The Need for an Inter-Professional Approach for Working with Older Persons
|
|
- Arlene Carpenter
- 5 years ago
- Views:
Transcription
1 The Need for an Inter-Professional Approach for Working with Older Persons Linda K. Shumaker, R.N.- BC, M.A. Lynne Nessel, LCSW Pennsylvania Behavioral Health and Aging Coalition
2 Effective and adequate treatment requires a multidisciplinary approach that will address the multiple needs of persons as they age and decline in physical, cognitive, and emotional ways. More emphasis needs to be placed on the importance of cooperation and mutual respect among the professional and lay caregivers, and integration of the various levels and types of care.
3 Aging of America Those 65 and older represent the fastest growing age group in America. Growth will be from 12% to 21% of the population by 2030 estimated 70.1 million. Rapid growth is expected to occur among the oldest & frailest population groups. More diverse racially and ethnically Will live longer Will have multiple complex health problems Need for the inter-professional team model!!! 3
4 Aging Pennsylvania Need for Collaborative Care Third highest aging population in the country One of the highest population of rural aged More racially diverse population The fastest growing population is over 85 years of age Implications for Alzheimer s Disease Implications for care-giving Implications for care facilities Issues of stigma Multidisciplinary issues silos of care Implications in public policy
5 Aging of America Supply of healthcare workers does not address current demand and will fall short of the expected increase of demand. The vast majority of health professionals have little geriatric training: 4% of social workers Less than 1% of physician assistants Less than 1% of registered nurses Less that 1% of pharmacists Dramatic increases in the number of geriatric specialists are needed in ALL health professions.
6 Barriers to Care!
7 Patient/Family Barriers Isolation Ageism belief that depression, confusion are normal conditions of aging Preference of primary care Focus on somatic complaints Stigma Reluctance to discuss psychological symptoms Lack of information and/or misinformation
8 Provider Barriers Ageism normal aging stereotypes Training barriers silos of professional disciplines Focus on medical issues Lack of awareness of geriatric-specific clinical symptoms Complexity of health problems & treatment issues Reluctance to inform patients of diagnosis Lack of access to behavioral health care Lack of information and/or misinformation
9 System Barriers Fragmentation Inter-system boundaries e.g. Exclusion of dementia from many community mental health programs Time constraints Lack of access to geriatric specific services/ treatment Reimbursement issues including a mismatch between covered services and a changing system of long-term and community-based care Cultural diversity needs
10 Collaborative Care!
11 Medical Homes Personal Physician Physician directed medical practice Whole person orientation Care is coordinated and/or integrated Quality and safety are hallmarks Enhanced access
12 Medical Homes (cont.) Coordinated care that emphasizes wellness Focus on Prevention and prompt attention to emerging problems Meets the needs and preferences of patients Patients are more active, prepared and knowledgeable participants in their care. (JAMA, May 2009) Patients and doctors work together Having a consistent healing relationship with a personal physician significantly improved health outcomes.
13 Benefits of Collaborative Care Dementia Care Attending a memory clinic is associated with improved quality of life for patients as well as for those caring for patients, and reduces behavioral symptoms. 1-2 Interdisciplinary memory clinics are able to diagnose patients with memory disorders earlier than standard evaluation services. 3 1 Loguidice, et. al. Int J Geriatr Psychiatry Banerjee. et. al. Int J Geriatr Psychiatry Luce, et. al. Int J Geriatr Psychiatry. 2001
14 Benefits of Collaborative Care Dementia Care (cont.) Collaborative care of patients with Alzheimer disease improves quality of care and behavioral and psychological symptoms of patients and their caregivers. 4 Using a guideline based dementia care program improves quality of care for patients with dementia. 5 Using an interdisciplinary approach to diagnosis leads to significant improvement in diagnostic accuracy. 6 4 Callahan, et. al. JAMA Vickery, et. al. Ann Intern Med Verhey, et. al. J Neuropschiatry Clin Neurosci. 1993
15 Aging and Behavioral Health Collaboration
16 Collaborative Care Needs of Older Adults Behavioral Health Behavioral Health disorders among the elderly often go unrecognized or are masked by somatic complaints. Medical treatment for psychiatric illness ineffectual care Clinical presentations of health disorders in the elderly may be different, making diagnosis of treatable illnesses more difficult. Medical disease? Psychiatric disease? Either or both? Detection may also be complicated by co-existing medical disorders, isolation and lack of social connections.
17 Community Outreach to Older Adults Building Collaborative Relationships Outreach and Education Risk of disease and disability Maintain mental and physical function Normalizing the aging process Discuss issues of stigma Available services Civic Engagement Family Community groups Volunteerism Church/ faith based initiatives Linkages
18 Collaborative Approaches for Caring for Older Adults Healthy Aging Initiatives: Building Healthy Communities for Active Aging EPA The Healthy Brain Initiative CDC and the Alzheimer s Association National Public Health Road Map to Cognitive Health Chronic Disease Self-Management Program (CDSMP) Physical, emotional and healthrelated quality of life, healthcare utilization and costs
19 Collaborative Approaches for Caring for Older Adults (cont.) Colorado s Senior Reach Community-involved identification of older adults who need physical or emotional care and connection to community services 70 % of seniors had fallen through the cracks. 90 % referred have accepted mental health services. Accessing service needs before serious problems arise Building strong collaborative relationships that enhance ongoing services to older adults is the key.
