Creating a Multidimensional. Environment for Inpatient Rehab. Jenny Baweja, CTRS Kaitlin Salowitz, CTRS

Transcription

1 Creating a Multidimensional Support Environment for Inpatient Rehab Jenny Baweja, CTRS Kaitlin Salowitz, CTRS

2 Session Objectives Upon completion of this session, participants will be able to: Identify three benefits of creating/maintaining support groups for inpatients Identify three benefits of creating/maintaining support groups for former patients Identify evidence-based outcomes for social interaction groups Identify at least one intervention to apply to personal work environment relative to topic

3 What is a Multi-Dimensional Support Environment? MFB DEFINITION: an environment that supports the client from a variety of angles in an effort to meet the clients needs at all levels of their rehab experience and recovery; and includes a continuum of services that serves inpatients, outpatients and the community. Multidimensional- of or involving several dimensions or aspects Support structure by supplying with things necessary to existence EDUCATION to maintain or advocate something that serves as a foundation, prop, brace, or stay Environment the conditions that surround someone or something : the conditions and influences that affect the growth, health, progress, etc., of someone or something

4 MFB SCI Support Services Peer Support Group 1x/month Former patients serve as panel for current inpatients Spouses, family and friends are welcome Dinner-social aspect to break the ice Large Group Format 1:1 Peer Mentoring CTRS pairs inpatient with mentor who has similar diagnosis/injury level Quarterly SCI Outpatient Group For people with SCI and their families, both former patients or those within the community Discuss current topics related to SCI Use of Guest Speakers CTRS functions as leader/facilitator, participants define content & discussion

5 MFB Stroke Support Services 1:1 Peer Mentoring CTRS pairs inpatient with mentor who has similar diagnosis/injury level Individuals come in weekly and other pairing occurs well-oiled machine Small Stroke Support Group CTRS organizes couples from large support group to come and meet with current inpatients and their families for small group discussion Serves as a panel Large Stroke Support Group Meets 1x/month Evening meeting to accommodate working individuals Has a variety of formats For outpatients or individuals in the community

6 Other Factors contributing to Supportive Environment Individualized Pet Therapy, Recreation & Visitation Recognition of Achievements-discharge t-shirts, birthdays, weddings, anniversaries Calming supports-pmr, essential oils, relaxation, advocating for private/lowstimulation needs Group Programming to facilitate natural supportive opportunities through socialization New building!!!

7 So, let s try it!

8 Benefits/Outcomes of Support Groups for MFB Inpatient CVA & SCI Survey Outcomes of Support Group Intervention Educational Support Health Promotion Empowerment Adjustment Resources Motivation Strongly Agree Agree Neutral

9 Benefits/Outcomes of Mentoring Stroke mentor Fullfillment 22% Education 28% Emotional Support 28% Health Promotion 22% Advocacy 0% Education Health Promotion Advocacy Emotional Support Fulfillment

10 Support Group Perceived Affect on Well- Being Well-Being Social 28% Physical 13% Cognitive 25% Emotional 34% Physical Cognitive Emotional Social

11 Patient Quotes

12 The Evidence Collection Peer Support Groups have been noted in several articles to do the following: Increased knowledge & education related to disability Improved Quality of Life and general outlook Improved ability to cope with depression Development of positive coping strategies Fosters personal growth Positive identity/self-esteem, self-confidence, connectedness Use of Living Examples Development of Advocacy Skills

13 Evidence Collection, Part. II In systematic Review of Men with Hemiplegia: In case study, found that social support is one of the primary factors that aids men in coping with their illness and disability Article regarding social context and aphasia support groups Promote the renegotiation of identity & self-worth Evidenced based Article of African American Stroke Survivors: Looked at young people, mean ages 41-69, men and women Results: identified a need for supportive systems to leverage family strengths and community resources ; promotion of psychological health Systematic Review for interventions of caregivers with chronic conditions: Evidence found that education & support programs improved Quality of Life for caregivers and improved knowledge base

14 So, how do you do it?

15 Strategies for Creating Supportive Environments Assess your client s needs related to support Assess your agencies need/role for TR services Identify the appropriate approach to start with for your facility Get your clients involved Plan appropriate logistics (HR, confidentiality, etc.) Implement trials Evaluate outcomes or perceived outcomes Re-assess, report, continue

16 What do your clients need in the way of support? What does your agency need from you?

17 Interventions to implement during support group Games Leisure Education Social Interaction Team Building Open discussion (large group discussion) Panel Discussion Small Group discussion Educational Sessions-Guest speakers Getting folks socially engaged-potlucks, outings, etc. Advocacy

18 Why should TR lead this? Job description-restore and remediate Promote independence in life activities Promote health and wellness Reduce Barriers Reintegrate into the community Education to community resources Social Skills Fostering relationships Bridge gap between hospitalization and home through continued relationship with CTRS

19 Leadership Styles Facilitator: Planner, coordinator Elicitor of conversion & Education Active Leader Create opportunities for emotional connections & Bonding Lead by example with support & advocacy Silent Observer Need to have a keen eye for group dynamics Time for participant input Snack Schedules Structure of the group Guest Speaker Topics Perceived Autonomy Balance between being MFB s Group & the participants group.

20 Risk Management HIPAA Forms Selling of Services Security involvement Medication Issues/DO NO HARM Psychological Risks Group Dynamics Social Media

21 Questions? Thank you!!!

22 Resources Gilmore, B. (2004). The benefits of peer mentoring. The National Spinal Cord Injury Association. Retrieved May 4, 2009 from Hibbard, M.R., Cantor, J. Charatz, H., Rosenthal, R., Ashman, T., Undersen, N., Ireland-Knight, L., Gordon, W., Avner, J. & Gartner, A. 2002). Peer support in the community: Initial findings of a mentoring program for individuals with traumatic brain injury and their families. Journal of Head Trauma Rehabilitation. 17(2) pp Kram, K.E Phases of the mentoring relationship. Academy of Management Journal, 26: Mason, M.P. (2008). Ask the expert: The benefits of peer mentoring. Retrieved May 04, 2009 from: Plamondon, K. & CCGHR Capacity Building Task Group. (2007). Module One: An introduction to Mentorship. Canadian Coalition for Global Health Research Rigger, J. (2003, Autumn). The consumer/counselor relationship: An example of how well it can work. American Rehabilitation, 27, (1), p

23 Resources, cont. Corry, M. While A., Neenan, K. & Smith V. (2015) A systematic review of systematic reviews on interventions for caregivers of people with chronic conditions. Journal of Advanced Nursing 71 (4), doi: /jan Blixen, C., Perzynski A., Cage J., Smyth K., Sila C., Pundik S., Sajatovic M. (2014). Stroke recovery and prevention barriers among young African-American men: potential avenues to reduce health disparities. Topics in stroke rehabilitation. Vol 21 (5), Shadden B., Agan J. (2004). Renegotiation of Idenitity: The Social Context of Aphasia Support Groups. Topics in Language Disorders. 24 (3), Chan Z., Wong, G. (2012). Hemiplegia in Men: A Case Study. The Qualitative Report. Vol 17 (22),