Friday, June 22, 2007

Geriatric Mental Health Alliance News - Week of June 25 - 29, 2007

Geriatric Mental Health Alliance News
A weekly email to brief you on issues important to geriatric mental health

June 25, 2007 - Vol 1, Issue 17

NYC Budget Includes $2.67 Million for Geriatric Mental Health Services

The NYC Fiscal 2008 Budget includes $2.67 million for the Geriatric Mental Health Initiative which provides mental health services to older adults in non- traditional settings such as in their homes and in senior centers. This represents an enhancement of $1 million.

The Initiative was led by The Coalition of Behavioral Mental Agencies and United Neighborhood Houses, with support from the Alliance, the Council of Senior Centers and Services, the Federation for Protestant Welfare Agencies and UJA Federation.

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Advocacy Alert: OMH Hearings on 5.07

Statewide Plan for Comprehensive Mental Health Services 2007 Informational Briefings and Public Hearings

MARK YOUR CALENDARS AND ORGANIZE!

July 09 Poughkeesie
July 19 Batavia
July 20 Syracuse
July 30 New York
July 31 West Brentwood

Commissioner Hogan and Deputy Commissioner Simons have scheduled the 2007 Regional Statewide Comprehensive Plan for Mental Health Services Forums.

The Geriatric Mental Health Alliance of NYS needs to be highly visible at these hearings. The Commissioners wish to focus on "emerging themes and priorities [...] identified by stakeholders", specifically,

  • Mental Health services for children and families
  • Housing Priorities
  • Coordinated Care

While issues affecting our aging population have not been specifically identified, they are clearly relevant to housing and coordinated care. It is our responsibility to bring them to the forefront.

We will be sending you further information regarding additional priorities on our advocacy agenda reached by consensus at our recent Alliance meeting in Albany. We also have "AGING MATTERS" buttons which we can send you and encourage you to wear.

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Update on Listening Forums

We are excited to report that a number of people spoke about aging, including geriatric mental health at the listening forum in Buffalo on Monday. The third and fourth listening forums hosted by the state commissioners of OMH, DOH, OASAS, and OMRDD took place in Buffalo and Syracuse earlier this past week. Several Alliance members were present at both forums and many attendees wore buttons we distributed that said "Aging Matters".
Here is info on the final forum:
Plattsburg - July 13th from 1:00 to 3:00 p.m.
Location: Clinton Community College, Stafford Center for Arts and Technology, 136 Clinton Point Drive, Plattsburgh
, NY

If you cannot attend any of the forums but want to provide feedback, you can submit comments online. If you do submit comments, please send a copy to us.

For more information about the listening tours, please visit the OMH website.

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Upcoming Events

July 11, 2007 - Stress Affects Wellness: Let's Do Something About It! The NYC Department of Health & Mental Hygiene, Office of Consumer Affairs, presents the second of four workshops on Health, Wellness and Recovery. The workshop will take place from 5 to 7 PM at Fountain House, 425 West 47th St. (between 9th and 10th Avenues). Please see flyer for more info.

July 19 - Third Thursday Breakfast: Alzheimer's Disease A broadcast series on public health issues sponsored by the above listed organizations. The session will feature Mary Mittelman of the NYU School of Medicine and Earl Zimmerman of the Albany Medical Center Neurology Group. The session will occur from 9:00-10:00am. It will be available via satellite downlink, via a live webcast, and available as an archived online webstream two weeks after each broadcast. Please see flyer for more information.

September 18, 2007- Mental Illness and the Older Client: A Challenge for Geriatric Care Managers sponsored by the Greater New York Chapter NAPGCM. Dr. Mark Nathanson is the opening keynote speaker and Michael Friedman is the luncheon keynote. The conference will be from 8:00am-4:15pm at the New York Academy of Medicine. Please view the save the date card for more information.

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Useful Tools from The Medicare Rights Center

The Medicare Rights Center's Professional Hotline

Press Release
June 18, 2007
Contact: Deane Beebe, Public Affairs Director
212-204-6219

National Hotline Expands to Assist Professionals with Clients' Full Array of Medicare Questions and Problems

--Consumer Group Provides Support to Social Service, Health Care and Legal Professionals--

The Medicare Rights Center's Professional Hotline is now providing comprehensive guidance on a complete spectrum of Medicare benefits, rights and options to professionals who assist older adults and people with disabilities who have Medicare.

Launched in 2005 to support social workers and health care professionals in need of advice on the new Medicare prescription drug benefit available through private drug plans, the hotline service has just expanded to cover all consumer-related Medicare issues.

