1. Best Practice: Creative Dementia Programs and Services: The Whole Package The Orchards at Bartley Assisted Living Jackson, NJ Presented by: Sandra Uphold, Executive Director and Debbie Carswell, Dementia Program Coordinator

2. The Orchards at Bartley Assisted Living Community Description History and Philosophy – Dementia Care

3. Memory Care Description Location within the building Design Occupancy Special Features

4. Memory Care Programs and Services Interdisciplinary Approach Sample Programs 1:1 Programming Meal Service Clinical Aspects

5. Determining Appropriateness Assessment Required Diagnosis Prospective Residents Current Residents Decision Making Process

6. Preparing Residents and Families for the Move Care Management Meetings Education Setting Clear Expectations Communication Day Trial on Memory Care Handling Resistance

7. Fee Structure for Memory Care All Inclusive Rate

8. Staff Education Who Gets Alzheimer’s Dementia Training? Alzheimer’s Training Curriculum – DOHSS Training Modules Orientation Online Education – Silverchair Learning System Dementia Program Manager Involvement

9. Family Education Highly Trained Staff Members – Background Education Begins During the Sales Process Care Management Meetings Host Site for Monthly Support Group Educational Programs Resource Materials

10. Family Involvement Newsletters Special Events Monthly Calendars – Explanation of Purpose Pictures Open Door Policy

11. Managing Difficult Behaviors Resident Centered Approach Recognizing Behavior as a Form of Communication (Pain, Unmet Needs, etc…) Reassurance Therapies and Diversion Activities Evaluation of Pharmacological Measure, When No Other Alternative is Therapeutic.

12. Involving the Community Intergenerational Programs

13. Changes Made to Programming Analysis-Plan-Execute-Analysis: Approach Elimination of our Sensory, “Snoozlin” Room Helping Families Understand Programming Family Communication Book for Dining Satisfaction 1:1 Activity Programming Care Management Program

14. Evaluation and Sustainability Actively Seek Resident, Family, and Staff Feedback Results for Customer Satisfaction Showed 100% Rated Excellent/Good in 15 Categories in 2007, and Showed 100% Rated Excellent/Good in 20 categories in 2008.

15. Determining Effectiveness Continuous Quality Improvement Annual Customer Satisfaction Survey Results Resident Reactions to Programs Family Feedback During Meetings

16. Resident Experience Sylvia's Story

17. Replication Established Program Resources Barriers Overcoming Barriers

18. Replication Suggestions: Research and Education: Utilizing Resources Available Evaluate Your Population Establish a Clear Vision and Mission Appoint a Knowledgeable Experienced Leader

19. Replication Suggestions: Caregivers Be Adequately Capitalized Solicit Feedback Share Success Stories Walk the Talk Adapt the Program to Meet Resident Needs