BC AGM WELCOME! COORDINATORS SESSION O C T O B E R 2 7 , 2 0 1 2 - - PowerPoint PPT Presentation

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BC AGM WELCOME! COORDINATORS SESSION O C T O B E R 2 7 , 2 0 1 2 - - PowerPoint PPT Presentation

Stroke Recovery Association of BC AGM WELCOME! COORDINATORS SESSION O C T O B E R 2 7 , 2 0 1 2 9 : 0 0 - 1 2 : 0 0 A Big Thank You! Thank You for all your hard work, commitment and involvement in helping improve the quality of


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WELCOME!

COORDINATOR’S SESSION

O C T O B E R 2 7 , 2 0 1 2 9 : 0 0 - 1 2 : 0 0

Stroke Recovery Association of BC AGM

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A Big Thank You!

Thank You…

 for all your hard work, commitment and involvement

in helping improve the quality of life of Stroke Survivors and Caregivers in BC!

 for your contributions this past year in better

understanding where we’re at and where we need to go to become a stronger support for stroke survivors and their caregivers in BC!

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Agenda

 9:00-9:30: Arrive & mingle; Icebreakers  9:30-10:20: Presentation re defining 'Stroke

Recovery'; summary of Branch Profiling/Regional Coordinator Project & future direction; Q & A

 10:20-10:30: Coffee/Snack Break  10:30-11:15: "Neuro-Rehabilitation in Stroke" by

guest presenter: Amit Kumar (Neuro-Occupational Therapist), with Q&A

 11:15-12:00: Coordinator Brainstorm Session on

Practical Ways to Promote Stroke Recovery

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It’s all in a name…

STROKE RECOVERY ASSOCIATION OF BRITISH COLUMBIA

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Defining our Name

 STROKE

 Sudden death of brain cells in a localized area due to

inadequate blood flow/oxygen (due to blood clot or hemorrhage)

 RECOVERY

 The act or process of recovering  Restoration to a former or better condition

 ASSOCIATION

 A group of people organized for a joint purpose

 BRITISH COLUMBIA

 Population: 4, 631, 362; 944,735 sq km; Multi-Cultural; ~6500

strokes/year

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DEFINING ‘STROKE RECOVERY’

Stroke Recovery is the process by which people who have had a stroke recover to the best of their ability; improve their independence and quality of life and have respect, inclusion and support as they become reintegrated into their home community.

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DEFINING ‘STROKE RECOVERY’

 A process of improving a Stroke Survivor’s…

1. Independence: a lack of reliance on another for physical existence or emotional needs; freedom from control of another 2. Quality of Life: well-being (multi-faceted), environment, physical & mental health, education, recreation & leisure, social belonging; Reduction of disability and increase in function, participation & activity 3. Community Reintegration: the ability to share in community life- physically, culturally, socially; and be valued

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REQUIREMENTS OF ‘STROKE RECOVERY’

 Long-term community based support  Education and supportive counseling to help

survivors & caregivers cope with the burden of stroke and role changes

 Provide opportunities to participate in community

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REQUIREMENTS OF ‘STROKE RECOVERY’

Support with:

 Physical recovery  Aphasia and other speech, language and

communication problems

 Needs such as memory, communication,

socialization and productivity Volunteers:

 Education and support of involved volunteer leaders

& community at large

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SRABC’S VISION & MISSION

VISION

 Every stroke survivor in BC has respect, inclusion,

and support in their home community. MISSION STATEMENT

 Through its local Stroke Recovery Branches, SRABC

is committed to assisting stroke survivors and their caregivers throughout the province to improve their

  • verall quality of life.
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THE PURPOSES OF SRABC

1.Through its local stroke recovery branches, to assist stroke survivors and their caregivers throughout the province to improve their overall quality of life and remain living independently.

  • 2. To increase awareness within the community of the impact of stroke.
  • 3. To raise awareness in the community of the services offered throughout

the province to stroke survivors and their caregivers.

  • 4. To act as a resource for hospitals and for people concerned with the effect of

cerebro-vascular accidents on individuals and their families.

  • 5. To plan and promote programs of education and of assistance to stroke

survivors in British Columbia.

  • 6. To disseminate information on stroke prevention.

Reference: Constitution of Stroke Recovery Association of BC

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HOW DO WE KNOW?

  • 1. COLLECT RELEVANT INFORMATION

2.ACCESS RELATED RESEARCH 3.USE STANDARDS, GOAL SETTING &

OUTCOME MEASURES

ARE WE ACHIEVING OUR PURPOSES?

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  • 1. Information Collection via Branch Profiling

 What did we collect?

 Branch Membership, Demographics, Programming,

Governance, Volunteers, Coordinator’s Role, Fundraising, Location, Contracted services, etc.

 Community stakeholder opinions re gaps

 Why collect information?

 To provide a baseline of what & how things are done now  To know where support is needed  To know what’s working well & what’s not  To understand where there are gaps in our service model

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What did we learn?

