Lake Tahoe Collaborative
November 11, 2013
Minutes

1. Welcome
a. Make a change to the October minutes: NAMI meetings are the second Tuesday of the month at 6:00pm at the Library, there will be no meeting in December.
b. Approved the amended October minutes.

2. Introductions and Announcements
a. Wendy David, Facilitator of the Lake Tahoe Collaborative (LTC):
She gave an introduction on her role with LTC and with Tahoe Magic, a non-profit to help families in crisis.
b. Leanne Wagoner, Barton Health:
They are focusing their community outreach on the Healthcare Reform, Covered California. Covered California is working with Blue Cross and Blue Shield. They have 6 enrollment days scheduled for Covered California. Call her with questions, (530) 543-5537.
She is the newly elected chair of the Drug Free Communities. The next meeting will be 11/18 2:30pm, contact Erica Eng, Tahoe Youth and Family Services, erica@tahoeyouth.org or Leanne lwagoner@bartonhealth.org for more information on joining.
c. Jan Wilcox, SNAP-Ed Project Coordinator, El Dorado Hills Community Vision Coalition:
Jan works with the Vision Coalition of El Dorado Hills. She is working on a county wide nutrition program plan and working with First 5.
d. Leila Rosner: Foster and Kinship Care Education:
The next training, open to public, is Nov. 1, 5:30-8:30pm, Lake Tahoe Community College (LTCC) Aspen Room, changing attitudes and thoughts when working with children to better serve them.
The Herrera Family, a foster family in town, has taken on recruiting for foster parents. They are still looking for a lot more foster parents. Currently, there are 9 active foster parents in town. At any one time, there are from 100-120 kids in need of foster homes in South Lake Tahoe. Most of these kids get placed in Jackson and Sacramento. The Herrera Family has developed Project 44, a push to have 44 foster homes in South Lake Tahoe, which will accommodate the 100 or so children in need of a foster home here. Please help spread the word.
Kids Comfort Box Kickoff is December 6th, 6pm, 3580 Blackwood. Putting together foster boxes for foster children. They will collect items (blankets, pillows, hair brushes, coloring books, toys, crayons, toothbrushes, toothpaste, sippy cups, etc.) to help children in the “in-between” time from being removed from their home to being placed in a foster home.
e. Tina Barna, Choices For Children:
As you can see from the Boys and Girls Club being closed, there is the lack of school aged care in the community. We have a need for ongoing infant and school aged child care.
They have seen an uptick in toy lending library. If you are cleaning out a closet before or after Christmas, donate to CFC.
They have a small amount of clothing available for local children and families.
f. Raeann Jones, El Dorado Hills Vision Coalition:
She is here with Jan Wilcox to learn what LTC is doing here and to introduce themselves. They want to reach out to SLT community. They helped with South Lake Tahoe DFC grant.

