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 assessment, diagnosis and treatment. The goal of Specialized Geriatric Services (SGS) is to reduce the burden of disability by detecting and treating reversible conditions, recommending optimal patientcentred care, and management of multiple co-existing chronic conditions. Referrals can be made to SGS for frail seniors whose health, dignity, and independence are at risk due to: multiple complex medical and psycho-social problems a recent unexplained decline in health and/or level of function a loss of capacity for independent living Updated: June 23, 2017
2 Specialized Geriatric Services Descriptions INPATIENT SERVICES ACUTE CARE OF THE ELDERLY UNITS Inpatient hospital units in an acute care setting for frail older persons who require short-term diagnostic investigation and treatment. GERIATRIC ASSESSMENT AND TREATMENT UNITS (GATU)/GERIATRIC REHABILITATION UNITS (GRU) Inpatient units for persons for frail older persons with complex medical conditions who following an episode of surgery/illness/injury, require an individualized assessment and rehabilitation program. INPATIENT CONSULTATION TEAMS Interprofessional teams provide consultation and assessment of inpatients in an inpatient setting. GERIATRIC EMERGENCY MANAGEMENT Consultation by specialized geriatric health professionals in the emergency room providing: assessment, diagnosis, identification of at risk older persons, initiation of appropriate treatment, and linkages with community and primary care. AMBULATORY SERVICES OUTREACH TEAMS Comprehensive assessments in the older person s place of residence are conducted by one or more health care professionals. OUTPATIENT GERIATRIC CLINICS Clinics are used to assess, treat and monitor and follow older persons in a clinic setting. GERIATRIC DAY HOSPITALS These ambulatory programs provide diagnostic, rehabilitative or therapeutic services to persons living in the community. Geriatric mental health professionals provide GERIATRIC MENTAL HEALTH SERVICES Assessment and treatment for those older persons who may have psychiatric, behavioural, addiction, or psychological issues. Although not one of the funded core SGS, geriatric mental health services are an important part of the continuum of service for frail seniors. At many sites, geriatric mental health services are provided in an integrated or collaborative model with SGS. How To Make A Referral Please call the respective hospital referral number (on the following pages) for information on how to make a referral.
3 INPATIENT SERVICES Baycrest Psychogeriatric Services Tel: ext Fax: GATU & Geriatric Rehabilitation Unit Tel: ext Fax: Bridgepoint Active Healthcare ALC (assessment & treatment unit) & Geriatric Rehabilitation Unit (slow stream) Tel: ext Fax: Humber River Hospital Finch & Church site Inpatient Consult Lakeridge Health Corporation Whitby site Geriatric Assessment & Rehab. Unit/Restorative Care Unit Tel: ext Fax: Oshawa site ACE Unit Tel: ext Fax: Geriatric Assessment & Intervention Network (GAIN) Geriatric Clinic Tel: ext Fax: Mackenzie Health Richmond Hill Hospital Hospital Elder Life Program (HELP) Tel: ext Markham Stouffville Hospital Inpatient Consultation Geriatrician and Nurse Practitioner Tel: ext North York General Hospital Inpatient Consultation Tel: ext Acute Care of the Elderly Unit (ACE) Tel: Ontario Shores Centre for Mental Health Sciences Geriatric & Neuropsychiatry Program Geriatric Psychiatry Unit Geriatric Dementia Unit Providence Healthcare GATU/GRU, Inpatient Consult Admissions Hotline: Tel: Fax: Psychogeriatric Resource Consultant (PRC) Fax: Rouge Valley Health System Centenary site Geriatric Assessment & Treatment Unit Tel: ext Fax: Royal Victoria Regional Health Centre Inpatient Consultation Geriatrician & Nurse Practitioner Medicine, Geriatric Unit Tel: ext Behavioural Support Worker Tel: ext Recreation Therapist Tel: ext Emergency Access Nurse Tel: ext /47361 Hospital Elder Life Program Tel: ext
4 INPATIENT SERVICES continued Sinai Health System Inpatient Geriatric Psychiatry Consultation Liaison Service Geriatric Medicine In-patient Consults Tel: ext Sunnybrook Health Sciences Centre Inpatient Consult Central Referral Office Tel: Fax: Southlake Regional Health Centre Medical Complex Care Unit Tel: ext Fax: Rehab & Neurological Unit Tel: ext Fax: Transitional Care Unit Tel: ext Fax: / St. Joseph s Health Centre Inpatient Consult & Inpatient Transitional Unit St. Michael s Hospital Inpatient Consult Tel: Fax: Acute Care of the Elderly (ACE) Unit Tel: The Scarborough Hospital General Inquiries: GAIN Clinic Tel: ext Birchmount & General sites Inpatient consult Tel: ext Acute Care for the Elderly Units Toronto Grace Health Centre Complex Continuing Care (75 beds) 3 rd and 5 th Floors and Post Acute Care Rehabilitation Tel: ext. 230 Fax: University Health Network Toronto Western site Mobile Acute Care for the Elderly Inpatient Service Inpatient Consult (General and Western sites) Toronto General site Inpatient Consult (General and Western sites) Toronto Rehabilitation Institute Geriatric Rehabilitation Unit Tel: ext Fax: William Osler Health System ACE Unit Tel: ext
