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“Creating a NOVA Regional AAAG”

“Creating a NOVA Regional AAAG”. Objectives. Describe Alcohol and Aging Awareness Group Define purposes of a regional alcohol and aging coalition Outline elements to consider when identifying advantageous players/partners

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“Creating a NOVA Regional AAAG”

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  1. “Creating a NOVA Regional AAAG”

  2. Objectives • Describe Alcohol and Aging Awareness Group • Define purposes of a regional alcohol and aging coalition • Outline elements to consider when identifying advantageous players/partners • Review process for assessing regional needs and developing goals/strategies • Discover resources materials available • Understand factors that contribute to sustainability of coalition

  3. Definition of a Regional Alcohol and Aging Coalition • Common Interest • Diverse group of agencies, organizations and individuals • Provide education, training and resources on use of alcohol and medications as adults age • Network to avoid duplication of efforts • Independent entity • Goal: Educate and improve availability and quality of screenings and services

  4. Formed March 2007

  5. HB 110 (2006 Session) amended VA Code § 2.2-5510 Each state agency include in strategic plan “analysis of the impact the aging of the population will have on its ability to deliver services, a description of how agency is responding to these changes…”

  6. History of AAAG • Virginia Department of Alcoholic Beverage Control collaborated with Virginia Center on Aging and Virginia Department for the Aging • Convened key state stakeholder meeting • Learn what was available re older adults and alcohol and medication misuse • Identify gaps in services • Establish points of collaboration

  7. Dept. of Alcoholic Beverage Control Dept. for Aging Dept. of Health Dept. of Medical Assistance Services Dept. Behavioral Health and Developmental Services Dept. of Social Services VA Assn of Area Agencies on Aging VA Hospital and HealthCare Assn 2-1-1 VA Agencies represented in AAAG • VCU, Section of Geriatrics - Internal Medicine & Psychiatry- • VCU School of Pharmacy • VA Center on Aging, School of Allied Health, VCU • Attorney General’s TRIAD/S.A.L.T. Council • Mid-Atlantic Addiction Technology Transfer Center • SeniorNavigator • VA Beer Wholesalers Assn • VA Poison Center

  8. Chair Regina Whitsett VA ABC Secretary Communication Officer Tishaun Harris-Ugworji VDSS Vice Chair Elaine Smith VDA AAAG Treasurer Steve Ankiel VDMAS Membership & Marketing Tishaun Harris-Ugworji VDSS and Kathleen Shaw VA ABC Organizational Structure and Financial Sustainability Regina Whitsett VA ABC Education of Individuals Evelyn Waring, VA Poison Center and Elaine Smith, VDA t Training Service Providers Constance Coogle VCoA and Sally Holzgrefe, ATTC Resources Linda Phelps, VA ABC Organizational Structure

  9. AAAG Vision & Mission • Virginians aging successfully, safe from alcohol and medication misuse. • To be the leader in providing education, training and resources on the use of alcohol and medications as adults age.

  10. AAAG Goals • 1 Increase regional/statewide membership • 2 Develop sustainable organizational structure/ financial resources • 3 Educate individuals about use of alcohol and medication as adults age • 4 Train service providers to implement prevention/intervention best practices w/aging adults using alcohol/medications

  11. AAAG Goals Continued • 5 Research, develop, maintain information on alcohol, medication and aging for dissemination • 6 Propose or support legislation that focuses on Mental Health, Aging, Addiction, Recovery and Treatment of Older Adults

  12. The Hidden Epidemic, Alcohol, Medication and the Older Adult 2008 Conference • April 29, 2008 • 220 Health and Social Workers • Debra Jay, Hazelden expert, Oprah Winfrey Show guest • 3 DVD set available

  13. Get Connected Toolkit • SAMHSA developed with NCOA and U.S. Administration on Aging • Trained 65 service providers September 2008 http://www.samhsa.gov/ OlderAdultsTAC/docs/Get_Connected_ ASA_NCOA_%20021607FINAL.pdf

  14. The Hidden Epidemic Best Practices 2009 Conference • April 7, 2009 • Trained 168 service providers • Dr. Frederic C. Blow, University of Michigan • Carol Colleran, Hanley Center, Florida • DVD recording available

