Monday, March 10, 2008

Help Fund Quality Programs For Geriatric Mental Health!

Dear Advocates,

Please tell your legislators to fund quality programs for geriatric mental health! The Geriatric Mental Health Alliance of New York State has a two item legislative geriatric mental health ask, which includes:

  • Additional state-of-the-art service demonstration programs for $3 million; and
  • A Center for Excellence that would disseminate best practices in geriatric mental health and provide technical assistance for $1 million.

We all need to act now!

We urge you to please send in the attached letters to the Chairs of the NY Assembly and Senate Aging and Mental Health Committees supporting these two items. Simply read the letters, fill in your contact information, sign and send.

Here are links to the four letters:

Letter to Senator Martin J. Golden, Chair, NYS Senate Committee on Aging
Letter to Senator Thomas P. Morahan, Chair, NYS Senate Committee on Mental Health and Developmental Disabilities
Letter to Assemblymember Jeffrey Dinowitz, Chair, NYS Assembly Committee on Aging
Letter to Assemblymember Peter M. Rivera, Chair, NYS Assembly Committee on Mental Health

The process is moving very rapidly, so it is critical to get in letters as soon as possible. Please let us know when you have mailed in these letters by emailing Yusyin at yhsin@mhaofnyc.org.

Please let us know if you have any questions.

Kim Steinhagen
Director

Monday, February 11, 2008

Geriatric Mental Health Alliance News - Week of February 11, 2008

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

February 11, 2008 - Vol 2, Issue 3

Action Alert: Contact Key Legislators

As you know, The Governor's Executive budget request did not include additional funding for geriatric mental health. Now is the time to advocate with the Legislature for additional funding!

We urge you to send in letters to the Chairs of the Aging and Mental Health Committees in the Assembly and the Senate asking them to support funding for:
  • Additional state-of-the-art mental health and chemical dependency service demonstration programs for $3 million; and
  • A Center for Excellence that would disseminate best practices in geriatric behavioral health and provide technical assistance for $1 million.
Click on and print the following letters - Letter to Senator Golden, Letter to Senator Morahan, Letter to Assemblymember Dinowitz, Letter to Assemblymember Rivera. You can simply fill out your name and addresses, sign below, and mail them in. We also encourage you to put them on agency letterhead and send them on behalf of your organization.

The budget season is in full swing and your letters are critical for us to get funding put into the NYS budget for geriatric behavioral health. Please send in the letters as soon as possible and let us know when you do!

We also encourage you to write and send in letters to you own local legislators.

In addition, we would also greatly appreciate it if you would reach out to your organization's network through a similar action alert and ask all of your organization's advocates to send out the letters.

Thank you for your support!

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Bill to Amend Geriatric Mental Health Act

Assemblymember Dinowitz, Chair of the Aging Committee has introduced a bill to amend the Geriatric Mental Health Act to (1) broaden the geriatric service demonstrations program to include chemical dependency services and (2) to expand the scope of and rename the Planning Council to the "Geriatric Mental Health and Chemical Dependence Planning Council". The Commissioner of the Office of Alcoholism and Substance Abuse Services would become co-chair of the Council along with the Commissioner of the Office of Mental Health and the Director of the State Office for the Aging, and the Adjunct General and Director of the Division of Veterans Affairs will be added to the Council.

Demonstration programs for older adults with chemical dependency needs will be contingent upon additional funding. To read the bill, click here.

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Addendum to OMH Assessment

On January 14, 2008 a group of minority and geriatric mental health advocates met with Lloyd Sederer, M.D., Medical Director of the NYS Office of Mental Health, to discuss the OMH Assessment on major mental health issues that he submitted to Commissioner Hogan in the Fall of 2007. The advocates noted that the report omitted key issues related to demographic changes in NYS--in particular the growth of minority and elderly populations. Dr. Sederer graciously acknowledged the oversight and agreed to write an addendum to the report that includes many of the issues raised at the meeting. We are very pleased by his responsiveness and hope that it signals growing awareness of mental health policy issues related to the march of demography. To read the Addendum click here.

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Support Gov. Spitzer's Housing Opportunity Fund

Voice your support for Governor Spitzer's proposed $400 million Housing Opportunity Fund to address New York's affordable housing crisis. The fund will be used to develop affordable, supportive and workforce housing across New York State. It will help house homeless families and individuals, working families, seniors, people with disabilities and men and women who are just starting their careers in education, health care and public safety.
If you would like to express your support, please add your name to a list of groups supporting the fund through the Coalition for the Homeless or you can personally contact your Senators and Assemblymembers to embrace and approve the initiative.

