Office of the Public Guardian & Trustee Contact ...

1 Office of the Public Guardian & Trustee Contact Information (Treatment Decisions Unit) The Treatment Decisions Unit has 12 Treatment Decision Consultants (TDCs) across Ontario who make substitute decisions on behalf of incapable individuals to consent to Long Term Care admissions and treatment decisions. Main Contact / Intake: (416) 314 2788 or 1 800 387 2127 Fax number: (416) 314 2637 Treatment Decision Unit Offices Contacts Hamilton Hamilton Office Main Reception (905) 546 8300 (800) 891 0502 Fax: (905) 546 8301 Bob Jarecki (905) 546 8303 direct Erich Knerr (905) 546 8315 direct London London Office Main Reception (519) 660 3140 (800) 891 0504 Fax.

2 (519) 660 3148 Laurie Borland (519) 660 3145 direct Karen Weaver (519) 660 3180 direct Ottawa (Covers North including Sudbury, North Bay, up to Thunder Bay, Kenora & Dryden) Ottawa Office Main Reception (613) 241 1202 (800) 891 0506 Fax: (613) 241 1567 Marlene Vermaeten (613) 241 1524 direct Maureen Crabtree (613) 241 7766 direct Toronto (Has 6 TDCs see below.) Treatment Decisions Unit Main Line/Reception (416) 314 2788 (800) 387 2127 Treatment Decisions Unit Fax (416) 314 2637 Treatment Decisions Unit Team Leader (416) 314 1721 April 4, 2011 , JG&JS 1 Office of the Public Guardian & Trustee Treatment Decision Consultants (Toronto area) Hospitals Covered Bonnie Benedik: (416) 327 5476 Fax Number.

3 (416) 314 2637 Sunnybrook HSC Northumberland Health Care Centre Ajax Pickering Health Centre Peterborough Regional Health (both sites) Baycrest Centre Ross Memorial Hospital Bridgepoint Health Centre Rouge Valley Pickering/Ajax Site Campbellford Memorial Hospital South Lake Regional Health Centre Lakeridge Health Corp Port Perry, Oshawa, Ontario Shores Bowmanville, Uxbridge, and Whitby sites York Central Hospital Markham Stouffville Hospital Christine Caines: (416) 314 2664 Fax Number: (416) 314 2637 Bracebridge (South Muskoka Hosp) St. Joseph's Health Care Centre (Toronto) Humber River Regional HC all sites Trillium HC (Etobicoke site) North York General Hospital William Osler HC (Etobicoke site) Soldiers Memorial Hospital (Orillia) Amy Cappuccitti: (416) 327 5475 Fax Number: (416) 314 2637 Toronto General Hospital Toronto Rehab (University and Dunn Ave.)

4 Sites) Toronto Western Hospital Debbie Lee Caldeira: (416) 327 5478 Fax Number: (416) 314 2637 Collingwood Hospital Penetanguishine Mental Health Centre Credit Valley Hospital Royal Victoria Hospital (Barrie) Headwaters Health Centre (Orangeville) Shelburne Hospital Huronia District Hospital (Midland) William Osler HC (Brampton site) Penetanguishine Hospital Gwynne Hardy: (416) 314 9191 Fax Number: (416) 314 2637 Centre for Addiction and Mental Health (all St. Michael's Hospital sites) Toronto Grace Hospital Princess Margaret Hospital Caryl Herbert: (416) 314 2246 Fax Number: (416) 314 2637 Mount Sinai Hospital Scarborough Grace Hospital Rouge Valley Centennary Scarborough site Toronto East General Hospital Scarborough General Hospital April 4, 2011 , JG&JS 2 Office of the Public Guardian & Trustee Long Term Care Decision Application Process: Steps Key Reminders 1.

5 CCAC Coordinator completes Evaluator Questionnaire and determines a client is incapable of making LTC decisions. All responses to questions must be clearly documented to contribute to determination or incapacity to make LTC decisions. Evaluator Questionnaires without this information will be considered incomplete and will delay processing to acquire completeness Clients MUST be informed of their finding of incapacity and provided with the Rights Information Sheet. 2. CCAC Coordinator determines that there are no other Substitute Decision Makers who could make LTC decisions on the client s behalf.

6 Any Power of Attorney documentation must be explored and exhausted All possible family or other Substitute Decision Maker s must be exhausted and determination that there is no one who can make decisions on the client s behalf 3. Complete the CCAC PGT Confirmation Form Complete the full application and all fields including current location of the client at the time of the application Provide any names of contacts such as friends even if not considered being an SDM PGT may be able to obtain information about the client s wishes, values and belief to assist with decision making Clear Contact information of the CCAC Coordinator is required for communication and follow up The CCAC Coordinator who is familiar with the client should be the Contact person for follow up 4.

7 Gather all necessary documents for faxing to the PGT Office . (PGT PACKAGE) CCAC PGT Confirmation Form Completed RAI Assessment Evaluator Questionnaire Blank Choice Sheet Blank Consent Form List of possible LTCHs for consideration that may meet the client s care needs NOTE: Provide any known financial information to inform accommodation in LTC April 4, 2011 , JG&JS 3 Office of the Public Guardian & Trustee Steps Key Reminders 5. Fax the package of information to the appropriate Treatment Decision Unit Office . See above fax information and fax to the appropriate Office .

8 6. TDC reviews application and confirms receipt and follow up. The TDC will Contact the Coordinator to confirm receipt and discuss any gaps or issues Confirmation of when the TDC will meet with the client to allow for a decision related to LTC 7. TDC visits the client and makes LTC decisions On site visit is made with the client and LTC decisions are made supported by documentation Completed choice sheet and consent will be provided by PGT Coordinator may be involved during or after the meeting with the client. 8. Coordinator forwards the application & Coordinator forwards the application as per the local process to the LTCHs selected 9.

9 Ongoing monitoring and communication by the Coordinator to the PGT. Ongoing monitoring of the application and responses is required by the Coordinator Communication with PGT of progress and any changes is required ongoing until placement April 4, 2011 , JG&JS 4 Office of the Public Guardian & Trustee Property / Finances Decisions Application Process: Should an individual be a patient in hospital for the care, treatment or observation of a mental disorder and a physician finds them to be incapable of managing their finances; the PGT must be advised of this as per Sec 15 of the Substitute Decisions Act.

10 The PGT would then become the Guardian of property. For all other individuals, if it is suspected that the individual may be incapable of managing their finances, a capacity assessment can be requested. If the individual is found to be incapable by a capacity assessor, the PGT will become the Guardian of property. A list of names of capacity assessors may be obtained from the: Capacity Assessment Office : (416) 327 6766 or 1 800 521 1033 April 4, 2011, JG&JS 5 Office of the Public Guardian & Trustee Standards for PGT Response Times (TDCs) 1.