Long Term Care Advances
Topics in Research, Training, Service & Policy
Vol. 8, No. 1, Winter 1996
Duke University Center for the Study of Aging
and Human Development
Long Term Care Resources Program,
Box 2920, DUMC, Durham, NC 27710
Leadership in an Aging Society Program:
Celebrating Divesity and Positive Outcomes
Jennifer B. Hoffmann, MPP, Issue Editor
For the fourth year, we are pleased to
present the annual Leadership In An Aging Society Program
issue of Long Term Care Advances. This issue, which
is edited by our colleague Jennifer Hoffmann who coordinates
program activities, features the experience of the current
group of Leadership Program awardees. The 1996 Leadership
Interns illustrate once again the diversity of characteristics,
particularly the interdisciplinary and interinstitutional
nature, which are the strengths of the Internship Program.
Also highlighted are the initial outcomes of that program.
From the beginning, we have made a specific effort to take
a continuing interest in the careers of former interns, particularly
in the internship as a resource in their subsequent development.
Early on, many of the interns were still in the educational
process. But at this four year milestone, we have enough information
about the career paths interns are taking to share some preliminary
outcomes. We are very pleased.
This issue also features another initiative of the Leadership
In An Aging Society Program, the Glaxo Wellcome Long Term
Career Development Awards Program, which supports young leaders
in the field of long term care research. The 1996-97 recipients
of Glaxo Wellcome Awards and their research topics are highlighted.
For both the Internship and Glaxo Wellcome Programs, we ask
you especially to note the mentors who give of their time
to foster the careers of these young leaders. Without these
substantial contributions of mentoring time and additional
resources from sponsoring organizations, including, increasingly,
matching funds for stipends, the Leadership Program would
not be possible. We thank them, as well as all the academic
programs and institutions which cooperate with us for recruitment
of interns. The Terry Sanford Institute of Public Policy at
Duke has been particularly helpful.
We also draw your attention to the announcement in this issue
of LTC Advances of a new leadership initiative for
mid-life and older adults in North Carolina. Since its inception,
the Leadership Program has served this group with ad hoc programming
and, now with advice from our Leadership Advisory Group, of
experienced professionals and policy makers, this new initiative
is being launched in early 1997.
George L. Maddox, Ph.D.,
Editor Sandra Crawford Leak, MHA, Associate Editor
THE LEADERSHIP PROGRAM
1996 marks the fourth year of
the Internship Program of the Leadership in an Aging Society Program
and the fifth year of the Glaxo Wellcome Career Development Awards.
Through these two programs, the Leadership Program has supported
a truly diverse group of 22 students this year. Among the 22 students
featured in this issue of LTC Advances, there are 13 females
and 9 males; 3 students of African American heritage, 2 Asians and
1 Canadian. The students represent 9 universities and colleges and
13 academic disciplines. This diversity is characteristic of the
Leadership Program throughout its five year history. Over the past
five years, the Leadership Program has collaborated with a total
of 15 colleges and universities and attracted students from 23 distinct
academic disciplines (see Exhibit 1).
Leadership in an Aging Society Program
Diversity in the First Five Years (1992-1996)
Interdisciplinary and Interinstitutional Characteristics
Universities and Colleges
Duke University (27)*
UNC at Chapel Hill (13)
Appalachian State Univ. (1)
Brandeis University (1)
East Carolina University (1)
Emory University (1)
Lenoir-Rhyne College (1)
Meredith College (1)
N.C. Central Univ. (1)
N.C. State Univ. (1)
Princeton University (1)
Temple University (1)
Univ. of South Carolina (1)
Wake Forest University (1)
Wright State (1)
Health Behavior and Education (1)
Health Policy & Administration (7)
International Development (1)
Liberal Studies (1)
Physical Therapy (2)
Public Administration (1)
Public Policy (15)
Regional Planning (2)
Religious Education (1)
Social Work (6)
* The number in parentheses represents
the total number of Leadership participants in each of the
** A number of the Leadership Interns have double majors or
are involved in joint degree master's programs. In those cases,
we have listed both academic disciplines. Consequently, there
are more disciplines represented than there are participants.
Program. The most visible component of
the Leadership in an Aging Society Program is the internship program.
Since its inception in 1993, the internship program has supported
a total of 53 upper-level undergraduates and graduate students in
mentored internship placements with national and state organizations
working on issues related to aging and long term care policy. Students
also participate in an intensive seminar which provides them with
an introduction to the "territory of aging" and leadership concepts
before they are placed with a site.
The Glaxo Wellcome Career Development Awards.
Promoting and stimulating interest in research on issues related
to long term care for chronically ill or disabled adults is the
focus of the Glaxo Wellcome LTC Career Development Awards. Every
year since 1992, this program has supported between 3 to 5 young
researchers (graduate, professional or doctoral students) with seed
grants to implement long term care research. This year, 3 Duke students
received Glaxo Wellcome Awards and their research projects are highlighted
in Exhibit 2.