For more information, please contact Shelly Nortz at (518) 436-5612 or snortz@cfthomeless.org

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GMHA Upcoming Events

February 19, 2008 - Save the Date -- Mental Health Issues Of LGBT Elders: A Best Practices Presentation in Geriatric Mental Health hosted by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College. The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please register by clicking here. If you have any questions, please email or call Yusyin Hsin at yhsin@mhaofnyc.org or (212) 614-6356. The event is free but pre-registration is required.
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May 22, 2008 - Save the Date: 2nd Annual Geriatric Mental Health Alliance Conference

BRIDGES TO BETTER MENTAL HEALTH:
Merging Research and Practice for Improved Integration of Services to Older Adults


Location: Hotel Pennsylvania, 7th Avenue at 33rd Street New York, NY

Keynote:
Robert Butler, M.D., Physician, Gerontologist, Psychiatrist, and Pulitzer Prize-winning author. President and CEO, International Longevity Center USA, NY; Professor of Geriatrics at the Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine; Founding Chairman, Dept. of Geriatrics, Mount Sinai School of Medicine; Founding Director, National Institute on Aging, National Institute of Health.

More details to come shortly.

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NYS Bar Workgroup on Geriatric Mental Health

The New York State Bar Association Elder Law Section has established a workgroup on geriatric mental health. For more information, contact Martin Petroff of Petroff and Bellin, LLP at (212) 962-2400 or mailto:mbpetroff@aol.com

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Housing Needs Survey for Mental Health Consumers and Their Families

NAMI-NYC Metro is conducting a survey to measure the consumer demand for private pay housing designed for individuals with serious and persistent mental illness across all five boroughs and in the greater New York metropolitan area. You can help by taking 5 minutes to complete their housing questionnaire. All information will be confidential and will only be used to determine housing needs - type of housing needed, the kind of support services required, and the ability of you and/or your family to pay for appropriate housing.

To take the survey, click here!

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Other Upcoming Events

February 20, 2008 - Annual Community Open House & Survivor Celebration hosted by the Arts Den New York. They will be saluting survivors of cancer, war, prejudice, and discrimination with a special invitation to older adults and their caregivers. Also featuring an open rehearsal/presentation of the award-winning, critically acclaimed one-man play, Four One-Legged Men. The event will start at 7:00pm at the Studio Theater, 410 West 42nd St. between 9th and 10th avenues. Free admission. Please RSVP to artsdenwelcomesu@yahoo.com.

February 27, 2008 - Save The Date: Livable Communities Press Conference
presented by the Westchester County Dept. of Senior Programs and Services and AARP. The event will be held from 10:00am - 12:00pm at the Westchester Marriott, 670 White Plains Road, Tarrytown, NY. Lunch will be served. Following will be an online seminar from 1-3pm on Ways to Create Aging-Friendly Communities: Engage with national experts and explore aging-friendly initiatives from around the country. To participate, please call 914-813-6406 or email bab6@westchestergov.com

March 6, 2008 - The Comprehensive Approach to Dementia: A Practical Update for Practitioners in Mental Health, Primary Care, and Long- Term Care Settings sponsored by the Montefiore Medical Center. The event will be held 8:30am to 4:00pm at Hosak Hall Auditorium, NY Academy of Medicine, 1216 Fifth Avenue.

Please click here for brochure. There is a reduced registration fee of $25 for Alliance members. You must mention your membership when you mail in your registration or at the registration desk at the day of the event in order to receive the discount.

March 19, 2008 - The Future of Gerontological Social Work in NY: Licensing & Workforce Development hosted by NASW & Fordham University Graduate School of Social Services. The event will be from 8:30am - 1:00pm at the Pope Auditorium at Fordham University. More details to be announced.

March 26-30, 2008 - Aging in America 2008 Conference hosted by the American Society on Aging and the National Council on Aging in Washington DC. One of the largest gathering of diverse, multidisciplinary professionals from the fields of aging, healthcare and education, along with business leaders from across the US, this five-day conference in our nation's capital will be an opportunity to network, discuss the issues and leave with new ideas, insights and connections that will make you more effective in serving older adults. For more information, please visit the conference website at http://www.agingconference.org or call 1-800-537-9728

April 17, 2008 - Save the Date: Second Annual Brain Injury in the Community Conference: Giving Voice to the Silent Epidemic sponsored by ICD, AHRC- NYC, and the Brain Injury Association of NYS. Featured speakers will be Jean A. Langlois, Sc.D., MPH from the Centers for Disease Control and Prevention, and Wayne A. Gordon, Ph.D. from Mt. Sinai School of Medicine. The event will be held from 8:30am to 4:00pm at OMRDD, 75 Norton Street in NYC. More details to follow.

June 17-18th, 2008 - Save the Date: 12th Annual Aging Concerns Unite Us Conference at the Desmond Hotel and Conference Center, Albany, NY.

Educational Activities for Healthcare Professionals Focusing on Older Adults sponsored by the Consortium of New York Geriatric Education Centers. Programs include reinventing senior centers and senior programs, new trends in discharge planning, falls prevention and more. Programs are from 8:45am -4:30pm and registration is $50.

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online at www.spop.com or call: 212-787-7102 ext.515.

For topics, dates, and registration information, click here.

HIV/AIDS and Older Adults Trainings The AIDS Community Research Initiative of America (ACRIA) and the Council of Senior Centers and Services (CSCS) is offering a citywide HIV training program funded by the New York City Council. These free trainings will help senior service providers address HIV prevention issues and understand better the needs of those aging with HIV. Each seminar is held at various locations.

