Yee Hong Centre for Geriatric Care Serving Diverse Cultures along - PowerPoint PPT Presentation

Yee Hong Centre for Geriatric Care Serving Diverse Cultures along the continuum in Central LHIN ITEM 12.1

Agenda We will focus on funded services in C LHIN  Balance of Care  CARE Ambassador  Supportive Housing – Seneca Towers  Nursing Home

Yee Hong Mission With strong roots in the Chinese community and our respect for the seniors we enable seniors of respect for the seniors, we enable seniors of different backgrounds and needs to live their lives to the fullest – in the healthiest, most independent and dignified way dignified way. We provide a continuum of culturally We provide a continuum of culturally and linguistically appropriate care to seniors of Chinese origin. Further, we provide culturally and linguistically appropriate long-term care services to linguistically appropriate long-term care services to seniors of other cultural backgrounds within the capacity of the centre.

The Continuum of Services Active Senior Congregate Adult Day Supportive Nursing Program Dining Programs Housing Home Support Services Client Intervention Caregiver Support Transportation a spo tat o Friendly Visiting Volunteer Development Advocacy Advocacy Chronic Disease Self-Management

Balance of Care Balance of Care

Purpose of Balance of Care  To provide a basket of community support services to clients on LTCH waiting list in order that they can stay longer in the d th t th t l i th community  Markham is the second phase of BoC  Markham is the second phase of BoC. Yee Yee Hong was chosen to provide Adult Day Program services Program services

Some Background Information  Markham has a very high Chinese population – 34.1% according to 2006 census, which is 34 1% according to 2006 census which is more than 1 in 3.  Yee Hong LTC homes has a long waiting list.  Yee Hong LTC homes has a long waiting list. Total 2,977 as of June 2011. YH Markham Centre has 679 on waiting list. The average wait time is 3.19 years as compared to 106 it ti i 3 19 d t 106 days in mainstream homes. The longest waiting time is 5.91 years. g y

S Some background b k d Information Unlike BoC phase 1, Chinese clients in  Markham overwhelmingly choose ADP Markham overwhelmingly choose ADP over home care. There are some reasons for this: Words of mouth and Yee Hong’s quality 1. service Concept of Wellness among Chinese 2. seniors – connectedness, in a group and not alone not alone.

B l Balance of Care – f C Client Profile  Program capacity – Monday – 15 per day; Tuesday to Friday to Friday – 30 per day 30 per day  # of clients served ytd: 78  # of active members: 58  # of active members: 58  Average age: 83.5  Gender: Female: 59 (75.64%) Male: 19 (24.36%)  Client has to be grade 3 or 4 on MAPLe Score

B l Balance of Care f C Client Profile (cont,)  Condition of clients Number %age Physically Disabled Physically Disabled 6 6 7 69% 7.69% Cognitively Impaired 20 25.64% Frail 52 66.67% Total 78 100.00%

B l Balance of Care f C The Program  Restorative Programs, s.a. PT/OT  Reading and Discussion of News of the Day R di d Di i f N f th D – keep them connected with their social environment. environment.  Health talks and discussion – promote a healthy life style.  We emphasize a lot on social interaction and social stimulation to keep them both physically and cognitively active physically and cognitively active

B l Balance of Care f C Outcome  We did Client Satisfaction Survey once a year.  2010-2011 Survey Result Summary 2010 2011 S R lt S Clients Caregivers 4.76 4.78 Program Structure g Food Service 4.52 4.55 Physical Environment 4.86 4.59 Staff and Volunteers Staff and Volunteers 4.95 4.95 4.81 4.81 Dignity 5.00 4.71 4.85 4.78 Improvement in Quality of Life Recommend Yee Hong Recommend Yee Hong 100% 100% 94% 94% Overall Quality of care and services 4.90 4.75 Benefit of Caregivers 4.72

B l Balance of Care f C Outcomes Mini Mental State Examination (MMSE)  Han et al suggested the annual rate of decline of the  Han et al. suggested the annual rate of decline of the MMSE for individuals with Alzheimer’s disease is 3.3.  The team compared the MMSE scores of 12 seniors  The team compared the MMSE scores of 12 seniors with Alzheimer’s disease and related dementias at admission with their scores at 2011. 4 (33.33%) seniors showed improvement, 1 (8.33%) seniors showed no change, 5 (41.67%) seniors showed decline less than 3.3 per year, and only 2 (16.67%) seniors showed decline more than 3.3 per year.

