The CAMH Healthy Aging Project

Improving our Response to Older Adults with Substance Use, Mental Health and Gambling Problems:A Guide for Supervisors, Managers and Clinical Staff

Contributing Authors

Kathy Baker, BA (Psych) BScN, RN, Psychogeriatric Resource Consultant, Providence Care Mental Health Services, Hastings and Prince Edward Counties
Holistic care
Jennifer Barr, BA, Project Leader, Program Consultant, Eastern Ontario Area, Provincial Services, Policy, Education & Health Promotion, CAMH
Diversity, depression
Daniel M. Blumberger, MD, Geriatric Psychiatry and Brain Stimulation, Fellow, Geriatric Mental Health Program, CAMH
Bipolar disorder
Bill Brown, RN, BEd, PhD, Staff Nurse, Adult Psychiatry, Providence Care Mental Health Services, Kingston
Psychosocial supports
Virginia Carver, PhD, Consultant
Medications
Peter Chen, HSC, CGC, BEd, Community Health and Education Specialist, Problem Gambling Project/Service, CAMH
Gambling
Michelle Donald, BSc, OT Reg. (Ont.), Professional Development Specialist, Preferred Health Care Services, Markham
Mental health, treatment services, screening
Margaret C. Flower, RN, RSSW, Program Co-ordinator, Older Persons’ Mental Health and Addictions Network of Ontario (OPMHAN)
Building a relationship, stages of change
Gabriella Golea, RN, MN, CPMHN(C), Administrative Director, Geriatric Mental Health Program, CAMH
Mental health, supporting families, personality disorders
Pamela Hamilton, BA (Hons. Psych), Psychogeriatric Resource Consultant, Providence Care Mental Health Services, Geriatric Psychiatry Program, Kingston
Holistic care
Marnin J. Heisel, PhD, CPsych, Assistant Professor, Department of Psychiatry and Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario; Scientist, Lawson Health Research Institute, London Health Sciences Centre
Suicide
Marilyn Herie, PhD, RSW, Project Director, TEACH, CAMH; Adjunct Professor, Faculty of Social Work, University of Toronto
Addiction treatment
J. Kenneth Le Clair, MD, FRCPC, Professor, Department of Psychiatry, Queen’s University; Clinical Director, Geriatric Psychiatry Program, Providence Care Mental Health Services; P.I.E.C.E.S. Clinical Consultant
Holistic care
Betty MacGregor, MSW, Manager, Lifestyle Enrichment for Senior Adults (LESA) and Community Diabetes Education Programs, Centretown Community Health Centre
Addiction treatment, recognizing problems
Benoit H. Mulsant, MD, MS, FRCPC, Physician-in-Chief, Clinical Director, Geriatric Mental Health Program, CAMH; Professor and Vice-Chair, Department of Psychiatry, University of Toronto
Anxiety
Tarek Rajji, MD, Fellow, Geriatric Mental Health Program, CAMH; Department of Psychiatry, University of Toronto
Schizophrenia
Bonnie Purcell, M.Sc., PhD candidate, Queen’s University
Alcohol screening
Michelle Ranville, BSW, Acting Chief Executive Officer, Age & Opportunity Inc., Winnipeg
Hoarding
Patricia Russell, MAEd, BEd, Continuous Learning Specialist, South East Community Care Access Centre
Delirium, recovery
Lori Schindel Martin, RN, PhD, Associate Professor, School of Nursing, Ryerson University
Dementia, physically responsive behaviours
Charmaine Spencer, LLM, Research Associate, Gerontology Research Centre and Adjunct Professor, Gerontology Research Department, Simon Fraser University
Addiction, advocacy, ageism, harm reduction, alcohol, illicit drugs, abuse, tobacco, supporting staff, intoxication, housing, isolation, self-neglect
Debora Steele, RN, BScN, CPMHN(C), GNC(C), Psychogeriatric Resource Consultant, Lanark, Leeds & Grenville; Providence Care Mental Health Services
Mental health services, holistic care
Marilyn White-Campbell, BA, Diploma in Gerontology, Manager, Geriatric Mental Health Outreach Team, Long-Term Care Homes (Toronto); Geriatric Addiction Specialist, Community Outreach Programs in Addictions
Concurrent disorders
Maria N. Wasylkewycz, BSW, SW, RSW, Social Worker, Age & Opportunity Inc., Winnipeg
Hoarding

