1. ASA/NCOA Conference Aging in America 2009 Las Vegas, Nevada Supporting Sustainable Caregiving Coalitions March 18, 2009 The Virginia Caregiver Coalition

2. Growth and Sustainability Through Outreach, Collaboration and Education From the initial 22 founding members in 2004 to the current 85 members in 2009 From the initial 22 founding members in 2004 to the current 85 members in 2009 From an informal group to an organized coalition with a governing body From an informal group to an organized coalition with a governing body From educating our coalition members about caregiving issues to educating other professionals and family caregivers From educating our coalition members about caregiving issues to educating other professionals and family caregivers

3. Virginia – 2004 The Need to Support Caregivers 740,402 caregivers 740,402 caregivers 55% women 55% women Average age 43 years old Average age 43 years old 62% married or living with partner 62% married or living with partner 77% employed 77% employed 793 million hours of unpaid care 793 million hours of unpaid care 84% of caregivers are taking care of family members 84% of caregivers are taking care of family members Most common recipient is caregiver’s mother Most common recipient is caregiver’s mother 15% of caregivers helping a friend or neighbor 15% of caregivers helping a friend or neighbor $7.868 million $7.868 million

4. An inspiration!

5. From Crystal: “Caring for my Grandmother Carrie and Aunt Henrene is the most rewarding, and at the same time, the most stressful thing that I have ever encountered in my life.” “Caregiving is stressful. It is such a big responsibility and at times I feel like I’m in over my head.” “I feel like I should be doing so much more. There is always something that needs to be done – as if it is never enough.” Photography: Adult Care Center of Central Virginia Elizabeth Sumpter, Photographer Elizabeth Sumpter, Photographer

6. Virginia 2004 The First Collaboration The Action The Virginia Department for the Aging is selected to receive training from the Caregiver Coalition Research Project sponsored by the AARP Foundation and the Administration on Aging. The Virginia Department for the Aging is selected to receive training from the Caregiver Coalition Research Project sponsored by the AARP Foundation and the Administration on Aging. On March 17 and 18, 2004, a group of 22 individuals representing public, private and non- profit entities gathers in Richmond, Virginia and receives training from Brian Duke and Helen Eltzeroth to establish a statewide caregiver coalition. On March 17 and 18, 2004, a group of 22 individuals representing public, private and non- profit entities gathers in Richmond, Virginia and receives training from Brian Duke and Helen Eltzeroth to establish a statewide caregiver coalition.

7. Virginia 2004 The Plan The Vision – All Virginia caregivers will be valued, respected, and supported and will have easy access to information, education and services. The Vision – All Virginia caregivers will be valued, respected, and supported and will have easy access to information, education and services. The Mission – The Virginia Caregiver Coalition (VCC) will passionately work to improve the experience of caregiving through education, advocacy and access to resources. The Mission – The Virginia Caregiver Coalition (VCC) will passionately work to improve the experience of caregiving through education, advocacy and access to resources.

8. The Virginia Department for the Aging will facilitate the Virginia Caregiver Coalition but there is no funding for the group. The Virginia Department for the Aging will facilitate the Virginia Caregiver Coalition but there is no funding for the group. The program administrator for the Coalition has multiple responsibilities. The program administrator for the Coalition has multiple responsibilities. VCC members live in different locations throughout the state, have their own work responsibilities, and express varying views on issues affecting caregivers. VCC members live in different locations throughout the state, have their own work responsibilities, and express varying views on issues affecting caregivers. Initial Challenges

9. VDA’s Role in Virginia State Unit on Aging under the Administration on Aging State Unit on Aging under the Administration on Aging Coordinate Aging Services in Virginia – Area Agencies on Aging and Other Contractors Coordinate Aging Services in Virginia – Area Agencies on Aging and Other Contractors Outreach, Advocacy and Education for Virginia’s citizens Outreach, Advocacy and Education for Virginia’s citizens

10. Virginia Department for the Aging Strengths for the Coalition The Conference Room The Email System Other Councils and Commissions: Commonwealth Council on Aging Commonwealth Council on Aging Virginia Alzheimer’s Disease and Related Disorders Commission Virginia Alzheimer’s Disease and Related Disorders Commission Virginia Public Guardian and Conservator Advisory Board Virginia Public Guardian and Conservator Advisory Board Co-worker involvement

11. The Members of the Coalition Strength for the coalition: “multi-taskers” know many people! “The Jugglers”

12. The Unwritten Plan of Action Keep the vision and mission of the Virginia Caregiver Coalition as the basis for its activities Keep the vision and mission of the Virginia Caregiver Coalition as the basis for its activities Be flexible and adaptable in conducting activities and projects Be flexible and adaptable in conducting activities and projects Use resources that are available to further the coalition’s activities Use resources that are available to further the coalition’s activities If “opportunity knocks” at the coalition’s door – answer! If “opportunity knocks” at the coalition’s door – answer!