There are 3 memberships open for the Mental Health Commission in SLT. Email Raeanne for an application, rae@edhvisioncoalition.org or call Diana Hankins 530-577-4740 to contact Diana Hankins to become a commissioner. The South Lake Tahoe members participate via teleconference.
g. Colleen Cadaret, Lilliput Children’s Services, Kinship Parent Liaison:
Lilliput serves El Dorado County. The Kinship Support Services Program (KSSP) is coming up to SLT. In the past, they have partnered with the Family Resource Center for the KSSP program with limited financial assistance. Now they are working directly in the area to serve families in the SLT area. They are taking referrals and serving families as they determine what the needs are for the SLT community. Their program serves uncles, aunts, grandparents, and friends. See flyer. They are taking inventory on what the need is in the community.
They are working on the Holiday Adopt A Family in the area and would like to include SLT families. Contact her with individuals or organizations that might be interested in being an adoptee, ccadaret@lilliput.org.
h. Kathy Martinez, University of California Cooperative Extension:
This week is her last week to finish teaching nutrition with the schools. This school year, she taught 712 students. She trained some parents to teach nutrition to kindergarten kids. In January, she will focus on adult nutrition.
i. Rich Barna & Kristen Hunt Naefke, Tahoe Turning Point:
They want to make sure that everyone is clear on transitional housing. There are two programs. One is called THP+FC: It is basic transitional housing, licensed by the State of CA, it is licensed housing for fosters aged 18-21 years. They have a network of counselors, therapists, Youth Development Specialist (YDS). YDS visits them every day. They get referrals from probation or Social Services. This is a county funded program.
The second program is THP+, this program is for 18-21 as well, but it’s just for El Dorado County children. This program provides the same services as the THP+FC program.
Rich hears TTP is going to get approved for 9 beds, which will likely fill up immediately.
As a result of AB12, there is now a facility in South Lake Tahoe and in Placerville to do placements for young men who are struggling with school and housing at the same time. TTP can do AB12 placement for a young man and transition them into housing.
The Transitional Housing piece is all young adults (male, female). AB12 is primarily for young men…all for foster children.
They had a Cork and More fundraiser that raised $500.
j. Garry Bowen: Board of Directors for Tahoe Conservation Service:
Some years ago, a Composting Program was created for restaurants, boats, casinos. 300 tons of food waste is made into soil each year. This program is predicated on the fact that we can create our own soil to grow our own food at Bijou Park and Sierra House School.
The Plastic Bag ban takes effect January. He is looking into getting a reusable plastic bag prototype for grocery stores, made with recycled materials,
In the last few years, he has been working on a national environmental education program.
k. Amie Brown, Tahoe Dream Foundation: They are a non-profit that raises money to give toward school supplies, clothing, toys, furniture, toiletries, supplies to families in need.
50 families showed up at their last fundraiser.
Their next fundraiser, an Aztec Dance, will be at Our Lady of Tahoe, they expect to raise ~$2500.
l. Kathi Guerrero, First 5 El Dorado: First 5 has two new commissioners, Jeremy Meyers and Dr. Trey Washburn.
Andrea Powers (present) has been hired as the new contracts and fiscal manager.
The Dental Van is in contract again.
m. Julie Day, Tooth Travelers:
They just completed their first week. Last year, they had contract issues and had to lay off the staff. Now they are hiring new staff.
The van should be at Al Tahoe Dec. 2-20th. They will follow up with families they saw last year.
They are running a minimum of two mobiles in the county and focusing on 0-5 year olds.
They are working on opening a dental clinic in South Lake Tahoe which will have 7 operatories to serve families they don’t see on the Dental Van. Phone: 530-626-8626.
n. Andrea Powers, First 5 El Dorado Program Coordinator introduced herself.
o. Sara Conrad, Barton Foundation: The Festival of Lights and Trees is December 4-8. She brought tickets to distribute for family night that are good for 6 people and free of charge. Contact her for tickets: sconrad@bartonhealth.org
p. Marleen Eames, National Alliance on Mental Illness: She handed out a flyer, “Early Identification and Early Intervention Improves Lives,” to learn more visit, http://www.nami.org/caac. Mental illness will have parody with any other illness and be covered by medical insurance. They are doing a program for all the prisons in California for family members, which will be posted at each prison, and focusing on care of the mentally ill.
They have a program at South Tahoe High School and Mt. Tallac, Directing Change Student Video Contest, they will do their own videos on changing minds on mental illness.
Good news, NAMI received a $2000 grant from Barton Foundation to help with medication and medical assistance.
There are 3 memberships open for the Mental Health Commission in SLT. Email Raeanne for an application, rae@edhvisioncoalition.org or call Diana Hankins 530-577-4740 to contact Diana Hankins to become a commissioner. The South Lake Tahoe members participate via teleconference.
q. Roberta Mason, Lake Tahoe Community College: The winter schedule has just come out. They ask your patience as there have been some staff changes in the office and people are moving around to new offices.
r. Pat Okacza, Barton Health will present later in the meeting.
s. Nicole Zaborsky, Lake Tahoe Collaborative coordinator: Parasol would like to know about your agency holiday giving programs– ones for clothing, food, toys, etc. Contact Jean Eick, 775-298-0184, Email: jeane@parasol.org
The Maternal Child Health Task Force has completed the educational bookmark on Postpartum Depression and Baby Blues. It is being translated into Spanish by Barton Language Access Services. Then, Barton will print it and we will distribute it throughout the community.
She has been attending the Tahoe Chamber meetings to report on human service updates. She gleans information from the monthly LTC meetings to present to the Tahoe Chamber and feel free to contact her with your news, ex: the need for more school aged childcare in the community, as this could help them disseminate this information to a prospective new/expanding business.

3. Special Discussion: “LTC Partnership MOU Update”
Follow up conversation on the one page document.

We have a draft, which was passed out with the agenda, please review it. If you have comments/suggestions/changes, please bring them up now. If acceptable, we are looking for a motion to adopt it.

