Culturally Competent Care for Seniors and their Families: [PDF]

SLIDE 1

Culturally Competent Care for Seniors and their Families:

Addressing Behavioral Health & Psychosocial Challenges

Da le Ofe i-Ayisi, MA, L CSW Aruna Ra o , MA Ne w Je rse y Sta te wide Ne two rk fo r Cultura l Co mpe te nc e Co nfe re nc e , Se pte mb e r 12, 2014

SLIDE 2

Goals for this Workshop: Overview

I . Pro vide a c o mpre he nsive intro duc tio n to Afric a n Ame ric a n a nd Asia n I ndia n immig ra nt e lde rs a nd the ir ne e ds I I . E xa mple s o f Ne w Je rse y Re so urc e s & Se rvic e s I I I . Pro vide Re c o mme nda tio ns fo r I nte rve ntio ns

9/ 25/ 2014 2

SLIDE 3

New Jersey Demographics

T

he e lde rly po pula tio n (65 ye a rs o ld a nd o ve r) g re w b y 8.5% during the 1990s a nd 6.5% during the 2000s.

14% o f the c urre nt po pula tio n is 65 a nd o lde r
T

he pro po rtio n o f se nio r c itize ns in Ne w Je rse y will e xpa nd to 16.3% in 2020 a nd 19.9% in 2030.

I

n 2030, o ur po pula tio n will b e 46.3% White 26.7% Hispa nic

11.8% Afr ic an Ame r ic an 12.9% Asian

2.3% Na tive Ame ric a n & Multira c ia l

9/ 25/ 2014 US Ce nsus Da ta Pre pa re d b y NJ De pt. o f L a b o r & Wo rkfo rc e De v., Div. o f L a b o r Ma rke t & De mo g ra phic Re se a rc h; Pro je c tio ns o f Ne w Je rse y’ s Po pula tio n a nd L a b o r F

rc e b y Se n-Yua n Wu, Re se a rc h E

c o no mist (De mo g ra phy) 3

SLIDE 4

African American Elders

Mental Health Care: Historical Context

Afric a n Ame ric a n me nta l he a lth c a re ha s a lo ng , ye t

ve ry disto rte d histo ry in the U.S.

Bla c k b e ha vio r a nd illne ss vie we d thro ug h ra c ist

ste re o type s a nd a ssumptio ns – so c ia l a nte c e de nts o f b e ha vio r a nd illne ss ig no re d.

L

a c k o f a c c ura te sc ie ntific re se a rc h a nd e xplo ita tive , inhuma ne re se a rc h pro to c o ls.

1940’ s – T

e nde nc y to o ve r-dia g no se (a nd o ve r-tre a t) psyc ho sis a nd to unde r-dia g no se a ffe c tive diso rde rs.

1960’ s – Co nc e pt o f the b la c k fa mily a s “dysfunc tio na l”

pre do mina te s.

1980’ s – Gra dua l re c o g nitio n a nd a c c e pta nc e o f

disc rimina tio n a nd so c ia l ine q ua lity upo n me nta l he a lth a nd me nta l he a lth c a re .

9/ 25/ 2014 4

SLIDE 5

African American Elders

Sociological Perspective

Co ho rt who e xpe rie nc e d le g a lize d se g re g a tio n a nd

disc rimina tio n a s the so c ie ta l norm.

Substa nda rd ho using a nd e duc a tio n; ine q ua lity in
c c upa tio na l o ppo rtunitie s re g a rdle ss o f e duc a tio n.
Infe rior a c c e ss a nd qua lity o f me dic a l a nd me nta l

he a lth c a re .

Disre spe c tful, de huma nizing tre a tme nt; life -thre a te ning

e xpe rie nc e s (ra c e rio ts, lync hing ).

F
ug ht va lia ntly to de fe nd o ur c o untry, b ut c o uld no t e njo y

fre e do ms the y fo ug ht ha rd to se c ure .

Hig he r pro po rtio ns live in po ve rty, suffe r multiple

c hro nic illne sse s, mo re vulne ra b le to vic timiza tio n a nd ha ve fe we r fina nc ia l re so urc e s (e .g . histo ry

f e xc lusio n fro m o rig ina l So c ia l Se c urity Ac t, e tc .)

