W3 - Successful Partnerships to Help Older Adults Manage Chronic

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Successful Partnerships to Help Older
Adults Manage Chronic Disease
Take Charge of Your Health: Live Well, Be Well
(Chronic Disease Self-Management Program)
Presenters
 Donna Bileto, Community Service Specialist, Northwestern Illinois
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AAA
Dana Bright, Manager of Health Promotion, Rush University
Medical Center
Elizabeth Cagan, Executive Director, White Crane Wellness Center
Janice Cichowlas, Policy Analyst, Illinois Department on Aging
Rhonda Clancy, CDSMP Coordinator , Illinois Department of Public
Health
Michael O’Donnell, Executive Director, East Central Illinois AAA
Maria Oquendo-Scharneck, Health and Diversity Coordinator,
AgeOptions
Debbie Scariano, Community Planner, Northeastern Illinois AAA
Joanne Thomas, Executive Director, Central Illinois AAA
Session Overview
Rhonda Clancy, IDPH
 CDSMP efforts in Illinois
 “Take Charge of Your Health: Live Well, Be Well”
 Evidence-based
 Workshop structure- six weeks, 2 ½ hours/week, “self-
management”
 All 13 PSAs, 10:13 AAAs, AALC, Extension Offices…over
320 implementation sites
 Expanding efforts through successful state and community
partnerships
 CEUs for leader training
IDPH/IDoA Partnership
Janice Cichowlas, IDoA
IDoA has partnered with IDPH in many
ways:
• Provided Letters of Support
• Trained AAAs about EB programs
• Participated on team calls and at state and national
meetings
• Developed and presented a sustainability webinar
• Assisted with Teleconferences
• Linked new programs such as the ADRC Care
Transitions EB Program
• Promoted Title III-D funding for EB health
promotion services
• Trained AAAs and Case Managers to promote
CDSMP
• Member of the IDPH Disability and Health Partnership
Committee
• Member of the IDPH Chronic Disease Prevention and
Health Promotion Task Force
• Member of the IL EB Collaboration group
Partnerships with Community
Colleges
Donna Bileto, NWIL AAA
 Community College Mission
 CDSMP Mission
 Why do we believe CDSMP is a good fit for the
Community College
 How we coordinated our collaboration
Community College Mission
Community Colleges provide and
enhance educational opportunities
for growth and lifelong learning
Lifelong Coalition Colleges
Benedictine
University
Highland
Community
Lincoln Land
College
Southeastern
Illinois College
Black Hawk
College
Illinois Central
NIU
Southwestern Il
Bradley University Illinois State
Oakton College
Spoon River
College
College of Dupage John Wood
Parkland College
Triton College
Eastern Illinois
University
Rock Valley
College
University of
Illinois
Carl Sandburg
Western Illinois
Kankakee College
Harold Washington Kishwaukee
College
CDSMP Mission
To offer support and practical solutions for
dealing with pain and fatigue, nutrition
and exercise. CDSMP workshops are
proven to help people take charge of their
health.
CDSMP in Community Colleges
CDSMP Program
Community Colleges
►Brainstorm
►Educate
►Problem Solve
►Facilitate
►Develop Action
Plans
►Growth
Coordination
► Developed Relationships
► Provided CDSMP Summary
► Utilized Well Known Volunteers
► Presentation to Board Members
► Issued Healthy Living Books
► Offered to Coordinate Registration
Rock Valley College Schedule
Partnership with Easter Seals
Dana Bright, Rush University Medical Center
 Easter Seals Senior Community Service Employment
Program (SCSEP)
 Funded by Title V of the Older Americans Act
 Subcontracts with nine Easter Seals affiliates in nine states
 2 offices in metro Chicago, 230 participants
 Program goal is to provide low income participants 55 years
or older with community service and job placement
opportunities
Partnership with Easter Seals
 Rush approached Easter Seals of Metropolitan Chicago about serving
as a host site for CDSMP and DSMP
 Relationship developed over several months with the Assistant
National Director and local Program Coordinator
 Easter Seals identified a growing positive correlation between the
number of participants leaving the program due to medical/health
concerns with the low numbers of participants receiving physical
health exams, which Easter Seals offers to pay for
 Acknowledgment that this is an area in need of improvement
Partnership with Easter Seals
 CDSMP/DSMP seen as a compliment to training and support
provided through SCSEP
 CDSMP/DSMP also viewed as an added benefit provided
exclusively to SCSEP participants to 1) help them maintain and
improve their health and wellbeing and 2) help them stay engaged
as SCSEP participants
 Arrangements were made to host an initial DSMP workshop at the
Easter Seals Oak Park office at a convenient time when
participants where already onsite for meetings
 Easter Seals provided lunch during the DSMP workshop
Partnership with Easter Seals
 Recruitment of participants through a “Class Zero” and
referrals from Easter Seals case managers
 Pilot DSMP has been a big success; average 16-18
participants per session; positive feedback received from
group members
 Future goals:
 Attend staff training to orient staff to CDSMP/DSMP
 Hold additional CDSMP/DSMP workshops at Easter Seals of
metro Chicago
 Replicate in other Easter Seals SCSEP affiliate sites (AL, CT,
NY, NJ, OR, UT)
Integration of Take Charge of Your Health
Elizabeth Cagan, White Crane Wellness Center
 White Crane Wellness Center
 Integration of Take Charge of Your Health
Health Focused Academic Institutions
A Senior Employment Program
Partnering with Health Focused
Academic Institutions
Types of Academic Institutions
with whom we have partnered:
 Graduate-Level Schools of
Professional Psychology
 Graduate-Level Schools of Public
Health
 Colleges of Pharmacy
 Nursing Programs
Develop Mutually Beneficial
Relationships among a variety of
partners to Improve the Health
and Wellness of Older Adults
Partnering with Health Focused
Academic Institutions
Benefits to Student and Academic Institution
 Students gain experience and expertise in:
 Facilitating evidence-based health programming
 Working directly with special populations (ex. older adults)
 The community-based setting (ex. low-income housing)
 Students have an opportunity to network and establish professional
contacts
 Students receive academic credit and professional certification (ex.
