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  • 05 Dec 2016 11:37 AM | CAGP (Administrator)

    The Centre for Education at Baycrest has been working hard to create an online resource to lessen the complexity, confusion and challenge of locating reliable information about dementia for caregivers and those with concerns about dementia and memory loss. With these goals in mind, I am proud to announce the launch of Dementia Resources from Around the World.

    This website provides access to a selection of the best available senior-friendly web resources on dementia. It is designed for both individuals experiencing symptoms of the disorder and their caregivers. The selected websites provide information on dementia, including risk factors, signs and symptoms, diagnosis, treatment options, strategies to cope with daily life challenges, and available support groups. The information is available in multiple formats (i.e., video, PDF, pamphlets, games) to make it accessible to everyone. These websites have been evaluated to ensure they provide reliable and valid information on dementia.

    Please share this new resource with your clients and colleagues (internal and external). If you have any feedback or suggestions about additional websites that should be included on the site, please contact Dr. David Conn at dconn@baycrest.org.


  • 05 Dec 2016 11:17 AM | CAGP (Administrator)

    The 25th Annual Scientific Meeting was held in Quebec City from September 30 to October 1. This year’s theme was Paradigm Shifts for Research and Clinical Care.

    The conference opened on Friday afternoon with remarks from the Canadian Medical Association (CMA) President, Dr. Cindy Forbes. Under Dr. Forbes’ guidance, the CMA has led a national seniors’ strategy and “Demand a Plan”, the largest and most successful public engagement campaign in the history of the CMA, focused on health care planning for an aging population. Dr. Yves Joanette, the Scientific Director of the CIHR Institute of Aging and a professor in the Faculty of Medicine at the University of Montreal, gave the opening plenary address on Aging as a Paradigm Shift. 

    The second day of the meeting began with the keynote address from Dr. Dilip V. Jeste. Dr. Jeste is the Estelle and Edgar Levi Chair in Aging, Director of the Sam and Rose Stein Institute for Research on Aging and Distinguished Professor of Psychiatry and Neurosciences at the University of California, San Diego. He gave an inspiring overview of successful aging and how to incorporate elements of successful aging into treatment of older adults with mental illness.

    The theme of Positive Psychiatry of Aging was further extended with the final plenary of the conference, presented by Dr. Keri-Leigh Cassidy. Dr. Cassidy provided a comprehensive overview of the national “Fountain of Health” initiative, a seniors’ mental health promotion effort to bring the current science of neuroplasticity, resilience and optimal aging to health care providers and to the Canadian public.

    We celebrated the 25th anniversary of the CAGP at a gala dinner in the historic Chateau Frontenac Hotel. Past presidents and founding members, including Dr. Marie France Rivard, reflected on their experiences and the history of the CAGP.

    The quality of poster, workshop and symposia presentations covered the breadth of innovations in research, geriatric psychiatry residency training and novel clinical care models. 

    Respectfully submitted,

    Daniel M. Blumberger, MD, MSc, FRCPC


  • 05 Dec 2016 11:14 AM | CAGP (Administrator)

    Just over 70 clinicians attended the CAGP's 5th Update in geriatric psychiatry held September 29-30, just before the CAGP Annual Scientific Meeting in Quebec City. As a result of consultations, surveys and feedback, the format was changed to a 1.5-day series of master class style workshops. These were practical updates in areas of clinical use and importance to geriatric psychiatrists and residents, including:

    Full-day workshops:

    • Problem Solving Therapy for Older Adults: An Interactive Workshop with Drs. Rebecca Crabb and Dallas Seitz
    • Advanced Interactive Case-based Workshop on Pharmacology on Depression and Dementia with Drs. Nathan Herrmann and Benoit Mulsant

    Half-day workshops:

    • Cognitive Behaviour Therapy for Insomnia of Older Adults: An Interactive Hands-on Workshop with Dr. Gail Myhr
    • Advanced Approach to Differential Diagnosis of Dementia in Atypical Dementias with Dr. David Tang-Wai
    • Atelier d’expert sur le diagnostic des démences avec Dr. Robert Laforce
    • Advanced Neuroimaging Workshop in Geriatric Psychiatry and Dementia with Dr. David Tang-Wai

    Initial informal feedback suggested the Update was successful. The added depth from a workshop format ensures the CAGP continues to make the educational program relevant and interesting to geriatricians and family physicians who want to improve and update their knowledge base in geriatric mental health.