5 AMBULATORY SERVICES Baycrest Community Outreach Team Tel: Fax: Wellness Path Program Tel: ext Fax: Geriatric Assessment Clinic Tel: ext Fax or Psychogeriatric Services Tel: ext Bridgepoint Active Healthcare Christine Sinclair Ambulatory Care Centre Tel: ext Fax: Humber River Hospital Geriatric Outreach Team Tel: ext / Fax: Geriatric Mental Health Outreach Team Tel: ext Fax: Lakeridge Health Corporation Oshawa site Geriatric Assessment & Intervention Network (GAIN) Tel: ext Fax: Mackenzie Health Richmond Hill Hospital Seniors Wellness Clinic Tel: ext Fax: Geriatric Outreach Team Tel: ext Fax: Psychogeriatric Assessment Service Tel: ext Fax: Markham Stouffville Hospital Seniors Health Clinic Tel: ext Fax: Michael Garron Hospital Toronto East Health Network Geriatric Clinic Tel: Fax: New Unionville Home Society Southeast Geriatric Outreach Services (based at Markhaven) Tel: North York General Hospital Tel: ext Central Intake Fax: Geriatric Medicine Outreach Services Geriatric Psychiatry Outreach Services Memory Clinics Parkinson Clinic/Parkinson Education Program Geriatric Day Hospital Osteoporosis Program Ontario Shores Centre for Mental Health Sciences Geriatric Outreach Program & Geriatric Mood Clinic Fax: (for referrals) Geriatric Memory Clinic Tel: ext. 226 Fax: Orillia Soldiers Memorial Hospital Geriatric Day Hospital Tel: ext Fax: Geriatrician & Geriatric Psychiatry consultation via Telehealth Tel: ext Fax: Integrated Regional Falls Program Tel: ext Fax:
6 AMBULATORY SERVICES continued Providence Healthcare Geriatric Medicine Clinic Geriatric Psychiatry Clinic Frailty Intervention Team (FIT) Geriatric Outreach Team Tel: Fax: Falls Prevention Clinic Tel: Fax: Rouge Valley Health System Centenary site Psychogeriatric Outreach Program Tel: ext Fax: Geriatric Assessment and Intervention Network (GAIN) Clinic Tel: Fax: Care After the Care in Hospital (CATCH) Tel: ext Fax: Ajax/Pickering Site Care After the Care in Hospital (CATCH) Tel: ext Fax: Royal Victoria Regional Health Centre Urgent Geriatric Clinic Tel: ext Sinai Health System Geriatric Medicine Clinic Tel: ext Fax: Geriatric Psychiatry Outpatient Assessment Clinic Tel: ext Wellness Centre Community Mental Health Program for Seniors and Caregivers Tel: Reitman Centre CARERS Program Tel: ext St. Joseph s Health Centre Elderly Community Health Services Geriatric Clinic Tel: Fax: St. Michael s Hospital Geriatric Assessment Clinic Tel: Fax: Memory Disorders Clinic Tel: Psychogeriatric Clinic Tel: Fax: Sunnybrook Health Sciences Centre Outpatient Clinic, Outreach, Day Hospital, & Falls Prevention Program Central Referral Office Tel: Fax: Southlake Regional Health Centre Geriatric Outreach Services Tel: ext Fax:
7 AMBULATORY SERVICES continued The Scarborough Hospital GAIN Outreach Tel: Fax: Tel: Ext. 311 Fax: Geriatric Assessment & Intervention Network (GAIN) Clinic General Site Tel: Ext Fax: Trillium Health Partners Seniors Health Clinic Tel: or Fax: Geriatric Outreach Services * Tel: or Fax: Seniors Mental Health Services Tel: Fax: Falls Tel: or Fax: * Provides services to the Mississauga LHIN catchment area which includes the communities of: Halton Hills, Oakville, Milton, Mississauga and Southwest Etobicoke. Seniors Mental Health Outreach also serves Burlington University Health Network Toronto Western site Memory Clinic Tel: Fax: Toronto General site Late Life Affective Disorders Clinic Tel: ext Fax: Toronto Rehabilitation Institute Day Hospital, Falls Clinic & Geriatric Assessment Clinic Tel: ext Fax: Geriatric Outreach Services Tel: ext Fax: West Park Healthcare Centre Seniors Mental Health Services Tel: Fax: William Osler Health System Geriatric Outreach Services Tel: Fax: Seniors Wellness Clinics Tel: Fax: Geriatric Mental Health Outpatient Clinic Tel: ext Fax: Women s College Hospital Wellness for Independent Seniors (WISE) Outpatient Clinic Tel: ext Fax:
8 GERIATRIC EMERGENCY MANAGEMENT Humber River Hospital Finch site Tel: Fax: Church site Tel: Fax: Lakeridge Health Corporation Oshawa, Bowmanville & Port Perry sites Monday to Friday Provides clinical service at the Oshawa site and supports education at the Port Perry and Bowmanville sites Tel: ext Mackenzie Health Richmond Hill Hospital Tel: ext Markham Stouffville Hospital Tel: ext Michael Garron Hospital Toronto East Health Network Telephone: ext Fax: North York General Hospital Tel: ext. 8044/8045 Rouge Valley Health System Centenary site Tel: ext Fax: Ajax site Tel: ext St. Joseph s Health Centre Geriatric Emergency Management Nurse Tel: St. Michael s Hospital Tel: ext Sinai Health System Tel: ext Sunnybrook Health Sciences Centre Central Referral Office Tel: Fax: Southlake Regional Health Centre Tel: ext The Scarborough Hospital General site Tel: ext Birchmount site Tel: ext Trillium Health Partners Geriatric Emergency Management Credit Valley Hospital Tel: ext University Health Network Toronto Western site
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