Certified Class Leader)
 Academic Institutions enhance their educational offerings to
students
Partnering with Health Focused
Academic Institutions
Benefits of working with Academic
Institutions:
 Enhance pool of volunteers, certified class leaders, and
program advocates
 Promote evidence-based, community health and wellness
programming for future health professionals
 Enhance awareness of Take Charge of Your Health across
systems
Partnering with Title V /Senior Community
Service Employment Program (SCSEP)
Title V /(SCSEP)
 Is a federally funded program designed to assist adults age 55 and
older in entering or reentering the job market
 Fosters individual economic self-sufficiency through training and
job placement in unsubsidized jobs
 Provides useful community service opportunities
White Crane partnered with National Able Network
to integrate Take Charge of Your Health into their
Title V job training program.
Partnering with Title V /Senior Community
Service Employment Program (SCSEP)
Keys to Success in the
Workplace for Older Adults
How CDSMP Helps
Key strategies for work preparation
include assisting participants in
developing a personal goal through
planning.
The CDSMP toolbox provides tools,
including weekly action plans that can
sustain individuals as they learn and
practice behaviors for healthy aging.
Participants will thrive in the
The CDSMP 6-week workshop helps
workplace if they are motivated
participants gain confidence and feel
through training by building selfmore positive about their lives.
* New Strategies to Maximize the Employability of Older
esteem and provided opportunities
Adults with Chronic Conditions - Sue Lachenmayr (2007)
for success.
Partnering with Title V /Senior Community
Service Employment Program (SCSEP)
Keys to Success in the Workplace
for Older Adults
How CDSMP Helps
Older workers are likely to have chronic CDSMP peer-led workshops teach
conditions - 80% of older adults have at participants to manage symptoms; get
least one chronic condition and half have started with healthy eating and exercise;
at least two chronic conditions.
communicate effectively with their
doctor; make daily tasks easier; and get
more out of life.
Older workers who participate in
CDSMP workshops can expect long
term benefits. Effects have been
documented for CDSMP participants at
6 months, 1 year, and 2 year follow up .
Participants reported improved health
status, decreased disability, reduced
health distress, increased self-efficacy,
improved fatigue level, and greater
partnerships with clinicians.
* New Strategies to Maximize the Employability of Older
Adults with Chronic Conditions - Sue Lachenmayr (2007)
Sustainability: Embedding Interventions in
CPoEs/ADRCs
Michael O’Donnell, ECIAAA
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ECIAAA has integrated CDSMP with Coordinated Points of Entry and
Aging & Disability Resource Centers in Area 05, including:
Starting Point – the CPoE/ADRC for Macon County in partnership with CHELP
and Decatur-Macon County Senior Center
Senior Resource Center – Champaign County CPoE
PATH – CPoE for McLean, DeWitt & Livingston Counties
CRIS Healthy-Aging Center – CPoE for Vermilion County
Ford-Iroquois Public Health Department – CPoE for Ford County
Volunteer Services – CPoE for Iroquois County
Funded in the Area Plan for FY2012-2014 using federal OAA Title III-B and Illinois
General Revenue Funds for Information & Assistance.
