Intersectorial Mobile Interprofessional Coaching Team (I-MICT)

In Collaboration with Queen’s University’s Interfaculty IMPACT Program and Regional, Provincial and National Partners

The Intersectoral Mobile Interprofessional Coaching Team (I-MICT) project built on MICT I and MICT II.  I-MICT aimed to further interprofessional education and practice to benefit older adults with complex, chronic and co-morbid mental and physical health issues.The project engaged partners from Family Health Teams, Long-Term Care, Community, Acute Care Psychiatry, Emergency and Specialized Mental Health. I-MICT supported the development of:

  • A collaborative intersectoral interprofessional learning network
  • Four workgroups aimed at developing tools and algorithms to support intersectoral interprofessional curriculum and practice
  • A preceptor/bursary program for nine pre- and post-licensure professionals

 OUTCOMES

  • Increased number of pre- and post-licensure professionals interested in aging, interprofessional practice and geriatric mental health
  • Enhanced understanding of professional roles across sectors
  • Establishment of a Collaborative Intersectoral Interprofessional Learning Network involving 22 health care/academic professionals across sectors
  • Introduced a shift in system processes to support and promote elder friendly communities via improved communication and linkages by professionals, caregivers, researchers and educators
  • More effective use of emergency department and institutional care including alleviating Alternate Level of Care
  • Identification of policy implications and policy changes via utilization of intersectoral & interprofessional decision trees and supportive tools accessed through e-health

  PROJECT PARTNERS

  • Alzheimer Knowledge Exchange (Provincial Partner)
  • Alzheimer Society of Kingston, Frontenac, Lennox & Addington
  • Canadian Coalition for Seniors’ Mental Health (National Partner)
  • Fairmount Home
  • Frontenac Community Mental Health Services
  • Hotel Dieu Hospital / Kingston General Hospital
  • Kingston Police Force
  • Maple Family Health Team
  • Mental Health Commission of Canada (National Partner)
  • Paramedic Services of the County of Frontenac
  • Prince Edward Family Health Team
  • Providence Care’s Providence Manor & Specialized Geriatrics
  • Queen’s Family Health Team
  • Queen’s University IMPACT Program
  • Seniors Health Knowledge Network (Provincial Partner)
  • Sharbot Lake Family Health Team
  • South East Community Care Access Centre

KNOWLEDGE MOBILIZATION ACTIVITIES

Capacity Building

  • Three Intersectoral interprofessional leadership forums Community Population Health
  • Collaborative discussion at the Sharbot Lake Seniors Mental Health Collaborative
  • Healthy Lifestyle Resoucre Clinic to address key mental health and addictions issues across the life span
    Family Health Teams
  • A one-day Social Mobility Clinic for clients of the Maple FHT identified as being at risk for falling, having
    had fallen or having a fear of falling

NEW PROCESSES

Community and Emergency Response

  • Lived Experience Project - face to face interviews used to further understand the lived experience of caregivers of individuals with dementia that have visited the KGH ER
  • Peer support groups using the Stanford Chronic Disease Self Management Model

Family Health Teams

  • Developed Chronic Care Record to ensure the necessary information is passed between Hotel Dieu Hospital and Maple FHT
  • Monthly intersectoral interprofessional case conferences using Ontario Telemedicine Network

PRODUCTS

Community and Emergency Response

  • Acute Decline in a Long-Term Care (LTC) Home Algorithm
  • Acute Decline in the Community Algorithm
  • Transfer from Emergency Room (ER) to LTC Home Algorithm
  • Transfer from ER to Community Algorithm
  • Transfer checklist (checklist to accompany the ministry-mandated transfer form and serve as a reminder to health professionals of what must be included in the "transfer package")

Long-Term Care

  • Behavioural and Psychological Symptoms of Dementia (BPSD) Guidebook (in collaboration with the Bridges to Care Project)
  • Transfer checklist (adapted from the community and emergency response checklist to remind health professionals of the documents needed in the "transfer package")