Specialized Geriatric Services
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1 Specialized Geriatric Services Toronto and surrounding area Frail seniors with complex health problems have unique needs and present specific challenges for accurate diagnosis and assessment. The goal of specialized geriatric services is to reduce the burden of disability by detecting and treating reversible conditions and recommending optimal management of chronic conditions. Referrals can be made to a specialized geriatric service for frail elderly persons whose health, dignity and independence are at risk due to: multiple and complex medical and psycho-social problems a recent unexplained breakdown in health and/or level of function (or high risk for such breakdown) risk of losing the capacity for independent living Updated: March 2011 Better health outcomes for frail seniors
2 OUTREACH Comprehensive assessments in the older person s home or long-term care facility are conducted by one or two health care professionals in geriatric medicine, nursing, social work, physiotherapy, occupational therapy and/or speech language pathology. Other health professionals may be involved if needed. OUTPATIENT GERIATRIC SERVICES Clinics are used to assess, treat and monitor elderly persons who can travel to the hospital. Some persons receiving RGP Visits may have their first contact with a geriatrician in a clinic setting. ACUTE GERIATRIC UNITS Inpatient hospital units in an acute care setting for persons who require short-term diagnostic investigation and treatment. GERIATRIC REHABILITATION UNITS (GRU) Inpatient units for persons who require an individualized assessment and rehabilitation program for a period of one to three months. GERIATRIC ASSESSMENT AND TREATMENT UNITS (GATU) Inpatient units for persons with complex medical conditions who require an individualized assessment and rehabilitation program for a period of four to six weeks. INTERNAL CONSULTATION TEAMS Multi-disciplinary teams provide consultation and assessment of patients in the participating facilities. PSYCHOGERIATRIC SERVICES Geriatric psychiatrists provide assessment and treatment for those elderly persons who may have behavioural or psychosocial issues (i.e. depression, anxiety, psychosis, dementia). GERIATRIC DAY HOSPITALS These hospital-based ambulatory programs provide diagnostic, rehabilitative or therapeutic services to persons living at home or in a long-term care facility. Attendance is usually two days per week for several months. GERIATRIC EMERGENCY MANAGEMENT Consultation by a specialized geriatric health professional in the emergency room providing assessment, diagnosis, identification of at risk elderly, initiating appropriate treatment, and linkages with community and primary care. HOW TO MAKE A REFERRAL Call the hospital referral number (see list on following pages) for information on how to make a referral. The following diagnostic, treatment and rehabilitative services are provided on a consultative basis designed to support and enhance the work of family physicians and other attending health professionals.
3 TORONTO CENTRAL LHIN Baycrest GATU GRU Acute Care Transition Unit (ACT) Tel: Fax: Bridgepoint Health ALC (assessment & treatment unit) (Rehabilitation) Geriatric Rehabilitation Unit (slow stream) Tel: ext Fax: Mount Sinai Hospital Geriatric Outpatient Psychiatry Assessment and Treatment Program The Cyril & Dorothy, Joel & Bill Reitman Centre for Alzheimer s Support and Training Internal Geriatric Psychiatry Medical Surgical Consultation Liaison Service Tel: ext Wellness Centre for Chinese Elders Tel: ation Tel: ext Tel: ext Providence Healthcare GATU/GRU Tel: Fax: Sunnybrook Health Sciences Centre Falls Prevention Program Tel: Fax: Psychogeriatric Services Tel: Fax: St. Joseph s Health Centre Internal consult Inpatient transitional unit Elderly Community health services s (booking office) Tel: Fax: Tel: Fax: (Community Mental Health clinic fax) Tel: ext St. Michael s Hospital Acute Care of the Elderly (ACE) Unit Tel: Fax: Geriatric Mental Health Tel: ext Tel: ext Toronto East General Hospital Geriatric Clinic Tel: ext 6031 Fax: Tel: ext 6319 Fax: Toronto Grace Health Centre Complex Medical & Geriatric Unit Geriatrics/Frail elderly Ortho. Unit Transitional Care Unit Tel: ext. 230 Fax: Toronto Rehabilitation Institute Geriatric Medical Clinics Geriatric Psychiatry Clinic Psychogeriatric Tel: ext Fax: Geriatric Rehab. Unit Tel: ext 3038 Fax: Geriatric Psychiatry Unit Tel: ext 3041 Fax: University Health Network Toronto Western site Falls Prevention Program Tel: Memory Clinic Tel: Fax: Toronto General site Mood Disorders Module (outpatient clinic for late-life affective disorders) Tel: ext 6508 Fax: (General and Western sites) Women s College Hospital Wellness for Independent Seniors (WISE) outpatient clinic Tel: ext 8092 Fax: West Park Healthcare Centre Geriatric Functional Enhancement Service Tel: ext Fax: (Mental Health Consultant and Consulting Psychiatrist) Tel:
4 Humber River Regional Hospital Finch site Psychogeriatric Consultation Tel: Fax: Geriatric Service Tel: Fax: Tel: ext Fax: Church site Psychogeriatric Consultation Tel: Fax: Tel: Fax: Markham Stouffville Hospital Geriatric Tel: Fax: Falls Prevention Program (Clinic) Tel: CENTRAL LHIN North York General Hospital Geriatric Medicine & Geriatric Psychiatry clinics Geriatric Medicine & Geriatric Psychiatry outreach services Memory Clinics Parkinson Clinic Parkinson Education Program Geriatric ation Osteoporosis Program Acute Care of the Elderly Unit (ACE) Chiropody clinic Tel: ext 8060 Fax: Unionville Home Society Geriatric Services (based at Markhaven) Tel: Fax: York Central Hospital Tel: ext 3889 Fax: Tel: ext Southlake Regional Health Centre Complex Medical Rehab. Unit Tel: ext Fax: Geriatric Services Tel: ext Fax: CENTRAL EAST LHIN Rouge Valley Health System Centenary site Geriatric Assessment & Treatment Unit Tel: ext Fax: Geriatric Consultation Team Tel: ext Fax: Psychogeriatric Program Tel: ext5241 Fax: Tel: ext 4692 Fax: Ajax site Tel: ext CENTRAL EAST LHIN cont. The Scarborough Hospital Grace & General Sites Specialized Geriatric Clinic Tel: Fax: Psychogeriatric (Grace site) Acute Care for the Elderly Unit Tel: ext Lakeridge Health Corporation Whitby site Geriatric Assessment & Rehab. Unit Tel: ext 1615 Fax: Tel: ext Fax: Falls Clinic Tel: ext Fax: Oshawa site Geriatric Consultation Team Specialized Assessment of Frail Elderly (SAFE) Clinic (multi-site) Tel: ext Bowmanville and Port Perry sites Ontario Shores Centre for Mental- Health Services(formerly Whitby Mental Health Centre) Seniors Mental Health Program Seniors Mental Health Unit Seniors Memory Disorder Unit Seniors Community Program Tel: ext Memory Clinic (Whitby & York Region) Tel: ext Fax: Toll Free
5 MISSISSAUGA HALTON LHIN Trillium Health Centre Mississauga site Psychiatric Consultation Liaison Team (internal) Tel: ext 2289 Fax: Senior s Mental Health Inpatient Unit Tel: Fax: Senior s Health Team Tel: Tel: ext West Toronto site Seniors Mental Health Services (outpatient clinic and outreach) Tel: Fax: Continence Clinic Seniors Health Services (outpatient clinic and outreach Tel: Fax: NORTH SIMCOE MUSKOKA LHIN Royal Victoria Hospital Healthy Aging Clinic (Healthy Aging Support and Education Team HASE) Cognitive Assessment and Support Service (Clinic) Tel: Fax: Emergency Access Nurse Tel: ext The Credit Valley Hospital Geriatric Assessment Clinic Falls Clinic and Program Tel: ext Fax: Seniors and Rehabilitation Tel: Fax: Geriatric/General Rehabilitation Tel: Fax: Tel: Outpatient Mental Health, Geriatric Psychiatry Team Tel: Fax: Halton Geriatric Mental Health (Affiliated with St. Joseph s Healthcare, Hamilton) Tel: Fax: RGP ADMINISTRATIVE HEAD OFFICE: Sunnybrook Health Sciences Centre Tel: February 8, 2011
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