  15. AAAG Results • Membership – 85 (60 agencies) • Service Providers trained 1,050 including 400physicians • Literature disseminated-450,000 • Participated in approximately 40 exhibit fairs • DVDs disseminated-150

  16. AAAG Speakers’ Bureau • Govenor’s Substance Abuse Services Council • Commonwealth Council on Aging • VA Assn of CSB • VA Assn of Community Psychiatrists • VA Assisted Living Assn • American Medical Directors Assn • VA Geriatrics Society • VA Pharmacy Assn • Over 109 venues, reaching more than 8,130 individuals

  17. Best Is Yet to Come Commercial • Aired in Richmond/Petersburg, Roanoke/Lynchburg, Harrisonburg/Winchester (April/May/June ‘09) • Aired in Hampton Road/Newport News (April/May ‘10) • NOVA (April ‘11) • Viewing market to date more than 2.5 “fifty-plus” adults • Evaluation data: SeniorNavigator web site searches increased 4-7% and 211 Virginia increased calls

  18. Physician Training • Screening, Brief Intervention and Referral to Treatment (SBIRT) training • INOVA Fairfax Hospital, Nov ’09 (32) • SBIRT at Virginia Geriatrics Society Conference, April ’10 Dr. Frederic Blow – (325) • Hampton Newport News and Alexandria CSB Jan/April ’11 (23 and 18) • CEAGH Sept ’11 (30)

  19. Web Based Traininghttp://vacsb.elearning.networkofcare.org • Partnership with VA Assn of Community Service Boards • 3 web based training sessions launched May ‘10 • Complimentary • Pre/post tests, videos, and power points • Over 375 service providers trained • Contact Hour certificates and CEUs available

  20. Strategic Plan Fiscal Year 2011-2012 September 2010

  21. Establishing a Regional Alcohol and Aging Coalition • Maximize use of limited resources • Older adults as focal point • Primary intention: Promote successful aging by addressing potential for alcohol and medication misuse • Ongoing process

  22. Benefits of a Regional Alcohol and Aging Coalition • 1. Information and Referral Coordination • 2. Improved Collaboration • 3. Professional Development • 4. Credibility and Clout • 5. Enhanced Service Planning NCMHA, 2001

  23. Information and Referral Coordination Alcohol related treatment services poorly coordinated within aging service system Lack of geriatric professionals and cross-training Interagency service coordination maximizes resources Create regional resource and referral lists

  24. Improved Collaboration • Increased awareness addresses fragmentation • More expedient and effective access to services • Aging/Mental Health collaboration (http://nrepp.samhsa.gov) • Virginia vs. Florida comparison1 • AAA and CSB collaboration 1 Coogle & Hellerstein, Southern Gerontologist, XXII(3-4), 2010

  25. Professional Development • Increase members’ knowledge base • Regional service provider trainings • Identify local trainers/conference organizers and target audiences • Implement Get Connected Toolkit training locally1 1SAMHSA/NCOA

  26. Credibility and Clout • Enhanced “clout” with general public, officials, and legislators1 • Regional coalitions can target their local media markets • GSASC and CCOA presentations • Increase relevance of state and regional coalitions 1 NCMHA, 2001

  27. Enhanced Service Planning • Share needs assessment data and service planning information • Existing service gaps better identified and addressed • Collaborative planning, enhances service delivery to older adults1 1Lebowitz, Light, & Bailey, Gerontologist, 27(6), 699-702, 1987.

  28. Meeting Beneficiaries Expectations and Requests • Requests from individuals and organizations a priority • Needs assessment data will reveal customers • Track requests to determine where efforts need to be focused • Regional expectations and requests may be different from state level

  29. Continuous Assessment • Where is the problem occurring? • What are the high-risk settings? • Who is affected? Community Anti-Drug Coalitions of America, 2009 http://www.cadca.org/resources/detail/assessment-primer

  30. Regional Coalition Components and Considerations • Identifying the players and partners • Structuring the initial meeting • Maintaining momentum NCMHA, 2001

  31. Who should be at the Table: Players and Partners • Membership will inevitably evolve along with varying priorities and directions over time • But a core of committed members initially engaged will ensure longevity and stability • Members have dual function: • Connect coalition with stakeholders and • Spread coalition’s influence

