Advancing consumer care and compassionate service delivery

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Attendant Outreach Program

Attendant Outreach Program

Nucleus Independent Living receives funds from the Mississauga Halton Local Health Integrated Network (MH LHIN) under the Home Care and Community Services Act (1994) to operate an Attendant Outreach Program for the purpose of providing an Attendant at pre-determined times who acts as a physical extension of a person with a physical disability1.  The goal of the program is to enable an individual’s full participation and integration into their communities by offering:

  • Flexible services
  • A greater range of housing and lifestyle choices
  • Predictable services and consistent staffing
  • An opportunity for full and active participation in existing and future relationships

 

Service Model:

Target Population: 

  • Adults 16 years old and up who have a permanent physical disability who meet the eligibility requirements

Location(s):

  • At various locations within the Mississauga Halton Local Health Integration Network (MH LHIN) boundaries including:

o   In the Consumer’s home

o   In the Consumer’s place of competitive employment

o   In places where Consumers are pursuing adult education programs for the purpose of obtaining a degree/certificate/diploma

Program Staffing:

  • Attendant services are provided by trained Personal Support Workers (unregulated healthcare providers)
  • Trained Care Coordinators conduct standardized needs assessments and work with Consumers to develop individualized Service Plans

Hours:

  • The program operates 7 days a week, 365 days per year between the hours of 6:00am and 12:00am (midnight)  
  • Services are available on a pre-scheduled basis only 

Cost to client:

  • Services are offered at no cost for eligible clients

Referrals/Waitlist:

  • Applications for our Attendant Outreach program should be made directly to Nucleus Independent Living (905-822-2273).  The application form can be downloaded here.
  • Nucleus also manages the waitlist for services and priority for placement on service is given to individuals who:

o   Are at imminent risk for institutional placement if services are not available

o   The individual is in, attempting to leave, or has recently left an abusive situation

o   The individual is being discharged from or has requested to leave an institutional setting

 

Services Features: 

Following assessment, a customized Service Plan is developed, in partnership with the Consumer, which outlines service tasks and times based on identified needs.  Service Plans are adaptive and responsive to the changing needs of the Consumer.  Based on the individual's service requirements personal support services and homemaking services are provided to a person with physical disabilities, under the individual's direction, by an Attendant on a pre-scheduled visitation basis1.

Available service tasks include:

  • Attendant services (includes both non-medical personal support and essential homemaking tasks)

Personal Support (Activities of Daily Living or ADLs):

  •  Personal hygiene (bathing and toileting)
  • Mouth and dental care
  • Hair care
  • Routine hand and foot care
  • Preventative skin care
  • Changing non sterile dressings
  • Dressing/undressing
  • Assistance with eating
  • Exercises/ passive range of motion
  • Transferring positioning/turning

 

Essential Homemaking (Personal Hygiene Activities or IADLs):

  • Meal preparation/cooking/clean up
  • Garbage disposal
  • Changing bedding
  • Light house cleaning including tidying of rooms, dishes, vacuuming,  sweeping, washing floors, cleaning sinks, tubs, toilets
  • Laundry
  • Pet care assistance

 

  • Caring for children (on behalf of and in the presence of Consumer)
  • Medication assistance (limited scope)
  • Escorts to medical appointments (only limited service available)
  • Escorts for shopping (only limited service available)

Note:  There are limitations to the types and amounts of assistance that can be provided for services as per Program eligibility criteria and service maximums. 

 

Service Philosophy:

Nucleus embraces and has adapted the fundamental concepts of the Independent Living Philosophy (originally developed for persons with physical disabilities) including the right of people to:

  • Live with dignity in their chosen community
  • Participate in all aspects of life
  • Maintain control and make decisions about their life through ‘Directing Services’ – this includes:

o   ‘Right to Risk’–  the individual has the right to make his/her own choices and decision, even if those choices involve risk and failure

  • Assume all responsibilities associated with these rights

 

Directing Care and ‘Right to Risk’

Nucleus’s role is to facilitate the Consumer’s wishes, with their inherent rights and associated risks, with living independently in the community.  As such, Nucleus will act in response to Consumer direction but may prompt or alert Consumer to potential risks or decision points (as necessary).

 

Nucleus is guided by the Health Care Consent Act in the event of any sudden change in cognitive status that affects a Consumer’s ability to make healthcare decisions.   In the event there is no SDM available and capacity is called into question, Nucleus will call in a regulated health professional to evaluate and make a recommendation on the need for a capacity assessment. 

 

External References:

1 Ministry of Health, Long Term Care Division, Attendant Outreach Services - Policy Guidelines and Operational Standards, Fall 1996

Ministry of Health, Long Term Care Division, Long Term Care Supportive Housing policy, 1994

Independent Living Canada (www.ilcanada.ca)