Leadership in an
Aging Society Program
Glaxo Wellcome Career Development Awards for Chronic Illness
and Long Term Care
Marc Musick is a doctoral
candidate in Duke University's Sociology Department.
Recently, Marc's research has focused on examining the relationship
between religion and health, especially among the elderly.
Based on this research, he has become increasingly interested
in the relationship among beliefs, social support, religious
participation and well-being. His Glaxo Wellcome research
project focuses specifically on the impact provision of support
has on personal well-being among the elderly. Marc expects
that elderly individuals who are able to give help to friends
and family will actually benefit both physically and mentally
from such activity. His research mentor is Professor Linda
Gregory O'Neill is a doctoral candidate
in Duke University's Sociology Department interested
in the demography of aging and intergenerational transfers.
His dissertation examines generational transfers of money,
household assistance, and personal care from adult children
to their aging parents, using data from the Health and Retirement
Study (HRS). Specifically, his research examines the extent
to which time and money transfers to parents vary by family
structure, gender, race, socioeconomic position, parent needs,
and the competing demands and resources of adult children.
He is especially interested in how competing demands on the
time and financial resources of middle-aged children such
as work, their children's tuition, and other caregiving obligations,
compete with claims from frail elderly parents. Furthermore,
Greg is interested in how changes in the demographic structure
of the family affect intergenerational resource transfers.
In particular, he is looking at how the age-distance between
generations affects transfers from middle-aged adults to their
parents. His study also investigates the role of reciprocity
as a motivation for parent care by examining the effect of
prior parent-to-child money transfers on current child-to-
parent time transfers in the form of providing help with personal
care tasks. His research mentor is Professor Linda George.
Dan Yoder is a third year medical student
in Duke University's Medical School with interests
in clinical epidemiology and outcomes research. The focus
of his research is to identify effective ways to use educational
interventions to supplement clinical interventions in the
management of low back pain. Working with Dr. Lloyd Hey in
the Center for Clinical Effectiveness, Dan hopes to measure
the impact that patient education has on outcomes such as
patient satisfaction, understanding, confidence, worry and
compliance with the prescribed treatment
The goal of the Internship Program was
not for all interns to go into careers directly related to aging
but rather for potential leaders in their chosen careers to "know
the territory" of aging. The initial outcomes indicate that interns
are clearly moving into such career paths and several are working
with key national or state level aging organizations (see Exhibit
in an Aging Society
Preliminary Program Outcomes
Career Paths of Leadership Interns
Aging Policy/National Level (3)
Aging Policy/State Level (2)
Aging/Direct Service (4)
Aging and LTC Research (2)
LTC Administration (1)
Health Policy/National Level (3)
Health Policy/State Level (1)
Financial and Business (7)
Doctoral Students (4)
Graduate/Professional Students (13)
Undergraduate Students (7)
In Transition (6)
- Three former interns are working with national
organizations on policy issues related to long term care: the
Alzheimer's Association, National Coalition for Nursing Home Reform
and the Policy Institute of the American Association of Retired
- Two former interns, who are graduates of
the Sanford Institute of Public Policy at Duke, are employed by
the Duke Long Term Care Resources Program and are working on long
term care infrastructure development in North Carolina.
- Four former interns are working directly
with older and disabled adults in the following North Carolina
service and care organizations: Orange County Department on Aging,
Sunrise of Raleigh, John Umstead Hospital and Jewish Family Services.
Another intern with a Master's degree in Health Administration
is working as a nursing home administrator in rural North Carolina.
- Two former interns are working on re-search
related to long term care in the following institutions: Edmund
S. Muskie Institute of Public Affairs at the University of Southern
Maine and the Veterans Administration Medical Center in Durham,
- Three former interns are working with national
organizations on health policy issues: American Society for Internal
Medicine, Group Health Association of America and Birch and Davis
Associates, Inc. Another intern is working with the North Carolina
Department of Insurance on managed care issues.
- Seven other former interns are working with
financial and business entities, including Chase Manhattan Bank,
Arthur Anderson and Deloitte and Touche.
On November 7th, a Leadership
Convocation was held to recognize the contributions of the Leadership
Mentors, Interns and Glaxo Wellcome Awardees. Jim Bernstein, Director
of the North Carolina Office of Rural Health and Resources Development,
was the guest speaker for the evening and gave the students some
insights on making a life and career in rural health policy.
The vignettes that follow highlight the experiences of the 1996
Leadership Program participants.
Stephanie Batchelor, B.S., Biology,
Mentor: Brenda Porter, Program Director
The Setting: Alamance ElderCare,
The Experience: Stephanie Batchelor
worked side by side with Brenda Porter, Program Director of Alamance
ElderCare in Burlington, North Carolina. Alamance ElderCare is
the central point of contact for information and referral and
access to services for older adults and their caregivers in Alamance
While Stephanie was involved in the daily activities of the agency,
including attending county planning and interagency meetings,
her main responsibility was to organize six health promotion and
disease prevention programs for older adults throughout the county.
