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Packages of training and interventions for staff use
Training
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Notebooks, interactive CDs & consulting services
Alternative ways to start and utilize our programs
Existing & anticpated studies on program efficacy
Existing client upgrades and  new intervetions & programs




Information about our company and it's personne
Training is the key to successful implementation of any new program.  
Our training is packaged to grab and hold caregiver attention through interactivity. All training materials are matched to each behavior program given current client needs, knowlege level
and performance goals. Training curricula is provided in 4 basic formats:

TRAINING FOR INDIVIDUAL PATIENTS
SMALL GROUP TRAINING KITS
A packet of materials designed to train aides how to provide a specific intervention for a specfic resident.. read more
Integrated packages including group leader instructions, materials & handouts used to build resident group programs... read more
TRAINING FOR SPECIAL CARE UNITS
TRAINING THE TRAINERS
A package of all Just in Time and Small Group training programs plus basic dementia training used to change from  conventional to special care... read more
We will analyze your current dementia care training programs, suggest improvements and develop finished training programs your staff can implement... read more

We have also developed Custom Training Programs for SNF, ALF & CCC chains, geriatric equipment manufacturers, government agencies and distributors to long term care facilities. Please call our toll free number for further information on custom training program development.
  
Training for Individual Patients
The training goal for interventions for one dementia patient is to provide key staff, for that patient, basic information about the intervention being deployed. Clients consistantly ask that
we provide the minimum of training required to improve that one patient's situation.

All training is conducted through the use of individual patient kits which include:
Clinical research on the targeted behavior explaining causes and triggers
Recommended behavioral interventions to avoid or minimize the target behavior
Suggestions for measures of the selected intervention efficacy
SmartCharts for "Just in time" training for intervention implementation
Optional ring cards or reminder cards aides carry with them to insure conformity
       in implementation
Optional pre-post training tests to insure aides get the "just in time" training
Optional forms for tracking and displaying intervention efficacy

 
Small Group Training Kits
Implementing any small group program requires managing three stages;
Planning stage - getting the people responsible for the program together to agree on
       common goals, steps to achieve these goals, timetables and people responsible for
       implementing each step, and measures of performance (efficacy).
Implementation stage - insuring compliance of the plan through program management
Evaluation stage - guaging performace and adjusting either plans, responsibilities,
       interventions or people to enhance performance.

We consult with your key personnal, outline the project to be accomplished and provide:
a flow chart of a recommended path to accomplishment
SmartCharts, handouts & forms you use to lead your team through the 3 stages
Optional information for organizations who haven't previously used team processes
Optional tools for the evaluation and coaching of team members

 
Training for Special Care Units
For facilities who envision rolling out this program one unit/neighborhood at a time we
provide a train the trainer seminar. This seminar, conducted regionally, monthly or at your
site on a scheduled basis includes all of the topics covered by SmartCharts plus additional information on forming, motivating and measure behavioral team performance. Programs
are avialable on the following subject matter:
Aging - How the process of aging effects resident behavior
       Understanding the scourges of aging and how they effect patient behavior
Dementia Basics - The causes, neurological effects and resulting behaviors of dementia
       Identifying which patients have dementia, their dementia stage and primary behaviors
Nonpharmacological Interventions - The problem with drugs, direct knowledge of the aide,
       what they are & how they work, matching behaviors with interventions
Implementation and Measurement - Developing, implementing & documenting a care
       plan, recording, evaluting and posting results  

 
Train the trainer programs
For those facilities who are installing our programs for a Special Care Unit or who want to have training and program introduction done by us we provide a train the trainer seminar for key personnel. While this program is individualized to meet your current situation and future goals,
it covers the latest information on:
Dementia and it's causes
The origins of behavior
Common behavioral symptoms of dementia
Proven non-pharmacological interventions
Techniques and Tools used to train professional caregivers
Techiques & Tools to motivate, mange an measure professional caregivers
For a more detailed outline of click here
materials covered in the Smartcharts and/or train the trainer program direct to staff, on each shift. The cost of this service is based upon the size of your facility, number of units involved and degree of dedication to establishment of a non=pharmacological dementia therapy program.  In the event your facility is the lead facility in organizing a regional effort this service is provided to your facility at no additional charge.

 
Custom Training Programs
These programs are used by clients to improve competitive position, provide new products, services, or capabilities. Below are descriptions of client programs we have developed:
SNF, ALF & CCC chains
       Assisted a major skilled nursing home chain develop a therapist based approach to
       introducing non-pharmacological interventions which optimized Medicare reimbursement.
Geriatric equipment manufacturers
       Assisted leading manufacturer of long term care security and alarm devices train sales
       force on how to best meet long term care facility security and resident safety needs
Government agencies
       Developed a 4 hour course for the State of New York on training counselors & therapists
       working with mental retardation and developmental delay clients on dementia, dementia
       related behaviors and their advoidance or management.
Non-Governmental Organizations
       Worked with a major regional hospital and Agency on Aging to help identify why the county
       had a disproportionately high Medicaid expenditures for long term care.
Distributors to long term care facilities
       Worked with major full line distributor of geriatric products to  long term care facility to
       help them better address customer needs and market dementia oriented product.

