serving older adults with behavioral health needs services... · serving older adults with...
TRANSCRIPT
![Page 1: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/1.jpg)
Serving Older Adults with Behavioral Health Needs
Module 3: Aging Services Partners in Older Adult Behavioral Health
1
Presented by Oregon Health Authority, Health Systems Division and Portland State University Institute on Aging
![Page 2: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/2.jpg)
Introductory Modules
1. The Everyday Experience of Aging
2. Behavioral Health Partners in Older Adult Behavioral Health
3. Aging Services Partners in Older Adult Behavioral Health
2
![Page 3: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/3.jpg)
Clinical Modules
3
4. What’s Happening with Gladys?
5. Bill’s Search for Lois
6. Has Anyone Seen George?
7. We Have Another Call About Nell!
8. Behavioral Health Issues and Advance Care Planning
![Page 4: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/4.jpg)
Module 3 objectives
• Describe aging population trends
• Provide an overview of aging and disability services in Oregon
• Describe how services are organized at the community level
• Describe challenges of meeting the needs of older adults with behavioral health issues
• Explain the role of Aging and People with Disabilities in bridging service gaps
4
![Page 5: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/5.jpg)
Module 3 objectives
• Describe aging population trends
• Provide an overview of aging and disability services in Oregon
• Describe how services are organized at the community level
• Describe challenges of meeting the needs of older adults with behavioral health issues
• Explain the role of Aging and People with Disabilities in bridging service gaps
5
![Page 6: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/6.jpg)
Module 3 objectives
• Describe aging population trends
• Provide an overview of aging and disability services in Oregon
• Describe how services are organized at the community level
• Describe challenges of meeting the needs of older adults with behavioral health issues
• Explain the role of Aging and People with Disabilities in bridging service gaps
6
![Page 7: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/7.jpg)
Module 3 objectives
• Describe aging population trends
• Provide an overview of aging and disability services in Oregon
• Describe how services are organized at the community level
• Describe challenges of meeting the needs of older adults with behavioral health issues
• Explain the role of Aging and People with Disabilities in bridging service gaps
7
![Page 8: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/8.jpg)
Module 3 objectives
• Describe aging population trends
• Provide an overview of aging and disability services in Oregon
• Describe how services are organized at the community level
• Describe challenges of meeting the needs of older adults with behavioral health issues
• Explain the role of Aging and People with Disabilities in bridging service gaps
8
![Page 9: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/9.jpg)
9
Top: Tara Manitsas, Melissa Howtopat, Lavinia Goto
Bottom: Paul Iarrobino, Lee Girard
![Page 10: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/10.jpg)
Demographics
10
![Page 11: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/11.jpg)
Number of Older Americans
65 + years• 14.1% • 44.7 million
85 + years• 6 million
2013
![Page 12: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/12.jpg)
Source: U.S. Census Bureau
![Page 13: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/13.jpg)
Source: U.S. Census Bureau
![Page 14: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/14.jpg)
![Page 15: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/15.jpg)
15Source: U.S. Census Bureau
![Page 16: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/16.jpg)
16Source: U.S. Census Bureau
![Page 17: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/17.jpg)
Respondent-Assessed Health Status
![Page 18: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/18.jpg)
A Profile of Older Americans: 2012, AoA, ACL
![Page 19: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/19.jpg)
Civilians Ages 18 to 64 Years Living in the Community for the United States and States, by Disability Status: 2013
Total Disability # Disability %
United States 196,541,629 20,714,303 10.5%
Oregon 2,440,752 307,872 12.6%
Americans With Disabilities: 2010, United States Census Bureau, 2012
![Page 20: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/20.jpg)
A lot of baby boomers now. . . I think a lot more of them have substance abuse issues. . .
Melissa Howtopat
Care Coordinator, Region 9 AAA
20
![Page 21: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/21.jpg)
Long Term Support Services Coordinator
NorthWest Senior and Disability Services
You have an aging population. . . I think that mental health issues have always been there, but it seems to be more prominent.
