Evidence Based Healthy Living Self-Management Education Programs W E L L N E S S A N D H E A L T H Y L I V I N G, C H R O N I C D I S E A S E M A N A G E M E N T, D I A B E T E S P R E V E N T I O N A N D M A N A G E M E N T A N D S P E C I A L I Z E D P A I N M A N A G E M E N T J A C K B E V E R I D G E M I K E S T U M P F, M. D. W W W. E M P O W E R M E N T S Y S T E M S. O R G
Peer Support Specialists As Self-Management Lay Leader Workshop Facilitators. WIN, WIN, WIN
Presentation Objective Our aim is to make this presentation SCORE: Simple Clear Original Relevant Enjoyable At the end our audience will want to be more involved in the delivery of Healthy Living Self Management Programs
Agenda 1. Empowerment Systems, Inc. 2. Multi-Dimensional Wellness and Healthy Living 3. AZ Living Well Institute 4. Greater Valley Area Health Education Center 5. Peer Support Specialist Training and Employment 6. Collaborative Partnerships/Consortium 7. Community Referral Network 8. Jobs/Services/Payment
Empowerment Systems, Inc. A Non-Profit Family of Programs & Partnerships Empowerment Systems, Inc. AZ Living Well Institute Greater Valley Area Health Education Center Community Outreach Resource Connection Community Referral Network & Performance Improvement AZ Coalition for Military Families. www.empowermentsystems.org
Multi-Dimensional Wellness Healthy Living - Not Just Chronic Disease Mgmt Multi-Dimensional Wellness Addressing Virtually Every Aspect of Life Social Intellectual Emotional Environmental Occupational (not just work) Spiritual Physical
Arizona Living Well Institute THE MISSION: TO ADVANCE EVIDENCE-BASED P ROGRAMS FOR ARIZONA COMMUNITIES THROUGH STRUCTURED COMMUNICATION, M ULTI-LEVEL COORDINATION A ND TRAINING, M ENTORING A ND SUPPORT.
Why the Arizona Living Well Institute? Coordination and leveraging of resources to create greater impact A systematic approach to data collection and management Coordination of training opportunities throughout the state, including coordination of self-management workshops Educate employers, health care providers and community services organizations about the benefits of selfmanagement programs and evidence-based health promotion programs
Healthy Living Programs The Arizona Living Well Institute offers training and support for all of Stanford s evidence-based Chronic Disease Self Management Education (CDSME) programs: Chronic Disease Self-Management Program (CDSMP) Tomando Control de su Salud Program (TCS) Diabetes Self-Management Program (DSMP) Programa de Manejo de la Diabetes (SDSMP) Chronic Pain Self-Management Program (CPSMP)
Stanford Self-Management Workshops Workshops give people the knowledge, confidence and motivation needed to manage the challenges of living with chronic conditions and live healthier. Meet once a week for six weeks for 2 and ½ hours each week. Teach practical skills and tools for managing health issues and living healthier lives. Have been applied in various settings: prisons and other institutions, employee worksite wellness, etc.
Workshop Design www.wittysparks.com/2007/05/26/15-tips-to-manage-yourself-better/ 6 weekly sessions that meet 1 day per week for 2.5 hours each Introduces tools needed in day-by-day life with chronic conditions Practices using selfmanagement skills Highly interactive Focuses on goal setting Shared experiences, emphasizes mutual support
Workshops Topics Action Plans Feedback/Problem Solving Getting a Good Night s Sleep Managing difficult emotions Falls Prevention Physical Activity/Exercise Nutrition & Food Labels Weight Management Mind-Body Connection Informed Treatment Decisions Working with Health Care Providers
Chronic Pain Self-Management Program Subjects covered include: Activities addressing chronic pain-specific problems such as pacing-balancing activity and rest, and the Moving Easy Program (MEP) Medication usage and chronic pain management, with focus on the types of medications used for chronic pain, medication use responsibilities and addiction
Diabetes Self-Management Program Subjects covered include: Dealing with symptoms of Diabetes such as fatigue pain, hyper/hypoglycemia & emotional problems such as depression, anger, fear and frustration Foot care Avoiding complications Healthy eating Appropriate use of medications
What Is Accomplished? Increase skills to manage conditions and symptoms and those of others Learn techniques to help cope with conditions Receive information about healthier living and lifestyles Gain insights and wisdom from others Being with others who have similar challenges can be a powerful motivator Self confidence and personal responsibility
Healthy Living Program Outcomes Increased physical activity Improved health-status Improved social/role activities Better psychological well-being Decreased days in hospital Improved self-reported general health Enhanced partnerships with physicians Increased energy/reduced fatigue Reduced health care expenditures
Other Considerations 17 Healthy Living programs will NOT interfere with other programs - it will complement them! Healthy Living is not a support group. o Even though participants share experiences and support each other, it is a workshop where you learn and try new skills, and increase your ability to manage your health. To be most effective, it is important for participants to be present and contribute in all sessions. Trained facilitators can make this happen!
