Evidence-based Practices in Mental Health and Aging June 22, 2010 Cheryl Evans-Pryor, M.A.-G Aging Resources of Central Iowa 5835 Grand Avenue, Suite 106.

Slides:



Advertisements
Similar presentations
Depression in adults with a chronic physical health problem
Advertisements

Objectives Present overview & contrast different models of case management: broker, clinical, strengths based clinical Identify roles of engagement & collaboration.
Self-Management in pcmh
It is: A style of talking with people constructively about reducing their health risks and changing their behavior.
Reducing Disparities in Identification and Treatment of Mental Health Disorders of Latino and Russian-speaking Primary Care Clients: a Community Health.
Michelle O’Reilly. Quantitative research is outcomes driven Qualitative research is process driven Please offer up your definitions.
Common Behavioral and Cognitive Interventions in Primary Care Based on: Integrated Behavioral Health in Primary Care: Step-by-Step Guidance for Assessment.
99.98% of the time patients are on their own “The diabetes self-management regimen is one of the most challenging of any for chronic illness.” 0.02% of.
2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.
Developing a Logic Model
1 Module 3 Understanding Mental Disorders, Treatment, and Recovery.
Education & Training Curriculum on Multiple Chronic Conditions (MCC) Strategies & tools to support healthcare professionals caring for people living with.
How to Write Goals and Objectives
 Introduction  There are many mental health issues affecting people at work and in organizations. Some are diagnosable mental illnesses, while others.
The OACS (Older Adults Counseling Services) Program of NHS Human Services - Community Based Mental Health Services in Delaware County & Delaware County.
The Canadian Coalition for Seniors’ Mental Health Lessons Learned from the Promoting Seniors’ Mental Health Policy Lens Sherri Helsdingen May 5 th 2008.
Living with Chronic Conditions: Why Self- Management Works in the Community and Online Sue Lachenmayr and Katy Plant.
Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Nursing Leadership & Management Patricia Kelly-Heidenthal
+ Module Four: Patient/Family Education and Self-Management At the end of this module, the participant will be able to: Describe three learning needs of.
CHANGING BEHAVIOR CHERYL B. ASPY, PH.D. Motivational Interviewing.
Presented by Vicki M. Young, PhD October 19,
In Shape From: National Registry of Evidence- based Programs and Practices (NREPP) Trey Thomas 11/19/2012 Health 313_01 Drugs and Human Behavior.
Janice Berry Edwards, PhD, LICSW, LCSW-C, BCD, ACSW
Wyoming Total Population Health Management and Utilization Management Program Overview May 28, 2015.
Infusing Recovery Principles Into Home-Based Services for Youth ICCMHC, Inc. Quarterly Meeting Summer 2011 Stacey M. Cornett, LCSW, IMH-IV CMHC, Inc. Director.
Perspectives on the Age Wave: Key Issues, Solutions, and Opportunities Robyn Golden, LCSW Director of Older Adult Programs Rush University Medical Center.
Chronic Disease Self Management Program Tomando Control de su Salud Washington State Maureen Lally, MSW WA Aging and Disability Services Administration.
Student Support Team (SST) Training A Humanware Strategic Plan Activity Cleveland Metropolitan School District 1.
The Role of Academic Advisors in a Campus Suicide Prevention Program Dr. Darren A. Wozny Assistant Professor of Counselor Education Principal Investigator.
Umpqua Health Alliance Umpqua Community Health Center Extended Care Clinic Integrated clinic for patients with complex health and addiction issues.
Funded by SAMHSA through the Garrett Lee Smith Campus Suicide Prevention Grant Program Cohort 1 and Cohort 3 ASU Campus Care
Understanding TASC Marc Harrington, LPC, LCASI Case Developer Region 4 TASC Robin Cuellar, CCJP, CSAC Buncombe County.
F R O M T H E O R Y T O A C T I O N by Mary Catherine Collins.
Enhanced Case Management: Moving Beyond Service Brokering to Care Collaboration Unit I.
RHS 303. TRANSITION OF THEORY AND TREATMENT nature of existence and gives meaning to and guides the action Philosophical Base: Philosophy of occupational.