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SLIDE 6

African American Elders

Sociological Perspective

Histo ric re silie nc e de spite o ve rwhe lming o dds..
Pre fe re nc e fo r a nd re lia nc e upo n info rma l suppo rt

syste m.

K

e e pe r o f the “fa mily na rra tive ” a nd fa mily histo ry. .

Pre se rva tio n o f fa mily unit de spite multiple

e nviro nme nta l stre sso rs – g ra ndpa re nts ra ising g ra ndc hildre n.

I

mpo rta nc e o f re lig io n a nd spiritua lity a s c o rne rsto ne o f life .

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SLIDE 7

African American Elders

Religion As “Protective” Factor

Afric a n Ame ric a ns, e spe c ia lly wo me n, with stro ng re lig io us b e lie fs a nd who a tte nd re g ula r re lig io us se rvic e s a re sig nific a ntly le ss like ly to fe e l de pre sse d o r to b e suic ida l

So c ia l c o nne c te dne ss pro vide d b y fa ith c o mmunitie s.
Psyc ho lo g ic a l c o mfo rt a nd re info rc e s se nse o f ho pe

a nd po we r o ve r a dve rsity

I

nc re a se d se lf- e ste e m a nd impo rta nc e .

Re info rc e s sa nc tio n a g a inst suic ide .
I

nc re a sing fa ith- ba se d initia tive s to

a ssist in e duc a tio n a nd linka g e to
me dic a l/ me nta l he a lth se rvic e s.

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SLIDE 8

African American Elders

Primary Mental Health Issues Affecting AA Elders

Anxie ty, de pre ssion a nd de me ntia ma jo r MH

pro b le ms a mo ng Afric a n Ame ric a n e lde rs. (So urc e : Vinso n, Cro wthe r, Austin a nd Guin, 2014).

Hig he st ra te s o f Alzhe ime r’ s dise a se tha n
the r po pula tio ns; c ultura l pe rc e ptio ns o f

de me ntia .

I

ssue o f stig ma in vie wing me nta l illne ss

Unde r-dia g no se d a nd unde r-tre a te d

de pre ssio n

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SLIDE 9

African American Elders

Family Caregivers Of Aa Elders

Histo ric a l vie ws o f Afric a n Ame ric a n c a re g ive rs.
E

lde r c a re g iving a s c o re “fa mily va lue ”; filia l re spo nsib ility a nd re spe c t.

Ma jo r c ha lle ng e s in pro viding c a re .
I

mpa c t o f c ultura l tra ditio n o f “sta ying stro ng ” upo n physic a l a nd me nta l he a lth.

Ne g a tive e xpe rie nc e s within the me dic a l a nd

me nta l he a lth syste ms.

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SLIDE 10

African American Elders

Impact of Health Care Disparities Among AA Elders:

Dispro po rtio na te ly hig he r inc ide nc e s o f ma jo r

c hro nic illne sse s, inc luding c a nc e r, c a rdio va sc ula r dise a se s, dia b e te s, a nd Alzhe ime r’ s dise a se / re la te d de me ntia s.

Dia g no se d a t la te r sta g e o f dise a se due to de la ye d

ide ntific a tio n/ a c c e ss.

Ba rrie rs to a c c e ssing q ua lity c a re – tra nspo rta tio n,

insura nc e c o ve ra g e fo r spe c ia lists, fina nc ia l c o nstra ints fo r L T C re so urc e s, c ultura l b ia s o f he a lth c a re pro fe ssio na ls.

Cultura l fa c to rs – mistrust a nd fe a r o f he a lth c a re

syste m; unde r-utiliza tio no f he a lth/ / so c ia l se rvic e s

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SLIDE 11

African American Elders

Family Caregivers Of AA Elders:

Histo ric a l vie ws o f Afric a n Ame ric a n

c a re g ive rs.

E

lde r c a re g iving a s c o re “fa mily va lue ”; filia l re spo nsib ility a nd re spe c t.

Ma jo r c ha lle ng e s in pro viding c a re .
I

mpa c t o f c ultura l tra ditio n o f “sta ying stro ng ” upo n physic a l a nd me nta l he a lth.