Q: How do we become a member? See the mission statement.
Comments: Add Tooth Travelers. Add Best Beginnings, Add Together We Grow…

Rich Barna made a motion to adopt the mission statement, Leanne Wagoner seconded. No opposition. The motion was approved. The document is attached.

4. Special Presentation: “Montessori Methods for Dementia”

Patricia Okacza RN, BA, B ED, Dip TT
Childbirth Education Coordinator
Barton University
pokacza@bartonhealth.org

She attended a conference in Canada on Dementiability.
In a nutshell, preparing the environment for elderly with varying degrees of Dementia will allow you to do more. Collect all their biographical information. Find out who they are. Observe what, why they doing a particular behavior. Who were they before? Gather things from the past. This will help with memory cueing.
Areas for programming: People get very bored and then they do a particular behavior. Keep them busy so they are engaged and feel empowered and have independence. This builds learning capacities.
Connect the person to the past: What are their needs, interests, skills, abilities? How many are missing people? What are their basic needs? How will you meet their needs to keep them free from pain? How do you find meaningful things for them to do? How do we get them to feel they are loved and they can love? Give them hugs, engage them and make them feel accepted and loved.
Responsive Behaviors: These can be due to unmet needs. If they are constantly bugging someone or pacing/wandering, they may want attention or they need something, but don’t know how to ask for it, they may be scared.
They may get restless and agitated.
Ask Questions: What do you see? What are you observing? Why/When is this happening? Observation is important. Does this person have unmet needs related to behavior that could inform you?
“I want to go home”…might mean “I am lonely, I don’t have social connections here”. Look at their photo album with them and engage them… what is home like? Ask why do they want to go home? Read old letters, have a memory box.
If they say, “I can’t remember I live here,” write down the details of where they live so that they can visit this paper/book. You want to reinforce that this is a safe place and how can we make this good for you?
Saying, “I have to go to the toilet,” may be they don’t really have to but just want your attention.
Things to consider about the person: sense of touch, ability to read, range of motion, ability to perceive/receive affect.
What are the abilities central to their quality of life? Get them something to represent an action/movement.
Don’t assume decline in their condition: Treat the treatable and reverse the reversible. What are the barriers? (poor vision, wrong glasses, wrong medications, hearing loss, pain, fear, loneliness, depression, anxiety)
If they are disoriented, put the information into the environment. It has been shown by research to repair and get back some of their abilities—brain stimulation, push it to work.
Look at their disability—excess disability is not a result of a disease, but it’s a result of not using something.
Take Action:
Exercise: get a piece of paper and draw a big X on it. Get the person to trace the X with their finger going from top to bottom on one side and top to bottom on the other side. This simple action helps the cross connection of the brain.
Stimulate the memories and develop memory cascades.

Memory: Declarative and procedure (habits, motor learning/skills, repetitive priming, classical conditioning). Task breakdown, make a list and post it in a prominent place.
Questions: When a task is not working, as WHY?, Is it too difficult/complicated, too many steps; is it meaningless/unfamiliar, is it too easy, look at the whole environment.
Repetitive priming: A form of procedural memory
Find a neutral song and play it every day before meals, eventually people will know its mealtime just from hearing the music.
Declarative Memory: “If I can’t remember I have dementia and I don’t recognize myself..” How can I remember that you are dressing me because I can’t do it myself? Who are you?
“All About Me Book” a simple book with the person’s information is put together, it reinforces information about the person and their life. Ex: who they are, early years, where were they born, adult years, favorite things, things I don’t like.
Add cues to environment so they can find things (pictures on kitchen cabinets showing what is inside).
Memory Games
Use all the senses you can
Practical Life: Range of motion, grasping, gripping, fine and gross motor abilities, balance and coordination.
Social and Cultural
Activities
Group activities
Written material: 100 pt Ariel font is best for groups, 48 for individuals.
Summary: The environment provides information that a person with dementia finds difficult to retrieve from memory.

Contact her for more information or to talk about this more. She can present this to any group.

5. 2:30 pm Adjourn

6. Drug Free Communities meeting will be November 18, 2013, 2:30pm, 1100 Lyons Avenue.

7. Next LTC meeting December 9, 2013, 1-2:30pm, 1100 Lyons Avenue

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