November 2016

President’s Report……………………………………………………………………………………………………………………………………………… 1

Message from the Editors………………………………………………………………………………………………………………………………….. 2

Letter from founding President of the CAGP……………………………………………………………………………….…………………….. 3

A Look Back at the CAGP Update in Geriatric Psychiatry and Annual Scientific Meeting…………………………………….. 4

CAGP Flashback! Annual Scientific Meeting 2004………………………………………………………………………………………………. 8

Other CAGP News………………………………………………………………………………………………………………………………………………. 9

CAGP Regional Updates………………………………………………………………………………………………………………………………………. 11

CCSMH News………………………………………………………………………………………………………………………………………………………. 13

Other News……………………………………………………………………………………………………………………………………………………….... 14

Upcoming Events…………………………………………………………………………………………………………………………………………………. 16

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November 2016

President’s Report

It’s my pleasure to submit my first President’s report for the CAGP and I would like to thank everyone for their support over the past month since becoming President in the last two months. The transition for me so far has been far less anxiety provoking than I anticipated, due in large part to the incredible leadership that Mark Rapoport and our previous and current board members have dedicated to the CAGP and organizational skills that Secretariat Central bring to the CAGP. As members of the CAGP we owe all of them our gratitude for all the work they have put into the CAGP to make it the thriving and exciting organization that it has become.

In this newsletter you will have updates from several CAGP activities including our Update in Geriatric Psychiatry and Annual Scientific Meeting that were held in Quebec City from September 29th to October 1st, 2016. Thanks to Daniel Blumberger for Chairing the ASM and Andrew Wiens for chairing our Update in Geriatric Psychiatry. This year brought changes to the formats for both events which were well received by attendees. Having a longer period of time together for attendees in Quebec between the Update and Scientific meeting provided opportunities for more content in both of these events. More importantly, this format also allowed for more social activities and opportunities for our CAGP members to network. Highlights of the meeting for me included the Gala and the Fun Run and we will be looking towards having more opportunities to incorporate more social events into our meetings in the future. As incoming president it was also a great experience to hear from all the past CAGP presidents at the Gala and Dr. Sadavoy’s reflections as Past President have been shared in this month’s newsletter. Thank you to Francois Rousseau and colleagues at the University of Laval for being such gracious hosts for these social events, the bar has been set high now for future meetings! It’s also refreshing and encouraging to see the great turnout for trainees at our meetings and hear about the promising future leaders in our field.

Looking forward to the future an area I would like to continue to work with the CAGP and the CCSMH on in our advocacy efforts both to lead and move ahead with promoting geriatric mental health and Geriatric Psychiatry while at the same time balancing this with opposition to initiatives that may not share our perspectives. The CAGP would like to begin to establish some regional advocacy platforms for our members and if any of you are interested in becoming more involved in advocacy efforts please feel free to contact me at: seitzd@providencecare.ca.

For anyone who would like to become more involved in the CAGP or have any questions related to our organization please feel free to contact myself or any of our board members for more information. I look forward to working with all our members over the coming years and wish you all the best over the upcoming Holidays.

Sincerely,

Dallas Seitz, MD, FRCPC President, CAGP

www.cagp.ca

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November 2016

Message from the Editors

Greetings, In this edition of the e-Newsletter, we highlight the 25th anniversary of the CAGP, the great turnout at the Annual Scientific Meeting in Quebec City, as well as the many events held there. Be sure to read the letter by Dr. Sadavoy, the founding President of the CAGP. In other news, we give you the CAGP regional update from British Columbia. We’re also pleased to share that the Canadian Geriatrics Society journal and new Baycrest website for clients and caregivers (dementia resources) are now available. Finally, learn more about how the Research Committee continues to promote research in geriatric psychiatry. Please save the date for the 9th Canadian Conference on Dementia from November 2-4, 2017 in Toronto. Membership renewal is now open so be sure to renew your membership to take advantage of great member-only benefits. We hope you enjoy the November e-Newsletter and may you have an inspiring new academic year. Paulina Bajsarowicz, MD, FRCPC Communications Co-Chair, CAGP Assistant Professor, McGill University Nancy Vasil, MD, FRCPC Communications Chair, CAGP Professeur adjointe de clinique, Université de Montréal

