Faculty/Presenter Disclosure

• Faculty: Danielle Hornung, Jennifer Hardy, Ed

Macanama

• Relationships with commercial interests:

– Grants/Research Support: N/A

– Speakers Bureau/Honoraria: N/A

– Consulting Fees: N/A

– Other: N/A

ENRICHES:A COLLECTIVE IMPACT PLAN FOR CAREGIVERS 55+

Joel Sadavoy

Jennifer Hardy

Danielle Hornung

Edward McAnanama

Objectives

• learn about a collaborative outreach strategy to identify

and engage socially isolated caregivers;

• learn about various approaches to reducing social

isolation in caregivers 55+; and

• understand the nature of Collective Impact Plans and how

they can strengthen community impact.

ENRICHES

The ENRICHES collaborative brings together local health

and community leaders to address the complex challenges

facing isolated caregivers 55+ living in Toronto.

A call for proposals for Collective

Impact• 2015 ESDC Pan-Canada call for projects that:

• Involve multiple organizations working together for collective impact

• Aim to reduce social isolation in seniors 55+

• What is Collective Impact?

• http://www.fsg.org/publications/collective-impact

ENRICHES STRUCTURE

6

ENRICHESENgagement to Reduce Isolation of Caregivers at Home & Enhancing Seniors

North York Community

House

Newcomer Connections for

Senior Caregivers

Canadian Mental Health Association

Living Life to the Full

WoodGreenCommunity

Services

WoodGreenCaregiver Initiative

Alzheimers Society Toronto

OCEAN

Outreach, Connection,

Education And

Navigation

Reitman Centre

i-TRICE

Innovation and Training to Reduce

Isolation in Caregivers and the

Elderly

ENRICHES: Collective Impact

Goal: To reduce social isolation in caregivers aged 55+ in Toronto

by 2018 and beyond.

Rational/Context

Caregiver Burden

IsolationCaregiving

Poor physical health

Poor mental health

Case Study: Maria

Maria is a 56 year old woman, caring for her mother with

dementia. Recently, Maria’s mother has been having trouble

managing on her own, and has moved in with Maria and her

daughter. Maria feels so exhausted from supporting her mother

that she does not go out or see people anymore. She also feels

too embarassed to have them in her home, as she recognizes

she doesn’t have time for grocery shopping or chores, and feels

she would not be a very good host. She feels that her constant

worry and upset is leading her to have feelings of anxiety and

depression of her own, and doesn’t know what to do. Maria

would like to get help for both her mother and herself, but she

doesn’t know what resources are available

Our Approach

Caregivers Health Care Providers

& Volunteers

Target Population

“…people—family, friends, neighbours—who provide

critical and often ongoing personal, social, psychological

and physical support, assistance and care, without pay, for

people in need of support due to frailty, illness,

degenerative disease, physical/cognitive/mental disability,

or end of life circumstances.”

– The Change Foundation, 2016

*Aged 55+

It’s Hard to See Something You’re Not

Looking For

• People (across sectors) are often focused on another

specific task:

• Supporting the care recipient

• Working on seniors recreation programs

• Etc.

Self-Awareness

“I did not realize that I was a family caregiver. As far as I

was concerned, I was just a wife trying to do everything in

my power to help my husband during a difficult time – and

to make sure that I too survived.”

-Sara Shearkhani, Shedding New Light

ENRICHES:

Identification Strategies

• Partnerships

• Organizations serving caregivers, seniors and care recipients

• 1-hour lunch and learn style workshop for service providers

that describes what a caregiver is, and why it is important

to focus on them

• Outreach at fairs/events, distributing promotional materials

• Cold calling/emailing organizations

• Flyers/brochures (libraries, hospitals, etc.)

• Cross referrals (power of collective impact!)

Engage Caregivers

• To have caregivers participate in programs/services, and

utilize available resources;

What are the barriers in engaging

caregivers to attend programming?

• Language

• Respite

• Time

• Energy/Fatigue

• Finances

• Caregiving Responsibilities

• Feeling “trapped” or “stuck” and unable to

leave home

• Depression

ENRICHES: Engagement Strategies

• Respond to barriers:

• Offer tokens

• Help connect caregiver to respite options

• Concurrent activities (Caregiver and Care Recipient Come

Together)

• Program/materials translated into other cultural/language groups

• Marketing materials – enhance motivation, what’s in it for me?

• Have person that the caregiver trusts or

has rapport with to offer programs and

services

Connect Caregivers to Services and

Resources

Connect Caregivers to Services and

Resources

Connect Caregivers to Services and

Resources

• Creating a menu of options that caregivers can access

• Services/Resources within ENRICHES Collaborative

• Leveraging networks

• Warm referrals

• Working towards health equity – marginalized groups giving voice

to what they need to ensure the health system works for them

ENRICHES: Services/Resources for

Caregivers

• Living Life to the Full: Mental health promotion course

• Alzheimer/Dementia education and training

• Financial services/Tax clinic

• Social networking groups

• English conversation circles

• Yoga

• Technology education classes

• Navigation services

• Tangible supports such as shopping and

escort

Build Capacity

• Provide education and training opportunities for service

providers and volunteers that interact with caregivers

ENRICHES: System Capacity Building

• Service provider training:

• CMHA

• Living Life to the Full

• i-TRICE (Reitman Centre)

1. CARERS

Coaching Advocacy Respite Education Relationship Simulation)

3-day training

2. I-SEE-U

To recognize the caregiver

3. PST

Problem Solving Techniques

Emotional Reasoning to Logical Reasoning

ENRICHES: System Capacity Building

• Training for new volunteer roles:

• Community navigator

• Mentor

• Mental Health Liaison

IDENTIFY

ENGAGE

CONNECT

55+ ISOLATED

CAREGIVERS

BUILD CAPACITY

IN THE SYSTEM

Case Study - Maria

• How might we identify Maria?

• What tools might you use to engage Maria?

• What services/resources might you offer Maria?

Case Study: Maria

Maria is a 56 year old woman, caring for her mother with

dementia. Recently, Maria’s mother has been having trouble

managing on her own, and has moved in with Maria and her

daughter. Maria feels so exhausted from supporting her mother

that she does not go out or see people anymore. She also feels

too embarassed to have them in her home, as she recognizes

she doesn’t have time for grocery shopping or chores, and feels

she would not be a very good host. She feels that her constant

worry and upset is leading her to have feelings of anxiety and

depression of her own, and doesn’t know what to do. Maria

would like to get help for both her mother and herself, but she

doesn’t know what resources are available

How would the supports offered by a

Collective Impact differ from those of a

single service provider?

Impact of Collaboration

• Participants accessing cross-partner programming –

multiple supports received

• New program development – new initiatives created

• Cross-training of staff

• Development of concurrent programming for both the care

recipient and caregiver

• New networks developed

• Integration of Grassroots groups with formal service

providers

Thank you/Questions