MDC Minutes by benbenzhou


									                                                     Michigan Dementia Coalition

                                                                June 16, 2009
                                                               9:30 -12:00 pm
                                                   Livingston Educational Services Agency
                                                        1525 W. Grand River, Howell

Present: Nora Barkey, Bob Buryta, Jo Campbell, Marci Cameron, Dianne Carlson,
Roxanne Chang, Pish Cianciolo, Sara Duris, Jennifer Edsall, Susan Erspamer, Judy
Heidebrink, Rochelle Hurst, Dan Layman, Peter Lichtenberg, Elizabeth Longley,
Michelle Munson-McCorry, Deedre Vriesman for Suzann Ogland-Hand, Cassie
Starback, Sally Steiner, Dave Stickles, Heddie Sumner, Shelly Weaverdyck

Guests: Doug Chalgian, Jill Clouser, Catherine Freiman, Diane Hulick, Carolyn LeJuste
(presenter), Gary Pollitz, Carol Waarala

   1. Peter Lichtenberg welcomed Jennifer Edsall in her first meeting as the Coalition
      Coordinator. Following introductions, he addressed Items of Business:

   a. National Alzheimer’s Strategic Plan, Report of the Alzheimer’s Study Group was
      released March 25th, 2009. The Study Group had requested comments from a
      variety of groups including the Michigan Dementia Coalition. If you would like a
      copy of the report, please contact Jennifer.

   b. The 2009 Alzheimer Association Facts and Figures publication was released in
      March. In the report, a projected 5.3 million people have Alzheimer’s Disease
      (AD), 180,000 in Michigan, with over 364,000 family caregivers in Michigan. A
      copy of the report can be downloaded from the Alzheimer’s Association website.

   c. On May 4th, the Executive Order (EO) 2009-22 was released detailing cuts of
      over $300 million to the FY 09 state budget, including $116,000 for Alzheimer’s,
      $20,000 for Parkinson’s and $12, 500 for Huntington’s, totaling over $148,000
      for dementia. Other cuts in mental health and long term care also affected PWD
      and family caregivers.

   d. State prevalence data was conducted by MDCH, with an estimated 190,000
      people in Michigan with AD. Using these statistics, there are 253,000 persons
      with dementia in Michigan. A copy of the data was distributed.

   e. The Generations article will be coming out in the next month or so. Peter thanked
      everyone for their hard work on getting this ready for publication.
f. Talking Points that highlight the value of the Coalition were passed out for
   review. Please provide any feedback to Jennifer. Now more than ever Key
   Messages about the importance of the Coalition and quality care for persons with
   dementia are needed.

2. Questions and Comments on Workgroup Reports (attached below)
   a. Heddie Sumner gave a report on the Caregiver Assessment Grid and remarked
      that Family Caregiver Alliance (FCA) link will be added as well as an
      algorithm explaining the grid. Grid was passed around for feedback.
   b. Dave Stickles gave updates on the Public Awareness including exploring
      additional marketing ideas, website updates, GECM promotion, and assisting
      the PCDN in National Memory Screening Day.

