Grantee produced

Subtitled \"An Information Booklet for Guardians of Individuals who are Protectively Placed and Living at a State Center\", this booklet provides guardians with an updated view of changes currently taking place within the state of Wisconsin. It also encourage guardians to take a more active role in the planning and review processes that determine the appropriate residential setting for the persons they represent and encourages guardians to contact the Guardian Mentor program with questions.

This is a planning document developed by the Ozaukee County Aging Services Department that helps individuals gather thoughts and discuss them with their family by asking, What Do You Want? This document, subtitled “Your Personal Guide for Planning a Happy Healthy & Independent Long Life” helps individuals take an inventory of the values and preferences. The guide recommends recording what you want and reviewing the list periodically with those closest so they can carry out the plans.

This study was conducted as part of the Nebraska Nursing Facility Transition (NFT) Grant. The target population included children living in nursing facilities who meet the criteria for transition to home and community-based settings and children living at home identified as at-risk for nursing facility placement. The goals of this paper were to decrease the number of children in nursing facilities, identify risk factors, and to develop a plan to keep children in home and community settings.

The Consumer-Directed Supports Toolbox is a set of materials developed under the Community-Integrated Personal Assistance Services and Supports (CPASS) grant awarded to North Carolina in 2002. It was developed to support the implementation of consumer-directed options in North Carolina. The “toolbox” consists of 3 powerpoint presentations, a set of exercises to be used in conjunction with the powerpoints, a consumer-directed supports manual, brochures and other visual aids.

The Turner Geriatric Clinic Social Work Department established a community-hospital liaison as part of the Michigan Nursing Facility Transition grant. This report discusses the goals of the project, its development and implementation, challenges and successes, and the end results.

This series of worksheets provides examples of what the Michigan Nursing Facility Transition grant used in planning the transition from the nursing facility to the community. Review the worksheets for Daily Living, Employment Planning, Financial Planning, Health Planning, Housing Planning, Planning Template, Self-Determination, Social and Transportation Planning.

Michigan developed a six-part training on transition and diversion. Module 6, the final module in this series, is an overview of organizational impact and collaboration in nursing facility transition. This section provides information on how developing nursing facility transition capacity may impact an organization and team. It also provides information on “bringing all the resources” together. The Appendix is also included.

Michigan developed a six-part training on transition and diversion. Module 5 guides service providers through the transition periods and its follow-up. Handouts include transition planning guidelines and timelines, nursing facility transition services, and expenditure reports.

Michigan developed a six-part training on transition and diversion. Module 4 presents the basic components of a successful transition. Again, person-centered planning is a main component of the transition and helps set the goals for the process, as well as an accurate way to gauge its success. In addition, this module discusses the need for housing, financial management, and transportation in a successful transition.

Michigan developed a six-part training on transition and diversion. Module 3 discusses outreach activities in nursing facility transition and diversion. It reviews different methods of outreach and how they can be developed to be effective forms of marketing. In addition, information for outreach contacts and resources is provided.