Building Momentum for Optimal Aging in Canada

Transcription

1 Building Momentum for Optimal Aging in Canada The Fountain of Health Initiative for Optimal Aging Keri-Leigh Cassidy David Conn Cindy Forbes Dilip Jeste Mark Rapoport Fountainofhealth.ca 1

2 Faculty/Presenter Disclosure Faculty: Keri-Leigh Cassidy Relationships with commercial interests: Grants/Research Support: None Speakers Bureau/Honoraria: None Consulting Fees: None Other: None

3 Disclosure of Commercial Support This program has received financial support from outside organizations via unrestricted educational grants. This program has received no in-kind support from outside organizations. Potential for conflict(s) of interest: None

4 Key Learning Objectives 1. Understand the current Canadian directions in seniors mental health promotion in public education, clinical practice, research and advocacy 2. Appreciate the alignment of national mandates (CAGP/ CCSMH/ CMA) and need for collective leadership by our field in building momentum for healthy aging in Canada 3. Learn about key opportunities to contribute to help build momentum for optimal aging and Positive Psychiatry in Canada, and beyond

5 FoH: Alignment With growing senior population, there has been an international call effective seniors mental wellness promotion, including from: WHO & Age Friendly communities Mental Health Commission National Guidelines CMA Demand a Plan/ National Seniors Strategy Alzheimer Society (Rising Tide document) CCSMH mandate; Bold for the Old Forum CAGP mission and vision.

6 FoH Alignment. See our CAPG s mission statement: Mission: To promote the mental health of Canadian seniors Vision: "To provide leadership in partnership opportunities that promotes seniors mental health We have a strong mandate to promote mental wellness/ brain health in seniors!

7 Who is doing this work? Some national programs to improve SMH: Age Friendly Communities Indirect impacts on SMH Alzheimer Society- Heads Up for Healthy Brains (dementia) CMHA Living Life to the Full (applications to seniors) CCSMH & CAGP- Public education and clinical guidelines; seniors mental illness the major focus to date Fountain of Health Initiative for Optimal Aging: Currently is our main national initiative specifically focused on seniors mental health promotion Above stakeholders are on National Leadership Team

8 Pecha Kucha Dr. David Conn VP Education, Baycrest Public Education Dr. Keri-Leigh Cassidy Program Director, Dalhousie University Clinical Tools Dr. Dilip Jeste Director, UCSD Stein Research Institute Research Dr. Cindy Forbes Past President, CMA Advocacy

9 Education (DC) Public

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12 When to use mass media public education campaigns When wide exposure desired When urgent When public discussion likely to facilitate When awareness is the main goal When media are onside When back-up programs can be provided Long-term follow-up is possible When a generous budget exists $$$ When the behavioural goal is simple When the agenda includes public relations

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15 FoH Clinical Tools (KC) Meet the Criteria : Public Education for healthy aging is needed because: Wide exposure desired Public discussion likely to facilitate Awareness is main goal Clinician Tools offer the following: Back-up programs Long-term follow-up Simple behavioural goal

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17 FoH Public Education Tools FoH Website: 3 minute video Take FoH Quiz Learn more: 5 key areas (set a goal) Resources page Evidence-base Peer Leadership: Materials for peer-led groups Speakers bureau: Invite an expert

18 FoH Clinician Tools: Health Behaviour Change Interactive website 1) 30 sec: Share website; FoH tear-off 2) 3 min: FoH Quiz, FoH Video 3) 5-10 min: FoH Handbook 4) min x 2-3 Visits: FoH Clinician s Guide L.I.N.K. model SMART goals Follow Up/ Goal attainment 5) 2 hours x 9 weeks: Enhanced CBT Group for Depressed/ Anxious Seniors

19 UCSD Stein Research Institute (DJ) Key initiatives in research in optimal aging: UCSD Think Tank Healthy Aging Workgroup Canada s FoH initiative is featured in both Paper in progress on AFC, includes highlighting Canadian successes in AFC through FoH

20 Positive Psychiatry Research in Canada 1) World Aging and Brain Health Institute International Think Tank in June 2016 Leading Canadian researchers in CBT, health promotion, thoughts on aging, dementia Future events planned! 2) Age friendly communities & psychiatry 2 FoH pilot projects Highlighted in paper (in press)

21 World Aging & Brain Health Institute (W.A.B.H.I) In alignment with Positive Psychiatry of Aging Fosters international research collaboration in: Brain Neuroplasticity and Resilience Beliefs on aging Cognitive behavioural therapy Health behaviour change WABHI research: Translated in: International Think Tank on Optimal Aging: June 2016 More events are planned

22 FoH Knowledge Translations Studies: FoH Handbook Study (Thoo et al.) 102 patients reached, 60 (60%) patients set specific health goal FoH Clinician s Guide Pilot: 71 patients reached, over half completely reached (N=36; 50.7%) or exceeded (N=11; 15.5%) goal Most goals (N=34; 47.8%) related to physical activity Thoo, V, Freer J & Cassidy K The FoH: Bringing Seniors Mental Health Promotion into Clinical Practice. Canadian Geriatrics Journal Vol 8 No 4 (2015)

23 Building Momentum for Optimal Aging in Canada The advocacy perspective Dr. Cindy Forbes Past President CMA_Docs CMA_Docs CanadianMedicalAssociation 23

24 A new Health Accord, a new vision for health care 24

25 Our five recommendations Ensure Canadians can afford needed medications New funding to support seniors care Expand home care with a focus on innovation Better support for informal caregivers Invest in continuing care infrastructure

26 Advocating for change At the physician-patient encounter Grassroots advocacy Public roundtables Advocacy at the federal level Advocacy at the provincial/territorial level 26

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28 Role Play (15 minutes) Try using the FoH Clinician s Guide Take a perspective: As patient or physician Tools to try out: 1. L.I.N.K approach 2. FoH Healthy Aging Questionnaire 3. SMART Goal Setting Form 4. FoH Handbook AFTERWARDS: Brainstorm next steps (5 min); Share feedback (5 min)

29 Discussion Think Tank/ Brain storming session: What is most useful about the FoH tools? What would you change in the next generation of materials? Your suggestions for next steps for: FOH Clinical Practice tools? Public Education, Research or Advocacy?

30 Feedback We want to know what you think: What did you learn from the role play? What is most useful about the FoH tools? What would you change in the next generation of materials? Your suggestions for next steps for: FOH Clinical Practice tools? Public Education, Research or Advocacy?

31 Opportunities to Contribute: 1. Explore & bookmark the FoH website 2. Like us on Facebook 3. Sign up for the FoH Newsletter & updates 4. Contact Speakers Bureau to request talk 5. Take Materials: FoH poster; FoH Handbook 6. Try out FoH Tools with a few patients! ideas/ feedback: Info@fountainofhealth.ca

32 Further Step Up Download the FoH Clinician s Guide Try out with 5-10 patients (2-3 visits each) Send us your feedback Sign up for next WABHI Think Tank Sign/ request for enhanced CBT Group for Depression & Anxiety Remote supervision available on request 32

33 Positive Psychiatry Join Association for Positive Psychiatry of Canada: See appc.ca/ Join World Psychiatric Association Positive Psychiatry Section; Section Newsletter: See 33

34 THANK YOU!