the respite and relief program creating a circle of care · 2013-10-17 · champlain the respite...
TRANSCRIPT
Champlain
THE RESPITE AND RELIEF PROGRAM
Creating a Circle of Care
Kim Peterson, Champlain CCAC Vice President, Clinical Care Manon Desjardins, Champlain CCAC Care Coordinator
Carol-Lynn Page, Champlain CCAC Care Coordinator Lead
Champlain
BRIEF HISTORY… Beginnings
Initiated in 2008, implemented in April 2009
Region: Eastern Counties, Ontario
Partnerships
Funders:
Ministry of Health and Long Term Care –Champlain Local Health Integrated Network (LHIN)
Collaborative Team:
Alzheimer Society
Canadian Mental Health Association (Apr ‘08 – Mar ‘11)
Tri-County Mental Health
Champlain Community Care Access Centre (Administrator)
Champlain
Champlain CCAC Territory
Champlain
PROGRAM INITIATIVE
Our Vision:
Empower caregivers to self-direct their respite needs.
Our Approach:
Elder Mediation
Specialized Education
Our Goals:
To create a circle of care
Prevent premature admission to LTCF (Dementia client)
Prevent hospital visits and or admission (Caregiver)
Champlain
ELIGIBILITY CRITERIA Client:
Has valid Ontario Health Insurance
Resides within Stormont, Dundas, Glengarry, and Prescott, Russell or Akwesasne
Ottawa area (July 2013)
Caregiver:
Cares for a person with Alzheimer disease or a related dementia at home or in a retirement home
Receives standard orientation by referring agency
Willingness to journey with the mediator towards the creation of a circle of care
Champlain
Flow Chart
Champlain
ROLE OF THE MEDIATOR
Builds a relationship of trust with the families to unite a caregiver’s support network into a common position while addressing conflict issues as they present.
Builds partnerships, collaborates with Care Coordinators and community partners
Creates a circle of Care:
Helps prevent Caregiver burnout
Decrease admission to LTC Facilities (dementia clients)
Delays admission to LTC Facilities (dementia clients)
Champlain
MEDIATOR: KEY FUNCTIONS
Abides by the Elder Mediation Code of Ethics
Resolves issues before a crisis situation occurs
Utilizes focused conversation and mediation skills pro-actively to achieve goals.
Acts as a neutral, impartial third party and fosters links between caregiver, client, circle of care, and CCAC.
Assists parties in exploring issues resulting from a diagnosis of dementia.
Helps people in preserving and/or restoring their relationship.
Empowers the Senior to remain in their home.
Champlain
Education Level I- 40 Hour Course:
Basic Mediation
Conflict Resolution
Level II – 40 Hour Course:
Advanced Mediation
Conflict Resolution
Level III – Practicum- 10 Day Course:
Mediation role play of actual cases
Champlain
Acquired Skills
Self-reflection: becoming aware of my own feelings,
how I communicate, how I listen to others and how I ask
questions.
Difficult Conversations: my approach is more
confident and non-judgmental as I empower families to help
themselves.
Power: its role and how to shift the balance of power.
Champlain
Acquired Skills
Shifting Gears: instead of providing “the fix” for
families, I assist them to articulate their hopes and fears and
shift their focus towards working together to explore options
for the elder.
Conflict: becoming aware of my own conflict style,
helping me shift my attitude, giving me tools to work with
when conflict presents itself.
Champlain
PROGRAM INDICATORS
09/10 Projected
09/10 Actual
10/11 Projected
10/11 Actual
11/12 Projected
11/12 YTD
12/13 Projected
12/13 YTD
0
20
40
60
80
100
120
140
160
180
09/10 Projected 09/10 Actual 10/11 Projected 10/11 Actual 11/12 Projected 11/12 YTD 12/13 Projected 12/13 YTD
Champlain
Length of time clients kept out of LTC
0
10
20
30
40
50
60
1 - 100 101 - 200 201 - 300 301 - 400 401 - 500 501 - 600 601-700 701-800 801-900 901-1000 1001+
# of Clients
Champlain
WHAT HAVE WE LEARNED?
Invites Caregivers to become engaged in the process of identifying their needs and taking charge of their life direction.
Elicits collaborative communication to ensure clarity and consistency in the output of messages to all parties.
Responds to the needs of families by creating a unique care plan that increases informal support while preserving relationships.
Respects the Seniors’ wish to remain at home.
Champlain
Creation of Community of Practice
Desire to share knowledge and experience
To stay connected
To create solutions
To develop and maintain competency
Peer Networking
To create a forum for open minded thinking
Champlain
Community of Practice Quotes
“The training has opened up a new way of thinking and experiencing life…both at work and at home.”
Brenda O’Brien
“Conflict is neither bad nor good, but how the conflict is handled is what matters”
Cheryl A. Picard
Champlain
QUESTIONS?