The Rosehaven Program
The Rosehaven Program provides a variety of learning options for frontline health care providers. Classroom training sessions, Telehealth videoconferencing, Discussion Forums, and self-study modules are some of the options available to continuing care staff. The Rosehaven Program is a "Provincial Resource to the Continuing Care System" having received this designation in October 2000 from Alberta Health and Wellness. The Rosehaven Program offers education services, clinical outreach and in-house services.
Education Services
The overall goal of the Rosehaven education services program is to provide, in coordination and consultation with regional health authorities, a variety of education programs and services that will assist regions in developing the capacity and expertise required to manage individuals with altered behaviours in their own region.
Clinical Outreach Services
The Rosehaven clinical outreach program provides consultative services to care providers of individuals who display altered behaviours. Clinical outreach may include on-site visits, assessment, recommendations, and support for the health care team using the ABCC model. The overall goal of the outreach program is to enable individuals to remain in their own setting.
In-house Clinical Services
The Rosehaven in-house clinical program supports person-centered care and provides services and support to individuals with altered behaviours associated with complex physical, cognitive/mental needs beyond the care limits of continuing care providers.
The overall goal is to optimize quality of life through a person-centered approach. An individual is admitted for assessment and treatment services in a holistic, therapeutic milieu. The interdisciplinary team utilizes the ABCC model of care. In this model, we look not only at the 'Behaviours' of the individuals, but also at 'Antecedents' (physical, intellectual, emotional, spiritual, capabilities, environment, and social) of their behaviour. Any of these antecedents may alter behaviours which in turn profoundly influences wellness, independence and above all, quality of life. We also examine the 'Consequences' of the behaviour and appropriate 'Care strategies' on three levels: the individual, unit, and staff level. The treatment service aims to implement a creative and individualized approach to alleviate symptoms of disease and accompanying behaviours.
Optimizing quality of life is facilitated by staff recognizing that clients know what they want and ensuring that clients are involved in decisions that affect them. The Rosehaven program recognizes that many organizational components such as the limits of the physical environment, available roles to fulfill, activities to participate in, expectations of staff, stated and implied rules will influence client behaviour and ultimately quality of life. An enriched environment is created to meet the individual needs of clients and facilitate opportunities for fulfilling a satisfying lifestyle, incorporating socially appropriate behavioural expectations. Skill development is also encouraged to enable clients to be successful and satisfied in chosen roles and settings with the least amount of formalized support in preparation for discharge. Expectations, assistance, selection of activities, and structure provided are dependent on client abilities and desire to succeed.
Once the Rosehaven interdisciplinary team has identified the individual as ready for discharge, the Regional Placement Coordinator and the Key Liaison are contacted and planning for discharge is initiated. A Rosehaven team member accompanies the individual to the receiving home and gives an overview of the care plan and interventions. Telephone follow-up is conducted following discharge at one week, one month, three months, and six months.