20 Evidence-Based Practices for Older Adults with Behavioral Health Issues Depression in Older Adults PEARLS -(Program to Encourage Active Rewarding Lives for Seniors) Utilizes existing community-based programs. Problem solving treatment, social and physical activation, PEARL s counselor offers visitation. Gatekeeper Program Trains non-traditional sources to identify and refer older community residing elders
21 Collaborative Approaches for Older Adults with Behavioral Health Issues Outreach Programs Multidisciplinary outreach services takes services to where older adults reside home and community based settings Psycho geriatric Assessment and Treatment in City Housing - PATCH Baltimore, MD Gatekeeper program with assertive community treatment
22 Evidence-Based Practices for Older Adults with Behavioral Health Issues Depression in Older Adults Healthy IDEAS - (Identifying Depression, Empowering Activities for Seniors) Integrates depression awareness and management into existing case management services. Screens, educates, links to services and utilizes behavioral approaches Evidenced based Disease Self Management for Depression NCOA Model Health Program
23 Evidence-Based Practices for Older Adults with Behavioral Health Issues Depression in Older Adults Interventions for Family Caregivers (Mittelman) combination of counseling sessions, support group, education and ongoing support Assists in delaying nursing home placement Improved caregiver depression and health outcomes
24 Evidence-Based Practices for Older Adults with Behavioral Health Issues Psychosocial and pharmacological treatment for depression and dementia Integrated mental health services in primary care Mental health outreach services Brief alcohol interventions for at-risk use Family/caregiver support interventions Draper, 2000; Unutzer, it al., 2001; Schulberg, et al., 2001; Sorenson, et al., 2002; Bartels, et al., 2002, 2003
25 Integrating Mental Health Services in Primary Care PRISM-E (SAMHSA) (Primary Care Research in Substance Abuse and Mental Health for the Elderly) comparing two types of care models for delivery of mental health services to older adults 50 clinical settings managed care, community health clinics, VA system and group practice settings Diverse ethnic/ minority and rural/ urban populations Largest study of depression and alcohol uses in older adults The firsts effectiveness study of integration in older adults
26 Evidence-Based Practices for Older Adults with Behavioral Health Issues Suicide Prevention Supportive interventions including screening, psycho-education and group activities Telephone-based supportive interventions Protocol driven treatment delivered by a case manager (IMPACT; PROSPECT)
27 Integrating Mental Health Services in Primary Care IMPACT (Hartford Foundation) - (Improving Mood -- Promoting Access to Collaborative Treatment for Late Life Depression) Identification of older adults in need 12 month access to depression care manager and support PCP manages anti-depressant medications Brief psychotherapy Case supervision by a psychiatrist
28 Integrating Mental Health Services in Primary Care PROSPECT (NIMH) - Prevention of Suicide in Primary Care Elderly: Collaborative Trial Sought to decrease risk factors including barriers to accessing health care and the presence of untreated mental illness Identification of older adults in need Case management links to appropriate service Depression care management and suicide prevention
29 Pennsylvania s Approach
30 Pennsylvania s Cross System Approach 2006 Cross System development with the Pennsylvania Department of Aging and Office of Mental Health and Substance Abuse Services, of a Suicide Prevention Strategy for Pennsylvania that specifically addresses the needs of older adults.
31 Pennsylvania s Cross System Approach Mental Health Bulletin was released from the Deputy Secretary of Mental Health on the rights of older adults, even those with dementia, to receive mental health treatment (Bulletin issued, February 2006.)
32 Why Aging and MH Collaboration? OMHSAS s vision (principle): The MH and SA Service System will provide quality services and supports that will: be responsive to individuals unique needs throughout their lives. PDA s mission: Enhance the quality of life of all older Pennsylvanians by empowering diverse communities, the family and the individual
33 PDA & OMHSAS Memorandum of Understanding (MOU) The 2006 Program Directive MOU required PDA Office of Community Services and Advocacy and the OMHSAS to collaborate and to develop MOUs between each county s MH/MR program and the county s Area Agency on Aging.
34 PDA & OMHSAS Memorandum of Understanding (MOU) To better prepared the Aging system and the Mental Health system to serve older adults who: Have chronic and/or complicated mental illness; Develop mental illness in late life; and/or Have dementia and co-occurring treatable mental illnesses
35 Pennsylvania s Cross System Approach (cont.) Many Counties have built effective crosssystems Aging and Mental Health programs to meet the needs of their citizens as a result of the MOU intent. All cross system initiatives should include all systems of care that interface with older adults truly Multidisciplinary!
36 Pennsylvania s Approach: ICCS (Integrative Case Conference Series) originally funded by PDA Geriatric Education Center Case Review County cross system review of individual cases with difficult multi-system needs now funded by Penn State GEC Grant Single Counties Authorities! Other Systems of care!?
37 Pennsylvania s Cross System Approach Cross systems collaboration is necessary to serve the older adult population. MOUs between behavioral health and aging provide an agreed-upon roadmap to establish and build collaboration.
38 Pennsylvania s Cross System Approach Many Counties have built effective crosssystems Aging and Mental Health programs to meet the needs of their citizens as a result of the MOU intent. All cross system initiatives should include all systems of care that interface with older adults truly Multidisciplinary!