    I am most grateful for the support of the Planning Committee which, along with myself as chair, was made up of the following:

    Mark Rapoport, MD, Co-chair

    Dallas Seitz, MD, Co-chair

    François Primeau, MD, Geriatric Psychiatry

    Julie Theriault, MD, representative for Family Medicine

    In addition, the Update would not be possible without the support of the entire CAGP board led by Dr. Rapoport, as well as the hard-working administrative team of Tabitha Carloni and Farrah Amador-Mughal of Secretariat Central who worked very long hours finalizing all preparations, communicating with the Hotel PUR Quebec, answering questions from members and attendees, and dealing with administrative issues.

    Due to next year’s CAGP collaboration with the Canadian Conference on Dementia, there will not be an Update until 2018. I look forward to reviewing feedback to help prepare for the future of this educational program and providing quality continuing professional development in geriatric psychiatry.

    Respectfully submitted,

    Andrew Wiens, MD, FRCPC


  • 05 Dec 2016 10:48 AM | CAGP (Administrator)

    The CCSMH Late Life Suicide Prevention Toolkit: Life Saving Tools for Health Care Providers was developed for health care providers – physicians, nurses, front-line workers, mental health professionals – and educators in health education programs at universities and colleges. The toolkit was developed by experts in the fields of geriatrics and suicide prevention: clinicians, researchers and academics, community agencies/organizations, and family and advocacy groups. Production of this toolkit was made possible through a financial contribution from the Public Health Agency of Canada, the Betty Havens Award for Knowledge Translation in Aging (CIHR), as well as a donation from the RBC Foundation.

    All elements of the Toolkit can be accessed on the CCSMH website.

    Interested in hard copies? Please email CAGP@secretariatcentral.com for more information.


  • 05 Dec 2016 10:47 AM | CAGP (Administrator)

    The Senate has published their report on Dementia this past week with 29 recommendations. Dr. Marie-France Rivard had presented to this committee on behalf of the CAGP, Bonnie Schroeder had done so on behalf of CCSMH, and Dr. Frank Molnar spoke on behalf of CGS, along with several other respected speakers. There is also a link to an executive summary of the report and an information pamphlet on dementia and its impact. Thanks to all the participants for their contribution.

    The Senate are putting together a short video about this initiative which I have participated in which will be available soon. 

    Please see the report here: http://www.parl.gc.ca/content/sen/committee/421/SOCI/Reports/SOCI_6thReport_DementiaInCanada-WEB_e.pdf

    Also interesting relative document: http://sencaplus.ca/news/national-dementia-strategy-needed-to-foster-dementia-friendly-communities  

    It is anticipated that these initiatives will lead to a better quality of life for Canadians living with dementia. Please distribute this information widely to gain traction and increase its impact. Thank you. 

    Best regards, 

    Kiran Rabheru MD, CCFP, FRCP, DABPN


  • 05 Dec 2016 10:36 AM | CAGP (Administrator)

    The UBC Division of Geriatric Psychiatry, under the leadership of Dr. Michael Wilkins-Ho, continues to be academically active. Monthly Provincial Geriatric Psychiatry Videoconference Rounds are ongoing with video uplink to sites across BC. CADRE rounds (Current Areas of Division Research Endeavors) were held in June 2016 and served as a medium for subspecialty residents and division members to showcase academic and research projects.

    The CLeAR Partnership Alliance (Call for Less Antipsychotics in Residential Care) of the BC Patient Safety & Quality Council is well underway in its second wave. Much is being learned as we attempt to reduce inappropriate usage of neuroleptics in those care facilities in BC volunteering to participate in this initiative.

    The Elder Care Ethics Committee has begun its second year of providing ethics consults to teams caring for our older adults. It is an interdisciplinary committee with members from Providence Health Care and the Vancouver Coastal Health Authority. It is dedicated to supporting our clinicians, patients, and their caregivers and family. Medical Assistance in Dying has, of course, become a larger focus of discussion.

    We are happy to report that four new geriatric psychiatrists were graduated from the UBC Geriatric Psychiatry Subspecialty Training Program in June 2016. The program currently has two trainees on track to graduate in 2018 and is in the process of interviewing new applicants.

