Collaborative Community Based Collaborative Community Based Strategies for Addressing Fall Strategies for Addressing Fall

PreventionPreventionOctober 2012October 2012

April R. Vince LSW, MSSAApril R. Vince LSW, MSSACuyahoga County Board of HealthCuyahoga County Board of Health

History of CollaborationsHistory of Collaborations

Senior Safety Program Senior Safety Program (SSP)(SSP)

Began as a pilot program in coordination Began as a pilot program in coordination with The Department of Development (DOD) with The Department of Development (DOD) in 2007 in Garfield Heightsin 2007 in Garfield Heights

Expanded to 10 cities in 2008Expanded to 10 cities in 2008 Expanded countywide in Expanded countywide in

2009, 200 homes2009, 200 homes Up to $1,000 per home Up to $1,000 per home in home modificationsin home modifications

Description of SSPDescription of SSP

Application process, income requirements Application process, income requirements (single household = $36,300)(single household = $36,300)

Approved by Department of DevelopmentApproved by Department of Development Home visit completed with DODHome visit completed with DOD Contractor assignedContractor assigned Work completeWork complete Satisfaction survey sent and follow up 4 Satisfaction survey sent and follow up 4

months, 1 yearmonths, 1 year

Client feedbackClient feedback It's a nice program. I'm going to tell friends of mine that It's a nice program. I'm going to tell friends of mine that

might be able to apply for this.might be able to apply for this. I just wanted to say "thank you" for your helping in making I just wanted to say "thank you" for your helping in making

my home a safer place for me to live in.my home a safer place for me to live in. They did a very good job and I really appreciate the work to They did a very good job and I really appreciate the work to

make my home safer.make my home safer. I am very happy with the work done at my home. Have to I am very happy with the work done at my home. Have to

admit I was worried about falling in the tub, for the last few admit I was worried about falling in the tub, for the last few years. Thank you so very much. years. Thank you so very much.

I am 91 and didn't think I needed these support bars, but I am 91 and didn't think I needed these support bars, but now I don't know how I did without them!now I don't know how I did without them!

I have such a feeling of being able to go up and down I have such a feeling of being able to go up and down steps with the perfect railing that I have “no fear" Thank steps with the perfect railing that I have “no fear" Thank you.you.

A Matter of BalanceA Matter of Balance

A Matter of BalanceA Matter of Balance includes eight two-hour includes eight two-hour sessions for a small group led by a trained sessions for a small group led by a trained facilitator. This program was developed at facilitator. This program was developed at the Roybal Center at Boston University, and the Roybal Center at Boston University, and has been nationally recognized. has been nationally recognized.

An evidenced based program designed to An evidenced based program designed to reduce the fear of falling and increase the reduce the fear of falling and increase the activity levels of older adults who have activity levels of older adults who have concerns about fallsconcerns about falls

Implemented in 2007 at CCBHImplemented in 2007 at CCBH Classes are taught over an 8 week time Classes are taught over an 8 week time

frame, 2 hours each classframe, 2 hours each class Clients are taught in a senior center or Clients are taught in a senior center or

senior living complexsenior living complex Classes are freeClasses are free CCBH has 4 Master trainers and 7 coaches CCBH has 4 Master trainers and 7 coaches

available to teachavailable to teach

Changes in fundingChanges in funding

2010, Title IIID monies reallocated, Matter of 2010, Title IIID monies reallocated, Matter of Balance offered now through partner Balance offered now through partner agencies (we still have agreement to agencies (we still have agreement to provide classes on per request basis)provide classes on per request basis)

2010, County Reorganization, Senior Safety 2010, County Reorganization, Senior Safety put on holdput on hold

2011, Healthy Homes added a senior 2011, Healthy Homes added a senior component to their programmingcomponent to their programming

Build upon current programmingBuild upon current programming

Current HUD funding for Current HUD funding for LEAD programLEAD program– Under previous HUD Under previous HUD

round 12 funding, 18% round 12 funding, 18% of the qualified of the qualified participants were age participants were age 60 and older and caring 60 and older and caring for childrenfor children

– Targeted our Healthy Targeted our Healthy Homes Program to link Homes Program to link effortsefforts

Healthy Homes ProgramHealthy Homes Program

Currently working with Cleveland Housing Currently working with Cleveland Housing Network and The County Department of Network and The County Department of Development, under our HH programDevelopment, under our HH program– Quality of Life survey completed upon visitQuality of Life survey completed upon visit– Homes remediated to reduce fall risk and to Homes remediated to reduce fall risk and to

eliminate any triggers for breathing related eliminate any triggers for breathing related illnessillness

– Follow up visit for final approval and follow up Follow up visit for final approval and follow up survey mailed to clientsurvey mailed to client

Current StatusCurrent Status

Highly involved with Healthy Homes Senior Highly involved with Healthy Homes Senior Home visiting/remediation of homeHome visiting/remediation of home

CCBH staff member serves on Council on CCBH staff member serves on Council on Older Persons workgroupOlder Persons workgroup

Member of Senior Networking AssociationMember of Senior Networking Association Maintain partnerships with Aging Agencies Maintain partnerships with Aging Agencies

throughout Cuyahoga Countythroughout Cuyahoga County

Media RecognitionMedia Recognition

Ohio Department of Aging, “Finer with Age” Field Liason, 2011 Highlighting Fall Prevention Awareness Field Liason, 2011 Highlighting Fall Prevention Awareness

Month Month

NACCED (National Association for CountyCommunity and Economic Development)

Award of Excellence for Innovation (2010)

National Health Homes Conference Home Safety Programs Presenter (2008) (2008)

NACCHO Issue Brief NACCHO Issue Brief Fall Prevention Programs in Local Health Departments (2006)Fall Prevention Programs in Local Health Departments (2006)

Where do we go from here?Where do we go from here?

Collaboration is keyCollaboration is key Creative solutionsCreative solutions Seeking sustainable fundingSeeking sustainable funding Get communities involved/awarenessGet communities involved/awareness Make policy makers/legislatures awareMake policy makers/legislatures aware

Any Questions?Any Questions?

216-201-2001, ext. 1538216-201-2001, ext. 1538or or

216-201-2001, ext. 1209216-201-2001, ext. 1209

You can also email me at:You can also email me at:avince@ccbh.netavince@ccbh.net