39 Geriatric Resource Nurse: Key Position Provides and communicates standards for best, evidence-based care for older adults Assists with strategies for identifying older adults at risk of decline Assists with assessing the development of symptoms related to geriatric issues Coordinates team-based techniques for care across health professions Connects service providers and links community services 39
40 Geriatric Resource Nurse: Key Position (cont.) Team Leaders in their communities with the knowledge and skills to address the multiple needs of older people Leaders of community-based Interprofessionals in delivering care to community-residing older adults Educators across all levels of the community Professionals Service providers Family members Older adults The Community itself
41 Addressing Physical and Behavioral Health Needs of Older Adults Inter-professional approach Consumer input Stakeholder-generated principles CSP/CASSP Culturally competent All levels of interagency collaboration Work toward the aim of dispelling stigma Integration at the community level Continuum of care from prevention to treatment SAMHSA Strategic plan Substance Abuse and Mental Health Issues facing Older Adults
42 Need for Inter-professional Approach The challenges associated with aging, physical illness, increasing infirmity, dependency and limited financial resources place the older adult at high risk for behavioral health issues. Proactively addressing these issues requires that we attempt to intervene at the community level, in order to prevent the older adult from having to be hospitalized or transferred to a nursing home for extended care. 42
43 Need for Inter-professional Approach (cont.) No single service agency has the skills and resources to effectively address all areas of need. Successful intervention requires a comprehensive and coordinated system of care! 43
44 Need for Inter-professional Approach (cont.) Effective and adequate treatment requires a inter-disciplinary approach that will address the multiple needs of persons as they age and decline in physical, cognitive, and emotional ways. More emphasis needs to be placed on the importance of cooperation and mutual respect among the professional and lay care-givers, and integration of the various levels and types of care.
45 IMPORTANT! Without effective and adequate interprofessional care, older adults are at risk for significant disability and impairment, including: Impaired independent and community- based functioning Compromised quality of life Cognitive impairment Increased caregiver stress Poor health outcomes Increased mortality
46 Accessing Services Primary Care Community Mental Health Centers Crisis Intervention/emergency services Inpatient Psychiatric Services Area Agency on Aging Home Nursing Agencies Community Social Workers Private consultants Patient s pharmacist Physical/Occupational/Speech Therapist
47 Roles of Geriatric Resource Nurse: Key Points Assess individual needs for community resources Explore options with client and family Take a multi-faceted approach Foster partnerships between agencies Give support and information to providers throughout referral process Ensure follow-up across systems Build inter-professional linkages in the community!
48 We are ALL Geriatric Resource Nurses!!
49 Thank you for your attention, hard work, and commitment to helping older persons in your community receive the best care possible through a collaborative, interprofessional team approach.
50 Google Groups The Google group is set up and working! When you receive the invitation please feel free to join the Google group. If you do not received an invitation to the Google groups please When responding to a message on the Google Group we encourage you to respond to ALL in order to share information. You may respond to sender only if you only want the information to go to an individual only. 50
51 Please use the GoogleGroup to network with each other, ask for advice, give advice, share resources, etc.
Not skilled at all Beginning skill Moderate skill Advanced skill Expert skill
Geriatric Social Work Competency Scale II with Life-long Learning in Relationship to Leadership s: Social Work Practice Behaviors in the Field of Aging The following is a listing of skills recognized by
More informationHispanic Outreach Program (HOP) Astrid Humanez (MA) Affiliated Sante Group
Hispanic Outreach Program (HOP) Astrid Humanez (MA) Affiliated Sante Group LEARNING OBJECTIVES Understand Affiliated Sante Group s s program for Hispanics Learn common, broad mental health factors affecting
More informationVA Recovery Transformation & Local Recovery Coordinators
VA Recovery Transformation & Local Recovery Coordinators David Carroll, Ph.D. Director, Recovery Services Office of Mental Health Services Department of Veterans Affairs David.Carroll@va.gov April 27,
More informationRedesigning Wisconsin s Dementia Care System
Redesigning Wisconsin s Dementia Care System Dementia Care Specialist Program Sharon Beall, Nurse Consultant WI Healthy Aging Summit 2014 Protecting and promoting the health and safety of the people of
More informationDenver Health s Roadmap to Reduce Racial Disparities: Telephonic Counseling for Depression and Anxiety
