Papers by Pamela Yankeelov
Innovation in Aging, Nov 30, 2023
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Innovation in Aging
At the University of Louisville and University of North Carolina Geriatric Workforce Enhancement ... more At the University of Louisville and University of North Carolina Geriatric Workforce Enhancement Programs (GWEPs), we have collaborated to develop and implement a multi-faceted program to training to address the pressing challenges within NHs and foster community. We have created a Project ECHOs series for NH administers and nursing staff to foster support, while providing education on critical topics including age-friendly healthcare, vaccine hesitancy and infectious disease control, and ways to address health disparities. Additionally, we have developed videos for CNAs and direct support staff. For NH residents and families, we are designing education and offering services to address the disparities related to mental health needs. The UofL and UNC GWEPs mission is to provide a more holistic approach to NH care and opportunities for support and community. Implications for changes in policy and future practice within NHs and the use of collaborative approaches will be discussed.
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Journal of Palliative Medicine
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Innovation in Aging, 2021
There has been significant discourse surrounding the widespread system failures within healthcare... more There has been significant discourse surrounding the widespread system failures within healthcare during COVID-19. Older, frailer, and poorer persons across the United States have been the most impacted by the pandemic. Given this, our FlourishCare team, received funding through the COVID Cares Act, as part of our Geriatric Workforce Enhancement Program (GWEP) grant, to create innovative programming for individuals that were the most impacted by the pandemic. Remote patient monitoring (RPM) is one intervention been shown as an effective way to assist persons in managing their conditions. Patients from our Optimal Aging Clinic were identified as struggling with hypertension, diabetes and/or COPD. Interprofessional teams of nursing and social work learners were assigned to work with patients. The kits contain all of the necessary technology and a virtual app platform that allows a patient to check their heart rate, blood pressure, oxygen levels, and glucose levels. This information wa...
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Innovation in Aging, 2021
Despite technology challenges, the UofL GWEP was able to provide access to quality care during th... more Despite technology challenges, the UofL GWEP was able to provide access to quality care during the pandemic by pivoting all health and behavioral health patient appointments to telehealth. We found being flexible and using technology patients were most familiar with, was the most successful way easing into telehealth. We trained providers in a variety of technology tools and modalities to support this flexibility. We implemented a remote patient monitoring program and a virtual friendly visitors’ program for our most vulnerable patients. Our workforce development focus supported us in teaching our 60+ interdisciplinary interns how to conduct telehealth visits, how to collaborate as an interdisciplinary team in managing the remote patient monitoring program, and how to do virtual case conceptualization and care planning meetings. To re-create the dynamic atmosphere of an interprofessional learning experience, we have paired students together in teams, and provide them with regular op...
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Innovation in Aging, 2021
The University of Louisville ECHO Hub for the Nursing Home COVID Action Network put together a hu... more The University of Louisville ECHO Hub for the Nursing Home COVID Action Network put together a hub of experts that could effectively address the diverse needs of the 240 nursing homes in the 7 cohorts launched. We included an infectious disease expert, a geriatrician, and a behavioral health specialist who adjusted the curriculum to be more in line with the needs of the nursing homes. Our nursing homes were diverse in terms of geography, size and location. We created space for our cohorts to feel comfortable with each other, despite their differences. To foster this sense of togetherness, our facilitators used anonymous opinion polls and incorporated the use of virtual breakout rooms to encourage small group discussions. These strategies assisted in developing a sense of community within the Project ECHO sessions, that will continue to evolve in the post COVID world.
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Innovation in Aging, 2020
This study examines the development of an interprofessional training certificate program that pre... more This study examines the development of an interprofessional training certificate program that prepares social work learners to infuse geriatrics and behavioral health into primary care settings. Since 2018, our program has trained 31 social work learners and 16 learners from counseling psychology and nursing. At the core of the certificate program is an emphasis on developing skills focused on the integration of geriatrics, behavioral health and primary care to address the lack of workforce trained at the intersection of these areas. Each series of workshop is aligned with core competencies that address the 4-M Model of Age-Friendly Health Care and SAMSHA’s Core Competencies in Behavioral Health. Our professional certificate includes training in Motivational interviewing, as well as Cognitive behavioral therapy, Mindfulness based cognitive therapy and Problem-solving therapy, Narrative Therapy, Strategic Therapy, Systemic Therapy, Life Review and Reminiscence Therapy. Additionally, ...