Each of these programs included information on medication management,
questions to ask your doctor, legal issues, and other community
resource information such as handouts on how to make your home
a safer place. Each program also had on- site, a pharmacist, nurse,
a retired physician, and a community representative to answer
questions that participants may have from the information presented
Stephanie was also been involved in helping collect demographic
and functional status information on the older adults that are
served by Alamance ElderCare and the types of services they receive.
These data are complied on a regular basis to provide Alamance
ElderCare with useful information that helps them target their
resources and plan for service use.
L. Box, B.S., Biology, Duke University
Mentors: Heidi White, M.D. and Ellie
The Setting: Veterans Administration
Medical Center, Durham, NC
During her ten-week internship, Tami worked with Heidi White,
M.D. and Eleanor McConnell, RN, Ph.D., on a project which focused
on the issue of reducing social isolation among the elderly. In
a feasibility study, Drs. White and McConnell used current computer
technology (the Internet and electronic mail) as an intervention
to social isolation. Among continuing care retirement community
residents, participants who learned to use the Internet and e-mail,
had a statistically significant decrease in depression and loneliness
compared to a control group. Tami's internship centered on extending
this research to a broader group of older adults.Specifically
Tami was responsible for three main areas: continuing the training
of new participants at the project site, completing follow-up
interviews with previous participants, and helping to forge new
avenues for the expansion of the project, particularly in the
VA hospital. She prepared a new training manual on general computer
use and how to navigate the Internet and e-mail and trained 16
new participants. At the VA hospital, she conducted a needs assessment
in the long term care section and gave presentations for numerous
staff members to foster ideas and support for a VA project extension.
Tami reflected that while her internship afforded her many obvious
rewards, such as the immediate thrill of watching an elderly person
receive his/her e-mail from a friend or relative, there were also
other, more subtle, benefits. Namely, she was impressed to witness
the more subliminal, yet decisive connection between social intervention
and overall health. She observed,
high-tech medical cures fail, as is often the case among the elderly,
it is every bit as vital to implement social interventions such
as the Internet Project, which has the potential to improve quality
of life and decrease social isolation."
Graduate Student, Public Policy, Duke University
Mentor: Theresa Forster, Minority
The Setting: US Senate Special Committee
on Aging, Washington, DC
The Experience: Peter Brown's internship
with the Senate Special Committee on Aging provided him with the
opportunity to work on issues that directly related to his area
of policy interest; that is, health policy as it relates to the
aging population. Because the Senate Special Committee on Aging
is charged with the responsibility for studying any matter pertaining
to the problems and opportunities of older people, he was able
to work on a variety of timely issues focusing on different areas
of aging policy. Specifically, he worked on four Committee hearings,
in which he drafted statements and witness questions for Senator
Pryor (D-AR), the Committee's Ranking Minority Member. The topics
of those hearings were: 1) Suicide and the elderly; 2) Social
Security Disability Insurance; 3) The growing need for more geriatricians
in the medical community; and 4) Increasing the funding for medical
Some of the other "hot button" issues that he worked on during
his internship included: health care insurance and Medicare reform
and the restructuring of Social Security. While these two issues
received widespread media coverage, Peter reflected that, "It
is almost certain that Medicare reform will not be addressed legislatively
this summer because it is a controversial issue in an election
In addition to expanding his knowledge of the problems that are
facing our nation's aging population in future years, Peter also
reported that his internship helped him gain a better understanding
of the legislative process and allowed him to interact with knowledgeable
and influential people in the area of aging policy.
Senior, Health Administration, UNC-CH
Mentor: Leslie Jarema, N.H.A.
The Forest at Duke, Durham, NC
The Experience: As a health policy
and administration undergraduate, one of Colin Clode's specific
areas of interest is retirement homes. Consequently, he was placed
with The Forest at Duke, a nationally recognized and accredited
Continuing Care Retirement Community (CCRC) that offers its 350
residents independent living, assisted living and skilled nursing
Leslie Jarema, The Forest's Nursing Home Administrator, designed
Colin's twelve-week internship around the AIT (administrator in
training) model, which involved spending a week in every department
of the CCRC including administration, activities, nursing, environmental
services, dietary and marketing. Using this format, Colin was
able to see first-hand how to manage a successful program in each
department and work alongside the person in charge. He was also
able to participate in a variety of meetings including the meetings
of the health maintenance committee, health care directors committee
and the resident's association. This helped expose him to a cross-section
of the retirement community business from different perspectives.
According to Colin, "By talking to the residents, I got to hear
their opinions, which kept my mind open to everyone, not just
In addition to participating in the day-to-day activities of running
a CCRC, Colin's mentor made sure he was exposed to some of the
policy issues related to operating an long term care facility
such as the certificate of need process, health care power of
attorney, DNR orders and Medicare issues.
Upon completing his internship Colin concluded that he learned
more about the health care field and aging issues by working in
the retirement home; observing daily activities; listening to
staff and residents; and studying policies, procedures and regulations
than he could have from course work.