Denver Health s Roadmap to Reduce Racial Disparities: Telephonic Counseling for Depression and Anxiety David Brody, MD Medical Director Denver Health Managed Care Plans Professor of Medicine University
More informationSenior Clinician Early Intervention Youth Psychosis. DATE: May 2017 ORGANISATIONAL ENVIRONMENT
POSITION: REPORTS TO: LOCATED: Senior Clinician Early Intervention Youth Psychosis Senior Manager Melbourne CBD DATE: May 2017 ORGANISATIONAL ENVIRONMENT Melbourne City Mission is a leader and innovator
More informationCore Competencies for Peer Workers in Behavioral Health Services
BRINGING RECOVERY SUPPORTS TO SCALE Technical Assistance Center Strategy (BRSS TACS) Core Competencies for Peer Workers in Behavioral Health Services OVERVIEW In 2015, SAMHSA led an effort to identify
More informationSTRATEGIC DIRECTIONS AND FUTURE ACTIONS: Healthy Aging and Continuing Care in Alberta
STRATEGIC DIRECTIONS AND FUTURE ACTIONS: Healthy Aging and Continuing Care in Alberta APRIL 2000 For additional copies of this document, or for further information, contact: Communications Branch Alberta
More informationCRDP API SPW Strategies Working with API Older Adults
CRDP API SPW Strategies Working with API Older Adults Dixie Galapon, Ph.D. Union of Pan Asian Communities Director, Mental Health Services dgalapon@upacsd.com CRDP API Statewide Conference February 1,
More informationADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners
Geriatric Mental Health Alliance Of New York ADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners By Kimberly A. Williams Michael B. Friedman January 2010
More informationMeals on Wheels and More COMMUNITY ENGAGEMENT PLAN
COMMUNITY ENGAGEMENT PLAN 2012 2013 About North York Central Meals on Wheels Inc. was founded in 1969 by members of Newtonbrook and Forest Grove United Churches. The actual meal delivery grew from 3-5
More informationBasic Standards for Residency/Fellowship Training in Geriatric Psychiatry
Basic Standards for Residency/Fellowship Training in Geriatric Psychiatry American Osteopathic Association and American College of Osteopathic Neurologists and Psychiatrists Approved 2/2005 Revised 2/2008,
More informationOCTOBER EOEA and the Alzheimer s Association have organized implementation of the plan around its five major recommendations:
1 MASSACHUSETTS ALZHEIMER S DISEASE AND RELATED DISORDERS STATE PLAN RECOMMENDATIONS TWO-YEAR PROGRESS REPORT OCTOBER 2014 In February 2012, Massachusetts released a set of Alzheimer s Disease and Related
More informationYoung onset dementia service Doncaster
Young onset dementia service Doncaster RDaSH Older People s Mental Health Services Introduction The following procedures and protocols will govern the operational working and function of the Doncaster
More informationWant to Engage on Age?
Want to Engage on Age? Go to engageil.com UIC s HRSA Geriatrics Workforce Enhancement Program, ENGAGE-IL. Got t to engageil.com, the ho me of UIC s HRSA-funded Join http://www.engageil.com, a community
More informationStrategy for Suicide Prevention July 2013
Strategy for Suicide Prevention July 2013 Prepared by: Helpline Center, Sioux Falls, 605-339-4357 In partnership with S.D. Department of Social Services, Pierre, 605-773-3165 Photo by SD Department of
More informationFLORIDA S NO WRONG DOOR (NWD) SYSTEM PLANNING PROJECT
FLORIDA S NO WRONG DOOR (NWD) SYSTEM PLANNING PROJECT Agenda No Wrong Door (NWD) Planning Project Update Agencies Inventory Stakeholder Survey Planning and Service Area (PSA) Visits NWD System State Plan
More informationEnvironmental Scan 2011
Environmental Scan 2011 Ontario Shores requested to assume lead in developing environmental scan of psychogeriatric services in CELHIN Common belief suggested variety of services but services have never
More informationDepression in Late Life Initiative
Depression in Late Life Initiative made possible by the Archstone Foundation Depression in Late Life Request for Proposals (RFP) Care Partners: Bridging Families, Clinics, and Communities to Advance Late
More informationCULTURE-SPECIFIC INFORMATION
NAME: Sanctuary 0000: General Name Model Spelled Culture-Specific Information Out Information Engagement For which specific cultural group(s) (i.e., SES, religion, race, ethnicity, gender, immigrants/refugees,
More information2018 Healthy Aging Summit- Call for Abstracts
1 2018 Healthy Aging Summit- Call for Abstracts Deadline for submission of abstracts is 11:59 pm (Eastern Standard Time) Monday, February 5, 2018. The U.S. Department of Health and Human Services (HHS),
More informationPEER SUPPORT SERVICES PROVIDING UTILIZING A RECOVERY ORIENTED SYSTEM OF CARE (ROSC)
PEER SUPPORT SERVICES PROVIDING UTILIZING A RECOVERY ORIENTED SYSTEM OF CARE (ROSC) Pamela Butler COORDINATOR OF RECOVERY SUPPORT SERVICES ALABAMA DEPARTMENT OF MENTAL HEALTH SUBSTANCE ABUSE SERVICE 334-353-4362
More informationTAKING YOUR SHARE IN BEHAVIORAL HEALTH HOME CARE
TAKING YOUR SHARE IN BEHAVIORAL HEALTH HOME CARE AN OPPORTUNITY FOR GROWTH AND COMMUNITY COLLABORATION WHAT IS THE NEED FOR BEHAVIORAL HEALTH HOME CARE? SECTION I - WHAT DO THE NUMBERS REVEAL? STATISTICS
More informationBringing hope and lasting recovery to individuals and families since 1993.
