Post on 15-Jan-2016
SESSION I: GATEKEEPER FUNDAMENTALS
OVERVIEW OF THE PROGRAM'S HISTORY AND START-UP CONSIDERATIONS
Gatekeeper state-wide expansion and
implementation
Your presenters today
Paul Iarrobino Multnomah County Aging & Disability Services paul.iarrobino@multco.us 503 988 6941
Lynn Schemmer-Valleau Multnomah County Aging & Disability Services lynn.schemmer-valleau@multco.us 503 988 4833
History of the Gatekeeper Program
•Developed in 1978 by Ray Raschko, MSW•Started in Older Adult Mental Health•Response to isolated older adults with little or no support• Seen as a way to connect older adults to community resources•Grounded in the “Multi-Disciplinary Approach” •Ray’s motto was “do no further harm” •The Gatekeeper model has grown nationally and internationally•Gatekeeper is considered a national best practice for identifying isolated, at-risk older adults and connecting them to critical community services
Why Gatekeeper is a Best Practice
Provides streamlined access to a confusing array of services
Trained businesses empowered to advocate for customers
Helps businesses ensure outreach to their disenfranchised customers
Helps provide access for consumers who are often not aware of our services
Provides a community “safety net”Helps “non-mandatory” reporters to see there is a
needed role for their help Training curriculum is tailored to the business or agency
Why is this program important to the business community?
Helps customers achieve a better outcomeGood public/partnership to support consumerBusiness wants to help but goes beyond their
scope of work Peace of mind that consumer will get some follow
upGatekeeper referrals are welcomed – not seen as a
“complaintant”Able to provide good customer support while also
managing businessThey appreciate single entry access – one phone
number and do not have to know our jargon.
What Is Asked of Gatekeepers?
Gatekeepers are not asked to be counselors or social workers or to change their daily activities.
Gatekeepers learn to identify red flags that may indicate someone is ill, in trouble or struggling and refer consumer to a central location for follow up and evaluation.
The Multnomah County Experience
1987 Started with grant funding from Meyer
Memorial Trust to provide seed money to start Gatekeeper and an Multi-Disciplinary Team (MDT)
This three year grant covered East Multnomah County and was based at a local non-profit
An advisory group was established to develop procedures, outreach & marketing plan and evaluation
Accomplishments during the pilot project
During the pilot Gatekeepers in the community referred over 300 individuals
48% were unknown to us & offered service linkages 25% were receiving services prior to the referral. (The Gatekeeper was able to spot changes before assigned
case manager was aware. These referrals helped with new care planning.)
“Mrs. Jones has been a customer with us for 42 years. She received a shut off notice while she was in the hospital. She said she needs help with paying her bills. Could someone check on her?”
Over 23 organizations participated in the program and produced nearly 2,000 trained Gatekeepers at work in our community
Sustainability of the Program in Multnomah county
1990Gatekeeper went county-wide after pilot and absorbed by local AAA
2009-2011Expanded the program and included a 0.5 FTE CoordinatorConducted 47 community presentations/trainings to 34 different groupsConducted 2 “train the trainer sessions” to build a speaker’s bureau to
help conduct community trainings
2012Celebrated 25 Year AnniversaryStarted entering calls into ADRC call module (prior calls were entered into other call modules)Received Award funding from The Aging Network’s Volunteer
Collaborative under the “What’s Working– Effective Practices” program
Getting Started…
How to develop a programs in your community
Key Elements of a Gatekeeper Program
Developing an advisory committee - external stakeholders
Identify key leaders, organizations, companies/agencies with a vested interest.
Interested parties generally include:• Utility Companies• Police/Fire/Rescue• Support Programs• Banks/Credit Unions • Letter Carriers• Housing • Transportation
Can you think of a group in your community?
Be sure to include key internal stakeholders & partners
Identify key internal or community partnersInterested parties could include:
• Adult Protective Services• Mental Health • Developmental Disabilities • APD staff • Centers for Independent Living • Senior Centers • Community Advocates • ????Can you think who needs to be at the table in
your community?
Establishing a Lead AgencyLead Agency and a HubHub
Area Agency on AgingADRC is a great a hub Law EnforcementCommunity Non Profit Older Adult Mental Health Agency A combined response
Lead Agency can partner with another agency for support like training
Examples of Models for the Gatekeeper Program
In Multnomah County: Part of our 24/7Aging and
Disability Resource Center (ADRC)
Housed in “Type B” Area Agency on Aging (AAA)
Referrals assigned internally to APS and case managers
Referrals also assigned to senior center case managers
All referrals logged into ADRC call module and emailed to worker & supervisor
Program been operational for 27 years in Multnomah County
Examples of Models for the Gatekeeper Program
In Clackamas County: Clackamas County is a “Type A” AAA Clackamas Resource Connection: CRC is the
Gatekeeper hubGatekeeper referrals come in through CRC’s
ADRCthe referral is directed to the appropriate
officeThat office contacts the individual, assess their
needs, and assist in providing whatever help is required from the appropriate health or social service organizations
Examples of Models for the Gatekeeper Program
In Washington County Washington County is a “Type A” AAA Washington County Department of Aging and Veterans
Services (DAVS) partners with the Washington County Sheriff’s Elder Safe program
Referrals are made to the DAVS Adult Protective Services Line
Community presentations and trainings are done by a point person at the Sheriff’s office/Elder Safe program
What are your next steps?
Who are stakeholders in your community?Can you identify who could be the lead agency or
hub?What types of MOU’s or agreements will you need
to effectively implement your Gatekeeper program?What will be the process for taking Gatekeeper
calls?How will you track data? Follow up?Who will train Gatekeepers? Who will be the point person for trouble shooting
problems and bringing together all parties?
Q & A
What questions do you have for Multnomah County?
Paul Iarrobino paul.iarrobino@multco.us503-988-6941
Lynn Schemmer-ValleauLynn.schemmer-valleau@multco.us503-988-4833
Coming soon to a webinar near you…
Thursday, February 20 10-11:00 AM Gatekeeper Planning & Implementation
Covering the nuts and bolts of launching and building a successful program
Wednesday, March 5 10-11:00 AMGatekeeper Sustainability
How to build volunteers, provide recognition, develop media strategies & seek in-kind support & additional funding