Junior, Social Work, Meredith College
Mentor: Marlene Chasson, Executive
The Setting: Friends of Residents
in Long Term Care, Raleigh, NC
The Experience: Ellen Condelli's
internship with Marlene Chasson, Executive Director of Friends
of Residents in Long Term Care (FOR) began on a part-time basis
in January 1996 and continued on into the summer and fall. Over
this period, Ellen followed proposed legislation for long term
care reform on both the state and federal levels. Federally, she
tracked proposals for changes in Medicaid and its implications
for regulating nursing homes. At the state level, she tracked
legislation related to improving safety and the quality of care
delivered in rest homes in North Carolina.
The highlight of her internship experience was observing the process
of setting public policy by a committee appointed by the Governor
of North Carolina. The appointment of Ellen's mentor, Marlene
Chasson, as co-chair the Governor's Ad Hoc Committee on Rest Home
Reform, provided Ellen the opportunity "to observe first hand
the way consumer advocates work with long term care industry representatives
and elected officials to promote positive changes in policy affecting
residents in long term care facilities." The Committee was formed
in response to a fire in a rest home that resulted tragically
in the death of 8 residents and was charged with making recommendations
to the Governor in an effort to deter similar tragedies form happening
in the future. Ellen attended all three of the day-long committee
meetings, read material distributed by the various stakeholders
and learned about the "incremental nature of progress."
Ellen's internship with FOR helped her gain insight into the widespread
problems facing residents in long term care. She concludes that
residents' biggest need is representation, "With the ever increasing
numbers of frail elderly needing care by the growing long term
care industry, it is clear that advocates must unite to help empower
our most vulnerable citizens and their families."
Graduate Student, Social Work, Univ. of North Carolina at Chapel
Mentor: Erdman Palmore, Ph.D.
The Setting: Duke Center for the
Study Aging & Human Development, Durham, NC
The Experience: The goal of Yoko
Crume's internship was two-fold: 1) to learn the ABC's of conducting
a comparative study through field experience involving the issues
of long term care in the United States and Japan and 2) to learn
how two different societies with rapidly aging populations approach
and plan for the needs of older adults. She was particularly interested
in the different directions these two countries seem to be headed
in financing long term care programs (i.e., the private sector
approach in the U.S. versus the public financing approach in Japan.)
"Both in the U.S. and Japan, the goal is no longer the creation
of an ideal system. The real issue today is to build a sustainable
system which will withstand the pressures from the ever shifting
dynamics of population and economy." Yoko Crume, Duke Center for
To fulfill her goal, Yoko worked on a part-time basis with Dr.
Erdman Palmore at the Duke University Center for the Study of
Aging and Human Development. Under his guidance, she initially
focused her attention on learning about the methods of comparative
studies and relevant long term care developments in the U.S..
Next, she spent three weeks in Japan learning about Japanese long
term care programs, paying special attention to a proposal for
establishing a publicly-financed long term care insurance program.
While in Tokyo she had the opportunity to meet and interview experts
in the field of long term care policy, insurance executives, medical
doctors and the staff of a skilled nursing facility. She also
visited a variety of long term care settings including an adult
day care center, an assisted living facility, a group home for
older adults with dementia, a hospital for the aged, a skilled
nursing home and an intermediate care facility.
Yoko describes her internship as "valuable and instructive." Her
internship experience helped her "see the nature of the challenge
of an aging society more clearly. Both in the U.S. and Japan,
the goal is no longer the creation of an ideal system. The real
issue today is to build a sustainable system which will withstand
the pressures from the ever shifting dynamics of population and
Graduate Student, Public Health Education, Univ. of N. C. at
Mentor: Gina Upchurch, R.Ph., M.P.H.
The Setting: Senior PHARMAssist,
The Experience: As a health educator,
the intent of Debbie Grammer's internship was to develop "an intervention"
to address the problem of how medication information is communicated
to older adults with low literacy skills who receive their medications
through Senior PHARMAssist (SPA), a pharmaceutical assistance
program operating in Durham County. To design this intervention,
Debbie worked with Gina Upchurch, Senior PHARMAssist Director,
to conduct a focused needs assessment to determine the extent
of the problem: explore what has been done regarding literacy
efforts for older adults; interview older adults, health care
providers and literacy workers to determine what they think could
be done; and suggest ways to monitor and evaluate the proposed
solutions. Debbie noted that the community was responsive to her
inquires and proposed "interventions" that addressed multiple
levels of the problem. (Note: It is estimated that up to 20 percent
of SPA clients can not read medication labels.)
As a result of Debbie's recommendations, SPA
will increase referrals to literacy programs, conduct a literary
workshop for pharmacists, expand community outreach, obtain feedback
about health information handouts from adults with low literacy
skills, and promote accurate directions on medication labels.
According to Debbie,
a community to raise its voice and make decisions is the role
of a health educator, and it was rewarding to play a part in linking
existing networks in the community for change."
