Supporting Family Caregiving Whats New in Minnesota

1
Supporting Family Caregiving Whats New in
Minnesota

• 2009 Age and Disabilities Odyssey
• Presentations By
• Sue Wenberg, MN-DHS-Aging Division, National
  Family Caregiver Support Program Lead
• Donna Walberg, Minnesota Board on Aging,
  Alzheimers Demonstration Project Manager
• Jane Vujovich, MN-DHS - Aging Division, Nursing
  Home Diversion Program Manager
• August 17, 2009

2
Todays Session

• Minnesotas Caregiver Support System and key
  components older adult focus
• Updates on new federal and state initiatives and
  interventions
• Inter-relationships between services and
  interventions
• Summary and questions
• Contact information

3
Background

• Family/informal caregivers (definition)
• A federal and state priority
• Fill huge gaps in health and long-term care
  services (provide 7.1 billion per year in unpaid
  care)
• But they are not taking care of themselves!

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Caregiving The Economic Value

• Estimated value of caregiving provided to adults
  in Minnesota is3
• 7.1 Billion, or
• 7,100,000,000
• Every 1 decline in caregiving costs the State
  30 million4.

5
Caregiver Health Status

• Caregiving can provide uplifts, but takes a toll
  on caregivers health
• Two recent studies report on caregiver health
  status2,3
• Lack of energy and sleep (87)
• Stress and/or panic attacks (70)
• Pain (60)
• Depression (52)
• Average annual out-of-pocket 5,531

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Caregivers ServiceNeeds Wants

• Saves time
• Provides rest
• Reduces stress
• Shows caring
  

Source Caregivers in Decline Health Risks of
Caring for a Loved One. Evercare in
Collaboration with NAC. Sept. 2006
7
MBA/DHS Vision

• Minnesota caregivers will receive the support
  they need to care for an older adult
• Overall Goal To prevent further declines in
  caregiving resulting in increased use of more
  costly forms of long-term care

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Caregiver Outcomes

• Reduce caregiver stress and depression
• Increase self-mastery skills, confidence and
  coping
• Decrease problem behaviors (care receivers)
• Increase informal support network
• Increase satisfaction with role

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System Outcomes

• Earlier acceptance of help
• Increase the quality of care for older adults
  without negative impacts on caregivers health
• Delay nursing facility placement and more costly
  forms of care
• Prevent spend down to Medical Assistance

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Key Target Populations

• Caregivers with high levels of stress, including
  caring for another person with the following
  needs/issues
• Intense physical care needs
• Behavioral issues
• Health and safety issues
• Caregivers who report their own health as poor to
  fair health
• Caregivers with financial hardship
• Caregivers with intent to place loved one in a
  nursing facility or assisted living

Spillman, B. Does High CG Stress Lead to NH
Entry? DHHS Office on Disability, Aging and LTC
Policy. 2007.
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Key CG Support System Features

• Caregiver centric
• Targeted
• Person centered
• Accessible
• Interconnected
• No wrong door approach

• Serves diverse caregivers
• Dementia capable
• Evidence based/informed interventions
• Sustainable

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System Components

• Comprehensive services/supports
• Targeted, dementia capable
• Multiple coordinated access and referral points
• Evidence-based/informed interventions
• Strong staff development program
• Quality assurance program
• Data/reporting systems

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Caregiver Services
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Accomplishments

• Caregiver coach service development, curriculum
  training
• Implementing TCARE (Tailored Caregiver
  Assessment and Referral) process
• Memory Care Interventions
• Regional respite and adult day services
• Consumer directed models

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Thanks for Your Participation!

• Susan Wenberg , DHS, Aging Division, Family
  Caregiver Support Program Administrator
  Principal
• Sue.Wenberg_at_state.mn.us
• Donna Walberg, Minnesota Board on Aging,
  Alzheimers Disease Demonstration Grants Manager
• Donna.K.Walberg_at_state.mn.us
• Jane Vujovich, DHS-Aging Division, Nursing Home
  Diversion Grant Program Manager
• Jane.Vujovich_at_state.mn.us