3. Carolyn LeJuste presented on the Michigan Disabilities Rights Coalition
         • Has worked closely with Office of Long Term Care Support Services
             (OLTCSS) regarding the State Profile Project and does a lot of policy
             work around moving persons with disabilities out of the nursing homes
             into community based settings
         • Discussion on the importance of getting persons with dementia (PWD)
             at end stage hospice on Medicaid waiver program-the challenges for
             families, providers, and working with AFC homes in taking PWD, and
             overall getting PWD in general into more community based settings
         • Discussion on the importance of person centered planning (PCP), the
             differences between PCP with people with disabilities vs. PWD, how
             to engage PCP with family members, and what concrete techniques
             can be done to engage PCP with PWD. (A discussion held on tailored
             interventions and Sally Steiner’s study with PWD perceptions on
             receiving day services)
         • Discussion on persons with disabilities living longer, healthier lives
             and how disability community needs to address end of life issues
             (including the development of dementia symptoms). Carolyn stated a
             lot more work needs to be done in this area and encouraged MDC
             members to work with the CMH Association, local CMH programs,
             CIL, and ARC to examine end of life issues, hospice care, and
         • Local involvement with aging and disability communities can affect
             policy efforts and overall collaboration. Examples: Midland and the
             Upper Peninsula.
         • Ongoing collaboration are needed for disability and aging groups in
             the areas of long term care and overall advocacy efforts.
         • MDRC brochure passed out as well as the invitation for the 10th
             anniversary of the Olmstead decision Ice Cream Social, June 22nd,
             12:30-2:00pm, MDRC office.
4. Marci Cameron presented on the Michigan Wraparound Project for Persons
   with Dementia and Their Families
      • Wraparound Model for PWD and families was one of AoA ADDGS
          Demonstration Projects, 2 sites chosen: Ionia and Copper Counties,
          Federal Community Mental Health Block Grants: Allegan and Marquette
      • Derives from the Wraparound model used for at risk children
      • Purpose: using a strengths based, individualized process, a service plan
          will be enacted to support PWD and family members, enhance quality of
          life, promote health well being of both parties, coordinate formal/informal
          supports, and prevent premature institutionalization.
      • Good candidates are those with acute behavioral symptoms, complex
          caregiving issues, limited sources of support, and an overall need for a
          structure for those involved.
      • Structure of Wraparound includes Community Team, Family Team and
      • Wraparound case studies given
      • Data collected from 152 cases, found that caregivers felt less
          overwhelmed, maintained health, increased respite and delegation,
          increased involvement in community activities, need for more disease
          education, thought wraparound (as opposed to traditional case
          management) had more challenges (takes more time time/skill/effort) but
          will yields a higher satisfaction in meeting family needs.
      • Though challenging, programs continuing to some degree with local
          monies, some expansion, and continued sharing among projects.
      • A detailed explanation of the Wraparound Program was distributed.

5. State Budget Updates and Impacts
   Peter Lichtenberg provided a review of the May EO cuts. Sara Duris informed
   the group of the latest developments including:
        The potential annualized Healthy Michigan cuts to Alzheimer’s,
          Huntington’s and Parkinson’s
        Mental Health Initiatives for Older Adults line item was cut in the FY 10
          Governor budget, resulting in $1 million in cuts resulting in cutting 20 AD
          Caregiver and Education Programs across the state.
        EO cuts eliminated 4th quarter funding
        EO OLTCSS cuts include: its current office makeup, the elimination of the
          Long Term Care Connections program (formerly Single Point of Entry).
          Hearing for public comment on the OLTCSS cuts will be held on June 29th
          at the Capital View Building. Flyers for this forum were distributed.
        Senate meeting held this afternoon, will release their budget revisions
        Encouraged efforts to reach elected officials, such as letters, public
          hearings and meetings, coffee hours, etc. Passed out newspaper contact
          information as well as appropriation member lists.
Rochelle Hurst commented that the cuts will be substantial to Public Health and
discussed the furlough days and the potentials for next year (increased cuts, furlough
days and layoffs)

Susan Erspamer from Alzheimer’s Association, GMC remarked that a potential of a
half million dollars will be lost in FY 10, and this will impact day programs, respite,
education, I &R, and an overall decrease in caregiver support, loss of programs and

Liz Longley from Alzheimer’s Association, MGLC remarked that the EO cuts have
already resulted in layoffs and is in very concerned about the loss of voice in quality
dementia care in Michigan and what the future looks like with such drastic cuts.

Dave Stickles remarked that the current cuts resulted in a quarter loss funding and the
funding received primarily goes to fund the staff social worker.

Peter Lichtenberg thanked all for their comments on the budget issues and remarked
that we still have no idea of the final impact, how this will impact MDC, our slated
activities and how we do them. He noted that we will be thinking of MDC members
most affected.

