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Office of the Public Guardian & TrusteeContact Information (Treatment Decisions Unit)The Treatment Decisions Unit has 12 Treatment Decision Consultants (TDCs) across Ontario who make substitute decisions on behalf ofincapable individuals to consent to Long Term Care admissions and treatment decisions.Main Contact / Intake:Fax number:(416) 314‐2788 or 1‐800‐387‐2127(416) 314‐2637Treatment Decision Unit OfficesContactsHamiltonHamilton Office Main ReceptionBob JareckiErich KnerrLondon(905) 546‐8300(800) 891‐0502Fax: (905) 546‐8301(905) 546‐8303‐ direct(905) 546‐8315‐ directLondon Office Main Reception(519) 660‐3140(800) 891‐0504Fax: (519) 660‐3148Laurie Borland (519) 660‐3145‐ directKaren Weaver(519) 660‐3180‐ directOttawa (Covers North including Sudbury,North Bay, up to Thunder Bay, Kenora &Dryden)Ottawa Office Main ReceptionToronto (Has 6 TDCs – see below.)Treatment Decisions Unit Main Line/Reception (416) 314‐2788(800) 387‐2127Marlene VermaetenMaureen Crabtree(613) 241‐1202(800) 891‐0506Fax: (613) 241‐1567(613) 241‐1524‐ direct(613) 241‐7766‐ directTreatment Decisions Unit Fax(416) 314‐2637Treatment Decisions Unit Team Leader (416) 314‐1721April 4, 2011 , JG&JS1

Office of the Public Guardian & TrusteeTreatment Decision Consultants(Toronto area)Hospitals CoveredBonnie Benedik: (416) 327‐5476Fax Number:(416) 314‐2637Sunnybrook HSCAjax‐ Pickering Health CentreBaycrest CentreBridgepoint Health CentreCampbellford Memorial HospitalLakeridge Health Corp‐ Port Perry, Oshawa,Bowmanville, Uxbridge, and Whitby sitesMarkham Stouffville HospitalNorthumberland Health Care CentrePeterborough Regional Health (both sites)Ross Memorial HospitalRouge Valley‐ Pickering/Ajax SiteSouth Lake Regional Health CentreOntario ShoresYork Central HospitalChristine Caines: (416) 314‐2664Fax Number:(416) 314‐2637Bracebridge (South Muskoka Hosp)Humber River Regional HC‐ all sitesNorth York General HospitalSoldiers Memorial Hospital (Orillia)St. Joseph's Health Care Centre (Toronto)Trillium HC (Etobicoke site)William Osler HC (Etobicoke site)Amy Cappuccitti: (416) 327‐5475Fax Number:(416) 314‐2637Toronto General HospitalToronto Western HospitalToronto Rehab (University and Dunn Ave. sites)Debbie Lee Caldeira: (416) 327‐5478Fax Number:(416) 314‐2637Collingwood HospitalCredit Valley HospitalHeadwaters Health Centre (Orangeville)Huronia District Hospital (Midland)Penetanguishine HospitalPenetanguishine Mental Health CentreRoyal Victoria Hospital (Barrie)Shelburne HospitalWilliam Osler HC (Brampton site)Gwynne Hardy: (416) 314‐9191Fax Number:(416) 314‐2637Centre for Addiction and Mental Health (allsites)Princess Margaret HospitalSt. Michael's HospitalToronto Grace HospitalCaryl Herbert:Fax Number:Mount Sinai HospitalRouge Valley – Centennary Scarborough siteScarborough General HospitalScarborough Grace HospitalToronto East General HospitalApril 4, 2011 , JG&JS(416) 314‐2246(416) 314‐26372