Hotline counselors now give free and expert information about a range of topics, including: how to appeal Medicare private health and drug plan denials; help for victims of Medicare private health plan marketing schemes; how the Medicare drug benefit works with Medicaid, state pharmaceutical assistance programs and other drug coverage; resources for low- income people with Medicare; and how Medicare covers care in the home, skilled nursing facilities and hospitals, and durable medical equipment.

"Professionals can access accurate, unbiased information with just a phone call," said Robert M. Hayes, president of the Medicare Rights Center, a national consumer group. "The Medicare Rights Center staff helps professionals serve their clients more effectively by providing Medicare-related information in a consumer-friendly and timely manner."

The Professional Hotline is available Monday through Friday, from 10:00 a.m. to 6:00 p.m. (eastern time) at 1-877-RxHELP-0 (1-877-794-3570).

Medicare Interactive

The Medicare Rights Center has made their award-winning web tool Medicare Interactive (MI) publicly available to help you guide
your clients through the Medicare maze. Now professionals and consumers across the country can access the timeliest information on all aspects of Medicare -- from the new Medicare prescription drug benefit, coverage details and appeal rights to coordinating benefits, long-term care, and low-income assistance. MI is chock full of the most essential Medicare information. It is easy to navigate and easy to read. Log on at http://rs6.net/tn.jsp?t=9h55nbcab.0.bczumbcab.65m45zbab.1&ts=S0260&p=http%3A%2F%2Fwww.medicarerights.org%2Fhelp.html today!

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In the News

City Checks On Care For Fragile Adults

By Rachel Nielsen
June 18, 2007

A snapshot of the city's Adult Protective Services program makes for a compelling picture. Its clients are New Yorkers with mental and physical impairments who can't manage daily tasks and don't have a relative or friend to handle their care. Its caseload contained more than 6,000 active cases earlier this year, and APS caseworkers are handling anywhere from 27 cases on average on Staten Island, to an average of 42 in Manhattan. Yet caseworkers typically don't have city-issued cellphones, nor...

To view the rest of the article, click here.
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Concern mounts over caregiver shortage

By David Crary
AP National Writer
June 14, 2007

NEW YORK -- As the huge baby boomer generation surges toward retirement age, an unsettling issue grows ever more pressing: finding the work force to tend to the millions of boomers who will someday need ongoing care because of physical and mental frailties. Alarm is spreading across the health care sector in the face of stark demographics.

There will be an enormous increase in America's elderly population in the next few decades, while the traditional labor pool for caregivers - women from their mid-20s to mid-50s - will scarcely grow at all, compounding problems for a work force already beset by low wages and high turnover.

Federal statistics suggest that roughly 3 million people work in direct-care jobs, mainly with the elderly, as nursing assistants, home health aides and personal care aides. Experts project there will be demand for nearly 1 million more of these workers in the next decade, and perhaps a total of 3 million more by 2030 - when all surviving members of the 78- million-strong boomer generation are older than 65.

Direct-care workers "are the hands, voice and face of long-term care for millions of elders," said Steven Dawson, president of the New York-based Paraprofessional Healthcare Institute.

To read the complete article, click here.
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U.S. Supreme Court Rules Home Health Care Workers Not Entitled To Minimum Wage, Overtime Pay

From Kaiser Daily Health Policy Report
June 14, 2007

The Supreme Court on Monday in a 9-0 decision ruled that federal minimum wage and overtime laws do not apply to home care workers, the AP/Lincoln Journal Star reports (Yost, AP/Lincoln Journal Star, 5/11). In the case, Evelyn Coke, a 73-year-old immigrant from Jamaica, filed a lawsuit against New York-based Long Island Care at Home to challenge Department of Labor regulations that exempt home care workers from the laws. The Supreme Court agreed to hear the case after the U.S. 2nd Circuit Court of Appeals overturned the regulations, which the court said conflicted with congressional intent.

Congress in 1974 amended the Fair Labor Standards Act to extend federal minimum wage and overtime laws to household workers but exempted baby sitters and "companions" for the elderly and those with illnesses. In 1975, DOL proposed regulations to implement the revisions to the law that exempted home care workers. In a brief, Long Island Care argued that the regulations were consistent with congressional intent because some lawmakers had raised concerns about the need to reduce costs. According to the brief, "The need to restrain costs in the case of third-party employees has only become more acute as agencies provide an increasing amount of needed care."

However, attorney Craig Becker, who represents Coke, argued that the "exemption for baby sitters and companions Congress had in mind the quintessential neighbor-to-neighbor relations," adding, "Increasingly, this is not a casual form of work akin to baby-sitting but a full-time regular type of employment." The case applies only to home health care workers employed by agencies (Kaiser Daily Health Policy Report, 4/17)

To read the complete article, click here.

