MENTAL DISORDERS AND THE OLDER ADULTS

Approximately 15% of adults aged 60 and over suffer from a mental disorder.

ACCORDING TO WHO

6.6% of all disability (disability adjusted life years-DALYs) among those over 60 is attributed to neurological and mental disorders.

MENTAL HEALTH AND AGING TRAINING INITIATIVE

Join us in our 6th series of webinars focusing on geriatric mental and behavioral health care!

Mental Health and Aging Training Initiative(MHATI)

The Mental Health and Aging Training Initiative is set to:

  • Deliver free education and training to enhance geriatric workforce development
  • Improve communication & service coordination between mental/behavioral health and long term care providers
  • Offer insight into the complex needs of older adults with behavioral health issues
  • Provide the tools and techniques for person-centered interventions via vignettes, case reviews and interactive polls.

ABOUT THIS TRAINING INITIATIVE

This initiative has produced a library of 18 webinars within a six-part series initiated by the Geriatric Mental Health Partnership (GMHP), an informal, voluntary group of diverse stakeholders which focuses on geriatric mental/ behavioral health care in the Commonwealth. The GMHP’s goal has been to improve communication and service coordination between the mental/behavioral health and long term care systems to facilitate timely care for older adults in the most appropriate setting. Lack of adequate training regarding the complex needs of an aging population with behavioral health issues has been identified as an ongoing barrier to successfully providing community-based care for these individuals.

Eighteen previous webinars have attracted a continuously growing audience, which attests to the unmet need for this type of training. The webinars in the six-part series registered over 6960 individuals with 4,639 actual attendees (67% attendance rate).

As the aging population continues to grow, and use of State Hospitals as the site of extended behavioral health care continues to diminish, it is essential that community-based staff and providers be prepared for the rapid growth of older adults with behavioral health and dementia-related issues. This is a key issue for workforce development as the Commonwealth prepares for the future. Effective training enables staff to more quickly identify and address behavioral health-related issues before the older adult’s condition declines further or situations escalate to possibly becoming dangerous to other frail elders (or caregivers) nearby. It also helps staff distinguish between behavioral issues which can be safely addressed at the facility (or at home) versus those which constitute a true psychiatric emergency and might require inpatient treatment.

The Centers for Medicare & Medicaid Services’ (CMS) initiative “to Improve Behavioral Health and Reduce the Use of Antipsychotic Medications in Nursing Home Residents” has made training even more urgent. Due to concern about potential harmful effects of certain psychoactive medications on older adults, particularly those with dementia, CMS has recommended staff training focusing on person-centered interventions to address problematic behaviors rather than relying on the use of medications. This training can ultimately have beneficial effects on the residents’ quality of life and functioning, in addition to enhancing the knowledge, skills, and retention of staff.

The topics addressed in the previous series of webinars included:

  • Advance Care Planning for Dementia and Serious Mental Illness
  • Assessing Risk and Managing Behaviors in Persons with Dementia
  • Behavioral Disturbances of Dementia: Interventions to Reduce the Use of Psychotropic Medications
  • Best Practices for Medication Management of Dementia-Related Behaviors
  • Best Practices in Geriatric Psychiatry and Long Term Care
  • Beyond Natural Disasters: Managing Critical Events in Congregate Settings
  • Community Partnerships: Ethical and Communication Issues for LTC Facility/Hospital Transitions and Effective Care Coordination
  • Medications: Friend or Foe? – The Role of Medications in Both Causing and Curing Behavior and Cognitive Problems
  • Motivational Interviewing and SBIRT to Address Substance Misuse
  • Personality Disorders and Aging
  • Pre-admission Screening of Older Adults with Cognitive Impairment: Considerations for Emergency Services Staff
  • Psychiatric Emergencies: A Practical Guide for LTC Facility Staff
  • Sexuality in LTC: Ethical Issues of Consenting Adults vs. Persons with Dementia
  • Substance Use and Alcohol Interactions in Older Adults
  • Team Preparation and Team Building for Behavioral Health Professionals Working with Older Adults
  • The Use of Technology to Engage Persons with Dementia/li>
  • The Temporary Detention Order (TDO) Process: What Staff Need to Know
  • The Temporary Detention Order (TDO) Process – Part 2

These topics were selected based on consistent feedback and suggestions proposed by attendees during the past 4 years. vectorstock_2759308

INTENDED AUDIENCE

This training program is intended for staff and students from many levels, disciplines, and settings (both facility and community-based), including staff involved in providing long term care (e.g., nursing staff and administrators), as well as behavioral health staff who work with older adults. Additionally, staff from Adult Protective Services, home health, adult day healthcare, respite care, area agencies on aging, Emergency Department staff of acute care hospitals, hospital discharge planners, and others serving older adults could benefit from the training.

