Barrow Connection Barrow Neurological Institute St Josephs Hospital amp Medical Center amp Dr David Sattler Department of Psychology Western Washington University Bridging the Gap Between Hospital and Community ID: 223231
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Jo Crawford CTRS, MSLBarrow ConnectionBarrow Neurological Institute St. Joseph’s Hospital & Medical Center&Dr. David Sattler Department of PsychologyWestern Washington University
Bridging the Gap Between Hospital and CommunitySlide2
12,426 patients went through rehabilitation in the State of Arizona in 2013 171,994 disabled residents in Maricopa County 11,511 are wheelchair users!!
FactsSlide3
Decreased length of stay Adjustment to injury Adjustment to body image Education of family/friends Decreased access to the community while on rehab Decreased absorption of resources
Challenges in rehabilitation Slide4
In drug/alcohol abuse In secondary conditions In obesity In unemployment
Consequences of a Non-Active LifestyleSlide5
Organized activityCostEquipment Access
Trained staff
Barriers to Participation Slide6
Navigational tools needed for an active lifestyleEducate the hospital and communityMembership is freeMeet our Connectors
The Barrow Connection-what we doSlide7
Increase access to living a fuller life in the areas of:Education & WorkHealth & WellnessAdapted Recreation & Sports
Quality of life!
Barrow Connection- what we doSlide8
Barrow Connectors-Positive mentorsSlide9
Membership cardConnector reaches out to new memberProvide resources and encouragement Barrow Connectors- SCISlide10
Family involvementComplete a mentor training programContract agreement with BC/hospitalMonthly report Barrow Connectors-Brain Injured SurvivorsSlide11
Arizona Disabled Sports Arizona Bridge to Independent Living Virginia G. Piper Sports & Fitness Center- The Spo-Fit Municipal Programs–Daring Adventures Other Rehab Hospitals in Arizona Valley-wide Community Agencies
Community Support & Partners Slide12
PartnershipsSlide13Slide14Slide15
In medical stay In secondary conditions In drug/alcohol abuse In obesity
Benefits to the BC MemberSlide16
Communication of resources across the continuum of careCollaboration with valley-wide agenciesBarrow Connectors-provide support & resources
Benefits to the BC MemberSlide17
D
PROJECT INDEPENDENCE
& EMPOWERMENT
PIE
Dignity Health Grants Community of Care Network Slide18
The PIE CommunitySlide19
Target PopulationThe target population- adults with disabilities of all ethnic and cultural backgrounds.Served on a cross-disability basis; the majority of people served have physical and/or neurological disabilities.
In Arizona 24,000 people have a spinal cord injury, and that number increases by 250 yearly; over 100,000 have some form of paralysis.
(Christopher and Dana
Reeve Foundation)
Each year, over 52,000 people in Arizona sustain a Traumatic Brain Injury.
(AZ Department
of Health)
Did You Know….Slide20
PIEGoals1. Decrease or prevent incidence of secondary conditions2. Reduce inpatient admissions and ER visits
3. Enhance Quality of Life through health, fitness & nutrition; education/activities;
socialization opportunities; peer support; & Community Transition resources
4.
Identify system changes for
our
service delivery model
to encourage
a
seamless family care transition with SJHMC
5. Conduct outreach /offer care transition to extended care facilities
Enhance Quality of LifeSlide21
Barrow Connection
The initial focus : neuro rehabilitation continuumAcute> rehab>outpatient>Center for Transitional
Neuro
rehabilitation
New focus including:
Muhammad Ali Parkinson Center
Barrow Cranial Facial Center
and the Muscular Dystrophy program.Slide22
PIEOutcomes
Benchmarks Goal is 100 participants through the grant cycle for 2014 calendar year.
Currently 140 participants are enrolled in the PIE program.
Participants complete a pre-enrollment survey, with a follow-up assessment
at 3-month intervals.
Fitness Transition Results
Weight loss
Reduction of BMI
Gait improvement
Community InvolvementSlide23
PIEOutcomesTransportation
Bus and/or light rail passes have been provided to PIE participants who need transportation. This ensures continued and regular attendance to Spofit
.
Wheelchair Skills Classes
covered
topics
include:
traveling with your chair,
transferring,
managing your environment and mechanics of your chair.
Empowerment Curriculum Classes
A 12
week
Empowerment Series. Topics included:
prevention
of secondary conditions after SCI, psycho-social aspects of SCI,
medical
conditions after SCI, bladder and bowel management,
sexuality
and SCI, pain management and aging with
SCI.Slide24
PIEOutcomes
Educational ProgramsHealthy Living Group - Healthy Living for Your Body & Spirit
Featured Topics: Nutrition, Music Therapy, Chronic Pain Management
Healthy Living Summer Series
Online
Educational
Sessions
Conferences
Services
Resource Facilitation
Brain Gym,
2x/month
at
SpoFit
50% of the
enrolled participants indicated
interest
in educational classes. Slide25
Accident Avoidance ExercisesSkid Control
Barrow Connection Programs-Driving to ExcelSlide26
Introduction to timed driving Drive Safer with Hand Controls
Barrow Connection Programs-
Driving to ExcelSlide27
157 participants 38 watercraft150 volunteersWaterskiingJet skiing
Fishing
Boat rides
Kayaking
Research
Barrow Connection Programs
DayS
on the LakeSlide28
Barrow Connection ProgramsDay on the LakeSlide29
Fundraising in a recession Employee giving Grants Foundation involvement Fundraising eventsBenefits include Developing new partners-collaboration is key! Exploring new programming Creativity is survival
Challenges & benefits with offering innovative programmingSlide30
Collaboration between Barrow Connection and Western Washington UniversityReceived Approval from the Barrow and Western Washington University Institutional Review Boards (IRBs) to conduct the project.
Research Project:
Effects of Participation on Physical, Psychological, and Social OutcomesSlide31
Designing the SurveyStep 1Conducted semi-structured interviews with a sub-set of participants.
Participants discussed their experiences during and after event.
We identified common themes as well as unique experiences
.
Research Project:
MethodologySlide32
Step 2Wrote survey items.Step 3Administered the anonymous and confidential survey to
Day on the Lake participants.
Research Project:
MethodologySlide33
Self-esteem & confidencePositive emotionsFriendsStress reliefSelf-efficacy Perceived abilities & attitudes after the eventFamily RelationshipsPhysical & health consequences
Research Project-focused areas Slide34
The REAL impact of access! “It got me out of my shell and away from
the TV!” Marc Askinazi
“It is so empowering!”
Madilyn
Stanton