Transcript Elaine T. Jurkowski, PhD, MSW Melissa Ruffino, MSW Chris Corzine, MSW Kent Maddox, MSW, LCSW.

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Elaine T. Jurkowski, PhD, MSW
Melissa Ruffino, MSW
Chris Corzine, MSW
Kent Maddox, MSW, LCSW
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Elaine T. Jurkowski
(1) The following personal financial relationships with
commercial interests relevant to this presentation
existed during the past 12 months:
No relationships to disclose.
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An initial step towards meeting the behavioral health
literacy needs within an older adult target group was
to create awareness and understanding among older
adults and their caregivers about mental health
disorders.
These disorders and this “improved literacy level”
can affect both older adult treatment and treatment
options that they may seek out, if properly educated.
This project aimed to develop an effective
intervention through some educational tools which
can promote an understanding of various mental
health issues and topics that are important to the
older adult and their caregivers.
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Makes use of the Stages of Change model
developed by Prochaska and DiClemente
(1983) and Bandura’s Self-Efficacy model
(2005).
Makes use of the various stages of the model
ranging from Pre-contemplation,
contemplation, planning, action and
Planning
Evaluation
evaluation.
Pre-contemplation
Contemplation
Action
Follow-up
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Bandura’s Self Efficacy Model (2005)
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The goal of this intervention was to provide
health information which will help consumers
and their families make informed health
decisions and seek care based on informed
decision making.
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A needs assessment conducted in 2008 by the
School of Social Work (SSW), SIUC among senior
nutrition programs identified ten specific areas
and topics that older adults wanted to learn more
about.
A partnership emerged between SSW-SIUC and
Caring Counseling Ministries to develop funding
partnership.
Marion’s WGGH Radio station and “Dare to Care”
program offered talk show air time to discuss
topics in caregiving as a monthly topic on weekly
show.
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CCM Intern and SSW-SIUC faculty developed a
script for use on the Dare to Care program.
Script was also transformed into a therapeutic
workbook.
Therapeutic workbook built upon evidence based
programs and current research and best practice.
Radio program then “cut” into a CD for use.
Module package then emerged.
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Caring Counseling Ministries, Marion, Illinois
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WGGH Radio Station
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“Dare to Care” weekly radio show
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School of Social Work,
Southern Illinois University Carbondale
Each package contains a therapeutic workbook
and easy listening CD with a ½ hour
recording, that meshes with the workbook.
The format includes:
A Case study showcasing a typical scenario.
 Statistics and facts about the topic area.
 Common concerns
 Evidence based solutions/interventions.
 Ideas for further contacts/resources.
 Action steps to help with caregiver concerns.
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1. What is caregiving?
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2. Caregiving hoops and wrangles.
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3. Caregiving and depression.
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4. Caregiving and people with Alzheimer’s
Disease.
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5. Caregiving and legal issues.
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6. Caregiving, caregiver burnout and
compassion fatigue.
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7. Grandparents raising grandchildren.
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8. Caregiving and people with chronic health
care needs.
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9. Caregiving and behavioral health issues.
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10. End of life care, grief and loss.
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Key features include:
◦ Definition of caregiving.
◦ Specific examples of caregiving behaviors.
◦ Background to stressors and challenges to
caregiving.
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Key features include:
◦ What are some legal issues that caregivers face.
◦ Strategies to deal with the social-emotional and
legal issues that caregivers face.
◦ Strategies to deal with the curve balls that
caregivers face in their role.
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Key features include:
◦ Signs and symptoms of depression.
◦ Susceptibility to depression and burnout.
◦ Building an understanding of how depression can
impact the caregiving process.
◦ Strategies to help address barriers which can lead
to depression in caregiving.
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Key features include:
◦ Understanding the biology of Alzheimer's Disease
and how the disease impacts one’s brain.
◦ Explanations of how one’s behavior can be
impacted due to changes that are happening in
one’s brain.
◦ Key signs and symptions of what to look for as the
disease makes
Progress through
the brain.
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Key features include:
◦ What legal issues caregivers need to be aware of
during the care-giver process.
◦ How to deal with power of attorney for one’s body
and estate.
◦ Strategies to be aware of in efforts to protect one’s
estate.
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Key features include:
◦ Definitions of caregiver burnout and compassion
fatigue.
◦ Key signs and symptoms of compassion fatigue.
◦ Awareness of how compassion fatigue can impact
the caregiving process.
◦ Strategies to protect oneself against encountering
compassion fatigue as a
caregiver.
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Key features include:
◦ Building an understanding for grandparents raising
grandchildren of what issues grandparents will be
confronted with.
◦ Legal strategies for grandparents raising
grandchildren need to be aware of.
◦ Understanding of the differences in roles between
grandparents raising a grandchild versus being
solely a grandparent,
◦ Behavior management strategies
for grandparents who are raising
grandchildren,
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Key features include:
◦ How chronic health care needs in loved ones can
impact the caregiver in their process of caregiving.
◦ What issues can one expect to incur with different
aspects of chronic health care needs.
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Key features include:
◦ Understanding what behavioral health issues may
surface for people with behavioral issues.
◦ Strategies to deal with behavioral issues as a
caregiver.
◦ Resources available to caregivers working with a
loved one who has
behavioral health issues.
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Key features include:
◦ Understanding end of life care, grief and loss
issues.
◦ Helping the caregiver understand the stages of grief
and loss, as well as stages associated with the end
of life.
◦ What is hospice care and how it plays a role in the
end of life care process.
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Field test modules to identify the
effectiveness of this intervention and impact
of the intervention on reducing caregiver
stress and depression.
Obtain financial support to replicate materials
for consumer use.
Obtain financial support to continue the
series into parenting issues.
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Contact:
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Dr Elaine T. Jurkowski
School of Social Work
Southern Illinois University Carbondale
Carbondale, Illinois 62901-4329
[email protected]
618-453-2243 (phone)
618-453-4291 (fax)
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1.
http://geriatrics.stanford.edu/ethnomed/african_american/acces
s/disparities/physician/caregiving.html
2. http://anthonyssong.blogspot.com/2012/04/malecaregivers-have-more-than-doubled.html
3. http://www.lfsco.org/caregiver-services
4. http://seniorjournal.com/NEWS/Eldercare/2012/20120914New_Healthinaging.htm
5. http://www.pathwaysforaging.com/services
6. http://jcmc.indiana.edu/vol3/issue4/staples.html
7. http://sandiegocaregiversblog.com/staying-fit-to-help-withyour-caregiving-duties/
8. http://www.caring.com/articles/caring-for-difficult-parent
9. http://www.whatispsychology.biz/depression-morecommon-among-stroke-caregivers-00005
10.
http://www.ninr.nih.gov/ResearchAndFunding/DEA/AD_RFA_July
2012.htm
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11. http://www.caregivinghelp.org/planahead/legal-issues
12. http://frontlinegcm.com/caregiver-burnoutdon%E2%80%99t-forget-to-take-care-of-yourself/
13.
http://www.today.colostate.edu/story.aspx?id=482
14. http://www.ehow.com/how_11414711_becomeregistered-caregiver.html
15. http://iava.org/success-story/iava-helpsspearhead-passage-caregivers-veterans-omnibushealth-services-act-2010
16. http://www.washingtonpost.com/wpdyn/content/gallery/2009/12/31/GA200912310168
7.html