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• David Schofman - Coro Health, Austin
• Greg Walton - RidgeOak Community, Austin
• Inez Russell - Friends for Life, Waco
• Wendy Carpenter - Air Force Village, San Antonio
• Wes Wells - Baptist Memorial, San Angelo
A Sound Living …
AgendaMusic Demonstration
Therapeutic MusicMusic & The BrainMusic & Culture
Change
Personal Memories
Physiological ResponsePhysical Response
Group Impact
• Memory recall• Reduce depression• Pain Management• Physical engagement• Reduce agitation• PT / OT / SL• Increased QOL
• Get educated• Hire an MT to train your
staff• Music assessment at
admission• Make music part of the
care plan• STOP buying CDs• Build a digital library
Culture Change… is about changing the policies, rituals, rules, behavior, routines and
language of long-term care organizations.
Television Hanging Out
Cigarettes
Person
Small World vs Large World
Volunteer
Hobbies
Community Recreation
Friends
Family
Work
Person
New values and visionNew language
Building relationships & a sense of community
Shared authorityPerson-centered supports
Organizational Culture Change at RidgeOak
Creating Culture Change
Step 1: Baby Steps - Focus on making a few things better
Step 2: Building a Change Team-share the vision
Step 3: Embracing Change - change becomes the norm
• Culture Change works for individuals with cognitive disabilities
• Incremental change is more manageable
• Senior and medical employees may feel threatened
• Collaborative decision-making works
• Roles must be flexible
• Everyone needs to be needed
Lessons LearnedAlong the Way
Intergenerational Programs
Freedom House Neighborhood Design Built in 3 Phases 8 Households of 9 Donations: Total Project 12 Million Dollars House: Living room, Kitchen, Dining room, Parlor,
Outdoor Patio/Garden Environment Prompts Behavior Onsite Child Care Center
Where they came from Historically: top down management Culture change Learning together Belief: employees abilities are often underused Chance and opportunity: want to make a positive
contribution Change occurred over time
Setting boundaries Conflict resolution Implementing staff suggestions Dismissing fear of losing “control” Creating a family Family dynamics: good and bad
Matching personalities and skill sets Recognizing individuality Universal workers Problem resolution: process not people Changing perceptions and behaviors learned It’s not for everyone, and that’s okay