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Gatekeeper Training

The materials provided here were developed as part of the Mental Health of the Rural Elderly Outreach Program, a title that was later abbreviated as the Elderly Outreach Program or EOP. The EOP was a demonstration project that evaluated alternative, “non-traditional” mental health services for older adults, including use of community gatekeepers. The program was funded by the Administration on Aging (Grant #07AM0310-02), the National Institute of Mental Health (Grant #87-001-401-6920-2464-01) and the State of Iowa Department of Mental Health, Mental Retardation and Developmental Disabilities (Grant #87-001-413-0413-2464-06) over a three-year period between 1986 and 1989, and is still in use today in an altered form.

The Gatekeeper Model used in the EOP was based on the highly successful program of care initiated in 1978 in Spokane, Washington under the leadership of Ray Raschko. The Gatekeeper Model trains people who, in the course of their daily activities, come into frequent contact with older people. The Model assumes that people who live and work in the community are often in the best position to recognize early changes in the behavior of local residents that might indicate the beginnings of mental or emotional distress. These community members are caring and concerned people who are already making observations about the people around them, but who many not know what to do or how to help. Gatekeeper training was developed to enlist community members’ assistance by helping them recognize older people who may be experiencing difficulties, and refer them to the EOP.

Geriatric Mental Health Training Series

The Geriatric Mental Health Training Series (GMHTS) was developed and evaluated between 1989 and 1994 with funds from the Division of Nursing, Bureau of Health Professions, Department of Health and Human Services, under the leadership of Kathleen C. Buckwalter, PhD, RN, FAAN, Principal Investigator and current Co-Director of the HCGNE and Marianne Smith, MS, ARNP, pre-doctoral scholar of the HCGNE. The GMHTS was awarded Book of the Year by the American Journal of Nursing in 1993, was honored with the Best Practice Award from the National Institute on Human Resources and Aging in 1994, and received Sigma Theta Tau's Regional Research Dissemination Award in 1994 and their International Research Dissemination Award in 1995.

The Series topics address common problems faced in LTC settings, including overview of mental illness, problems related to control issues, communication strategies, depression, dementia, delirium, paranoia, anxiety and management of aggressive behavior. Each is designed to help staff be more knowledgeable about the causes of "problem behaviors" and about techniques to manage those troubling behaviors. The care providers' own feelings and behaviors in response to problem behaviors is examined, including the role of values and beliefs, personal needs, and stress in the work place.

Section

Lecture Script

Support Materials

Slides

Whose Problem Is It? Mental Health and Illness in Long-term Care Centers

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Getting the Facts: Effective Communication with Elders

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When You Are More Than Just “Down in the Dumps”

Depression in Older Adults

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When You Forget That You Forgot: Recognizing and Managing Alzheimer's Type Dementia, Part I

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When You Forget That You Forgot: Recognizing and Managing

Alzheimer's Type Dementia, Part II

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Back to the A-B-C’s: Understanding & Responding to Behavioral Symptoms in Dementia

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Instruments

Several instruments have been developed for research to test nursing interventions for individuals with dementia, their family and staff caregivers.

Copyright and Use

Man of the materials provided here are based upon popular methods still in use in the field of Gerontological Nursing.  The materials are maintained and provided for free here, as a service of the Csomay Center.

Materials are copyrighted by the University Of Iowa College Of Nursing. Permission is granted for individuals to print, copy and otherwise reproduce these program materials in an unaltered form for use as personal development activities, in-service education programs, and other continuing education programs for which no fees, or only fees to cover expenses, are charged. Use of these materials for personal profit is prohibited. Users are asked to give credit to the Barbara and Richard Csomay Center of Gerontological Excellence, College of Nursing, University of Iowa, for use of the training materials.