6. Sally Steiner provided a ADDSP Update
         Attended the AoA ADDSP Grantee Meeting first week in June. The 2 day
            conference included a lot of information including a discussion on the
            RE-AIM framework, panel of early diagnosed PWD, and other AoA
         The Creating Confident Caregivers (CCC, formerly Savvy CG) started its
            trainings in January and has had 20 programs since January, including 4
            certified master trainers (as of June 18th).
         Working on coding data, including participant survey, attendance sheet,
            evaluation sheets, and fidelity observations. The AoA first report is due
            before the next MDC meeting; hopefully will be able to share reports then.
            Remarked that dramatic and rewarding changes are already occurring.
Sally also announced plans for the AoA ADDSP Innovations RFP
     Will focus on working with PWD and family caregivers who are veterans,
        over 215,000 MI veterans over age 60
     Remarked that there are no long term care beds in the U.P. and only 16 beds
        in Battle Creek for PWD
     Project will build on already current collaboration with AAA and Veteran
        Administration (MI only real state with active formal collaboration)
     Project will be a variation of the Savvy Caregiver Program, will train CBOX
        (Outpatient clinics) and VA Medical Centers on Savvy Model so that they can
        implement it with their own populations and provide linkages to ongoing
        aging networks.
     Would like MDC letter of support for proposal
7. Dianne Carlson provided an Area Agencies on Aging Update
      • AAA already has several VA contracts to provide case management
      • Loss of SPE impacts AAA (increase in calls & service needs), SPE calls
         routed to AAA
      • 1.8 million cut in EO (including case management/in-home, respite)
         stimulus money (meals) will offset some cuts. MI-Choice not affected.
      • 4.3% cut to SCP/FGP/RSVP programs
      • 15% cut to AAA across state
      • Expansion of Nursing Home Diversion, more funding for staff, housing
         coordinator, outreach for more AFC participation
      • Working with OSA on PCP
      • 2nd Annual Older Michiganians Day, June 24th, Platform: Support of
         prevention programs, Help the Vulnerable Remain Independent, and to
         Make MI a retirement destination of choice.
      • Project 2020 (AoA strategic plan) introduced into Congress

8. Questions and Comments Regarding Agency and State Unit Updates/Other

Bob Buryta: Recap of SPE cuts, OLTCSS closing office, public forum on the 29th

Nora Barkey: SPE evaluation report released, findings include: program paid for it’s
self and ultimately saves state dollars, provider info, and consumer feedback. Nora
will send report to Jennifer for MDC members.

Cassie Starback: MADRC Community Appreciation Conference held on October 1,
participation in Alzheimer’s Association Memory Walks

Liz Longley: Will be showing the HBO special, the Alzheimer’s Project chapter wide,
holding an Assisted Technology Fair in Brighton in November, discussion of
Memory Walks

Dave Stickles: Participation in Texas Hold’Em Charity Poker to offset state funding,
just returned from the National Conference in Phoenix, one of the highlights was an
online calendar for caregivers,

Marci Cameron: A recap of Mental Health cuts: will be able to have MDEN and keep
open LCC Mental Health & Aging and EMU Program through end of FY 09.
Participated in Alzheimer’s Association conference in Marquette, heard positive
participant feedback on Wraparound and Savvy Caregiver

Roxanne Chang: The 13th Annual Edna Gates Conference will be held November 2nd
and 3rd. Focus will be Creativity Approaches for Life Enrichment in Dementia Care,
including a the MOMA program for working with PWD.
    Primary Care Initiative Workgroup Update
Purpose:    Promote best practices in dementia detection,
            assessment and care management in primary care.

Co-Chairs: Alan Dengiz, MD and Mark Ensberg, MD
  1. All eight of the Geriatric Education Center of Michigan (GECM)
     Community Teams have been established: Marquette, Traverse City,
     Saginaw, Flint, Grand Rapids, Kalamazoo, Detroit, and Lansing. All have
     completed the cognitive module and is expected all 4 training modules will
     be completed by June 2009, and all training will be completed by
     December 2009. All Community Teams has a representative from the
     Alzheimer’s Association as well as a PCDN consultant.