Office of the Public Guardian & TrusteeLong Term Care Decision ‐ Application Process:StepsKey Reminders1. CCAC Coordinator completes EvaluatorQuestionnaire and determines a client isincapable of making LTC decisions. 2. CCAC Coordinator determines that thereare no other Substitute Decision Makerswho could make LTC decisions on theclient’s behalf.3. Complete the CCAC PGT Confirmation Form Any Power of Attorney documentation must be explored and exhaustedAll possible family or other Substitute Decision Maker’s must be exhausted anddetermination that there is no one who can make decisions on the client’s behalf Complete the full application and all fields – including current location of the clientat the time of the applicationProvide 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 beliefto assist with decision makingClear contact information of the CCAC Coordinator is required for communicationand follow upThe CCAC Coordinator who is familiar with the client should be the contact personfor follow up 4. Gather all necessary documents for faxingto the PGT office. (PGT PACKAGE)April 4, 2011 , JG&JSAll responses to questions must be clearly documented to contribute todetermination or incapacity to make LTC decisions.Evaluator Questionnaires without this information will be considered incompleteand will delay processing to acquire completenessClients MUST be informed of their finding of incapacity and provided with the RightsInformation Sheet.CCAC PGT Confirmation FormCompleted RAI AssessmentEvaluator QuestionnaireBlank Choice SheetBlank Consent FormList of possible LTCHs for consideration that may meet the client’s care needsNOTE: Provide any known financial information to inform accommodation in LTC 3

Office of the Public Guardian & TrusteeStepsKey Reminders5. Fax the package of information to theappropriate Treatment Decision Unit office. See above fax information and fax to the appropriate office.6. TDC reviews application and confirmsreceipt and follow up. The TDC will contact the Coordinator to confirm receipt and discuss any gaps orissuesConfirmation of when the TDC will meet with the client to allow for a decisionrelated to LTC 7. TDC visits the client and makes LTCdecisions On site visit is made with the client and LTC decisions are made supported bydocumentationCompleted choice sheet and consent will be provided by PGTCoordinator 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 selected9. Ongoing monitoring and communication bythe Coordinator to the PGT. Ongoing monitoring of the application and responses is required by the CoordinatorCommunication with PGT of progress and any changes is required ongoing untilplacementApril 4, 2011 , JG&JS 4

Office of the Public Guardian & TrusteeProperty / 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 beincapable of managing their finances; the PGT must be advised of this as per Sec 15 of the Substitute Decisions Act. The PGT would thenbecome 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 berequested. 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:April 4, 2011, JG&JS(416) 327‐6766 or 1‐800‐521‐10335

Office of the Public Guardian & TrusteeStandards for PGT Response Times (TDCs)1. Treatment Decision Consultants (TDCs) will contact the CCAC Coordinator immediately upon receipt of the application. Any gaps ininformation or issues will be discussed during this time. A scheduled client visit will be confirmed during this discussion.2. The TDCs will see the client’s face to face for LTC decisions within 7 business days post receipt of the application.3. In exceptional circumstances where a face‐to‐face visit cannot be completed within 7 days, the PGT will contact the Coordinator toarrange for Long Term Care Home selection and decision making remotely. This is at the discretion of the TDC and is related tosignificant delays most likely due to geography.4. If the TDC does not see the patient or respond by day 7, the Coordinator will contact the PGT Treatment Decisions Unit for escalation(416‐314‐2788 or 1‐800‐387‐2127).NOTE: In more rural jurisdictions where travel to clients may be lengthy, the response times may be longer. TDCs will communicatetimeframes with the CCAC Coordinator for client visits.Standards for CCAC Coordinators1. When assessing capacity using the Evaluator Questionnaire, all responses to questions must be clearly documented to substantiate adetermination of incapacity.2. Clients deemed incapable must be informed of their finding of incapacity and provided with the Rights Information Sheet.3. The Coordinator must ensure that all possible Substitution Decision Makers are explored and exhausted before applying to PGT.4. The full PGT application package must be completed and faxed to the PGT office.5. If the TDC does not visit the client within 7 business days, the Coordinator will escalate the issue to the PGT Treatment & DecisionsUnit for intervention.April 4, 2011 , JG&JS6

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