WEBINAR ACCESS

These live events are open to all and free for all. Attendees are required to have a computer with access to high speed internet (to view the slide presentation) and computer speakers OR access to a telephone. Additional information is provided through the registration form.
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WEBINAR MATERIALS

The webinars are recorded and slides, alongside other resources, are posted on their respective pages.

CERTIFICATES OF ATTENDANCE

Certificates of attendance are issued upon completion of an exit survey corresponding to the webinar.*

*Upon completion of the webinar, attendees have one week to submit the exit survey and receive a certificate.

SERIES VI NOW ARCHIVED!

Beyond Natural Disasters: Managing Critical Events in Congregate Settings


Monday, March 20, 2017

1:30-2:45 pm US EST

 

Presenters will focus on managing events that put residents and staff at risk. Security situations can turn into critical situations ranging from domestic abuse to use of weapons and shootings. In addition to identifying safety issues impacting the facility, the webinar will examine the right to wander v. risk for elopement by exploring the right of residents to move freely throughout the community while ensuring that their safety as cognitive and functional levels change. A focus will be on Interventions to reduce resident and organizational risks for adverse outcomes, including environmental design, resident/family engagement, and interdisciplinary team collaboration.

Time will be given for questions and discussion after the webinar.

Speakers:

  • Linda Glasson, CHPA-L, Past President, International Association for Healthcare Security and Safety
  • Mary P. Chiles, RN, RAC-CT 3.0, Chiles Healthcare Consulting, LLC

Moderator:

  • Jennifer L. Inker, MBA, LALFA, Gerontologist; Instructor; Joint Program Director, Assisted Living Administration Specialty Area, Virginia Commonwealth University, Department of Gerontology

Registration:

Registration was free and open to all.

REVIEW RECORDING AND SLIDES

Best Practices for Medication Management of Dementia-Related Behaviors


Friday, April 21, 2017

1:30-2:45 pm EDT

 

This webinar will give an overview of current best practices for medication management of dementia-related behaviors. Presenters will provide an update on current research on safety and efficacy as well as utilizing case studies to discuss using medications for challenging behaviors in persons with dementia .

 

Speakers:

  • Lyons Hardy, CNS, NP, Instructor, VCU School of Nursing, Psychiatric Nurse Practitioner, Geriatric and Continuum Services, VCU Health
  • Adam Rosenblatt, MD, Professor, Co-director, Huntington Disease Program, VCU School of Medicine

Moderator:

  • Jennifer L. Inker, MBA, LALFA, Gerontologist; Instructor; Joint Program Director, Assisted Living Administration Specialty Area, Virginia Commonwealth University, Department of Gerontology

Registration:

Registration was free and open to all.

The Use of Technology to Engage Persons with Dementia


Thursday, May 11, 2017

1:30-2:45 pm EDT

 

This webinar will discuss current research related to the use of technology in care of persons with dementia with examples of the specific modalities available. Attendees will gain a general understanding of available technology and how it can improve quality of life for residents, how to integrate technologies in the care of people living with dementia and an overview of the impact & outcomes of the technology.

Questions and discussion will follow as time permits.

Speakers:

  • Lora Epperly, MSN, RN, CDP, CADDCT, Director of Business Development and Care Innovations CCR, Inc.
  • Scott Sautter, PhD, Board Certified Neuropsychologist, Hampton Roads Neuropsychology
  • Charles de Vilmorin, CEO, Linked Senior

Moderator:

  • Jennifer L. Inker, MBA, LALFA, Gerontologist; Instructor; Joint Program Director, Assisted Living Administration Specialty Area, Virginia Commonwealth University, Department of Gerontology

Registration:

Registration is free and open to all.

SERIES V ARCHIVED!

Team Preparation and Team Building for Behavioral Health Professionals Working with Older Adults


Wednesday, March 16, 2016

1:30-2:45 pm US EST

This webinar discussed why teamwork is essential in providing person-centered care for older adults and their family members. Oftentimes, numerous professionals representing a variety of different disciplines are involved in diagnosing, treating, and/or following up on a behavioral health matter. These professionals will benefit from learning how teamwork can be used for both personal and professional growth and how it helps professionals interact with, consult and support one another so as to ensure the highest quality of care is provided. Questions and discussion followed the webinar.

