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Slide 52 -
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“Creating a NOVA Regional AAAG” Objectives
Describe Alcohol and Aging Awareness Group
Define purposes of a regional alcohol and aging coalition
Outline elements to consider when identifying advantageous players/partners
Review process for assessing regional needs and developing goals/strategies
Discover resources materials available
Understand factors that contribute to sustainability of coalition
Definition of a Regional Alcohol and Aging Coalition Common Interest
Diverse group of agencies, organizations and individuals
Provide education, training and resources on use of alcohol and medications as adults age
Network to avoid duplication of efforts
Independent entity
Goal: Educate and improve availability and quality of screenings and services Formed March 2007 HB 110 (2006 Session) amended VA Code § 2.2-5510 Each state agency include in strategic plan “analysis of the impact the aging of the population will have on its ability to deliver services, a description of how agency is responding to these changes…” History of AAAG Virginia Department of Alcoholic Beverage Control collaborated with Virginia Center on Aging and Virginia Department for the Aging
Convened key state stakeholder meeting
Learn what was available re older adults and alcohol and medication misuse
Identify gaps in services
Establish points of collaboration
Agencies represented in AAAG Dept. of Alcoholic Beverage Control
Dept. for Aging
Dept. of Health
Dept. of Medical Assistance Services
Dept. Behavioral Health and Developmental Services
Dept. of Social Services
VA Assn of Area Agencies on Aging
VA Hospital and HealthCare Assn
2-1-1 VA
VCU, Section of Geriatrics - Internal Medicine & Psychiatry-
VCU School of Pharmacy
VA Center on Aging, School of Allied Health, VCU
Attorney General’s TRIAD/S.A.L.T. Council
Mid-Atlantic Addiction Technology Transfer Center
SeniorNavigator
VA Beer Wholesalers Assn
VA Poison Center
Organizational Structure Chair
Regina Whitsett
VA ABC Secretary Communication Officer
Tishaun Harris-Ugworji VDSS Vice Chair
Elaine Smith
VDA AAAG Treasurer
Steve Ankiel
VDMAS Membership & Marketing
Tishaun Harris-Ugworji VDSS and Kathleen Shaw VA ABC
Resources
Linda Phelps, VA ABC
Training Service Providers
Constance Coogle VCoA and Sally Holzgrefe, ATTC
Education of Individuals
Evelyn Waring, VA Poison Center and Elaine Smith, VDA t Organizational Structure and Financial Sustainability
Regina Whitsett VA ABC AAAG Vision & Mission
Virginians aging successfully, safe from alcohol and medication misuse.
To be the leader in providing education, training and resources on the use of alcohol and medications as adults age.
AAAG Goals 1 Increase regional/statewide membership
2 Develop sustainable organizational structure/ financial resources
3 Educate individuals about use of alcohol and medication as adults age
4 Train service providers to implement prevention/intervention best practices w/aging adults using alcohol/medications AAAG Goals Continued 5 Research, develop, maintain information on alcohol, medication and aging for dissemination
6 Propose or support legislation that focuses on Mental Health, Aging, Addiction, Recovery and Treatment of Older Adults
The Hidden Epidemic, Alcohol, Medication and the Older Adult 2008 Conference
April 29, 2008
220 Health and Social Workers
Debra Jay, Hazelden expert, Oprah Winfrey Show guest
3 DVD set available
Get Connected Toolkit
SAMHSA developed with NCOA and U.S. Administration on Aging
Trained 65 service providers September 2008
http://www.samhsa.gov/
OlderAdultsTAC/docs/Get_Connected_
ASA_NCOA_%20021607FINAL.pdf
The Hidden Epidemic Best Practices 2009 Conference April 7, 2009
Trained 168 service providers
Dr. Frederic C. Blow, University of Michigan
Carol Colleran,
Hanley Center, Florida
DVD recording available
AAAG Results
Membership – 85 (60 agencies)
Service Providers trained 1,050
including 400 physicians
Literature disseminated-450,000
Participated in approximately 40
exhibit fairs
DVDs disseminated-150
AAAG Speakers’ Bureau
Govenor’s Substance Abuse Services Council
Commonwealth Council on Aging
VA Assn of CSB
VA Assn of Community Psychiatrists
VA Assisted Living Assn
American Medical Directors Assn
VA Geriatrics Society
VA Pharmacy Assn
Over 109 venues, reaching more