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Job Announcement: Part-Time Geriatric Mental Health Training Center Director

The Geriatric Mental
Health Alliance has an opening for a part-time Training Center Director whose responsibility will be to plan for the development of a Geriatric Mental Health Training and Technical Assistance Center. Please see job description for more information. Feel free to circulate to those who might be interested. If you have questions you may contact Kim at 212-614-5751 or steinhagenk@mhaofnyc.org

Wednesday, June 13, 2007

Geriatric Mental Health Alliance News - Week of June 11 - 15, 2007

Geriatric Mental Health Alliance News
A weekly email to brief you on issues important to geriatric mental health

June 11, 2007 - Vol 1, Issue 16

1st GMHA Conference Draws 400+

Over 400 members of the Alliance and others came together for our First Annual Conference. Attendees commented throughout the day about how pleased they were with the high caliber of the presentations. We are grateful to the presenters and to everyone who attended.

For those of you who missed it, here are some of the highlights. NYC DFTA Commissioner, Edwin Méndez-Santiago shared his vision of a system that addresses the needs of the whole person. Dr. Steve Bartels of Dartmouth Medical School, the keynote speaker, gave a comprehensive overview on implementing evidence based practices. Martha Bruce of Weill Cornell, Alene Hokenstad of the United Hospital Fund, and Neil Pessin of the Visiting Nurse Service presented as part of a panel on models for integrating health and mental health services for older adults. NYS SOFA Director, Michael Burgess was the luncheon speaker, and he discussed SOFA's agenda including the role of mental health. The afternoon workshops included topics such as: best practices in home and community based mental health services, mental health and substance abuse treatment for older adults, civic engagement, psychiatric rehabilitation and older adults, training frontline staff in mental health and more.

Please keep an eye out for the power-point presentations of some of the presenters. We plan to have links to them shortly.

We look forward to doing it again next year!

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Geriatric Behavioral Health Legislation Passed

The NYS legislature passed two bills on geriatric behavioral health:

Geriatric Chemical Dependence Act: (A01453/S02902) The Act calls for the development of a geriatric chemical demonstration grants program and the development of an Interagency Council on Geriatric Chemical Dependence.

Veterans Geriatric Mental Health Act: (A05154/S5170) The Act calls for the establishment of a veterans geriatric mental health demonstration grants program and the establishment of an Interagency Geriatric Veterans Mental Health Planning Council.

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'Aging' Not Discussed at 2nd Listening Forum

On June 6th, the state commissioners of OMH, DOH, OASAS, and OMRDD hosted their second listening forum. This time in NYC. Several Alliance members were present. There was an incredible turnout - about 1,000 people. About half wore buttons we distributed that said "Aging Matters". Less than 15 people were called on to speak. Unfortunately, once again, no one spoke about aging.

We need aging issues to be addressed at these forums!

If you plan to attend one of the next forums, please let us know. We will gladly send you "Aging Matters" buttons to wear the day of the event.

Here is when and where the next forums are taking place:

Buffalo - June 19th from 4:00-6:00 PM
Location: Roswell Park Cancer Institute, David C. Hohn, MD, Lecture Hall, Research Studies Center, Corner of Elm & Carlton Streets, Buffalo, NY 14263, 877-275-7724 or 716-845-2300

Syracuse - June 20th from 2:00 to 4:00 PM
Location: Renaissance Hotel, Lafayette Theater, 701 East Genesee Street, Syracuse, NY 13210, June 20, 2007, (Registration begins at 1:30 PM), 1-315-479- 7000

Plattsburg - June 13th from 1:00 to 3:00 PM
Location: Clinton Community College, Stafford Center for Arts and Technology, 136 Clinton Point Drive, Plattsburgh, NY

PLEASE LET US KNOW IF YOU OR ANY OF YOUR CONSTITUENTS WILL BE ATTENDING.

As a reminder you should arrive early as seating is limited and will be on a first come, first serve basis. The comment cards you will be asked to fill out are available online for you to complete in advance.

For your convenience, here is a list of possible talking points on geriatric mental health. The talking points are much too long to fit on a card however, we tried to outline major concerns that individuals could then choose from to mention.

If you cannot attend any of the forums but want to provide feedback, you can submit comments online. If you do submit comments, please send a copy to us.

For more information about the listening tours, please visit the OMH website.

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Michael Has Article in SSA Bulletin

Alliance Chair, Michael Friedman has an article entitled Meeting the Mental Health Challenges of the Elderboom published in the Summer 2007 Bulletin of the State Society on Aging of New York. Here is the link to the article.