Bringing hope and lasting recovery to individuals and families since 1993. "What lies behind us and what lies before us are tiny matters compared to what lies within us." Ralph Waldo Emerson Our Statement
More informationAmerican Board of Psychiatry and Neurology, Inc. Geriatric Psychiatry Core Competencies Outline
American Board of Psychiatry and Neurology, Inc. Geriatric Psychiatry Core Competencies Outline I. Geriatric Psychiatry Patient Care and Procedural Skills Core Competencies A. Geriatric psychiatrists shall
More informationEtta Smith-Wells, LISW-S MH Supervisor Benjamin Rose Institute on Aging (BRIA) Eldercare Services Institute, LLC Fairhill Road Cleveland, Ohio
Ethics of providing Behavioral Health Care to Older Adults Etta Smith-Wells, LISW-S MH Supervisor Benjamin Rose Institute on Aging (BRIA) Eldercare Services Institute, LLC 11890 Fairhill Road Cleveland,
More informationProgram Data Point 4. Counseling Program Learning Objectives
Program Data Point 4. Counseling Program Learning Objectives Key Objective Assessment A. Key Objective Assessment for each of the Core Objectives 1. Professional Identity and Ethics (COU 601) 2. Counseling
More informationQueen s Family Medicine PGY3 CARE OF THE ELDERLY PROGRAM
PROGRAM Goals and Objectives Family practice residents in this PGY3 Care of the Elderly program will learn special skills, knowledge and attitudes to support their future focus practice in Care of the
More informationPresentation to the Joint Legislative Committee on Aging
National Association of Social Workers Texas Chapter: Presentation to the Joint Legislative Committee on Aging LEAH COHEN LCSW, ACSW, CCM, NG, TXG 10/12/2016 1 National Association of Social Workers Texas
More informationA Model for a Comprehensive Behavioral Health Crisis Service
National Association of State Mental Health Program Directors (NASMHPD) Annual 2017 Meeting: A Model for a Comprehensive Behavioral Health Crisis Service Edgar K. Wiggins, M.H.S. Executive Director, Baltimore
More informationGeriatric Medicine I) OBJECTIVES
Geriatric Medicine I) OBJECTIVES 1 To provide a broad training and in-depth experience at a level sufficient for trainees to acquire competence and professionalism required of a specialist in Geriatric
More informationSuicide Prevention Strategic Plan
Suicide Prevention Strategic Plan 2019 For more information visit dphhs.mt.gov/suicideprevention 2 Vision Zero suicide in the Big Sky State Mission Our Reduce suicide in Montana through a comprehensive,
More informationThe Vision. The Objectives
The Vision Older people participate to their fullest ability in decisions about their health and wellbeing and in family, whānau and community life. They are supported in this by co-ordinated and responsive
More informationFAMILY & CHILDREN S SERVICES STRATEGIC PLAN
2014-2019 FAMILY & CHILDREN S SERVICES STRATEGIC PLAN WHO WE ARE Family & Children s Services is a leading provider of behavioral health care and family services for people of all ages in Tulsa and surrounding
More informationSTATE ALZHEIMER S DISEASE PLANS: TRAINING
STATE ALZHEIMER S DISEASE PLANS: TRAINING Recommendations to better equip health care professionals and others to deal with individuals with Alzheimer s Arkansas California Colorado Illinois Iowa Integrate
More informationAn Evidence Based Treatment Approach for Older Adults. Helen Stewart, MSW, LCSW Michelle Bonadies, LCSW
Introduction ti to PEARLS: An Evidence Based Treatment Approach for Older Adults Pillars Helen Stewart, MSW, LCSW Michelle Bonadies, LCSW Overview Depression in Older Adults What is PEARLS? Experience
More informationCaron Renaissance. Caron Renaissance
Located in Boca Raton, Florida, offers a unique longer-term continuum of care offering unparalleled behavioral healthcare and clinical services for young adults and adults. Keys to Success Innovator in
More informationTRAUMA RECOVERY CENTER SERVICE FLOW
TRAUMA RECOVERY CENTER SERVICE FLOW Photograph by Ezme Kozuszek What wisdom can you find that is greater than kindness? Jean Jacques Rousseau The UC San Francisco Trauma Recovery Center Model: Removing
More informationREGIONAL SPECIALIZED GERIATRIC SERVICES GOVERNANCE AUTHORITY. Call for Expressions of Interest from Seniors Advocate/Public Member
REGIONAL SPECIALIZED GERIATRIC SERVICES GOVERNANCE AUTHORITY Call for Expressions of Interest from Seniors Advocate/Public Member A. BACKGROUND Specialized Geriatric Services (SGS) provide a range of services
More informationElliot Senior Specialty Services. in Greater Manchester. 138 Webster Street Manchester NH
Elliot Senior Specialty Services in Greater Manchester 138 Webster Street Manchester NH 03104 603-663-7000 Dedicated to helping seniors achieve their maximum quality of life ELLIOT SENIOR SPECIALTY SERVICES
More informationThe Aging of the Population: Impacts on the Health Workforce
The Aging of the Population: Impacts on the Health Workforce Presentation to the Advisory Committee on Interdisciplinary Community-Based Linkages Rockville, Maryland May 3, 2004 Jean Moore Director School
More informationRecommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners
Recommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners These recommended competency enhancement statements draw attention to the special needs of older adults with mental
More informationSeptember 22, National Association of Attorneys General 1850 M Street, NW, 12 th Floor Washington, DC Prescription Opioid Epidemic
National Association of Attorneys General 1850 M Street, NW, 12 th Floor Washington, DC 20036 RE: Prescription Opioid Epidemic On behalf of America s Health Insurance Plans (AHIP), thank you for your leadership
More informationAppendix 1. Cognitive Impairment and Dementia Service Elm Lodge 4a Marley Close Greenford Middlesex UB6 9UG
Appendix 1 Mr Dwight McKenzie Scrutiny Review Officer Legal and Democratic Services Ealing Council Perceval House 14 16 Uxbridge Road Ealing London W5 2HL Cognitive Impairment and Dementia Service Elm
More informationSubstance Abuse. Among current drinkers, men in nonmetro areas consume 5 or more drinks in one day than those in metro areas (56% vs.
