ADMINISTRATIVE REPORT TO: Vancouver City Council Date: June 1, 1995 CC16-95 FROM: Director of Continuing Care SUBJECT: Enhanced Psychogeriatric Care Transfer Project RECOMMENDATION THAT Council approve the establishment of the following four (4) regular full time positions with costs 100% recoverable from the Ministry of Health, at an annual cost of $178,400: 3.0 FTE Community Health Nurses 1.0 FTE Clerk These positions are subject to job evaluation by the General Manager of Human Resources. GENERAL MANAGER'S COMMENTS The General Manager of Community Services RECOMMENDS approval of the foregoing. COUNCIL POLICY Council, on February 3, 1994, approved a motion that any recommendations for increased staff or enhanced programs be offset by corresponding spending reductions or by increases in non-taxation revenues, subject to Council discretion. Council, on September 13, 1994, approved the following recommendations: A. That Council approve the receipt of ongoing annual funding from the Ministry of Health Continuing Care Division under the Enhanced Psychogeriatric Care Transfer Project; 1994/95 funding is in the amount of $414,996. B. That Council approved the receipt of ongoing annual funding from the Ministry of Health Continuing Care Division under the Psychogeriatric Care Transfer Project on behalf of the City of Richmond; 1994/95 funding is in the amount of $75,000. C. That Council approve the establishment of the following permanent full time position, at no cost to the City: 1.0 FTE Project Coordinator Position. PURPOSE The purpose of this report is to seek Council's approval to establish four regular full time positions at no cost to the City to support the Enhanced Psychogeriatric Care Transfer Project. As noted, this is a coordinated training and education program for staff in care facilities who are providing care to residents with persistent and complex dysfunctional behaviours. BACKGROUND -2- In connection with the downsizing of the Riverview facility, the Ministry of Health initiated the transfer of funds to health departments for new geriatric mental health programs which will enhance the capacity of Continuing Care to provide care to the increasing number of geriatric clients with mental health problems. The Vancouver Health Department, in partnership with the Richmond Health Department, received a total of $489,996 in annualized funding to operate the Enhanced Psychogeriatric Care Transfer Project. A multi-agency advisory committee has been established. A Project Coordinator was hired in March 1995. A detailed needs assessment has been conducted. An inventory of relevant educational resources has been compiled. The framework for the educational program has been developed, along with the personnel requirements to support the project. DISCUSSION The goal of the project is to develop and provide an active, consistent and coordinated education and coaching program, delivered at different levels of sophistication for different groups of residential facility staff. The training will be on-site and developed in collaboration with Greater Vancouver Mental Health Services. Under the direction of the Project Coordinator, the Community Health Nurses will participate in the development of educational modules, and will deliver educational and coaching services to staff in care facilities. Their skill sets will include geriatric psychiatry, gerontology, teaching and counselling skills, skills in crisis prevention education, and multiculturalism. The Clerical position will provide clerical support to the project. SOCIAL IMPLICATIONS The Vancouver Health Department supports the need for better training and education of staff in care facilities to meet the needs of persons with persistent, dysfunctional behaviours. PERSONNEL IMPLICATIONS This proposal will involve establishing the following four (4) regular full-time positions at no cost to the City:: 3.0 FTE Community Health Nurses 1.0 FTE Clerk FINANCIAL IMPLICATIONS The project is fully funded under the Enhanced Psychogeriatric Care Transfer Project of the Ministry of Health. This is annualized funding. As with other Ministry of Health funded programs, an administration fee of 3% of personnel costs will apply. IMPLEMENTATION and COMMUNICATION The Health Department staff will continue to work closely with the Ministry of Health, Richmond Health Department, care facilities and the Greater Vancouver Mental Health Services to operate the project. A copy of this report is to be sent to the B.C.N.U. and V.M.R.E.U. -3- CONCLUSION Council should approve the proposal recommended by the Director of Continuing Care.