Presentation on theme: "Lorn Gingrich, LCSW-R National Social Work Program Manager"— Presentation transcript:
1Implementing the HPPAE model in VA Social Work Graduate Education-GRECC Pilot Project Lorn Gingrich, LCSW-RNational Social Work Program ManagerCare Management and Social Work ServicesDepartment of Veterans Affairs: VA Central OfficeNovember 2, 2013
2Social Work in VALargest employer of social workers with nearly 11,000 master’s prepared social workersLargest graduate social work training programTrain over 1100 MSW interns each yearOffered 879 stipends last year; 49 GRECC SW stipendsAffiliated with over 180 graduate schools of social workLicensed independent practitionersLeaders in psychosocial care of Veterans, families and Caregivers-Update from Pat’s slide-nearly 11,000 now.-The GRECC stipends must be used in the GRECC setting; general stipends may be used in the GRECC setting as well-All VA Swers must be licensed in a state
3VA Social Work: Mission and Vision Mission: The mission of VA Social Work is to maximize health and well- being, through the use of psychosocial interventions for Veterans, Families and CaregiversVision: VA Social work will be the preeminent leader, setting standards for innovative psychosocial care and treatmentThis will be accomplished by developing and maintaining integrated quality programs in patient centered care, informed and evidence based practices, community partnerships, research, education, health promotion and disease prevention
4VA Social Work: ValuesValues: VA Social Workers are advocates for the optimal health and well-being ofVeterans, Families and Caregivers. Our Core Values are to:Respect the dignity and worth of the individualAppreciate the Veteran within his or her family and socio-cultural environmentEmpower the Veteran as the primary member of their health care teamRespect the distinctive role and expertise of each member of the health care team with the Veteran at the centerAdvocate for systems changes that are responsive to Veteran’s evolving needs with a focus on at-risk populationsPromote a learning environment that fosters knowledge, enhances clinical social work practice, and advances leadership and administrative excellenceExemplify and model the highest professional and ethical standardsPromote conscientious stewardship of organizational and community resources
5National Social Work Program Social Work is woven into the fabric of VA health care in the Department of Veterans AffairsPrimary focus of social workers in VA is to assist Veterans and their families/Caregivers in resolving psychosocial, emotional and economic barriers to health and well-beingSocial Work brings a unique program of clinical practice supported by professional values and skills, education and training, program development, professional standards, accountability, and researchSocial Work provides a major link for Veterans and families with VA facilities and with the community
6Today’s VeteransThis demographic is key; we are providing services to a geriatric population in every clinical area of the medical center. This opens up myriad opportunities for rotations for social work students into many clinical areas and programs during their graduate education with VA.AGE(Under Secretary for Health, Veterans Health Administration)
7Social Work and Care Coordination for Older Adults Social Workers play an integral role in care coordination and service delivery for older adultsAdvanced illnessMultiple chronic conditionsCaregiver stress and strainFacilitate access to health and psychosocial servicesImprove health outcomesDecrease health care costsSupport aging in placeIdentify resources to maximize functioning and independenceArrange home and community based servicesSocial work expertise is critical to navigate complex health and social service systems of care for older adults
8Caring for Older Veterans VA offers an array of non-institutional and institutional home and community focused programs to support older Veterans, their families and Family CaregiversInstitutional CareContract Nursing HomeResidential CareMedical Foster HomeNon-institutional CareHome Based Primary CareAdult Day Health CareHomemaker/Home Health AidRespite CareSkilled Nursing Home CareCaregiver Support
9Home and Community Care Services Home Based Primary Care (HBPC)Provides comprehensive, interdisciplinary, primary care in the homes of Veterans with complex medical, social, and behavioral conditions for whom routine clinic-based care is not effectiveHomemaker Home Health Aide (H/HHA)Permits VA to pay for homemaker and home health aide assistance for VeteransVeterans Directed Home and Community Based ProgramsVeteran and their family Caregiver will: manage a flexible budget; decide for themselves what mix of services will best meet their personal care needs; hire their own personal care aides, including family or neighbors; and purchase items or services to live independently in the communityPurchased Skilled Home CareProfessional home care service that is purchased from private-sector providers at every VA medical center
10Home and Community Care Services RespiteProvides Veterans with short-term services to give the Caregiver a period of relief from the demands of daily care for the chronically ill or disabled VeteranCaregiver Support ProgramProvides Veterans and their family Caregivers with a menu of VA Services such as in-home care, respite care, services to address mobility issues, education and training, financial support, information and referral and caregiver supportAdult Day Health CareA therapeutically oriented outpatient day program that provides health maintenance and rehabilitative services to frail elderly and functionally impaired Veterans in a congregate setting
11Community Care Services Community Nursing Home Contract Program (CNH)Provides long term care services through contracts with community nursing homes to match the Veterans' geographic preferences and institutional long term care needsCommunity Living CenterProvides compassionate care to eligible Veterans with sufficient functional impairment to require the level of service and skill available in VA Community Living Centers (VACLC) Palliative Care ProgramThis program is designed to focus on the quality of life and comfort for a Veteran with an advanced disease that is life-limiting. Hospice and Palliative Care supports a balance of comfort measures, interventions and provides bereavement care to the Veteran's family