13. First action: Unify the Virginia Caregiver Coalition Share individual members’ activities Share individual members’ activities Relate stories about caregivers Relate stories about caregivers Recognize your members Recognize your members Increase membership – or not Increase membership – or not Educate caregivers and collaborate with others through a project Educate caregivers and collaborate with others through a project

14. Possible New Coalition Members Area Agencies on Aging Area Agencies on Aging Faith-based groups Faith-based groups Non-profit agencies of all types Non-profit agencies of all types Adult day care Adult day care Medical professionals Medical professionals State agencies State agencies

15. First Outreach Focus - local and regional coalitions: Caregivers Community Network at James Madison University Caregivers Community Network at James Madison University Aging Together – formed from a Robert Woods Johnson Grant at Rappahannock/Rapidan CSB/Area Agency on Aging Aging Together – formed from a Robert Woods Johnson Grant at Rappahannock/Rapidan CSB/Area Agency on Aging Peninsula Agency on Aging Peninsula Agency on Aging Result - increased VCC membership, educational program opportunities and collaborations

16. Project: Taking Care – A Resource Guide for Caregivers VCC members unified behind a common goal VCC members unified behind a common goal VDA supported developing the Resource Guide VDA supported developing the Resource Guide The Resource Guide can be used as an outreach and educational tool for professional and family caregivers as well as government officials The Resource Guide can be used as an outreach and educational tool for professional and family caregivers as well as government officials Completed by the end of the VCC’s first year Completed by the end of the VCC’s first year

17. “We care because we love.” Donna and Mike

18. The Second Year: Renewal and Advancement of Outreach, Collaboration and Education Efforts The VCC celebrated its first successful project The VCC celebrated its first successful project The outreach trifold is created The outreach trifold is created The coalition begins to educate itself as to resources important for caregivers and their clients The coalition begins to educate itself as to resources important for caregivers and their clients

19. Research Projects Educate the Coalition and Others Increase Outreach and Collaboration Abuse of Caregivers by their Loved Ones (2005-2006) Abuse of Caregivers by their Loved Ones (2005-2006) VCU social work intern suggested project VCU social work intern suggested project Committee of three compiled data Committee of three compiled data Group agreed it was difficult topic to put in understandable terms for the general public Group agreed it was difficult topic to put in understandable terms for the general public AAA Self-Assessment Survey of the National Family Caregiver Support System (2005-2006) AAA Self-Assessment Survey of the National Family Caregiver Support System (2005-2006) VCU social work intern at VDA conducted study VCU social work intern at VDA conducted study Results presented to the Coalition, Area Agencies on Aging and to intern’s academic class Results presented to the Coalition, Area Agencies on Aging and to intern’s academic class

20. Nursing Home Resident’s Rights Regarding Transfer/Discharge and Readmission from a Hospital (2006-2007) Nursing Home Resident’s Rights Regarding Transfer/Discharge and Readmission from a Hospital (2006-2007) Proposal by a coalition member to hold a workshop Proposal by a coalition member to hold a workshop Members of the coalition representing Virginia Poverty Law Center and the Virginia Ombudsman program were eager to address the issue Members of the coalition representing Virginia Poverty Law Center and the Virginia Ombudsman program were eager to address the issue A faith-based group agreed to lend us their conference room A faith-based group agreed to lend us their conference room

21. Publicity – fliers sent to coalition members’ associates Publicity – fliers sent to coalition members’ associates Coalition members furnished continental breakfast Coalition members furnished continental breakfast A large group of attendees from different areas of the state(32) A large group of attendees from different areas of the state(32) VDA’s 2025 program is utilizing the presenters and their program (donation made to coalition) VDA’s 2025 program is utilizing the presenters and their program (donation made to coalition)

