Counseling, Caregivers and Alternative Transportation Panel C 12/02/03.

Counseling, Caregivers and Counseling, Caregivers and Alternative TransportationAlternative Transportation

Panel CPanel C

12/02/0312/02/03

ContextContext

Paradigm shift: transportation systems Paradigm shift: transportation systems should serve needs of older consumersshould serve needs of older consumers

AgeismAgeism Funding challengesFunding challenges Lack of community support and political Lack of community support and political

willwill

CounselingCounseling

Redefine counseling: expand to includeRedefine counseling: expand to include– marketingmarketing– PRPR– trainingtraining– traditional counselingtraditional counseling

Heterogeneous groupHeterogeneous group Approaches vary widelyApproaches vary widely

TechniquesTechniques

Senior transportation resource centerSenior transportation resource center Client-centered approach: 1:1 counselingClient-centered approach: 1:1 counseling

– SeniorsSeniors– Adult children/spousesAdult children/spouses

Centralized mechanisms for information: Centralized mechanisms for information: community specific informationcommunity specific information

Publicize Older American’s ActPublicize Older American’s Act

& other local transportation benefits for seniors & other local transportation benefits for seniors


Educate seniors, friends and caregivers on existing Educate seniors, friends and caregivers on existing optionsoptions

Promote community conversationPromote community conversation Educate providersEducate providers

– dealing with the transition issuesdealing with the transition issues– directing to appropriate resourcesdirecting to appropriate resources– understanding role of and supporting caregiversunderstanding role of and supporting caregivers– providing guidance in the decision making providing guidance in the decision making

processprocess


Involve in volunteer transportation opportunitiesInvolve in volunteer transportation opportunities– part of solution for otherspart of solution for others– may facilitate planning for one selfmay facilitate planning for one self

Educational campaigns, e.g., drunk driving Educational campaigns, e.g., drunk driving campaigncampaign

Peer/pastoral counselingPeer/pastoral counseling Sensitivity in revocation processSensitivity in revocation process Use of communication devices to supplement Use of communication devices to supplement

mobility mobility

Essential ElementsEssential Elements

Above all: Above all: Respect for consumer Respect for consumer Take a positive approachTake a positive approach

– use benefituse benefit not burden approachnot burden approach– focus on action consumer can takefocus on action consumer can take

Effective communication strategiesEffective communication strategies– empathyempathy– listening skillslistening skills– empower consumersempower consumers

Understand impact of not drivingUnderstand impact of not driving– symbolic meaningsymbolic meaning– actual meaningactual meaning


ReciprocityReciprocity Cultural sensitivityCultural sensitivity Approach: focus on action consumer can takeApproach: focus on action consumer can take Identify social support & community servicesIdentify social support & community services Consumer to stay connected in a meaningful wayConsumer to stay connected in a meaningful way Cost of alternative transportation vs. drivingCost of alternative transportation vs. driving Venue for support and discussionVenue for support and discussion Non-profit system fosters capacity buildingNon-profit system fosters capacity building


Effective follow-up and follow throughEffective follow-up and follow through Participation in the decision-making processParticipation in the decision-making process

Evaluation Evaluation

Built into the approach as necessary Built into the approach as necessary componentcomponent

Quality of life/ successful aging measuresQuality of life/ successful aging measures

Counseling: Conceptual ModelCounseling: Conceptual Model

Self Perception of Competency and Actual Self Perception of Competency and Actual Competency Concordance Model (Dobbs Competency Concordance Model (Dobbs and Dobbs, 2000)and Dobbs, 2000)– Initial model that must be tested and Initial model that must be tested and

interventions designedinterventions designed

Self-Ratings-Driver Examiner Self-Ratings-Driver Examiner Ratings Congruency MatrixRatings Congruency Matrix

Self-Perceptions Self-Perceptions

Yes Yes NoNo

Actual Actual

PerformancePerformance

YesYes X X (Group (Group A)A)

NoNo X X (Group (Group B)B)

Counseling: Program ModelCounseling: Program Model

Florida DMVFlorida DMV– Mobility counselorsMobility counselors– Resource centersResource centers– Connectivity with the communityConnectivity with the community

Consider term: “medically/functionally at Consider term: “medically/functionally at risk” to move beyond ageismrisk” to move beyond ageism

Inventory: AssumptionsInventory: Assumptions

Integrated Integrated Dynamic hybridDynamic hybrid Triage for individual needsTriage for individual needs Multi-level systemMulti-level system

– Informal to formalInformal to formal– Dependent to independentDependent to independent