For dates and registration information, click here.

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In the News

"Aging in place" movement helps seniors stay in their homes
From The Journal News
By Len Maniace
February 7, 2008

For 40 years, home for Dorothy and Arthur DeRuve has been a co-op on DeHaven Drive in Yonkers, a place that's close to family, friends and the cultural attractions of New York City.

Though the retired couple are still healthy, they've watched friends age and leave the northwest Yonkers neighborhood for assisted-living facilities and nursing homes. The DeRuves want a different kind of future.

"One neighbor moved to an assisted-living place in Florida and then she came back," Dorothy DeRuve said. "She wasn't happy there."

After spending much of her life as a community volunteer - including six years on the Yonkers Board of Education - Dorothy DeRuve once again is a volunteer, this time helping to pioneer an experiment in senior living called DeHaven on the Hudson.

DeHaven on Hudson, designed to keep seniors in their homes and out of institutions, is part of a grass-roots movement to create what are being called "aging-in-place" communities - a concept that's kind of a cross between a commune and a senior center.

Unlike most facilities that cater to elders, seniors themselves form and run these communities. Some tap existing government services for seniors, others provide private services, and still others may have a mix. Their menus of services can be as different as the communities they represent: health and fitness programs; meal and dining-out programs; volunteers to look in on members; transportation, not only for shopping and doctor visits, but also for cultural outings; and shared lists of recommended home- repair contractors such as carpenters and plumbers.

To read the entire article, click here.

Monday, January 28, 2008

Geriatric Mental Health Alliance News - Week of January 28, 2008

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

January 28, 2008 - Vol 2, Issue 2

Budget Request Good for Mental Health But Very Limited Gains for Geriatric Mental Health

The Governor's Budget Request includes cost of living adjustments for community mental health providers, additional funding for housing providers, 2000 new units of housing, additions for children, and beginning efforts to confront co-occurring disorders. But it does not include funding for more geriatric mental health demonstrations or for the establishment of a center for excellence to spread best practices in geriatric mental health throughout NYS, which have been our priorities for 2008.

However, there are other items in the budget that will benefit older adults with mental disorders:

  • OMH has removed the Medicaid neutrality cap. This will make it easier for organizations to mount new or expanded geriatric mental health programs. We encourage programs to apply for licenses.
  • There are 140 new housing units for people with mental retardation who are aging, about half of whom will have co-occurring mental illness.
  • The targeted Expanded in Homes Services for the Elderly Program (EISEP) will include screening for mental and substance abuse disorders. Obviously, follow-up and access to treatment services for older adults that need them will be critical.
  • There are also other opportunities for integrating mental health in the state's long-term care agenda.

We will now turn to the Legislature to provide additional funding for geriatric mental health. YOUR ADVOCACY WILL BE ESSENTIAL!

Click
here for Michael Friedman's analysis of the budget.

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Testimony on MH Budget to NYS Legislature

Michael will be testifying on Tuesday, January 29th at the NYS Legislative hearing on the Mental Health Budget. To read his testimony, click
here.

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GMHA Upcoming Events

January 31, 2008 - Semi-Annual Alliance Meeting
Time: 3:00pm - 5:00pm
Location: United Federation of Teachers (UFT), 52 Broadway, Room 19H, New York, NY 10004

Agenda:

  • Presentation and discussion of the NYS Executive Budget Request as it pertains to geriatric mental health
  • Discussion of strategic response to budget
  • Other state budget and legislative issues
  • Update on Interagency Geriatric Mental Health Planning Council
  • Update on NYC Geriatric Mental Health Initiative

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February 19, 2008 - Save the Date -- Mental Health Issues Of LGBT Elders: A Best Practices Presentation in Geriatric Mental Health hosted by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College.

The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please register by clicking
here. If you have any questions, please email or call Yusyin Hsin at yhsin@mhaofnyc.org or (212) 614-6356. The event is free but pre-registration is required.
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May 22, 2008 -
Save the Date: 2nd Annual Geriatric Mental Health Alliance Conference

BRIDGES TO BETTER MENTAL HEALTH:
Merging Research and Practice for Improved Integration of Services to Older Adults


Location: Hotel Pennsylvania, 7th Avenue at 33rd Street New York, NY

Keynote: Robert Butler, M.D., Physician, Gerontologist, Psychiatrist, and Pulitzer Prize-winning author. President and CEO, International Longevity Center USA, NY; Professor of Geriatrics at the Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine; Founding Chairman, Dept. of Geriatrics, Mount Sinai School of Medicine; Founding Director, National Institute on Aging, National Institute of Health.

More details to come shortly.

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Alliance Update Report

We are delighted to bring you up-to-date on our progress to improve mental health services and policies for older adults since July 2007. The report includes information on constituency building, state and local advocacy, educational activities, and funding sources.