Nuevas Avenidas Mental and Behavioral Health Program The Nuevas Avenidas (New Avenues) Program established new routes to primary, preventative, and behavioral.
Copyright © 2014 American College of Sports Medicine Chapter 4 Building Motivation: How Ready Are You?
Managing Care While Staying in the Moment October 8, 2015.
Addressing Maternal Depression Healthy Start Interconception Care Learning Collaborative Kimberly Deavers, MPH U.S. Department of Health & Human Services.
Lecture 4 Community and Mental Health Nursing-NUR 472 Relationship Development and Therapeutic Communication.
Depression Care Management Lessons from Project IMPACT _____________________________________________________ Jürgen Unützer, MD, MPH Professor and Vice.
© 2011 Brooks/Cole, A Division of Cengage Learning Chapter 10 Brief Counseling If you want truly to understand something, try to change it. Kurt Lewin.
National Strategy for Quality Improvement in Health Care June 15, 2011 Kana Enomoto Director Office of Policy, Planning, and Innovation.
Help Children Manage Their Own Behavior: So You Don’t Have To! DVAEYC 2013 Presented by Mary Lynn White National Outreach Specialist © 2005, Wingspan,
Communicating with Families in LTC. Part 1: Making the Transition.
COACHING. Coaching focuses on partnering with families. This is a shift from the expert telling parents what to do in a top down fashion to a coach who.
Nature & Overview of Psychiatric Rehabilitation Program (PRP) Dr. Samson Omotosho, PhD, RN-BC (Executive Clinical Director) Optimum Health Systems, Inc.
RE-AIM Framework. RE-AIM: A Framework for Health Promotion Planning, Implementation and Evaluation Are we reaching the intended audience? Is the program.
Falls and Fall Prevention. Prevalence of Falls in Older Adults  33% of older adults fall each year  Falls are the leading cause of fatal and nonfatal.
+ Patient Engagement Toolkit: Boosting Patient Knowledge, Skills and Self-efficacy Mary R. Talen, Ph.D. Director, Primary Care Behavioral Health Northwestern.
Cognitive Behavioural Therapy
“My Life, My Health” The Stanford University Chronic Disease Self-Management Program.
Overview: Evidence-based Health Promotion and Disease Management Programs.
Parent Seminar: Mental Health.  Common  Most not in treatment- Early Intervention is key  Promoting mental health is integral to overall health  50%
Cognitive behavioural therapy (CBT) and exercise for neuromuscular conditions Mark Hamilton Research Fellow in Clinical Genetics University of Glasgow.
Fax to Assist On-line Training for Certification Sponsored by Maryland Department of Health and Mental Hygiene and University of Maryland Baltimore County.
Welcome to Learning 2: Care Management October 2011 Connie Sixta, RN, PhD, MBA.
NC Mental Health, Substance Use, & Aging Coalition Building Community Capacity to Address Older Adult M ental Health & Substance Use Focusing attention,
1 Oregon Department of Human Services Senior and People with Disabilities State Unit on Aging-ADRC In partnership with  Portland State University School.
+ Interdisciplinary Care in Pediatric Chronic Pain Emily Law, PhD Assistant Professor Department of Anesthesiology & Pain Medicine University of Washington.
screening, brief intervention, and referral to treatment
Wisconsin’s Social Emotional Learning Competencies
Introduction to Program Evaluation
Behavior-based Safety (BBS)
Get Up, Stand Up! Self-Management Support for Chronic Conditions
Treating Alcohol Abuse
Serum Vitamin C (mg/dl) by Salad Intake
Behavior-based Safety (BBS)
Thomasville City Schools
Tier 2/Tier 3 Refresher Small Group.
Presentation transcript:

Evidence-based Practices in Mental Health and Aging June 22, 2010 Cheryl Evans-Pryor, M.A.-G Aging Resources of Central Iowa 5835 Grand Avenue, Suite 106 Des Moines, IA (515) , ext.322

Evidence-based Practices in Depression Care Management Goal: Present condensed overview of two models of depression care treatment. Objectives: 1. Present model components. 2. Present behavioral activation & problem-solving approaches. 3. Discuss model outcomes/ success.

