Webinar Recording – Supporting families in long-term care: exploring family and staff perspectives

 

In November 2017, Family Councils Ontario launched the “Supporting Families Project”. This project was brought about in response to growing concerns from both service providers (Social Workers and Social Service Workers) and caregivers about the availability and offerings of social service supports for families in Long Term Care. Watch this webinar recording as it reviews the key findings from this research project and discuss opportunities for improvement in the provision of social service supports. This webinar is designed for both families and long-term care home staff. If you would like to read the full FCO report and findings, visit the FCO website.

 

Presenter: 

Samantha Peck, Director of Communications & Education, Family Councils Ontario

 

Samantha Peck Headshot

Samantha is passionate about helping people and groups achieve their goals. In her ten years with Family Councils Ontario she has supported thousands of family members and long-term care home staff in improving their work to achieve the best possible outcomes. She focuses on communications and education efforts that facilitate knowledge exchange and improve capacity. Samantha holds an Honours B.A. from York University, Advanced Client-Directed Case Management and Volunteer Management post-graduate certificates from Humber College, Project Management Certificate from University of Toronto, and is currently completing the Masters Certificate in Adult Training and Development from the Schulich Executive Education Centre (York University).

 

Watch the webinar now!

 

 

Webinar – Java Peer Support Programs

Cultivating Empathy: Disarming Bullying

Java Music Club members bonding.

 

How can we cultivate empathy in our practice and within the context of therapeutic group programs that we offer? Watch this webinar recording as we explore strategies to cultivate empathy. You will learn about four empathic habits and discuss strategies to increase empathy with and between those living with dementia. It explore opportunities and methods for putting empathy into action. This is the second webinar in a series of four, offered to facilitators of the Java Music Club and Java Memory Care.

 

Presenter: 
Kristine Theurer, MA (Gerontology), PhD Candidate, University of British Columbia

Kristine Theurer is a researcher who pioneered the use of standardized peer support programs in senior living. She is a published author; her most recent article, with Dr. Robyn Stone, is The Need for a Social Revolution in Residential Care (Journal of Aging Studies). Kristine leads training workshops for staff working in health care in Canada and the US and presents regularly at international conferences. She has a Master of Arts in Gerontology and received numerous research awards including grants from the Michael Smith Foundation for Health Research and the Social Sciences and Humanities Research Council of Canada. She serves on the planning committee for the national conference on culture change, hosted by the Schlegel-University of Waterloo Research Institute for Aging.


This project is a partnership between Bruyère Centre for Learning Research and Innovation (CLRI) in Long-Term Care, Bruyère Continuing Care, Java Group Programs and Carleton University, with funding provided by the Centre for Aging + Brain Health Innovation (CABHI).

 

Watch the webinar now!

 

On May 24, 2018, Bruyère Continuing Care held their annual Life Changing Day fundraiser at Saint-Vincent Hospital. The day was incredibly inspiring, filled with touching stories, innovative showcases, and generous community support. With a final fundraising tally of $494,239, the room was positively buzzing.

 

The Bruyère Research Institute showcased many of its research projects at the event, including the Bruyère CLRI’s project “The Power of Peer Support: Reducing Social Isolation in Residential Care.”

 

This telethon-style event was being featured on various Bell Media channels throughout the entire day. In turn, Michelle Fleming (Knowledge Broker, Bruyère CLRI) was approached by CTV Ottawa to discuss the Peer Support Project in an interview on Facebook Live. Interviewed by CTV Ottawa anchor Stefan Keyes, Michelle discussed the powerful ways that these programs are reducing loneliness and social isolation in residential care. Grateful to be a part of such an uplifting day, Michelle was eager to thank the project partners (Java Group Programs and Carleton University Department of Health Sciences) and funders (CABHI, Carleton University Department of Health Sciences, and Bruyère CLRI).

 

To watch this interview, please visit CTV Ottawa’s Facebook page.

 

Java PosterJava Poster

 

 

 

Webinar – Java Peer Support Programs

Becoming an Extraordinary Group Facilitator

Residents Singing

 

What makes an group facilitator extraordinary? Watch this webinar recording as we explore strategies to enhance your facilitation skills. You will learn about the top 10 extraordinary skills every group facilitator should have and how to use them! We provide strategies to engage group members as active participants. Finally we offer strategies to putting the techniques into action. This is the first webinar in a series of four, offered to facilitators of the Java Music Club and Java Memory Care. 

