Alzheimer’s disease and related dementias are recognized as an emerging health issue in Indigenous communities. Indigenous elders are considered to be among Canada’s most vulnerable citizens because they often face complex health issues stemming from socio-economic marginalization and a legacy of colonialism in addition to barriers in accessing health care. They have higher rates of many of the risk factors for dementia. As a result, the rates of Alzheimer’s disease and related dementias (ADRDs) are expected to increase more rapidly among Indigenous elders compared to non-Indigenous older adults. Despite this recognition, relatively little is known about ADRDs among Indigenous peoples in Canada.
This paper summarizes what is known about the prevalence of ADRDs, the challenges associated with diagnosing dementias, and the risk factors associated with the development of dementias in Indigenous populations. The paper highlights several knowledge gaps with respect to the prevalence of various forms of dementia among different groups of Indigenous peoples, as well as differences in the way dementias present in Indigenous communities. The paper concludes by highlighting the need for integrated multi-sectoral approaches to address socio-economic equities and health disparities as preventative measures for ADRDs.
Copyright: 2018 National Collaborating Centre for Aboriginal Health (NCCAH). This publication was funded by the NCCAH and made possible through a financial contribution from the Public Health Agency of Canada.
The Creating Authentic Spaces toolkit is part of The 519’s efforts to challenge transphobia and to foster environments that are inclusive of gender identity and gender expression. People who identify as trans often experience barriers to accessing necessary services due to discrimination or harassment based on their gender identity and gender expression.
This toolkit explores the experiences and challenges faced by trans people and supports organizations and individuals to develop approaches to fostering a trans inclusive environment. The toolkit also highlights the small and larger steps individuals can take personally and within their organizations to create more inclusive spaces and services for trans people. Creating Authentic Spaces info sheets, posters and workshops are also listed on this webpage.
GeriMedRisk is an interdisciplinary telemedicine consultation and education service for doctors, nurse practitioners and pharmacists in Ontario. Using telephone and eConsult, clinicians receive a coordinated response to questions regarding optimizing medications, mental health and comorbidities in older adult patients from a team of geriatric specialists and pharmacists. GeriMedRisk is a not-for-profit service for clinicians.
The Ontario CLRI gathered evidence and experiences from across the province in this needs assessment to help understand the supports and resources needed to address the diversity of residents living in long-term care homes. It was guided by an advisory committee and reflects consultations with multiple stakeholders, a literature review and shared learnings from LTC homes across Ontario. The results of this needs assessment served as support for the Ontario CLRI to formalize an advisory committee and work plan to identify and develop resources to support LTC homes in addressing and welcoming diversity.
Ontario’s Indigenous people have unique cultural requirements that must be supported by health care, including long-term care. This report summarizes the findings from a needs assessment to explore strategies to better support Ontario’s Indigenous people in long-term care homes.
As providers of person-centred care, long-term care homes must recognize and support the culture of their residents. To help the sector learn about the approaches other homes have used, and to understand the types of challenges homes have faced, the Ontario CLRI spent several months gathering evidence and experiences from around the province.
The project team worked closely with multiple stakeholders and advisory groups, and conducted a literature review. Learnings will help guide future work including the development of tools and resources to support Indigenous culture in long-term care, and to scale-up existing, successful practices. The report summarizes the findings of this work.
Using Data to Improve Quality of Care for Long-Term Care Residents in Ontario
On February 11, 2016, the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI) hosted a webinar that provided an overview of the value of health administration data at the provincial and local (i.e. long-term care home) levels.
This webinar recording outlines how to better understand the “alphabet soup of acronyms” and how to embrace long-term care (LTC) data as we strive to improve care and to make evidence-informed decisions. The presenters guide participants through the world of provincial data, giving clear examples of how large health administration databases can help improve quality of care in LTC.
Peter Tanuseputro, MHSc, MD, CCFP, FRCPC Peter is trained as a Public Health and Preventive Medicine physician, and as a Family Physician (University of Toronto). His research includes using linked health administrative databases to develop population perspectives on health care use, and cost associated with aging and end of life in Ontario. At the Ontario CLRI, Peter is using routinely collected data held at the Institute for Clinical Evaluative Sciences to follow all Ontarians prior, during, and after admission into LTC.
Kathy Greene, BScOT, MPA Kathy attained a Bachelor of Science in Occupational Therapy and a Master of Public Administration. She worked as an OT before becoming an Admission Coordinator and Coordinator for the NRS System, later transitioning to the position of Clinical Manager for Bruyère’s Geriatric Rehabilitation Service. Today, Ms. Greene is Bruyère’s Director of Decision Support, Admissions, Health Records and Staff Scheduling.
Meeting the Future Need Through Specialization in Long-Term Care Homes
On January 28, 2016, the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI) hosted a webinar that presents the most current context for specialized units in Ontario, why select long-term care (LTC) homes sought designation, and how these units fit into the continuum of care.
Specialized units are a unique service arrangement for Ontario’s LTC homes to expand the role they can play in the continuum of care. This webinar recording is based on an applied research project that conducted a multi-stakeholder consultation to learn about the experiences of LTC homes running designated specialized units or specialized programs. Consultation feedback on areas such as other client sub-populations that could benefit from new specialized units will help to provide a systems planning perspective.
Amy Porteous, Vice President of Public Affairs and Planning, provides leadership and oversight for Bruyère’s planning process, partnership development, cultivation of external relations and communications. Mrs. Porteous has a Masters in Health Administration from the University of Ottawa.
Zsofia Orosz, Manager of the Ontario CLRI at Bruyère, has a Masters in Health Administration from the Telfer School of Management, University of Ottawa.