Under the mentorship
of Gina Upchurch, she gained valuable insight into the perspectives
of older adults, the need for a statewide pharmaceutical assistance
program, the way a community-based program works, and the role
of public policy in health behavior.
Green, Senior, English, Emory University
Mentors: Lori Owen Smetanka, J.D.
and Lisa Woodruff
The Setting: National Citizens Coalition
of Nursing Home Reform, Washington, DC
The Experience: Stephanie Green's
main project at the National Citizens Coalition of Nursing Home
Reform (NCCNHR) was compiling an information packet to celebrate
Residents' Rights Week, which included a special section describing
the value of resident councils, how to start one and the Briggs
Resident Rights Form. The packet also featured projects that resident
councils could establish to involve themselves in the community,
suggested ways to involve children in the lives of older adults
and contained voter education materials. Supplementing these materials
were original works of arts produced by residents of long term
care facilities, such as poems and pencil sketches. NCCNHR will
distribute this packet to ombudsmen working in all 50 states and
market it across the country.
Under the guidance of Lori Owen Smetanka and Lisa Woodruff, Stephanie
also prepared rough drafts of consumer fact sheets on abuse and
neglect, restraint reduction, and issues related to transfer and
discharge of nursing home residents. In addition, she shadowed
her mentors to various meetings on Capital Hill and attended two
conferences, one on "Quality Assurance" and the other on "Improving
the Quality of Life for Nursing Home Residents," sponsored by
the Health Care Financing Administration in Baltimore.
Stephanie described her internship as an "exceptional experience."
She described her mentors as "dedicated, inspiring and wonderful
role models for anyone interested in making a difference." Not
only was she exposed to a variety of long term care issues, but
she was introduced to the field of health policy, an area she
is considering focusing on in and after law school.
Hayes, B.A. Psychology, Lenoir-Rhyne College
Mentor: Gina Shell, M.P.P.
The Setting: NC Association of Area
Agencies on Aging, Hickory, NC
The Experience: During his summer
internship, Demario Hayes had an opportunity to be involved in
a wide variety of activities of the Western Piedmont Area Agency
on Aging. His mentor, Gina Shell, is also serving as the President
of the NC Association of Area Agencies on Aging (NC4A), so he
was involved in a number of major initiatives being organized
by the Association as well. One of his responsibilities was to
assist in the planning of the 23rd Annual Southeastern Association
of Area Agencies on Aging Training Conference which was held in
Charlotte, NC, in October of this year. He also helped the Association
to develop an implementation plan for a set of standards that
will be used to assess the performance of North Carolina's 18
Area Agencies on Aging.
Other activities included participating in several meetings with
members of the North Carolina Association of Areas Agencies on
Aging, distributing fans for needy seniors, visiting senior nutrition
sites and updating the waiting list survey for home and community-
based services. Demario also met with members of the local business
community to discuss issues of eldercare and the demands made
on caregivers who work in full-time jobs.
After completing his internship, Demario entered graduate school
to study industrial/organizational psychology. Being a part of
the aging network helped him to explore the issues that older
adults face in different environments such as the work place,
long term care facilities and in their own homes. With his exposure
to the territory of aging and his advanced training, Demario believes
that he will be more sensitive to the challenges that occur in
later in life and he will "attempt to implement policies and procedures
that are beneficial to older adults and their caregivers in the
Doctoral Student, Economics, Duke University
Mentor: Frank Sloan, Ph.D.
The Setting: Duke Center for Health
Policy Research & Education, Durham, NC
The Experience: As a doctoral student
in health economics, Lan Liang's interest in aging issues related
to the economic aspects of acute and long term care for the older
adult population. Consequently, Lan spent the summer working with
Frank Sloan, Ph.D., Health Economist, at Duke University's Center
for Health Policy Research and Education, an interdisciplinary
research center on health related issues.
The focus of Lan's work during the summer was research on the
issue of breast cancer and aging. To gain a basic understanding
of the topics she was researching, Lan conducted a literature
search and compiled a reading list on health and aging issues
and researched basic clinical aspects of breast cancer. Equipped
with this background knowledge, she was prepared to assist with
the more sophisticated analysis of the research project. For the
rest of the summer, Lan analyzed data from the National Long Term
Care Survey (NLTCS) and Standard Analytical Medicare Data linked
to NLTCS, and completed some basic economic modeling on the choice
of treatment and usage of preventative care by Medicare recipients.
According to Lan, "The internship experience strengthened my interests
in medical care utilization of the older people and economics
of aging in general." She was especially grateful for the opportunity
to practice and enhance her research skills, to work with large
databases (NLTCS and Medicare), to apply her economic and statistical
modeling skills and to work side-by-side with the researchers
at the Center for Health Policy Research and Education.
Maynard, Graduate Student, International Development Policy,
Mentors: Brenda Summers, Exec. Dir.,
and Jacquelyn Jones McKinnon, Leadership Dir.
