1. 1 CIL-NET Presents… IL Skills Training for Nursing Home Transition A National Teleconference & Webcast Tuesday, May 5, 2009 3:00 PM – 4:30 PM EDT

2. 2 Welcome Housekeeping

3. 3 Introductions Our Presenters Today: Bruce Darling & Jane Schiele

4. 4 Our Focus: Identify, Learn (or Relearn) Independent Living Skills This is one piece of the entire transition process – not a global training on the entire transition from nursing facility to community process.

5. 5 Peer to Peer Approach Independent Living by using a Peer to Peer approach – Non Hierarchical – –Start to rid the person of the hierarchy that was imposed since day one at the nursing facility. – –Empowerment – Listen to the individual’s experience as a peer and mentor.

6. 6 Common Skills Needed In Transition Personal Care/Attendant Management Meal Planning/Preparation Household Management

7. 7 Common Skills Needed In Transition Self Advocacy Mobility/Travel Training Budgeting Socialization/Interpersonal Skills

8. 8 Assessment – Working together to Identify IL Skills Needed Identify Independent Living Skills together for best success in the community. Use a checklist such as in the ABCs of Nursing Home Transition to make sure you cover all the points that can impact successful transition (MSWord or PDF).MSWordPDF Remember - Some of these much needed Independent Living Skills were not taught or were lost in the nursing facility.

9. 9 Assessment – A Nonjudgmental Approach A Nonjudgmental Approach is Critical to Success People who feel that disclosing information will prevent them from transitioning, will not share critical information Empathy

10. 10 Assessment - Get Curious Get to know the person in a “curious sense” not clinical. Questions to ask: – –What were their interests before entering the nursing facility? – –What hobbies/activities have they kept up while in the nursing facility? – –What are their passions/dreams?

11. 11 Assessment – Questions to Ask If the person had a disability prior to entering the nursing facility, did they enter the facility due to not knowing important independent living skills? – –If so it may be important as the transition facilitator to teach these essential skills or to support the person in finding the right resources.

12. 12 Assessment – Questions to Ask Did the person go into the nursing facility because of acquiring a disability? – –If the individual did not have experience living in the community with a disability, peer support and modeling is critical to a successful transition back into the community.

13. 13 Assessment – Getting back into the community Plan an outing to a coffee shop. This trip will utilize multiple skills such as planning the trip, travel skills, money management, communication skills, establishing a comfort level of being in the community and offer you a chance to support the individual and assess what skills need to be taught.

14. 1414 Questions & Answers

15. 15 Teaching Independent Living Skills Prioritize with the individual which skills they would like to learn first. If you don’t have the luxury to prioritize, teach in the moment – –As the needed skills become obvious, take the time to teach or re-teach the skills. Use what services your center is already offering. – –IL skills classes, Peer Groups, and individual peer mentoring.

16. 16 Teaching Independent Living Skills IL Skills Class: Dealing with people/Communicating skills – –Learning to communicate your needs

17. 17 Teaching Independent Living Skills Peer to Peer Support/Mentoring – –Overcoming Learned Helplessness – –Empathy – –Excellent Listening Skills – –Problem Solving Together

18. 18 Teaching Independent Living Skills One on One: Money Management

19. 19 Teaching Independent Living Skills Modeling/Doing it: – –Travel Training – –Going to a Coffee Shop Together – –Offer positive feedback

20. 20 Teaching Independent Living Skills Working with the Nursing Facility Attendant Management Give the person a real life opportunity to learn and take control of their life before the transition.

21. 21 Teaching Independent Living Skills Informal “Skills Training”: Self Advocacy/Learning how to (re)claim your life – –Speaking to workers at Social Security office – –Talking to the landlord – –ADAPT

22. 22 Integrate! Get the individual involved while they are still in the nursing facility. – –Bring your center’s IL skills class to the nursing facility – –Travel training… Make a stop at the nursing facility and bring a person along from there

23. 23 Integrate! Cooking class…Bring people into your center from the nursing facility and offer them an opportunity to have some “home cooked” food. Advocacy class… Invite people transitioning to your classes while in the nursing facility. Teach activism!

24. 24 Integrate! Peer Support! Invite folks to your center for peer support groups. Develop that social network! – –Connect to those who have already transitioned out of a facility – –Volunteer at the center

25. 25 Teaching Independent Living Skills How do I do this if our center is not doing a lot of transition? – –Develop a peer support group and invite people from the nursing facility. – –Ask nursing facility social workers for referrals to your IL skills program – –Offer to do a group at the local nursing facility – –Ask your local ombudsman program for referrals

26. 2626 Questions & Answers

27. Additional Resources The ABCs of Nursing Home Transition MSWord: http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.doc MSWord: http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.doc http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.doc http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.doc PDF: http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.pdf PDF: http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.pdf http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.pdf http://ilru.org/html/publications/olmst ead/IL_NET/ABCs_Transition.pdf 27