 

Presenter: 
Kristine Theurer, MA (Gerontology), PhD Candidate, University of British Columbia

Kristine Theurer is a researcher who pioneered the use of standardized peer support programs in senior living. She is a published author; her most recent article, with Dr. Robyn Stone, is The Need for a Social Revolution in Residential Care (Journal of Aging Studies). Kristine leads training workshops for staff working in health care in Canada and the US and presents regularly at international conferences. She has a Master of Arts in Gerontology and received numerous research awards including grants from the Michael Smith Foundation for Health Research and the Social Sciences and Humanities Research Council of Canada. She serves on the planning committee for the national conference on culture change, hosted by the Schlegel-University of Waterloo Research Institute for Aging. 


This project is a partnership between Bruyère Centre for Learning Research and Innovation (CLRI) in Long-Term Care, Bruyère Continuing Care, Java Group Programs and Carleton University, with funding provided by the Centre for Aging + Brain Health Innovation (CABHI).

 

Watch the webinar now!

 

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care (CLRI) are seeking an experienced web developer to redesign the CLRI website (www.clri-ltc.ca), in both English and French, in order to support the implementation of our new strategic directions and joint communications plan. The project includes a visual redesign to reflect our new branding, navigation redesign to improve the user experience, functional upgrades to enable interaction with site visitors, and backend integration with third-party products or services to enhance productivity and collaboration among the three centres.

For details, download the Request for Proposals — CLRI Website Redesign.

Proposals must be submitted by email to Scott Mitchell at scott.mitchell@uwaterloo.ca no later than Monday, May 21, 2018 at 5:00 pm.

UPDATES

2018-05-14: Due to the May 21 holiday (Victoria Day), the RFP deadline has been extended until Tuesday, May 22, at 5 pm.

Q&A

Q: Will you consider proposals for a content management system other than WordPress?
A: The team will consider all proposals. The RFP expresses a preference for WordPress, partly because the current site uses that CMS. Sticking with the same platform eliminates the need to migrate our existing content to a new system. The resource library, which constitutes the main content area, also uses some custom plugins that would need to be replaced if we move to a new CMS, requiring additional development time. Vendors who propose using a different CMS are encouraged to articulate the advantages of the proposed CMS in comparison to WordPress, and to address the issue of data migration. If there are licensing and maintenance costs for the proposed CMS, that information should be included as well.

Q: Is the budget flexible?
A: If the vendor determines that all requirements outlined in the RFP cannot be met within the budget amount specified by CLRI, then the vendor is encouraged to submit a proposal with an itemized budget that would allow CLRI to prioritize and possibly eliminate some requirements.

Q: Is the scope flexible? Which requirements are must-haves?
A: See answer above re budget. The core objective is to improve the user experience. Must-have requirements are those directly related to that goal, including visual design, accessibility, French translation, and site navigation (particularly within the resource library).

 

An Innovative Canadian Program Helps Reduce Social Isolation in Residential Care

 

The Power of Peer Support: Reducing Social Isolation in Residential Care is a collaborative project between the Bruyère Centre for Learning, Research and Innovation in Long-Term Care (CLRI), Java Group Programs, Carleton University’s Department of Health Sciences, and Bruyère Continuing Care. It is funded by the Centre for Aging + Brain Health Innovation, Carleton University and the Government of Ontario through the Bruyère CLRI.

 

THE ISSUE

It is well established that people who have meaningful social relationships experience better well-being. However, some in society have circumstances that limit opportunities for such interactions, and older adults in residential care are particularly vulnerable. Social isolation and loneliness are common in this population and better strategies are needed to counter its negative health outcomes, including depression, dementia, increased mortality and higher health care costs[i]. Studies show that 55% of residents in care homes experience loneliness.[ii]

 

When someone moves into residential care, it is often prompted by a health crisis. There can be a number of other issues that compound the complexity of said crisis. For many new residents, this transition is a very painful and lonely time. These challenges are exacerbated for those living with dementia.

 

These settings have proven beneficial for people who require physical care, however, research highlights concerns about resident psychosocial well-being.[iii],[iv] An American study found evidence that programs provided tend to be inaccessible or inappropriate for many residents, leading to low participation rates.ii Another study explained that 45% of residents with dementia participated in few or no activities, 20% participated only occasionally, and 12% participated in activities that were inappropriate for their needs.vi

 

These numbers show the need for meaningful engagement opportunities, allowing residents to deepen social connections and re-establish a sense of purpose. There is a growing body of research that documents the effectiveness of peer support in alleviating loneliness and depression. Peer support enables individuals to learn new ways of coping through identification with others in a similar position. The Java Group Programs offer a unique model to combat these issues.

