Older adults with complex health concerns including frailty, may experience changes in support needs, safety concerns, psychosocial and mental health concerns or frequent health service usage. These individuals will benefit from the services offered by their local GAIN team. Depending on the needs of a particular individual, interprofessional GAIN teams were created to provide the required support, and to increase their capacity to remain in their home in the community.

 

GAIN teams draw upon the expertise of nurse practitioners, physiotherapists, occupational therapists, social workers, pharmacists, personal support workers, dedicated GAIN Nurse Care Coordinators, dedicated behavioural supports clinicians, and other interprofessional team members. Our GAIN Team members have completed additional training as Geriatric Assessors, and are skilled in goal-based care planning and interventions for older adults living with frailty.

 

GAIN Teams collaborate with geriatric specialist physicians (i.e. Geriatric Medicine, Geriatric Psychiatry, and Care of the Elderly) and other physician specialists.