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NYC DOHMH's Scholarship Program

NYC Department of Health & Mental Hygiene's has a One Year Residence Scholarship program at the Hunter College School of Social Work for the fall of 2008. Applicants who have demonstrated experience working with underserved minorities, new immigrants, older adults, children and adolescents, the homeless and Iraq war returnees are encouraged to apply. Applicants must have a minimum of 2 years paid experience and have completed a bachelor's degree as of 3/3/06.

The deadline for applications is March 3, 2008. The contact person at DOHMH to receive an application packet is Leslie Brandon at (212) 219- 8243 or
lbrandon@health.nyc.gov.

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Federal Legislative Update

From NYS Office for the Aging

STATE OF THE UNION ADDRESS: President Bush will deliver his State of the Union Address on January 28. He is expected to offer an economic stimulus package to combat an economic recession.

UNFINISHED BUSINESS: Lawmakers are planning to address Medicare, SCHIP and Medicaid policy changes they had hoped to make last year in new legislation that would stop a 10 percent cut to Medicare physician fees scheduled to take effect June 30. With health care emerging as a top issue with voters, the election year might put increased pressure on lawmakers to present at least a few new health policies, although some proposals could draw veto threats.

Senate Finance Committee Chair Max Baucus (D-MT) and ranking member Chuck Grassley (R-IA) want to explore Medicare changes that did not make it into last year's physician pay fix bill because time ran out. Those changes include measures supported by the Bush administration, such as health information technology requirements and proposals on mental health parity and genetic nondiscrimination. Committee members also might try to rewrite rules regarding Medicare Advantage plan marketing after the Bush administration last year rejected a proposal that would have given states more flexibility in regulating the plans.

In addition, lawmakers are likely to respond to the administration's latest attempts to stop states from expanding Medicaid eligibility beyond 250% of the federal poverty level. A Baucus aide said the senator is planning to closely watch HHS this year to make sure its actions are consistent with the law.

Senator Olympia Snowe (R-ME), who negotiated SCHIP legislation that President Bush vetoed twice, said she hoped the Bush administration would be more willing to work with Congress this session.

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Other Upcoming Events

February 8, 2008 - Tentative - Town Hall Meeting on Family Caregivers hosted by the NYS Office for the Aging's Family Caregiver Council from 1-4pm at Hudson Valley Community College in Rensselaer County (Troy, NY). Please note: The final date, time, and location have not been confirmed. Individuals caring for someone in the County or organizations involved with services to residents of the County are invited to speak in an informal hearing type format for 3-5 minutes about their experiences with caregiving and recommendations for ways to assist caregivers. We encourage those who can speak to the mental health needs of family caregivers to attend. The listening panel will include SOFA Director, Mike Burgess, Joe Cybulski, Commissioner, Rensselaer County Unified Family Services and members of the NYS Family Caregiver Council. If you are interested in attending, please contact Yusyin at
yhsin@mhaofnyc.org or (212) 614-6356 for final date and time.

February 19, 20, 21, 2008 -
New York State's Mandated Compliance Programs A specialized training event conducted by Derek Jansen of Practice Management Alternatives, LLC that focuses on training to the New York State Office of the Medicaid Inspector General's guidance on mandatory compliance. Pick any one of these convenient dates and locations. All times 10AM - 2PM:
~ Tuesday, February 19, 2008 (eastern Long Island, TBD)
~ Wednesday, February 20, 2008 (Manhattan, 52 Broadway, 19th Floor, Room 19D)
~ Thursday, February 21, 2008 (Westchester County, TBD)
Cost for Alliance members is $100. You must note your Alliance membership on the
registration form in order to receive the 33% discount.

April 12, 2008 -
Save the Date: The Paradoxes of Aging: Psychotherapy with Older Adults A conference sponsored by The Met Chapter of the New York State Society of Clinical Social Workers and co- sponsored by the Geriatric Mental Health Alliance and Fordham University Graduate School of Social Service.

June 17-18th, 2008 - Save the Date: 12th Annual Aging Concerns Unite Us Conference at the Desmond Hotel and Conference Center, Albany, NY.

Educational Activities for Healthcare Professionals Focusing on Older Adults sponsored by the Consortium of New York Geriatric Education Centers. Programs include reinventing senior centers and senior programs, new trends in discharge planning, falls prevention and more. Programs are from 8:45am -4:30pm and registration is $50.

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online
here or call: 212-787-7102 ext.515.

For topics, dates, and registration information, click
here.

Thursday, January 17, 2008

Best Practices Presentation: Oppression and Resilience as Factors of Emotional Well-Being in the LGBT Elder Population

The Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College

invite you to a best practices presentation in geriatric mental health entitled

Oppression and Resilience as Factors of Emotional Well-Being in the LGBT Elder Population

presented by


John Genke, Senior Social Worker, Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders (SAGE).

February 19, 2008 from 3:00 - 5:00PM

Hunter College School of Social Work - Auditorium
129 East 79th Street, NYC
(Between Lexington and Park Avenues)

LGBT elders with mental disorders face significant challenges related to the stigma of aging, or mental illness, and of sexual orientation. Effective engagement and sensitivity to the unique needs of this population are critical for successfully addressing mental health issues.

