Audrey S. Weiner, MPH, DSW

CEO & President

&

Jennifer Privett, LMSW

GCD Senior Program Manager

Geriatric Career DevelopmentA Micro Example

2016 AJAS Annual ConferenceApril 4, 2016

The Eldercare Dilemma

2

2014 BY THE NUMBERS

3

Who are we?

4

• While 75% of Social Workers work with elders only

approximately 5% complete specializations in gerontology.

• Only half the number of Geriatricians currently needed in the

US are practicing & the percentage is declining.

• More than one million additional direct-care workers will be

needed by 2018.

• The nursing workforce is expected to decline 20% below the

expected requirements by 2020.

*Summarized in 2016 Eldercare Workforce Alliance. Originally published 2011.

A Necessity to Transform the Elder Care Workforce

Reasons for GCD Program Creation

1.Need for elders to have meaningful roles within the nursing

home.

2.Value placed on intergenerational relationships.

3.TNJH commitment to community & youth.

4.At-risk youth lack: mentors, understanding of college

requirements, & career options in pursuing health care

careers.

5.Workforce development critical strategic issue for TNJH

Shortages of geriatric professionals (eg MD, RN, &

OT/PT)

Reassessment of TNJH ‘s existing

intergenerational program.

5

Geriatric Career Development (GCD) Program

Is comprised of 3 Components:

• High School

• Alumni

• Older Youth

6

7

GCD Program Funding Sources Since Inception

Altman FoundationAmerican Honda FoundationBronx Borough President’s OfficeButler FoundationCarl Marks FoundationCurran Charitable Foundation David Berg FoundationDOH Child NutritionWeinberg FoundationGeorge Link, Jr. FoundationHigher Education Services CorporationIndividual Donors

Manhattan Borough President’s OfficeNew York Community TrustNYC Council Member Mark LevinNYC Work Progress ProgramNYS Extended Day GrantPinkerton FoundationPrice FoundationRudin FoundationTiger FoundationTisch Illumination FundUJA: Teen Philanthropic CommitteeWilpon Foundation

8

GCD Program Budget(July 1, 2015 – June 30, 2016)

PERSONNEL FTEs/Fringe Total

Subtotal Personnel 11.2 536,528

Total Fringe 16% (PT), 36.73% (FT) 171,639

TOTAL PERSONNEL 708,167

OTPS Total

Academic Support 115,000

Certification Training Costs 171,500

College Counseling 63,000

Computers & Technology 7,500

Curriculum Development 35,000

Food 65,600

Indirect 3,716

Medical Clearances & Background Checks 18,600

Staff Conference, Training & Travel 8,000

Student Scholarships & Incentives 190,000

Student Travel (metro cards) 34,650

Supplies 7,500

Total OTPS 720,066

TOTAL EXPENSES 1,428,233

9

GCD Program Staffing Model

Ramon Reeves

Program Manager

Kerrie Martin

Alumni Coordinator

Nicole Marshall-King

Program Manager

CUSON**

Interns

MSW* (HS)

Interns

MSW* (A)

Intern

MSW* (OY)

Intern

Older Youth

Interns

Junior Youth Coaches

Youth Coaches

Moustapha

Mbaye

Program

Specialist

Lashima

Goshine

Program

Specialist

Zach

Weisbrot

Program

Specialist

Jennifer Privett

Sr. Program Manager

TBD

Program Director

Direct Supervisor

Task Supervisor

Temporary Intern

*First year Masters level social work students

**Columbia University School of Nursing Post-Baccalaureate students

High School

Program

10

1.High School Graduation

2.Healthcare Certification

3.Increased knowledge of aging

and healthcare careers

4.College or career one year

post-graduation

Mentoring

GCDProgram

Approach

Academic Support

College Preparation

WorkforceDevelopment

11

GCD Program Goals and 4-Pronged Approach

83%

57%63%

46%

64% 61%69% 69%

81% 77%

64%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2015 4-Year Graduation Rate Comparison:Current Partner Schools & GCD Program 2009 – 2015

12

GCD 98%

NYC 70%

• 194 Currently in program & 380 who have completed program

• Ages 14 – 26 years as of 12/2015

• 35 High Schools

• 81% Female

• 42% Black

• 46% Hispanic

• 11% Asian

• 52% Multilingual

• 44% Live with a single parent/guardian or do not live with a parent

• 69% Live in Households with incomes of $30,000 or less annually

13

Selected Student Demographic Data 2006 – 12/2015N=574

• At-risk 10th – 12th graders

• 200 Students/year (approximately 35/grade at the Bronx &

Manhattan campuses)

