PERSON-CENTERED CARE, BURNOUT, AND BARRIERS AMONG DIRECT CARE PROFESSIONALS: TARGETED TRAINING INTERVENTION 360

Long-term care staff outcomes, such as job satisfaction and providing personalized care, are positively influenced by person-centered interventions. Implemented in eight facilities across Iowa, the Targeted Training Intervention 360 (TTI) program aimed to increase person-centered care among direct care professionals (DCP). Throughout the course of TTI, three waves of data were collected from DCPs regarding person-centered care (Person-Centered Care Assessment Tool; P-CAT) and feelings of burnout (Maslach Burnout Inventory; MBI). Analysis of variance tests were employed to identify significant differences in subscale scores across the three waves. Between waves one and two, results revealed significant increases in the P-CAT Extent of Personalizing Care (p=0.03) and Amount of Organizational Support subscales (p=0.001). Additionally, significant decreases from waves one and two were found in the MBI Emotional Exhaustion subscale (p=0.04). Between waves two and three, there were no significant changes in the P-CAT subscales; however, there was a significant increase in the MBI Emotional Exhaustion subscale (p=0.04). To supplement these findings, in wave three DCPs indicated barriers to implementing person-centered care, which included lack of time (49.0%), lack of experience (29.4%), and lack of administrative support (21.6%). Though there were no significant changes in P-CAT scores between the last two waves as well as barriers that must be addressed, DCPs described positive organizational and personal changes regarding person-centered care in the facility, including consistent staffing, using person-centered techniques in care, and individualized activities. Discussion focuses on ways to address barriers to person-centered care and sustain efforts in implementing change.

COMMON PURPOSE: NETWORKING INITIATIVES TO FOSTER DEMENTIA-CAPABLE CARE FOR LIFELONG DISABILITIES

As individuals with I/DD live longer, Alzheimer’s disease is on the rise, particularly in individuals with Down syndrome. Practitioners have recognized that the I/DD system does not possess the expertise to provide appropriate care for this population as it ages. A series of federally funded initiatives in Rhode Island – supported by the Centers for Medicare and Medicaid Services (CMS), the Administration for Community Living (ACL), and the Health Resources and Services Administration (HRSA) -- have begun to equip health care and direct care professionals to meet the needs of individuals with I/DD and AD. Using a “connector” model, the GWEP at RIGEC has woven together these efforts, aligned program goals from disparate funders, built connections between the Aging Network and the disability system, and worked with the National Task Group on Intellectual Disabilities and Dementia Practices (NTG) to create sustainable resources for the health care and direct care workforces.