Evidence-based practices: Offer brief treatment- time sensitive Structured approach Researched, proven to work Flexible implementation – 1:1 or groups Redefines issues/ current focus Meets people where they are in life Small, manageable steps Cost-effective

Evidence-based practice model overview (PEARLS & HEALTHY IDEAS) Both models are grounded in Behavioral Activation & Change. PEARLS - Program to Encourage Active, Rewarding Lives for Seniors. Addresses Minor Depression & Dysthymia. Is not designed to address situational depression or grief issues. Built on Medical/Psychiatric foundation with team approach to chronic care.

PEARLS - Core Components: 1.Problem-solving Treatment 2.Social & Physical Activation 3.Pleasant Events Scheduling

Patient-centered and patient directed, can participate in 1 or all 3 components. Serves persons 60+ with physical impairments and social isolation. Purpose= There is a direct connection between unresolved problems & depression. PEARLS

Theory= Depression has many causes, and failed attempts to solve problems leads to learned helplessness. Goal= Increase confidence and feelings of self-control. Increase understanding of causal link btw. symptoms and current problems. Increase pleasant, social, and physical activities. Problem Solving Therapy

Adopt attitude of goals being attainable=increased success. Decreases prolonged episodes/relapses. Shift in thinking pattern that facilitates change (contemplation to action). Fosters a sense of HOPE. Problem Solving Therapy – cont.

7 Steps of PST: 1.Identifying problem-what does it look like/ how does it impact your life? 2.Set realistic goals - attainable 3.Generate possible solutions 4.Consider Pro’s /Con’s of each solution 5.Select a solution of choice 6.Develop an action plan/steps to achieve solutions 7.Review & evaluate progress. Problem Solving Therapy

Healthy Ideas=Identifying Depression, Empowering Activities for Seniors Reduce symptoms of depression in older adults with chronic health conditions and functional limitations through existing community-based case management or counseling services. Goal= to insure a systematic identification of depression through routine screenings (PHQ-2 & PHQ-9) from counselor or case managers.

Utilizes case management staff that already have an existing relationship with the client. Screening and assessments occur at regular intervals/visits by case manager. Utilizes Behavioral Activation method. Behavioral Activation= Re-establishes routines, reinforces experiences, overcome avoidance patterns (Jacobson et al., U. Wash). Healthy Ideas- cont.

Behavioral Model of Depression Lowered Mood Decreased Activity Decreased Pleasant Activities Depression results in behaviors that limit positive outcomes → reduced pleasure, reduced accomplishment Healthy Ideas

Behavioral Activation Rewarding Activities Improved Mood Decreased Depressive Symptoms. Improve mood by:  Increasing frequency of behaviors that lead to positive outcomes  Doing activities that “feel good” or are pleasurable or reduce stress (may involve a task, something social or an activity) Healthy Ideas

HEALTHY IDEAS- Core Components: Screening and assessment Helps clients examine own mood and relationship to behavior by self monitoring symptoms. Encourages clients to examine current and/or meaningful activities. Educates clients to recognize symptoms and how to ask for help or talk to providers. Referral, link to treatment as needed, follow-up Empower through Behavioral Activation. Accountability to engage in change by assessing likelihood of follow-through. (Readiness Ruler) Assess client progress

Outcomes Track and review data for each client. Provide telephone follow-up btw. visits. Brief intervention period= 6-9 months. Examine both qualitative and quantitative outcomes.

Resources PEARLS : University of Washington Health Promotion Research Center, Seattle, WA. HEALTHY IDEAS : Huffington Center on Aging, Baylor College of Medicine, Houston, TX. and SAMHSA National Registry of Evidence-Based Programs & Practices