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Difference between revisions of "First Appropriate Bed Policy"
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(Created page with "{{DEMOWARNING}} {{Legal Issues in Residential Care: An Advocate's Manual TOC}} Health authorities sometimes give the prospective residents and families the impression that th...") |
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* establish local service delivery models that will provide clients with access to residential care services within their community or within accessible distance to their community. | * establish local service delivery models that will provide clients with access to residential care services within their community or within accessible distance to their community. | ||
== | ==What is “Appropriate”?== | ||
The term “appropriate” is not defined by the Ministry of Health or the health authorities. As a result it is subject to different interpretations. Administratively, a placement may appear medically appropriate if it meets a minimum standard of care, but from a person centred (resident’s) perspective looking at their total wellbeing, it may not. The British Columbia Office of the Ombudsperson stresses “Without a consistent and clear understanding of how the appropriateness of a placement is determined, seniors’ preferences may not be given sufficient weight.” | The term “appropriate” is not defined by the Ministry of Health or the health authorities. As a result it is subject to different interpretations. Administratively, a placement may appear medically appropriate if it meets a minimum standard of care, but from a person centred (resident’s) perspective looking at their total wellbeing, it may not. The British Columbia Office of the Ombudsperson stresses “Without a consistent and clear understanding of how the appropriateness of a placement is determined, seniors’ preferences may not be given sufficient weight.” | ||
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Appropriate placement for an lesbian, gay, bisexual or transsexual (LBGT) senior would be a facility that is “gay friendly”, that feels “safe“ to the resident and the persons that are important to them, that recognizes their relationships, and facilitates inclusive activities- ones in which the LGBT resident feels she or he can participate (“Family Days” become “Family and Friends Days”). | Appropriate placement for an lesbian, gay, bisexual or transsexual (LBGT) senior would be a facility that is “gay friendly”, that feels “safe“ to the resident and the persons that are important to them, that recognizes their relationships, and facilitates inclusive activities- ones in which the LGBT resident feels she or he can participate (“Family Days” become “Family and Friends Days”). | ||
== | ==The Effect of Declining an Offered Placement== | ||
Turning down a facility has implications, and so does accepting it. | Turning down a facility has implications, and so does accepting it. | ||
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Arguably, simply informing a prospective resident about the effects of the decision in advance does not make it any fairer or accord with key aspects of residential care policy. It is illusory to call this informed choice. The information may be there, the choice is not. | Arguably, simply informing a prospective resident about the effects of the decision in advance does not make it any fairer or accord with key aspects of residential care policy. It is illusory to call this informed choice. The information may be there, the choice is not. | ||
== | ==The Operator’s Authority to Decline Certain People== | ||
Residential care operators note that they sometimes feel under pressure from the Health Authorities to accept any prospective resident being offered by the health authority for admission to the facility. As will be discussed further in Chapter 4 on “Legal Issues When Living in Residential Care “, accepting residents who may be unsafe to live there can sometimes cause safety issues that significantly affect the residents and staff. At the same time, there are responsibilities on public and private operators to reasonably accommodate the needs of prospective and current residents. | Residential care operators note that they sometimes feel under pressure from the Health Authorities to accept any prospective resident being offered by the health authority for admission to the facility. As will be discussed further in Chapter 4 on “Legal Issues When Living in Residential Care “, accepting residents who may be unsafe to live there can sometimes cause safety issues that significantly affect the residents and staff. At the same time, there are responsibilities on public and private operators to reasonably accommodate the needs of prospective and current residents. | ||