Marie Smith Center and

Lambert House

Program

Portfolio

MAXIMIZING ENGAGEMENT BY EMPHASIZING INDIVIDUAL SKILLS AND PROMOTING CHOICE OUR TEAMS…

Our core values Honoring Our Participants: At Marie Smith Center (MSC) and Lambert House (LH), we are dedicated to respecting the rights of our participants by providing an atmosphere that is secure, respectful, and considerate of their needs. We advocate for our folks by promoting a sense of independence and the giving them the freedom to be themselves.

Making Every Day Joyful: We encourage participation in our activities. Music, art, and exercise classes are balanced with quiet time. There are monthly outings and celebrations. All activities provide opportunities for friendship and fellowship.

Supporting Caregivers: We empower caregivers to provide the best care to their loved ones while maintaining their own health and wellness.

Late life is frequently associated with a sense of vulnerability because of changing functional abilities, dwindling social support networks, and an increasing reliance on community agencies for support1. Despite the risks, many individuals overcome challenges and continue to live happy, productive lives1.

Adult day centers are an integral part of the long-term care continuum. Involvement can reduce caregiver’s burden, improve participant’s mood and behavior, and prevent hospital stays or nursing home placements2.

At Marie Smith Center and Lambert House, you’ll find structured and engaging evidence-based programs that meet the needs of functionally and/or cognitively impaired adults and seniors. We emphasize abilities and potential rather than disabilities. Our individualized services increase the well-being of participants, their families and caregivers, and even the community by keeping more of its members actively involved.

Our Team The staff of Lambert House (above) and Marie Smith Center (below) use empathy, compassion, and humor to provide therapeutic, person-centered care for our folks.

You’ll love the way our insightful and engaging staff connect with you and every participant on an individual level. We bring back the fun and purpose to our aging population.

About Us

Table of Contents

About Us ........................................................................................ Cover

Think! ................................................................................................ 2

Connect! ............................................................................................. 6

Move! ................................................................................................. 8

Testimonials ......................................................................................... 9

References ......................................................................................... 10

Marie Smith Center and Lambert House make every day joyful by honoring each participant and supporting their caregivers.

PROGRAM PORTFOLIO 2

BINGO

If there was an award for the most popularly attended activity at our programs, Bingo would surely win it! Participants enjoy a sense of belonging, friendly competition, achievement, and the excitement of earning points or prizes during this familiar game.

Concentration Bingo stimulates many areas of function including attention, focus, immediate memory, visual and auditory perception, and it requires accurate motor movement to mark the numbers on the Bingo card. It is therapeutic and highly effective at enhancing cognitive function.

Inclusion Friendships are forged during our Bingo games as participants assist those with visual, auditory, or cognitive difficulties. Some participants like to help by acting as the official Bingo caller for a game or

two. By making leisure activities more visually and cognitively accessible, performance and participation in everyday activities may be meaningfully enhanced3.

Connectedness We’ve included Bingo in the Think! section, but we shouldn’t overlook the social and community

interaction this session provides our participants. Even when participants are too tired to play, they still choose to sit and watch at the Bingo tables instead of retreating to the recliner room. The time is a valuable escape from self-isolation.

A 2010 AARP survey4 found that

of adults aged 45 and over were lonely and less likely to be involved in activities that build social networks. Bingo at Marie Smith and Lambert House

is a valuable escape from this loneliness.

Bingo can be a therapeutic intervention for fine motor skills post-stroke as it provides a safe opportunity to practice using the weaker hand.

Faces beam with delight when concentration and persistence are rewarded.

| Think!

PROGRAM PORTFOLIO 3

COGNITIVE ACTIVITIES

Mental stimulation

Among elderly adults, mentally stimulating activities have been associated with preserved cognitive abilities and a reduced risk of mild cognitive impairment5-6 and dementia7. In addition, mentally-stimulating activities are associated with better cognitive abilities in Parkinson’s Disease, independent of education or severity of disease8.

Processing speed Cognitive training that emphasizes speed of processing has been shown to lead to cognitive enhancement, counteract age-related decline in selective attention, and significantly reduce dementia risk. So, we challenge our participants with various games including trivia, riddles, icebreaker questions, math problems, and more to motivate them to think, speak, engage with the group, and express their thoughts. We keep it fun while encouraging participants to push themselves a little further.

