Copy
View email in your browser
Upcoming webinar: Wednesday, April 27 — Register Now
The National Indigenous Elder Justice Initiative
Long-Term Services and Supports
Technical assistance for culturally competent care
April 2016
Top Banner Graphic
LTSS Training and Technical Assistance Center
Visit the online LTSS TA Center for videos, best practices, toolkits, a resource library, and a step-by-step planning roadmap.
Get email updates
Join us on linkedin
Follow us on twitter
‘Invisible Work’ Takes Toll on Unpaid Caregivers
Unpaid caregivers, often friends or family members, who provide health care assistance to older adults with disabilities have worse health and well-being outcomes than caregivers who don't provide this type of support, according to a new study from the Johns Hopkins Bloomberg School of Public Health.
Using data from the 2011 National Health and Aging Trends Study, researchers examined the nature and intensity of caregiver involvement and its impact on caregiver health and well-being. They found that caregivers who provide substantial help with health care activities (such as coordinating doctor appointments and managing medications) were significantly more likely to live with the person for whom they cared; to provide more hours of care than other caregivers; to report higher rates of emotional, physical, and financial difficulties; and to be less productive at work due to distraction or fatigue.
Researchers involved in the study note that this invisible work force provides and coordinates essential, complex care for older adults and the chronically ill; yet, these caregivers are largely ignored in the American health care system.
 
  Caregiver Support Resources in the LTSS Technical Assistance Center
 
  Family members in Indian Country provide 90 percent of long-term care to elders and others in need of assistance with activities of daily living, including health care activities. Caregiver burden and burnout are important issues, and resources can be hard to find. Even so, there are innovative, creative caregiver support strategies in Indian Country. You can learn about many of them in the LTSS Technical Assistance Center.
 
LTSS Research: Annotated Literature Review, Caregiver Support in Indian Country (PDF, 40 pgs): An overview of caregiver challenges, available support, and programs that includes recommendations for overcoming barriers
Program Profiles: Six fact sheets about caregiver support programs operated by tribes or tribal organizations
April Is Occupational Therapy Month
Whether elders or people with disabilities receive care at home or in an assisted living or nursing facility, occupational therapy can be a crucial component of long-term services and supports. Occupational therapy enables people to live life to its fullest by helping them do the things they need or want to do through the therapeutic use of everyday activities or occupations. The American Occupational Therapy Association offers extensive information and resources for professionals and patients.
The LTSS Technical Assistance Center also offers several resources to help caregivers and health professionals connect people with occupational therapy in facility-based care and home-based care, and through 1915(c) waivers and programs, such as Money Follows the Person.
New Solutions Needed for Diabetes Management Among Elders
A new study from the University of Michigan is one of the first to look at the relation between health care access barriers affecting AI/AN elders and the day-to-day management of type 2 diabetes. The study, to be published by the Journal of Aging and Health, examined nine access barriers to care, including cost, transportation, travel time to appointments, availability of walk-in appointments, and wait times. Researchers found that most Native elders live more than 15 minutes away from their regular source of care, confront frequent scheduling delays, and experience longer wait times for medical appointments.
Study authors note that it is imperative that providers working with Native Americans continue to partner with patients to identify and overcome barriers to diabetes self-management. By identifying these barriers, community-informed policies and programs can be implemented to remove barriers and to improve the health and wellbeing of tribal elders.
Seniors' Oral Health May Be Linked to Rate of Cognitive Decline
Researchers at Duke University conducted a systematic review of 56 studies that examined the relationship between oral health and changes in cognitive health or dementia incidence. Although the review failed to uncover a definitive causal link, it identified enough evidence to suggest one, indicating a need for an additional study.
Linked In Logo
Join the conversation on LinkedIn
Want to learn more about or discuss LTSS in Indian Country? Looking to connect with others working in the same field? Join the Tribal Affairs Group on LinkedIn and join the conversation.
Upcoming Webinar
Elder Abuse Prevention Resources in Indian Country
Wednesday, April 27, 2016
Dr. Jacque Gray will discuss the National Indigenous Elder Justice Initiative, an online resource focused on preventing elder abuse in Indian Country. The initiative, funded by the Administration for Community Living and housed at the University of North Dakota Center for Rural Health, was created to:
Establish a resource center to assist tribes in addressing indigenous elder abuse, neglect, and exploitation
Identify and make available existing literature, resources, and tribal codes that address indigenous elder abuse
Develop and disseminate culturally appropriate and responsive resources for use by tribes, care providers, law enforcement, and other stakeholders
Presenters:
Jacque Gray, PhD Jacque Gray, Ph.D.
Associate Director
and Professor of Population Health,
Center for Rural Health,
University of North Dakota School
of Medicine & Health Services
Learn More
Register
Conference number:
1-888-757-2790
Passcode:
177695
Please note your
location's call-in time:

 8 a.m. Hawaii
10 a.m. Alaska
11 a.m. Pacific
11 a.m. Arizona
12 p.m. Mountain
 1 p.m. Central
 2 p.m. Eastern
Wilson Wewa: Elder Abuse PSA
Wilson Wewa, a member of the Warm Springs Confederated Tribes of Oregon of Paiute/Nez Perce descent, is a committed Native elder advocate and spiritual leader. In this public service announcement for the National Indigenous Elder Justice Initiative, he speaks out against elder abuse in his traditional language.
Watch the video.
Wilson Wewa, NIEJI Public Service Announcement
Send Us Your News
Do you have news to share about LTSS in Indian Country? Send it to ltss@kauffmaninc.com, and we’ll include it in a newsletter. Contact us with other comments or feedback, too.
About the Newsletter
Long-Term Services and Supports Solutions is published monthly by the Tribal Affairs Division of CMS to share information, funding opportunities, and resources with LTSS planners, tribal leaders, and supporters.
CMS Logo
IHS Logo
ACL Logo