Crisis Conference Presentation Laurie Kohler, LCSW Waukesha County - - PDF document

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Crisis Conference Presentation Laurie Kohler, LCSW Waukesha County - - PDF document

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9/23/2019 Crisis Conference Presentation Laurie Kohler, LCSW Waukesha County APS Dinah LaCaze, APSW Milwaukee County Elder Abuse Chad Stiles, BS, RN, CCEMT-P, EMT-T 1 Learning Objectives: Learn about how the New State Plan for

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Crisis Conference Presentation

Laurie Kohler, LCSW Waukesha County APS Dinah LaCaze, APSW Milwaukee County Elder Abuse Chad Stiles, BS, RN, CCEMT-P, EMT-T

Learning Objectives:

  • Learn about how the New State Plan for Alzheimer’s Disease and Related Dementias will

address Statewide Response to Persons with Dementia.

  • Learn about the development of training tools for law enforcement personnel, including

the development of an Advanced CIT for Dementia Crisis Response.

  • Learn about various training tools for crisis personnel and others providing care and

services to persons with Dementia.

Dementia in WI

  • Status Across State
  • Who serves this population
  • Statement of problems…. As related to

crisis intervention

  • Goal of Responding to a Person with

Dementia in Crisis

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Brief History of Dementia Related Initiatives

Helen EF Decision 2012 Handcuffed Report 2010 Dementia Care Redesign (first 5 years) Outcomes Survey in 2017 Dementia State Plan (current)

HISTORY OF DEMENTIA CARE SYSTEM REDESIGN

2013 Summit | Two-year Plan | Implementation and Accomplishments

Accomplishments... From the First State Plan

  • Dementia Friendly Communities –

Dementia Cafes

  • Dementia Care Specialist Program (ADRCs)

26 Counties, 3 tribes

  • Early Identification and Screening

(community based screening)

  • Outreach and Training Initiatives
  • Music and Memory Programs
  • Crisis Innovation Grants

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NINE GOALS AND 38 STRATEGIES CARE IN THE COMMUNITY HEALTH CARE

CRISIS RESPONSE FOR PEOPLE WITH DEMENTIA FACILITY-BASED CARE

CARE IN THE COMMUNITY

GOALS 1–2 | Wisconsin Dementia State Plan Goals and Strategies| 2019–2023

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INCREASE UNDERSTANDING AND REDUCE STIGMA

  • Tools and materials
  • Public awareness

campaign

  • Dementia-friendly

communities

  • Brain health education

IMPROVE CAREGIVER SUPPORT AND EDUCATION

  • Caregiver focus

groups

  • Support groups and

peer mentoring

  • Respite care
  • Aging and disability

resource center dementia care specialists

  • Employers

HEALTH CARE

GOALS 3–4 | Wisconsin Dementia State Plan Goals and Strategies | 2019–2023

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TIMELY AND ACCURATE DIAGNOSIS

  • Clinical training and

educational materials on diagnosis and management

  • Incentives for diagnosis
  • Education across health

care workforce

  • Materials and access to

resources for patients

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DEMENTIA-CAPABLE HEALTH SYSTEMS

  • Value of dementia

capability

  • Role-specific tools
  • Competence of health

care professionals

  • Incentives for best

practices

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FACILITY-BASED CARE

GOALS 7–9 | Wisconsin Dementia State Plan Goals and Strategies| 2019–2023

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  • Standards of practice
  • Training and support
  • Consumer information

for informed decisions

  • Wisconsin Coalition for

Collaborative Excellence in Assisted Living

CONSISTENT, HIGH-QUALITY, APPROPRIATE CARE

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  • Health care charter

schools

  • Middle and high school

career options

  • Secondary education
  • Coordination for

long-term care career development

WORKFORCE

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  • Reimbursement models to

include dementia-related costs

  • Reimburse for quality

(standards and expertise)

  • Bed holds for continuity
  • Program screening and

rates reflect dementia

REIMBURSEMENT

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CRISIS RESPONSE FOR PEOPLE WITH DEMENTIA

GOALS 5–6 | Wisconsin Dementia State Plan Goals and Strategies| 2019–2023

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KNOWLEDGE AND COMPETENCY OF CRISIS RESPONSE

  • Educational materials,

protocols, tools

  • Law enforcement and first

responders

  • Local resource database

and referral system

  • County adult protective

services and crisis teams

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UNIFORM SYSTEM OF DEMENTIA CRISIS RESPONSE

  • Statutory and

regulatory clarification

  • r changes
  • Best practices
  • Protocols
  • Infrastructure

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Current Wisconsin Dementia State Plan

Steering Committee Provides:

  • Structure
  • Oversight
  • Direction

Communication Workgroup

  • Website
  • Communication

Flow Leadership workgroups

  • Sub-groups
  • Four Focus

Areas

Group Work

  • 1. How are you serving people with dementia in

crisis successfully in your community?

  • 2. What are the biggest challenges to the success

you identified?

  • 3. What resources are you currently using?
  • 4. What additional resources would be beneficial

to improving the system of care?

  • Crisis Intervention Team (CIT) is a community initiative designed to

improve the outcomes of police interactions with people living with mental illness.

  • Crisis Intervention Partner (CIP)training initiatives are partnerships

between law enforcement, mental health providers, local NAMI and

  • ther community stakeholders.

