Service Provider Resource Guide (SPRG)

1. Service Provider Resource Guide (SPRG) Dr. Penny MacCourt “Supporting Caregivers of Older Adults” B.C. Psychogeriatric Association 2011

2. Goals of presentation • To introduce the Service Provider Resource Guide(SPRG) • How and why the SPRG was developed • Explore the SPRG • Discuss ways you can use the SPRG • How to use the Service Provider Resource Guide with the Caregiver Policy Lens(CGPL)

3. What is the SPRG? • A practical tool for use for front-line service providers, program managers, administrators, health educators, advocates, and anyone interested in strengthening caregiver resiliency through service provision • A compilation of evidence-informed tools and resources

4. Development of the SPRG • Spoke with close to 300 interested parties across Canada • Front line service providers, program managers, administrators, policy analysts/developers, non-profit organizations, advocates, academics, health educators, caregivers • Targeted literature review of existing literature, assessments and policy

5. Benefits of using the SPRG • Increased knowledge of issues affecting caregivers • Increased ability to identify, clarify, and solve issues that affect caregiver resiliency • Increased knowledge of system stressors in providing attention and resources to caregivers • Access to evidence informed support thereby increasing service provider resiliency

6. Benefits of using the SPRG • Practical tools and resources to address gaps identified through application of the CGPL • Minimize burnout and ethical distress of service providers • Facilitate caregivers’ ability to direct more of their energy on themselves, other family members, their workplaces and communities

7. Key components of the SPRG • The Service Provider Resource Guide is a comprehensive document that includes: • A review of Caregiver Assessment Tools • A review of Caregiver Interventions • Issues in Ongoing Case Management • A directory of Federal and Provincial Economic Security Policies to Support Caregivers • A directory of Federal and Provincial Non-Profit Resources

8. Caregiver Assessments • Burden/Stress/Strain • Caregiver Mental Health Other than Burden/Stress/Strain • Financial Burden • Support • Coping • Relationship Issue • Care Tasks and Skills • Care Recipient Functional Ability: Impact on Caregiver • Caregiver Physical Health • Self efficacy/ Competency • Values and Preferences • Multidimensional Instruments

9. Caregiver Interventions • Psychoeducation • Cognitive Behavioural Therapy • Counseling/Case Management • Respite • Multicomponent • Factors Influencing Caregiver Programs • Setting • Dosage • Caregiver Age • Caregiver Gender • Relationship with Care Receiver • Ethnicity/Culture • Intersectionality • Recommended Practices • Effective Evidence Based Programs

10. Issues in Ongoing Case Management • Issues that can arise between caregivers and care receivers • Issues that can arise between caregivers and service providers • Systemic Tensions for Service Providers • Transitions, Crises, and Difficult Conversations • Difficult Emotions in Caregiving • Legal and Ethical Issues • Inclusion and Diversity • Stress and Self-Care

11. Examples of the SPRG in action • A private home care organization is using the SPRG to facilitate update of design of RN home care planning • A health authority is using the SPRG for in-service training for geriatric hospital nurses and allied health professionals • A hospital is using the SPRG as a facilitation tool for nurses providing caregiver education to newly discharged patients and family members

12. The Caregiver Policy Lens (CGPL) • A resource to identify unintended negative effects of policies and programs on caregivers, and to provide a common framework to develop and critique policy • Generated from the perspective of caregivers of older adults, including those that provide services to them

13. The CGPL • A series of 11 main questions, with a list of sub-questions, organized as a checklist • Questions designed to be answered with yes/no/don’t know/need more information • Responses then scored • Creation of an action plan

14. Why use the CGPL? • To frame development of programs and policies that value and support caregivers of older Canadians • To critique proposed policies and programs for potential unintended negative effects on caregivers • To assess policies or programs’ promotion of caregivers’ well-being • To identify gaps in current policies, programs and activities that affect caregivers • To guide studies of the impact of programs on caregivers • To develop a policy response to an issue or need

15. How to integrate both resources • A residential care organization is using the CGPL to assess intake policies to evaluate specific needs of mental health admissions, and to help develop a collaborative decision-making model for potential changes to admission policy is also • Using the SPRG resources to address issues and/or gaps identified through CGPL application

16. Resources • Website: caregivertoolkit.ca • CD and print formats of the resources • For more information, please contact: Dr. Penny MacCourt pennymaccourt@shaw.ca 1.250.756.2529 Marian Krawczyk mkrawczy@sfu.ca 1.250.400.2444