New directions service group presentation molly's

New Directions Wellness CenterAn Unique Approach to

Health Promotion

Molly Blair, Clinical Exercise Specialist

Program Coordinator

New Directions Wellness Center

Worked for New Directions for over Four Years

Introduce you to the New Directions Wellness Center What do we do & Who do we serve

The Problem

• People with disability & chronic illness report People with disability & chronic illness report experiencing 14 different secondary experiencing 14 different secondary conditions annually that limit their conditions annually that limit their participation in daily activities.participation in daily activities.

• The impact of the most commonly reported The impact of the most commonly reported conditions (e.g. weight/regulation, problems conditions (e.g. weight/regulation, problems with physical conditioning, fatigue, pain and with physical conditioning, fatigue, pain and depression) can be reduced for most people depression) can be reduced for most people by incorporating a regular exercise routine by incorporating a regular exercise routine into their daily livesinto their daily lives.

The Problem

• There are not services to help people reduce There are not services to help people reduce secondary conditions after rehabilitation secondary conditions after rehabilitation services are completed.services are completed.

• Many people limited by chronic illness & Many people limited by chronic illness & disability become isolated, depressed and disability become isolated, depressed and hopeless.hopeless.

• When people lose hope that their lives can be When people lose hope that their lives can be better, physical and emotional health are better, physical and emotional health are constantly in jeopardy which creates additional constantly in jeopardy which creates additional limitation.limitation.

Health Promotion and Disability

Most health promotion is intended for the “healthy”

People with chronic illness & disabilities can improve health status with substantial benefits to the individuals and society

Activities of Daily Living

(Occupational and Leisure)

Require an underlying constitution of: Muscular strength Muscular endurance Cardiopulmonary endurance

Life is Full of Fun and Humor

Why the Interest in Exercise?

ADL– Home– Work– Leisure

Quality of life– Community engagement

General health– Prevention of secondary chronic conditions

Most Common Barriers to Initiating an Exercise Program

Pain Fatigue Lack of energy, endurance, strength Weight control Depression Isolation Financial Transportation Accessibility Time

•Increased Physical Capacity• Reductions in reported pain and fatigueReductions in reported pain and fatigue• Increased strength and cardiovascular Increased strength and cardiovascular

conditioningconditioning•Changes in Daily Activities

• Transportation solutions for community Transportation solutions for community accessaccess

• Changes in living arrangementsChanges in living arrangements• New jobsNew jobs• Changes in social/recreation activitiesChanges in social/recreation activities

The Benefits of a Regular Exercise Routine at New Directions Wellness Center

Get on a Positive Cycle.

“New Directions gives me a place where I can work out and feel good about myself. Staying fit means I can continue to do the things that are important to me.”

New Directions Wellness Center promotes healthy active living for people with health challenges. Services include individually designed fitness programs, accessible gym, nutrition classes, wellness workshops, occupational and physical therapy, and psychotherapy.

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The Benefits of Participation in a Regular Exercise Routine

•Adaptation to Disability & Chronic Illness• Learning about technological and social Learning about technological and social

supportssupports• Pursuing meaningful goals despite Pursuing meaningful goals despite

limitationslimitations•Possibility Thinking• Improvements in OutlookImprovements in Outlook• General Psychological Well-beingGeneral Psychological Well-being

Give Yourself a Lift.

“Exercising at New Directionsmakes me feel more positiveand gives me the energy Ineed to keep up with mygrandkids.”

New Directions Wellness Center promotes healthy active living for people with health challenges. Services include individually designed fitness programs, an accessible gym, nutrition classes, wellness workshops, occupational and physical therapy, and psychotherapy.


Skaggs Building 025, The University of Montana

Missoula, MT 59812 (406) 243-4016Advertisement made possible by the Christopher Reeve Paralysis Foundation

•Friendship and a sense of belonging•Participants share common experiencesParticipants share common experiences•Participation to the end of lifeParticipation to the end of life

•Other health benefits•Undiagnosed conditions discovered Undiagnosed conditions discovered (e.g. hypothyroid)(e.g. hypothyroid)•Risk factors for additional chronic illness Risk factors for additional chronic illness reduced (e.g. heart disease from reduced (e.g. heart disease from sedentary lifestyle)sedentary lifestyle)

The Benefits of Participation in a Regular Exercise Routine

New Directions

Wellness Center

Providing Fitness & Wellness Programs for People with Physical Limitations, Disabilities, and Chronic Illnesses


Mission

To provide people with physical limitations & chronic illness the resources they need to develop healthy life styles and to improve their overall quality of life and engagement in the community.


Who are our potential clients?

How do we define a physical limitation?

New Directions Wellness Center Skaggs Building 025, The University of Montana Missoula, MT 59812 (406) 243-4016

Strong Medicine.

“I look forward tocoming to New Directions. The peersupport means asmuch to me as thephysical benefitsI receive.”

New Directions Wellness Center promotes healthy active living for people with health challenges. Services include individually designed fitness programs, accessible gym, nutrition classes, wellness workshops, occupational and physical therapy, and psychotherapy.

Advertisement made possible by the Christopher Reeve Paralysis Foundation


•Supervised accessible fitness facilitySupervised accessible fitness facility•Pneumex body-support assisted standing and Pneumex body-support assisted standing and walking programwalking program

•Physical Therapy (orthopedic & neurological)Physical Therapy (orthopedic & neurological)•Living Well with a Disability WorkshopLiving Well with a Disability Workshop•Counseling (chronic pain, depression, & living Counseling (chronic pain, depression, & living with disability)with disability)•Drug InformationDrug Information


A program of the Applied Exercise Physiology Laboratory – School of Physical Therapy

Exercise programs designed & supervised by a physical therapist and clinical exercise specialist

An accessible supervised fitness center Full spectrum of exercise equipment suited to the

needs of all abilities Fully equipped Physical Therapy clinic State-of-the-art physiological assessment facility


Clients– Average 100 individual clients per month

Average 600 visits per month From a cohort of approximately 200

– Average of 8-14 new referrals per month– Average 18-24 individual PT clients

Fees– Gym fees

Independent: $32/month on a sliding scale to $11/month Assistance: $45/month on a sliding scale to $15/month

– Physical Therapy: (market)– LWD: $40 (+ $20 for manual)– Counseling: $8/session (group)


The Process– Referral– In-take– Physical Therapy Evaluation

Treatment Exercise Program

– Independent Exercise Program– Living Well, Nutrition, Drug Information,

Counseling

Pneumex Assisted Standing/Walking Program


Current Projects– Nutrition & Disability– Body-support (able-bodied)– Pain Study– Special Olympics Year-Round Fitness– ADAPTS – LW and academic performance– Sub-maximal testing (reliability)

HR, VO2, RPE, METs

Any Questions?

Education

New directions service group presentation molly's