Monday, October 5

Registration Opens: 12:00pm

Pre-Conference Intensive: 12:30-2:30pm

Registration limited to first 150 attendees.

Transforming Virginia into a Dementia Friendly State: The Dementia State Plan 2020-2024 and Dementia Friends Virginia

Virginia’s Dementia State Plan 2020-2024 lays out a vision of a fully dementia capable state. A state where people living with dementia and their caregivers are supported and able to access person-centered services staffed by knowledgeable professionals and volunteers. A key component of this is Dementia Friendly Virginia, where citizens living with dementia and caregivers are able to fully engage with, and be supported by, their communities of choice. The Dementia Friends Virginia initiative supports this by raising awareness and reducing stigma through one-hour information sessions. Learn about Virginia’s dementia capable and dementia friendly vision and become a Dementia Friend in this special conference session from the Alzheimer’s Disease and Related Disorders Commission, the Department for Aging and Rehabilitative Services and LeadingAge Virginia.

Opening Plenary Session: 3:00pm – 5:00pm

Award Reception: 5:15pm – 7:00pm

Tuesday, October 6

Registration Opens: 7:00am

Opening Plenary Session: 8:00am-9:45am

Let’s Disrupt Ageism and Develop Elderhood!

Breakout Sessions: 10:00am-11:40am

Lunch & Networking: 11:45am-1:00pm

Breakout Sessions: 1:15pm-3:30pm

Closing Plenary: 3:45pm-5:00pm

Morning Breakout Sessions

Financial Exploitation: How to Prevent Abuse By People Who Make Decisions for You

Pamela B. Teaster, Ph.D.,
Christopher Desimone, Esq.

Vulnerable older adults needing surrogate decision makers (i.e., powers of attorney, guardians, representative payees) typically rely upon others for care and are unable to advocate for themselves. The issue of elder abuse perpetrated by surrogates has become highly visible nationally, yet no reliable, empirical documentation exists on the nature or extent of exploitation by surrogate perpetrators. In collaboration with the National Adult Protective Services Association (NAPSA), we prospectively gathered Adult Protective Services data from six geographically diverse counties on 450 substantiated cases of abuse by POAs, representative payees, and guardians of vulnerable adults 65+ living in community settings. This presentation will highlight how surrogates perpetuated abuse its outcomes on elder victims. A legal perspective on the findings informs practice and policy recommendations for better prevention and intervention in these challenging cases.

Rethinking the Continuum of Care

Nancy Fagan, CMC/Executive Director, Eldertree Care Management
Loretta Morris Williams, Attorney/Partner, HALE BALL PLC

We will consider life care communities – formerly continuing care retirement communities – as a microcosm for the individual, provider and policy decisions that impact whether and how people age in place. From their origins as homes for retired ministers to activity-filled campuses, life care communities aim to guarantee a continuum of services to their residents. These communities traditionally require a large entrance deposit and offer independent living through nursing home care. Behind the “seamless” approach to care are a mix of regulatory requirements for the various levels of care. Individual and community financing decisions impact the resident’s choice of facility and the facility’s financial viability. Resident quality of life is impacted by how their personality jibes with the culture of the facility, and by how they move through the levels of care.

Combatting the Demise of Older Adults at The Hands of Opioid Abuse & Misuse

Michelle Thomas, MPA, Program Coordinator, Virginia Insurance Counseling and Assistance Program
Linh Nghe, M.Ed., Prevention Director, Child and Family Services Division

Arlington’s Virginia Insurance Counseling and Assistance Program (VICAP) provides free, unbiased, confidential health insurance counseling for Medicare beneficiaries. Annually, the Open Enrollment Period is a time when beneficiaries can change their Medicare Advantage and Prescription drug plans (Part D). During the 2019 season, VICAP invited beneficiaries to bring their list of medications and partnered with the Arlington Addiction Recovery Initiative (AARI) to offer information about safely discarding unused or unneeded opioids and other medications. AARI is a community wide stakeholders’ group that combats the opioid epidemic. AARI focuses on prevention, community outreach, increasing access to treatment, data collection, and sharing resources. VICAP invited AARI to present at monthly Medicare classes and provide education to the community about the importance of properly disposing unused medications. AARI supplied VICAP with resources about safely disposing unused and expired medications through permanent drug takeback boxes and home disposal kits that were distributed to beneficiaries during Medicare counseling. Because of the partnership between VICAP and AARI, both programs have gained a greater awareness of and access to older adults who are at higher risk of having unused medications. This is a partnership that we plan to continue beyond the open enrollment season.

