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ABCs of Nursing Home Transition: A Four-Part Series for New Transition Facilitators

Part 1: Laying the Groundwork for Transition

presented by Bruce E. Darling, co-founder and President/Chief Executive Officer, Center for Disability Rights, Inc. (CDR) on September 6, 2011

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About the Training

Moving out of a nursing home is usually a process, not an action. Developing the skills to help people move out can take years. That's why we have developed this training to take years off the learning process. If you're a new transition facilitator or an advocate that works with consumers in nursing homes, you can't afford to miss this training. You'll learn skills and tips from Bruce Darling, one of the best advocates in the country. This extensive four part series works through the transition process chronologically. We'll begin at the foundation, with the laws and legal decisions that support people's right to live in their own homes in the community, to the planning process, the actual move, and critical elements of community living after someone moves in.

Presented in four parts, the sessions are:

Part 1: Laying the Groundwork for Transition

  • Setting the Stage: the ADA and the Olmstead Decision
  • Current Issues: Managed Care, ADRCs
  • Critical Components of Transition that Contribute to Success
  • Building Relationships with Nursing Homes, Family, and Other Supports

Part 2: Planning & Assessment

  • The Purpose and Components of the Assessment
  • The Assessment: Getting Started
  • Successful Interviewing Steps

Part 3: Preparing for and Making the Move

  • Transition Planning
  • Person Directed Planning
  • Transition Plan Components
  • Transition Schedule and Checklists

Part 4: After the Move – Community Supports

  • Post Transition Follow up Schedule and Checklists
  • Community Integration
  • Advocacy

Learning Objectives:

Upon completion of this training series, participants will have knowledge and resources which will enable them to:

  • Identify strategies for outreach to individuals in facilities who wish to relocate.
  • Describe approaches to assisting individuals in identifying and assessing their needs and preferences for community-based living.
  • Describe tools and strategies for assisting individuals to plan for and make the move to the community.
  • Identify effective post-transition activities to support individuals in maintaining their lives in the community.
  • Understand the background, framework, and current issues with providing nursing home transition services

About the Presenter

Photo of Bruce Darling

Bruce E. Darling

Bruce E. Darling is co-founder and President/Chief Executive Officer of the Center for Disability Rights, Inc. (CDR), a Rochester-based disability rights organization and Independent Living Center. During his 21-year career he has dealt with a variety of disability issues: fighting for access to public transportation, promoting accessible housing, opposing physician-assisted suicide, and creating community-based alternatives to institutionalization.

In 2000, without any additional funding, CDR began a project to transition people out of nursing homes and back into the community. Since that time, over 300 people have returned to community living. CDR has also hired staff dedicated to transition work. Bruce has worked with many other community groups to teach them about the 1999 Olmstead decision – directing that services to persons with disabilities must be provided "in the most integrated setting possible" - and they began nursing facility transition projects of their own. He has trained people from 37 states and the territory of Guam.

Bruce is proud of his work as a community organizer with ADAPT - promoting services in the community instead of warehousing people with disabilities in institutions and nursing homes - both nationally and in New York State. As part of ADAPT, Bruce has worked with the Centers for Medicare & Medicaid Services (CMS) to implement the national Money Follows the Person Demonstration Program, led efforts to file complaints with the Health and Human Services Office of Civil Rights, organized and participated in direct action activities, and been arrested for civil disobedience as part of ADAPT's efforts to make the Olmstead decision a practical reality.

He has written a number of public policy analyses on disability rights issues, including Early to Bed/Late to Rise, a 200 page evaluation of community-based personal assistance services which CDR published in 1993. Since writing that report, he has implemented many of its recommendations through the development of a Consumer Directed Personal Assistance Program in upstate New York.

PowerPoint Presentation and Other Resources:

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Presented by the New Community Opportunities Center, a national training and technical assistance project of ILRU, Independent Living Research Utilization. Support for the webinar was provided by the U.S. Department of Education, Rehabilitation Services Administration under grant number H400B100003. No official endorsement of the Department of Education should be inferred.

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Last Modified: November 16, 2012