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Agenda - 03-02-2010 - 8a
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Agenda - 03-02-2010 - 8a
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2/26/2010 9:29:11 AM
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BOCC
Date
3/2/2010
Meeting Type
Regular Meeting
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Agenda
Agenda Item
8a
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Minutes 03-02-2010
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\Board of County Commissioners\Minutes - Approved\2010's\2010
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17 <br />Activities and Accomplishments: 2007-08 <br />~. Mental Health Planning: Meetings were held with OPC Mental Health, a UNC geriatric <br />Psychiatrist, a representative from the N.C. Division of Aging and Adult Services, and the <br />Department on Aging to create a plan to implement the IMPACT program at local physicians' <br />offices. The program focuses/treats clients with depression. Based on national research in the <br />difficulty of gathering primary care physicians' support, a decision was made to implement <br />IMPACT in auser-friendly senior center setting. To explore this new approach, the UNC Program <br />on Aging paid for Kate Barrett, Aging Transitions Administrator, and Jan Gerard, MSW at the <br />Seymour Center to attend Effective Programs to Treat Depression in OlderAdults: <br />Implementation Strategies for community Agencies on May 19-20, 2008. This conference was <br />sponsored by the Centers for Disease Control (CDC), the Healthy Aging Research Network, <br />Preventions Research Centers Program, the University of Washington, and the Carter Center for <br />Mental Health. A local coalition attended including: 2 social workers from OCDOA; Lea Watson, <br />MD, geriatric psychiatrist; Rebecca Hunter, MPH, UNC Geriatric Education Center and Mary <br />Edwards, NC Division of Aging and Adult Services. The University of Washington presenters <br />have researched and written extensively about the IMPACT depression management program <br />and other evidence-based programs for depression in older adults. This community coalition of <br />OCDOA, UNC, and the NC Division of Aging and Adult Services returned from the conference <br />with a plan to implement a geriatric depression treatment program at the Seymour Center. The <br />Department on Aging's Transitions staff attended afollow-up IMPACT training in Seattle, funded <br />by the Robert Woods Johnson Foundation and UNC. <br />2. Community Mental Health Education: The Aging Transitions Staff presented best practices in <br />mental health for the NC Healthy Aging Network in September 2008, conducted a workshop for <br />Piedmont Health Services social workers on diagnosing and treating geriatric depression and <br />taught UNC medical students on a} recognizing geriatric depression and b) evidence based best <br />practices for geriatric depression. <br />3. A Model Mental Health Clinic: The UNC Mood, Memory and Mobility Screening clinic that <br />began in 2007 is being staffed by a UNC geriatrician, physical therapist, and a pharmacist. The <br />Department on Aging provides an occupational therapist and a social worker. When a patient is <br />screened in for depression, if appropriate, follow-up sessions are scheduled with a clinical social <br />worker. <br />Activities and Accomplishments: 2008-09 <br />1. Using a variation of the IMPACT model of depression care, 196 geriatric (non-caregiver) <br />counseling sessions were held at the Seymour Center and provided by Aging Transitions staff. <br />Geriatric consultation was offered free of charge from Lea Watson, MD. <br />2. An LCSW in the Department on Aging has been provided clinical supervision to a provisionally <br />licensed clinical social worker on staff as she provides counseling to geriatric clients to fulfill <br />requirements for state licensure as a LCSW. <br />3. Support group for individuals with mild cognitive impairment or mild dementia ran for 12 weeks, <br />using MSW students, receiving clinical supervision from LCSW. Response from the 8 people who <br />completed the program was 100% satisfaction. <br />4. The NC ACCESS program for dually eligible Medicare/Medicaid has engaged Dr. Lea Watson <br />for 30% of her time, to coordinate mental health care within the stigma-free setting of primary <br />care. <br />5. An Aging Transitions staff member served on Mayor's Foy's Mental Health Task Force, to <br />inform the community and providers of the unique challenges of geriatric mental health issues. <br />15 <br />
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