Changing Lives Through Music & Memory Dan Cohen | Music & Memory, Executive Director Kevin Coughlin | WI DHS, Policy Initiatives Advisor-Executive Jim Murphy | WI Assisted Living Association, Executive Director
Agenda
The Power of Personalized Music – Dan Cohen ► Why is this an important issue for assisted living? – Kevin Coughlin ► The Wisconsin Journey – Kevin Coughlin ► How WALA is promoting personalized music – Jim Murphy ► Q&A ►
The Power of Personalized Music
The Power of Personalized Music
Dan Cohen, MSW, Executive Director Music & Memory, Inc.
Select Participants & Include Family Members
Grab A Splitter Gain A Purpose Family members will enjoy taking a music journey with their loved one!
Active Seniors – Finding New Purpose
Active Seniors are finding new purpose and are proficient in song selection for their peers - intuitive
Key Benefits for Assisted Living
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Increase in socialization enhancing relations and engagement
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Assists with aging in place
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Reduction in number of meds dispensed saves time
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Active Seniors gain purpose
STUDENT INTERN & VOLUNTEER PROGRAMS
“Everyone at Mirador, as at the other two communities, said that this was the best health services event ever!� Beth Wilbins, Forte Group
Music & Memory’s Vision
Music & Memory’s vision is to have one’s favorite music accompany them as they move through the healthcare system.
HOSA
"We have utilized the HOSA program and the group has done a wonderful job in assisting with the Music and Memory Program. We started out with 4 and have grown to 12 individuals on many different levels. We have noticed that it has decreased behaviors, depression, anxiety and increased socialization, cognition, and provided comfort to those needing it. It’s amazing how music touches the soul and heart of an individual.� Paula Quails - Activity Coordinator The Vista Blue Skies of Texas-West
Best Practices: Successful Program ►
Management Enthusiasm and Support
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All-in Approach: This is a facility-wide program.
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An interdisciplinary implementation team (min 5 staff members)
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All Staff and family familiar with the program
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Part of new employee orientation training
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The right equipment. Access to iTunes. Laptop w/CD
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Fundraising, volunteers & community awareness
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Show Alive Inside to the community
Music Availability
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Music availability is time-limited and song selection is age-appropriate, not person specific.
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Go beyond eras or genres of music to favorite songs by favored artists offers greater benefits to individuals.
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Program can go virtually anywhere and be available 24/7.
Program Benefits for Individuals & Staff
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Brings joy and enhances quality of life
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Helps to increase communication and social engagement
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Restores identity and personhood
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Antidote to boredom, isolation, pain and depression
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Stimulates participation
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Offers an alternative to pharmacologic interventions – individuals can be their best selves
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Offers a distraction with medical treatments such as dialysis and chemotherapy
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Reduces agitation and Alzheimer’s-related “Sundowning”
NYC Health & Hospitals Corporation
“No fights. No falls.”
Independent Survey Results
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Most respondents (83%) would favor a residential community that offered residents iPods with individualized playlists versus a similar care community that did not.
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Half of respondents would consider moving outside their city to find a care community that offered residents iPods, with 8% willing to move out of state.
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More than half of respondents would spend more money on a care community that offered residents personalized iPods.
Why is this an important issue in assisted living?
• GOA - ANTIPSYCHOTIC DRUG USE 2015 http://www.gao.gov/assets/670/668221.pdf • We recommend that the Secretary of HHS expand its outreach and educational efforts aimed at reducing antipsychotic drug use among older adults with dementia to include those residing outside of nursing homes by updating the National Alzheimer’s Plan.
Why is this an important issue in assisted living?
Why is this an important issue in assisted living?
Why is this an important issue in assisted living? National Plan to Address Alzheimer’s Disease: 2015 Update https://aspe.hhs.gov/sites/default/files/pdf/107031/NatlPlan2015.pdf Strategy 2.H: Improve Care for Populations Disproportionately Affected by Alzheimer’s Disease and for Populations Facing Care Challenges –
One of the aims of the behavioral symptom management effort is to reduce use of antipsychotics in home and community settings as called for in the 2015 General Accountability Office (GAO) report on this topic.
Strategy 3.D: Maintain the Dignity, Safety and Rights of People with Alzheimer’s Disease –
Problem solving strategies may include such actions as treating any medical conditions, evaluating any facility practices that negatively affect a resident’s health, safety or quality of life, training of facility staff on person-centered approaches, including non-pharmacological approaches which may prevent the unnecessary use of anti-psychotics.
Wisconsin’s Journey http://www.youtube.com/watch?feature=player_embedded&v=fyZQf0p73QM
First state to lead a statewide effort of personalized music
Civil Money Penalty grants funded three phases of Music & Memory implementation to nursing homes (300+). ► Grants and Collaborations to expand to assisted living, other healthcare entities and agencies. ► Wisconsin Music & Memory Summary ►
https://www.dhs.wisconsin.gov/publications/p01231.pdf
M&M Sites in Wisconsin
Project Description
Support M&M participants through implementation of the M&M program, and establish a process to continue this effective approach. â–ş Link Wisconsin M&M certified facilities with a research entity for an evaluation to determine the effectiveness of M&M as an evidencedbased practice. â–ş
What the facility or AL Community receives
M&M certification, listing on national webpage and Wisconsin’s webpage ► All the equipment needed to implement personalized music ► $150 iTunes gift card ► Support and technical assistance ►
A monetary value of $1,500 to $2,000 The benefits to residents and staff—priceless!