    We wish to thank Dr. Martha Donnelly for her tireless advocacy around trainee issues. While she has now stepped down from her former role of program director, Dr. Ashok Krishnamoorthy has taken her place and brings significant experience in medical education to UBC. Unfortunately, funding of positions remains an active issue and the number of supported places for the 2017 intake has dropped from two to one.

    As one of the largest and fastest growing health authorities in Canada, the Fraser Health Authority (spanning from the cities of Burnaby to Hope) is continuing to make exciting efforts to meet the demands of an aging population. One highlight is the Royal Columbian Hospital Redevelopment Project. Phase one, scheduled for completion in 2019, includes construction of a new 75-bed mental health and substance use facility. It will offer a dedicated geriatric psychiatry unit designed for older adults experiencing acute mental illness. 

    The UBC Tertiary Geriatric Psychiatry Committee continues to support P.I.E.C.E.S. initiatives in BC.   Dr. Carol Ward is the clinical lead for the Kamloops Interior Health Integrated P.I.E.C.E.S. initiative and the Tertiary Older Adult Provincial P.I.E.C.E.S. initiative. Dr. Mary Lou Harrigan is the project lead for the tertiary initiative. Both programs continue to progress well and there is interest from the BC government in expanding P.I.E.C.E.S. across the continuum of care in the province. To that end, an advisory committee, the Provincial P.I.E.C.E.S. Reference Group, has been struck.

    This committee is examining multiple approaches to expanding the program, including development of facilitators in BC. Dr. Ward and Dr. Harrigan have recently published a short film on P.I.E.C.E.S. and leadership, available at https://youtu.be/-In6axL1sVo.

    The Ministry of Health has also renewed our P.I.E.C.E.S. license, ensuring the initiative will be delivered across the continuum of care in BC.        Dr. Elizabeth Drance and Dr. Carol Ward continue to deliver their workshop: Dementia-Related Responsive Behaviour: Putting it All Together Using P.I.E.C.E.S. and the BC BPSD Algorithm – A Workshop for Physicians (3.75 hours accredited College of Family Physicians and Royal College of Canada). The workshop has been rolled out successfully in several sites across the province.

    We are also pleased to announce the publication of Seniors Services: A Provincial Guide to Dementia Care in British Columbia available at www.health.gov.bc.ca/library/publications/year/2016/bc-dementia-care-guide.pdf

    Submitted by: Dr. Paul Blackburn and Dr. Bonnie S Wiese.


  • 05 Dec 2016 10:33 AM | CAGP (Administrator)

    The Research Committee continues to work to promote research in geriatric psychiatry in Canada. Please contact andrea.iaboni@uhn.ca if you would like to learn more or to be included in our budding research network.

    We are testing the ResearchGate platform as a way of creating a network of geriatric psychiatry research in Canada. Please visit the ResearchGate project page:

    www.researchgate.net/project/Canadian-Academy-of-Geriatric-Psychiatry-Research-Network

    If you have a ResearchGate profile, you can follow this project and receive updates about research initiatives out of the CAGP, including updates on your research and requests for collaboration, as well as be able to post and comment.

    Recent publications from Canada in seniors’ mental health include:

    The role of cerebrovascular disease on cognitive and functional status and psychosis in severe alzheimer's disease. Kim J, Schweizer TA, Fischer CE, Munoz DG. J Alzheimers Dis. 2016 Sep 21. [Epub ahead of print]

    'Growing Old' in shelters and 'On the Street': Experiences of older homeless people.

    Grenier A, Sussman T, Barken R, Bourgeois-Guérin V, Rothwell D. J Gerontol Soc Work. 2016 Sep 21. [Epub ahead of print]

    Partial and no recovery from delirium after hospital discharge predict increased adverse events. Cole MG, McCusker J, Bailey R, Bonnycastle M, Fung S, Ciampi A, Belzile E.

    Considering new treatment paradigms for neuropsychiatric symptoms of Alzheimer's disease. Lanctôt KL, Boot BP, Bain LJ, Hendrix JA, Carrillo MC. Alzheimers Dement. 2016 Sep;12(9):1031-2. doi: 10.1016/j.jalz.2016.08.002. No abstract available.

    Trajectories of behavioural disturbances across dementia types. Linds AB, Kirstein AB, Freedman M, Verhoeff NP, Wolf U, Chow TW.