Lavinia Goto
21
![Page 22: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/22.jpg)
Services
22
![Page 23: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/23.jpg)
Aging and People with Disabilities (APD)
• Primary responsibilities:• Older Americans Act Services to people 60 years and older
• Oregon Project Independence
• Services to seniors and people with disabilities (Medicaid)
23
![Page 24: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/24.jpg)
Niles-Yokum & Wagner (2010) The Aging Networks (7th Edition)
![Page 25: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/25.jpg)
Access to services
• Information and referral/assistance
• Outreach
• Care management
• Transportation
25
![Page 26: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/26.jpg)
Nutrition programs
• Home delivered meals
• Congregate meals
• Nutrition counseling and education
26
![Page 27: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/27.jpg)
Support services
• Personal care
• Homemaker/chore
• Adult day services
• Family caregiver support, including • Caregivers of people with
dementia younger than 60 years
• Grandparents caring for grandchildren
27
![Page 28: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/28.jpg)
Disease prevention and health promotion
• Physical fitness
• Fall prevention
• Chronic disease management
28
![Page 29: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/29.jpg)
Protection of rights
• LTC ombudsman
• Prevention – elder abuse, neglect and exploitation
• Legal assistance
29
![Page 30: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/30.jpg)
Oregon Project Independence (OPI)
• State funded program
• Older adults & people with disabilities
• Sliding fee scale
30
![Page 31: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/31.jpg)
OPI services
• Personal care
• Housekeeping
• Meal preparation
• Respite care
• Adult day services
• Transportation
31
![Page 32: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/32.jpg)
OPI eligibility criteria
• Activities of Daily Living • Mobility• Eating• Elimination• Cognitive or behavioral functioning
• Instrumental Activities of Daily Living• Meal preparation• Medication management
• Natural support system
• Income
32
![Page 33: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/33.jpg)
Aging and People with Disabilities (APD)
• Determine eligibility for Medicaid and other state & federal benefits
• Case management services
• In-home services
• Nursing and community care services
33
![Page 34: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/34.jpg)
APD Medicaid services
34
Compiled from CMS, 2014
![Page 35: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/35.jpg)
Medicaid eligibility criteria
• Financial eligibility
• Activities of daily living (ADL) and Instrumental activities of daily living (IADL)
• Service needs are not fully met by natural support
29,000 people were received Medicaid services through this program in 2013-2015
35
![Page 36: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/36.jpg)
Financial criteria
• 300% Supplemental Security Income
• < $2,000 individual
• < $3,000 couple
36
![Page 37: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/37.jpg)
I/ADL service needs: Client Assessment/Planning System (CAPS)
• Mobility • Ambulation• Transfers
• Eating• Elimination
• Bladder and/or bowel care• Toileting
• Cognitive• Adaptation • Awareness• Judgment and decision making
memory• Orientation
• Behavior• Demands on others • Danger to self or others• Wandering
37
![Page 38: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/38.jpg)
CAPS scores
• Medicaid service priority level: < 13
• OPI service priority level: < 18
38
![Page 39: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/39.jpg)
39
![Page 40: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/40.jpg)
Aging and Disability Resource Connection
ADRC
www.ADRCofOregon.org
1-855-ORE-ADRC (673-2372)
40
![Page 41: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/41.jpg)
ADRC
• One-stop, “no wrong door”
• Available to all regardless of age or income
41
![Page 42: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/42.jpg)
Aging & Disability Resource Connection
An ADRC is a hub for an access to a number of programs, so we’re the front door. In our field, there is no wrong door. We have lots of doors. The goal through the ADRC is to be a very robust front door for all of our services. It could be adult protective services, family caregiver, and often times consumers don’t know exactly. Our job is to have a conversation, . . . Help the consumer realize what it is we can provide assistance with.
