Changing Lives Through Music and Memory

Changing Lives Through Music & MemoryDan Cohen | Music & Memory, Executive Director

Kevin Coughlin | WI DHS, Policy Initiatives Advisor-Executive

Jim Murphy | WI Assisted Living Association, Executive Director

Agenda

► The Power of Personalized Music – Dan Cohen

► Why is this an important issue for assisted

living? – Kevin Coughlin

► The Wisconsin Journey – Kevin Coughlin

► How WALA is promoting personalized music –

Jim Murphy

► Q&A

The Power of Personalized Music

The Power of Personalized Music

Dan Cohen, MSW, Executive Director

Music & Memory, Inc.

Select Participants & Include Family Members

Grab

A

Splitter

Gain

A Purpose

Family members will enjoy taking a music journey with their

loved one!

Active Seniors – Finding New Purpose

Active Seniors are finding new purpose and are proficient

in song selection for their peers - intuitive

Key Benefits for Assisted Living

► Increase in socialization enhancing relations and

engagement

► Assists with aging in place

► Reduction in number of meds dispensed saves time

► Active Seniors gain purpose

STUDENT INTERN & VOLUNTEER PROGRAMS

“Everyone at Mirador, as at the other two communities, said that this was the best health services event ever!”

Beth Wilbins, Forte Group

Music & Memory’s Vision

Music & Memory’s vision is

to have one’s favorite music

accompany them as they

move through the healthcare

system.

"We have utilized the HOSA program and the group has done a wonderful

job in assisting with the Music and Memory Program. We started out with 4

and have grown to 12 individuals on many different levels.

We have noticed that it has decreased behaviors, depression, anxiety and

increased socialization, cognition, and provided comfort to those needing

it. It’s amazing how music touches the soul and heart of an individual.”

Paula Quails - Activity Coordinator

The Vista Blue Skies of Texas-West

HOSA

Best Practices: Successful Program

► Management Enthusiasm and Support

► All-in Approach: This is a facility-wide program.

► An interdisciplinary implementation team (min 5 staff

members)

► All Staff and family familiar with the program

► Part of new employee orientation training

► The right equipment. Access to iTunes. Laptop w/CD

► Fundraising, volunteers & community awareness

► Show Alive Inside to the community

Music Availability

► Music availability is time-limited and song

selection is age-appropriate, not person specific.

► Go beyond eras or genres of music to favorite

songs by favored artists offers greater benefits to

individuals.

► Program can go virtually anywhere and be

available 24/7.

Program Benefits for Individuals & Staff

► Brings joy and enhances quality of life

► Helps to increase communication and social engagement

► Restores identity and personhood

► Antidote to boredom, isolation, pain and depression

► Stimulates participation

► Offers an alternative to pharmacologic interventions –

individuals can be their best selves

► Offers a distraction with medical treatments such as

dialysis and chemotherapy

► Reduces agitation and Alzheimer’s-related “Sundowning”

NYC Health & Hospitals Corporation

“No fights. No falls.”

Independent Survey Results

► Most respondents (83%) would favor a residential community that offered residents iPods with individualized playlists versus a similar care community that did not.

► Half of respondents would consider moving outside their city to find a care community that offered residents iPods, with 8% willing to move out of state.

► More than half of respondents would spend more money on a care community that offered residents personalized iPods.

Why is this an important issue in assisted living?

• GOA - ANTIPSYCHOTIC DRUG USE 2015

http://www.gao.gov/assets/670/668221.pdf

• We recommend that the Secretary of HHS

expand its outreach and educational efforts

aimed at reducing antipsychotic drug use among

older adults with dementia to include those

residing outside of nursing homes by updating

the National Alzheimer’s Plan.

Why is this an important issue in assisted living?

Why is this an important issue in assisted living?

Why is this an important issue in assisted living?

National Plan to Address Alzheimer’s Disease: 2015 Updatehttps://aspe.hhs.gov/sites/default/files/pdf/107031/NatlPlan2015.pdf

Strategy 2.H: Improve Care for Populations Disproportionately Affected by Alzheimer’s Disease and for Populations Facing Care Challenges

– One of the aims of the behavioral symptom management effort is to reduce use of anti-psychotics in home and community settings as called for in the 2015 General Accountability Office (GAO) report on this topic.

Strategy 3.D: Maintain the Dignity, Safety and Rights of People with Alzheimer’s Disease

– Problem solving strategies may include such actions as treating any medical conditions, evaluating any facility practices that negatively affect a resident’s health, safety or quality of life, training of facility staff on person-centered approaches, including non-pharmacological approaches which may prevent the unnecessary use of anti-psychotics.

Wisconsin’s Journey

http://www.youtube.com/watch?feature=player_embedded&v=fyZQf0p73QM

First state to lead a statewide effort of personalized music

► Civil Money Penalty grants funded three phases

of Music & Memory implementation to nursing

homes (300+).

► Grants and Collaborations to expand to assisted

living, other healthcare entities and agencies.

► Wisconsin Music & Memory Summary

https://www.dhs.wisconsin.gov/publications/p01231.pdf

M&M Sites in Wisconsin

Project Description

► Support M&M participants through

implementation of the M&M program, and

establish a process to continue this effective

approach.

► Link Wisconsin M&M certified facilities with a

research entity for an evaluation to determine

the effectiveness of M&M as an evidenced-

based practice.

What the facility or AL Community receives

► M&M certification, listing on national webpage

and Wisconsin’s webpage

► All the equipment needed to implement

personalized music

► $150 iTunes gift card

► Support and technical assistance

A monetary value of $1,500 to $2,000

The benefits to residents and staff—priceless!