 
More detailed outline - Train The Trainer

Section 1 Dementia
1.1     What is it ?
1.2     Why is it important
     1.1.1     Demographics Incidence
     1.1.2     Social
          1.1.2.1     Family
          1.1.2.2     Professional Caregiver
     1.1.3     Economics

Section2 - Diagnosis
     2.1 Causes (D.E.M.N.T.I.A.)
          2.1.1     Diagnosed vs. non-diagnosed
          2.1.2     Pseudo
               2.1.2.1     Sensory Deprivation
               2.1.2.2     Pain
               2.1.2.3     Drugs, Side effects ADRs, Polypharmacy
               2.1.2.4     Medical Illness (co-morbidity, infection)
               2.1.2.5     Psychiatric Illness (depression,                     
                                   PTSS/Relocation stress)
               2.1.2.6     Confusion(Delusions, illusions, hallucina-
                                   tions & delirium)  
               2.1.2.7     Mis-diagnosis
               2.1.2.8     Sleep depreivation
     2.1.3     Major Types
          2.1.3.1     AD
          2.1.3.2     Stroke
          2.1.3.3     LBD
          2.1.3.4     FTL
          2.1.3.5     Other
     2.1.4     Diagnostic Verification

Section 3 - Behavior
     3.1     Stages of dementia (3 & 7 Stage models)
          3.1.1     Stages & losses (behavior)
          3.1.2     The art of Staging
          3.1.3     Stages & behavior problems
     3.2     Why behavior problems exist
          3.2.1     Memory basics
          3.2.2     Dividing components
               3.2.2.1     Very short/Short term/long term
               3.2.2.2     Declarative/procedural
          3.2.3     Losses in dementia
               3.2.3.1     Very short term, short term, long terms
               3.2.3.2     Conscious processing (cognition)
          3.2.4     Behavior basics
               3.2.4.1     Over stimulation & progressively lowered
                                   stress syndrome
               3.2.4.2     Under stimulation
               3.2.4.3     Cognitive dissonance
               3.2.4.4     Behavior problems grid
     3.3     What we can do about it
          3.3.1     Drugs; pro/con
          3.3.2     What to watch out for
               3.3.2.1     Polypharmacy
               3.3.2.2     ADR/Side Effects
          3.3.3     Behavioral; pro/con
               3.3.3.1     Behavioral Solutions
               3.3.3.2     Generally
               3.3.3.3     Specifically
               3.3.3.4     Behavioral tools - structure/music
     3.4     Behavioral Symptoms    
          3.4.1     Agitation
               3.4.1.1     General Anxiety
               3.4.1.2     General Environment
          3.4.2     Anger/Aggression
          3.4.3     Catastrophic Reaction
          3.4.4     Communication Problems
          3.4.5     Confabulation
          3.4.6     Depression
          3.4.7     Delusions/Hallucinations
          3.4.8     Failure to thrive
          3.4.9     Falling
          3.4.10     Fear/Anxiety
          3.4.11     Grief
          3.4.12     Hoarding/Rummaging
          3.4.13     Incontinence
          3.4.14     Paranoia
          3.4.15     Repetitive Behaviors
          3.4.16     Resisting Care
               3.4.16.1       Eating
               3.4.16.2       Dressing
               3.4.16.3       Bathing
               3.4.16.4       Toileting
          3.4.17     Sexuality
          3.4.18     Shadowing
          3.4.19     Sleep Disturbance
          3.4.20     Sundowning
          3.4.21     Wandering
          3.4.22     Wanting to go home
          3.4.23     Withdrawal
          3.4.24     Yelling
Section 4 - Interventions
     4.1 Engineered music
          4.11     What is it
          4.12     Why does it work
          4.13     How do you use it
               4.13.1     Overall
               4.13.2     Individual - behavior map, agitation, ADL
               4.13.3     Group - list uses + CZ
          4.14     Lowering psychotropic use
          4.15     Lowering psychotropic titrations
          4.16     How to order
     4.2     Other Behavioral approaches
          4.2.1     Structure
          4.2.2     Schedule
          4.2.3     Rituals
     4.3     Other non-pharmaceutical
          4.3.1     Behavior Modification
          4.3.2     Clothing Modification
          4.2.3     Cognitive Bins/Busy Boxes
          4.2.4     Doll Therapy
          4.2.5     Environment Modification
          4.2.6     Family Caregiver Education
          4.2.7     Hand Massage
          4.2.8     Modified Communications
          4.2.9     Modified Work
          4.2.10     Modified Positioning
          4.2.11     Photo Album
          4.2.12     Pseudo-religious Ceremony
          4.2.13     Rocking or Glider Chairs
          4.2.14     Social Dancing
          4.2.14     Simulated Presence
          4.2.14     Therapeutic Touch
          4.2.15     Alarms
          4.2.17     Aroma therapy

Section 5 - Administration
     5.1  Understanding the Products & Processes
          5.1.1     Using “Just in Time” interventions for
                         individual residents
          5.1.2     Using “Small Group Interventions”
          5.1.3     Using “Special Care Utilities” for care units
     5.2     Roles & Program Management
          5.2.1       Role of the Program Manager
          5.2.2       Role of the trainer
          5.2.3       Role of Nurse Managers
          5.2.4       Role of the CNAs
     5.3     Pre Installation Activities
          5.3.1     Strengths & Weaknesses Analysis
          5.3.2     Pre/post testing
          5.3.3       Building empathy
               5.3.3.1     Dementia simulation
               5.3.3.2     Best of everything
          5.3.4       Staff retention & relationship building
          5.3.5       Making a miracle
     5.4     Training
          5.4.1     Training Scripts
               5.4.1.1     Behavior problems
               5.4.1.2     Aging
          5.4.2     Training Slides
          5.4.3     Training Handouts
     5.5     Post training
          5.5.2     Motivation programs
          5.5.3     Caregiver Rounds
     5.5.1     Marketing, PR & Building family relationships