    Six-month trajectories of self-reported depressive symptoms in long-term care. McCusker J, Cole MG, Voyer P, Monette J, Champoux N, Ciampi A, Vu M, Belzile E, Bai C. Int Psychogeriatr. 2016 Jan;28(1):71-81. doi: 10.1017/S1041610215001179. Epub 2015 Aug 10.

    Changes in neuropsychiatric inventory associated with semagacestat treatment of Alzheimer's Disease. Rosenberg PB, Lanctôt KL, Herrmann N, Mintzer JE, Porsteinsson AP, Sun X, Raman R. J Alzheimers Dis. 2016 Aug 10;54(1):373-81. doi: 10.3233/JAD-151113.

    Depression predicts functional outcome in geriatric inpatient rehabilitation. Shahab S, Nicolici DF, Tang A, Katz P, Mah L. Arch Phys Med Rehabil. 2016 Aug 13. pii: S0003-9993(16)30412-9. doi: 10.1016/j.apmr.2016.07.014.



  • 05 Dec 2016 10:31 AM | CAGP (Administrator)

    A silver anniversary! Twenty-five years have rushed by in a blur of activity and achievement. It seems just recently Ken Leclair, Marie France Tourigny-Rivard and Lillian Thorpe sat with me at the front of a room at the Royal York with about 75 of our geriatric psychiatry colleagues to talk about the feasibility of a new Canadian organization as a home for psychiatrists practicing geriatric psychiatry. A year later, we formally declared the formation of the CAGP. North American geriatric psychiatry was coming of age at that point with major developments in the U.S. led by the AAGP and internationally with the formation of the IPA led by Sandy Finkel.  

    Despite early challenges and uncertainties, the CAGP has flourished. Most importantly, it has fulfilled what I consider its two most important roles: a professional home for all of us and Canadian geriatric psychiatry, and a strong visible leadership organization to help guide the development of geriatric psychiatry and mental health. Our annual conferences are small jewels of Canadian psychiatry. The CAGP has hosted the two Canadian IPA International Congresses. The 1999 IPA International Congress in Vancouver still stands as one of the top two most successful Congresses in the IPA’s history. With David Conn and Ken LeClair’s leadership, the CAGP led the formation of CCSMH, which has helped fashion key sets of geriatric mental health guidelines on delirium, depression, LTC and suicide. Perhaps most notable has been the persistent and skilled negotiations over almost two decades to catalyze and lead the formation of the subspecialty of geriatric psychiatry in Canada. At a personal level, nothing has given me greater satisfaction than to see this come to fruition. Many were involved along the way, but special thanks needs to go to Melissa Andrew and Cathy Shea who brought this initiative across the finish line with the RCPSC.

    In mentioning specific people I am very aware that we could create a long list of outstanding contributors and leaders over the past 25 years to whom we all owe a deep debt of gratitude. I’ll leave it to another time to flesh out the list more completely.

    Where might we head now? I would say that a key role for the CAGP is to refine its structures and processes to proactively lead the national discussions now underway in Canada on how to develop mental health systems and services for the elderly. The Mental Health Commission has been a driver for change as has the CPA but, in my view, the CAGP is best positioned to convene the breadth and depth of expertise necessary to deeply inform change. The task is to build on our strong foundations and mount the vision, excitement and, most importantly, the assertiveness necessary to guide the evolution of geriatric mental health and psychiatry in Canada. To do this means setting specific system change goals and establishing the necessary organizational structures, processes and alliances so that we can be proactive in influencing leaders and policy makers.  

    So, let’s congratulate ourselves and celebrate our achievements, and then look ahead. We have a lot to do, the people to do it and a bright future for the CAGP as we embark toward our golden anniversary in 2041.  

    Warm regards to everyone.                                                                                                               

    Joel Sadavoy, MD, FRCPC


  • 27 Jul 2016 4:56 PM | CAGP (Administrator)

    In response to a change in federal legislation, the College of Physicians,together with Provincial regulatory bodies has put together a formal process to help guide patients and physicians through Medical Assistance in Dying (MAID). Information on MAID laws, standards, and regulations can be found on the Canadian Psychiatric Association (CPA) website: http://www.cpa-apc.org/browse/documents/431


  • 27 Jul 2016 4:56 PM | CAGP (Administrator)

    For your interest, please see below two recent interesting articles on the topic of Physician Assisted Death.

    Globe and Mail: Editorial by Dr. Sonu Gaind

    The Guardian: The label ‘incurable’ is not a justification for ending a life


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