  32. Shared Commitment and Vision • Passionate leadership • Appreciation for the client-centered approach and “wraparound” services • The Principles of Care for Older Adults with Mental Health and Substance Abuse Treatment Needs (mhaging.org/pubs/spring-04.htm#older)

  33. The Imperative of Diversity • Balanced representation • Promotes a broad-based membership • Racial, ethnic, and linguistic diversity • Membership should reflect the community • Recruitment can extend beyond natural allies

  34. Important Coalition Members • Universities (students and faculty) • Balance community interests and research goals1 • Physicians • VCU School of Medicine • VA Medical Society • VA Hospital and Healthcare Assn. 1 Coogle & Hellerstein, Gerontologist, 50(Suppl 1), 2010

  35. The Initial Meeting Establishing Regional Leadership Facilitator, meta-expert, visionary, strategist, broker, spokesperson, and coordinator1 Shared leadership can be achieved through an Executive Committee (Chair, Vice Chair, Secretary and Treasurer) Identifying Regional Needs and Resources Needs assessment2 Qualitative and quantitative methods Resource assessment Regional Alcohol and Aging Assessment Tool Developing Goals and Strategies Long- and short-term goals3 AAAG Strategic Plan model4 1 CADCA, 2009, www.cadca.org/resources/detail/capacity-primer 2CADCA, 2009, www.cadca.org/resources/detail/assessment-primer 3 NCMHA, 2001, www.omhac.org/images.How%20To%20Manual%20New.doc 4VABC, 2010, www.abc.virginia.gov/Education/olderadults/AAAG_StrategicPlan.pd

  36. Virginia’s Older Population Today According to the 2010 US Census, there are 976,937 Virginians (12.2%) aged 65+ Center for Gerontology at Virginia Tech 2010 US Census

  37. NOVA’s Older Population According to the 2010 US Census, there are 82,886 residents (7.5%) aged 65+ Center for Gerontology at Virginia Tech 2010 US Census

  38. Here Come the Baby Boomers! • 2,168,964 Virginians aged 45-64 • make up 68.9% of all residents aged 45+ • Center for Gerontology at Virginia Tech 2010 US Census

  39. Here Come the Baby Boomers to NOVA! • 265,821 people aged 45-64 • make up 76% of all residents aged 45+ • Center for Gerontology at Virginia Tech 2010 US Census

  40. Primary Diagnosis: Drug Problem Hospital Admissions - Virginia Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc.

  41. Primary Diagnosis: Drug Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc.

  42. Primary Diagnosis: Drug Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc.

  43. Primary Diagnosis: Alcohol Problem Hospital Admissions - Virginia Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc.

  44. Primary Diagnosis: Alcohol Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc.

  45. Primary Diagnosis: Alcohol Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc.

  46. Conclusion • Determined need for regional coalitions in AAAG Strategic Plan • Establishment of regional coalitions will break through existing barriers • Information dissemination, education, training and resources more effectively addressed at regional level • AAAG resources, $, guidance, assistance available • Two way street – Regional coalition to AAAG and back • Next meeting

  47. AAAG Funding • Funding received to date - $156,777 • Grants, budget line items, donations • Funding subcommittee • $2,500 available to start NOVA AAAG

  48. NOVA Involvement in AAAG • 5 Presenters - 40 attendees at three conference/trainings • Speakers’ Bureau – 2 from NOVA • Goodwin Bailey House presentation-25 staff • Grand Rounds Mary Washington-50 • INOVA SBIRT Training-32 • Alexandria CSB SBIRT Training – 18 • NVAN presentation Nov 2010 • Arlington SA Commission presentation May ‘11

  49. NOVA Regional support of AAAG • Join AAAG • Disseminate education materials in NOVA • Place videos in NOVA aging libraries • Place AAAG articles in NOVA publications • Add AAAG web site link to NOVA web sites • Identify service gaps/barriers to prevention/intervention among older adults with substance abuse • Establish NOVA Regional AAAG • Promote referrals between AAAs and CSBs • Write letters/reports requesting or recommending AAAs and CSBs receive and implement SBIRT training

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