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Upcoming Events

June 13-15, 2007 - Partners for Recovery: People First A conference on the critical issue of care coordination for New Yorkers diagnosed with a mental health and substance abuse/chemical dependence disorder co-sponsored by ASAP of NYS, the Local Conference of Mental Hygiene Directors, and the NYS Council for Community Behavioral Healthcare. The conference will take place at the Holiday Inn in Albany, NY. For more information please view the brochure.

June 14, 2007 - JASA Volunteer Ventures Expo A free half-day conference and volunteer opportunities fair for adults 50+. The event is from 9:30-2:00pm at the UJA Federation of New York, 130 East 59th Street, 7th Floor, NYC. Advanced registration is required.

See
flyer for more details.

June 19, 2007 - Breaking Down Barriers: Elder Abuse: Addressing Financial Exploitation Through Partnerships A multidisciplinary conference sponsored by JASA, Hebrew Home for the Aged at Riverdale, The City of New York's Department for the Aging, Human Resources Administration, Fordham University, and New School University. The conference is from 8:30- 1:30 at the New School University Institute for Retired Professionals. Please view the program for more information.


June 19 and 20 - The 11th Annual "Aging Concerns Unite Us" Conference presented by the New York State Association of Area Agencies on Aging at the Albany Crowne Plaza, State and Lodge Street, Albany, NY. This conference is an award- winning collaborative conference that provides quality educational programming to leaders in the field of Aging and those serving people with differing abilities. This event attracts over 400 professionals from all regions of New York State who are devoted to coordinating and providing quality services for senior citizens, people with differing abilities, and their caregivers. You'll find enticing educational programs led by thought-provoking presenters who will cover the cutting edge topics important to you and your agency. For more information, please visit the NYSAAAA website.

June 21 - Third Thursday Breakfast: Geriatric Mental Health A broadcast series on public health issues sponsored by The University at Albany, School of Public Health, Continuing Education, NYS Department of Health, NYS Association of County Health Officials, NYS Nurses Association, and the NYS Community Health Partnership. The session will feature Michael B. Friedman, Alliance Chair and will be from 9:00-10:00am. It will be available via satellite downlink, via a live webcast, and available as an archived online webstream two weeks after each broadcast. Please see flyer for more information.

June 21 - Understanding and Protecting the Consumer Rights of Older Adults A training for social workers and other professional staff working with older adults For more information, here is the flyer.

June 21, 2007 - Planning Today for Tomorrow A statewide symposium on long- term care restructuring sponsored by the NYS Dept of Health The conference will take place from 8:00- 4:30pm at the Empire State Plaza Convention Center in Albany, NY.

June 22, 2007 - 7th Annual Orange County Mental Health & Wellness Conference OMH Commissioner Michael F. Hogan and Geriatric Mental Health Alliance Chairman Michael Friedman to Keynote. The conference will take place from 8:30am to 4:00pm at Anthony's Pier 9 in New Windsor. For more information, please visit
here.

July 19 - Third Thursday Breakfast: Alzheimer's Disease A broadcast series on public health issues sponsored by the above listed organizations. The session will feature Mary Mittelman of the NYU School of Medicine and Earl Zimmerman of the Albany Medical Center Neurology Group. The session will occur from 9:00-10:00am. It will be available via satellite downlink, via a live webcast, and available as an archived online webstream two weeks after each broadcast. Please see flyer for more information.

September 18, 2007- Mental Illness and the Older Client: A Challenge for Geriatric Care Managers sponsored by the Greater New York Chapter NAPGCM. Dr. Mark Nathanson is the opening keynote speaker and Michael Friedman is the luncheon keynote. The conference will be from 8:00am-4:15pm at the New York Academy of Medicine. Please view the save the date card for more information.

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Research Articles

Antipsychotic Drug Use and Mortality in Older Adults with Dementia
Annals of Internal Medicine, June 05, 2007 - V:146, No. 11

Sudeep S. Gill, MD, MSc; Susan E. Bronskill, PhD; Sharon-Lise T. Normand, PhD; Geoffrey M. Anderson, MD, PhD; Kathy Sykora, MSc; Kelvin Lam, MSc; Chaim M. Bell, MD, PhD; Philip E. Lee, MD; Hadas D. Fischer, MD; Nathan Herrmann, MD; Jerry H. Gurwitz, MD; and Paula A. Rochon, MD, MPH.

Antipsychotic drugs are widely used to manage behavioral and psychological symptoms in dementia despite concerns about their safety. And recent reports suggest that antipsychotics are associated with increased risk for death in patients with dementia.

This large, population-based study from Canada assessed the risk of death after dispensation of antipsychotics in older adults with dementia to examine the association between treatment with antipsychotics (both conventional and atypical) and all- cause mortality.

Click here for the article.