THERAPEUTIC COOKING

Participants are invited into the kitchen each week to learn a new recipe and taste delicious, healthy food with the activity coordinator. Like most other activities at Marie Smith Center and Lambert House, our cooking group is a seamless blend of evidence-based therapy and good old-fashioned fun!

Engagement in mental stimulation such as cooking is related to preservation of cognitive performance8, and therapeutic cooking groups like this one have been shown to reduce agitation and passivity among those with dementia9.

For some, handling kitchen tools, seeing colorful ingredients, smelling spices, and tasting their own food creation only happens at Marie Smith Center. Along with feeling capable and independent, the sensory experience of the cooking process often sparks memories of family dinners or favorite meals. This event is that is looked forward to.

BRAIN GAMES ARE MORE THAN JUST FUN

Frequent engagement in mentally stimulating activities is beneficial to brain health for people at risk of mild cognitive impairment, dementia, or Parkinson’s Disease.

| Think!

PROGRAM PORTFOLIO 4

MUSIC THERAPY Licensed therapists from Earthtones Northwest join us every week to

facilitate dynamic musical gatherings. Music therapy is known to reduce

agitation, disruptiveness, and prevent medication increases in people with

dementia10.

Individual preference of music is preserved throughout the aging process, so

sustaining musical and personal connectedness helps to maintain a person’s

quality of life11. More than that, music taps into an individual’s sense of self,

helping to explore one’s personal preferences and life history and supporting

a wider appreciation of life11.

In other words, we jam!

Therapists lead participants through a variety of therapeutic music

experiences including instrument playing, songwriting, singing,

performance, listening, dancing, interpretative movement, and musical

improvisation. Participants typically respond to familiar music by tapping

their feet, clapping their hands, humming, singing along, or dancing. We

collaborate, connect, laugh, and have fun!

MEMORIES IN THE MAKING

Our watercolor painting session, based on the Alzheimer’s

Association’s Memories in the Making® fine arts program,

encourages creativity driven by one’s own precious memories.

Reminiscence is effective in improving mood and cognition12, so

we’ll use photos and collage to reignite old memories and inspire

artwork and conversation.

No artistic skill or creative talent required! Individuals with dementia

have shown improvement in self-expression, communication, pleasure, and enjoyment by engaging in artistic and creative

therapy12. Arts-based approaches are also highly therapeutic for persons living with comorbid agitation and behavior

challenges12. Perhaps Dad loved to work on cars when he was younger? Did your loved one play an instrument in school?

Let’s bring those memories out and share them with the canvas and our peers.

| Think!

On a day like today, I want to sing with you

So, let’s sing and play on a day like today

– opening lyrics of the MSC “Hello” song

PROGRAM PORTFOLIO 5

HORTICULTURAL THERAPY

Did you know that just touching a plant will produce a calming effect13? It’s true! And,

that’s not all. Horticultural therapy is also shown to increase positive emotions, enhance

engagement, and boost self-esteem14.

These therapy sessions transport

elements of the great outdoors to

the indoors and place it within our

reach, allowing us to relish in the

beauty and healing powers of

nature. Certified horticultural therapists from Earthtones Northwest

use a sensory-oriented plant selection focused on color, texture, and

fragrance as they guide participants through a project in incremental

steps. This group provides an opportunity for participants to socialize

with peers, connect with nature, and learn through action. Through

interacting and working with the natural world, individuals with

varying abilities can reintroduce purpose into their lives15.

| Think!

Relish in the beauty and healing powers of nature…

Artwork by Roy B., Lambert House client.

PROGRAM PORTFOLIO 6

PET THERAPY

Certified pet therapy animals and their handlers regularly bring smiles, laughter, conversation, and joy to Marie Smith Center and Lambert House participants. Pets are a wonderful anxiety reduction tool as well as a catalyst for social connection. Not only do animals keep people company, but they also enhance our health status, provide sensory stimulation and emotional support, and a sense of physical and psychological well-being16. Pets increase our self-control, play an “emotional mediator” role, and serve as social facilitators and catalysts for social interaction16. Pet therapy has a positive influence on depressive symptoms, both in otherwise healthy elderly individuals and in those with chronic age-related disabilities17.