Narrative Practices in LTSS: The role of story in person-centered approaches

Gigi Amateau, MS
Kendra Jones
Catherine MacDonald, MS
Allison Watkins
Ayn Welleford, PhD

One way human beings exchange care is through storytelling and storysharing. Person-centered care invites genuine relationship between older adults and providers. Participants will learn about narrative techniques and practices to improve workforce skills and also to fully engage older adults in the telling of their own stories.

Liveable Communities that Promote Community Engagement & Involvement

Merrill Friedman, Senior Director, Disability Policy Engagement

Livable communities for older adults must include the needs and interests of persons aging with disabilities to facilitate broad-based community access, inclusion and engagement. Identifying shared interests between aging and disability communities and building collaborative relationships between stakeholder groups is critical to this process. More than a decade ago, The National Advisory Board on Improving Health Care Services for Older Adults and People with Disabilities (NAB) issued “Six Principles to Modernize the Health Care Infrastructure” which was widely distributed within the healthcare fields and to state and federal policy makers. The future depends upon creating livable communities that support all levels of functional need throughout the life course. Specific focal areas include recognizing the importance of service and supports, technology, and environmental accessibility to foster social inclusion; emphasizing the significance of self-determination and self-advocacy; and integrating other concepts from the social disability movement into the livable community framework. We will share outcomes from the Anthem NAB supported study that engaged people with disabilities and older adults living in Houston to collect insights into accessibility and livability and related projects as examples. Through these efforts, we aim to enhance community capacity and collaboration to support livable communities for all.

Morning Breakout Sessions

Neighborhoods, Neighbors, and Resident Affiliations: Building Livable Communities

Nancy Brossoie, Sr. Research Scientist, Center for Gerontology, Virginia Tech
Tina King, Executive Director, New River Valley Agency on Aging, Pulaski, VA
Laurie Young, Arlington Age Friendly Task Force, Arlington, VA

For over 100 years, the role of neighborhoods, neighbors, and resident affiliations have been recognized as important to the success of building livable communities and in strengthening residents’ sense of community and belonging. The presentations in this session emphasize the use of local settings in livable and age-friendly community (AFC) initiatives. We begin with a brief overview of survey findings from the City of Roanoke AFC initiative that clearly point to the significance of neighborhoods and neighboring in making Roanoke a good place to live and grow old. Strengths and challenges to incorporating neighborhood level activities in Roanoke will be reviewed and the challenge of defining neighborhood boundaries for program interventions discussed. Next, we showcase the benefits and challenges of community listening sessions and discuss the impact the sessions have on local AFC initiatives and in raising resident awareness of local services and programs. Last, we introduce a free multi-media program designed to help older adults think about and plan for remaining in their homes and communities as they age in place. The value in utilizing local facilitators to lead residents in completing the self-directed workbooks will be highlighted and links to the online materials provided.

Changing the Culture of Care for African Americans Living with Dementia

Linda G. Brown, Ph.D., R.N.-B.C., Assistant Professor of Nursing


Dr. Lauren Powell

This session will showcase how unique community partnerships can enhance consumer awareness and education, while working to eliminate disparities in access to care, resources and services.