• Specialized curriculum tailored to grade level

• Twice/week from 3PM–7PM & every other Saturday 10AM-4PM

• Year-round

• Three – year commitment

• Intergenerational

• College preparation

• Workforce development

14

GCD Program Structure & Services

Mon Tues Wed Thurs Fri Sat

Seniors Sophomores Juniors Seniors Juniors Sophomores

Tutoring Tutoring Tutoring Tutoring TutoringElder Care

Fundamentals

Certified

Apprenticeship

Elder Care

Fundamentals

Pre-

CertificationElder Mentors Elder Mentors Elder Event

Professional

Development

Healthcare

Career

Exploration

SAT Prep College Prep

Healthcare

Career

Exploration

Video Study

15

GCD Program Schedule: Academic Year

16

GCD Program Schedule: Summer

Mon Tues Wed Thurs Fri

Rising

Juniors @

TNJH

10 am

- 4 pm

Team

Building

Healthcare

Career

Exploration

Digital

Citizenship

Digital

Citizenship

College

Trips

STEM STEM Book Study Book Study

Internship

Training

Internship

TrainingCollege College

Floors &

Elder

Mentors

Floors &

Elder

Mentors

Floors &

Elder

Mentors

Floors &

Elder

Mentors

Rising

Seniors @

Hostos

9 am -

3 pm

Certified Nursing Assistant Course/College Prep

Medical Billing and Coding Course/College Prep

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Structured Youth/Elder Components

Floor Assignments

• Assist Nursing Staff

• Clinical skills utilized

• Workforce readiness

focus

• Exposure to healthcare

careers

• Relationships with nursing

staff

Elder Mentors

• 1-1 socialization for elders

• Provide elders with

meaningful role

• Structured activities

• Individualized attention

• Relationships with elders

Elder Events

• Group socialization for

elders

• Increased event options

for elders

• Structured activities

• Designed for elders’

enjoyment

• Mobile and versatile

• 15 hours per student

• Facilitated by nurse instructor

• Topic covered:

• HIPAA & Resident’s Rights

• Interacting with the elderly

• Diseases that affect the elderly

• Infection Control & Indirect Care

• Dining Assistance

• Vital Signs

• Transporting & Ambulation

• Bed-making

• Bereavement

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Student Training: Elder Care Fundamentals

19

What new careers did you learn about?

Physical Therapy Social Work Physician

AssistantPhlebotomist

Nursing Home

Administrator Statistical Analyst Adult Day Care

Sonogram

Technician

Alzheimer’s

Disease Specialist

Occupational

Therapy Nursing Pathways Music Therapist

Patient Care

Technician Research Geriatrics Human Resources

Pharmacy

Technician Pharmacy Dietician Medical Records

Radiologist Respiratory

Therapist Admissions

Finance &

Accounting

• Speaking to my mentor was like being in a free space without

judgment.”

• “A chance to bond with an older female. I don't have grandparents,

they all died when I was young. My elder mentor gave me second

chance at having a grandparent.”

• “I got to learn about WWII from a primary source.”

• “Connecting with someone who needs a friend.”

• “Teaches me how to keep calm, be more understanding, learn how

to take care of someone more fragile than me, see things from a

different viewpoint.”

• “We talk about a lot of things and I paint her nails. Sometimes we

watch TV together and listen to music”

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Student Feedback: Quotes on “The Best Part”

254 Certified Nursing Assistants

30 Medical Billers & Coders

29 Pharmacy Technicians

51 Patient Care Technicians

64 EKG Technicians

63 Phlebotomy Technicians

1 Emergency Medical Technician

69 CPR certificates

21

492 Allied Healthcare Certifications 2009 – 12/15

College Preparation Updates

1-1's 100% (67/67) have participated in at least 2.

Workshops 97% (65/67) have participated in at least 3.

Family College

Counseling

94% (63/67) of families have participated in

individual consultations.

College Exposure

Staff College Presentations 4

Columbia University School of Nursing College Presentations 16

College Fair Representatives 9

College Tours 20

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College Readiness: Class of 2015

Columbia University

Barnard College

Boston College

California State University, Northridge

CUNY City College

CUNY John Jay

Daemen College

Emory University

Fordham University

Hackensack University

Howard University

Ithaca College

Long Island University

McGill University

Monroe College

Salve Regina

Seton Hall University

St. Joseph's University

St. Lawrence

Stern College for Women

Suffolk University

SUNY Binghamton

SUNY Brockport

SUNY Buffalo State College

SUNY Cobleskill

SUNY Geneseo

SUNY University at Buffalo

Syracuse University

Temple University

Tulane University

University of Bridgeport

University of California, Berkley

University of California, Los Angeles

University of Colorado

University of Delaware

University of Florida

University of Rochester

University of the Sciences

Vanderbilt University

*Over three years the class of 2015 was exposed to 39 different colleges and universities through the GCD Program.