Framing the Issue Substance Abuse Among current drinkers, men in nonmetro areas consume 5 or more drinks in one day than those in metro areas (56% vs. 48-52%) Periodic heavy drinking more common among
More informationOUTPATIENT TREATMENT WESTPORT, CONNECTICUT
OUTPATIENT TREATMENT WESTPORT, CONNECTICUT ABOUT CLEARPOINT At Clearpoint, we focus on healing the whole person: mind, body, and spirit. Our comprehensive care methods set clients up for long-term success
More information20% A Holistic Approach Built on Evidence OF U.S. ADULTS EXPERIENCE MENTAL ILLNESS EACH YEAR
BEHAVIORAL HEALTH NEARLY 20% OF U.S. ADULTS EXPERIENCE MENTAL ILLNESS EACH YEAR Source: SAMHSA, 2018. Key substance use and mental health indicators in the United States: Results from the 2017 National
More information*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS:
*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS: The goal of geriatric fellowship training is to prepare fellows for competency in the following core areas: Check and record date completed
More informationGERIATRIC DAY HOSPITAL
GERIATRIC DAY HOSPITAL MISSION To provide interdisciplinary assessment, consultation and rehabilitation services to community dwelling older adults and their families. To optimize their health and functional
More informationWhat is CCS. More Than Therapy and Medicine 10/20/2016. Recovery-Oriented Systems of Care (ROSC) and Comprehensive Community Services
Recovery-Oriented Systems of Care (ROSC) and Comprehensive Community Services Langeston Hughes, CCS Coordinator Danielle Graham-Heine, CCS Coordinator October 27, 2016 What is CCS Publicly-operated behavioral
More informationSection #3: Process of Change
Section #3: Process of Change This module will: Describe a model of change that supported the development and implementation of a palliative care program in long term care. Describe strategies that assisted
More informationOntario s Seniors Strategy: Where We Stand. Where We Need to Go
Ontario s Seniors Strategy: Where We Stand. Where We Need to Go Dr. Samir K. Sinha MD, DPhil, FRCPC Provincial Lead, Ontario s Seniors Strategy Director of Geriatrics Mount Sinai and the University Health
More informationSTATE ALZHEIMER S DISEASE PLANS: WORKFORCE DEVELOPMENT
STATE ALZHEIMER S DISEASE PLANS: WORKFORCE DEVELOPMENT Recommendations to increase the number of health care professionals that will be necessary to treat the growing aging and Alzheimer s populations
More informationGetting Started and Building Capacity for Geriatric Emergency Management:
Getting Started and Building Capacity for Geriatric Emergency Management: Better health outcomes for frail seniors David Patrick Ryan, Ph.D. Director of Education, Regional Geriatric Program of Toronto
More informationCanadian Collaborative Mental Health Care Conference
Canadian Collaborative Mental Health Care Conference Vickie Demers OT, Clinical Coordinator Linda Gobessi MD FRCPC, Medical Director Geriatric Psychiatry Community Services of Ottawa June 16, 2012 Analysis
More informationWelcoming Services and Service Coordination for Women with SUD and/or Co-occurring Disorders
FLORIDA CERTIFICATION BOARD Supervision Key The successful application of knowledge to practice is one of the most-needed and desired outcomes for behavioral health professionals, and others, involved
More informationCamden Citywide Diabetes Collaborative
Camden Citywide Diabetes Collaborative The Camden Coalition of Healthcare Providers is an organization that seeks to improve the quality, capacity and accessibility of the health care system for vulnerable,
More informationNBRHC Regional Programs
NBRHC Regional Programs Navigating Tertiary Care in the North East June 2016 Tertiary Care North Bay Regional Health Centre Mental Health Programs offer a continuum of care from crisis and acute to highly
More informationOur Senior Clients Clinical Issues Treatment Implications Interventions
Our Senior Clients Clinical Issues Treatment Implications Interventions Presented by Dr. Christine A. Cauffield, CEO, LSF Health Systems Learning Objectives Identify key characteristics of Major Depressive
More informationMental Health and Aging in the 21 st Century
Mental Health and Aging in the 21 st Century Bob G. Knight, Ph.D. University of Southern California» October, 2009 Forces for Changes in the 21 st Century Population Aging and the Aging of the Boomers
More informationFrom Medicaid Transformation Approved Project Toolkit, June 2017
From Medicaid Transformation Approved Project Toolkit, June 2017 Domain 3: Prevention and Health Promotion Transformation projects within this domain focus on prevention and health promotion to eliminate
More informationCABHI- States is a partnership between the Center for Substance Abuse Treatment (CSAT) and Center for Mental Health Services (CMHS) of SAMHSA
The Substance Abuse and Mental Health Services Administration Collaborative Agreements to Benefit Homeless Individuals CSAT Cooperative Agreement : #TI025344 CABHI- States is a partnership between the
More informationAACOM Annual Conference April 28, 2017
Transforming Clinical Geriatrics Education with Interprofessional Partnerships AACOM & AODME Annual Conference April 28, 2017 Baltimore, MD Janice A Knebl, DO, MBA, FACP Director, WE HAIL HRSA GWEP FACOI
More informationRegional Strategic Plan
Regional Strategic Plan 2012-15 Vision Working collaboratively with stakeholders and the community, so that people in the Loddon Mallee Region with a progressive life-limiting illness and their families/carers,
More informationCanadian Mental Health Association
Canadian Mental Health Association Manitoba and Winnipeg Supports & Services Founded in 1918, CMHA National is a Canada-wide charitable organization with 87 branches in over 330 communities across the
More informationDO PEOPLE WITH MENTAL ILLNESS FEEL WELCOME IN MY PARISH?