 

THE SOLUTION

Peer support groups are known to benefit individuals with chronic illnesses, yet they are rarely used within senior living. Founded by Kristine Theurer (MA, Gerontology, MTA, PhD(c)), Java Group Programs are the first standardized peer support interventions designed to address the critical rates of depression and loneliness in senior living. Java Music Club is a weekly peer support group for older adults, including those living with mild to moderate dementia. The program is based on the altruistic concept that people are happiest when they are helping one another. It also draws on social psychology and gerontology research findings. Java Memory Care is a vital adaptation for those living with moderate to advanced dementia. These groups are designed to be facilitated by staff, volunteers and/or family members.

 

Homes that offer Java programs purchase a license and ensure that their staff or volunteers are trained to facilitate Java sessions. Facilitators provide opportunities for residents to unload burdens, learn coping skills, reminisce and increase their sense of belonging. This is done using a standardized facilitation manual which includes themes, questions, photographs, songs, quotes, and an Aboriginal talking stick.

 

 

Residents are encouraged to support one another through discussion and to reach out to members who are lonely or isolated. These groups provide opportunities for emotional expression/release, allowing residents to talk in a safe, public setting about complicated topics. There are 52 topics in total covered in the facilitator manual – some other topics include weddings, gratitude and boredom. These topics were originally chosen by residents in long-term care who were consulted as the program was developed. Both programs aim to reduce stigma associated with support groups by reflecting a warm social setting, incorporating coffee and music.

 

In an effort the enhance residents’ quality of life, many Canadian care homes have introduced Java Music and Java Memory. They have seen residents regain their love of life and sense of purpose, build new relationships and develop increased respect for their peers.

 

In recent months, a generous grant from the Centre for Aging + Brain Health Innovation has added 35 new locations (see map below) across Ontario where residents now benefit from this evidence-based peer support program. Committed to knowledge mobilization, interactive training workshops, coaching sessions and public webinars are woven together to elevate facilitators’ skills.

 

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Additionally, a portion of the grant advances the overall understanding of the benefits of Java programs through rigorous research. Both Java Music Club and Java Memory Care have shown success in alleviating loneliness and depression. This project will advance our understanding of the benefits to the individual residents (psychosocial and cognitive health outcomes). Dr. Renate Ysseldyk from Carleton University’s Department of Health Sciences is working with residents and staff at Riverstone Retirement Communities and Élisabeth Bruyère Residence to understand their experiences. The team is delighted to explore the benefits of these programs through the partnerships with Riverstone Retirement Communities and Bruyère Continuing Care.

 

Social isolation of vulnerable populations is a universal issue in our society. The Java Group Programs aim to reduce this problem among residents who live in long-term care or in retirement settings. When it comes to Java, improving residents’ quality of life will always drive program implementation, research and the design of learning and skill building opportunities.

 


Tools and learning opportunities for recreation therapy professionals and volunteers in residential care settings:


 

For more information, please contact Michelle Fleming, Knowledge Broker at the Bruyere Centre for Learning, Research and Innovation in Long-Term Care at mfleming@bruyere.org.

 

References:

[i]  Victor, C. R. (2012). Loneliness in care homes: A neglected area of research? Aging Health, 8(6), 637-649. doi: 10.2217/ahe.12.65

[ii] Theurer K, Mortenson WB, Stone R, Suto M, Timonen V, & Rozanova J. (2015). The need for a social revolution in residential care. Journal of Aging Studies, 35, 201-210.

[iii] Kemp, C. L., Ball, M. M., Hollingsworth, C., & Perkins, M. M. (2012). Strangers and friends: Residents’ social careers in assisted living. Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 67(4). doi: 10.1093/geronb/gbs043

[iv] Moon, H. (2012). Risk factors for depression among the oldest-old in urban congregate housing: Contribution of grief. International Social Work, 56(4), 516-533. doi: 10.1177/0020872811429954

vi L.L. Buettner, S. Fitzsimmons. (2003).  Activity calendars for older adults with dementia: What you see is not what you get. American Journal of Alzheimer’s Disease and Other Dementias, 18 (4) pp. 215-226

 

Since October 2017, long-term care (LTC) homes across Ontario have participated in the Personal Support Worker (PSW) Education Fund for LTC. The Ministry of Health and Long-Term Care has worked with the Ontario Centres for Learning, Research and Innovation in LTC (CLRI) to coordinate continuing education and training for PSWs through the delivery of Excellence in Resident-Centred Care (ERCC). The ERCC program is delivered in partnership with Conestoga College. Élisabeth Bruyère Residence (ÉBR) is one of the homes benefitting. The Bruyère CLRI recently visited one of the training workshops at ÉBR. It was evident why the ERCC training is important for this small home in downtown Ottawa.

