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New article by Mindy Renfro in the Rural Connections Spring 2016 publication

Happy senior coupleHope for the Best and Plan for the Worst
Can You Age-in-Place in YOUR Home?

The Western Rural states are aging. It is expected that by 2025,  Montana’s population will be the fourth oldest state in the union. It’s also estimated that by 2030, Montana will be one of ten states in the country to have more people over the age of 65 than under the age of 18, and it will be one of only six states to have 25 percent of its population aged 65 and older.

Policy makers are reshaping Medicare; politicians are trying to protect Social Security... but what are each of us doing to be sure that we can age-in-place in our own homes? Each day, 10,000 Baby Boomers (born between 1946 and 1964) are celebrating their 65th birthday and joining the ranks of “older adults.”

RuralConnections - A publication of the Western Rural Development Center, Spring 2016

MonTECH Welcomes a New Director

anna margaret goldman2Dr. Anna-Margaret Goldman recently completed her PhD in Higher Education Administration at the University of Alabama in Tuscaloosa. However, she is no stranger to Montana. She has lived in Missoula part time since 2009. Her most recent position was Prevention Specialist at C.S. Porter Middle School. Prior to that she was responsible for growing a university mentoring program at the University of Alabama. She brings excellent skills in developing campus/community relationships.

We are delighted to have her as a member of the Rural Institute’s Leadership Team and as a community-focused colleague. Please join us in welcoming Anna-Margaret to the Rural Institute for Inclusive Communities.

Helen Russette on the value of visitable homes

How visitable homes benefit you and your community

Helen Russette for the Missoulian, May 5, 2016

"A home is foundational to our well-being. For most, our home provides us with a sense of security, safety, and a place where we most often spend time with our loved ones. To me, this means having a roof over my head, safe running water, protection from weather extremities, and creating memories with my family and friends. We all define and describe what home means to us in different ways, but we share the common understanding that home is at the core of our daily lives. Purchasing or renting a home tends to be the single greatest expenditure Americans make. Our home can also play a role in shaping our health and well-being.

However, as we and our loved ones continue to live longer than our parents and grandparents before us, we can also expect to experience disability, such as mobility limitations that require assistive equipment like a wheelchair, walker, or cane. When homes include steps to the main entrance, have no bathroom on the first floor, and the door widths are too narrow to accommodate a wheelchair, our home, our very core, is disrupted and negative consequences can occur."

Continue reading visitable homes on the Missoulian.

AUCD Executive Director Andrew Imparato visits RIIC

Andrew J Imparato and Marty Blair in a meeting with RTC:Rural

AUCD Executive Director Andrew J. Imparato, JD and Marty Blair in a meeting with RTC:Rural.

"Imparato's work has been recognized by the Secretaries of Health and Human Services and Transportation, the US Junior Chamber of Commerce, the National Council on Independent Living, the National Association of the Deaf, and the Osteogenesis Imperfecta Foundation. He has testified nine times before Committees of the US Senate and House of Representatives and has been interviewed on a wide range of disability issues by national television, radio and print media."

The Rural Institute is part of the AUCD national network of over 100 university-based programs that conduct research, training and advocacy to improve the quality of life of children and adults with disabilities. We are excited and honored to have a visit from Mr. Imparato.

The Portal Periodical

The most recent issue of the Medical Home Portal's newsletter, The Portal Periodical, is now online.  The Periodical is published quarterly to provide updates on changes and additions to Portal, alert users to relevant news & information, and solicit feedback to improve the Portal.

In this issue (Click Here): 

  • The Portal Wants to Know Your Location
  • Utah Medical Home Portal Visitors Can Get More Help
  • How To Use the Portal Videos
  • Service Provider Lists
  • New & Updated Portal Content

Montana Autism Center Highlighted in AMCHP Overview

AMCHP (Association of Maternal & Child Health Program)Overview
2016-18 Learn the Signs. Act Early. State Systems Grants

Goals: Maintain/expand the state ASD/DD team partnerships and activities, with a focus on serving rural and remote communities and working in reservation-serving areas and through tribal health services

Activity Areas: Engage current partners in rural/ frontier communities, build their training capacity, then mentor them in the training process; Partner with the Montana Parent Training Information Center and Montana’s Children with Special Health Services Bureau to target the dissemination of print and electronic family-engaged developmental monitoring tools and resource information statewide; Focus screening (e.g., M-CHAT) training and resource dissemination activities on extreme rural/ frontier communities; Continue information dissemination through the virtual Montana Autism Center.