Join Mr. Genke as he shares best practices for working effectively with this population.

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Refreshments will be served.

Attendence is free, but pre-registration is required.

To make a reservation, please click here.


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Thank you to the supporters of the Alliance, the Altman Foundation, the James N. Jarvie Commonweal Services, the Fan Fox and Leslie R. Samuels Foundation, the van Ameringen Foundation, and the Mental Health Associations of New York City and Westchester.

Tuesday, January 15, 2008

GMHA Conference 2008 - Call for Presentations

Dear Alliance Member:

As you hopefully all know, The Geriatric Mental Health Alliance of New York is hosting its Second Annual Geriatric Mental Health Conference, Bridges To Better Mental Health: Merging Research and Practice for Improved Integration of Services to Older Adults, on Thursday, May 22nd, 2008. We hope you will be able to attend.

At the moment, we are currently seeking proposals for those who are interested in presenting at the conference. The Planning Committee is looking for presentations on evidence based and other state of the art practices, promising practices, and innovative service models. We hope you will share your expertise by submitting a proposal. The deadline for submission is February 15, 2008. For more information and the proposal form, please click
here.

Please let us know if you have any questions or concerns.

Many thanks.

Michael and Kim

Thursday, January 10, 2008

Geriatric Mental Health Alliance News - Week of January 14, 2008

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

January 14, 2008 - Vol 2, Issue 1

Governor's State of the State Message

Governor Spitzer presented his State of the State message on January 9th. It includes major initiatives in health care reform and coverage as well as a major housing initiative. There was no mention of mental health or aging initiatives. Stay tuned to find out what is included in his budget request, which will be released on January 22nd.


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GMHA Upcoming Events

January 31, 2008 - Semi-Annual Alliance Meeting
Time: 3:00pm - 5:00pm
Location: United Federation of Teachers (UFT), 52 Broadway, Room 19H, New York, NY 10004
Agenda:

  • Presentation and discussion of the NYS Executive Budget Request as it pertains to geriatric mental health
  • Discussion of strategic response to budget
  • Other state budget and legislative issues
  • Update on Interagency Geriatric Mental Health Planning Council
  • Update on NYC Geriatric Mental Health Initiative

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May 22, 2008 - Save the Date: 2nd Annual Geriatric Mental Health Alliance Conference

BRIDGES TO BETTER MENTAL HEALTH:
Merging Research and Practice for Improved Integration of Services to Older Adults


Location: Hotel Pennsylvania, 7th Avenue at 33rd Street New York, NY
Keynote: Robert Butler, M.D., Physician, Gerontologist, Psychiatrist, and Pulitzer Prize-winning author. President and CEO, International Longevity Center USA, NY; Professor of Geriatrics at the Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine; Founding Chairman, Dept. of Geriatrics, Mount Sinai School of Medicine; Founding Director, National Institute on Aging, National Institute of Health.

More details to come shortly.

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Alliance Consensus Documents

We are delighted to release two consensus papers on important topics related to geriatric mental health -Mental Health is Key to Long Term Care and Housing in the Mental Health System for Aging People with Serious Psychiatric Disabilities.

Over the past year, The Alliance convened two consensus workgroups, one on long-term care and mental health and the other on housing. The workgroups, which included advocates, providers, government officials, and others, where charged with identifying key issues impacting both areas and providing recommendations for improving services and policies.

The long-term care and mental health consensus group recommended that the effort to improve mental health in long-term care begin with the:

  • Establishment of a Center for Excellence on Geriatric Behavioral Health
  • Service demonstrations integrating mental health into long-term care services
  • The appointment of behavioral health representatives to planning and advisory groups dealing with long-term care
  • A review of all current long-term care proposals to be sure they include behavioral health.

The mental health housing consensus provided a number of recommendations for policy reform that that had to do with the group's goals:

  • Help aging people with serious psychiatric disabilities to live in the community, i.e. avoid institutionalization in adult homes or nursing homes.
  • Increase the life expectancy of people with serious and persistent mental illness.
  • Promote recovery and improved quality of life for this population.

We hope that you find the papers informative and that you will join with us in our advocacy efforts to implement the recommendations.

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Action Alert: Support Federal Mental Health Parity

Last year the Senate unanimously passed Mental Health Parity Act of 2007 (S. 558). The House has been working on a bill that would provide greater coverage. Unfortunately, they have not yet passed that bill nor has a final bill been negotiated between the two houses.

Take action by sending a message to your senators and representative calling on them to make completion of mental health parity legislation a priority in the coming weeks!

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Alliance Participation on Boards and Advisory Councils

Michael was recently been appointed to the Board of the Geriatric Mental Health Foundation, which was formed by the American Association for Geriatric Psychiatry to increase awareness of the importance of geriatric mental health; eliminate the stigma of mental illness, increase access to quality treatment; and promote healthy aging strategies. He has also been appointed to the Downstate Long Term Care Advisory Council.

Kim has been appointed to the NYC Adult Protective Services Advisory Council.