 SRABC serves only ~600 of the >6500 new stroke

survivors/year in BC

2000 4000 6000 8000 10000 12000 14000 1 Year 3 Years Stroke Survivors who do NOT use SRABC services Stroke Survivors served by SRABC

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What did we learn?

 Declining & aging membership & attendance

Stroke survivors: 750 in 2010 to 605 in 2012. Caregivers: 183 in 2010 to 161 in 2012.

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What did we learn?

 Our membership average age seems to be increasing.  There is a general lack of understanding of what the Stroke Recovery

Association is and its relationship with its members and the Stroke Recovery Branches.

 There is no consistency in program delivery, in terms of intake criteria and

process, length of programs, frequency, content or qualifications of person delivering the programs.

 There has been no standardized program model to follow for content and no

written guidelines on how to deliver the program.

 Responsibility for Branch program delivery varies greatly Branch by Branch.

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What did we learn?

 Branches rarely set annual goals, develop a budget or plan for programs. Most

  • f this, where it exists, is done informally.

 Ultimately, program delivery at Branches is based upon the individual culture,

history, programming of each Branch rather than a set of standardized delivery models for each component.

 Very few of our Branches have Governing Committees as described in our

  • Bylaws. The predominant method of decision making is going along with what

a majority say they want to do.

 Higher expectations of all involved stakeholders (re the services/programs we

provide) , including funders

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  • 2. Accessing Stroke Related Research :

BC Stroke Strategy Service Delivery Framework

 Guidelines on community reintegration

 Standard 14.0-17.0: Integrated & coordinated partnership

between Health Regions & Community Service Providers to help support transition into community

 Standard 18.0: Community stroke service providers will

maintain a data collection system that includes key indicators that measure effectiveness of their services

 Programs should promote life participation in social & community

activities

 Examples of wellness focused rehab groups: SR Support groups,

chronic disease self-management groups, MOST programs, exercise programs, stroke education programs

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  • 3. Using Standards, Goal Setting & Outcome

Measures

 How do we know what best practice standards are in

stroke recovery?

 Use up-to-date research & knowledge to guide SRABC

programming via Professional Advisory Committee

 How can we use those standards in planning &

programming?

 Support branch programming through goal setting, budgeting

& implementation of standards

 How can we assess needs and measure outcomes?

 Through surveys & interviews with BC stroke survivors & their

caregivers & various community partners

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SRABC’s Professional Advisory Committee

Mandate:

 provide expert counsel and strategic advice to

the Board of Directors,

 in matters regarding content and delivery of

Stroke Recovery programs and initiatives, and

 regarding international, national, provincial

and regional health planning and policy issues that affect Stroke Recovery Association of BC’s strategic direction.

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SRABC’s Professional Advisory Committee

Members

 Casey Crawford – President, Stroke Recovery Association of BC; media

& marketing specialist with Canada Wide Media

 Dr. Barbara Purves – Assistant Professor UBC School of Audiology and

Speech Sciences

 Deborah Rusch - Manager, Patient Programs, Research & Health

Promotion - BC & Yukon, Heart and Stroke Foundation of Canada

 Dr. Jennifer Yao - Medical Manager, Acquired Brain Injury Program

and the Adolescent Young Adult Program at GF Strong Rehab Centre / Clinical Assistant Professor Division of Physical Medicine & Rehabilitation, Residency Program Director

 Sacha Arsenault –Regional Stroke Strategy Leader, VCH/PHC  Tim Readman - Executive Director, Stroke Recovery Association of BC

/ OT Clinical Instructor, UBC Faculty of Medicine, Rehabilitation Sciences

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Practical Implications for Branches

Next Steps: SHORT TERM RECOMMENDATIONS

 Assist Branch personnel with branch goal-setting  Provide support in reaching established goals  Assist in setting an annual budget  Increase quantity and quality of Branch volunteers

for program delivery and branch administration/organization

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Program Standards

 To be similar to 7-Point Branch Program Outline 1.

Maintain and improve mobility

2.

Maintain and improve communication and memory

3.

Provide an accepting environment for social interaction and recreation

4.

Create opportunities for peer support

5.

Support caregivers

6.

Increase awareness of stroke risk and impairment after stroke

7.

Provide system navigation services to stroke survivors and caregivers

 Questions we must address:

 What is a stroke and how can it affect you?  What is recovery and what can we do to encourage it?

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The Future of SRABC

 Branch Support  Increase volunteer base  Provide ‘Stroke Education’ within communities  Explore other creative avenues (i.e. standardized

self-management programs, online education, etc.) to expand our support efforts

 Become a unified force seeking to better understand

& promote stroke recovery in BC

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WHY WE NEED CHANGE?

Only serving ~600 stroke survivors Meeting SRABC Purpose

  • Best programs for

stroke recovery

Major Funders:

Require renewal of service model

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WHY WE NEED CHANGE?

Increased Expectations:

stroke survivors, caregivers, health care system

  • Younger Stroke Survivors: Need to rise

to this challenge

‘Therapeutic’ programs:

maximizes potential for recovery

Need to evolve into unified Provincial Association

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Questions and Answers