PACE: An Innovative Approach to Managing Social Determinants and Population Health

Dr. Ann Wells, Chief Medical Officer for Population Health, InnovAge
Josh McGilliard, Executive Director, InnovAge

PACE is a proven and high-quality alternative to nursing home care. It allows seniors to remain independent in their homes and communities for as long as possible. With input from the participant, PACE fully coordinates their medical, behavioral and long-term care needs under one roof. Blending both Medicare and Medicaid funding also brings peace of mind to seniors and their families. In Virginia, there are 11 PACE centers across the state, serving more than 1,800 seniors. The objectives of this session are to highlight the ways InnovAge PACE provides innovative solutions for key social determinants and population health. Only 20 percent of health is related to direct clinical care; the remainder is a variety of social determinants that must be addressed to keep our seniors independent. This session will describe how the PACE model addresses key determinants, including social isolation, nutrition, housing, transportation and care management. How best to address population health is another important topic in this session. The outcome for good care management is to analyze all the opportunities with providing services to our seniors and develop a continuous process improvement plan that achieves the ultimate goal of maintaining or improving health and life satisfaction.

Retirement Options for older adults with ID/DD

Sandi Dallhoff, CTRS
Evan Braff, CTRS
Evan Jones, CRC, CRP

The population of older adults with developmental and intellectual disabilities is growing at a significant rate in Fairfax County. Like their non-disabled peers, older adults with developmental disabilities and intellectual disabilities want to retire. A cross-system team of Health and Human Service staff has developed a retirement framework for this population. This presentation will discuss the development and implementation of this framework with a focus on creating client/choice integrated service model.

Intersections of Diversity and Ageism

Naima Wares-Akers, BS, CWDP, CAS
Jay White, EdD, MSG, CDP

Despite stereotypes, we become more diverse and unique as we age. The art and science of living and aging is not a one-size fits all model. This 45-minute presentation will explore issues related to gender and sexual minorities as well as a focus on aging within communities of privilege. Special attention will be paid to roles, power, intersectionality and how they impact our aging, especially throughout the long-term care continuum.

Afternoon Breakout Sessions

Its a New Day!

Kathy Vesley

One of the most important healthcare findings over the last 20 years has been that there are a number of factors, beyond what happens at the doctor’s office, that influence health. Healthcare professionals acknowledge that what happens in the home – housing, transportation, meals, and other services – along with incorporating social determinants, is critical to overall wellness. We will discuss ways physicians, insurers, and home and community-based service providers can align to support high quality, high-value patient care. We will explore strategies to leverage the powerful energy of these entities when they intersect to improve patient care, achieve greater value, lower healthcare costs, reduce emergency department use and hospital readmissions. We will also learn about what patients want. The value of patient and caregiver perspectives are often underestimated or overlooked. Participants will learn about how barriers that limit patient engagement were met and the rewards of patient engagement toward improving health.

Transportation for the Aging: Solving key mobility hurdles across rural, urban, and regional applications

Ned Freeman
Joe Ratliff

Explore innovative approaches to solving key mobility challenges for the aging. Our speakers will share innovations in public transit for connecting communities and solving the ever-growing problem of social isolation that impacts aging populations in remote, rural areas served by Four County Transit. As well as dive into insights from program applications in regional and urban contexts — how the adaptive transportation network company UZURV is used to close key gaps in safety and rider assistance in rideshare applications for the disabled and aging.

Social Determinants of Health: Housing Stability Strategies for Older Adults

Pam Kestner
Jovan Burton

Just 10-20% of our health status relates directly to medical care. Social factors such as housing stability account for 80-90% of how healthy we are. Participants in this session will learn about barriers to stable housing—aging in place, maintenance, downsizing—as well as a variety of housing strategies for older adults, including rural housing, data sharing, systems coordination and collaborative solutions.