Paul Iarrobino
42
ADRC Program ManagerMultnomah County Aging, Disability and Veterans Services
![Page 43: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/43.jpg)
ADRC Services
• Information & Assistance
• Health & Wellness
• Benefits counseling
• Entryway into publically and privately funded long-term care programs
• Person centered options counseling
• Special initiatives• Dementia capable workforce
• ADRC Mental Health Program
43
![Page 44: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/44.jpg)
Person Centered Options Counseling
• Help consumers find needed information and services
• Decision support
• Planning
• Follow up
44
![Page 45: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/45.jpg)
Dementia capable workforce
• ADRC Dementia training • http://www.oregon.gov/dhs/spwpd/Pages/sua/AvailableOnlineTraining.aspx
• www.HelpforAlz.org (part of the ADRC website)
• Early memory loss programs (with Alzheimer’s Association of Oregon)
• Outreach and marketing
45
![Page 46: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/46.jpg)
ADRC Mental Health Program
• Each ADRC implementing evidence-based program
• Depression, anxiety, substance abuse
• Examples of programs:• PEARLS
• Healing Pathways
• Project Hope
• Healthy Ideas
• Solution-Focused Brief Therapy
• ADAPT
• ASIST
46
![Page 47: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/47.jpg)
Organization of aging services
47
![Page 48: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/48.jpg)
APD Field offices
2
k
2
1
2
9
12
13
4
7
5
6
10
11
14
14
8
Clatsop, Tillamook, Yamhill,
Polk, and Marion Counties:
Type B Transfer AAA
Offices
Columbia and Washington
Counties:
APD Offices
Multnomah County:
Type B Transfer AAA
Offices
Clackamas County:
APD Offices
Linn, Benton and Lincoln
Counties:
Type B Transfer AAA
Offices
Lane County:
Type B Transfer AAA
Offices
Douglas County:
APD Offices
Type B Contract AAA
Coos and Curry Counties:
APD Offices
Jackson and Josephine
Counties:
APD Offices
Type B Contract AAA
Hood River, Wasco, Sherman,
Gilliam and Wheeler Counties:
APD Offices
Deschutes, Jefferson
and Crook Counties:
APD Offices
Klamath and Lake
Counties:
APD Offices
Morrow and Umatilla
Counties:
APD Offices
Baker, Union and
Wallowa Counties:
APD Offices
Malheur, Harney and
Grant Counties:
APD Offices
Linn
Clackamas
Grant
Malheur
Wallowa
Deschutes Lane
APPENDIX B: AREA AGENCY ON AGING/AGING AND PEOPLE WITH DISABILITIES Planning and Service Districts – Field Office System
Harney
Columbia
Union
Umatilla
Morrow Gilliam
Crook
Wheeler Jefferson
Wasco
Sherman
Hood River Multnomah
Baker
Benton
Lincoln
Polk
Yamhill
Washington Tillamook
Douglas Coos
Curry Jackson
Josephine Klamath
Lake
Marion
Clatsop APD Offices
Type B Contract
APD Offices
Type B Transfer
AAA Offices
Field Offices
48
• Assess for Medicaid eligibility (CAPS) for long-term services and supports
• Financial services (SNAP, Medicare Savings
Plan)
• Preadmission screening licensed nursing facility
• Adult protective services
• Regulatory programs (In-home, adult
foster care, RCF, AL, NH)
• SHIBA (Senior Health Insurance Benefits
Assistance)
![Page 49: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/49.jpg)
State Unit on Aging Area Agencies on Aging
• Oversite of Older Americans Act services
• Partners with 17 AAAs• Planning and coordination
• Contract with and oversee Older Americans Act services provided by local service providers
• Administer Oregon Project Independence
49
![Page 50: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/50.jpg)
Types of AAAs
• Type A
• Type B
50
Oregon Association of Area Agencies on Aging & Disabilities (O4AD)
![Page 51: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/51.jpg)
Type A
51
Oregon Association of Area Agencies on Aging & Disabilities (O4AD)
![Page 52: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/52.jpg)
Type B
52
Oregon Association of Area Agencies on Aging & Disabilities (O4AD)
![Page 53: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/53.jpg)
Aging & Disability Resource Connection
Coordinated network of:
• Area Agencies on Aging
• Centers for Independent Living
• APD field offices
• Developmental disabilities/intellectual disabilities
• Veterans Services
• Behavioral Health
53
![Page 54: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/54.jpg)
Challenges: Meeting the need
54
![Page 55: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/55.jpg)
Stigma
I think there is a lot of stigma around counseling and treatment for older adults, and I think that’s partially because of how they were raised and they are really focused on just ‘I’ll deal with it my way’, ‘It’s not that big of a deal’. They kind of sweep it under the carpet.
