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Technology and health care for the elderly medical research studies

Focus on strategic priorities that have significant social impact.

FRA 2015-B-05

Incorporating a frailty dimension into LOCUS for seniors in a medical-psychiatry population

This study assessed how well three specific tools, the "Clinical Frailty Scale", the "LOCUS" and the "6 D's" could identify the current level of healthcare utilization for older adults with medical and psychiatric co-morbidities.

Research Results

Project findings and information will be updated on a continual basis.

About the Project

Seniors with mental health disorders commonly have significant medical comorbidities that increase impairment, disability and health service utilization. Although high healthcare utilization rates by older adults have been well documented, no validated tools exist to accurately identify which patients within this population will require more healthcare resources than others.

Both Trillium Health Partners (THP) and the Centre for Addiction and Mental Health (CAMH) have successfully used a utilization management tool, the Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS) in their adult clinical mental health populations. Both hospitals now plan to implement the LOCUS in the seniors’ populations as a quality improvement project by adding a frailty dimension to the LOCUS tool. This study assessed how well three specific tools, the “Clinical Frailty Scale”, the “LOCUS”, and the “6 D’s” could identify the current level of healthcare utilization for older adults with medical and psychiatric co-morbidities.

Project Team

Principal Investigators:

Rose Geist, MD, FRCPC -- Trillium Health Partners

Benoit Mulsant, MD, FRCPC -- Trillium Health Partners

Co-Investigators:

Jason Kerr, MD, FRCPC -- Trillium Health Partners

Richard Shulman, MD, FRCPC -- Trillium Health Partners

Knowledge Users and Partners:

Satinder Brar -- Trillium Health Partners

Barbara Clive -- Trillium Health Partners

Philip Klassen -- Ontario Shores Centre for Mental Health Sciences

Tarek Rajji -- Centre for Addiction and Mental Health (CAMH)

Abby Ramzi -- Trillium Health Partners

Nicole Rodney-Hare -- Trillium Health Partners

Wesley Sowers -- University of Pittsburgh Medical Centre

Project Contact: Rose Geist -- rose.geist@trilliumhealthpartners.ca   

FRA 2015-B-05

Key words: seniors; mental health; utilization tools; community resources