Transcript Barrow Neurological Institute Therapeutic Recreation Department

Bridging the Gap Between Hospital
and Community
Jo Crawford CTRS, MSL
Barrow Connection
Barrow Neurological Institute
St. Joseph’s Hospital & Medical Center
&
Dr. David Sattler
Department of Psychology
Western Washington University
Facts
•
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!!
Challenges in rehabilitation
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
Consequences of a Non-Active Lifestyle
In drug/alcohol abuse
In secondary conditions
In obesity
In unemployment
Barriers to Participation
Organized activity
Cost
Equipment
Access
Trained staff
The Barrow Connection-what we do
Navigational tools needed for an active lifestyle
Educate the hospital and community
Membership is free
Meet our Connectors
Barrow Connection- what we do
Increase access to living a fuller life in the areas of:
•Education & Work
•Health & Wellness
•Adapted Recreation & Sports
•Quality of life!
Barrow Connectors-Positive mentors
Barrow Connectors- SCI
Membership card
Connector reaches out to new member
Provide resources and encouragement
Barrow Connectors-Brain Injured Survivors
Family involvement
Complete a mentor training program
Contract agreement with BC/hospital
Monthly report
Community Support & Partners
• Arizona Disabled Sports
• Arizona Bridge to Independent Living
• Virginia G. Piper Sports & Fitness CenterThe Spo-Fit
• Municipal Programs–Daring Adventures
• Other Rehab Hospitals in Arizona
• Valley-wide Community Agencies
Partnerships
Benefits to the BC Member
In medical stay
In secondary conditions
In drug/alcohol abuse
In obesity
Benefits to the BC Member
Communication of resources across the continuum of care
Collaboration with valley-wide agencies
Barrow Connectors-provide support & resources
PIE
D
PROJECT INDEPENDENCE
& EMPOWERMENT
Dignity Health Grants Community of Care Network
The PIE Community
Did You
Know….
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)
Target Population
•The 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.
PIE
Enhance Quality of Life
Goals
1. Decrease or prevent incidence
of secondary conditions
2. 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
Barrow Connection
The initial focus :
neuro rehabilitation continuum
Acute> rehab>outpatient>Center for Transitional Neuro
rehabilitation
New focus including:
Muhammad Ali Parkinson Center
Barrow Cranial Facial Center
and the Muscular Dystrophy program.
PIE
Outcomes
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 Involvement
PIE
Outcomes
Transportation
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.
PIE
Outcomes
Educational Programs
 Healthy 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
Barrow Connection ProgramsDriving to Excel
Accident
Avoidance
Exercises
Skid Control
Barrow Connection ProgramsDriving to Excel
Introduction to
timed driving
Drive Safer
with Hand
Controls
Barrow Connection Programs
DayS on the Lake
•157 participants
• 38 watercraft
•150 volunteers
•Waterskiing
•Jet skiing
•Fishing
•Boat rides
•Kayaking
•Research
Barrow Connection Programs
Day on the Lake
•
Challenges & benefits with offering innovative
programming
Fundraising in a recession
Employee giving
Grants
Foundation involvement
Fundraising events
Benefits include
Developing new partners-collaboration is key!
Exploring new programming
Creativity is survival
Research Project:
Effects of Participation on Physical,
Psychological, and Social Outcomes
Collaboration between Barrow Connection and Western
Washington University
Received Approval from the Barrow and Western Washington
University Institutional Review Boards (IRBs) to conduct the
project.
Research Project: Methodology
Designing the Survey
Step 1
Conducted 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: Methodology
Step 2
Wrote survey items.
Step 3
Administered the anonymous and confidential survey to
Day on the Lake participants.
Research Project-focused areas
•Self-esteem & confidence
•Positive emotions
•Friends
•Stress relief
•Self-efficacy
•Perceived abilities & attitudes after the event
•Family Relationships
•Physical & health consequences
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