22. Technology: Advances Outreach, Collaboration and Education SeniorNavigator.org – a founding member of the VCC Community and technology come together Community and technology come together Award-winning program of health and aging resources - both public and private – available to seniors, their families and caregivers via the internet Award-winning program of health and aging resources - both public and private – available to seniors, their families and caregivers via the internet

23. Virginia 2-1-1 Connects people to free information on available community services

24. No Wrong Door A Work in Progress Goals of the No Wrong Door Initiative: One-stop for adult and human services One-stop for adult and human services Area Agencies on Aging designated as lead resource centers by the Virginia General Assembly Area Agencies on Aging designated as lead resource centers by the Virginia General Assembly Information on long-term care support and public benefit programs Information on long-term care support and public benefit programs

25. Virginia’s Easy Access www.easyaccess.virginia.gov Information for Virginia’s elderly and disabled adults and the providers that support them A public private partnership with the Commonwealth of Virginia, SeniorNavigator, and 2-1-1 Virginia Available 24 hours a day, 7 days per week Search for specific services anywhere in Virginia

26. Videoconferencing Started with collaboration between VDA and Mountain Empire Older Citizens, Inc. Started with collaboration between VDA and Mountain Empire Older Citizens, Inc. Facilitated by the Virginia Department of Health Facilitated by the Virginia Department of Health Rapidly expanded attendance at Virginia Caregiver Coalition meeting and increased membership Rapidly expanded attendance at Virginia Caregiver Coalition meeting and increased membership Formal organization developed Formal organization developed “Pay attention to that man behind the curtain!” And his cohort at VDA!

27. Increase in Meeting Attendance Remote Location Attendees Sampling of Growth April 7, 2006 – MEOC videoconferences with VDA for the Virginia Caregiver Coalition meeting April 7, 2006 – MEOC videoconferences with VDA for the Virginia Caregiver Coalition meeting March 29, 2007 – four remote sites (fourteen additional participants) March 29, 2007 – four remote sites (fourteen additional participants) March 20, 2008 – six remote sites March 20, 2008 – six remote sites January 13, 2009 – eight remote sites (25 additional participants) January 13, 2009 – eight remote sites (25 additional participants)

28. Government Outreach and Education Advocacy Training Advocacy Training Formal training from a former member of the Virginia General Assembly Formal training from a former member of the Virginia General Assembly Training at various conferences including telephone and web Training at various conferences including telephone and web State State Governor’s Proclamations Governor’s Proclamations Caregiver Picture Exhibition Caregiver Picture Exhibition Distribution of Caregiver Resource Guide Distribution of Caregiver Resource Guide National National Convey information on caregiving legislation and issues to coalition members Convey information on caregiving legislation and issues to coalition members Meeting at congressman’s office in Washington, D.C. Meeting at congressman’s office in Washington, D.C.

29. Relationship with the National Alliance for Caregiving Recognized in 2007 and 2008 by the National Alliance for Caregiving (NAC) Attendance at conferences in Chicago and Washington, D.C. Participation in telephone conferences 2007 grant from NAC enabled the Coalition to hold a number of activities to recognize caregivers in November 2007 and to raise awareness of family caregiver issues at the 2008 Virginia General Assembly Session

30. Caregiver Training 2007 The Roadmap to Success Training from NAC - Chicago meeting and a series of Training from NAC - Chicago meeting and a series of telephone conferences telephone conferences Direct outreach to caregivers – coalition members and Direct outreach to caregivers – coalition members and AAAs invited guests for the training AAAs invited guests for the training Publicity efforts – collaboration with PBS Publicity efforts – collaboration with PBS PBS radio program manager spoke to the VCC PBS radio program manager spoke to the VCC VDA’s Commissioner was interviewed VDA’s Commissioner was interviewed Free publicity after coalition volunteers manned the phones for the station’s fundraising efforts Free publicity after coalition volunteers manned the phones for the station’s fundraising efforts