B l Balance of Care f C Outcomes Testimonials  “I was very lonely. I live alone with a cat in four walls. After coming to Yee Hong Markham Adult Day Program, I become more M kh Ad lt D P I b healthy and happy. I even become more optimistic in life Thanks to all Yee Hong staff optimistic in life. Thanks to all Yee Hong staff and volunteers for being so kind to me and taking good care of me.” g g

B l Balance of Care f C Outcomes Testimonial  “Since I come here, I am very happy, happy, happy, happy, happy… I can’t tell you how happy I am. I am 90 years old. This may be h I I 90 ld Thi b the last time I am here. But I am very happy, happy happy happy happy happy, happy, happy, happy… Thank you! Thank you!”

B l Balance of Care f C Outcomes Testimonial:  A family caregiver: “Thanks to Yee Hong Markham Adult Day Program! We all have to work and cannot take care of our mother k d t t k f th during the day. My mother sometimes forgets to take her meals and feel lonely With this to take her meals and feel lonely. With this Program, we can have peace of mind, knowing that our mother will be taken care of. g

CARE Ambassador CARE Ambassador

CARE Ambassador Goal: The goal of the CARE Ambassador Program is to empower family caregivers with k knowledge and skill in order that they can l d d kill i d th t th care for their seniors at home with competence competence.

頣康護老教育及資源中心 Yee Hong Caregiver Education & Resource Centre

PROGRAM HIGHLIGHTS PROGRAM HIGHLIGHTS Knowledge Skill Training Wellness Program Program Program Stroke: Techniques for Dressing & Caregivers Emotion What are the common signs? What are the common signs? Grooming for Stroke Survivor Grooming for Stroke Survivor Management Course Management Course Activities to Strengthen Dementia: Yoga Workshop for Memory for Person with What are the common signs? Anxiety Management Program Dementia Back Pain Prevention & Lifting and Transferring Stay Active Chiropractic Care Seminar Training Session Physical Fitness for Caregivers What is the Chronic Disease Home Safety Seminar Assistive Devices Program? Self-Management Course “The Sandwiched Generation” Life after Stroke Nutrition for Stroke Survivor Relationship Enhancement for - A Guide to Care Caregivers Communication Workshop Diabetes Drug Management Diabetes Drug Management Diabetes Diabetes Relationship Enhancement for Seminar Self-Management Course Caregivers Osteoporosis, Dementia Drug First Aid Skills Parkinson Disease Management Seminar for family caregivers Self-Management Course Ontario Senior Welfare Communication with Person Chronic Pain Seminar with Speech Disability Self- Management Course Senior Accommodation Sleep-Well Program Planning Seminar An Introductory Seminar

CARE Ambassador Program Statistics  # of new clients – 782  Total # of groups run – 159  Total Program attendance – 3,498  Total Service Units (# hours of training attendance) 6,470

How did the course influence your level of confidence in facing the caregiving g g g process? Number % Increased significantly 122 89.50% Increased 253 No change 25 5.9% Decreased 0 0.24% Decreased significantly 1 Not applicable 18 4.30% Number of people 419 completed this question

CARE Ambassador Other Community Education Initiative  Ming Pao Yee Hong Column  Ming Pao Yee Hong Column  DVD production  Publication of books  Publication of books  Publication in progress – Caregiver Guidebook  Health fair and symposium H lth f i d i

CARE A CARE Ambassador b d Partnership  Yee Hong is the co-chair and founder of the C Caregivers Network, a network of agencies i N t k t k f i providing caregiver support in GTA  Yee Hong is a partner of the Mt. Sinai Y H i t f th Mt Si i Hospital Reitman Centre project in developing caregiver training developing caregiver training. Yee Hong will Yee Hong will launch their CARER project in the Chinese community

Supportive Housing g Seneca Tower pp

Seneca Tower  Seneca Tower is a Municipal Senior H Housing, with 273 units housing about 300 i ith 273 it h i b t 300 seniors, with a culturally diverse population.  Our target is to serve 60 seniors in the O t t i t 60 i i th building. The objective is to provide support services to the seniors in order to help services to the seniors in order to help seniors age at home and to prevent pre- mature institutionalization