  2. An all day GECM Mid-Training Session is scheduled for June 15th in
     Lansing. The main purpose of the meeting is to review the Geriatric Model
     of Care, training modules, and how to effectively train interdisciplinary
     health professionals, as well as strengthen their own networks. The PCDN
     consultants to the community teams are highly encouraged to attend. The
     Community Teams have expressed an interest in Academic Detailing. An
     overview of Academic Detailing will be done by Mark Ensberg, MD. It is
     expected that the PCDN consultants will assist their Community Teams in
     any Academic Detailing activities.

  3. The PCDN participated in the annual Issues on Aging Conference put on
     by the Wayne State Institute of Gerontology on May 11-12th. The annual
     PCDN Steering Committee dinner was held on the May 11th. Regional
     and strategic updates were shared, as well as ideas for next year’s
     conference and future PCDN initiatives.

  4. Instead of the usual quarterly newsletter, a January-June newsletter was
     sent to PCDN members in March. (quarterly newsletter will be continued)
         Caregiver Support Workgroup Update

Purpose: Increase support for family members who provide care for
         persons with dementia at home.

Chair: Heddie Sumner
1. The Workgroup is continuing discussions and input to OSA’s new Alzheimer’s
Disease Supportive Services Program (ADSSP, formerly ADDGS) project of
Savvy Caregiver. The update is available with ADSSP Report.

2. A draft of the Caregiver Assessment grid, an introduction and references has
been submitted to the Leadership Team for review. This grid contains information
about leading caregiver assessment tools. The plan is to place the information on
the MDC website as a resource for organizations interested in conducting
assessment of caregivers of persons with dementia. The tools – which are not
endorsed by MDC but are offered as a useful resource – are listed with such
descriptors as summary, domain assessed (i.e., burden, depression, uplifts),
number of questions, who should administer, and access information.
References and links to caregiver assessment articles and tools will be included.

3. The report “Research-Based Recommendations for Effective Caregiver
Interventions” is in process of being updated with findings from recent meta-
analyses on caregiver interventions to be added.

4. The workgroup continues to look at the profile of Caregiver in Michigan and
will be working on this in the future.

5. Exemplary and Innovative Respite Care awardees were presented at
professional conferences:
   a. Mental Health & Aging Conference, May 5-6: Alzheimer’s Association-
      Greater Michigan Chapter In-Home Respite Care Program
   b. National Assn of Social Workers-Michigan Chapter, May 15-16,
      Alzheimer’s Association-GMC’s In-Home Respite Care Program and
      Alliance Adult Day Services/Western Michigan University
     Long Term Care Dementia Workgroup Update

Purpose:     Advocate for dementia-friendly policies and promote
             highest quality dementia care standards in Michigan long-
             term care systems reform efforts.

Chair: Susan Steinke
1.     Marci Cameron updated and reorganized the Talking Points. The LTCDW
       uses the talking points to help us stay on message in our individual
       workgroup meetings.

2.     The members had a discussion about the workgroup and its meetings to
       see how they can either be helpful or remain helpful to attendees. The
       main feedback is that the language and background of long term care is
       hard to follow if you don't follow it full time. The Chair will send
       background materials.

3.     The success is that the LTC Commission endorsed the Definition, Core
       Values/principle and Essential Elements of Person Centered Thinking.
       Implementation and use of these will be the focus of the Person Centered
       Planning Workgroup now. As always, Person-Centered Thinking and
       Planning is a hot topic.

4.     The LTC Commission's Workgroup on Prevention and Caregiver Support
       is working on some new assistive technology guidelines.
       Representatives from the LTC Dementia Workgroup (LTCDW) will try to
       make sure that dementia is mentioned in those guidelines.