GARDEN TIME

Exposure to natural environments facilitates recovery from

physiological stress and mental fatigue18, so we reserve space in

the Marie Smith Center activity schedule for outdoor time as

often as the weather allows. The warmer months find Marie

Smith Center and Lambert House ’s therapeutic gardens in full,

fragrant bloom. The air buzzes with bees, birds, butterflies, and

our own excitement for the blessed Pacific Northwest sunshine!

Participants enjoy this sensory experience as they socialize

outdoors, get their hands dirty in the garden beds while caring

for plants, and soak up fresh air and sunshine. Outdoor time has

a direct relationship with depression18, so why not take that

coffee break outside? We’ll provide the hats, coffee, games,

conversation, and ice water; you bring your smile and sunglasses!

| Connect!

PROGRAM PORTFOLIO 7

HANDS IN MOTION Creativity combined with accessible projects and group process with staff-participant engagement ensures successful and therapeutic creative expression

during each arts & crafts session19, affectionately known as “crafty hour.” A study found that group process positively influences participant affect, while the combination of all three traits has direct effects on the level of participant engagement with staff19. Creative expression has also been associated with increased psychological well-being20 and positive health outcomes21.

Marie Smith Center staff members

encourage participants to use their

imaginations while creating something new

and valuable during these structured

sessions. While creating together and expressing ourselves, we share stories from our

past, tell jokes, and support each other. Some techniques utilized include paper

cutting, coloring, stamping, braiding, weaving, collage-making, and knitting.

Marie Smith Center’s female participants look forward to coming together each Thursday morning to share concerns,

problem-solve, exchange information and resources, and provide one another emotional support in a safe environment.

Discussion groups like this one result in decreased depressive symptoms, increased self-rated health, and increased

autonomy22.

A friendly shoulder to cry on or a listening ear is more than helpful; it’s vital. The

influence of social relationships is so important, in fact, that researchers rank it even

higher than physical activity for living a long and healthy life23. If that wasn’t a good

enough reason to join our conversations, researchers have demonstrated that we can

also reduce our cognitive age by up to 9.5 years when we socialize in groups24! But even

without all the research behind it, the companionship, acceptance, and belonging

experienced in women’s group just feels good.

WOMEN’S GROUP

| Connect!

PROGRAM PORTFOLIO 8

EXERCISE

Changes in physical functioning that can accompany illness, injury, or old age

often lead to an increased fear of falling and a decrease in physical activity1.

Fortunately, even a small amount of regular exercise can minimize the

physiological effects of an otherwise sedentary lifestyle and, moreover,

increase active life expectancy25.

Join us for our morning fitness session to stretch and strengthen your body,

improve your blood flow, and boost awareness of how your body moves

through space26. These workouts, which are modeled after a program

developed by the Department of Veteran Affairs, cater to participants who

prefer slow physical movements.

Tai Chi movements are incorporated for their effectiveness at improving cognitive performance, balance, and muscle

strength while decreasing hypertension, falls, pain, and depression26. Our focus is on injury-free exercise, mindfulness

practice, and teaching that physical exercise is accessible to all levels of fitness and mobility.

Marie Smith Center and Lambert House have the distinct advantage of having licensed nurses on staff. The registered nurse (RN) and the licensed practical nurse (LPN) are responsible for overseeing our medication program, as well as training and delegating our staff for medication administration. We can administer insulin and provide safe medication administration for participants who may need to take medications during their visits.

Medical Monitoring and Counseling

By having nurses on board, we can provide the best possible care for participants that have medically complex needs. We can monitor the health of our folks, coordinate with their primary care provider, and provide medical consultation/advice for participants that may have health concerns. You can feel secure knowing that our nurses and staff are trained to effectively respond to any medical event that may occur at our centers.

MEDICAL PROGRAM

| Move!

Victor, Licensed Practical Nurse (LPN) at Lambert House and Marie Smith Center.

PROGRAM PORTFOLIO 9

“I’m treated as a human being. They take a special interest in each one of us. Caring people, good activities.” – Beemer,

participant

“It’s a nice place to visit. The people are so friendly. The medical assistance you get here, and the social support, is all great and

so convenient.” – Ed, participant

“This program saved my life! You take care of my brother which gives me a break. Your team is my brother’s world, and I cannot

thank you enough.” Lynette, family caregiver

“I chose this program the minute I walked in and felt the calm, but lively atmosphere. Some of my mom’s best days are at

