1. The WRHA Long Term Care Strategy and Supportive Housing Residences Long Term Care Association of Manitoba Educational Session October 8, 2008 Panel Discussion

2. Manitoba Government Aging in Place Policy 2006 Options For Seniors  Supports to Seniors in Group Living  Companion care  Integrated support services  Congregate meal programs  Specialized Supports  Home Care  Supportive Housing Program  Personal Care Home * Each of the 11 Regional Health Authorities is implementing a long term care strategy in response to the province’s Aging In Place Policy. Aging In Place

3. Supportive Housing defined  Supportive Housing is the right choice for seniors who want the freedom and privacy of living in suites, combined with innovative support and care options.  Resident companions, who know and support residents and their families, are on-site 24 hours a day, like neighbours you can count on.

4. Supportive Housing defined  Supportive Housing is a good option for people who need some help managing with physical limitations, or ongoing health conditions such as dementia.  Because everyone’s needs are different, seniors, their families and staff work closely together, deciding on the best match of services for each individual.

5. Supportive Housing defined  Supportive Housing providers set high standards for comfort, independence, safety and peace of mind.  Seniors and their families can count on Supportive Housing providers to meet their needs with integrity, understanding and respect.

6. Supportive Housing  Appetizing meals are provided and served in a shared dining room.  Laundry, housekeeping as well as social and recreational activities are included.  There is help with some personal care and access to 24-hour on-site support and supervision.

7. A resident's perspective “I like just about everything about living here,” says Mrs. Norma Hodgkins, who has lived in the Rosewood since 2003. “there are a lot of activities, that people can choose to join.” Norma is among the most active of the residents in her “house”.

8. Resident companions are the key “The resident companions help with medications and they provide meals. They offer more services to some of the other residents.” “For the people who need care, it's there.” Because Resident Companions check on each resident frequently, there is greater safety and continuity of care.

9. Supportive Housing  There are currently eight Supportive Housing Residences in Winnipeg. They are: ArlingtonHaus Fred Douglas Heritage House Harmony Court at Riverwood Square Irene Baron Eden Centre Lions Housing Centres Residence Despins Riverside Lions Seniors Residence Rosewood Retirement Community  People live in suites, with varying levels of independence and/or services, based on individual needs.

10. Supportive Housing

11.  Costs for Supportive Housing vary: Age and Infrastructure Amenities Subsidies Individuals pay the sponsor (landlord) directly for the rent and service package.

12. Access to Supportive Housing  Centre on Aging Study  Eligibility for Supportive Housing in Winnipeg is determined through the Winnipeg Regional Health Authority

13. Access to Supportive Housing Eligibility will be determined by referral through the Long Term Care Access Centre Entry criteria Individuals must:  Require some assistance/supervision with activities of daily living;  Ambulate independently; may require adaptive devices e.g. cane or walker;  Be continent of bowel and bladder or able to manage supplies on own;  Be able to communicate with others to some degree;  Demonstrate socially appropriate behavior;  Be able to function in a community/group environment;  Not present a significant risk to other tenants, the staff or the community;  Have a family member or advocate

14. Access to Supportive Housing Exit Criteria  Planning for alternate long term care options will occur when individuals are:  Assessed at Middle or Late Stage dementia  Disorientation to person;  Violent or aggressive or grossly inappropriate behavior toward self or others;  Screaming, yelling or disruptive behavior.  Unable to ambulate independently;  Unable to manage activities of daily living with the support of the available resources  Unmanageable incontinence;  Medically unstable requiring frequent monitoring and intervention

15. Supportive Housing Increasing Awareness for Seniors’ Options Coming soon:  The Long Term Care Association of Manitoba Website: Supportive Housing – Highlights and general information Interactive Provincial map – specific profiles on each residence Decision Support - helpful tools for Families:  Assessing your families’ needs and priorities  Assessing Living Costs: Current and Potential

17. Supportive Housing  An innovative housing option with access to 24 hour support in a residence individuals are proud to call home.  Respect, individuality and independence are fostered in safe, stable and secure environment.  Families feel welcome and enjoy peace of mind, knowing that their loved one is respected, their individuality is acknowledged and their independence is encouraged.

18. A family's perspective “It's a great comfort for us to know that she's getting her medication on a regular basis, that she's secure, and that there are activities and people around,” add Norma's daughters, Susan Larson and Barb Blacklaw. “All of that keeps her as well as she is.”

19. A family's perspective “A few times over the years there have been medical issues, and the staff is great. They take care of Mom and call us immediately, so we get to the hospital at the same time as the ambulance.”

20. Supportive Housing Thank you! Questions?