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Other Upcoming Events
January 24, 2008 - CSCS Annual Conference: The Power of Aging at the NY Hilton Hotel. The keynote speaker, Adriane G. Berg, will present on "Passport to Longevity". There will be workshops on community partnerships, ethical dilemmas in daily practice, governance, money management and more.

January 28, 2008 - NY Academy of Medicine 2008 Lecture Series: Reinventing Traditional Health Care to Tackle a New Paradigm of Aging. A presentation by Carol Raphael, President and CEO of Visiting Nurse Service of New York from 5:30-7:30pm. To register, visit http://rs6.net/tn.jsp?e=001ImidM3bxuxxilL3n1wMkPJYXPpgptVRMIjFrAs9O_PSNENBoZHpGIKLKTDFMNh2lj3aTt5eesObj6muDcvsqG-fLeU1iNFqCnKriafw_xW8--UGnMo61Yg== or contact Donald Morcone (212) 822-7272.

February 19, 20, 21, 2008 - New York State's Mandated Compliance Programs A specialized training event conducted by Derek Jansen of Practice Management Alternatives, LLC that focuses on training to the New York State Office of the Medicaid Inspector General's guidance on mandatory compliance. Pick any one of these convenient dates and locations. All times 10AM - 2PM:
~ Tuesday, February 19, 2008 (eastern Long Island, TBD)
~ Wednesday, February 20, 2008 (Manhattan, 52 Broadway, 19th Floor, Room 19D)
~ Thursday, February 21, 2008 (Westchester County, TBD)
Cost for Alliance members is $100. You must note your Alliance membership on the registration form in order to receive the 33% discount.

April 12, 2008 - Save the Date: The Paradoxes of Aging: Psychotherapy with Older Adults A conference sponsored by The Met Chapter of the New York State Society of Clinical Social Workers and co- sponsored by the Geriatric Mental Health Alliance and Fordham University Graduate School of Social Service.

June 17-18th, 2008 - Save the Date: 12th Annual Aging Concerns Unite Us Conference at the Desmond Hotel and Conference Center, Albany, NY.

Educational Activities for Healthcare Professionals Focusing on Older Adults sponsored by the Consortium of New York Geriatric Education Centers. Programs include reinventing senior centers and senior programs, new trends in discharge planning, falls prevention and more. Programs are from 8:45am -4:30pm and registration is $50.

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online here or call: 212-787-7102 ext.515.

For topics, dates, and registration information, click here.

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In the News

Nursing Homes Struggle to Kick Drug Habit
From the Wall Street Journal

By Lucette Lagnado
(December 20, 2007; Page A1)

BROOKLYN, N.Y. -- It is lunchtime at Cobble Hill Health Center and Elizabeth Johnson is busy helping patients in the Alzheimer's unit -- tying plastic aprons around their waists, passing out salt and pepper shakers, paper cups, straws and little containers of milk.

"You have to sit and eat," Mrs. Johnson tells one resident. "There is a spoon if you need a spoon," she says to another.

In her print dress and coral lipstick, Mrs. Johnson, 71 years old, can almost pass for a staffer on some days, or even the manager she used to be at a local city hospital. In fact, she is a patient here, stricken with an advanced form of dementia that sometimes renders her confused, fretful -- even combative. Not long ago, Cobble Hill's staff would respond to Mrs. Johnson's unruly episodes by putting her on a powerful antipsychotic drug.

Use of a new generation of antipsychotic drugs to control the behavior of dementia patients has surged in recent years, despite the Food and Drug Administration's "black box" warning labels that these drugs can increase the risk of death for elderly dementia sufferers. About 30% of nursing-home residents are on antipsychotic drugs, according to the Centers for Medicare & Medicaid Services, most of them on newer ones called atypical antipsychotics.

Mrs. Johnson, however, is now part of an experiment at the Cobble Hill nursing home to wean patients off antipsychotics. In her case, the staff has figured out that when she becomes distraught, the best way to calm her down is to have her do what she loved to do when she was well: work. Simple tasks such as setting the table, they say, give Mrs. Johnson a renewed sense of purpose and calm.

To read the entire article, click here.
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Mental Health Treatment Extends Lives Of Older Patients With Diabetes And Depression

From Science Daily
(Dec. 7, 2007)

Researchers at the University of Pennsylvania School of Medicine report that older adults with diabetes and depression are half as likely to die over a 5-year period when they receive depression care management than depressed patients with diabetes who do not receive depression care management.

The is the first known study to examine the relationship between diabetes and mortality in a depression intervention trial."Depression is common among people with diabetes and contributes to issues with medication and diet adherence, and also leads to an overall reduced quality of life," says lead author, Hillary R. Bogner, MD, MSCE, Assistant Professor, Department of Family Practice and Community Medicine at Penn.

The multi-site, practice-randomized controlled trial was conducted in 20 primary care practices in New York City, Philadelphia, and Pittsburgh. A total of 584 participants 60 -- 94 years of age were identified through a depression screening, and of these participants, 123 reported a history of diabetes.

To read the entire article, click here.