Sustainability: Embedding Interventions in
Caregiver Resource Centers
 ECIAAA integrated CDSMP in Caregiver Resource Centers
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in Area 05 including:
Starting Point – ADRC/Caregiver Resource Center for
Macon County
Senior Resource Center – Caregiver Resource Center for
Champaign and Piatt Counties
PATH – Caregiver Resource Center for McLean, DeWitt,
and Livingston Counties
CRIS Healthy-Aging Center – Caregiver Resource Center
for Vermilion County
Funded in Area Plan for FY2012-2014 under OAA Title III-E
Collaborating with Limited-English Speaking
Groups and Communities Putting Prevention to
Work Grantees
Maria Oquendo-Scharneck, AgeOptions
 Culture is defined as a set of shared attitudes,
values, goals and practices
 Points of consideration:
 Understanding community cultures allow for increased adaptation
 Flexibility in providing training and support
 Mindful development of partnerships respectful of cultural attitudes
Collaborating with Limited-English
Speaking Groups
Maria Oquendo-Scharneck, AgeOptions
 Growing number of clients are challenged by chronic
diseases
 Many clients have limited access to health information due to
limited English proficiency
 CDSMP enhances an organization’s visibility and credibility
with clients and community
Collaborating with Limited-English
Speaking Groups
Maria Oquendo-Scharneck, AgeOptions
 Culturally sensitive facilitators who understand cultural
differences
 Implementation provides opportunities for volunteerism and
civic engagement of older adults
 Program design that adapts to all cultures while maintaining
integrity
Communities Putting and Prevention to Work Grantees
Collaborating with Limited-English Speaking Groups
History
Maria Oquendo-Scharneck, AgeOptions
2008
Action Communities for Health, Innovation and
EnVironmental Change
2010
Communities Putting Prevention to Work, Cook County Department
of Public Health Model Community grants offer Take Charge of Your
Health: Live Well, Be Well as a policy, system, environmental change
strategy
Communities Putting Prevention to Work Grantees
Model Communities
 Crossroad Coalition
Creating health ministries in African American Churches in high need
southern suburban communities
 Council of Islamic Organizations of Greater Chicago
Mosque Foundation serving Muslim and Arabic communities in Illinois
Communities Putting Prevention to Work
Model Communities
Maria Oquendo-Scharneck, AgeOptions
 Chicago Hispanic Health Coalition
Reaching the growing Latino population in Western suburbs
 Asian Health Coalition
Serving the Korean community of the northern suburbs
 High School District 218
Serving staff and parents of three high schools in African
American and Latino communities
Working with Title-III B Programs
Debbie Scariano, NEIL AAA
 Older Americans Act: Title IIIB Community Services
Community Connection Center funding includes:
Education
Recreation
Multipurpose Senior Center
Health Screening and Evaluation
Title IIIB: Education
Services which provide individuals with
opportunities to acquire knowledge and skills
suited to their interests and capabilities through
normally structured, group oriented lectures or
classes.
Agency on Aging in PSA 2
Incorporated Take Charge of Your Health -Live Well Be Well
under Title IIIB Education
Grantees required to implement two sessions per year
Agency on Aging provides:
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Assistance and guidance
License
Leader training
Opportunities with Foster Grandparents
Joanne Thomas, CIL AAA
 Foster Grandparent volunteers share love, time, and experience
 These adults age 55 and older have the power to help a child who needs them
 Serving in Head Start Centers, schools, and other youth facilities—they help
children learn to read and provide guidance at a critical time
 They are a role model, a mentor, and a friend
 Put simply, Foster Grandparents help set a child on the path toward a successful
future….
 When they help themselves—they help others!
“Take Charge of Your Health: Live Well, Be Well”
Central Illinois Agency on Aging, Inc.
Foster Grandparents Program
Information
 Ages 57 to 92
 Two workshops: 10 completers in #1 and 13 completers in #2
 Reside in Peoria County
Central Illinois Agency on Aging, Inc.
Foster Grandparents Program
Contribution
 Offered meeting space and snacks for CDSMP workshop
 Came from diverse backgrounds
 Those who left the workshop, without being completers, did so due
to health problems
Central Illinois Agency on Aging, Inc.
Foster Grandparents Program
Transformation
 Social network tightened significantly as members agreed to maintain
“call buddies” after conclusion of workshop.
Central Illinois Agency on Aging, Inc.
Foster Grandparents Program
Retrospective
 These workshops are the most successful in terms of number of
completers and group cohesion. A Class Zero presentation preceded
these workshops.
Central Illinois Agency on Aging, Inc.
Foster Grandparents Program
Comments
 Director of the Foster Grandparent Program (a participant)…
“Participants found the workshop very helpful. They got to know each
other very well. Many participants were diabetic and made changes in
their life with eating and exercise based upon …the workshop.”
Continuing Education Units for Leader
Training: Goals and Rationale
Dana Bright, Rush University Medical Center
 Provide accessible and incentivizing opportunities for healthcare, allied
health care and social services professionals to become involved in Take
Charge of Your Health: Live Well, Be Well
 Promote professional development and training opportunities in the areas
of health promotion and patient self-management
 Train community-based practitioners as program leaders as a strategy for
capacity building and sustainability
 CEUs are now available for successful completion of Take
Charge of Your Health/Diabetes Leader Trainings
 Offered through the Continuing Education Institute of Illinois
in partnership with Rush University Medical Center
 A $10.00 fee applies to those requesting CEUs
Professionals Who Can Request
Continuing Education Units
 Activity Professionals
 Nurse Practitioners
 Administrators
 Nutritionists
 Counselors
 Occupational & Physical
 Dental Hygienists
 Dieticians
 Massage Therapists
 Nurses (RNs and LPNs)
Therapists
 Respiratory Therapists
 Social Workers
 Other (please inquire)
For more information…
Partners interested in pursuing CEUs for your trainees
Should notify Dana Bright as soon as possible
regarding upcoming trainings.
For more information, please contact:
Dana Bright, Rush University Medical Center, Chicago
(312) 942-7900 or Dana_M_Bright@rush.edu
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