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.