5.     There was a spirited conversation about upcoming changes and
       opportunities in the MI Choice Waiver program.
            Public Awareness Workgroup Update
Purpose: Increase early intervention and support for persons with dementia
and their caregivers by promoting public awareness of the caregiver role and
the early warning signs of dementia.

Chair: Dave Stickles

1. Media ideas discussed to get people to the website include:
      a.     Approaching CBS Outdoor to see if we could get on their list of
             worthy non profits and get billboards donated.
      b.     Send article about dementia, Maintaining your Brain, or Driver
             Safety to various state associations. Article would be seen as a tool
             for for associations to disseminate to thier own newsletters.
             (electronic or print)
      c.     Social Marketing: Look into having a blog, Twitter, Facebook,
             Linked In applications to our website. Also do some research on
             online dementia communities, such as other blogs,
   , etc.

2. Website Updates
          a. Jennifer is working with the webmaster regarding the Dementia
             Care Self-Compentencies Tool for Direct Care Workers on the
             MDC website. This will be an interactive tool. If all goes well, may
             incorporate similiar interactive components to the WAML website.

          b. Redesign of WAML main page, including adding additional links,
             such as Brain Tour, CareFinder, more info on Brain Health,
             including links to other dementias (LBD and Frontotemporal

3. GECM Updates
            a. PAW will be working with the GECM promotion (State Objective
           number 1) and will include a GECM link to both websites.

4. National Screening Day
              a. The Primary Care Initiative has expressed interest in
              participating in the National Memory Screening Day this year, held
              on November 17th. Jennifer introduced topic to PAW for their
              feedback. A discussion was held on standards, support, concerns,
              and an idea that the PCDN could issue a set of standards on
              screening. Possible involvement for PAW.
                    Core Member Agencies Update

Michigan Alzheimer’s Disease Research Center (MADRC) - Judith Heidebrink

    MADRC Grant Support: The MADRC recently submitted its grant
     application to the National Institutes of Health in hopes of securing funding
     for another 5-year cycle from June 2010 to May 2015. We hope for the
     best in this time of very competitive NIH grant funding.

    Memory Walks: The MADRC will field another strong team of walkers and
     fundraisers for the 2009 Alzheimer’s Association Memory Walks. The
     Memory Walk-Ann Arbor is scheduled for Sunday, October 4, 2009, at 1
     pm on the St. Joseph Mercy Hospital campus.

    Education/Research: This year’s MADRC Community Appreciation
     Conference will focus on Advances in Prevention, Diagnosis, and
     Treatment of Alzheimer's Disease:

          Thursday, October 1, 2009, from 8:30 am to 4 pm
          Ypsilanti Marriott Hotel
          1275 S. Huron Street, Ypsilanti, MI, 48197

      Guest speakers include Dr. Nikolaos Scarmeas from Columbia University
      discussing the “Mediterranean Diet and Alzheimer’s Disease” and Dr.
      Jeffrey Burns from the University of Kansas reviewing “Fitness and
      Exercise in Alzheimer’s Disease.”
      The conference is free and open to the public. A Mediterranean lunch will
      be served!

          To register or view all the conference presentations, please see:

Michigan Parkinson Foundation (MPF) – Debby Orloff

The Board of Directors has approved a new strategic plan and is in process of
developing strategies for implementation.

 Michigan Parkinson Initiative.
  Funding was cut by $20,000 for this year. Two multidisciplinary clinics and
  community education Open Forums are scheduled: Sault Ste. Marie (July 24-
  25) and Kalamazoo (August 6-7).

 Educational Programs – Jay M. Gorell MD Memorial Lecture will be held on
    June 25, 2009 at the Farmington Hills Public Library from 1-3 pm, web
    cast to 9 locations in Michigan.
      The Living with Parkinson’s educational series is still successful (held in
   Livonia in April-May) and will be held at University of Michigan and a
   northwest Detroit area location in the fall.
      Orientation to Parkinson’s continues to be held at the MPF offices and will
   be distributed to other PD support groups.
      The Messenger was redesigned and distributed. It is also on MPF’s
   website, We are now able to e-blast the newsletter to
   reduce mailing costs. The web site is undergoing continual updating.
      Members of MPF have been invited to speak at medical and pharmacy
   school classes, and the Primary Care Network.

