Vancouver General Hospital

Geriatric Psychiatry Outreach Team (GPOT)

 

VGH 03_jpg
855 West 12th Avenue,
Centennial Pavilion 5D
Vancouver, B.C. V5Z 1M9
Phone: (604) 875-4728
Fax: (604) 875-5816
Vancouver General Hospital

 

 

 

 

Program description:

Provides interdisciplinary team assessments and treatment for seniors with psychiatric problems who are living in the community. The team links with the Vancouver Hospital STAT Centre for Day Hospital and inpatient care when needed.

Patient Description:

Reasons for referral include cognitive (40%), anxiety / mood (25%), psychotic (10%), and behavioral disorders (10%). Assessment of patient’s capacity (10%) to live safely at home and legal, financial and personal competency are commonly done. Patients from Vancouver are seen for assessment and therapeutic follow-up. Over 50% of the assessments are done in the patient’s own place of residence within an hours radius from the hospital. Consultation and treatment recommendations are sent to the patient’s family doctor. Second opinions and follow-up therapy as needed are offered. Referrals to other appropriate services, family support, and neuropsychological evaluations are carried out. Opportunities to work in a shared-care model, Ravensong Health Unit and at Blenheim Care Home are available. Opportunities to participate in Group Therapy for seniors is available.

Clinical and Academic Learning Opportunities:

Team rounds are held weekly to discuss patient care plans. A variety of clinical and academic topics are presented at “DIC” rounds every Monday at 1 pm. Teaching Clinic is held every Monday afternoon. Research opportunities are also available within this setting.

STAT Centre (Short-Term Assessment and Treatment Centre)

Vancouver Coastal Health – VGH Site
855 West 12th Avenue,
Centennial Pavilion 5
Vancouver, B.C. V5Z 1M9
Phone: Day Hospital: (604) 875-4414
Inpatient Unit: (604) 875-4056
Fax: (604) 875-5593

Program Description:

The STAT Centre for seniors provides secondary level care in a day hospital and inpatient setting with a multidisciplinary team. The STAT Centre has a strong focus on research, education and holistic care for frail elderly.

Patient Description:

The need of frail elderly patients often exceeds the capacity of the community to provide intensive diagnostic investigation and treatment, including electroconvulsive therapy. Over 80% of patients admitted to the STAT Centre have co-morbid psychiatric illness as well as 4 or 5 medical diagnoses. The geriatric psychiatrists function as consultants for sessional family physicians and geriatricians, providing psychiatric assessment and ongoing treatment within a multidisciplinary team setting. Emphasis is on improving the physical, social, and emotional well being of each client referred, through social, educational, and recreational programs, and rehabilitative therapy. Patients attending the Day Hospital attend an average of twice a week for a period of 12 weeks, with transportation provided to and from the facility for those living in Vancouver. The Inpatient Unit consists of a 17-bed ward with average length of stay between four to eight weeks. Referrals are accepted from physicians in the community. As necessary, assistance is also given on an outreach basis for those confined to their homes with the help of the Geriatric Psychiatry Outreach Team (GPOT).

Clinical and Teaching Opportunities:

Clinical opportunities include the assessment and follow-ups of clients admitted to the Day Hospital and Inpatient Unit. All of the geriatric psychiatrists affiliated with the STAT Centre are also members of the ECT Service for Vancouver General Hospital and, therefore, Fellows will have the opportunity for intensive exposure to the clinical evaluation and delivery of ECT to patients of all ages. Clinical and academic topics are presented at ‘DIC Rounds’ at GPOT every Monday and Fellows also have the opportunity to attend GPOT teaching clinics.

The team: consists of 3 geriatric psychiatrists, 5 family physicians, 2 geriatricians, 1 registered dietician, 1 psychologist, 1 physiotherapist, 1 occupational therapist, and 2 social workers.

 

Geriatric Psychiatry Consult-Liaison Service

Vancouver Coastal Health – VGH Site
855 West 12th Avenue,
Gordon and Leslie Diamond Health Care Centre,
2775 Laurel Street,
Vancouver, B.C. V5Z 1M9
Office: (604) 875-4809
Fax: (604) 875-5652

Program Description:

The geriatric consult-liaison service provides psychiatric assessment and treatment to those patients on medical, surgical, and family practice units situated in Vancouver General Hospital. The primary focus is on those frail elders with complex medical problems who present with psychiatric syndromes. Competency assessments often form part of the overall assessment in this setting, and fellows will develop expertise in this area through the course of this rotation. Liaison with attending physicians, primarily hospitalists, will be a key learning objective.

Patient Description:

Patients often come in with a variety of common psychiatric syndromes such as delirium, dementia, and depression. Most are acutely medically ill, and have manifested functional and cognitive decline.

Clinical and Teaching Opportunities:

Clinical assessment and follow-up of inpatients is routine. Skills and proficiency in reviewing non-psychotropic medications and their potential in causing psychiatric syndromes, as well as precipitating drug interactions will be reviewed regularly. Sophistication in treating agitated patients with delirium and/or dementia. Understanding the interface between mind and body (i.e.: psychosomatic perspective). Dealing with end of life issues. Working with interdisciplinary staff on each unit. Addressing competency issues in light of provincial legislation guiding this area.