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CIT Video Clip

  • https://youtu.be/-net9xEotXc
  • https://www.youtube.com/watch?v=-

lYCwQ88-LE

Source: NAMIWisconsin.org/Cit-Cip

CIT & CIP Core Agenda Topics

Crisis Intervention Team Training (CIT) Required Major Mental Illness Overview- can include medications or have as a separate topic Special Populations Topics such as: Veterans and PTSD, Adolescents and Youth, Elderly including Dementia, Developmental Disabilities and Autism Spectrum Excited Delirium and Medical Emergencies Lived Experience/Family Panel Site visits/Ride Alongs or Interactive Agency Panel Hearing Voices Stimulation Trauma Informed Care (including ACE) Taking Care of Our Own presentation (Chris Prohut) De-escalation Overview and Techniques

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Recommended and Additional Topics to Include

History of CIT Suicide Preventions-QPR or other course Legal Update/ED/Policy and Procedures Police Perspective of CIT Cultural Competency (stigma, race, LGBTQ) Local NAMI Affiliate Overview Community Resources Mental Health Services in Wisconsin Stigmatizing Behaviors and Language Community Treatment Alternatives Procedures/Alternatives to bed shortage

The topics listed above are modeled after the recognized best practices of the Memphis Model and follow the Wisconsin state standards of CIT trainings overseen by the WI CIT Advisory Committee. Please note, the subject matter is intended to be taught by community partners and professionals who specialize in these specific topic areas.

Sample CIT Training Agenda

Crisis Intervention Partner Training (CIP)

Required: Major Mental Illness Overview- can include medications or have as a separate topic Special Populations Topics such as: Veterans and PTSD, Adolescents and Youth, Elderly including Dementia, Developmental Disabilities and Autism Spectrum Excited Delirium and Medical Emergencies Lived Experience/Family Panel Hearing Voices Simulation Trauma Informed Care (Including ACE) De-escalation Overview and Techniques

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Recommended and Additional Topics to Include

History of CIT/CIP Case Studies/De-escalation Scenario Videos Suicide Preventions-QPR or other course Cultural Competency (stigma, race, LGBTQ) Local NAMI Affiliate Overview Community Resources Mental Health Services in Wisconsin Stigmatizing Behaviors and Language Community Treatment and Alternatives

The topics listed above are modeled after the recognized best practices of the Memphis Model and follow the Wisconsin state standards of CIT trainings

  • verseen by the WI CIT Advisory Committee. Please note, the subject matter is intended to be taught by community partners and professionals who specialize in

these specific topic areas.

CIT for Responding to persons with Dementia

Why is it needed? Why is it being considered?

Proposed Advanced Curricula for CIT

What is Dementia

Stages of Dementia Virtual Dementia Tour (VDT) Challenging Behaviors Types of Dementia Dementia and Driving Risk/Safety

Building Community Partnerships

ADRC – Dementia Care Specialists (DCS) APS / Elder Abuse Crisis Long Term Care (MCO’s), IRIS Others

Other Helpful Topics

Information on the Ombudsman program

  • A description of the requirements under

Olmstead

  • Discussing how to deal with the mandatory

arrest requirement in domestic violence situations

  • Understanding the Silver Alert program and

how to make a referral

  • Using alerts or flags within the 911 system
  • Potential uses of technology
  • Importance of role playing the similarities

and differences in officer interactions with persons with schizophrenia and those with dementia

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Milwaukee Dementia Training for LEO

https://www.youtube.com/channel/UC3abR5Sue6 snc6BaOdkDoIg https://www.youtube.com/watch?v=h51Obxf-5QI https://county.milwaukee.gov/files/county/depart ment-on-aging/PDF/FacilitatorGuide- ThroughtheEyesofaPersonwithDementia.pdf

Dementia Resources to Consider

Aging and Disability Resource Centers (ADRC’s)

  • Information and Assistance
  • Elder Abuse / Adult Protective Services

Dementia Care Specialists (DCS)

  • Dementia Friendly Communities
  • Dementia Capable Businesses
  • Training and Education on Dementia
  • Dementia Resources

Alzheimer’s Association Wisconsin Alzheimer’s Institute

Additional Dementia Training Resources

UNIVERSITY OF WISCONSIN GREEN BAY TRAINING PARTNERSHIP ALZHEIMER’S ASSOCIATION VIRTUAL DEMENTIA TOUR TRAINING WI CRISIS INNOVATION – DEMENTIA CARE VIDEOS TEEPA SNOW

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Other Innovative Resources

PURPLE TUBE PROJECTS FILES FOR LIFE SPECIAL NEEDS FORMS FOR LOCAL LAW ENFORCEMENT OFFICERS SHEBOYGAN COUNTY MODEL DCTS CRISIS TOOL BOX WHAT ELSE IS OUT THERE?

Volunteer or Just Stay Connected with the Wisconsin State Plan

https://www.dhs.wisconsin.gov/dementia/history.htm

Additional Resources

  • http://www.citinternational.org/resources/Docu

ments/LIGHTS.CAMERA.ACTION.BEST%20CIT%20 VIDEOS%20_CITI%20CONFERENCE%202017.pdf

  • https://www.nami.org/get-involved/law-

enforcement-and-mental-health

  • https://bhw.hrsa.gov/grants/geriatrics/alzheimers
  • curriculum
  • https://www.alz.org/sewi/about_us/contact_us
  • https://www.uwgb.edu/behavioral-health-

training-partnership/

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