Lambert House. My only regret is not finding it sooner.” Donna, family caregiver

“Before I came here, I was not forming bonds and new friendships. This place pushes me to think about doing new things. I now

look at other people for who they are and not what they are diagnosed with. It’s how I want people to see me, and now I am

doing the same thing. This is a new lesson for me and I like it.” Anita, participant

Contact Us

Lambert House 2600 SE 170th Avenue (at Division) Portland, OR 97236

Phone (503) 760-2075

Hours: MWF 7:30 am - 4:30 pm T TH 7:30 am to 3:00 pm

Marie Smith Center 4616 N. Albina Street Portland, OR 97217

Phone: (503) 335-9980

Hours: M-F 7:30 am - 5:00 pm

Volunteers of America Oregon 3910 SE Stark Street Portland, OR 97214

(503) 235-8655

www.voaor.org

Testimonials

| Testimonials

PROGRAM PORTFOLIO 10

1 Rogerson, Marianne and Claudia Emes. “Fostering Resilience Within an Adult Day Support Program.” Activities, Adaptation, & Aging 32, no. 1 (2008): 1-18. doi:10.1080/01924780802039220

2 York, Katherine A. “Conceptualizing The Ideal Adult Day Center And Its Role In Care Transitions” PhD diss., University of Kentucky, 2011.

3 Laudate, Thomas M., Sandy Neargarder, Tracy E. Dunne, Karen D. Sullivan, Pallavi Joshi, Grover C. Gilmore, Tatiana M. Riedel and Alice Cronin-Golomb. “Bingo! Externally Supported Performance Intervention for Deficient Visual Search in Normal Aging, Parkinson's Disease, and Alzheimer's Disease.” Aging, Neuropsychology, and Cognition 19, no. 1-2 (2012): 102-121. doi:10.1080/13825585.2011.621930.

4 AARP 5 Geda, Yonas, E., Hillary M. Topazian, Robert A. Lewis, Rosebud O. Roberts, David S. Knopman, V. Shane Pankratz, Teresa J. H.

Christianson, Bradley F. Boeve, Eric G. Tangalos, Robert J. Ivnik, and Ronald C. Petersen. “Engaging in Cognitive Activities, Aging, and Mild Cognitive Impairment: A Population-Based Study.” The Journal of Neuropsychiatry and Clinical Neurosciences 23, no. 2 (2011): 149-154.

6 Verghese, Joe, Aaron LeValley, Carol A. Derby, Gail Kuslansky, Mindy J. Katz, Charles B. Hall, Herman Buschke, and Richard. B. Lipton. “Leisure activities and the risk of amnestic mild cognitive impairment in the elderly.” Neurology 66, no. 6 (2006): 821-827. doi:10.1212/01.wnl.0000202520.68987.48

7 Verghese, Joe, Richard B. Lipton, Mindy J. Katz, Charles B. Hall, Carol A. Derby, Gail Kuslansky, Anne F. Ambrose, Martin Sliwinski, and Herman Buschke. “Leisure Activities and the Risk of Dementia in the Elderly.” The New England Journal of Medicine 348, no. 25 (2003): 8-16. doi:10.1056/NEJMoa022252.

8 Bohnen, Jeffrey L.B., Martijn L.T. M. Müller, Jacob Haugen, and Nicholaas I. Bohnen. ”Mentally Stimulating Activities Associate with Better Cognitive Performance in Parkinson Disease.” Journal of Neural Transmission 124, (2017): 1205-1212. doi:10.1007/s00702-017-1761-4

9 Fitzsimmons, Suzanne and Linda L. Buettner. “A Therapeutic Cooking Program for Older Adults with Dementia: Effects on Agitation and Apathy.” American Journal of Recreation Therapy 2, (2003): 23–33.

10 Ridder, Hanne Mette O., Brynjulf Stige, Liv Gunnhild Qvale, and Christian Gold. “Individual Music Therapy for Agitation in Dementia: An Exploratory Randomized Controlled Trial.” Aging & Mental Health 17, no. 6 (2013): 667-678. doi:10.1080/13607863.2013.790926.

11 McDermott, Orii, Martin Orrell, and Mette Ridder. “The Importance of Music for People with Dementia: The perspectives of people with dementia, family carers, staff, and music therapists.” Aging & Mental Health 18, no. 6 (2014): 706-716. doi:10.1080/13607863.2013.875124

12 Rylatt, Paula. “The Benefits of Creative Therapy for People with Dementia.” Nursing Standard 26, no. 33 (2012): 42-47. 13 Koga, Kazuko and Yutaka Iwasaki. “Psychological and Physiological Effect in Humans of Touching Plant Foliage - Using the Semantic

Differential Method and Cerebral Activity as Indicators.” Journal of Physiological Anthropology 32, no. 7 (2013): 1-9. doi:10.1186/1880-6805-32-7.