Degree of regulation or oversight varies Degree of regulation or oversight varies within each systemwithin each system

Alternative Transportation Alternative Transportation ContinuumContinuum

Stop to stopStop to stop Curb to curbCurb to curb Door to DoorDoor to Door ““Arm to Arm”Arm to Arm”

Alternative Transportation Alternative Transportation ContinuumContinuum

Family/friends & caregiversFamily/friends & caregivers Non-kin informalNon-kin informal

– Existing relationshipsExisting relationships Pass ride concept: TRIPPass ride concept: TRIP

– ReciprocityReciprocity– Payment to friends and neighborsPayment to friends and neighbors

VolunteerVolunteer

Alternative Transportation Alternative Transportation Continuum Continuum

Independent Transportation Network (Freund)Independent Transportation Network (Freund) Juncture between volunteer and transitJuncture between volunteer and transit Specialized transitSpecialized transit

– HospitalHospital– AirportAirport– Senior housingSenior housing

Contracted private transitContracted private transit TaxiTaxi

– vouchervoucher– traditionaltraditional

Alternative Transportation Alternative Transportation Continuum Continuum Para transitPara transit

– ADA Para transitADA Para transit– Public Para transit Public Para transit – Dial-a-ride Dial-a-ride

Senior transportationSenior transportation– Alternatives provided by jurisdictionsAlternatives provided by jurisdictions– Fixed route and flexible routesFixed route and flexible routes

Jitneys Jitneys Non emergency medical vehiclesNon emergency medical vehicles Public transportationPublic transportation

– Alternatives provided by jurisdictionsAlternatives provided by jurisdictions– Fixed route and flexible routesFixed route and flexible routes

*Low speed vehicles*Low speed vehicles

Keys to Success: Alternative Keys to Success: Alternative Transportation for SeniorsTransportation for Seniors

Community focus and community supportCommunity focus and community support Consumer perspectiveConsumer perspective Imagination and creativity (not taking no for an Imagination and creativity (not taking no for an

answer)answer) Flexibility to accommodate the changing demandsFlexibility to accommodate the changing demands Family of servicesFamily of services Partnership/stakeholderPartnership/stakeholder

– coordinationcoordination

– who will contributewho will contribute


Business modelBusiness model– bottom linebottom line– costs and revenuescosts and revenues

Sustainability (service has long range multi-Sustainability (service has long range multi-year perspective supported by consumers, year perspective supported by consumers, investment from the community)investment from the community)

Sense of public and private ownershipSense of public and private ownership TechnologyTechnology


Total quality management and continuous quality Total quality management and continuous quality improvementimprovement

Quality serviceQuality service– polite, friendly and courteouspolite, friendly and courteous

– punctuality, driver courtesy, improve environmental punctuality, driver courtesy, improve environmental conditions, e.g. shelter from weather conditions, e.g. shelter from weather

Positive marketingPositive marketing for alternative transportation… for alternative transportation…overcoming the barriersovercoming the barriers

Burkhardt et alBurkhardt et al

Implications for FutureImplications for Future With appropriate choices the need for counseling will be With appropriate choices the need for counseling will be

reducedreduced Planning for alternative methodsPlanning for alternative methods

– curriculum (school age/ transportation provider training) curriculum (school age/ transportation provider training) – life long mobilitylife long mobility– long term planning, e.g. elder lawyers, financial plannerslong term planning, e.g. elder lawyers, financial planners– transportation savings account transportation savings account – insurance incentive insurance incentive

Public policy: incentives for private solutions for Public policy: incentives for private solutions for transportation financial planningtransportation financial planning

Implications for Future Implications for Future

Alternative to driving needs to be part of the whole Alternative to driving needs to be part of the whole driving process driving process

Marketing benefits of not drivingMarketing benefits of not driving Land use e.g., Communities for a Lifetime Land use e.g., Communities for a Lifetime www.www.

myfloridamyflorida.com.com, Smart Growth, WalkAble , Smart Growth, WalkAble communities communities

Develop/choose modelDevelop/choose model ResearchResearch

– ““emotional preparedness” emotional preparedness” – evidence basedevidence based

Interdependency of research, policy and program Interdependency of research, policy and program

Implications for Future Implications for Future

Identify next steps Identify next steps Develop championsDevelop champions

LimitationsLimitations

Lack of research and methodologyLack of research and methodology EvaluationEvaluation

Counseling, Caregivers and Alternative Transportation Panel C 12/02/03.

Documents

Transcript of Counseling, Caregivers and Alternative Transportation Panel C 12/02/03.