The Setting: NC Equity, Raleigh,
The Experience: Jennifer Maynard was one of two Leadership Interns
working with NC Equity, a public policy, educational and advocacy
organization concerned with the rights and well-being of women
and their families in North Carolina. Within NC Equity, Jennifer
worked on two program initiatives: the Women of Color Program
and issues related to Older Women in the Workplace.
Working with Jackie Jones McKinnon, Jennifer collected, compiled
and analyzed statistics on women of color of all ages. With this
information, she was able to begin to document the status of women
of color in North Carolina. Furthermore, Jennifer used this information
as a foundation for a more in-depth analysis she conducted on
the issue of older women in the workplace. Specifically, she analyzed
the economic opportunities available to older women workers including
wage levels and training opportunities, circumstances that hamper
their progress and knowledge of legislation that protects their
In addition, to working on these special projects, Jennifer was
able to attend a number of committee meetings held in the NC General
Assembly, participate in "lobby days" at the legislature and observe
her mentor (Brenda Summers) advocating on behalf of the women
in North Carolina.
Like many of the other Leadership Interns, Jennifer described
her relationship with her mentor as a "thoroughly enriching experience."
She "gained much from having met a personality like Brenda Summers,
a person who is full of life, vigor and commitment to the betterment
of the lives of others."
McCubrey, Senior, Sociology, Wake Forest University
Mentor: Michael McCann, J.D.
The Setting: North Carolina Division
on Aging, Raleigh, NC
The Experience: Elizabeth (Betsy)
McCubrey's two primary areas of focus with the North Carolina
Division on Aging this summer were Elder Rights and Intergenerational
issues. Under the mentorship of Michael McCann, J.D., State Long
Term Care Ombudsman, she worked on a number of timely projects
including writing an issue brief on grandparent visitation rights
in North Carolina. She also helped compile a handbook designed
to help grandparents caring for their grandchildren.
Her other projects included updating the Adult Care Home and Nursing
Home Community Advisory Committee manual and redesigning brochures
and creating several new ones related to various aspects of elder
rights. Betsy has also had the opportunity to attend meetings,
seminars and conferences related to aging, such as the statewide
Innovations in Long Term Care Conference sponsored by the UNC
School of Medicine and held in Chapel Hill on June 20 and 21.
Reflecting on her summer experience, Betsy was astounded with
the amount of information to which she was exposed. Even though
she had taken several gerontology courses in college, she noted,
"It seems that every day that I come to work I learn something
new." She also expressed that her internship "has served to cement
my plans to help serve the elderly via a law career."
There is one final thing that Betsy states that she will take
away from her internship - Michael McCann's "demonstration of
great leadership." She observed that her mentor had the ability
to empower the people with whom he worked. He seemed to work with
his staff, not over them. Finally, his office door was always
open and he was willing to listen to suggestions and answer questions.
Rolett, M.S.W., University of North Carolina at Chapel
Mentor: Lisa Gwyther, M.S.W.
The Setting: Duke Family Support
Program, Durham, NC
The Experience: Elias Rolett was
placed with Lisa Gwyther in the Duke Family Support Program (FSP),
an information and referral, counseling and resources agency which
works with individuals with memory problems and their caregivers.
During his internship, his time was split between working for
FSP and doing research on grandparent caregiving. He wrote articles
for FSP's newsletter, provided telephone counseling and I & R
services, developed resources, participated in presentations,
toured facilities and helped to create a glossary of approximately
1,000 aging terms to be used by professionals in the field. Along
with Lisa Gwyther and Edna Ballard, he helped to add case scenarios
and examples to the manuscript.
Elias also conducted an extensive literature search on the subject
of grandparent caregiving, interviewed a number of grandparent
caregivers and professionals on both the local and national level
and attended support group meetings. Elias used his research on
grandparent issues to create an annotated bibliography and to
write a report that summarized the major legal and social barriers
that impede grandparent caregivers to obtain socio-economic support.
Both of these related experiences helped to strengthen his conviction
to continue working in the field of geriatric social work. His
FSP experience allowed him to gain significant practical experience
through the provision of direct services and the creation of resources
for both clients and front line workers. Conducting research allowed
him an opportunity to see how a relatively new problem is recognized,
viewed and dealt with on the local, state, and national level.
He considers both experiences to have been extremely valuable
and to have increased his social work skills as well as his understanding
of these important issues.
Sanderson, Graduate Student, Social Work and Public Health,
University of South Carolina
Mentor: Constance Rinehart, M.S.W.
The Setting: South Carolina Division
on Aging, Columbia, SC
The Experience: Jennifer Sanderson
was placed with the Division on Aging within the Office of the
Governor for the State of South Carolina. Throughout her internship
she worked side by side with Connie Rinehart, director of the
Division on Aging. Because of this mentoring relationship, she
was able to attend meetings around the state that dealt with various
topics in aging, including coordinated transportation meetings,
Aging Network leadership meetings, Health and Human Service Coordinating
Council Meetings, Adult Day Care Advisory Meetings, Long Term
Care Committee meetings, Advance Directives Coalition meetings,
etc. By attending these meetings Jennifer was able to see policy-making
at its beginning stages.