than 8,130 individuals
Best Is Yet to Come Commercial Aired in Richmond/Petersburg, Roanoke/Lynchburg, Harrisonburg/Winchester (April/May/June ‘09)
Aired in Hampton Road/Newport News (April/May ‘10)
NOVA (April ‘11)
Viewing market to date more than 2.5
“fifty-plus” adults
Evaluation data:
SeniorNavigator web site
searches increased 4-7% and
211 Virginia increased calls
Physician Training Screening, Brief Intervention and Referral
to Treatment (SBIRT) training
INOVA Fairfax Hospital, Nov ’09 (32)
SBIRT at Virginia Geriatrics Society Conference, April ’10 Dr. Frederic Blow – (325)
Hampton Newport News and Alexandria CSB Jan/April ’11 (23 and 18)
CEAGH Sept ’11 (30)
Web Based Traininghttp://vacsb.elearning.networkofcare.org Partnership with VA Assn of Community Service Boards
3 web based training sessions launched May ‘10
Complimentary
Pre/post tests, videos,
and power points
Over 375 service providers
trained
Contact Hour certificates
and CEUs available
Strategic Plan
Fiscal Year 2011-2012
September 2010 Establishing a Regional Alcohol and Aging Coalition Maximize use of limited resources
Older adults as focal point
Primary intention: Promote successful aging by addressing potential for alcohol and
medication misuse
Ongoing process Benefits of a Regional Alcohol and Aging Coalition 1. Information and Referral Coordination
2. Improved Collaboration
3. Professional Development
4. Credibility and Clout
5. Enhanced Service Planning
NCMHA, 2001
Information and Referral Coordination Alcohol related treatment services poorly coordinated within aging service system
Lack of geriatric professionals and cross-training
Interagency service coordination maximizes resources
Create regional resource and referral lists Improved Collaboration Increased awareness addresses fragmentation
More expedient and effective access to services
Aging/Mental Health collaboration (http://nrepp.samhsa.gov)
Virginia vs. Florida comparison1
AAA and CSB collaboration
1 Coogle & Hellerstein, Southern Gerontologist, XXII(3-4), 2010 Professional Development Increase members’ knowledge base
Regional service provider trainings
Identify local trainers/conference organizers and target audiences
Implement Get Connected Toolkit training locally1
1SAMHSA/NCOA Credibility and Clout Enhanced “clout” with general public, officials, and legislators1
Regional coalitions can target their local media markets
GSASC and CCOA presentations
Increase relevance of state and regional coalitions
1 NCMHA, 2001
Enhanced Service Planning Share needs assessment data and service planning information
Existing service gaps better identified and addressed
Collaborative planning, enhances service delivery to older adults1
1 Lebowitz, Light, & Bailey, Gerontologist, 27(6), 699-702, 1987.
Meeting Beneficiaries Expectations and Requests
Requests from individuals and organizations a priority
Needs assessment data will reveal customers
Track requests to determine where efforts need to be focused
Regional expectations and requests may be different from state level Continuous Assessment Where is the problem occurring?
What are the high-risk settings?
Who is affected?
Community Anti-Drug Coalitions of America, 2009
http://www.cadca.org/resources/detail/assessment-primer Regional Coalition Components and Considerations Identifying the players and partners
Structuring the initial meeting
Maintaining momentum
NCMHA, 2001
Who should be at the Table: Players and Partners Membership will inevitably evolve along with varying priorities and directions over time
But a core of committed members initially engaged will ensure longevity and stability
Members have dual function:
Connect coalition with stakeholders and
Spread coalition’s influence Shared Commitment and Vision Passionate leadership
Appreciation for the client-centered approach and “wraparound” services
The Principles of Care for Older Adults with Mental Health and Substance Abuse Treatment Needs (mhaging.org/pubs/spring-04.htm#older) The Imperative of Diversity Balanced representation
Promotes a broad-based membership
Racial, ethnic, and linguistic diversity
Membership should reflect the community
Recruitment can extend beyond natural allies
Important Coalition Members Universities (students and faculty)
Balance community interests and research goals1
Physicians
VCU School of Medicine
VA Medical Society
VA Hospital and Healthcare Assn.
