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Q. When would I make a referral to the PAC?
A. Prior to making a referral to the PAC, individuals may already have a mental health worker assisting them. Or you may be seeking a community general practitioner to assist you with the issues or concerns presented by the individual you support. If the challenges continue and you believe that the individual is in need of further care, then you may require a more long-term plan.
A referral to PAC should be made when the individual’s care team agrees that a more in-depth assessment is required for planning. This may occur:
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• when the treatment or service cannot be managed in the individual’s own environment |
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• to support the individual’s community care team |
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• instances when all other treatment options have been exhausted in the community |
Q. How do I make a referral to the PAC?
A. Please make initial contact with the PAC facilitator, Brian Roberts, at Brian.R.Roberts@gov.bc.ca.
Q. What is a developmental disability?
A. A developmental disability is defined in the Community Living Authority Act as a significant impaired intellectual functioning that:
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• is diagnosed before age 18 |
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• exists concurrently with impaired adaptive functioning |
To be eligible for CLBC services, an individual must meet all requirements of a developmental disability as defined in the act.
Q. How do I find a CLBC analyst or facilitator?
A. Your primary point of contact is your nearest community living centre in your area. Please visit the Your Community section to find the nearest community living centre.
You can meet with a facilitator at the community living centre and apply for services.
Q. Does the PAC provide community outreach?
A. Yes, our PAC community liaison coordinator provides a range of community consultations and outreach services.
Outreach is aimed at preserving the individual's support network relationships, supporting planning and implementation of recommendations, education and consultations.
Q. What happens once I make a referral?
A. Once the completed referral package is received, the PAC facilitator presents this referral to the clinical team for discussion. Following this, an integrated case-planning meeting is organized with the referring source and community support people and agencies.
Q. What is an integrated case planning meeting?
A. An integrated case planning meeting is a meeting set up by the PAC facilitator, prior to admission. This meeting involves all community partners associated with the care of the individual to be admitted. The purpose of the meeting is to gather further information from the community team regarding the referral and future planning.
Q. What happens after the integrated case planning meeting?
A. Should the clinical team approve a referral for admission, the PAC facilitator will communicate the assigned admission date and time to the referring source.
If possible, prior to admission, the PAC community liaison coordinator will connect with the caregiver to arrange a home visit.
Q. Who provides the care at the PAC?
A. The PAC facilitator and community liaison coordinator are your first connections to the PAC.
Included in the team are the physician, psychiatrist, pharmacologist, psychologist, nurses, mental health support workers, and an occupational therapist who develop individual assessment and treatment plans in partnership with the community care teams. Other community specialists may become involved as necessary (such as dietician, podiatrist, and lab technician).
Staff are experienced professionals who provide clinical care and supervision of individual’s needs on a 24-hour basis.
Q. What happens on the day of admission?
A. All admissions are planned in advance. Community caregivers will arrange escorted transport of the individual to be admitted to the PAC at a pre-determined time. On arrival to the PAC, a unit staff will provide an orientation for the individual being admitted, and the caregivers.
An admission meeting is held at the PAC with all care team members, the PAC clinical team and unit staff including nurses and mental health support workers.
During the admission meeting, the treatment plan for the individual is reviewed. Opportunity is provided to have unanswered questions clarified. Agencies and caregivers are encouraged to provide suggestions and recommendations related to the individual being admitted.
Q. The individual I am supporting has been admitted to the PAC. What is my role during this period?
A. This is a shared responsibility. As a caregiver, prior to admission, you must inform the individual about the admission, its benefits and treatment.
A copy of client rights at the PAC, and information about the review panel process is available at the PAC for your perusal.
To allow staff to gather baseline information and to assist the individual to settle into the unit, we ask that you limit your contact with the individual for the first 48 hours after admission. However, please feel free to call the unit directly at any time to check on the status of the admitted individual.
Q. What is the visitor’s policy?
A. Visits are usually conducted at the PAC in the visitor’s room. Off-site visits for individuals are supported, and are usually part of the tailored personalized treatment plan designed by the PAC clinical team. All day visits (either on or off the unit) are not recommended as it reduces the opportunity for observation, assessment, and treatment.
