Welcome to the Michigan Training to Prevent Adult Abuse and Neglect

Michigan’s Journey Michigan has a long rich history of person-centered culture transformation 1996 – Dr. Thomas speaks at Office for Services to the Aging conference 1998 – First Certified Eden Associate training held in Michigan 2000 – $10M grant funding available for culture change BEAM and MI Star Forum established 2006 to present – Several Green House projects, and innovative small house models 2009 – State PCP definition and curriculum developed 2011 – CON incorporated person centered approach 2015 – Beginning draft of reimbursement system that rewards person centered approach

First it was AANP… CMS grant award funded development of the Adult Abuse and Neglect Prevention (AANP) training 2 year program 66 Certified AANP trainers 460+ training sessions conducted 8,000 long term care workers trained

AANP Evaluation AANP formally evaluated by Michigan State University Results include: 92% indicated AANP training improved ability to recognize abuse. 48% stated they reported suspected abuse more often because of training 91% perceived AANP training improved their ability to prevent potentially abusive situations from developing 60% indicated they used prevention techniques learned in the training and of these, 96% indicated that it helped prevent abusive situations from occurring

And then there were FIMS Grant, funding and trainings ended AANP curriculum was rewritten into twelve, 1-hour modules Modules are called the FIMS (Facilitator Instructional Modules) Intended to be used as staff in-services FIMS modules are available free of charge at: http://phinational.org/workforce/resources/phi-curricula/adult-abuse-neglect- prevention-training

And then there was BTBQ…. 2011 – Innovations grant BTBQ (Better Training, Better Quality) Pilot project to develop curriculum and certificate program for HHA/PCA 77-hour curriculum developed

The State of Indiana Adapted BTBQ version of the Abuse training Conducted 3-day Train the Trainer for key, long term care leaders including: Corporate representatives, QIO’s, Alzheimer’s Association, University nurse educators, CNA educators, Regulators, Bureau of Healthcare representatives

Current Michigan TPAAN Project Home and Community Based Service providers Conduct Train the Trainer - Educate 40 Trainers Each trainer to educate 50 people – 2,000 people in total Adapt curriculum for nursing home use Apply for CMP grant later this year

Bring TPAAN to Your State…. Work with state to clarify definitions and reporting guidelines – articulate a clear message 3-day Train the Trainer for key long term supports and services stakeholders Reinforce Person-Centered concept

TPAAN Curriculum Core theme: Anyone can be an abuser…. PCSS vs. Traditional approach to care delivery Explores 3 major areas of stress that contributes to potential for abuse and neglect Life Influences Job Challenges Elder’s Responses

TPAAN Curriculum cont. Increases self-awareness of stress triggers and strategies to avert trigger points Builds skills Active Listening Constructive De-escalation techniques

Thank You!! Cean Eppelheimer ceppelheimer@phinational.org 517-927-1875