31. Coalition members “passed the hat” to contribute to the local PBS station Coalition members “passed the hat” to contribute to the local PBS station Caregivers educated at 8 video conference sites Caregivers educated at 8 video conference sites Caregivers at different sites shared their stories Caregivers at different sites shared their stories Presentations: Presentations: Different Ways to Deal with Caregiver Stress Different Ways to Deal with Caregiver Stress Family Dynamics and Involving the Whole Family in Caregiving Family Dynamics and Involving the Whole Family in Caregiving Caregivers of Persons with Hearing and Vision Loss Caregivers of Persons with Hearing and Vision Loss Respite for Caregivers: Resources and Aids Respite for Caregivers: Resources and Aids Evaluations Evaluations

32. Training supplemented by a caregiver picture exhibition at the 2008 Virginia Assembly Session Training supplemented by a caregiver picture exhibition at the 2008 Virginia Assembly Session Taking Care – distributed to members of the Virginia General Assembly and the Executive Branch of Virginia government with a letter citing the contributions of Virginia’s caregivers Taking Care – distributed to members of the Virginia General Assembly and the Executive Branch of Virginia government with a letter citing the contributions of Virginia’s caregivers

33. Building On Past Accomplishments 2008 Attended NAC meeting in Washington, D.C. Attended NAC meeting in Washington, D.C. Continued bi-monthly caregiver coalition meetings Continued bi-monthly caregiver coalition meetings Shared Virginia Caregiver Coalition experiences on national telephone conference Shared Virginia Caregiver Coalition experiences on national telephone conference Recognized Family Caregivers Month Recognized Family Caregivers Month

34. Annual Alzheimer’s Conference at MEOC

35. Fairfax County AAA – Caregiver Event 2008

36. Future Plans The Savvy Caregiver Training The Savvy Caregiver Training Purchased the program Purchased the program Partner with local Alzheimer’s Association to conduct training Partner with local Alzheimer’s Association to conduct training Revise the Caregiver Resource Guide Revise the Caregiver Resource Guide Committee of three coalition members established to revise the manual Committee of three coalition members established to revise the manual

37. Centers for Medicare and Medicaid Services Centers for Medicare and Medicaid Services Coalition members will work with contact at CMS to hold conference on issues affecting employed caregivers Coalition members will work with contact at CMS to hold conference on issues affecting employed caregivers Future wishes: Future wishes: Recruit members of other caregiver populations Recruit members of other caregiver populations Work with Veteran’s Administration Work with Veteran’s Administration Strengthen the Kinship Care Initiative Statewide Task Force Strengthen the Kinship Care Initiative Statewide Task Force

38. Kinship Care Initiative The Department for the Aging continues its support of the Kinship Care Initiative Statewide Task Force and Information Network established in 2000 with a seed grant from the Brookdale Foundation. The Department for the Aging continues its support of the Kinship Care Initiative Statewide Task Force and Information Network established in 2000 with a seed grant from the Brookdale Foundation. An informative guide, Grandparents Caring for Grandchildren: A Resource Guide, published by the Department, serves as a resource for kin caregivers and professionals alike. An informative guide, Grandparents Caring for Grandchildren: A Resource Guide, published by the Department, serves as a resource for kin caregivers and professionals alike. The Department is working with its website director, SeniorNavigator, and 2-1-1 Virginia to have information of importance to kin caregivers available on those sites. The Department is working with its website director, SeniorNavigator, and 2-1-1 Virginia to have information of importance to kin caregivers available on those sites.

39. Grandparents – Pulaski County, Virginia

40. Summation Outreach, Collaboration and Education Be flexible Be flexible Utilize your resources Utilize your resources Organize meetings and trainings Organize meetings and trainings Share the leadership roles Share the leadership roles Have fun! Have fun!

41. And always remember… Why you are doing this! Robert has attended the Adult Care Center for 18 years. He had a stroke in 1983 and his mother died in 1988. Robert has attended the Adult Care Center for 18 years. He had a stroke in 1983 and his mother died in 1988.

42. At the Virginia Department for the Aging, we want all our seniors to age gracefully and comfortably as they ride into their sunset years!

44. Ellen M. Nau, M.A. Human Services Program Coordinator National Family Caregiver Support Program Title III B and III E In-Home Services Adult Day Care Virginia Respite Care Grant Virginia Respite Care Initiative Care Coordination for Elderly Virginians Kinship Care Money Follows the Person Program Elderly Refugee Program Virginia Department for the Aging 804-662-9340 Ellen.Nau@vda.virginia.gov