Ne g a tive e xpe rie nc e s within the me dic a l

a nd me nta l he a lth syste ms.

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SLIDE 12

African American Elders

Importance Of Respect

Use o f e lde r’ s la st na me , unle ss first na me

b a sis is re q ue ste d b y e lde r, is c ritic a l to e sta b lish re la tio nship a nd ra ppo rt!

Ro o te d in Afric a n tra ditio n o f e lde rs a s

re ve re d “te a c he rs”.

I

mpo rta nt to re me mb e r tha t histo ric a lly, use

f fa milia rity with o lde r AA wa s a syste ma tic ,

de lib e ra te a tte mpt to disre spe c t, humilia te a nd sub jug a te b y the la rg e r so c ie ty

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SLIDE 13

African American Elders

African-American Women and Anxiety:

Amo ng the hig he st a nd lo ng e st- la sting ra te s o f

untre a te d a nxie ty diso rde rs o f a ny po pula tio n.

F

a c to rs c o ntrib uting to Anxie ty a mo ng AA wo me n:

Co nc e pt o f b e ing a “Stro ng Bla c k Wo ma n”- fe a r
f a ppe a ring “we a k” to o the rs.
Multiple ro le s a nd pre ssure to live up to tho se

ro le s.

So c io po litic a l re a litie s dispro po rtio na te ly

impa c ting AA wo me n.

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o te r T

e xt 13

SLIDE 14

African American Elders

Identification Of Depression

Use o f sc re e ning to o ls a s pa rt o f a sse ssme nt (e .g .

Ge ria tric De pre ssio n Sc a le – Ye sa va g e ). Asse ss e duc a tio na l le ve l.

Ada pt a sse ssme nt to inc lude o pe n e nde d q ue stio ns tha t

ma y ide ntify de pre ssio n:

“Ho w o fte n? …” inste a d o f q ue stio ns e lic iting “Ye s/ No ” a nswe rs.
Ask a b o ut sympto ma lo g y o f d e pre ssio n ra the r tha n “Are yo u d e pre sse d ? ”

(e .g . lo ss o f a ppe tite , inso mnia , d e c re a se d e ne rg y, a nhe d o nia ).

Pro vide e duc a tio n a b o ut de pre ssio n a s a hig hly

tre a ta b le me dic a l illne ss (“no t a we a kne ss o r a fa ilure ”).

L
o k fo r sig ns o f “c o ve rt” suic ida l ide a tio ns:
No n c o mplia nt with me d ic a l re g ime n.
Be ha vio r tha t pla c e s pe rso n “in ha rms wa y”.
Co nside r re -e va lua tio n o f AA e lde rs dia g no se d with

me nta l illne ss in the ir e a rlie r ye a rs.

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SLIDE 15

African American Elders

Importance Of Maintaining Sense Of Hope: Strategies:

Vita l to physic a l, psyc ho lo g ic a l a nd spiritua l surviva l!
Pa rtne rship with AA c lie nts to e nc oura g e , re a ssure,

support a nd re inforc e e lde r’ s e xisting stre ng ths.

Use o f positive a ffirma tions fa milia r to o lde r c lie nts if

c o mfo rta b le .

L

ife storie s o f strug g le s o ve r whic h the e lde r triumphe d.

“E

ne rg ize a nd Mo b ilize ” – he lp c lie nts de ve lo p stra te g ie s to g a in inspira tio n a nd pe rse ve ra nc e .

Inte rg e ne ra tiona l pro g ra ms ve ry va lua b le !
Pro vide s AA e lde rs with purpo se a nd yo ung e r a dult with

me nto rship a nd “surro g a te ” g ra ndpa re nting .

Sha ring life sto ry o f pe rse ve ra nc e o ve r o b sta c le s

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SLIDE 16

African American Elders

Decrease Social Isolation: Strategies

F

a milia rize yo urse lf with so c ia liza tio n pro g ra ms (e .g . Se nio r Ce nte rs a nd nutritio n site s; a dult da y c a re ) in e lde r’ s c o mmunity.

