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What is level 3 care in Alberta? Your Guide to Designated Supportive Living

3 min read

Effective April 1, 2024, Alberta's continuing care system underwent a name change, but the core services remain. This article will explain exactly what is level 3 care in Alberta, now known as Continuing Care Home Type B Level 3, and help you navigate the system with confidence.

Quick Summary

Level 3 care in Alberta, formally known as Continuing Care Home Type B Level 3 or Designated Supportive Living (DSL3), provides 24/7 on-site personal care and support for medically stable individuals who require more assistance with daily living than can be provided at home. Access to this level of care is managed through an assessment by an Alberta Health Services (AHS) case manager.

Key Points

  • Level 3 Care: Now known as Continuing Care Home Type B Level 3 or Designated Supportive Living Level 3 (DSL3) under Alberta's updated continuing care system.

  • Key Services: Includes 24/7 on-site personal care by Health Care Aides, assistance with daily living activities, medication management, meals, and housekeeping.

  • Eligibility: Primarily for medically stable individuals who need round-the-clock support but do not require complex, intensive medical services.

  • Accessing Care: The process begins by contacting Health Link at 811 to arrange for an assessment by an Alberta Health Services (AHS) case manager.

  • Costs: Residents pay an accommodation fee, while the provincial government funds the health and personal care services as determined by the AHS assessment.

  • Difference from Long-Term Care: Distinct from Continuing Care Home Type A (Long-Term Care) as it provides less intensive medical care and a different staffing model.

In This Article

Understanding the Care Continuum in Alberta

Navigating the continuum of care can be confusing for families, especially with recent changes to the terminology. In Alberta, the healthcare system provides a range of options from independent living to specialized long-term care. Level 3 care represents a crucial step for individuals who need significant daily support but do not yet require the complex, intensive medical services found in long-term care facilities.

What is Continuing Care Home Type B Level 3?

Alberta’s continuing care system was updated with new terminology under the Continuing Care Act. While older materials might refer to Designated Supportive Living Level 3 (DSL3), the current term is Continuing Care Home Type B Level 3. This setting is designed for individuals who require 24-hour scheduled and unscheduled personal care and support, primarily delivered by Health Care Aides (HCAs). It is a publicly funded option, meaning Alberta Health Services (AHS) covers the healthcare services, while residents pay an accommodation fee.

Services Provided in Level 3 Care

Continuing Care Home Type B Level 3 facilities provide around-the-clock support. Key services include 24/7 on-site support by Health Care Aides for personal assistance and addressing both planned and unexpected needs. Residents also receive assistance with daily activities such as bathing, dressing, grooming, and mobility. HCAs can assist with medication management, and the residential setting provides meals, housekeeping, laundry, and recreation services. An AHS case manager coordinates care and ensures individual needs are met.

Who is Eligible for Level 3 Care?

Placement into Level 3 care is determined by an AHS case manager's assessment. Eligibility typically requires being medically stable and needing 24-hour support. Individuals should be able to use a call system and not pose a risk to themselves or others. The ability to transfer independently or with a single person's assistance is necessary, as two-person transfers or mechanical lifts are not supported. Mild cognitive impairment may be acceptable if there is no risk of wandering.

A Comparison of Alberta's Continuing Care Levels

Understanding where Level 3 fits within the larger system can help families make informed decisions. {Link: Alberta Health Services https://www.albertahealthservices.ca/cc/Page17907.aspx} provides a comparison of care types.

The Financial Aspect of Level 3 Care

In a Level 3 facility, costs are shared between the resident and the provincial government through AHS. Residents pay a standardized accommodation fee for room and hospitality services, while AHS funds health and personal care based on the individual's assessed needs. Services not deemed necessary by AHS are the resident's responsibility. Income-based subsidies may be available.

How to Access Level 3 Continuing Care

Accessing Level 3 continuing care is managed by AHS and does not require a doctor's referral. Start by calling Health Link at 811 for an initial needs assessment and to arrange a comprehensive assessment by an AHS case manager. The AHS case manager will evaluate health and personal care needs to determine the appropriate care level and AHS-funded services. Based on this, available options like Continuing Care Home Type B Level 3 are discussed. AHS manages the waitlist and placement, with wait times varying.

For more detailed information and official resources on continuing care in Alberta, visit the Government of Alberta's website on Continuing Care.

Conclusion: Making the Right Choice

Understanding what is level 3 care in Alberta is the first step toward finding the right fit for your loved one. Now known as Continuing Care Home Type B Level 3, this option provides a vital bridge between home care and more complex long-term care facilities. By working with an AHS case manager, families can navigate the process confidently, ensuring their loved one receives the support they need in a setting that promotes their independence and well-being. The transition can be challenging, but with the right information and support from AHS, it is a manageable and positive step forward.

Frequently Asked Questions

Under Alberta's updated continuing care system, level 3 care is now referred to as Continuing Care Home Type B Level 3. Older documents may also call it Designated Supportive Living Level 3 (DSL3).

Care in these facilities is primarily provided by Health Care Aides (HCAs) who are on-site 24 hours a day to offer scheduled and unscheduled personal care and support.

Scheduled professional care, such as nursing and rehabilitation therapy, is provided through the AHS Home Care program, which is coordinated by a case manager. However, 24/7 on-site professional nursing is not available in this setting.

The need for a specific level of care is determined by a comprehensive assessment conducted by an Alberta Health Services (AHS) case manager. The assessment identifies an individual's unmet health and personal care needs.

While individuals with mild dementia may be eligible, Level 3 is not a secure dementia unit. Secure, specialized dementia care is offered in Continuing Care Home Type B - Secure Space (formerly DSL4-D), which is for more advanced needs.

The resident is responsible for paying a government-set accommodation fee that covers room and board, while the health services are publicly funded. Subsidies may be available for low-income residents.

To begin, call Health Link at 811. They can arrange for an assessment by an AHS health professional to identify the level of continuing care required.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.