The Voyage to Incorporated Psychological wellness/Maturing Frameworks of Consideration.

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The Voyage to Coordinated Emotional wellness/Maturing Frameworks of Consideration Introduced by Lee Fraser, Mama, RNC, QMHP Perceived by the American Culture on Maturing and Pfizer Therapeutic Humanities for Development and Quality in Medicinal services – Granted 2005 The College of Kentucky Sanders Cocoa Center on Maturing
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The Journey to Integrated Mental Health/Aging Systems of Care Presented by Lee Fraser, MA, RNC, QMHP Recognized by the American Society on Aging and Pfizer Medical Humanities for Innovation and Quality in Healthcare – Awarded 2005 The University of Kentucky Sanders Brown Center on Aging 23rd Annual Summer Series on Aging June 12-14, 2006

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Overview By 2030 - the US populace more than 65 will increment from 13% to 20% (a 7% increment) 1 in 5 group based seniors have no less than one emotional well-being diagnosis* This figure will dramatically multiply by the year 2030* *Klap, et al, 2003 * Bartles, 2004

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Scope of Problem Less than ½ get treatment* Non-treatment expands danger of wellbeing confusions, poor therapeutic treatment reaction, mortality, guardian burnout, and overburdened frameworks * Bartles, 2004

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Promising Potential Most psychiatric ailments are 80% treatable in older folks Culture of consideration is in change Model combination undertakings are accessible Demonstrate constructive results Can be repeated

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Reasons for Integrated Care National objectives for coordinated effort Outcomes research constructive for effort model and communitarian care* Built in referral base *Bartles, 2004

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Reasons for Integrated Care Early location, improved access, diminished wellbeing danger, shared expense potential, diminished parental figure load Mental wellbeing suppliers potential for expanded information of more established grown-ups and their administrations Aging administration suppliers increase psychological well-being abilities and assets

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Reasons for Integrated Care Benefits to Elders Cohesive and educated care Early mediation Reduced shame Enhanced self-care potential Prevention of untimely systematization Promotion of reliance

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Reasons for Integrated Care Model projects acquire: Outreach development Multidisciplinary blend Shared cooperative energy – expense Shared danger Expanded administration limit for counteractive action, intercession, emergency, training, family care and access to asset

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Retrospective on Systems of Care Mental wellbeing treatment advanced from non-treatment to med treatment Use of psychotropic medications(1950’s) Major deinstitutionalization (1960’s) Gero Psychiatry has pretty nearly 60 years of history

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Retrospective on Systems of Care Aging administrations advanced in 30’s and 60’s Mental wellbeing administrations once give subsidized are currently charge for administration Mental wellbeing projects for seniors profoundly helpless against expense for administration

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Promoting Innovation and Change Build on history of victories Identify group needs Example: MHASI Survey Handout Identify accomplices

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Strategies for Change/Formation Consider most noteworthy reason and needs of all accomplices Relationships are vital and basic to achievement Consider general needs first – then one of a kind perspectives Learn the fundamental components of every system Get authoritative purchase in

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Strategies for Change/Formation Start one little joint endeavor Find and advance champion offices for change Find and manufacture pioneers Use model projects as a layout Example: Featured Program Handout Consider saw dangers of reconciliation Seek conference

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Strategies for Change/Formation Rational versus Relational - models for change: Rational model gives data and envisions change Relational model spotlights on the hypotheses of “diffusion” and “stages of change”

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Strategies for Change/Formation Communicate early and frequently Coalitions, associations, joint efforts, administrations, and whole frameworks are based on Relational models Influence one key individual from a gathering Changes move in a straight manner in the transient however move in concentric circles of more extensive impact with longer enduring effect

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Strategies for Change/Formation Diffusion Theory - implies by which developments are spread all through a populace, embraced after some time Change is a “social process” Parallel Process - hypothesis can be connected to entire frameworks and people

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Three Principles of Innovation Innovations are “anything” new to a gathering Interpersonal impact tops when rate of reception is at a maximum Adoption of advancement happens in stages Awareness, influence, introductory activity, full execution, affirmation/fortification

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Brainstorming Model Program Elements (see freebee) Discussion Short Break

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Model Program – 3 Key Components Systems Integration – the first stride to development of more seasoned grown-up projects Affiliate at all levels – restorative, instruction, arrangement, backing Balance player blend Consumer inclusion Revisit needs and degree Provide an item – consent to be results driven Obtain TA/MIS bolster

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Model Program – 3 Key Components Direct Service/Consultation Outreach 90% of Direct Service Base Multidisciplinary staff blend – medicinal, social Include load up guaranteed Gero Psychiatrist Medical Doctor Use restorative interchanges – NP’s, PA’s Extend outreach – telemed, counsel University linkage – understudies, exploration Partner with F.Q.H.C. centers

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Model Program – 3 Key Components Integrate with essential consideration restorative gatherings Peer-to-companion care groups Include parental figure, anticipation bolster Use Aging CCU’s and Elder Abuse Units as referral base Determine levels of customer engagement Integrate inside psychological well-being projects inside of extensive organizations

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Model Program – 3 Key Components Education and Training Train everybody at all levels Include avoidance and recuperation Wellness Normative maturing Most regular analyses Use of administration framework Code orders

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Model Program – 3 Key Components Education’s System Integration – Cross train on Best Practices Models In-administrations (different suppliers) Area wide meetings State meetings Web page, assigned occasions/dates, truth sheets Develop a manual and CD’s Assure quality illustrations, logos and project handouts

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The Journey is Realized Group Exercises

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Chestnut Mission Statement Making a distinction: enhancing personal satisfaction through magnificence in administration. Chestnut Vision Statement Chestnut Health Systems will be a pion

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