Seniors Advisory Committee Mental Health Commission of Canada

For the Seniors Advisory Committee, Mental Health Commission of Canada, June 2011

MEMBERS OF THE SENIORS ADVISORY COMMITTEE (APRIL 2011)

Marie-France Tourigny-Rivard MD (Chair)

Ken Le Clair MD

Scott Dudgeon MBA

Sharon Moore PhD

Beth Floyd RN

Nona Moscovitz MSW

Ken Hahlweg MD

Penny MacCourt PhD

Eric Hong MSW

Kimberley Wilson MSW

PROJECT ADVISORY COMMITTEE

Ken Le Clair MD David Conn MD Roger Bland MD Beth Floyd RN

Nona Moscovitz MSW Barbara Neuwelt PhD Sophie Sapergia MSW

ACKNOWLEDGEMENTS

This report was prepared by Penny MacCourt PhD, Kimberley Wilson PhD(c) and Marie-France Tourigny-Rivard, MD, with funding from Mental Health Commission of Canada.

CITATION INFORMATION

Suggested citation: MacCourt P., Wilson K., & Tourigny-Rivard M-F. (2011). Guidelines for Comprehensive Mental Health Services for Older Adults in Canada. Calgary, AB: Mental Health Commission of Canada. Retrieved from:

COPYRIGHT

? 2011 Mental Health Commission of Canada 10301 Southport Lane, SW, Calgary, Alberta, T2W 1S7 The views represented herein solely represent the views of the Mental Health Commission of Canada. Production of this document is made possible through a financial contribution from Health Canada.

Table of Contents

Guidelines for Comprehensive Mental Health Services for Older Adults in Canada

Foreword

Organization & Overview

Introduction

Purpose

14

Development of the Guidelines

15

Summary of Recommendations

PART I: Framing the Context

Guiding Values And Principles

27

Individual Level Principles & Values

27

System Level Principles & Values

28

Determinants of Mental Health in Later Life

30

Life Course and Determinants of Health

31

Mental Health Promotion

31

Building Healthy Public Policies

33

Creating Supportive Environments

34

Strengthening Community Action

34

Developing Personal Skills

35

Reorienting Health Services

35

7

11

13

Background

15

Mental Illness in Later Life

15

Prevalence of Mental Illnesses in Seniors

17

Using the Recovery Philosophy in Seniors' Mental

Health

21

22

25

Prevention and Early of Identification of

Mental Health Problems and Illnesses

36

Preventing Mental Health Problems

36

Early Identification of Mental Illnesses

37

Preventing Depression and Anxiety

37

Preventing Suicide

39

Reducing Substance Use

40

Preventing Dementia

40

Preventing Delirium

41

MHCC Seniors Guidelines Table of Contents Page 4

PART II: An Integrated Service Model for Mental Health Services in Later Life

43

Service Delivery Models

44

Medical Home Model in Primary Care

44

Models of Care for Specialized

Mental Health Services

45

Integrated Models of Community Care

46

A Proposed Canadian Service Model for

Mental Health Service in Later Life

46

Core Components of an Integrated Mental

Health Service System for Older Adults

47

Community Based Services and Programs

50

Primary Care: Front Line Services for Seniors

52

General Mental Health Services

55

Specialized Seniors' Mental Health Services

57

Staffing Benchmarks for Specialized

Seniors Mental Health Services

64

Proposed Canadian Benchmarks

67

Applying the Benchmarks

68

PART III: Facilitators of a Comprehensive Mental Health Service System

71

Academic Centres

72

Support for Service Providers

79

Cultural Safety Diversity Caregivers as Vital Partners in Care

73

Intersectoral Partnerships and Collaborations 82

74

Collaborative or Shared Care

83

Use of Technology

84

76

Application of Knowledge and Evidence

85

Conclusion

87

References

88

MHCC Seniors Guidelines Table of Contents Page 5

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