- Individuals are admitted to PAC’s in-patient facility voluntary or involuntary under the Mental Health Act.
- All admissions are planned in advance.
- Individuals must be dually diagnosed with a developmental disability, psychiatric and/or behaviour issue and be eligible for CLBC services.
- Individuals must be 14 years of age or older.
- A CLBC facilitator/analyst/CYSN (MCFD worker) must be involved with the individual.
- The individual’s support network must be in agreement about the referral.
- A Personal Support Plan (PSP) must be in place.
- Individuals must be medically stable at the time of admission. If an individual has been stabilized in a hospital setting they can be considered for admission with their community care team’s commitment to on-going care.
- The length of admission is determined by PAC Clinical Team’s assessment of the presenting issue.
- The length of admission may be two weeks to three months.
- Part of the admission process includes having a plan for individuals to successfully return to their home and community.
When are individuals referred?
Individuals are referred to PAC’s in patient facility in the following instances:
- When the treatment or service needs cannot be safety managed in the individual’s residential setting (home/community environment)
- When the value of a broader-based intensive assessment is required to support the individual.
- In instances when all other treatment options and supports have been exhausted.
Who Can Refer?
An individual can be directly referred to PAC by any of the following:
- CLBC Analyst
- CLBC facilitator
- CYSN (MCFD Worker)
2. After establishing eligibility, the PAC facilitator will provide a PAC Referral Pack for Adults or Youth, and request that the package be completed and forwarded to the local CLBC or CYSN office.
Referral Packages include the following sections:
- Referral Application – To be completed by CLBC analyst/facilitator/CYSN
- Psychiatric Information – To be completed by Psychiatrist
- Caregiver Information – To be completed by Primary Caregiver
- Consent Forms – To be completed by Referred Individual/Primary Caregiver
3. PAC’s Clinical Team reviews the referral documents and comes to a decision on an admission. PAC’s facilitator communicates this information to all parties involved.
4. Facilitator sets up an Integrated Planning Meeting (IPM) between PAC and individual’s care team.
5. PAC’s Community Liaison Nurse sets a date for a home visit.
6. PAC’s facilitator communicates assigned admission date to all parties involved.
Prior to admission, individuals or their care givers will be given a PAC Admission package. It will include:
- Medical Certificate for your family Doctor to fill out.
- A pamphlet to explain what PAC is and what it will be like there.
- A list of things to bring to PAC.
- Consent for Photography.
- Aberrant Behaviour Checklist & SIB –R. (A questionnaire about the individual to help our psychologist get to know them better.)
Once individuals arrive at PAC at the agreed upon time, they will say goodbye to the person who brought them. It’s a good idea for people to bring a second bag packed with things that are fun to have, so they’ll have something to do that’s familiar upon arrival. This is sometimes call this a comfort bag and often contains colouring books, or music and or a favorite toy. At this point, a nurse will show the person to their room to help get them settled. Then, the community team will have an admission meeting.
At the admission meeting the community team will talk about how to care for the individual (for instance, they will learn if he or she you prefer baths or showers, and what time he or she usually goes to bed). The psychiatrist will learn more the individual’s mental health and /or behavioural issues and the next steps will be discussed, including setting an interim meeting time.
PAC’s Clinical Team develops and implements an assessment and treatment plan with the full involvement of the individual and their support needs. Learn more about the PAC Assessment Process.