**69% (46/67) of seniors applied to colleges and universities exposed through GCD. 23

College Exposure: Class of 2015

24

Alumni Program

& Outcomes

• 163 (54%) attending CUNY colleges

• 68 (22%) attending SUNY colleges

• 73 (24%) attending other colleges including:

Michigan State

New York University

University of Rochester

• The Class of 2015 was awarded more than $1.2 million in

scholarships.

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116 pursued certificate degrees, 2 in Military, 56 not pursuing education, 2 in High School

Current or Last Place of College EnrollmentN=304 1

Graduated from Post-Secondary Program 68 18%

Enrolled in Post-Secondary Program 252 66%

Military 2 0.5%

Pursuing High School Diploma1 2 0.5%

Withdrew from Post-Secondary Program2 41 11%

Never Enrolled3 15 4%

Total 380 100%

26

1 1 (50%) currently working; 2 19 (46%) currently working; 3 3 (20%) currently working. 91% have graduated/are enrolled in post-secondary programs or are employed

Educational Outcomes 2009 – 12/2015N=380

Graduated from Post-Secondary Program 68 18%

Enrolled in Post-Secondary Program 252 66%

Military 2 0.5%

Pursuing High School Diploma1 2 0.5%

Withdrew from Post-Secondary Program2 41 11%

Never Enrolled3 15 4%

Total 380 100%

27

1 1 (50%) currently working; 2 19 (46%) currently working; 3 3 (20%) currently working. 91% have graduated/are enrolled in post-secondary programs or are employed

Educational Outcomes 2009 – 12/2015N=380

Highest Degrees Attained

BA or BS 29 43%

AA 18 27%

LPN 5 7%

Certifications1 16 24%

Total 68 100%

Additional Degrees Pursued

After 1st Degree Attained

PhD 1 4%

MA/MS 4 17%

BA/BS 16 70%

RN 1 4%

AA 1 4%

Total 23 100%

28

1Non-GCD Certifications e.g. massage therapy, medical assistant, surgical technician

Educational Outcomes 2009 – 12/2015

29

12 in High School, 3 undecided, 2 Military, 55 not pursuing education, 26 missing

156 (54%) Healthcare 71 (24%) STEM 65 (22%) Other

Bio-medical (Science, Technology,

Engineering,

Mathematics)

Accounting

Medical Assistant Business

Nursing Bio-Chemistry Business Administration

Occupational Therapy Biology Creative Writing

Orthodontist Chemistry Criminal Justice

Pharmacy Computer Science Education

Pre-Med Environmental Studies Liberal Arts

Psychology Forensics Marketing

Public Health Technology Political Science

Social Work Toxicology Public Relations

Speech Pathology Veterinary Sociology

Selected College Pursuits as of 12/2015 (N=292) 1

Examples in each category

• 28 Alumni have worked at TNJH

• 17 Currently working at TNJH

• 13 Currently working at other

long-term care facilities

• 10 Currently working in

pharmacies

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GCD Program Employment Outcomes

2009 – 12/2015Employment as a result of GCD certification

• Resume Workshop

• Interview Skills Workshop

• Learning Styles Workshop

• Alumni Holiday Party

• 2 Motivational Alumni Speakers

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2015 Alumni Events

32

Older Youth

Program

33

Older Youth Program Design

Phase 1: On Boarding (five weeks)

Online application and interview

Criminal background check and medical clearance

Job Readiness Program at the Stanley Isaac's Center

Phase 2: Pre-Home Health Aide Training (three weeks)

Elder care fundamentals

Professionalism in healthcare

Phase 3: Paid Internships (five weeks)

Interdepartmental placements

Earning potential of approximately $1,500/participant

Phase 4: Home Health Aide Training (four weeks)

TNJH Home Assistance Personnel, Inc (HAPI)

Phase 5: Transition Support (12 months post program completion)

Employment assistance and persistence

Education support

Social support network

34

Older Youth Program: Selected Demographics1st 5 Cohorts (12/2014 – 2/2016)

• 70 Older Youth started program

• 41 (59%) Completed Program

• 18-25 Years of age

• 87% Female

• 27% Have children

• 46% Reside in public housing

• 39% Did not have HS diploma or equivalent, 7% have GED

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• 81% (57/70) participants earned CPR certification

• 59% (41/70) completed HHA training

• 71% (29/41) completers were hired as HHA’s by TNJH

7 participants hit their 6-month employment milestone

8 participants hit their 12-month employment milestone

• 12% (5/41) have enrolled in a CNA program or received their CNA

certification since program completion

• 12% (5/41) participants have enrolled in college since program

completion

Older Youth Program: 2015 Outcomes

36

Thank You!