A PASTORAL RESPONSE TO MENTAL ILLNESS RESOURCES FOR THE CATHOLIC COMMUNITY WHY IS THIS IMPORTANT TO MY PARISH COMMUNITY? mental illness is a disease A that causes mild to severe disturbances in thought
More informationPENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE Office of Medical Assistance Programs
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE Office of Medical Assistance Programs SUPPLEMENTAL PROVIDER AGREEMENT FOR THE DELIVERY OF PEER SUPPORT SERVICES This Supplemental Provider Agreement sets forth
More informationCarolyn Holder MSN, RN, GCNS-BC Director, Transitional Care and Utilization Management Summa Health System Akron, Ohio
Carolyn Holder MSN, RN, GCNS-BC Director, Transitional Care and Utilization Management Summa Health System Akron, Ohio Why Involve Hospitals? Where individuals go with acute illness if plan fails or if
More informationGRACE Team Care A New Model of Integrated Medical and Social Care for Older Persons
GRACE Team Care A New Model of Integrated Medical and Social Care for Older Persons Steven R. Counsell, MD Mary Elizabeth Mitchell Professor and Director, Scientist, IU Center for Aging Research E-mail:
More informationWorkforce Analysis: Children and Young People s Mental Health and Wellbeing Wider system
Workforce Analysis: Children and Young People s Mental Health and Wellbeing Wider system This questionnaire is aimed at any member of the workforce supporting the mental health and wellbeing for children
More informationWashington State Collaborative Oral Health Improvement Plan
Washington State Collaborative Oral Health Improvement Plan 2009-2014 Prioritization Criteria (non-financial): Strategic Area I: System Infrastructure (Partnerships, Funding, Technology) Goal 1: Mobilize
More informationPARIS GANDY-WALKER, PSY.D, MFT, MS
PARIS GANDY-WALKER, PSY.D, MFT, MS New Day Psychological Services, LLC 1210 N 16 th CT, Unit 4 Hollywood, FL (844) 639-2329 drgandywalker@newdayps.org www.newdayps.org LICENSURE Florida State Licensed
More informationThe Impact of Changing Workforce Models on Access to Oral Health Care Services
The Impact of Changing Workforce Models on Access to Oral Health Care Services Presented by: Margaret Langelier, MSHSA Oral Health Workforce Research Center Center for Health Workforce Studies School of
More informationMHSA Idea Bank. Children/ Youth (Ages 0 5 /6 17) Current or Related Program (Y/N) Expansion or New Program
Children/ Youth (Ages 0 5 /6 17) Community Services & Supports Prevention & Early Intervention Sub Population: Parents & Caregivers Results: Decreased stigma, Increased self care. Increased access to community
More informationTaking Care: Child and Youth Mental Health TREATMENT OPTIONS
Taking Care: Child and Youth Mental Health TREATMENT OPTIONS Open Learning Agency 2004 TREATMENT OPTIONS With appropriate treatment, more than 80% of people with depression get full relief from their symptoms
More informationTowards an Elder Health Framework for Ontario. A Working Document
Towards an Elder Health Framework for Ontario A Working Document Elder Health Elder Care Coalition January 2005 Towards an Elder Health Framework for Ontario A Working Document Introduction For the past
More informationTHE CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY AND CANADIAN COALITION FOR SENIORS MENTAL HEALTH
THE CANADIAN ACADEMY OF GERIATRIC PSYCHIATRY AND CANADIAN COALITION FOR SENIORS MENTAL HEALTH Submission to The Standing Committee on Social Affairs, Science and Technology Mental Health and Mental Illness
More informationPosition Description: Peer Navigator
Position Description: Peer Navigator Characteristics of the position The Peer Navigator Program is a dynamic new program situated within Living Positive Victoria s suite of peer support services. The peer
More informationOBJECTIVES KEY ACTION STEPS EVALUATION METHODS STAFF RESPONSIBLE
WORK PLAN FY 2013-2014 Mental Health STSC Baltimore EMA PROBLEM/NEED: Patients with undiagnosed psychiatric disorders need comprehensive evaluation. Patients need ongoing treatment and evaluation of response
More informationCONTENT OUTLINES AND KSAS
CONTENT OUTLINES AND KSAS Bachelors Social Work Licensing Examination What are KSAs? A KSA is a knowledge, skills, and abilities statement. These statements describe the discrete knowledge components that
More informationInpatient and outpatient substance use disorder programs
Inpatient and outpatient substance use disorder programs We can help you heal, learn to manage and take back your life. When you re struggling with addiction, things can seem hopeless and out of control.