12Community Care Services Community Residential CareThis program provides health care supervision to eligible Veterans not in need of hospital or nursing home care but who, because of medical and/or psychosocial health conditions as determined through a statement of needed care, are not able to live independently and have no suitable family or others to provide the needed supervision and supportive careMedical Foster Home (MFH)A type of Community Residential Care (CRC) home chosen by the Veteran who is unable to live independently, as a preferred means to receive family-style living with room, board, and personal care; Veteran is receiving HBPC services in the MFH
13Social Work Care Coordination with Older Veterans Social workers coordinate many Long-Term Care Programs:Community Nursing HomeHomemaker/Home Health AideContract Adult Day Health CareRespite CareMedical Foster HomeCaregiver Support
14VA SW/GRECC/HPPAEImportant collaboration with the John A. Hartford Foundation’s Geriatric School of Social Work Initiative, VA Social Work and Geriatric Research Education Clinical Center (GRECC) and the Social Work Leadership Institute utilizing the Hartford Practicum Partnership in Aging Education (HPPAE) modelCompetency-based geriatric social work graduate internshipsStrengthen capacity of social work to address the health and psychosocial needs of older adultsKey to the HPPAE model is
15Important Aspects of Care Coordination Early identification of psychosocial issuesEarly education and interventionEncourages exploration of alternatives to careReduces risk for hospitalization or institutionalizationReduction in utilization of health care resourcesHelps monitor the status of the Veteran between provider contactsEnhances connection to Veteran’s local community
16Impact of VA Social Work Social Workers are not just “value added”Social workers are essential members of interdisciplinary treatment teamsSocial workers are critical in increasing health care supports and service delivery and reducing costSocial work participates in the development of programs and services to meet the changing needs of our Veterans resulting in significant contributions of our profession
17The VHA GRECC ProgramIn the 1970s the Veterans Health Administration began planning to meet the challenges the aging World War II Veteran population would present. At the time the field of geriatric medicine was rather small, so to help grow the field and develop the infrastructure necessary to handle the complexities such a large influx of elderly patients would present the Geriatric Research Education and Clinical Centers (GRECCs) were developed. GRECCs were meant to attract scientists and health science students to the field of geriatrics in order to help increase the basic knowledge of aging, transmit this knowledge to health care providers, and improve the quality of care delivered to elders.
18The VHA GRECC continued Each GRECC contains a research component, a education component, and a clinical component. Currently there are 20 GRECCs which compete for research grants to conduct basic laboratory research on the origins of aging and the diseases commonly associated with it as well as research how care is delivered to elders and the effects of rehabilitation. GRECCs help disseminate existing knowledge of geriatrics and new discoveries gained through research by offering regular educational events and products such as national conferences, regional conferences, telephone and video conferences, special fellowship programs to train physicians in geriatric medicine, conducting grand rounds and journal clubs, and producing peer reviewed papers and other materials such as newsletters, CD-ROMs, and web based presentations. The GRECCs also work with clinical staff in VA medical centers to provide care to elderly Veterans and demonstrate new and improved ways for that care to be delivered.
19GRECC continuedGRECCs are not meant to be large enterprises but centers of excellence with a core staff equaling 12 full time employees. Each year these small research units publish hundreds of peer reviewed articles, provide thousands of person hours in geriatric education, and are awarded millions of dollars in research grants. More significantly they provide care to the aging Veteran population while at the same time training many of the healthcare professional which will provide that care for years to come
20GRECC/HPPAE PilotGiven the synergy between the HPPAE model of geriatric graduate social work education and the GRECC model of education, research, and practice, tremendous opportunity to integrateProposed to GRECC leadership, Dr. Kenneth Shay, and Office of Academic Affiliations, Dr. Robert Zeiss acceptedPartnership established in 2010:VAJohn A. Hartford FoundationSocial Work Leadership Institute (New York Academy of Medicine)To facilitate development of advanced competencies in geriatric social work practice in VA and encourage young social workers to enter the field of geriatrics.VA a natural support for rotational model of training, interdisciplinary collaboration, and an emphasis on education- distance learning, on-line trainings, in-house trainings and presentations, and case conferences.VA has students and trainees from a wide variety of fields at all times, and one of the pillars of the VA mission is education.
21Partnership GoalEnhance education of MSW social work students to develop specific competencies in working with geriatric populationsFramework for collaboration to advance preparation of the profession of social work in geriatric issuesBring together our mutual interests and complementary resources to further this goalOAA- Provide student stipendsSocial Work -Provide preceptors and supervision for social work internsGRECCs -Provide geriatric education and interdisciplinary trainingHartford Foundation – develop local partnerships with schools of social workSWLI – provide orientation, consultation and mentorship through implementation of the HPPAE social work education model
22Pilot ProjectToss back to Pat for slide 17 onward
23Questions or need to contact: Lorn Gingrich, LCSW-R National Social Work Program Manager (518)