Within the Division, she was also responsible for helping prepare
for and participate in the SC Governor's Conference on Aging and
the Governor's Summer School of Gerontology, a week long educational
program for professionals and others working with older adults.
She also worked with the Advance Directives Campaign held state-
wide in June and was responsible for representing the Division
on Aging at various health and educational fairs held around the
state. She assisted with the preparation of several documents
as well, including the Final Report of the Governor's Conference
on Aging, the Health and Human Services Retreat Report, the Four
Year State Plan for the Division on Aging, and various speeches
for the director.
Some of Jennifer's most meaningful
experiences were those where she visited aging sites to see services
being rendered, including going on ombudsman investigations within
nursing homes and residential care facilities throughout the state,
attending meal sites in the area and delivering Meals on Wheels.
Jennifer offered the following summarizing comments on her internship.
"My summer was an enriching and eye-opening experience that I
shall never forget. I absorbed large amounts of information about
policy issues affecting older adults (long term care, health care,
advance directives, adult protective services, and others) and
the services available to older adults.
was also able to shadow a very dynamic leader who impressed upon
me the importance of putting older citizens needs before the demands
of bureaucracy and who marvelously demonstrated how to creatively
meet these needs within a governmental setting."
Sizemore, Graduate Student, Religious
Education, Duke University
Mentor: Jack Preiss, Ph.D.
The Setting: PreissSteele Place,
The Experience: Beginning in September
1996, James Sizemore has been working on- site at Preiss-Steele
Place, to develop two types of literacy programs for the residents:
1) functional literacy and 2) computer literacy. Preiss-Steele
Place (PSP) is an affordable assisted living facility for low-income
older adults located in Durham, NC. In addition to providing the
opportunity for older adults who may need assistance in the activities
of daily living to access personal care services, PSP supplements
the basic services with special activities and programs when a
need is identified. In this case, the need for a literacy program
James came to PSP with an extensive background and experience
with literacy programs in North Carolina and was aware of and
sensitive to the literacy issues related to older adults. Consequently,
he began his internship by assessing the willingness and ability
of these students to learn to read at this point in their lives.
Then he worked one- on-one with all of interested individuals
to teach functional literacy (writing a check, reading a prescription
and information sheet, reading grocery store sale ads, paying
For residents with the ability to read and write, James intends
to design a program that will teach residents computer literacy
skills. Within this program, the residents will be exposed to
the computer in a non-threatening, one-on-one tutorial session.
The program content will range from the basics of turning the
computer on to using the Internet and e-mail to communicate with
people outside of the Preiss-Steele community.
Cook Snowise, B.A., English Literature, Brandeis University
Mentor: Brenda Ginsberg, M.S.W.
The Setting: Jewish Family Service,
The Experience: As an intern with
the Jewish Family Service, an agency of the Jewish Federation
of Durham and Chapel Hill, Elisa Cook Snowise was responsible
for helping to design a study and gather information on the needs
of older adults in the local Jewish community. Elisa managed and
administered the needs assessment from the beginning to end of
the project. Her responsibilities included writing a letter of
introduction to the targeted population, scheduling the interviews,
meeting with the older adults in the community and writing the
final report about the survey.
Throughout her internship, Elisa received technical support from
a variety people associated with the Jewish Federation. To fine
tune the survey instrument, she first worked with Gerda Fillenbaum,
Ph.D. To practice her interviewing skills, she worked with Sharon
Wallsten Ph.D., Simone Lipman and Sasha Loring in some role playing
activities. Ongoing support was provide by Brenda Ginsburg, Elisa's
mentor and the director of Jewish Family Services, who met with
her frequently to discuss her observations and findings and answer
The biggest challenges Elisa faced as she worked on the project
were convincing older adults to participate in the survey, making
participants feel comfortable with her and working with and understanding
older adults who are mentally disoriented and confused. According
to Elisa, meeting these challenges were the "most significant
aspect of the project," because it helped in her "development
from a potential social worker interested in the issues of the
elderly to a potential social worker dedicated to the aging population."
Elisa's immediate plans are to stay with Jewish Family Services
and help in the development and implementation of services that
will address some of the needs highlighted in the survey.
Spencer, Junior, Business Management, NCSU
Mentors: Lousia Cox, AAA Director
and Cynthia Davis, Associate Director
The Setting: Bellhaven Senior Center,
The Experience: Dawn Spencer received
front-line experience in what it means to run a senior center
and the role a senior center plays in the community, especially
in rural eastern North Carolina.
During her internship, Dawn acted as the activities director at
the Bellhaven Senior Center which serves the area of northeastern
Beaufort County. Her daily responsibilities included opening and
closing the building throughout the week; developing and coordinating
the activities for the older adults who participate at the senior
center; and outreach to seniors that reside in nearby rest homes.