Greater Valley Area Health Education Center (GVAHEC) THE MISSION: CONNECTING STUDENTS TO HEALTH CAREERS, HEALTH PROFESSIONALS TO COMMUNITIES, A ND COMMUNITIES TO HEALTH P ROMOTION IN M A R ICOPA, P INAL AND SOUTHERN YAVAPAI COUNTIES.
Greater Valley Area Health Education Center (GVAHEC) Internship placements for UofA medical students Interdisciplinary healthcare workforce development Multidimensional wellness and chronic disease self management education Training and certification of CDSME lay leaders Coordination with community health workers Providing student internship opportunities Credentialing and Continuing Education Support for mentoring and preceptor programs Training for community referral network users
Healthy Living (CDSME) Facilitator Training T-Trainer - Mentored by Stanford - Train Master Trainers Master Trainers - 4 ½ day training led by 2 T-Trainers - Certified through Stanford after facilitating 2 workshops - Train Leaders 1 training per year - May facilitate workshops - May assist in fidelity monitoring Lay Leaders - 4 day training led by 2 Master Trainers - Facilitate workshops - Preferably peers with chronic conditions - May be volunteers or staff, usually not health 20 professionals
Peer Support Specialist Training As CDSME Workshop Facilitators ADHS Division of Behavioral Health peer support training scholarships Behavioral health agency sponsorship, employment and partnerships Medicaid coverage and payment Hundreds of peer support specialists trained and employed Healthy Living Program Mentoring and Provider Collaborative Subscriptions to community referral network
Community Referral Network Operation Community Outreach Navigators Health & Human Service Providers Insurance Providers Student Interns Employers Self-Referral Referrals Services Community-based delivery of Evidence-based Self- Management Workshops Referral to other needed services (e.g. ASHLine, WIC, etc.) Assistance completing health & human service applications (e.g. AHCCCS) Referral to potential Medical Home Database Management Invoicing & Billing Services Response to referral source of services provided to include: Participation in Self- Management Workshop Other completed referrals/services Outcomes
Data and Evaluation Tools 23 Workshop & Training Registration www.azlwi.org Mentoring Process Workshop Cover Sheet Date Time Location Facilitators Substitutes Session Zero Participant Survey Pre Post Feedback Questionnaire Program Facilitators Meeting Space Fidelity Process Workshops Trainings
Statewide Support 24 Arizona Department of Health Services Bureau of Tobacco and Chronic Disease Healthy Aging Diabetes Coalition AZ Health Care Cost Containment System (AHCCCS) Medicaid Behavioral Health Services U of A-Area Health Education Center, Center For Rural Health & School of Public Health Arizona Living Well Institute Coordination, licensure, training, mentoring and credentialing Community Referral Network, data gathering and reporting Integration & collaboration with other evidence-based programs: EnhanceFitness A Matter of Balance
Why Win, Win, Win? 25 Provision of needed client services with demonstrated effectiveness Paid for covered services at least in the Medicaid behavioral health system Healthcare workforce development and employment for peer support specialists
Regional Program Contacts & Mentors 26 Virginia Rodriguez, Northern Region 928.442.5480, virginia.rodriguez@yavapai.us Karen Ring, Southern Region 520.305.3409, kring@pcoa.org
Questions or more info? 27 Wendy O Donnell, MPH Director AZ Living Well Institute wodonnell@empowermentsystems.org Kim Rosenberger, MSW Community Referral Network Coordinator krosenberger@empowermentsystems.org Marni Rawiszer, MPH AZLWI Program Coordinator mrawiszer@empowermentsystems.org (480) 982-3118 or (877) 982-3118