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DementiaFriendsIndiana.org The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! Dustin Ziegler CICOA Aging & In-Home Solutions February 11, 2019

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Page 1: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

DementiaFriendsIndiana.org

The Hoosier Dementia Dilemma:Let’s Just Do SOMETHING!!

Dustin ZieglerCICOA Aging & In-Home SolutionsFebruary 11, 2019

Page 2: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Pick an Issue; Any Issue…..

• No cure or disease modifying agent available

• Over 5 million affected, but probably higher

– Projected to rise 15 to 16 million over coming decades

• Over 16 million family caregivers provided unpaid care valued at $18.4 billion

– Mortality rates of caregiver spouses exceeding those of person with dementia

• Alzheimer’s and other dementias cost nation $277 billion in 2018 with projections of $1.1 trillion by 2050

– Cost of this condition single handily on track to bankrupt Medicaid

The Hoosier Dementia Dilemma ISNA Policy Conference

Page 3: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

More Fun Facts…..• Declared by CDC, NIH, and WHO as having epidemic status; we’ve only just begun

• Passed cancer a few years ago as being most feared disease among Americans

– This includes Americans of ALL ages; not just older adults

• Those with dementia are more likely than those without dementia to have other chronic conditions

– People with dementia have twice as many hospital stays and much longer average length of stay per year as other older adults

• Only disease in the top 10 whose mortality rates have increased over the years; mortality rates of the other 9 diseases have decreased

– Alzheimer’s disease 6th leading cause of death; likely higher than that (as high as 3rd)

The Hoosier Dementia Dilemma ISNA Policy Conference

Page 4: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Indiana• Projected increase of 18.2% in number of Hoosiers

age 65 and older with Alzheimer’s by 2025

• $981 million dollars in Medicaid costs in 2018– Projected to increase 23.4% by 2025

• 19.6% readmission rate for people with dementia

• 338,000 Hoosier caregivers providing unpaid care

The Hoosier Dementia Dilemma ISNA Policy Conference

Page 6: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Our response to thecondition has been as

insidious as the diseaseitself……

Page 7: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

The Good News…

There is Hope!

We DO have ability to manage this unique

condition, but it will take calculated efforts

that requires actions and fundamental

change to our culture.

The Hoosier Dementia Dilemma ISNA Policy Conference

Page 8: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

So What Do We Do??

Examples of current focus areas to addressing dementia include:

1. Education and Understanding

2. Earlier detection and diagnosis

3. New and innovative models for providing intervention

The Hoosier Dementia Dilemma ISNA Policy Conference

Page 10: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

The Hoosier Dementia Dilemma ISNA Policy Conference

The Dementia Friends Indiana movement aims to advance education and awareness of dementia, reduce the stigma associated with the condition, and create community environments that are welcoming and conducive for those living with dementia to experience and navigate.

Page 11: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Dementia Friends Indiana:

The Pathway for A Dementia Friendly Hoosier State

2 Main Areas of Focus

1. Education and Understanding

Online and In-Person Workshops

2. Community Action and Awareness

Positive Community Environmental Changes

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 12: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Education and Understanding

Become a Dementia Friend via……..

Online

• 10-15 minutes

• Overview video of dementia

• Must watch at least 3 sector specific videos

Info Sessions

• 45-60 minutes

• More thorough than online

• May be public or private

• Can be requested at places of businesses, churches, etc

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 13: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

What is Dementia Friendly?

Dementia Friendly: an environment dedicated to dementia understanding and awareness where those living with dementia feel supported and welcomed by their community members and among all community sectors.

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 14: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

The Caregivers

A dementia friendly model is about the caregiver as much as it

is about the person living with the actual disease.

– Twice as many caregivers of those with dementia indicate substantial emotional, financial and physical difficulties

– Family caregivers for Alzheimer’s disease and other dementias have an increased risk for anxiety, depression, and poor quality of life than family caregivers of any other conditions

– 1 in 6 millennials, at an average age of 28, are caring for someone with dementia and report mental, physical, and financial hardships as a result of this role

– Spousal caregivers of individuals with dementia aged 66 to 96 have a 63% increase in mortality rates than non-caregivers of those with dementia in the same age range, commonly resulting in the passing of the caregiver before the person in which they are providing care

– Isolation and withdraw from communities, and even family and friends, is a common consequence of dementia

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 16: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Now that you’re a Dementia Friend, take action!!!

All community sectors and individual citizens can take small and large Dementia Friends

actions. Just some examples may include:

• Talking about dementia and engaging Dementia Friends Indiana among your personal and professional networks

• Liking and sharing Dementia Friends Indiana on social media

• Connecting businesses, churches, government, etc to the Dementia Friends Indiana movement

• Engaging a friend or neighbor with dementia or a caregiver for someone with dementia

• Hosting info sessions in your communities or exhibiting info at health fairs, community events, farmers markets, etc

• Presenting info at your place of work, social clubs, etc

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 17: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

You Tell Me!!!!!!

We have reached a position where we are gaining the attention of

influential government leaders at various levels and departments.

If you have an idea or suggestion involving policy or other changes

related to the increasing dementia crisis, let me know. Now’s the time!

[email protected]

Consider this a call to action!!!!

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 19: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Dementia Friends Indiana In Action

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 20: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 21: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 22: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

The Hoosier Dementia Dilemma DementiaFriendsIndiana.org

Page 23: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Let’s get social!

/DementiaFriendsIndiana

@DFIndiana

/showcase/dementia-friends-indiana

@DementiaFriendsIndiana

DementiaFriendsIndiana.org

Page 24: The Hoosier Dementia Dilemma: Let’s Just Do SOMETHING!! DFI policy presentation.pdfwith dementia in the same age range, commonly resulting in the passing of the caregiver before

Help spread the movement by telling friends and family or your station that you are a Dementia Friend!

Thank you! DementiaFriendsIndiana.org

State Administrator: