Quantitative and Qualitative Evaluation of LuBAIR™ Paradigm: An Innovative Approach to Ascribing the Meaning of Behavioral Expressions in Persons with Neurocognitive Disorder

Results of a Continuous Quality Improvement Initiative of the Contemporaneous Model of Service Delivery

“…All the residents with Cognitively Complex issues, which are referred to as G-PAT, experience an escalation of existing BE, and are now associated with risks or the emergence of new BE with associated risks. All of the residents with Cognitively Complex issues who develop BE with associated risks must be assessed by the in-house behavioral team, with input from Behavioral Supports Ontario [ 15 , 17 , 18 , 23 ] and/or psychogeriatric resource consultants [ 13 , 15 ] prior to qualifying for a referral to G-PAT. The most responsible physician must initiate the referral to G-PAT, after all of these inputs have failed to mitigate the risks associated with the BE.…”

“…Once the referral is initiated by the MRP, the intake office at the Centre for Healthy Aging reviews relevant case documentation and reaches out to the referral source and family for additional information, as needed, to establish the priority for the referral in accordance with the following criteria. The priority levels are governed by the definition of severity posited under the LuBAIR™ paradigm [ 13 , 17 , 22 , 23 , 24 ].…”

“…Due to the changing demographics of residents of the LTCH, age criteria (65 and over) were eliminated and the focus of G-PAT changed to assessment and management of behavioral expressions in residents of LTCH who have cognitively complex issues, with or without concurrent mental illness, regardless of the age or etiology [ 19 , 20 , 21 , 22 , 23 , 24 ]. Once all of the above aforementioned changes to G-PAT were fully operationalized in 2016, it allowed for the establishment of the next phase of the evaluative framework under the governance of Continuous Quality Improvement.…”