Pa rtne r with me dic a l a nd so c ia l se rvic e

pro fe ssio na ls tra ine d in g e ria tric c a re in yo ur a re a who c a n link yo ur c lie nt to se rvic e s.

E

xplo re c ultura lly-re le va nt c o mmunity pro g ra ms/ c lub s (e .g . fa ith-b a se d a c tivity pro g ra m, nutritio n site in AA, c hurc h, e tc .).

F
ste r c lie nt’ s c hurc h a tte nda nc e if

de sire d – e lic it suppo rt fro m fa mily/ frie nds, c hurc h.

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SLIDE 17

African American Elders

Mobilize Social Supports: Strategies

Do n’ t tre a t o lde r a dult c lie nts in a “va c uum”!

I de ntify the ir so c ia l suppo rt syste ms in e a rly pha se o f tre a tme nt a nd inc lude the m in tre a tme nt pro c e ss (with c lie nt pe rmissio n) if a t a ll po ssib le .

Use o f g e no g ra ms c a n b e he lpful to pinpo int

prima ry suppo rts a nd po te ntia l suppo rts.

F

a mily c o nfe re nc e s fo r e duc a tio n, suppo rt a nd c o lla b o ra tio n.

I

nvo lve spiritua l o r re lig io us le a de rs if de sire d a nd a va ila b le .

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SLIDE 18

Asian Indian Elders

History & Background

I

ndia ns fro m I ndia ha ve b e e n re fe rre d to a s Asia n, E a st, o r So uth I ndia ns to disting uish fro m o the r So uth Asia ns, We st I ndia ns, a nd Ame ric a n I ndia ns.

While mo re re c e ntly da ta a re b e ing c o lle c te d o n

the va rio us sub g ro ups o f Asia n Ame ric a ns, the U.S. Ce nsus Bure a u ha d ro utine ly g ro upe d a ll Asia ns a nd Pa c ific I sla nde rs to g e the r a ltho ug h this te rm

ve rlo o ks ma jo r na tio na l a nd ra c ia l diffe re nc e s a nd

c ultura l va ria tio ns a mo ng this ve ry he te ro g e ne o us g ro up.

9/ 25/ 2014 http :/ / psyc ho lo g y.unl.e d u/ c hild ma ltre a tme ntla b / d o c ume nts/ PDF _Asia n_Ind ia ns_Ha nd o ut_ ABCT _2008_fo r_we b site .pd fo o te r T e xt 18

SLIDE 19

Asian Indian Elders

History & Background

Be fo re the 1960’ s I

ndia n immig ra tio n to the US wa s ve ry re stric te d.

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SLIDE 20

Asian Indian Elders

History & Background

Be g inning in the 1970s, Ne w Je rse y a ttra c te d la rg e

numb e rs o f Asia n I ndia n re side nts. By the 1980 Ce nsus, Asia n I ndia ns ha d b e c o me Ne w Je rse y’ s mo st po pulo us Asia n g ro up. I t no w a c c o unts fo r 40.3%o f the to ta l Asia n po pula tio n.

T

he c o untie s with the la rg e st Asia n I ndia n po pula tio n a re Middle se x , fo llo we d b y Hudso n Co unty, the n Be rg e n Co unty, the n So me rse t.

9/ 25/ 2014 A Bro wn Pa pe r: T he He a lth o f So uth Asia ns in the Unite d Sta te s, 2002 So uth Asia n Pub lic He a lth Asso c ia tio n 20

SLIDE 21

Asian Indian Elders

History & Background

T

he ma jo rity o f Asia n I ndia ns pra c tic e Hinduism. Othe rs pra c tic e Sikhism, Buddhism, Ja inism, Christia nity, o r I sla m.

T

he re a re mo re tha n thre e hundre d la ng ua g e s a nd dia le c ts spo ke n in I ndia . Hindi, the na tio na l la ng ua g e is spo ke n b y a b o ut 40% o f the po pula tio n. Othe r la ng ua g e s spo ke n a re Guja ra ti, Punja b i, Be ng a li, Urdu, Ma ra thi, Oriya , K a nna da , T a mil a nd Ma la ya la m. E ng lish is a po pula r se c o nd la ng ua g e .