Speakers:

  • Tracey Gendron, PhD, MSG, Assistant Professor, Department of Gerontology, Virginia Commonwealth University
  • Jennifer Inker, MBA, MSG, Instructor, Department of Gerontology, Virginia Commonwealth University

Moderator:

  • E. Ayn Welleford, MSG, PhD, AGHEF, Associated Professor and Chair, Department of Gerontology, Virginia Commonwealth University

Registration:

Registration is free and open to all.

*A video recording of the webinar and slides are now available. Please click on the “Review Recordings and Materials for the March webinar” link below to access these resources.

Advance Care Planning for Dementia and Serious Mental Illness


Wednesday, April 13, 2016

1:30-2:45 pm EST

The focus of most advance care planning efforts has been on end-of-life decision-making; however, many people will experience decisional incapacity long before the end of their lives. For those who develop dementia, substitute decision-making may be needed for their care for a period of years; for those who have serious mental illness, such incapacity may be episodic, often intense and difficult. In addition, individuals incapacitated by dementia or mental illness may often resist and refuse needed treatment.

This webinar addressed sources of legal authority to treat people in these situations and how those facing dementia or living with mental illness plan for how they will be treated when they are incapacitated by their illness. Virginia law on substitute decision-making for treatment, what the law requires and allows when a person needs treatment, is incapacitated and has not made an advance directive regarding their care, were reviewed. Presenters discussed how advance directives can be used to plan for and guide dementia care, using agents and/or instructions, and what may be required when there is no advance directive:  judicial authorization of treatment, involuntary commitment, and guardianship.

Speakers:

  • John E. Oliver, Esq, City of Norfolk
  • Heather Zelle, JD, PhD, Clinical Psychologist, Institute of Law, Psychiatry, and Public Policy, University of Virginia

Moderator:

  • E. Ayn Welleford, MSG, PhD, AGHEF, Associated Professor and Chair, Department of Gerontology, Virginia Commonwealth University

Registration:

Registration is free and open to all.

*A video recording of the webinar and slides are now available. Please click on the “Review Recordings and Materials for the April webinar” link below to access these resources.

Motivational Interviewing and SBIRT to Address Substance Misuse


Thursday, May 26, 2016

1:30-2:45 pm EST

This webinar described and demonstrated how Motivational Interviewing (MI) can provide techniques for encouraging patient-driven outcomes. MI is an evidence-based collaborative method designed to strengthen an individual’s motivation and is an effective way of talking with people about change. Screening, Brief Intervention and Referral to Treatment (SBIRT) will be highlighted to show its effectiveness in using MI and in addressing risky substance use and misuse. This topic was proposed by a number of attendees following Dr. Slattum’s presentation during the 2015 series on medication-alcohol interactions.

Speakers:

  • Charles  (Rick) Gressard, PhD, Professor, School of Education Counseling Program, The College of William & Mary
  • Kerry Mellette, MA, Former Manager, Substance Abuse and Prevention, Riverside Health System, current Director of Advancement, Riverside Foundation

Moderator:

  • E. Ayn Welleford, MSG, PhD, AGHEF, Associated Professor and Chair, Department of Gerontology, Virginia Commonwealth University

Registration:

Registration is free and open to all.

*A video recording of the webinar and slides are now available. Please click on the “Review Recordings and Materials for May webinar” link below to access these resources.

TESTIMONIALS

“Excellent – The topic had relevance and the information was helpful in gaining a better understanding of the geriatric population and the ways in which care workers can increase their effectiveness with this group by becoming more sensitive to the potential impact of personality disorders.”

“I enjoyed the presentation. I thought the use of polls and the case vignettes were interesting and helpful. The speaker was excellent.”

“Excellent – very informative for those of us who do not prescribe medications/are not nurses! The speaker was obviously extremely knowledgeable. I will be looking over these slides frequently.”

“I want to say THANK YOU, THANK YOU! Although I prefer face-to face trainings when possible, I am absolutely VERY GRATEFUL to receive such high-quality instruction at no cost to our agency. Excellent material, well-presented and moderated. The time went by very quickly and I learned information that will enable me to perform my job better.”

SERIES I–VI: Cumulative Registrants

SERIES I–VI: Cumulative Attendees

%

WEBINAR RATING: EXCELLENT AND VERY GOOD

PARTICIPATION

  • INDIVIDUAL ATTENDEES 70%
  • GROUP ATTENDEES 30%

SUPPORTERS

PARTNERS