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Geriatric Mental Health and Peer Support (2009)

The current multiyear study, Meeting the Mental Health Needs of Older Adults Through Civic Engagement will complete the analysis of the Kansas Community Mental Health Center (CMHC) and the PASRR Level II datasets by comparing characteristics of older adults utilizing community-based services and those considering nursing facility level of care. An additional two years of data from the Universal Assessment Instrument (UAI) dataset will be collected and analyzed, in order to identify trends. In FY 09, Area Agency on Aging (AAA) staff will be interviewed to provide input with regard to findings. Another component of this project is a three year study to develop and pilot a peer support program within Central Plains AAA, in Wichita. At the end of the first year, we will provide initial data on applicability of this model for AAAs in Kansas. At the end of the second year, we will provide an in depth analysis of pilot data and establish protocols for implementation. At the end of the third year, a manual and related materials will be produced that will enable other AAAs and other aging service providers with the tools necessary to implement their own peer support program. This project is funded in part through a contract with the KDOA and SRS.

The study, Meeting the Mental Health Needs of Older Adults in the Community involved continuing to gather data in order to further identify trends about both older adults who used the Kansas Community Mental Health Centers (CMHCs), and older adults with serious mental illness considering nursing facility placement. In addition, data from the KDOA Universal Assessment Instrument (UAI) dataset (an instrument used by the AAAs) was analyzed in order to develop a profile of clients with low and high scores. In addition, in response to a request from the Governor's Mental Health Services Planning Council to modify the mental health training that had been developed for aging service providers so that it could be offered to CMHC case managers, a revised training was provided in both the western and eastern regions of the state. This project was funded in part through a contract with KDOA and SRS (report forthcoming).

The Older Adult Mental Health Service Access project continued the analysis of the Kansas Community Mental Health Center (CMHC) dataset in order to identify trends in utilization by older adults. Another activity was to analyze two years of data from the PASRR Level II dataset in order to provide a profile of older adults with serious mental illness considering nursing facility placement. A third activity was to survey all other states to identify innovative mental health services for older adults and strategies for funding those services. Finally, CRADO built on the Planning for Long Term Care Before the Boom project to determine the impact that Medicaid eligible older adults with mental health problems will have on the mental health system in Kansas (report forthcoming). This project was funded in part through a contract with KDOA and SRS.

The three year project, Connecting Older Kansans with Community Mental Health Resources involved the development, evaluation, and implementation of training and a screening tool to enhance the ability of Kansas service providers to identify older adults who may be experiencing mental health problems and to refer them for appropriate resources. Data was also collected to develop a profile of older adults who accessed Kansas Community Mental Health Centers (CMHCs). This project was funded in part through a contract with KDOA and SRS.

Reports available:

Connecting Older Kansans with Community Mental Health Resources: A Pilot Study. Final Report (2005-2006). (pdf)

Connecting Older Kansans with Community Mental Health Resources: A Pilot Study. Status Report for FY 2004 (2004). (pdf)

Connecting Older Kansans with Community Mental Health Services: A Pilot Study Fiscal Year 2003 Status Report (2003). (pdf)

Recent Presentations:

Reynolds, K. (2007, November). Peer Support Programs for Older Adults. Older Adults and Life Transitions: Addictions. Mental Wellness, Ethics. Wichita, KS.

Reynolds, K., Etzel-Wise, D., Graham, A., Troutt, N., Luber, N., & Holthaus, J. (2006, April). Advanced Training: Case Management with Older Adults. Great Bend, KS.

Reynolds, K., Chapin, R., Rachlin, R., Lopez, A., Roberts, C. (2005, November). Do Older Adults Access Community Mental Health Centers? Paper presented at the 58th annual meeting of the Gerontological Society of America, Orlando, FL.

Trout, N., Reynolds, K. (September, 2004). The Aging SPMI Individual. Kansas Health Care Association Convention. Kansas City, KS.

Geriatric Mental Health and Peer Support (2009)

Mental Health Needs and Service Access in AL/RHCs (2002)

In 2002, the Center on Aging and Disability Options (CRADO) conducted a comprehensive statewide survey of AL/RHC administrators for the Meeting the Mental Health Needs of Elders in Assisted Living and Residential Health Care Facilities: Community and Facility Factors project. The purpose of this study was to gain a better understanding of the need for and awareness of mental health services in assisted livings and the characteristics that impede or facilitate access to mental health treatment. In addition, we conducted focus groups of community mental health center directors, assisted living providers, aging mental health specialists, and senior consumers to discuss strategies to increase access to mental health services for residents who reside in AL settings. This study was funded by the Retirement Research Foundation.

During FY 2002, we expanded on our FY 2001 longitudinal study in the Barriers to Accessing Mental Health Services for Residents in Assisted Living and Residential Health Care Facilities from the Perspective of Residents and Community Mental Health Center Staff. In our FY 2001 study of AL/RHC facilities, it was found that 37% of the AL/RHC residents have some mental health diagnosis. In addition, it was suggested that residents in AL/RHCs with mental health needs might have difficulty accessing community mental health services. For the FY 2002 project, we interviewed a sample of residents in AL/RHCs about need, awareness, access and use of mental health services in the facility and community setting. We also interviewed community mental health center directors about these same issues. This project was funded in part through a contract with KDOA and SRS.

Reports available:

Barriers to Accessing Mental Health Services for Residents in Assisted Living and Residential Health Care Facilities from the Perspective of Residents and Community Mental Health Center Staff (2002). (pdf)

Meeting the Mental Health Needs of Older Adults in Assisted Living and Residential Health Care Facilities: Community and Facility Factors (2002). (pdf)

Presentations:

Reynolds, K., McLendon, T., Lopez, A. (August, 2004). Mental Health Issues in Assisted Living Residents. Kansas Adult Care Executives Annual Convention, Wichita, KS.

Chapin, R., Reed, C., Dobbs, D., & Hickey, A. (2003, January). Risk and Protective Factors Related to Depression: A Framework for Understanding the Mental Health Needs of Elders in Assisted Living. Society for Social Work and Research Seventh Annual Conference, Washington, DC, January 16-19, 2003.

Mental Health Needs and Service Access in AL/RHCs (2002)

Mental Health Needs in Nursing Facilities (2010)

In FY09 the Center for Research on Aging and Disability Options (CRADO) began a study to examine the mental health status and needs, interventions, and discharge patterns of older adults using Medicaid who reside in Kansas nursing facilities (NFs). For mental health status and needs, this study will analyze the characteristics (e.g., demographics, mood, behaviors) associated with NF residents mental health diagnoses and identify potential barriers to addressing mental health needs. When examining interventions, we will investigate the mental health interventions currently in use as well as identify emerging and evidence-based practices and/or interventions, with a focus on interventions that could assist Medicaid residents with mental health needs in discharging from NFs to community-based settings. In order to examine discharge patterns, the mental health status and need, and interventions will be investigated for their relationship to discharge patterns and NF tenure. The findings from this study will provide background information for the future implementation of mental health interventions in nursing facilities and recommendations for the training of NF staff members and CARE assessors.
Mental Health Needs in Nursing Facilities (2009)

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