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November 2016

Letter from founding President of the Canadian Academy of Geriatric Psychiatry

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

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November 2016

Update in Geriatric Psychiatry, Message from the Chair

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… Read more Respectfully submitted, Andrew Wiens, MD, FRCPC

Annual Scientific Meeting, Message from the Chair

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… Read more Respectfully submitted, Daniel M. Blumberger, MD, MSc, FRCPC

A Look Back at the CAGP 25th Anniversary Update in Geriatric Psychiatry and Annual Scientific Meeting

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November 2016

CAGP 25th Anniversary Gala Dinner

On September 30, the CAGP celebrated its 25th anniversary with a cocktail reception and dinner at the iconic Fairmont Le Château Frontenac in Quebec City. Dr. Marie France Rivard gave a wonderful presentation about the history of geriatric psychiatry in Canada and how far we have come. The 2016 Outstanding Contributions Award was presented to Dr. Keri-Leigh Cassidy for her significant contributions to education, advocacy and service delivery through exceptional leadership in the field of geriatric psychiatry in Canada over the past 15 years. It was an exciting night with live music, entertainment and dancing. The CAGP would like to extend a very big thank you to Laval University for sponsoring the entertainment for the 25th anniversary dinner. For more photos from this event, please visit our website at www.cagp.ca/Fundraise.

CAGP ASM 2016 Resident and Training Award Winners

The Award Review Committee was very impressed with the quality of applicants received for this year’s ASM Awards. The CAGP actively promotes initiatives focusing on the mental health of the Canadian older adult population. As a national organization, we recognize the growing need for geriatric psychiatrists based on the growth of the elderly population and lack of access in many Canadian regions. The 2016 award winners are being recognized for their commitment to geriatric psychiatry, the quality of scholarly work and their potential to contribute to geriatric psychiatry in the future.

The CAGP is proud to announce the recipient of the 2016 CAGP Awards:

2016 Resident Award (from left to right): Dr. Claude Bergeron Dr. Dominique Elie Dr. Milena Gosk

SOCIAL EVENTS

CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca

2016 Training Award (From left to right): Dr. Vanessa Thoo Dr. Simon Woo

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November 2016

2016 Inaugural CAGP Fun Run/Walk

The inaugural CAGP Fun Run/Walk was held on October 1 during the 25th Annual Scientific Meeting, in support of the CAGP. Starting at 6 a.m., participants ran 5 km or walked 3 km through beautiful Quebec City along the Rivière Saint-Charles. With a great turnout, the CAGP was able to raise more than $2,000! For more photos from this event, please visit our website at http://www.cagp.ca/Fundraise.

Trainee Initiatives and Events

The Canadian Academy of Geriatric Psychiatry Education Committee: Students and Trainees was pleased to offer four $500 travel bursaries for medical students, psychiatry residents and geriatric psychiatry subspecialty residents to attend the CAGP 25th Annual Scientific Meeting (ASM) in Quebec City, as well as two $500 bursaries for senior residents and geriatric psychiatry subspecialty residents to attend the Update in Geriatric Psychiatry (UGP) course. The Laval University Division of Geriatric Psychiatry/Division de gérontopsychiatrie de l'Université Laval supported two senior residents with a $500 travel bursary to attend the UGP course. The CAGP partnered with CIHR who sponsored ten $500 bursaries to support geriatric psychiatry subspecialty residents, psychiatry residents and medical students to attend the ASM. Groups of geriatric psychiatrists from British Columbia, Queen’s University Division of Geriatric Psychiatry, the Jewish General Hospital Division of Geriatric Psychiatry and Geri-PARTy Research Group, and Laval University Division of Geriatric Psychiatry/Division de gérontopsychiatrie de l'Université Laval kindly provided additional support to sponsor this year’s evening social event for the trainees. We very much appreciate their support as it has led to increased engagement of trainees at the ASM and has provided an opportunity for trainees to network together with their peers across the country. The CAGP continues to offer complimentary memberships to all our trainees.

Save the date! The CAGP 26th Annual Scientific Meeting – November 4-5, 2017

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November 2016

CAGP Flashback! Annual Scientific Meeting 2004

What a team!

CAGP Board

Meeting

Montreal 2004

I wonder what

we’ll look like 12

years from now?