Wednesday, December 5, 2007

Geriatric Mental Health Alliance News - Week of December 03, 2007

Geriatric Mental Health Alliance News
A bi-monthly newsletter to brief you on issues important to geriatric mental health

December 03, 2007 - Vol 1, Issue 27

Interagency Geriatric Mental Health Planning Council Webcast

The next meeting of the Geriatric Mental Health Planning Council is on Friday, December 7th from 10:30am to 12:30pm. The agenda for this meeting is to have an in-depth discussion concerning the role of the Council in shaping public policy decisions concerning older adults in New York State. Therefore, several State Agency Representatives on the Council will provide a presentation of their agencies recent and/or current initiatives involving older adults. If you would like to participate, please click
here when the event has begun.

Please click
here for the agenda.

Please click
here for the summary of the July 11, 2007 meeting.

Please click
here for more information on the webcast.

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GMHA Upcoming Events

December 6, 2007 - Sex and Mental Wellness in Old Age: A Best Practices Presentation in Geriatric Mental Health hosted by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College.

The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please register by clicking
here. If you have any questions, please email or call Yusyin Hsin at yhsin@mhaofnyc.org or (212) 614- 6356. The event is free but pre-registration is required.

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Articles

Life At 50 Still Filled With Dreams

By Glenn Liebman
First published: Sunday, November 25, 2007
Albany Times Union

A few weeks ago I received a piece of mail that I had been dreading for more than a year. It was information about joining AARP.

Yes, on Dec. 3, I will turn 50.

I would like to say that I am OK with 50. The cliches are dancing in my head. It's only a number. You're as young as you feel. Fifty is the new 35.

The reality is I have not figured out how I feel about turning 50.

On one hand, society says it's only a number. On the other hand, it is handled like a watershed event. Go into a bookstore and there are about 10,000 books published about life after 50, golf after 50, snorkeling after 50, dog grooming after 50, speed skating after 50, etc. Then you have all those pseudo- patronizing commercials for health care products for everything from hearing aids to acid reflux.

The downside of turning 50 is that it becomes a reality check. I now know that I will never be the Mets' center fielder, though I sort of suspected that when I was in high school and it took me about four bounces to hit the cutoff man from center field.

I will not be the quarterback leading the Jets to the Super Bowl. I will not likely be governor or a Broadway star. Sure, I knew this before, but at least I was young enough to dream.

Part of me wants to say "shut up" and not make 50 a "woe is me" rant. After all, I am very thankful that I have a great life -- a wonderful wife and son, great relatives and friends, a job that I love in which I work with terrific people for a great cause, a roof over my head, an iPod shuffle and so much more.

I am active. I walk every day; I coach basketball; I play fantasy sports (burn a lot of calories doing that). I write all the time and am thrilled to have had my books published. I love to eat and have what many would consider great culinary skills around the kitchen. (Anyone who has eaten my frosted blueberry Pop-Tarts can attest to that).

Maybe coming up to 50 has given me perspective and wisdom. Like others in my age group, I have witnessed some tough times. I have to watch my wife deal with chronic pain. I have lost my parents, my father-in-law and several other relatives and close friends.

You learn deal with the pain and frustration instead of lashing out at the world. I used to hold way too many of my own pity parties and believe me, there are no little hot dogs and Viennese tables at those parties.

On the positive side, I don't think turning 50 will change my outlook on life. I wake up every day enthusiastic about changing the world. Almost every day I am brimming with new ideas and almost every day my staff wishes that I was out of town.

I want to pass my passion and enthusiasm on to my son. He is a wonderful, smart, compassionate kid who has a great throwing arm. I want to build him up without embarrassing him. I want to show my love without smothering, but mostly I want to be able to beat him one-on-one on the basketball court like I did nine years ago, when he was 4. I want to support my wonderful wife who is courageous and resilient in the hope of finding new innovations to help deal with her daily pain.

I also want to be responsive to the needs of my other family and friends. I've spent my life building up a great collection of family and friends, and would never take that for granted. None of that changes at 50. It actually increases the intensity of relationships.

Maybe I'll be all right with 50. So what if I have a few more doctors appointments and have to acknowledge that I am in a new demographic category. There are worse things in the world like being a Met fan at the end of last season.

Maybe the cliche is right, 50 is only a number. Maybe I still have that shot at Broadway or maybe the Mets could use a good-field, no-hit, weak-arm, steroid- free, 50-year-old center fielder.

You never know. Why should possibilities end at 50?

Glenn Liebman of Guilderland is CEO of the Mental Health Association in New York state and the author of 14 books on the humor of sports.

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A Common Casualty of Old Age: The Will to Live

By JANE E. BRODY
November 27, 2007
Personal Health

Suicide is more common among older Americans than any other age group. The statistics are daunting. While people 65 and older account for 12 percent of the population, they represent 16 percent to 25 percent of the suicides. Four out of five suicides in older adults are men. And among white men over 85, the suicide rate - 50 per 100,000 men - is six times that of the general population.

Yet, says Dr. Gary J. Kennedy, director of geriatric psychiatry at Montefiore Medical Center in the Bronx, "If you consider only major depression as the antecedent of elder suicide, you'll miss 20 to 40 percent of cases in which there is no sign of mental illness."