More informationCURRICULUM CERTIFICATE OF ADVANCED TRAINING PSYCHIATRY OF OLD AGE
CURRICULUM CERTIFICATE OF ADVANCED TRAINING IN PSYCHIATRY OF OLD AGE This curriculum is based on the 2003 Fellowship program. An updated version with minor amendments will be available in early 2016 CURRICULUM
More informationRecovery-oriented Mental Health Service in Hong Kong. Sustainability and Challenges
Recovery-oriented Mental Health Service in Hong Kong Sustainability and Challenges Recovery oriented Mental Health Service WHY HOW.. WHAT.. Recovery Oriented Mental Health Service Recovery movement HA
More informationEvaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements.
Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services June 21, 2012 Featured Speaker David Hoffman M.Ed. C.C.E, NYS DOH Office of Health Insurance Programs Clinical Associate
More informationSUICIDE SAFER COMMUNITIES IN GEORGIA
2015 Georgia Strategy for Suicide Prevention: GOALS AND OBJECTIVES FOR ACTION SUICIDE SAFER COMMUNITIES IN GEORGIA An Update of the Georgia Suicide Prevention Plan For use in 2015 2022 1 Georgia was the
More informationImproving Quality of Life for Older Adults in Ontario: Issues and opportunities. Knowledge Transfer and Exchange Forum March 15, 2013 CAMH
Improving Quality of Life for Older Adults in Ontario: Issues and opportunities Knowledge Transfer and Exchange Forum March 15, 2013 CAMH Today s Objectives: What is the Context in which we work What are
More informationA BETTER WAY FOR TOUGH KIDS:
A BETTER WAY FOR TOUGH KIDS: IMPLEMENTING BUILDING BRIDGES INITIATIVE FRAMEWORK IN RESIDENTIAL TREATMENT KRAUSE CHILDREN'S CENTER KRAUSE CHILDREN S CENTER Opened in 1995 Provides 24 hour therapeutic residential
More informationStrategic Plan
2017-18 Strategic Plan 1 Strategic Planning Process The Summit County Opiate Task Force has made great strides in addressing the opiate crisis in the last few years. More than 100 Summit County citizens
More informationTaking Care: Child and Youth Mental Health PSYCHOSIS TREATMENT OPTIONS
Taking Care: Child and Youth Mental Health PSYCHOSIS TREATMENT OPTIONS Open Learning Agency 2004 TREATMENT OPTIONS Psychosis is highly treatable, especially if caught early. The prognosis for recovery
More informationCommunity Health Workers (CHWs) in HIV Services: Insights from Virginia. November 16, 2017
Community Health Workers (CHWs) in HIV Services: Insights from Virginia November 16, 2017 1 Welcome Allyson Baughman, MPH Program Manager, Center for Innovation in Social Work and Health Boston University
More informationEvidence-Based Programs in Massachusetts
Evidence-Based Programs in Massachusetts Rachel Richards Assistant Secretary Massachusetts Executive Office of Elder Affairs MassHealth Office of Long Term Care 1 September 29, 2010 Chronic Disease in
More informationBEHAVIORAL H E A L T H T R E A T M E N T. for a bright future
BEHAVIORAL H E A L T H T R E A T M E N T Hope for a bright future Providing a comprehensive mental health and addiction treatment continuum for senior adults, adults and adolescents Offering a Comprehensive
More informationThe NYC Elder Abuse Center
The NYC Elder Abuse Center Brooklyn Geriatric Mental Health and Medical Provider Survey You can also complete this survey online: http://www.surveymonkey.com/s/geriatricproviders PLEASE PRINT CLEARLY Preamble
More informationInternship in Clinical Social Work:
Internship in Clinical Social Work: The Hamm Clinic Internship in Clinical Social Work is a 9-month, 16-hour per week commitment, beginning on September 4, 2018. The internship is structured according
More informationISSUE DATE: 2/10/2006
BULLETIN COMMONWEALTH OF PENNSYLVANIA Department of Public Welfare Department of Health NUMBER: OMHSAS-06-03 ISSUE DATE: 2/10/2006 EFFECTIVE DATE: Immediately SUBJECT: Co-Occurring Disorder Competency
More informationIOWA COALITION ON MENTAL HEALTH AND AGING. Policy and Administration Workgroup
IOWA COALITION ON MENTAL HEALTH AND AGING Policy and Administration Workgroup PRIMARY GOALS Make mental wellness a priority issue for policy makers Make mental wellness a priority among program administrators
More informationTHE MULLER INSTITUTE FOR SENIOR HEALTH
THE MULLER INSTITUTE FOR SENIOR HEALTH Rita Leinheiser, MA Social Gerontologist Elder Life Specialist OBJECTIVES 1. Discover the components of a comprehensive community wellness program for seniors and
More informationPennsylvania Behavioral Health and Aging Coalition
Pennsylvania Behavioral Health and Aging Coalition 2004 The Older Adult Committee was formed to represent Older Adults on the Office of Mental Health and Substance Abuse Services Mental Health Planning
More informationThe Role of the Diabetes Educator within the Patient-Centered Medical Home & Future Roles
The Role of the Diabetes Educator within the Patient-Centered Medical Home & Future Roles Linda M. Siminerio, RN, PhD, CDE Professor of Medicine University of Pittsburgh School of Medicine & Nursing Objectives
More informationA Community Wide Approach to Innovating Outreach, Crisis Intervention, and Community Education for Youth affected by Mental Health Challenges
Waukesha County Health and Human Services A Community Wide Approach to Innovating Outreach, Crisis Intervention, and Community Education for Youth affected by Mental Health Challenges Quick Review of the
More information