Reviewers

Peter Babishuk, BSc, BSc Phm, RPh, CGP, Staff Pharmacist, CAMH
Evelyn Bakich, RN, Certified Problem Gambling Counsellor, Problem Gambling Program, Sister Margaret Smith Centre, Thunder Bay
Christine Bois, MASc, Concurrent Disorders Priority Co-ordinator, CAMH
Eloise Caverson, RN, BA, Registered Nurse, Fairview Manor, Almonte
Debbie Christie, MSW, RSW, Manager, City of Hamilton Public Health Services
Family Health Division, Alcohol, Drug & Gambling Services (ADGS)
Betty Clost, Program Co-ordinator, VON Community Care, Quinte West
Sandra Coleman, BBA, LLB, Executive Director, South West Community Care Access Centre, London
Robert Eves, BA, MSW, Executive Director, Community Outreach Programs in Addictions, Toronto
Randi Fine, MSW, Executive Director, Older Persons’ Mental Health and Addictions Network (OPMHAN) of Ontario
Eva Janecek, BSc Phm, Pharmacy Services, CAMH
Deana Johnson, MHK, West Region Consultant, Ontario Network for the Prevention of Elder Abuse
Kathleen Kennedy, RN, BA, MA (Public Administration), Professor, Nursing and Program Co-ordinator, Personal Support Worker Program, School of Health Sciences, St. Lawrence College, Kingston Campus
Renée Larocque, SSW, Client Service Representative, Meals on Wheels, Sudbury
Angelique Lemay, MSW, RSW, CPGC, Problem Gambling Outreach Services for Older Adults, Gambling Project Leader, Sault Area Hospital Addictions Treatment Clinic
Stephanie MacKenzie, MSW student, University of Toronto
Biljana Marinkovic, BSc Phm, RPh, Staff Pharmacist, CAMH
Ann McLeod, RN, BScN, Public Health Nurse, Peterborough County, City Health Unit
Rishma Nazareli-Velji, RN, BScN, MN, Project Manager, Registered Nurses’ Association of Ontario
Patti Potter, Senior Co-ordinator, VON Community Care, Quinte West
Carmen Rodrigue, RN, BScN, MSc, CPMHN(C)/IA, Psychogeriatric Resource Consultant, Geriatric Psychiatry Community Services of Ottawa
David Patrick Ryan, PhD, C.Psych., Director of Education and Knowledge Processes, Regional Geriatric Program of Toronto, Assistant Professor, Faculty of Medicine, University of Toronto
Kim Sheppard, RN, GNC(C), LTCM, Psychogeriatric Resource Consultant, Renfrew County, Alzheimer Society of Ottawa and Renfrew County
David Simpson, MSW, Program Manager, Psychiatric Patient Advocate Office, Toronto
Louise Walker, BA, BSc (Hons.), Manager, Smoke-Free Projects, CAMH
Debra Walko, RSW, Program Director, College View Supportive Housing Services &
Seniors’ Services, Simon Apartments, LOFT Community Services
Wende Wood, BA, BSP, Board Certified Psychiatric Pharmacist, Drug Information and Drug Use Pharmacist, Pharmacy Services, CAMH

CAMH Project Team

Jennifer Barr, BA, Project Leader, Program Consultant, Eastern Ontario Area, CAMH
Peter Chen, HSC, CGC, BEd, Community Health and Education Specialist, Problem Gambling Project/Service, CAMH
Danièle Daigle, BA (Anthropology), BEd, Education and Training Specialist, Education Services, CAMH
Margaret Flower, RN, RSSW Program Co-ordinator, Older Persons’ Mental Health and Addictions Network (OPMHAN) Ontario
Gabriella Golea, RN, MN, CPMHN(C), Administrative Director, Geriatric Mental Health Program, CAMH
Michelle Maynes, BA, Dip. Book Editing and Design, Publication Developer, CAMH
Janet McAllister BSc, HK, Program Consultant, West Ontario Area, London, CAMH
Leona Murphy, Program Consultant, North Ontario Area, CAMH
Lise Nolet, BSW, MA, Program Consultant, North Ontario Area, CAMH
Charmaine Spencer, LLM, Research Associate, Gerontology Research Centre; Adjunct Professor, Gerontology Research Department, Simon Fraser University
Cindy Smythe, MEd, Research Associate, Social, Prevention & Health Policy Research, CAMH

With thanks also to:

Blanche Beneteau, Monica Bretzlaff, Stephanie Faroldi, Andre Fontaine, Marcia Gibson, Susan Harrison, Mary Jane Hurlihee, Andrew Johnson, Drupati Maharaj, Christopher Uranis, Trevor Wereley and the individual reviewers in London and Kapuskasing.