“The Intersection”

Regina Sayers, Exec. Director, Appalachian Agency for Senior Citizens
Brian Beck, CFO, Appalachian Agency for Senior Citizens
Joe Ratliff, Director Transit, Appalachian Agency for Senior Citizens
Wayne Damron, Director Care Coordination, Appalachian Agency for Senior Citizens

“The Intersection” connects affordable housing, transportation, health care and support services. AASC’s different departments collaborate to create unique partnerships. All of these services contribute to communities for the future. AASC will illustrate how their mission — to advocate, plan, develop, implement and promote independence with a high quality of life for healthy aging that benefits individuals and families of all ages in a sustainable, livable community — is at work in their Senior Living Community. AASC owns and operates a mobile home park that provides housing for seniors aged 55 and older and adults with disabilities. Units are reserved for low-income seniors with risk criteria such as health issues, homelessness, or extreme social isolation. As part of the livable community concept, program components are not limited to housing. That’s where AASC’s support services fill in the gaps and address the social determinants of health. AASC also operates the public transit system providing handicapped accessible transportation to grocery stores, doctors, shopping and community activities. Appalachian Agency’s rural PACE program provides inclusive care for the elderly, including an on-site medical and physical therapy clinic. This session will explain opportunities to engage community partners that will contribute to the overall success of the livable community.

Lessons Learned About Leading Age-Friendly Community (AFC) Initiatives

Nancy Brossoie, Sr. Research Scientist, Center for Gerontology, Virginia Tech
Ron Boyd, Chief Executive Officer and President, Local Office on Aging, Roanoke, VA
Jane King, Chair, Strategic Planning, Alexandria Commission on Aging, Alexandria, VA
Laurie Young, Arlington Age Friendly Task Force, Arlington, VA
Steve Zollos, Chief Executive Officer, Senior Services of Southeastern Virginia, Norfolk, VA

Six cities/counties in Virginia have officially joined over 400 communities nationwide in the AARP Network of Age-Friendly States and Communities. Although the resources and support received through AARP and the Network are helpful in developing AFC initiatives, local leaders are quick to note that they have faced unexpected challenges and unique situations in moving their own initiatives forward. In this session, we share highlights of their experiences and discuss lessons learned to help other communities launch successful AFC initiatives. The session begins with a brief overview of findings from a Virginia Tech study comparing the successes and challenges faced by four Virginia AFCs in articulating their vision, addressing diversity, conducting outreach and advocacy, and setting realistic goals. Next, four AFC leaders will host an interactive discussion, with each leader highlighting their experiences, offering insights, and answering questions from attendees about issues such as taking the first step to move forward, collaborating with local government, developing and motivating a successful volunteer corps, and listening to residents.

Afternoon Breakout Sessions

How Access to Health Care by Mobile Health Units Can Improve the Lives of Older Adults in Virginia

Dr. Teresa Tyson, President and CEO, Health Wagon;
Dr. Paula Hill-Collins, Clinical Director, Health Wagon

Access to care for the underserved is a problem across Virginia, but is especially problematic for our most vulnerable populations, including older persons. The Health Wagon is the oldest mobile clinic in the nation, providing mobile health services to the medically underserved in Southwest Virginia since 1980. During this session, participants will learn how the Health Wagon has expanded its use of mobile health units for older persons to include specialty clinics such as behavioral health, cardiology, endocrinology as well as diagnostic testing for cancer. Session participants will also hear highlights from the recently released America’s Health Rankings 2020 Senior Report, which provides a comprehensive look at the health of seniors on a state-by-state basis.

Creating Partnerships with Meals on Wheels and Home Delivered Meals: Maximizing Resources

Missi Boyer
Amory James

FeedMore and Senior Connections have a long standing partnerships for nutritious meals delivered to older adults in their homes. The partnerships involves collaborations for programs and services offered by both Agencies. Referrals are sent and received through No Wrong Door (Peer Place), reducing the amount of time it takes to get meals started. Volunteers are one of the keys for success of the partnerships. They help deliver, pack and organize meals as well as provide safety checks. RSVP, Retired and Senior Volunteer Program participants also assist. Two Friendship Cafes benefit from Feed More’s Commodity Supplemental Meals Program. Participants receive monthly boxes containing nutrient-rich foods that help improve overall health, reduce malnutrition and stretch food dollars. Care Transition Coaches offer Home Delivered Meals to individuals who are recently released from hospitals, allowing them to receive needed nutritional supports during recovery. FeedMore’s Community Kitchen and Agency Network provide prepared meals and groceries to individuals in need throughout the community. All of these partnerships provide significant returns on investments and allow us to help older adults in their time of need.