Olde r I

ndia n immig ra nts ma y no t spe a k E ng lish a nd ma y ne e d inte rpre te rs fo r he a lth c a re tra nsa c tio ns.

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SLIDE 22

Asian Indian Elders

History

T

he re a re two distinc t g ro ups o f e lde rs. T ho se who a rrive d in the US during the la rg e wa ve s o f immig ra tio n in the 1970s a nd 1980s ha ve live d he re fo r a n a ve ra g e o f 20-30 ye a rs, a re no w re a c hing

lde r a dultho o d in the US. T

his g ro up is like ly to ha ve sub sta ntia l g ro wth o ve r the ne xt te n ye a rs.

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SLIDE 23

Asian Indian Elders

History

T

ho se who immig ra te d a s o lde r a dults, kno wn a s la te -life immig ra nts, a re o fte n de pe nde nt o n the ir a dult c hildre n fo r suppo rt.

T

he two g ro ups o f So uth Asia n e lde rs diffe r fro m e a c h o the r sig nific a ntly in te rms o f ne e ds a nd a c c e ss to re so urc e s.

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SLIDE 24

Asian Indian Elders

Major Concerns & Issues

Asia n I

ndia n immig ra nts in the U.S. ha ve a hig h

pre va le nc e o f c o ro na ry he a rt dise a se
no n insulin-de pe nde nt dia b e te s
lo we r hig h-de nsity-lipo pro te in (HDL

) c ho le ste ro l le ve ls

All the se ha ve “insulin re sista nc e ’ ’ a s a c o mmo n

pa tho g e ne tic me c ha nism, whic h se e ms to b e the mo st impo rta nt risk fa c to r.

T

he pre va le nc e o f c o ro na ry a rte ry dise a se (CAD) is thre e time s hig he r in Asia n I ndia n wo me n tha n in wo me n in the U.S. a s a who le .

9/ 25/ 2014 24 A Bro wn Pa pe r: T he He a lth o f So uth Asia ns in the Unite d Sta te s, 2002 So uth Asia n Pub lic He a lth Asso c ia tio n

SLIDE 25

Asian Indian Elders

Major Concerns & Issues

I

n I ndia o nly o ne in 40 wo me n g e ts b re a st c a nc e r, b ut in Unite d Sta te s one out of e ve r

y e ight Asian Indian wome n will

g e t the dise a se , the highe st inc ide nc e in the wor

ld. Ac c o rding

to the Ame ric a n Ca nc e r So c ie ty, So uth Asia n wo me n ha ve the se c o nd hig he st inc ide nc e o f c a nc e r a mo ng Asia n Pa c ific I sla nde rs.

Asia n I

ndia n wo me n a re a t a hig h risk fo r o ste o po ro sis.

T

he typic a l Asia n I ndia n die t a ve ra g e s 56% o f e ne rg y inta ke fro m c a rb o hydra te s, 32% fro m to ta l fa t a nd 8% fro m sa tura te d fa t. T he hig h fa t inta ke is a sso c ia te d with o b e sity a nd lo w le isure time a c tivity.

Me nta l he a lth c o nc e rns a re c o mmo n, b ut ra re ly disc usse d

a nd tre a te d. I ndia ha s the hig he st suic ide ra te in the wo rld, b ut inc ide nc e o f de pre ssio n o r o the r me nta l he a lth c o nc e rns

f this po pula tio n in the US a re little kno wn.

9/ 25/ 2014 25 A Bro wn Pa pe r: T he He a lth o f So uth Asia ns in the Unite d Sta te s, 2002 So uth Asia n Pub lic He a lth Asso c ia tio n

SLIDE 26

Asian Indian Elders

Major Concerns & Issues

T he princ ipa l c o nc e rns fo r e lde rs inc lude

T

ra nspo rta tio n

He a lth c a re ne e ds
I

nfo rma tio n o n e lig ib ility fo r Me dic a re b e ne fits

L

a ng ua g e issue s

L
ne line ss/ lo ss o f c o mmunity a nd e xte nde d kin
De ve lo ping so c ia l suppo rt syste ms
Stig ma a b o ut me nta l he a lth issue s