1 Coogle & Hellerstein, Gerontologist, 50(Suppl 1), 2010
The Initial Meeting Establishing Regional Leadership
Facilitator, meta-expert, visionary, strategist, broker, spokesperson, and coordinator1
Shared leadership can be achieved through an Executive Committee (Chair, Vice Chair, Secretary and Treasurer)
Identifying Regional Needs and Resources
Needs assessment2
Qualitative and quantitative methods
Resource assessment
Regional Alcohol and Aging Assessment Tool
Developing Goals and Strategies
Long- and short-term goals3
AAAG Strategic Plan model4
1 CADCA, 2009, www.cadca.org/resources/detail/capacity-primer
2 CADCA, 2009, www.cadca.org/resources/detail/assessment-primer
3 NCMHA, 2001, www.omhac.org/images.How%20To%20Manual%20New.doc
4VABC, 2010, www.abc.virginia.gov/Education/olderadults/AAAG_StrategicPlan.pd Virginia’s Older Population Today According to the 2010 US Census,
there are 976,937 Virginians (12.2%) aged 65+
Center for Gerontology at Virginia Tech 2010 US Census NOVA’s Older Population According to the 2010 US Census,
there are 82,886 residents (7.5%) aged 65+
Center for Gerontology at Virginia Tech 2010 US Census Here Come the Baby Boomers! 2,168,964 Virginians aged 45-64
make up 68.9% of all residents aged 45+
Center for Gerontology at Virginia Tech 2010 US Census
Here Come the Baby Boomers to NOVA! 265,821 people aged 45-64
make up 76% of all residents aged 45+
Center for Gerontology at Virginia Tech 2010 US Census
Primary Diagnosis: Drug Problem Hospital Admissions - Virginia Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc. Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc. Primary Diagnosis: Drug Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc. Primary Diagnosis: Drug Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc. Primary Diagnosis: Alcohol Problem Hospital Admissions - Virginia Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc. Primary Diagnosis: Alcohol Problem Hospital Admissions – NOVA Center for Gerontology at Virginia Tech VA Hospital & Healthcare Assoc. Primary Diagnosis: Alcohol Problem Hospital Admissions – NOVA Conclusion Determined need for regional coalitions
in AAAG Strategic Plan
Establishment of regional coalitions will break through existing barriers
Information dissemination, education, training and resources more effectively addressed at regional level
AAAG resources, $, guidance, assistance available
Two way street – Regional coalition to AAAG and back
Next meeting AAAG Funding Funding received to date - $156,777
Grants, budget line items, donations
Funding subcommittee
$2,500 available to start NOVA AAAG
NOVA Involvement in AAAG 5 Presenters - 40 attendees at three conference/trainings
Speakers’ Bureau – 2 from NOVA
Goodwin Bailey House presentation-25 staff
Grand Rounds Mary Washington-50
INOVA SBIRT Training-32
Alexandria CSB SBIRT Training – 18
NVAN presentation Nov 2010
Arlington SA Commission presentation May ‘11
NOVA Regional support of AAAG Join AAAG
Disseminate education materials in NOVA
Place videos in NOVA aging libraries
Place AAAG articles in NOVA publications
Add AAAG web site link to NOVA web sites
Identify service gaps/barriers to prevention/intervention among older adults with substance abuse
Establish NOVA Regional AAAG
Promote referrals between AAAs and CSBs
Write letters/reports requesting or recommending AAAs and CSBs receive and implement SBIRT training
NCMHA 2001, p. 24 “The effectiveness of the coalition does not fall on the breadth of its membership, but instead on the depth of its cohesiveness and feeling of common cause.” Regina Whitsett
VA ABC Education Coordinator and AAAG Chair
Regina.Whitsett@abc.virginia.gov
(804)213-4445
Constance L. Coogle, Ph.D
Virginia Center on Aging
School of Allied Health Professions
Virginia Commonwealth University
ccoogle@vcu.edu
(804) 828-1525
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