Who is at the centre of attention?PSWs engaged in learning.

PSWs who work in LTC spend most of their time caring for and interacting with residents. Many residents and their families depend on PSWs to provide necessary assistance with daily activities. This results in a lot of one-on-one time and strong caring relationships. Since PSWs work on the front line and impact the lives of so many residents, they need support. Part of this support is providing best practice-based resources and learning opportunities they can use to continue fine-tuning their skills.

 

ERCC promotes best practices in senior’s care environments. The program aims to help teams achieve better care and better outcomes. These goals are achieved using a person-centred, train-the-trainer approach to advance practice development.

 

ÉBR is running several workshops this winter. “These workshops have been a really big eye opener for everyone involved. Sometimes it’s easy to forget to look at situations through a resident’s eyes. The exercises and activities give the PSWs a chance to experience what challenges residents may experience daily,” explains Suzanne Doré. Suzanne is one of the PSW-trainers at ÉBR. “The workshops provide refreshers to remind PSWs of what’s most important in this field – the residents.”

 

Laying the groundwork, two PSWs from ÉBR participated in an ERCC train-the-trainer workshop in December. As reported at the time, the train-the-trainer workshop brought Conestoga faculty, affectionately known as “super-trainers,” to Ottawa. The super-trainers shared dynamic facilitation skills and tools, all aimed to reinforce teamwork. ÉBR sent PSW team members who were recognised by their peers as champions and role models for resident-centred care.

 

Advancing practice change at ÉBR

ÉBR’s PSW-trainers returned to their homes empowered by the train-the-trainer workshops. They were eager to share their knowledge with their fellow PSWs with whom they work every day.

 

Following this, in early 2018, the ÉBR PSW-trainers ran several in-house ERCC workshops for groups of PSWs. Using a module-based approach, the workshops cover a variety of topics essential for PSWs: person-centred care, oral and skin integrity, continence, nutrition and hydration, working with others, end-of-life care, observational assessment, and more. Each module delves into relevant principles, the importance, factors to consider, techniques, and strategies for optimization of care delivery.

 

“At ÉBR, we’re training 36 PSWs to provide these excellent levels of care to residents. That number is just across one LTC home. This is a great initiative, and I’m excited to see how it will enhance the quality of care provided in LTC homes across the province,” reflects Suzanne on the ERCC experience.

 

 

Recognising the important role PSWs play in LTC teams, in 2017, the Ministry of Health and Long-Term Care launched the PSW Education Fund for LTC. The goal of the Fund is to help develop and enhance the PSW workforce in LTC to deliver high-quality and safe care that meets resident needs. The Fund supports LTC homes to train a critical mass of PSWs in elements of resident-centred care and to sustain ongoing learning that will continue to benefit residents. To make the training possible, the Ministry worked with the Ontario Centres for Learning, Research and Innovation (CLRI) in LTC to deliver “Excellence in Resident-Centred Care” (ERCC), in partnership with Conestoga College.

 
Ontario Long Term Care Association’s This Is Long Term Care
November 14-16, 2018
Westin Harbour Castle, Toronto

Call for Abstracts — The Ontario Long Term Care Association’s signature conference, This is Long Term Care 2018: Disrupting the Norm, profiles new and emerging research, innovation, and successful quality initiatives in a unique forum designed for learning, networking and information sharing. This year we are issuing a challenge to presenters to think out-of-the-box and challenge the status quo. In so many ways, our industry is headed for a shake-up. From our changing demographics and capacity challenges to keeping pace with the evolving needs of residents and families. As leaders, we must disrupt the norm and lead with a positive change in the sector.

Call for Content close date is Friday, April 20, 2018, at 12:00 noon.

To review application criteria or to apply click here.

