Service Provider Resource Guide (SPRG) Dr. Penny MacCourt Supporting Caregivers of Older Adults B.C. Psychogeriatric Association 2011

Goals of presentation To introduce the Service Provider Resource Guide(SPRG) How and why the SPRG was developed Explore the SPRG Discuss ways you can use the SPRG How to use the Service Provider Resource Guide with the Caregiver Policy Lens(CGPL)

What is the SPRG? A practical tool for use for front-line service providers, program managers, administrators, health educators, advocates, and anyone interested in strengthening caregiver resiliency through service provision A compilation of evidence-informed tools and resources

Development of the SPRG Spoke with close to 300 interested parties across Canada Front line service providers, program managers, administrators, policy analysts/developers, non-profit organizations, advocates, academics, health educators, caregivers Targeted literature review of existing literature, assessments and policy

Benefits of using the SPRG Increased knowledge of issues affecting caregivers Increased ability to identify, clarify, and solve issues that affect caregiver resiliency Increased knowledge of system stressors in providing attention and resources to caregivers Access to evidence informed support thereby increasing service provider resiliency

Benefits of using the SPRG Practical tools and resources to address gaps identified through application of the CGPL Minimize burnout and ethical distress of service providers Facilitate caregivers ability to direct more of their energy on themselves, other family members, their workplaces and communities

Key components of the SPRG The Service Provider Resource Guide is a comprehensive document that includes: A review of Caregiver Assessment Tools A review of Caregiver Interventions Issues in Ongoing Case Management A directory of Federal and Provincial Economic Security Policies to Support Caregivers A directory of Federal and Provincial Non- Profit Resources

Caregiver Assessments Burden/Stress/Strain Caregiver Mental Health Other than Burden/Stress/Strain Financial Burden Support Coping Relationship Issue Care Tasks and Skills Care Recipient Functional Ability: Impact on Caregiver Caregiver Physical Health Self efficacy/ Competency Values and Preferences Multidimensional Instruments

Caregiver Interventions Psychoeducation Cognitive Behavioural Therapy Counseling/Case Management Respite Multicomponent Factors Influencing Caregiver Programs Setting Dosage Caregiver Age Caregiver Gender Relationship with Care Receiver Ethnicity/Culture Intersectionality Recommended Practices Effective Evidence Based Programs

Issues in Ongoing Case Management Issues that can arise between caregivers and care receivers Issues that can arise between caregivers and service providers Systemic Tensions for Service Providers Transitions, Crises, and Difficult Conversations Difficult Emotions in Caregiving Legal and Ethical Issues Inclusion and Diversity Stress and Self-Care

Examples of the SPRG in action A private home care organization is using the SPRG to facilitate update of design of RN home care planning A health authority is using the SPRG for in- service training for geriatric hospital nurses and allied health professionals A hospital is using the SPRG as a facilitation tool for nurses providing caregiver education to newly discharged patients and family members

The Caregiver Policy Lens (CGPL) A resource to identify unintended negative effects of policies and programs on caregivers, and to provide a common framework to develop and critique policy Generated from the perspective of caregivers of older adults, including those that provide services to them

The CGPL A series of 11 main questions, with a list of sub-questions, organized as a checklist Questions designed to be answered with yes/no/dont know/need more information Responses then scored Creation of an action plan

Why use the CGPL? To frame development of programs and policies that value and support caregivers of older Canadians To critique proposed policies and programs for potential unintended negative effects on caregivers To assess policies or programs promotion of caregivers well-being To identify gaps in current policies, programs and activities that affect caregivers To guide studies of the impact of programs on caregivers To develop a policy response to an issue or need

How to integrate both resources A residential care organization is using the CGPL to assess intake policies to evaluate specific needs of mental health admissions, and to help develop a collaborative decision-making model for potential changes to admission policy is also Using the SPRG resources to address issues and/or gaps identified through CGPL application

Resources Website: caregivertoolkit.cacaregivertoolkit.ca CD and print formats of the resources For more information, please contact: Dr. Penny MacCourt Marian Krawczyk