 Support Groups – Regional meetings of the Support Group Facilitators were
  held and we are following this up with regular conference calls with each
  regional group to work on leadership skills and program planning. The
  Farmington Hills group has disbanded and we are in process of creating a
  new group in West Bloomfield, which will be initiated in August.
  We are in process of utilizing an outreach model to connect with care partners
  of support groups in order to assess needs and provide additional services.

 Fund Raising – The annual “I Gave My Sole to Parkinson’s” Walk-a-thon and
  5K Runs were held on May 16 and 17, and were successes. A new
  committee of the Board has been organized to explore different avenues to
  generate funds.

 Awareness – Between Parkinson’s Awareness Month activities throughout
  the state in April and publicity for both the Living with Parkinson’s program
  and Walks, much media attention has been received.

Huntington’s Disease Society of America – Michigan Chapter (HDSA-MI)
– David Stickles

    The HDSA National Meeting was held June 4-7 in Phoenix Arizona.
     Workshops/presentation on various subjects such as care, research,
     clinical trials, genetic issues, health care planning, and many other area
     were given. There was a one day Social Worker training workshop that
     the Michigan Chapter Social Worker attended, as well as one day
     leadership training that I attended.

    While there still is no cure for HD, there are several promising therapies in
     clinical trials that may slow the progression of HD to improve the quality of
     life for HD patient. One material called Dimebon has actually showed
     some reversal of the cognitive damage done by HD through energizing the
     neuron cells, improving their function, and slowing down the cells death,
     this material is moving into a Phase III clinical trial. Another material called
     ACR16, a dopamine stabilizer showed improved movement and cognition
     in a small Phase II clinical trials and plans for a Phase III trial are in the
    A picnic will be held on August 8th for HD families in Oxford Michigan.
     There are several fundraisers in the works that not only raise funds for our
     chapter but also are used as educational opportunities. There will the Sta-
     Bil Great Lakes Summer Nationals Lawnmower Races that will be held in
     Sparta Michigan on July 18 and 19. There will be a Bowling fundraiser at
     Imperial Lanes in Clinton Township on August 7, a HD fundraiser as part
     of the Woodward Cruise in August, a HD walk fundraise in Center Line on
     September 20th, there will also be 4 Texas Hold’em tournaments at
     Northern Lanes in Midland and Taylor Lanes in Taylor in June, July,
     August and September.

    Planning for our annual state meeting is underway and is being planned
     for September 19th in Warren.

Michigan Great Lakes Chapter of the Alzheimer’s Association (MGLC) – Liz

 Launching the HBO-Alzheimer’s Project chapter wide as 2 hour sessions with
  discussion groups. Dates and times on website at

 Continue training process of Savvy Caregiver with Tri-County Office on Aging
  and the Office of Services to the Aging.

 Launching pilot of educational program with support groups in an effort to
  increase support group attendance.

 Chapter will be presenting a Caregiver Fair in November in Brighton on
  Assistive Technology. Date and place pending. Will be posted on website.

 Will be attending GECM Train the Trainer on June 15th.

 With funding from the Jackson Community Foundation and the Ann Arbor
  Area Community Foundation holding a series of Early Stage Discussion
  Groups. These are eight week discussion groups with persons with dementia
  and their caregiver. We have four sessions scheduled per each grant.

 Will be holding town hall public meeting in Jackson to discuss the “10
  Warning Signs” and get feedback from the community about experiences with
  Early Stage. Date to be announced.