14 Gigliotti, Christina M. and Shannon E. Jarrot. “Effects of Horticulture Therapy on Engagement and Affect.” Canadian Journal on Aging 26, no. 4 (2005): 367-377. doi:10.1353/cja.2006.0008.

15 Lin, Chia-Hui. “A Review of Horticultural Therapy And Caregiver’s Burden.” International Journal of Organizational Innovation 5, no. 4 (2013): 138-146.

16 Bernabei, Virginia, Diana De Ronchi, Teresa La Ferla, Francesca Moretti, Letizia Tonelli, Barbara Ferrari, Martina Forlani, and Anna R. Atti. “Animal-Assisted Interventions for Elderly Patients Affected by Dementia or Psychiatric Disorders: A Review.” Journal of Psychiatric Research 47 (2013): 762-773. doi:10.1016/j.jpsychires.2012.12.014

17 Moretti, Francesca, Diana De Ronchi, Virginia Bernabei, Lucia Marchetti, Barbara Ferrari, Claudia Forlani, Francesca Negretti, Cleta Sacchetti, and Anna Rita Atti. “Pet Therapy in Elderly Patients with Mental Illness.” Psychogeriatrics 11 (2011): 125-129. doi:10.1111/j.1479-8301.2010.00329.x

| References

References

PROGRAM PORTFOLIO 11

18 Berto, Rita. “The Role of Nature in Coping with Psycho-Physiological Stress: A Literature Review on Restorativeness.” Behavioral Sciences 4, no. 4 (2014): 394-409. doi:10.3390/bs4040394.

19 Rowe, Jeannine M., Marie Y. Savundranayagam, Joshua Lang, and Rhonda J. V. Montgomery. “Characteristics of Creative Expression Activities: The Links Between Creativity, Failure-Free, and Group Process with Levels of Staff-Participant Engagement and Participant Affect in an Adult Day Center.” Activities, Adaptation & Aging 35, no. 4 (2011): 315-330. doi:10.1080/01924788.2011.625216.

20 Brooker, D. and L. Duce. “Wellbeing and Activity in Dementia: A Comparison of Group Reminiscence Therapy, Structured Goal -Directed Group Activity, and Unstructured Time.” Aging & Mental Health 4, no. 4 (2000): 354–358. doi: 10.1080/713649967.

21 Cohen, Gene D. “Research on Creativity and Aging: The Positive Impact of The Arts on Health and Illness.” Generations 30, no. 1 (2006): 7–15.

22 Djukanović, Ingrid, Jörg Carlsson, and Ulla Peterson. “Group Discussions with Structured Reminiscence and A Problem-Based Method as an Intervention to Prevent Depressive Symptoms in Older People.” Journal of Clinical Nursing 25 (2016): 992–1000. doi:10.1111/jocn.13110.

23 Holt-Lunstad, Julianne,Timothy B. Smith, and J. Bradley Layton. “Social Relationships and Mortality Risk: A Meta-analytic Review. PLOS Medicine 7, no. 7 (2010): e1000316. doi:10.1371/journal.pmed.1000316.

24 Haslam, Catherine, Tegan Cruwys, and S. Alexander Haslam. “The We’s Have it’: Evidence for the Distinctive Benefits of Group Engagement in Enhancing Cognitive Health in Aging.” Social Science & Medicine 120 (2014): 57-66. doi:10.1016/j.socscimed.2014.08.037

25 Chodzko-Zajko, Wojtek, Andiara Schwingel, and Chae Hee Park. “Successful Aging: The Role of Physical Activity.” American Journal of Lifestyle Medicine 3, no. 1 (2009): 20-28. doi: 10.1177/1559827608325456.

26 Hempel, Susanne, Stephanie L. Taylor, Michelle R. Solloway, Isomi M. Miake-Lye, Jessica M. Beroes, Roberta Shanman, and Paul G. Shekelle. “Evidence Map of Tai Chi.” Department of Veterans Affairs, Evidence-based Synthesis Program Project (2014).