Incoming Board (2004-2005)

Dr. David Conn………………. Past President Dr. Martha Donnelly……... President Dr. Catherine Shea ………... Vice President/Education Dr. Marlene Smart…………. Treasurer/Secretary Dr. Nadine Gagnon………… Membership Dr. Melissa Andrew………... Board Member Dr. Barry Campbell…………. Board Member Dr. Terry Chisholm…………. Board Member Dr. Elisabeth Drance………. Board Member Dr. Kiran Rabheru…………... Board Member

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November 2016

Donations

Over the years, the Academy has offered support in the form of awards to psychiatry residents and residents in subspecialty geriatric psychiatry programs. To further this initiative, the Academy is seeking donations to help fund the educational initiatives of residents. Members of the new CAGP Board of Directors have all made donations this year and encourage you to donate. All board members have donated to the CAGP. If you were unable to attend the CAGP Update or ASM, we strongly encourage you to make a donation.

2016–2017 Membership Renewal

Please be sure to renew your membership to take advantage of great member benefits such as member-only conference and event registration rates! To update your membership profile, please click here. Benefits of membership: 1. You will receive a quarterly e-Newsletter with regional updates and links to resources and events. 2. You will have access to the CAGP website with a members-only area that provides opportunities to

connect with colleagues across the country. 3. You will be eligible for discounts on meetings hosted by the CAGP.

CAGP Research Committee 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 can be found here!

OTHER CAGP NEWS

CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca

Top reasons to donate to the CAGP: 1. More awards to support more candidates (training

and resident awards). To learn more about the awards, please click here. 2. Increased interest in geriatric psychiatry among future physicians. 3. Improved access to mental health care for Canada's elderly population in future years. 4. Tax receipt!

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November 2016

CAGP REGIONAL UPDATES

Update from British Columbia 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… Read more

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

CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca

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November 2016

CANADIAN COALITION OF SENIORS MENTAL HEALTH (CCSMH) NEWS

Senate Committee publication on dementia

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

Late Life Suicide Prevention Toolkit: Life Saving Tools for Health Care Providers 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.

CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca

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November 2016

The Canadian Geriatrics Society CME Journal

The Canadian Geriatrics Society invites you to visit its free open access CME Journal at www.geriatricsjournal.ca. We hope the articles are of interest and assistance in your practice. Please feel free to forward the link to the journal to your colleagues.

New Baycrest Website for Clients and Caregivers: Dementia Resources from Around the World

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… Read more

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.

Geriatric Psychiatry Online Course (GPOC)

Geriatric Psychiatry Review and Exam Preparation Guide

In November 2016, the Geriatric Psychiatry Review and Exam Preparation Guide was

published by the University of Toronto Press. This is a book that was prepared

largely by CAGP members and will be of particular interest to our membership. The

authors have signed all proceeds back to the CAGP. The Guide is now available for

pre-order here: https://www.amazon.ca.

CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca

OTHER NEWS

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November 2016

Save the date! The 9th Canadian Conference on Dementia 2017 – JOIN US IN DOWNTOWN TORONTO!

The 9th CCD Organizing Committee is putting together an exciting program that has attracted a world renowned faculty of national and international speakers, featuring plenary and parallel sessions, interactive workshops and much more. The 2017 9th Conference on Dementia will provide many opportunities for

networking. Updates will be available on our website in the coming months at www.canadianconferenceondementia.com. We look forward to seeing you in November 2017!

Save the date! The Canadian Geriatrics Society 37th Annual Scientific Meeting

Canadian Geriatrics Society 37th Annual Scientific Meeting Call for Abstracts opens December 1, 2016 Deadline for submissions is January 15, 2017 On behalf of the Canadian Geriatrics Society (CGS) 2017 Scientific Planning Committee, we are pleased to announce that the Call for Abstracts for the 37th Annual Scientific Meeting (ASM) of the CGS is now open! This year, the ASM will be held in Toronto from April 20 to 22, 2017 at the Chelsea Hotel. The theme of the 2017 ASM is “Integrating Care, Making an Impact”. Some of the topics that will be explored at the meeting this year include:

Medical cannabis Physician-assisted death Innovative use of technology Chronic disease management Substance misuse ... Click here to learn more!

OTHER UPCOMING EVENTS

CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY NEWSLETTER www.cagp.ca