Seattle University Collaborative Projects - International Academy of ...

clinicians within Aged Persons Mental Health. From these three areas topics were utilized todevelop an education program for clinicians. The analysis, education program and evaluation areto be presented.Metabolic Monitoring Framework in an Aged Persons Mental Health ProgramRosemary Charleston, Melbourne Health, Australia (rosemary.charleston@mh.org.au)In recent years various reports have identified issues of severe mental illness and metabolicsyndrome as emerging public health issues. It is well recognized that people with a seriousmental illness have poorer health. Obesity, diabetes, stroke and cardiovascular illnesses arecommon physical illnesses in this group and mental health consumers are twice as likely to diecompared to the general population. Primary and secondary health care workers often neglectpeople with a mental illness, compounding this issue. Medication effects, lifestyle factors,physical conditions (pre-existing or developing) and allergies, alcohol and illicit drug use andpsychosocial factors are aspects that impact on mental health consumers' physical health. Diet,smoking, alcohol use and a sedentary lifestyle are examples of these factors. Psychiatricmedication including antidepressants, antipsychotics, anxiolytics and mood stabilizers cancontribute to metabolic syndrome which involves glucose intolerance, insulin intolerance,hypotension and hyperlipidaemia. A framework of physical health screening, documentationforms and policies were developed to monitor for metabolic syndrome. The physical healthscreening included weight monitoring, waist circumference, blood pressure, fasting lipids, andfasting blood glucose. The framework and education outcomes will be further explored in thispresentation.Local Models of Right Preservations: Caring for the ElderlyLois Condie, Harvard Medical School (lois.condie@childrens.harvard.edu)Rights preservation relevant to elderly individuals is formulated in federal and state statutes,administrative policies, and institutional policies and regulations. Carrying out these statutes,policies, and regulations typical remains a local endeavor. Ancillary to these policies andregulations are the efforts of government and nongovernmental organization to help facilitate thepreservation of rights of elderly individuals. This presentation applies a previously developedorganizational system for local models of rights preservation to the needs of elderly individuals.Cross-national models and procedures are described for preserving dignity, establishingthresholds for seeking care, establishing respectful models for seeking guardianships andconservatorships, ensuring safety and security of elderly individuals, respecting cultural normsregarding individual and collective responsibilities, and preserving the individual rights ofelderly individuals in the context of caregiving organizations. Cross-cultural comparisons areoffered as examples of suitable models in light of local norms and economic conditions.140