What it costs facility or AL community

► No monetary investment

► Time commitment to fully participate in the

certification process and ongoing

implementation

► Time commitment to participate in the research

(evaluation) component of the Wisconsin M&M

Program

Website to support the participants

http://www.dhs.wisconsin.gov/music-memory

Wisconsin Music & Memory Mailbox

► DHSMusicMemory@dhs.wisconsin.gov

► Daily response by project leads

► Answer questions, send communication, lend

support

Monthly Webinar Support Meetings

► Answer questions related to implementation.

► Facilitate peer-to-peer support.

► Provide best practices and other technical

assistance.

► Provide communication and updates from the

research entity.

► Bring in experts in the field of dementia and

Alzheimer’s care.

Who are the “Henrys” in your community?

Promote your program in the News!

Partnership with Alzheimer’s Association Chapters

Walk to End Alzheimer’s® combined with an iPod©

donation drive for participating facilities

Partnership with Alzheimer’s Association Chapters

DHS Dementia Care System Redesign

http://www.dhs.wisconsin.gov/dementia/index.htm

Collaboration With Schools

Collaboration with high schools

• Department of Health Services and Department of

Public Instruction created Brain Health (mini unit)http://sspw.dpi.wi.gov/sites/default/files/imce/sspw/pdf/hebrainhealth.pdf

• Clark Street School Pilot, Middletonhttp://mcpasd.k12.wi.us/news/cscs-students-impress-uw-events

• Milwaukee High School of the Arts, Milwaukee

• 32 nursing homes and local high schools

• 6 assisted living communities and their local high

schools

Claude Pepper Center Video

► Scientific implications of Wisconsin Music & Memory

► Policy implications of Wisconsin Music & Memory

► Music & Memory YouTube trailer: http://claudepeppercenter.fsu.edu/music-and-memory-trailer/

National Partnership to Improve Dementia Care

► In 2012, the Centers for Medicare & Medicaid Services (CMS) launched the National Partnership to Improve Dementia Care.

► Prevalence - U.S. 17.4%; WI at 13.2% (ranks 6th)

► Goal as a nation is to reduce use of antipsychotic mediations in nursing homes by the following percentages. Chart shows how Wisconsin compares to the United States:

Goal Wisconsin U.S.– Decrease by 15% end of 2013 14.5 15.1

– Decrease by 20% end of 2014 24.8 20.1

– Decrease by 25% end of 2015 30.1 (Q3) 27.0 (Q3)

– Decrease by 30% end of 2016 TBD TBD

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Collaboration With Other States (25)

So far: Alabama, California, Connecticut,

Colorado, Delaware, Kentucky, Illinois, Indiana,

Louisiana, Maryland, Minnesota, Nevada, New

Hampshire, New Jersey, New York, North

Carolina, Ohio, Oklahoma, Pennsylvania, Texas,

Utah, Vermont, Virginia, Washington, and West

Virginia

Collaboration with other countries

So far:

► Canada

► Australia

► Holland

Expansion – Assisted Living

Assisted Living Communities

Park Family Foundation Grant Funded Project

► Recruit 3 WCCEAL assisted living communities (ALC)

from each of the two associations (WALA and

LeadingAge). https://wcceal.chsra.wisc.edu/

► Fully fund ALC to become certified as MUSIC &

MEMORYSM (M&M) facilities.

► Fully Fund training to implement a iPad Program for

residents with dementia.

► Fully fund M&M ALC with the required equipment for an

average of 6 residents and 2 iPads.

► Evaluate implementation as well as resident and ALC

outcomes.

► Support ALCs through implementation.

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Criteria for selection

► WCCEAL member in good standing.

► Primary client group – Alzheimer's or related

dementia.

► 25 beds or under.

► Have at least 4 residents on an antipsychotic or

antianxiety medication.

► Agree to implement the program as trained.

► Agree to participate in an evaluation.

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What Will the Assisted Living Community Receive?

► MUSIC & MEMORY℠ certification

► Using iPads as Tools to Improve Quality of Life Training

► Average of six iPod© shuffles, headphones, and AC adapters

► One headphone splitters and a set of external speakers

► $100 iTunes © gift card

► Two iPads with apps

► Support and technical assistance

► Student volunteer program with a local high school

A monetary value over $1,500!

The benefits to residents and staff—priceless!

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Wisconsin Assisted Living Association

► Other M & M assisted living initiatives in

Wisconsin

– M3: Large insurance company sponsored 10 and 8

have expanded and purchased more equipment for

more residents.

– WALA: Launched with 6 and just getting started. All

have now been through M & M training, equipment

has been shipped and internal support group meets

by phone the first week of June.

Wisconsin Assisted Living Association

Remember The Face

Meet Mary Jean

https://www.youtube.com/watch?v=YdIgTYhw-WA

Wisconsin Assisted Living Association

Meet Karen Schacht,

COO of Sylvan Crossings

Assisted Living and Memory Care

Madison, Wisconsin

Wisconsin Assisted Living Association

► A wise man once told me that we do what we do because of

the face that makes all the difference. Can you believe this

person is in the later stages of Dementia and also has a DX of

depression?

► I am a proud promoter of the Music & Memory Program and

encourage everyone who is touched by dementia to utilize

this program.

► I have been supporting and implementing this program since

2010. Touching the lives of 100s of residents like Mary Jean

and a total of 30 communities thanks to amazing associations

like WALA and insurance companies like M3 who see the

value of the program and provide support to get the program

going in assisted living.

Wisconsin Assisted Living Association

► Thank you to Dan Cohen introducing this program and

all of his supporters for taking this program to the next

level.

► The statistics of how this improves the lives of our

residents have been shared but I would like to leave you

with the face as a lasting impression!

Question and Answer

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Question and Answer

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