9/ 25/ 2014 26 A Bro wn Pa pe r: T he He a lth o f So uth Asia ns in the Unite d Sta te s, 2002 So uth Asia n Pub lic He a lth Asso c ia tio n

SLIDE 27

Asian Indian Elders

Family Caregiving

Almo st o ne in e ig ht Asia n I

ndia n Ame ric a ns live in a n e xte nde d fa mily, a mo ng the hig he st pro po rtio n fo r a n e thnic g ro up

Asia n I

ndia n immig ra nts fe e l a re spo nsib ility to ta ke c a re

f the ir pa re nts
F
ur va ria b le s de te rmine c a re g ive rs’ b urde n: I

mpa c t o n fina nc e s, impa c t o n wo rk sc he dule , la c k o f a ssista nc e fro m e xte nde d fa mily, a nd a se nse o f e ntra pme nt

With inc re a se d numb e r o f ye a rs se rving a s a c a re g ive r,

the re is a n a sso c ia te d inc re a se in fe e ling s o f e ntra pme nt a nd fina nc ia l b urde n

L
ss o f priva c y
I

nte rg e ne ra tio na l c o nflic t

9/ 25/ 2014 Sriva tsa C. “All in the F a mily: T he e xte nd e d fa mily e xpe rie nc e s a re viva l in Ame ric a ” L ittle Ind ia De c e mb e r 1996. Ava ila b le a t: http :/ / 206.20.14.67/ a c ha l/ a rc hive / De c 96/ fa mily.htm. 27

SLIDE 28

Asian Indian Elders

Some Current Barriers to Accessing Care

L

a c k o f insura nc e

T

ra nspo rta tio n

So c ia l I

so la tio n

T

he hig h c o st o f ho me he a lth se rvic e s

L

a c k o f a va ila b ility o f pa ra pro fe ssio na ls who c a n c o mmunic a te in the sa me la ng ua g e impa ir the a b ility to o b ta in se rvic e s to c a re fo r the e lde rs.

Sig ma a nd ig no ra nc e a b o ut me nta l he a lth.

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SLIDE 29

Asian Indian Elders

Recommendations

Pro vide a suppo rt syste m tha t is b uilt o n tra ditio na l va lue s.
He lp de ve lo p a n e lde r c o mmunity thro ug h e duc a tio na l

pro g ra mming with c la sse s o n to pic s suc h a s fina nc ia l info rma tio n, E SL , a nd c ivic s.

Assist se nio rs in c re a ting the ir o wn so c ia l ne two rk thro ug h

pla nning e ve nts o f inte re sts suc h a s mo vie nig hts a nd pic nic s.

E

duc a te se nio rs a nd c a re g ive rs a like a b o ut a va ila b le so c ia l a nd he a lth se rvic e s, b e ne fits, a nd fa c ilitie s, suc h a s pub lic tra nspo rta tio n a nd Me dic a re e lig ib ility.

Guide se nio rs in re a c hing o b ta ina b le g o a ls, suc h a s

de ve lo ping a ho b b y.

Cre a te a n e nviro nme nt whe re se nio rs fe e ls ne e de d a nd

wa nte d thro ug h e ve nt pro g ra mming (fo r e xa mple , ho lding a pra ye r se rvic e o r pa rtic ipa ting in b lo o d do na tio n drive s).

Pro vide e duc a tio n a b o ut me nta l he a lth.

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SLIDE 30

New Jersey Experience Programs!

PACE

– Pro g ra ms o f All-I nc lusive Ca re fo r the E lde rly.

Afric a n Ame ric a n Alzhe ime r’ s Awa re ne ss

a nd Bra in He a lth I nitia tive (Rutg e rs-Ne wa rk)

Co mmunity He a lth Wo rke r T

ra ining Pro g ra ms in NJ

M.O.R.E

Pro je c t (Multic ultura l Outre a c h a nd Re so urc e s fo r the E lde rly) – K imb a ll Me dic a l Ce nte r (1992-2002.)

