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Central East Cognition Referral Pathway Guidance Document

The Central East Cognition Referral Pathway Guidance Document is an evidence-informed resource designed to support the early identification of cognitive concerns and timely access to appropriate services for older adults. Intended for primary care providers and Specialized Geriatric Services (SGS), it provides a structured approach to screening and referral decision-making by incorporating both cognitive and frailty considerations.


The focus of the Pathway is not on directing clinical management. Rather, it supports consistent referral practices, service navigation, and transitions across the continuum. Tested through a regional pilot evaluation, the approach demonstrated potential for alignment between patient needs and SGS connections. Thereby, helping to promote more person-centred care for older adults and their care partners.

Related Resources

Related Resources

SfCare Framework

Designing Integrated Care for Older Adults 

Position Statement on The Need for Expert Clinical Geriatric Care in Ontario Health Teams 

Central East Region Intra-COVID Hybrid Adult Day Program Model Guidelines

Specialized and Focused Geriatric Services Asset Inventory 

A Measurement Primer

Central East Adult Day Program Guidelines 2020

Population Health Planning

Dimensions of Teamwork (DTEAM) Evaluation Report

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