CIL-NET Presents… IL Skills Training for Nursing Home Transition

CIL-NET Presents… IL Skills Training for Nursing Home Transition A National Teleconference & Webcast Tuesday, May 5, 2009 3:00 PM – 4:30 PM EDT

Welcome • Housekeeping

Introductions • Our Presenters Today: • Bruce Darling & • Jane Schiele

Our Focus: Identify, Learn (or Relearn) Independent Living Skills • This is one piece of the entire transition process – not a global training on the entire transition from nursing facility to community process.

Peer to Peer Approach • Independent Living by using a Peer to Peer approach – Non Hierarchical • Start to rid the person of the hierarchy that was imposed since day one at the nursing facility. • Empowerment – Listen to the individual’s experience as a peer and mentor.

Common Skills Needed In Transition • Personal Care/Attendant Management • Meal Planning/Preparation • Household Management

Common Skills Needed In Transition • Self Advocacy • Mobility/Travel Training • Budgeting • Socialization/Interpersonal Skills

Assessment – Working together to Identify IL Skills Needed • Identify Independent Living Skills together for best success in the community. • Use a checklist such as in the ABCs of Nursing Home Transition to make sure you cover all the points that can impact successful transition (MSWord or PDF). • Remember - Some of these much needed Independent Living Skills were not taught or were lost in the nursing facility.

Assessment – A Nonjudgmental Approach • A Nonjudgmental Approach is Critical to Success • People who feel that disclosing information will prevent them from transitioning, will not share critical information • Empathy

Assessment - Get Curious • Get to know the person in a “curious sense” not clinical. • Questions to ask: • What were their interests before entering the nursing facility? • What hobbies/activities have they kept up while in the nursing facility? • What are their passions/dreams?

Assessment – Questions to Ask • If the person had a disability prior to entering the nursing facility, did they enter the facility due to not knowing important independent living skills? • If so it may be important as the transition facilitator to teach these essential skills or to support the person in finding the right resources.

Assessment – Questions to Ask • Did the person go into the nursing facility because of acquiring a disability? • If the individual did not have experience living in the community with a disability, peer support and modeling is critical to a successful transition back into the community.

Assessment – Getting back into the community • Plan an outing to a coffee shop. This trip will utilize multiple skills such as planning the trip, travel skills, money management, communication skills, establishing a comfort level of being in the community and offer you a chance to support the individual and assess what skills need to be taught.

Questions & Answers 14

Teaching Independent Living Skills • Prioritize with the individual which skills they would like to learn first. • If you don’t have the luxury to prioritize, teach in the moment • As the needed skills become obvious, take the time to teach or re-teach the skills. • Use what services your center is already offering. • IL skills classes, Peer Groups, and individual peer mentoring.

Teaching Independent Living Skills • IL Skills Class: Dealing with people/Communicating skills • Learning to communicate your needs

Teaching Independent Living Skills • Peer to Peer Support/Mentoring • Overcoming Learned Helplessness • Empathy • Excellent Listening Skills • Problem Solving Together

Teaching Independent Living Skills • One on One: Money Management

Teaching Independent Living Skills • Modeling/Doing it: • Travel Training • Going to a Coffee Shop Together • Offer positive feedback

Teaching Independent Living Skills • Working with the Nursing Facility • Attendant Management Give the person a real life opportunity to learn and take control of their life before the transition.

Teaching Independent Living Skills • Informal “Skills Training”: Self Advocacy/Learning how to (re)claim your life • Speaking to workers at Social Security office • Talking to the landlord • ADAPT

Integrate! • Get the individual involved while they are still in the nursing facility. • Bring your center’s IL skills class to the nursing facility • Travel training… Make a stop at the nursing facility and bring a person along from there

Integrate! • Cooking class…Bring people into your center from the nursing facility and offerthem an opportunity to have some “home cooked” food. • Advocacy class… Invite people transitioning to your classes while in the nursing facility. Teach activism!

Integrate! • Peer Support! Invite folks to your center for peer support groups. Develop that social network! • Connect to those who have already transitioned out of a facility • Volunteer at the center

Teaching Independent Living Skills • How do I do this if our center is not doing a lot of transition? • Develop a peer support group and invite people from the nursing facility. • Ask nursing facility social workers for referrals to your IL skills program • Offer to do a group at the local nursing facility • Ask your local ombudsman program for referrals

Questions & Answers 26

Additional Resources The ABCs of Nursing Home Transition • MSWord: http://ilru.org/html/publications/olmstead/IL_NET/ABCs_Transition.doc • PDF: http://ilru.org/html/publications/olmstead/IL_NET/ABCs_Transition.pdf

CIL-NET Presents… IL Skills Training for Nursing Home Transition