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SLIDE 31

New Jersey Programs

Pro g ra ms b y lo c a l Se nio r Ce nte rs
T

he Ne w Ame ric a ns Pro g ra m (732) 247-3727

info @ ne wa me ric a nsnj.o rg www.ne wa me ric a nsnj.o rg / inde x.a sp

Ag ra j Se va K

e ndra – All –Vo lunte e r Asso c ia tio n

(732) 801-4814 info @ a g ra j.o rg www.a g ra j.o rg / ho me /

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SLIDE 32

The NAMI NJ/COPSA Experience

NAMI

NJ

SAMHAJ
AACT

NOW

COPSA Ge ria tric Se rvic e s (Rutg e rs UBHC)
“Suc c e ssful Ag ing ” E

duc a tio na l Se rie s

Outre a c h to F

a ith b a se d c o mmunitie s a nd se nio r c e nte rs

Cultura l Co mpe te nc y T

ra ining fo r Pro fe ssio na ls

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SLIDE 33

Recommendations

Light at the End of the Tunnel!

De ve lo p a nd pub lic ize e duc a tio na l re so urc e s a nd o utle ts fo r

tho se in midlife (a nd tho se with fa mily me mb e rs re a c hing

lde r a g e ) o n issue s suc h a s life a fte r re tire me nt, lo ng te rm
ptio ns, insura nc e a nd a ssista nc e pro g ra ms tha t c a n he lp.
I

nc re a se in fa ith-b a se d me nta l he a lth se rvic e s

Surg e o n Ge ne ra l’ s Re po rts o n Me nta l He a lth a nd “Ca ll to

Ac tio n to Pre ve nt Suic ide ” (Dr. Da vid Sa tc he r, 1999)

I

nc re a se d c a ll fo r e thno g e ria tric re se a rc h – de ve lo pme nt o f c ultura lly se nsitive re se a rc h pro to c o ls a nd c ultura lly-fo c use d tre a tme nt a nd se rvic e s fo r e lde rs a nd c a re g ive rs.

9/ 25/ 2014 33

SLIDE 34

Ways to Provide Support to Family Caregivers

L

iste n to the m a nd va lida te the m, the ir c o nc e rns a nd the ir ne e ds!

L

ink the m with c a re g ive r e duc a tio n a nd suppo rt se rvic e s in the ir c o mmunitie s, inc luding c a re g ive r suppo rt g ro ups.

T

e a c h the m to fo llo w the “T hre e B’ s o f Ca re g iving ”: “Be E duc a te d”, “Be Pre pa re d”, “Be Go o d to Yo urse lf”!

E

nc o ura g e re fe rra l fo r c o unse ling / psyc ho the ra py fo r sig ns o f mo re se ve re diffic ulty in c o ping with c a re g iving .

9/ 25/ 2014 34

SLIDE 35

Resources

COPSA Ge ria tric Se rvic e s

Rutg e rs Unive rsity Be ha vio ra l He a lth Ca re 1-800-494-2494, http:/ / ub hc .rutg e rs.e d u/ se rvic e s/ g e ria tric /

Rutg e rs Ne wa rk Afric a n Ame ric a n Alzhe ime rs Awa re ne ss

& Bra in He a lth I nitia tive – 973-353-3674

NAMI

Ne w Je rse y/ SAMHAJ So uth Asia n pro g ra m 1562 Ro ute 130, No rth Brunswic k, NJ 08902 (732) 940 0991; info @ na minj.o rg ; www.na minj.o rg

Ne w Ame ric a ns Pro g ra m – Unite d Wa y

www.ne wa me ric a nsnj.o rg / inde x.a sp

So uth Asia n Pub lic He a lth Asso c ia tio n (SAPHA)

www.sa pha .o rg /

9/ 25/ 2014 35

SLIDE 36

Questions?

T ha nk yo u fo r yo ur I nte re st! Da le L . Ofe i-Ayisi, MA, L CSW Co o rdina to r o f Co mmunity Se rvic e s COPSA Ge ria tric Se rvic e s Rutg e rs Unive rsity Be ha vio ra l He a lth Ca re

fe ia ydl@ ub hc .rutg e rs.e du

(732)235 8452 Aruna Ra o Asso c ia te Dire c to r, NAMI Ne w Je rse y a ra o @ na minj.o rg (732) 940 0991

9/ 25/ 2014 36