Caregivers are encouraged to provide detailed feedback to the unit staff regarding visits. Please make every effort to maintain regular telephone and personal visits. The earliest possible notification of change or cancellation is appreciated.
Q. How are appointments managed?
A. At times, the individual must attend specialist appointments. If the caregiver is located in the Lower Mainland, we ask that you assist with transportation of the individual in care and attend the scheduled appointment. Please remember that you are the person most familiar with the individual and best able to answer specific historical questions posed by the doctors.
Q. What is the community care team’s involvement during the PAC admission?
A. The PAC considers the community care team active members in the treatment planning process. We strongly encourage input and feedback regarding the individual’s treatment plan.
Q. What is the interim meeting?
A. At the admission meeting, a date is set for an interim meeting. This meeting will facilitate information sharing and provide an update of the status of the individual admitted to the PAC.
Q. What reports will we receive from the PAC?
A. Discharge reports from all disciplines at the PAC (the primary team, psychiatry, psychology, social work, pharmacy, medical) will be mailed to the referral source, community professional and community support persons, and family (as requested) prior to discharge. Please review these reports prior to the discharge meeting. If needed, clarification regarding these reports will be provided at the discharge meeting.
Q. What happens during the discharge meeting?
A. The discharge meeting will update the status of the individual from various disciplines, and all professionals involved in the provision of care while at the PAC. During the discharge meeting, review of the community planning, responsibilities and the PAC’s recommendations will be made. Again, your presence and participation is important.
All meetings offer you the opportunity to ask questions, to clarify concerns, and to provide input to all community support persons and to the PAC team.
Q. What is the role of the community day program worker during admission?
A. Nurturing and maintaining relationships and support systems is significant.
The PAC staff is involved with transitioning individuals back to community programs, completing assessments regarding the programming and observation of individual involvement at the day program.
Sharing detailed day program information is essential. We encourage the individual’s community worker to become involved with the PAC programs. Having clear information as a comparative tool to reintegrate the individual back to the community day program is helpful.
Please share specifics regarding the day program: how does a typical day look? Is the day structured, or flexible? Does the individual socialize? Do they socialize with other individuals, staff, or both? What is the performance expectation of the individual? What is the focus of the program? What are the specific goals of the day program for this individual?
Q. What will you do to promote the comfort and well-being of the person I am referring?
A. Everyone admitted to the PAC maintains their individual rights as contained within the client’s rights package given on admission. Individuals are supported by ensuring that they are aware of their rights and options. This includes a review of their legal status and rights (under the Mental Health Act) to a review panel.
The staffing model provides professional experienced staff support with close monitoring of individual needs on a 24-hour basis. We provide individual centered planning, supportive relationships, and continuity of care. We utilize analysis of individual adaptation to change via group interaction.
The physical layout of the unit is conducive to small group work, or individual quiet time. Each individual has his/her own room. If indicated, please bring some small item that will be of comfort to the individual being admitted (book, photos). Do not send items of value. Although individuals are well supervised, at times unpredictable behaviours surface, and items may become lost or damaged.
Q. What is the transition process back to community?
A. We believe that healthy, supportive relationships and attachments are significant tools to assist individuals achieve their best and live fulfilling lives. Therefore, we partner with the individual and his/her community throughout the individual’s stay at the PAC, and in the transition back to their community.
The transition process back to community begins on admission by maintaining connection with community. Connection via telephone and personal visits of caregivers and community support persons are encouraged after the first 48 hours. Mail is welcomed. If located in the Lower Mainland, reintegration to applicable day programs may begin while the individual is still at the PAC.
As part of the discharge process, information exchange includes diagnostic review and update to all community partners.
Whenever possible, prior to discharge, caregivers are given the opportunity to work side-by-side with staff at the PAC. Arrangements can be made following admission. Contact the PAC community liaison coordinator: Karen.Deise@gov.bc.ca.
Q. Is there follow up after discharge?
A. Yes, the PAC community liaison coordinator will visit the individual in their home community, assess the progress, review personal goals against achievement, and provide further recommendations as needed.
Q. Can I contact the PAC for a consultation after discharge?
A. Yes, a consultation is provided on request. Please contact the PAC community liaison coordinator: Karen.Deise@gov.bc.ca.
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