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Building Consultation Teams

Building Consultation Teams. Lisa Manuel, PhD Family Service Toronto National Elder Abuse Conference November 4, 2009. Goals of Presentation. Review development of consultation team Ensuring success Overview of FST team process Addressing confidentiality and privacy issues

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Building Consultation Teams

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  1. Building Consultation Teams Lisa Manuel, PhD Family Service Toronto National Elder Abuse Conference November 4, 2009

  2. Goals of Presentation • Review development of consultation team • Ensuring success • Overview of FST team process • Addressing confidentiality and privacy issues • Key challenges • Key outcomes and celebrations • Talk, discuss, network

  3. History • 1997 – First meeting in Toronto to explore concept • 1998 – 1999 – Grant applications • 2000 – Development work funded internally • 2001 – Orientation meeting • 2002 – First consultation meeting • 2009 – Seventh consecutive year

  4. Development Process • Research in other jurisdictions • Survey of organizations • Development of policy manual • Focus groups • Invitations to join team

  5. Ensuring Success • One identified lead organization and person • Highly supportive organization • Committed team members/ambassadors • Goals and principles agreed to and followed • Defined intake process • Clear ground rules about who participates • Confidentiality and privacy issues respected

  6. Ensuring Success cont’d • Ongoing updates to community • Quick turn around with respect to requests for consultation • Respected leaders as members • Voices of survivors and senior volunteers • Widespread and ongoing publicity • Support for follow-up

  7. Mission of EACT To consult on cases involving the abuse of older adults in order to suggest options to improve their life situations.

  8. Goals of EACT • Provide a forum for people working with older adults experiencing abuse to consult on situtions they are working with • Provide support between meetings • Develop statistical profiles • Report on activities to stakeholders • Track results of suggested options to develop evidence-based outcomes

  9. Key Principles • Confidentiality • Anonymity • Self-determination • Maximization of options • Least intrusive alternative • Involvement of abused older adult in carrying out suggested • Cultural sensitivity

  10. Alzheimer Society Assistant Crown Attorney CCAC (Home Care) Community based social work/community support agency Hospital based social worker with geriatric expertise Housing Mental health and addictions Psycho-geriatrician Senior Volunteers Student Interns Survivors Victim Services Violence Against Women sector Membership

  11. Commitment • Letter of understanding • Available three hours per months plus travel • Monthly schedule • Signatures • Consultation in between meetings • Confidentiality

  12. Types of Cases Reviewed • Complex • Multiple types of abuse occurring • Ethical dilemma • Specialized expertise required • Refusal of service • Cases at any point of engagement

  13. Who utilizes the team? • Two possible ways to focus team • Team members only • Open to team and community

  14. Intake Form • One page overview • Strategies attempted to date and outcome • Kind of advice requested from team • Demographic information

  15. Structure of Case Presentations • Introductions • Ground rules • Brief overview • Clarifying questions • Suggested options • Follow up

  16. Role of Team Leader • Coordination of meetings • Recruitment of team members • Securing cases for review • Screening for conflict of interest • Minute taking • Community resource • Evaluation • Developing educational sessions

  17. Role of Team Members • Confidentiality • Best interest of client • Interim consultations • Commitment to team • Ambassadors in community • Provide advice

  18. Working with Privacy Issues • No names • Identifying information changed • Reviewing ground rules • Confidentiality vs. privacy • Knowing the legislation

  19. Consultations Newsletters Educational sessions Best practice manual Conference presentations Partnerships Research Student training Senior Moments Project Highly valued by members and presenters Key Outcomes

  20. Challenges • Case finding • Advocacy problematic for some members • Lack of funding • Multiple networks • Varying understandings of privacy issues

  21. Celebrations • 100+ consultations to date • Three newsletters • Best Practice Manual • Grant to work across sectors • Pat’s Place developed • Multiple conference presentations

  22. Celebrations cont’d • Resource to other communities • Student training (international and local) • Robust data set • Information sheet for Provincial government on safety planning • “Go to” forum • Team cohesion and commitment in an exeptionally busy world

  23. Contact Information - NEW Lisa Manuel Director, Changing Lives and Family Violence Program Family Service Toronto 416 595 4049 lisama@familyservicetoronto.org www.familyservicetoronto.org

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