Home Care - COACH Program

AKA: Caring for Older Adults in the Community and at Home Program
Provided by: Health PEI

Service Description

Provides frail Island seniors with in-home support for their complex health needs with the intention of helping them to live at home longer, return home from hospital stays sooner or transition to long term care smoothly. The program is offered jointly by professionals from the Home Care, Primary Care and Geriatric Programs who assist seniors in learning to better manage their health and make decisions that positively impact their quality of care and life.

Information

Eligibility:
Older adults who:
-Are age 65 years or older
-Have complex physical and/or psycho-social needs
-Have had a clinical frailty assessment that indicates the need for support (Rockwood Assessment score of 6 or greater)
-Are primarily home bound due to cognitive or functional limitations
-Are experiencing one or more geriatric syndromes (ex: dementia, falls, incontinence, depression, delirium, immobility, sleep disturbance, etc.)
-Would benefit from care coordination support on an ongoing basis
-Are agreeable to receive care from the COACH team
-Are living at home or in a Community Care Facility (long-term care residents are not eligible)
Fees:
No fees
How to Access:
Contact your health care provider for a referral to the program, e.g. Primary care providers (physician or nurse practitioner) * Geriatricians * Geriatric Program Nurse Practitioner * Home Care Coordinator
Documents Required:
Referral is required
Language:
English
Coverage Area:
Prince Edward Island

Service Locations & Contact Info

      • Disabilities Access:
        Unknown
      • Mon:8am - 4pm
        Tue:8am - 4pm
        Wed:8am - 4pm
        Thu:8am - 4pm
        Fri:8am - 4pm
      • Services are by appointment * Call for information
    • General Inquiries
      Call for information about programs offered by Home Care or to make an Adult Protection report
      902-368-4790
    • 6 Harmony Lane, Montague, PE C0A 1R0
      • Coverage Area:
        Kings County
      • Disabilities Access:
        Unknown
      • Mon:8am - 4pm
        Tue:8am - 4pm
        Wed:8am - 4pm
        Thu:8am - 4pm
        Fri:8am - 4pm
      • Services are by appointment * Call for information
    • General Inquiries
      Call for information about programs offered by Home Care or to make an Adult Protection report
      902-838-0786
      • Disabilities Access:
        Unknown
      • Mon:8am - 4pm
        Tue:8am - 4pm
        Wed:8am - 4pm
        Thu:8am - 4pm
        Fri:8am - 4pm
      • Services are by appointment * Call for information
    • General Inquiries
      Call for information about programs offered by Home Care or to make an Adult Protection report
      902-687-7096
      • Disabilities Access:
        Unknown
      • Mon:8am - 4pm
        Tue:8am - 4pm
        Wed:8am - 4pm
        Thu:8am - 4pm
        Fri:8am - 4pm
      • Services are by appointment * Call for information
    • General Inquiries
      Call for information about programs offered by Home Care or to make an Adult Protection report
      902-888-8440