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Innovation in Aging, 2020
The University of Louisville GWEP has partnered with Mountain Comprehensive Care, a FQHC with 9 p... more The University of Louisville GWEP has partnered with Mountain Comprehensive Care, a FQHC with 9 practices in 5 rural counties in KY, to infuse the 4 M’s of age-friendly health care systems into their daily practices, namely what matters most, medication management, mentation and mobility. Many lessons were learned during this infusion period, specifically related to cultural and rural barriers that make some of these principles very difficult to implement. Specifically, what matters most to older adults in these very poor rural areas may not be the safest way to proceed; medication management may be difficult to do due to the extent of opioid addictions in these areas, mentation has many challenges related to isolation and lack of understanding of dementia and mobility issues are complicated due to the many home barriers to fall safety environments. These lessons will be discussed in this part of the symposium presentation.
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Innovation in Aging, 2020
Serving older adults with multiple chronic conditions and variable social, emotional, or physical... more Serving older adults with multiple chronic conditions and variable social, emotional, or physical support effectively within the primary care setting requires an interdisciplinary approach to care, together with the integration of novel approaches to care coordination (Dorr et al, 2006). The purpose of this study is to examine the use of interprofessional learning models to educate a healthcare workforce that meets the needs of older adults by integrating geriatrics with primary care, maximizing patient engagement, and transforming the healthcare system. Specifically, the targeted learners for this curriculum were from a healthcare system in Belize that had no previous specialty training in interprofessional geriatrics care. The 4-day training took place in Belize with an interprofessional group of healthcare professionals that included social work, nursing and medicine. 100 learners participated in the trainings and including participants from social work, nursing and medicine. To ...
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Innovation in Aging, 2019
Stress and compassionate fatigue are common among graduate level students working in healthcare p... more Stress and compassionate fatigue are common among graduate level students working in healthcare professions, however, few studies focus on preventative self-care and its’ impact on these learners. As part the University of Louisville’s Behavioral Health Workforce Enhancement Training Program (BHWET), graduate students are trained to work with older adults in rural communities. The focus of our BHWET program is to provide holistic, behavioral health care through our FlourishCare Network. As part of the student’s weekly curriculum, an interdisciplinary group of learners from counseling psychology, social work and psychiatric nursing were invited to the attend the sessions were invited to participate in a 2-semester Microclinics and Health Matters course that was designed to promote self-care and harness the power of social networks to promote health. A total of 15 students completed the program. Biomarkers including BMI, Cholesterol, A1C, Blood Pressure were taken every week time the ...
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Innovation in Aging, 2019
Flourishing represents living within an optimal range of human functioning. To foster older adult... more Flourishing represents living within an optimal range of human functioning. To foster older adults flourishing, our FlourishCare model of care coordination was developed as part of a HRSA Geriatric Workforce Enhancement Program (GWEP) to transform PC sites by delivering coordinated services in 6 rural KY counties. FlourishCare is unique in its integration of academic teams, community health teams and mental health specialists within age-friendly primary care health systems.FlourishCare recognizes that many of the largest drivers of health care costs fall outside the clinical care environment. One of the major components of Flourish is the involvement of community health navigators (CHNs), community education coordinators (CECs) and community coalitions working with the health teams to respond to the social determinants of health. For each patient that is referred and agrees to participation in the program, the CHN performs Flourish clinical and home assessments and obtains medical r...
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Innovation in Aging, 2019
Serving older adults with multiple chronic conditions and variable social, emotional, or physical... more Serving older adults with multiple chronic conditions and variable social, emotional, or physical support effectively within the primary care setting requires an interdisciplinary approach to care. Our GWEP program has developed an interprofessional education center that educates and prepares students and professionals from social work, medicine, nursing, dentistry, pharmacy, and community health partners, to function within a transformed integrated patient-centered geriatric primary care and community-based service delivery system. Learners from multiple disciplines attend a face-to-face Interdisciplinary Case Management Experience (ICME) session lasting 2.5 hours. Sessions include learners from each discipline and, if possible, at least one community practitioner in small groups of 6–8 learners at each table facilitated by 1 faculty member. Approximately 1,200 learners have received the curriculum. To evaluate the program, Kirkpatrick’s Training Evaluation Model was used to determ...
