• 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