Dr. Kennedy, who is also affiliated with Albert Einstein College of Medicine, recently directed a symposium in New York on preventing suicide in older adults, designed to alert both mental health and primary care practitioners to the often subtle signs that an older person may try to end it all.

The Warning Signs

In interviews, he and other symposium presenters noted that detecting suicidal impulses in older people often depended on the ability of family members and friends to recognize warning signs and act on them. According to Gregory K. Brown, a suicide specialist at the University of Pennsylvania, in studies of what preceded elder suicides, "suicide ideation" - the wish to die or thoughts of killing themselves - appears not to have been taken seriously. In 75 percent of cases, the suicide victims "had told family members or acquaintances of their intention to kill themselves," Dr. Brown said.

Dr. Kennedy put it this way: "This is not simply a doctor's problem. We need to think of elder suicide more as a social problem and look out for individuals at risk."

Primary care practitioners are also crucial to suicide prevention among the elderly because older people, and especially older men, are unlikely to seek out and accept mental health services but are often seen by family doctors and nurses within days or weeks of a suicide. Among suicide victims 55 and older, 58 percent visited a general physician in the month before the suicide. In fact, 20 percent see a general physician on the same day and 40 percent within one week of the suicide.

While major depression is the main precipitant of suicide at all ages, social isolation is an important risk factor for suicide among the elderly. And older men, more so than older women, often become socially isolated.

Widowers are especially at risk because older men in the current generation tend to depend on their wives to maintain social contacts. When wives die, their husbands' social interactions often cease.

"Older males who live alone are an endangered species," Dr. Kennedy said - particularly "in states like Wyoming, Montana and Nevada, where the social distance is great and firearms are a part of the culture."

Many men are poorly prepared for retirement, and don't know how to fill in the hours and maintain a sense of usefulness when they stop working. "They often sit around watching TV," said Martha L. Bruce, a professor of sociology and psychiatry at the Weill Medical College of Cornell University in White Plains said.

And Dr. Kennedy said, "After retirement a lot of older men start drinking heavily, a sign of increased aggression turned inward." He called heavy drinking or binge drinking a risk factor for suicide among the elderly.

A particularly vulnerable time may be after the diagnosis of a life-threatening disease like cancer. Older men who were recently discharged from the hospital are also at high risk, Dr. Kennedy said. They need to be periodically screened for depressed mood, loss of interest in life and thoughts of killing themselves.

Serious personal neglect is another warning sign; people can commit a kind of passive suicide by failing to eat, letting themselves become dangerously sedentary or not taking needed medication.

Dealing With Depression

Contrary to what many people think, depression is not a normal part of growing older. Nor is it harder to treat in older people. But it is often harder to recognize and harder to get patients to accept and continue with treatment.

"Most people think sadness is a hallmark of depression," Dr. Bruce said. "But more often in older people it's anhedonia - they're not enjoying life. They're irritable and cranky."

She added: "Many older people despair over the quality of their lives at the end of life. If they have a functional disability or serious medical illness, it may make it harder to notice depression in older people."

Family members, friends and medical personnel must take it seriously when an older person says "life is not worth living," "I don't see any point in living," "I'd be better off dead" or "My family would be better off if I died," the experts emphasized. "Listen carefully, empathize and help the person get evaluated for treatment or into treatment," Dr. Brown urged. He warned that "depressed older adults tend to have fewer symptoms" than younger adults who are depressed.

The ideal approach, of course, is to prevent depression in the first place. Dr. Brown recommended that older adults structure their days by maintaining a regular cycle and planning activities that "give them pleasure, purpose and a reason for living."

He suggested "social activities of any type - joining a book club or bowling league, going to a senior center or gym, taking courses at a local college, hanging out at the coffee shop."

Dr. Bruce suggests taking up a new interest like painting or needlework or volunteering at a place of worship, school or museum.

Dr. Brown notes that any activity the person is capable of doing can help to ward off depression and suicidal ideation. And he urges older people to talk to others about their problems.

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Other Upcoming Events

December 18, 2007 -
Medication Side Effects Matter: Let's Deal with Them! A workshop sponsored by the NYC Dept of Health and Mental Hygiene Office of Consumer Affairs. The workshop will take place from 3-5pm at 80 Centre Street, 1st Floor Training Room

April 12, 2008 -
Save the Date: The Paradoxes of Aging: Psychotherapy with Older Adults A conference sponsored by The Met Chapter of the New York State Society of Clinical Social Workers and co- sponsored by the Geriatric Mental Health Alliance and Fordham University Graduate School of Social Service.

Educational Activities for Healthcare Professionals Focusing on Older Adults sponsored by the Consortium of New York Geriatric Education Centers. Programs include reinventing senior centers and senior programs, new trends in discharge planning, falls prevention and more. Programs are from 8:45am -4:30pm and registration is $50.

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online at
www.spop.org or call: 212-787-7102 ext.515.

For topics, dates, and registration information, click
here.