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19 <br /> INDICATOR Lead Agency Status Status Status Status <br /> October 2014 January 2015 April 2015 July 2015 <br /> 3.2.1 CRC On-going Ongoing Ongoing Ongoing <br /> Promotion of promotion of and <br /> the model of referral to PACE <br /> medical homes programs in <br /> Burlington and <br /> Pittsboro <br /> 3.2.2 CRC, UNC UNC continues to Ongoing Ongoing Ongoing <br /> Expansion of hospitals enroll participants <br /> hospital into various care <br /> transition transitions <br /> programs— programs <br /> decline in <br /> hospital <br /> readmission <br /> rates <br /> 3.3.1 OCDoA/AT/ Cardinal Plans to offer Mental Health <br /> Older adults Cardinal Innovations will on-going qtrly First Aid course <br /> educated on Innovations/ provide program MH education offered to staff <br /> mental health Wellness at SeniorStrider to the public and public June <br /> and substance meetings in Nov beginning in '15.Substance <br /> abuse issues 2014 in Chapel Hill May 2015 Abuse in Older <br /> and Hillsborough Adults and <br /> Families Forum <br /> held 7/15/15. <br /> Mental Health <br /> Screenings co- <br /> held with the <br /> National <br /> Memory <br /> Screening Day <br /> Nov.'15. <br /> 3.3.2 OCDOA/ Summer <br /> Healthy IDEAS Wellness Practicum <br /> materials sent Student <br /> to primary care working on <br /> practices contact with <br /> Care managers <br /> in medical <br /> offices. <br /> 3.3.3 OCDoA/AT On-going. Brief Ongoing. Ongoing Ongoing <br /> Access to free counseling <br /> MH and SA available at the <br /> screening, Seymour Center <br /> referrals, and one day a week. <br />