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Advances in medical education and practice, 2018
A fragmented workforce consisting of multiple disciplines with varying levels of training and lim... more A fragmented workforce consisting of multiple disciplines with varying levels of training and limited ability to work as a team often provides care to older adults. Interprofessional education (IPE) is essential for preparing practitioners for the effective teamwork required for community-based, holistic, person-centered care of the older adults. Despite numerous programs and offerings to advance education and interdisciplinary patient care, there is an unmet need for geriatric IPE, especially as it relates to community-dwelling older adults and caregivers in medically underserved areas. A core group of university faculty from multiple disciplines received funding from the Health Resources and Services Administration Geriatric Workforce Enhancement Program to collaborate with community-based providers from several Area Agencies on Aging in the creation and implementation of the Interprofessional Curriculum for the Care of Older Adults (iCCOA). This geriatric curriculum is interprofe...
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Violence Against Women, 2004
Intimate partner violence is a pervasive, complex problem affecting the lives and health of a lar... more Intimate partner violence is a pervasive, complex problem affecting the lives and health of a large percentage of women and children. This report provides data from an evaluation designed to address questions and concerns expressed about possible unintended effects of the mandatory reporting law on victims. Case reviews were completed on 631 adult protective service cases resulting from reports of intimate partner violence. Results indicate that following a report of suspected intimate partner violence made under Kentucky mandatory reporting law, all victims who could be located received at a minimum safety planning and information about community resources. Regardless of official case status, nearly half of all cases received services.
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Juvenile and Family Court Journal, 2009
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Journal of Gerontological Social Work, 2009
The purpose of this study was to assess the effectiveness of interdisciplinary geriatric home-bas... more The purpose of this study was to assess the effectiveness of interdisciplinary geriatric home-based assessment and self-management support services to community-dwelling older adults. A quasi-experimental, pre-post test design tested two types of service delivery models. The first protocol included geriatric assessment services, with a brief self-management care plan intervention. The second protocol added a telephone support intervention. All participants showed significant progress in improved self-efficacy, self-rated health, functional status and physical mobility (specifically lower extremity muscle strength), mental health (specifically reduced depression) and in reduced fall hazards in their physical home environment. The telephone support intervention protocol did not provide additional value to the first protocol. This study demonstrates the value of non-medical intervention strategies for community dwelling older adults with chronic illnesses.
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Journal of Community Practice, 2012
This study reports on the use of Concept Mapping to delineate a conceptual framework germane to t... more This study reports on the use of Concept Mapping to delineate a conceptual framework germane to the planning and initial formation of tri-county rural diabetes coalition in a southeast US community. The focus of the tricounty coalition is to reduce diabetes-related inequalities in vulnerable populations. After a review of pertinent literature on community coalitions, this article explicates Concept Mapping processes utilized to plan and organize the formation of a coalition, offers analyses of the results, and discusses implications for current and future practices pertaining to community coalition work.
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Journal of Applied Gerontology, 2013
This article provides the results of a photovoice project conducted with older adults affected by... more This article provides the results of a photovoice project conducted with older adults affected by diabetes living in three rural counties in the southern region of the United States. Photovoice is a community-based participatory action methodology that puts the tools of research in the hands of participants. This project was an initial community engagement activity that promoted trust-building and formed part of a larger comprehensive community needs assessment. The process revealed themes of personal and community resilience focused on the daily living with diabetes, formal and informal supports, barriers to taking care of their diabetes, accessibility to fruits and vegetables, changes to food preparation and consumption, and exercise supports and barriers. The impact of the photovoice project on the participants and the implications for practice are discussed.
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Gerontology & Geriatrics Education, 2009
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Family Court Review, 2005
The article focuses on a quantitative evaluation of Families In Transition (FIT), a court‐mandate... more The article focuses on a quantitative evaluation of Families In Transition (FIT), a court‐mandated divorce education program. In this evaluation, the operationalization of the impact of FIT on its participants is guided by a social psychology theory. Findings indicate that parents view FIT as a valuable experience, and they gain in their attitude toward and likelihood to engage in child‐centered divorce adjustment behaviors from pre‐ to post‐FIT. Factors are highlighted, such as counseling and conflict status of the parents that affect the degree of influence of FIT. Implications for evaluations of these programs and for the structure of these programs are discussed.
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Papers by Pamela Yankeelov