Minnesota DHS Community Service/Community Services Development Grant Application Narrative ATTACHMENT A Organization/Lead Agency: Granite Falls Living at Home/Block Nurse Program Project Title: Mental Health Services for the Elderly Submission Date: 2-27-04 County/is in Project Service Area: Yellow Medicine and Chippewa Area Agency/ies in Project Service Area: Upper Minnesota Valley Area Agency on Aging Applicant organization is a (check one) for profit x not for profit unit of government Has this application been changed due to the suggestion of a county/ies or Area Agency/ies on Aging? _x__Yes ___ No The Granite Falls Living at Home/Block Nurse Program will incorporate into their existing services, mental health services, focusing on depression, for the elderly, caregivers and volunteers. Following the Guiding Principals of the LAH/BNP, Inc., the program has provided or arranged for service coordination, volunteer assistance to elders in their homes such as transportation, meal delivery, friendly visiting, respite care, chore services, nursing services, home health aid and homemaking services and whatever is needed to keep the elders in their homes as safely and independently as possible. The overall objective to these services is to directly delay nursing home services. Needs Assessment: Our Board of Directors, networking resources, staff, volunteers and those families we work directly with indicated there was a need for mental health services, mainly depression for the elderly and their caregivers in Granite Falls. The Living at Home/Block Nurse Program has determined through their efforts of establishing a great number of friendly visiting to the elders in their homes by volunteers, that it has created less need for client medical care. We have found this to be true because in most cases the client is lonely. Isolation leads to depression and other health issues. This mental health service will be incorporated into our services that we now deliver to the elders. Brad Hermanson and Peggy Heglund from Yellow Medicine Family Services and Tanya Goodwin Mental Health Director from the Upper Sioux Community, addressed the need for educational seminars to help erase the negative stigma attached to depression that has been passed down from generation to generation. The need of identification and where to go for treatment was also addressed. The following qualified people from the agencies listed below were also a key resource in addressing depression in our community and we will work closely with them. Jodi Hemple, Director of Home Health, Granite Falls Municipal Hospital Tanya Goodwin, Mental Health Manager of Upper Sioux Community, Granite Falls, MN Peggy Heglund, Family Service, Yellow Medicine County Brad Hermanson, Family Service, Yellow Medicine County Betty Christenson, Family Service, Chippewa County Deb Mausman, Social Worker for Granite Falls Municipal Hospital Mary Schmidt, Countryside Public Health, Yellow Medicine County Linda Brathen, Project Rose Pastors from local churches Volunteers Caregivers Clients Service Plan: This focus on mental health services will be an additional facet in our existing program. The area served will be in Granite Falls, Minnesota encompassing Yellow Medicine and Chippewa Counties. Our service area will also include the Upper Sioux Native American Communities (148 families) approximately 5 miles south of Granite Falls, MN. We will also include Hispanic families referred to us by Social Services. We will serve approximately 30 clients plus approximately 15 caregivers, total 45 with the Living at Home/Block Nurse Program. Approximately 10 families in the Upper Sioux Community and 5 Hispanic families. We will collaborate with the following to achieve desired results. Cindy Velde, Senior Advocacy for Yellow Medicine County Granite Falls Municipal Hospital, Home Health Staff Tanya Goodwin, Mental Health Manager of Upper Sioux Community Peggy Heglund and Brad Hermanson, Yellow Medicine Family Service Western Mental Health Services Outcomes: Depression awareness will be addressed and advertised through our local paper, local T.V station and local church bulletins every time we have a seminar. Posters will be put up at Family Services. Upper Sioux Manager, Tanya Goodwin will put up bulletins advertising the 4 seminars held at their meal site at the Upper Sioux Community. Approximately 120 newsletters will be sent to LAH/BNP clients and their families. The Upper Sioux will send out 236 newsletters with advertisements of depression seminars. We will conduct 2 mental health educational/training seminars every grant quarter (total 8 sessions) These seminars will help cover signs and symptoms of depression and help indentify depression. We will educate clients on what to do after identifying depression and remove the negative stigma attached to depression. Friendly visits will be increased and more extended time care in the client’s homes will be increased to assure that clients are not becoming lonely and isolated. Everyone involved with the client will have a better understanding of depression with the 8 educational/training seminars provided. Identification of seniors needing mental health support will be measured and evaluated with our data base. The negative stigma will be addressed in the seminars and clients will find that they are not alone, nor crazy and their depression can be treated. There will be less utilization of funds for nursing home placement. Thirty clients plus fifteen caregivers from the LAH/BNP, 10 families from the Upper Sioux Community and approximately 5 Hispanics will receive services. Sustainability: We will continue to do fundraising and look for other fundraising projects. We continue to strive to get more local donations from civic organizations, businesses and community members. We are in the process of sending a letter to community members to explain the necessity of donations to our program for continued services. We will seek to work with Yellow Medicine and Chippewa Counties to explore funds from AC/EW for appropriate services. We continue to add to our reserve fund. Nursing Home Closure: Clara City Care Center, 1012 North Division Street, Clara City, MN 56222 has permanently closed beds (10) after December 31, 2002. Clarkfield Care Center, 805 5th Street, Clarkfield, MN 56223 has permanently closed beds (4) after December 31, 2002.