Mn Family memory care initiative

1
Counseling the Family Caregiver of Someone with
Dementia

• Mn Family memory care initiative
• Age Odyssey
• Rochester, mn
• August 17, 2009

2
The Intervention Structure

• Screening/Assessment
• 1 Individual Meeting
• 4 Family Meetings
• Final Individual Session
• Ad Hoc Calls
• Support Group Participation
• Reassessments at 4,8, 12, and every 6 months
  thereafter

3
Who Participates?

• Alzheimers Association
• 12 spouses (7 males, 5 females)
• Age range/Education (71-87)
• Caucasian
• Family size 1-5
• Carlton County
• 15 spouses (4 males, 11 females)
• Age range/Education (70-87)
• Caucasian
• Family size 1-8

4
Who Participates?

• Waseca Medical Center/Mayo Health Systems
• 7 spouses (2 males, 5 females)
• Age range/Education (70-86)
• Caucasian
• Family Size 1-7

5
Why is this so successful?

• The alliance between the spouse, family, and
  coach
• The plan
• Education about the disease knowledge is power!
• The family

6
Some Participants Have Said.

• If it werent for this program, my mom would
  definitely be in a nursing home.
• This sent me to get help for myself.
• This brought my family closer together. My son
  actually calls and wants to visit!
• It helped me manage my stress better and
  offered encouragement to me and my family.

7
Challenges

• Reluctant family members (denial)
• Spouse feels pressure from family to participate
• Over-involved family members
• Scheduling
• Time commitment (4-6 months)
• Coach challenges (assessment, recruitment)

8
What does the Data Suggest?

• Family memory care works!

9
Incorporating Intervention into Practice

• Components include
• Training
• -Caregiver Coach
• -T Care
• -Family Systems
• -Alzheimers Disease Advanced Training
  
• -Learning the Intervention Itself
• Assessment Structure

10
Incorporating the Intervention into Practice
continued

• Funding
• Recruitment
• Maintaining Fidelity
• Assessment
• Counseling
• Family Meetings
• Evaluation/Feedback

11
Questions?

• Heidi Haley-Franklin
• (heidi.haley-franklin_at_alz.org) 952-857-0527
• Kristine Dwyer
• (kristine.dwyer_at_co.carlton.mn.us) 218-878-2893
• Kristin Sjolie
• (sjolie.kristine_at_mayo.edu) 507-837-4171