 Held Lansing Golf Outing on June 9th as a collaborative effort with Tri County
  Office on Aging. Great turn out with 126 golfers. Provided information on “10
  Warning Signs”

 Events, Outreach and Public Awareness: Ann Arbor Golf Outing on July 13th
  at the UofM Golf Course.
Michigan Council on the Alzheimer’s Association- Sara Duris

The May 5 Legislative Day was a success with over 100 participants and many
visits to legislators were accomplished. Our key issues remain funding, which
has been drastically cut, along with training and quality care issues. We will be
continuing holding legislative open houses on a monthly to every other
month basis to increase awareness and build relationships, as well as try to have
many in-district meetings with legislators in the summer months. Memory walks
will begin towards the end of the summer in most places.

Greater Michigan Chapter of the Alzheimer’s Association (GMC) - Preston

 Current information on the prevalence of Alzheimer’s disease and other
  dementias is now available through the Alzheimer’s Association or the
  Michigan Public Health Institute. The information is provided by the Michigan
  Department of Community Health utilizing data provided by the National
  Alzheimer’s Association, U.S. Census Bureau, and current research.

 Successful Legislative Day in Lansing on May 5th. Advocates, caregivers
  and persons with dementia were able to meet with their state representatives
  on behalf of dementia-related programs and services. Follow-up activities
  have continued in an effort to have an impact on budget allocations for the
  upcoming fiscal year.

 Successful Caregiver Conferences provided in Southfield, Marquette and
  Traverse City.

 The Wraparound Program for individuals with Alzheimer’s disease, serving
  Wayne, Oakland and Macomb counties is officially underway.

 GMC staff provided a presentation on Dementia/Alzheimer’s disease, the
  Alzheimer’s Association and Respite Services at the National Association of
  Social Workers Annual Conference.

 GMC now provides over 150 Support Groups across the state of Michigan.

 Regional Director, Chris Weaner, now hosts a monthly TV show for
  caregivers in the Traverse City area.

 GMC is in the final stage of creating a new three-year strategic plan.

 The National Office of the Alzheimer’s Association is proud to have been a
  participating member in the development and production of the recent HBO
  special, “The Alzheimer’s Project.”
 Information on GMC programs and activities can be found at the Chapter’s

 Recent Alzheimer’s research and other national activities can be found at the
  Alzheimer's Association website:

State Units Update

Bureau of Health Systems-Deborah Ayers, No report given

Mental Health and Substance Abuse Administration Bureau of Program
Development, Consultation and Contracts-Marci Cameron for Alyson Rush

1. Budget Cuts: The Mental Health Initiatives for Older Adults is cut in the
Governor’s proposed FY10 budget. $1,048,200 covers 20 Alzheimer’s Disease
Caregiver Education and Respite programs. Per Governor’s Executive Order, a
25% cut to current fiscal year funding of MH Initiatives for Older Adults, with end
of expenditures as of June 15. LCC’s MH&A Project and EMU’s Alzheimer’s
Education & Research program will continue through FY09 with federal
community mental health block grant funds for their statewide programming.

2. Wraparound projects: Two presentations by family caregivers were made at
the Alzheimer’s Association-GMC Caregiver Conference in Marquette, including
a panel of 4 male caregivers. The Center for Mental Health Services’ monitoring
visit of federal MH BG held site visit at Ionia County CMH’s Wraparound Project.
Older adult reviewer praised the project, noted the obvious impact of the program
for families, and stated she would issue a recommendation for technical
assistance to help with identifying means of sustained funding for the
Wraparound program.
    Comments during the Exit meeting included praise for the department’s
opportunistic approach in the face of grave state financing, a mindset of
transformation of a system to one of recovery, strategic planning, the strong
interest in addressing stigma in access of services, and the comprehensive and
powerful involvement of consumers at all levels.

3. Dementia training conducted with MH&A conference and regional meeting,
MDEN, HCAM and Assisted Living organization meetings.

Office of Long Term Care-Bob Buryta, No report given

Office of Services to the Aging-Sally Steiner, No report given

Public Health Administration-Rochelle Hurst, out of office, report at MDC

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