Health equity and the direct care workforce: Strategies and supports for recruitment and retention

Tracey Gendron, PhD, Virginia Commonwealth University, Department of Gerontology
Reggie Gordon, Deputy City Administrator, City of Richmond
Michelle Johnson, County Administrator, Charles City County
Amy Strite, MSW, CEO, Family Lifeline
Thelma Watson, PhD, Executive Director, Senior Connections

Whether in the home, or in a long-term community, direct care providers – CNAs and PCAs – provide the majority of care for older adults. The demand for direct care providers is rapidly growing, yet recruitment and retention do not keep pace with the need. This panel will focus on the health and well-being of direct care workers and consider how direct supports of employees can keep and build a strong workforce. Participants will learn how service providers and local governments in urban and rural areas can partner to support the direct care workforce.

The Impact of the BRI Care Consultation Program to Support Persons with Memory Loss and Their Caregivers

Christine J. Jensen, PhD., Director, Health Services Research, Riverside Center for Excellence in Aging & Lifelong Health
Terry Sweaney, LPN, CGCM, CSA, Dementia Care Consultant, Riverside Center for Excellence in Aging & Lifelong Health
Samantha Fields, Dementia Care Coordinator, University of Virginia
Elizabeth Boyd, Dementia Care Coordinator, UVA Memory and Aging Care Clinic
Carol Manning, Ph.D. ABPP-CN, Director Memory and Aging Care Clinic, Harrison Distinguished Teaching Professor of Neurology, University of Virginia

This session will present two care coordination models for people with dementia and their caregivers currently in use in Virginia. Both interventions, delivered over a 12-month period, coordinate health care and community services while providing education and emotional support. Care consultants, typically social workers, counselors or nurses are trained in dementia and available resources. The programs are available at the UVA Memory and Aging Care Clinic and the Riverside Center for Excellence in Aging and Lifelong Health. The interventions are provided through home visits, clinic visits, phone, mail, and/or email. Both programs use modifications of the Benjamin Rose Institute on Aging (BRIA) Care Consultation program, an evidence-based tool for persons with memory loss and a primary caregiver who assists with daily tasks and health-related matters. Both programs will be discussed including the populations served, specifics of the models and lessons learned. Attendees will learn about: 1) outcomes for caregivers and persons with memory loss participating in this program in the Commonwealth; 2) challenges and opportunities with managing a care consultation program; 3) differences in the models; and 4) statewide potential for sustaining the effective work of the care consultants.

Innovative Geriatric Mental Health Treatment in Long Term Care Communities

Alice Straker, LCSW, RAFT Program Director
Ndidi Uzowihe, MSW, Mental Health Therapist, Supervisee in Social Work

The RAFT (Regional Older Adult Facilities Mental Health Support Team) program is an innovative geriatric mental health treatment model that is changing the way care is provided to older adults with mental illness or dementia with challenging behavior. By 2020, one in seven Virginians will be over the age of 65, people more prone to dementia-related diseases. Many will need long term care placement in an assisted living or nursing home. The RAFT treatment model is designed to support older adults with mental illness and dementia with challenging behavior diagnoses to thrive in their long-term care communities. The objectives for our presentation will be to discuss the following:

  • RAFT fills a vital need and provides intensive mental health services for older adults in long-term care settings in their communities.
  • The ongoing success in discharging older adults from Piedmont Geriatric State Hospital and local hospitals to closer-to-home, less restrictive nursing homes and assisted living facilities in Northern Virginia.
  • Providing trainings and case consultations for staff in long-term care facilities and other community partners. The result is a skilled and knowledgeable workforce with resources to create positive outcomes for residents, while increasing community partners’ willingness and ability to serve this high-risk population.