 
People living in Ontario long-term care (LTC) homes are diverse in terms of their ethnicity, language, Indigenous identity, religion, gender identity and expression, sexual orientation, ability, and so on.

Information and resources regarding the following CLRI initiatives are now available:

 
For more information, contact:

Kate Ducak
Project Officer (Diversity of Culture)
Schlegel-UW Research Institute for Aging
kate.ducak@uwaterloo.ca
519-904-0660 ext. 4107

Kyla English Leis
Research Coordinator (Indigenous Culture)
Schlegel-UW Research Institute for Aging
kyla.englishleis@uwaterloo.ca
519-904-0660 ext. 4208

 

On March 2, 2018, Brian Pollard, Assistant Deputy Minister, Licensing and Policy Branch, Long-Term Care Division, Ministry of Health and Long-Term Care (MOHLTC) and two of his senior staff members visited Saint-Louis Residence. Hosted by the Bruyère Centre for Learning, Research and Innovation in Long-Term Care (CLRI), positive impressions were made through discussions and project demonstrations. The engaging visit covered a broad range of programming and collaboration.

 

The afternoon began with brief overviews from Guy Chartrand (CEO, Bruyère Continuing Care) and Heidi Sveistrup (President, Bruyère Research Institute). The introductory part of the meeting was rounded out by Zsofia Orosz (Manager, Bruyère CLRI), highlighting some exciting and innovative initiatives that are advancing with CLRI support.

 

One area Zsofia touched on was the CLRI’s collaboration with La Cité Collégiale and the Registered Nurses’ Association of Ontario that helps improve oral care delivery. Read more about the oral care partnership. Another initiative covered was deprescribing, an effort to safely reduce and/or optimize medication use to meet life’s changes. Visit deprescribing.org for more details.

 

Many other projects running at the Orléans campus impact residents’ lives positively. Dr. Clare Liddy (Clinician Investigator, Bruyère Research Institute) discussed the benefits of the Champlain BASE™ eConsult Service. As a joint initiative between the Bruyère Research Institute, the Champlain Local Health Integration Network and the Winchester Memorial District Hospital, this electronic consultation service connects primary care practitioners with specialists to reduce wait times. The participation of the CLRI ensures that the needs and realities of long-term care are fully considered as the Champlain BASE™ eConsult expands across the province. Dr. Liddy’s engaging presentation prompted an animated conversation with the MOHLTC representatives. Visit the CLRI website for a recent update and to watch a webinar by Dr. Liddy.

 

Volunteer and MOHLTC representative with CWA bike.

Bruyère is benefitting from the influx of new volunteer pilots like Rob, proudly wearing the Bruyère red volunteer t-shirt.

 

Projects-in-Action!

 

Following these rich discussions, the group moved to participate in project demonstrations. The first demonstration was of Cycling Without Age (CWA). CWA helps seniors stay active and connected with their communities, making it possible for those with mobility challenges to get back on bicycles and enjoy nature. CWA uses a special three-wheeled rickshaw bike, a “trishaw”. A two-seater passenger carriage is in the front, while a volunteer “pilot” sits on a bike in the back and propels the trishaw forward. Through collaboration with a community partner, Bruyère is now running the CWA program at both of its long-term care homes. The CLRI contributed to program evaluation and developed a brief brochure that homes can use to learn about v bsetting up their own CWA program. For more information, download the brochure or to watch a recent webinar.

 

 

Testing out MotiView Technology

The MOHLTC guests enjoyed testing the Motiview technology for themselves.

The second project demonstration was of Motiview, an innovation combining the benefits of cycling for physical and emotional well-being. The Motiview Solution brings together an audio and video library with a stationary, user-adapted bicycle. Adaptable to each user’s requests, virtual bicycle trip through familiar surroundings encourage reminiscence as the user pedals. Motiview reduces the perception of difficulty, monotony, and discomfort associated with cycling, while enhancing participation and the experience. Funding from the Centre for Aging + Brain Health Innovation enables the multi-institutional team to test this technology in an Ontario context, including at Saint-Louis Residence and the John and Jennifer Ruddy Geriatric Day Hospital at Élisabeth Bruyère Hospital. In the long-term care setting, the focus is on the social aspects and reminiscences.

 

All were wowed by the demonstrations and impressed by the initiatives built on collaboration, research, and willingness to test ideas. The Assistant Deputy Minister and his staff expressed great eagerness to return and tour Élisabeth Bruyère Residence next time. À bientôt!