Project Leads: Martin Blair, Director, Montana UCEDD, This email address is being protected from spambots. You need JavaScript enabled to view it.and Ann Garfinkle, LTSAE Ambassador, UM Dept. of Teaching and Learning
This email address is being protected from spambots. You need JavaScript enabled to view it.

Puzzle Pieces: Putting Together the Picture of Adult Life

Tuesday, May 10, 2016, 1:00 PM - 2:30 PM MDT

Have you ever done a jigsaw puzzle? You start with a pile of pieces and, one at a time, fit the pieces together so you can see the picture. Figuring out how your adult life will look is a bit like putting together a puzzle. Join presenters from the Rural Institute for Inclusive Communities Consumer Advisory Council to explore pieces of adulthood such as mental health, transportation, college, recreation and more...and watch the puzzle take shape!

Intended audience: Youth and young adults with disabilities, parents and other family members, individuals who support young people in their transition to adult life

Presenters: Members of the Rural Institute for Inclusive Communities Consumer Advisory Council

Register Today!
Reserve your webinar seat now at: https://attendee.gotowebinar.com/register/2011406264028309763

Shelley's Three Loves of Life

shelley emerging leader

By Lauren Beyer, Rural Institute Project Assistant

Shelley is a 21-year-old young woman who lives in Missoula. She pursues an active life, filled with meaningful relationships, recreation, and a path towards employment.

Shelley was featured as an Emerging Leader a number of years ago when she was a junior in high school. Much has changed since then. She has matured beyond prom queen and water girl for the high school basketball team. She has started her own business. The road to this point has not always been easy, though.

Continue reading Shelley's story on the Transition and Employment Projects newsletter: http://archive.constantcontact.com/fs152/1102150261897/archive/1124463084199.html

Success Stories from the Montana Disability and Health Program III

Living Well with a Disability Improves Health and Saves Money

darren larsen and michael o neilDarren Larson (right) and Michael O’Neil

“Living Well with a Disability has been a great experience. The 10-week program allows individuals with disabilities to create a healthy lifestyle plan, unique to their desires and strengths, to overcome every day and ongoing challenges, and to reach meaningful life goals. It is awesome!”
~Darren Larson, LWD Facilitator

Public Health Issue

People with disabilities compose about 20% of the U.S. population but account for nearly half of all medical expenditures. A combination of medical, rehabilitation, and community advancements have increased the life expectancy of people with disabilities. A challenge for public health is to ensure these added years are quality life years. The Living Well with a Disability (LWD) evidence-based CDC-sponsored health promotion program meets this challenge by reducing the effects of health problems and associated medical expenses for people with physical disabilities or mobility impairments.1

Program Overview    

A national study funded by Centers for Disease Control and Prevention's  (CDC) Disability and Health Program indicated that a state would save approximately $81,000 to $240,000 above the cost of the LWD program when implemented with 240 participants each year. The Research and Training Center on Disability in Rural Communities (RTC:Rural), in partnership with MTDH, provides the organizational and facilitator training and technical assistance to Centers for Independent Living and other community agencies that implement LWD workshops. LWD teaches skills to manage health, solve problems, communicate with service providers, avoid frustration and depression, increase physical activity and nutrition, and maintain healthy lifestyle practices.

Making a Difference

From February 1995 to April, 2016, RTC:Rural staff trained 1,159 LWD facilitators in 46 states, who served more than 9,272 adults with disabilities. The vast majority of trained facilitators were located in 16 of the 18 states with *CDC Disability and Health programs (http://www.cdc.gov/ncbddd/disabilityandhealth/index.html).  Since 2002, 735 LWD facilitators in current and previous CDC Disability and Health funded states reached over 5,880 workshop participants, whose symptom-free days are estimated at having increased by 69,972 days. The estimated net benefit to healthcare payers is between $5.5 and $9.4 million

Shaping Tomrrow

Contact your state Department of Public Health and Human Services to discuss LWD as a possible Medicaid reimbursable service through the Home and Community Based Services (HCBS) Waiver programs.