Dawn observed that one of the challenges confronting a rural senior
center was how to provide quality services in the face of dwindling
attendance. Consequently, she worked on various marketing strategies
such as posting flyers in community businesses, advertising in
the local newspapers and running public service announcements
on local television stations to increase the daily participation
rates at the center. The most successful marketing strategy, however,
resulted from word-of-mouth communication.
Adding to the difficulties facing the center was Hurricane Bertha,
which left 23 inches of standing water throughout the building,
ruined some of the center's equipment and caused the center to
close its doors for a over a week. Rather than taking time off,
Dawn's mentors, Louisa Cox and Cynthia Davis, included in her
in the negotiations with FEMA which added an interesting learning
experience to her internship.
Overall Dawn concluded, "My internship experience at the Bellhaven
Senior Center was very profitable to me both personally and professionally
and I feel that I gained valuable insights from my mentors, Louisa
Cox and Cynthia Davis, and the seniors with whom I worked throughout
Thomas, Senior, Sociology, Duke University
Mentors: Brenda Summers, Executive
Director and Jacquelyn Jones McKinnon,
The Setting: NC Equity, Raleigh,
The Experience: Angelique Thomas
was one of two Leadership interns who worked with NC Equity during
the summer. Her primary project included researching and writing
two articles for the quarterly newsletter for the Women of Color
Program. In addition to using secondary research sources such
as newspaper and journal articles, she interviewed older black
women from a senior day program at a local YWCA and incorporated
their stories into her articles. She also used the older women's
stories to complement the material she collected to compile a
community resource directory. Angelique explained this unique
approach to developing a resource directory by saying,
purpose was to tell the stories of real women with real problems,
but to counter the harshness with hope by providing a list of
sources that women with similar problems could utilize for legal,
employment, mental health and other services specific to their
In addition to writing the articles,
Angelique participated in all the other activities of an advocacy
organization. She shadowed her mentors to various meetings outside
of the office, observed them interacting with NC legislators and
helped to edit the Draft Women's Agenda, which was distributed
across the state to local community activists organizing women's
According to Angelique, "My work with NC Equity has afforded me
the opportunity to expand knowledge of myself and the issues that
are important to me as a Black woman and my community. This leadership
opportunity has allowed me to challenge and discipline myself
with regard to my abilities, assumptions and my work habits."
Senior, Public Policy, Duke University
The Setting: Spring
Danielle Turnipseed, was chosen among all rising seniors in Duke's
undergraduate public policy program to receive a 1996 Leadership
in an Society Internship Award and her internship stipend will
be supported by the Mary Duke Biddle Foundation, which is providing
support for an intern for the third year in a row. She also received
a Woodrow Wilson Fellowship, a competitive award given to outstanding
minority students with an interest in public policy, which required
her to participate in a seven week academic seminar during the
summer 1996. To enable her to accept the Wilson Fellowship, Duke
LTC postponed Danielle's Leadership internship placement until
the Spring of 1997.
Cleveland County: Teaching
Communities Expand to the West
|October 16, Shelby, N.C.
- Dr. George L. Maddox and Sandra Crawford Leak of the Duke
Long Term Care Resources Program look on as Sarah Wray, Executive
Director of Cleveland County's LIVE! volunteers for the elderly
program addresses a large audience at the in-auguration of
the Cleveland County Teaching Community. The Cleveland County
Teaching Community is sponsored by ACCES (Accessing Cleveland
County Elder Services) a vibrant interagency group with a
long history of coop-erating on innovative services for older
adults. Monty Thornburg, Chair of the ACCES Board and the
Executive Director of Kings Mountain Senior Center was moderator
for the event.
Teaching Communities Inauguration: "The
Down-East Teaching Communities Consortium: Enhancing Long Term
Care in Beaufort, Hertford, Martin, Pamlico and Pitt Counties"
in Williamston, NC on November 12.
Duke Long Term Care
LEADERSHIP IN AN AGING SOCIETY PROGRAM
Exciting opportunities in 1997 to
work with key local, state and national leaders concerned
about policy issues affecting older adults
Stipended internships for both graduate
and undergraduate students with an expressed interest
in aging issues
1996 interns addressed issues such
as literacy, Medicare and Medicaid reform and grandparents
Complementary seminar to "know
the territory" of an Aging Society
Also learn about Glaxo Wellcome
Long Term Care Career Development Awards for young researchers
If you want to learn
more about Leadership Internship opportunities or Glaxo
Wellcome Long Term Care Career Development Awards for young
researchers, please contact the Leadership Office at:
Leadership in an Aging Society Program
Duke Long Term Care Resources Program
Box 2920, DUMC
Durham, NC 27710
The Senior Leadership Enhancement Initiative of the Leadership
in an Aging Society Program
Three to five
participants will be selected in February 1997. Application
information will be available after December 10, 1996, from:
leadership development program for mature adults
on aging and long term care policy
connections with Leadership student interns
planning encourages use of a wide range of leadership
Duke Long Term Care Resources Program
Box 2920, DUMC
Durham, NC 27710
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