What it costs facility or AL community
No monetary investment â–ş Time commitment to fully participate in the certification process and ongoing implementation â–ş Time commitment to participate in the research (evaluation) component of the Wisconsin M&M Program â–ş
Website to support the participants
http://www.dhs.wisconsin.gov/music-memory
Wisconsin Music & Memory Mailbox
DHSMusicMemory@dhs.wisconsin.gov ► Daily response by project leads ► Answer questions, send communication, lend support ►
Monthly Webinar Support Meetings
Answer questions related to implementation. ► Facilitate peer-to-peer support. ► Provide best practices and other technical assistance. ► Provide communication and updates from the research entity. ► Bring in experts in the field of dementia and Alzheimer’s care. ►
Who are the “Henrys” in your community?
Promote your program in the News!
Partnership with Alzheimer’s Association Chapters
Walk to End Alzheimer’s® combined with an iPod© donation drive for participating facilities
Partnership with Alzheimer’s Association Chapters
DHS Dementia Care System Redesign
http://www.dhs.wisconsin.gov/dementia/index.htm
Collaboration With Schools
Collaboration with high schools • Department of Health Services and Department of Public Instruction created Brain Health (mini unit) http://sspw.dpi.wi.gov/sites/default/files/imce/sspw/pdf/hebrainhealth.pdf
• Clark Street School Pilot, Middleton http://mcpasd.k12.wi.us/news/cscs-students-impress-uw-events
• Milwaukee High School of the Arts, Milwaukee • 32 nursing homes and local high schools • 6 assisted living communities and their local high schools
Claude Pepper Center Video
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Scientific implications of Wisconsin Music & Memory Policy implications of Wisconsin Music & Memory Music & Memory YouTube trailer: http://claudepeppercenter.fsu.edu/music-and-memory-trailer/
National Partnership to Improve Dementia Care ►
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In 2012, the Centers for Medicare & Medicaid Services (CMS) launched the National Partnership to Improve Dementia Care. Prevalence - U.S. 17.4%; WI at 13.2% (ranks 6th) Goal as a nation is to reduce use of antipsychotic mediations in nursing homes by the following percentages. Chart shows how Wisconsin compares to the United States: Goal Wisconsin U.S. – – – –
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Decrease by 15% end of 2013 Decrease by 20% end of 2014 Decrease by 25% end of 2015 Decrease by 30% end of 2016
14.5 15.1 24.8 20.1 30.1 (Q3) 27.0 (Q3) TBD TBD
Collaboration With Other States (25)
So far: Alabama, California, Connecticut, Colorado, Delaware, Kentucky, Illinois, Indiana, Louisiana, Maryland, Minnesota, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Texas, Utah, Vermont, Virginia, Washington, and West Virginia
Collaboration with other countries
So far: ► Canada ► Australia ► Holland
Expansion – Assisted Living
Assisted Living Communities
Park Family Foundation Grant Funded Project ►
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Recruit 3 WCCEAL assisted living communities (ALC) from each of the two associations (WALA and LeadingAge). https://wcceal.chsra.wisc.edu/ Fully fund ALC to become certified as MUSIC & MEMORYSM (M&M) facilities. Fully Fund training to implement a iPad Program for residents with dementia. Fully fund M&M ALC with the required equipment for an average of 6 residents and 2 iPads. Evaluate implementation as well as resident and ALC outcomes. Support ALCs through implementation.
Criteria for selection
WCCEAL member in good standing. ► Primary client group – Alzheimer's or related dementia. ► 25 beds or under. ► Have at least 4 residents on an antipsychotic or antianxiety medication. ► Agree to implement the program as trained. ► Agree to participate in an evaluation. ►
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What Will the Assisted Living Community Receive? ► ► ► ► ► ► ► ►
MUSIC & MEMORY℠ certification Using iPads as Tools to Improve Quality of Life Training Average of six iPod© shuffles, headphones, and AC adapters One headphone splitters and a set of external speakers $100 iTunes © gift card Two iPads with apps Support and technical assistance Student volunteer program with a local high school
A monetary value over $1,500! The benefits to residents and staff—priceless! 43
Wisconsin Assisted Living Association
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Other M & M assisted living initiatives in Wisconsin – M3: Large insurance company sponsored 10 and 8 have expanded and purchased more equipment for more residents. – WALA: Launched with 6 and just getting started. All have now been through M & M training, equipment has been shipped and internal support group meets by phone the first week of June.
Wisconsin Assisted Living Association
Remember The Face Meet Mary Jean https://www.youtube.com/watch?v=YdIgTYhw-WA
Wisconsin Assisted Living Association
Meet Karen Schacht, COO of Sylvan Crossings Assisted Living and Memory Care Madison, Wisconsin
Wisconsin Assisted Living Association â–ş
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A wise man once told me that we do what we do because of the face that makes all the difference. Can you believe this person is in the later stages of Dementia and also has a DX of depression? I am a proud promoter of the Music & Memory Program and encourage everyone who is touched by dementia to utilize this program. I have been supporting and implementing this program since 2010. Touching the lives of 100s of residents like Mary Jean and a total of 30 communities thanks to amazing associations like WALA and insurance companies like M3 who see the value of the program and provide support to get the program going in assisted living.
Wisconsin Assisted Living Association â–ş
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Thank you to Dan Cohen introducing this program and all of his supporters for taking this program to the next level. The statistics of how this improves the lives of our residents have been shared but I would like to leave you with the face as a lasting impression!
Question and Answer
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Question and Answer
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