1Ravesloot C, Seekins T, Traci M, et al. Living Well with a Disability, a Self-Management Program. MMWR Suppl 2016; 65place_Holder_For_Early_Release:61–67. DOI:  http://dx.doi.org/10.15585/mmwr.su6501a10

Contact Information: Montana Disability and Health Program; Tracy Boehm, MPH; 52 Corbin Hall, Missoula, MT 59812; (406) 243-5741; This email address is being protected from spambots. You need JavaScript enabled to view it.;  www.livingandworkingwell.org.

MTDH is a State Disability & Health Grantee of the Disability and Health Branch, Division of Human Development & Disability, National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention. MTDH is a partnership of the Montana DPHHS and the University of Montana Rural Institute for Inclusive communities. More information is available at: http://mtdh.ruralinstitute.umt.edu    

© 2016 RTC: Rural. Opinions expressed are the author’s and do not necessarily reflect those of the funding agency.

Montana Nutrition Physical Activity Program

Montana Disability Health Program

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Success Stories from the Montana Disability and Health Program II

Improving Individuals’ Nutritional Health with Menu-AIDDS

man in grocery store
At Eastern Montana Industries, group home manager Steve Amick used the MENU-AIDDs program to improve dietary offerings, but he did not stop there. He increased resident involvement in the menu planning by researching traditional native vegetables with several American Indian residents. They put several varieties of squash on the menu and learned new recipes together. This is a culturally competent increase in vegetable consumption—a winning solution.

Public Health Issue

Adults with intellectual or developmental disabilities (I/DD) are at increased risk for nutrition related chronic diseases and secondary conditions such as overweight, obesity, diabetes, cardiovascular disease, gastrointestinal dysfunction and nutritional deficiencies. Staffing issues and planning for multiple individual cultural and special dietary needs present challenges to maintaining food systems within to this population’s living situations that align with the American Dietary Guidelines.

Program Overview    

MENU-AIDDs was developed using community-based participatory research methods to ensure its acceptability and usability by group homes and individuals with disabilities. The program uses an ecological approach to health promotion, which means that it takes into consideration the many influences on nutritional choices and behavior. MENU-AIDDs’ dietary recommendations follow the Dietary Guidelines for Americans and the MyPlate food guidance system. It is not a therapeutic diet and does not need a doctor’s order to implement. MENU-AIDDs has been evaluated in an 8- and 16-week pilot trial and a 6-month public health dissemination (effectiveness trial) in Montana.

Making a Difference

To date, more than 160 community-based group homes for adults with IDD in Montana, New York, North Carolina, and Oregon have been trained to implement MENU-AIDDs. Training evaluations indicate that 99% of managers trained agreed that they were well prepared and confident to implement the program; 96% agreed the day of training was worth their time and effort, and 96% agreed that they were prepared to teach the concepts and procedures to their staff.

Because managers, staff, and residents now make the weekly home menus, the food systems have become more responsive to cultural food habits and resident preferences, grocery store sales and seasonal foods, residents’ special dietary needs, and their staff capacity. Significant improvements were found in homes that used MENU-AIDDs: healthfulness of planned menus dietary intake of individuals who lived there body weight of people who were overweight or obese and of people who were underweight gastrointestinal function.

Shaping Tomorrow

MTDH plans to partner with I/DD services providers, who are already using MENU-AIDDs successfully, to use the program as a base for introducing the Diabetes Prevention Program to adults with IDD. Such a linkage would likely allow evidence-based diabetes prevention programming to this population who are at increased risk for the chronic, expensive condition.
For more nutrition materials and information, visit the MTDH website at http://mtdh.ruralinstitute.umt.edu/Contact

Information: Montana Disability and Health Program; Meg Traci, PhD; 52 Corbin Hall, Missoula, MT 59812; (406) 243-4956; This email address is being protected from spambots. You need JavaScript enabled to view it.

MTDH is a State Disability & Health Grantee of the Disability and Health Branch, Division of Human Development & Disability, National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention. MTDH is a partnership of the Montana DPHHS and the University of Montana Rural Institute for Inclusive communities. More information is available at: http://mtdh.ruralinstitute.umt.edu    

© 2016 RTC: Rural. Opinions expressed are the author’s and do not necessarily reflect those of the funding agency.

Montana Nutrition Physical Activity Program

Montana Disability Health Program

Rural Institute brand mark For Inclusive Communities ftr

um main logo

 

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