1. Welcome to the Michigan Training to Prevent Adult Abuse and Neglect

2. 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

3. 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

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

5. 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:
prevention-training

6. 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

7. 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

8. 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

9. 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

10. 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

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

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