Tara Manitsas
55
Peer Mentoring CoordinatorNorthWest Senior and Disability Services
![Page 56: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/56.jpg)
Access
We have a lot of programs that are low cost or free just by virtue of age, you qualify. So if you’re 58 that creates another barrier because you don’t meet the qualifications of the Older Americans Act.
Paul Iarrobino
56
![Page 57: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/57.jpg)
Barriers
More and more the individual’s situations are a lot more complex: having a behavioral health issue, health issues coupled with long-term trauma issue, instability financially.
Lee Girard
57
Community Services ManagerMultnomah County Aging, Disability and Veterans Services
![Page 58: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/58.jpg)
Barriers
One way was about 3 hours, and then sitting there and doing the assessment, go through the home and see what the needs are, and then driving back is one whole day.
Melissa Howtopat
58
Care Coordinator, Region 9 AAA
![Page 59: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/59.jpg)
Challenges related to Behavioral Health• Stigma
• Older adults (e.g., depressed, isolated) often invisible
• Workforce is unprepared
• Accessing behavioral health services • Finding willing providers knowledgeable about aging
• Age appropriate services
• Transportation
• Financial constraints
• Eligibility requirements
59
![Page 60: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/60.jpg)
Bridging service gaps
60
![Page 61: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/61.jpg)
What behavioral health services staff should know
61
![Page 62: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/62.jpg)
So generally, we say if you have a question about whether you are eligible or not, go head give us a call.
Lee Girard
62
![Page 63: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/63.jpg)
What behavioral health services staff should know
• Awareness of services for all people, not just older adults, people with disabilities, people with restricted income or long-term care needs
• There are a lot of supports within the aging system that are prevention-focused
• ADRC and AAA evidence based programs
• Individuals with capacity have the right to make their own decisions
• If you have a question or have identified a need, call
63
![Page 64: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/64.jpg)
Bridging the gaps
64
![Page 65: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/65.jpg)
Acknowledgements
This training was developed by Portland State University on behalf of Oregon Health Authority, Health Systems Division
65
![Page 66: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/66.jpg)
Special thanks to:Interviewees• Lavinia Goto, Project Manager, Long Term Support Services Innovator Agent,
NorthWest Senior and Disability Services
• Lee Girard, Community Services Manager, Multnomah County Aging, Disability and Veterans Services
• Melissa Howtopat, Care Coordinator, Region 9 Area Agency on Aging, The Dalles
• Paul Iarrobino, Program Manager, Multnomah County Aging, Disability and Veterans Services
• Tara Manitsas, Peer Mentoring Coordinator, NorthWest Senior and Disability Services
66
![Page 67: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/67.jpg)
Special thanks to:Oregon Health & Science University EdCOMM:
• Manager, Creative Services: Larry Dlugas
• Photography: Jeff Ball, Aaron Bieleck and David Wakeling
• Videography: Jeff Ball, Steven Wong, Jr. and David Wakeling
• Editing: David Wakeling
Editing by Karen R. Jones
Narration by David Loftus
67
![Page 68: Serving Older Adults with Behavioral Health Needs Services... · Serving Older Adults with Behavioral Health Needs ... •Provide an overview of aging and disability services in Oregon](https://reader031.vdocuments.mx/reader031/viewer/2022022603/5b5aec7b7f8b9a885b8cfa0b/html5/thumbnails/68.jpg)
This training was prepared by Portland State University
• Project Director: Diana White
• Project Co-director: Linda Dreyer
• Project Manager: Natasha Spoden
• Project Staff: Alan DeLaTorre, Aubrey Limburg, Julie Reynolds, Megan Rushkin and Sheryl Elliott
• Project Graduate Research Assistants: Candace Lewis Laietmark, Litxia Barrett and Lu Pang
• Project Staff Support by: LeAnne Fettig
68