•Michigan's Adult Abuse and Neglect Prevention Training Program Final Report
In 2004, Michigan was awarded $1.5 million by the federal Centers for Medicare & Medicaid Services (CMS) to develop an abuse and neglect prevention training program (CMS Grant No. 11-P-93042/5-01). The Adult Abuse and Neglect Prevention (AANP) Training Program was designed for direct access staff to prevent, identify, and report adult abuse and neglect.

•Evaluation of the Background Check Pilot Program Final Report
Section 307 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (PL 108-173) authorized the creation of the Background Check Pilot Program, directing the Secretary of the U.S. Department of Health and Human Services "to estabish a program to identify efficient, effective, and economical procedures" for conducting State and national background checks on prospective direct patient access employees. As a result, Abt Associates, Inc. conducted an evaluation of seven states participating in the pilot program. Results for Michigan are presented on pages 212-223 of this report entitled "Evaluation of the Background Check Pilot Program Final Report."

•Supervisor Neglect and Abuse of Adults Prevention (SNAAP) Training Program
This eight-hour supervisor training program is designed to teach supervisors and managers in the field of healthcare for adults their role in abuse prevention. Beyond the hands-on care provided by direct access staff, supervisors have a distinct role in the prevention of adult abuse and neglect. The training focuses on the role of the supervisor in the organization and provides practical keys for each participant to take back with them to their own organization. The training can be a follow-up to an eight-hour AANP or four-hour PAAN training for direct access staff. This provides direct feedback from staff. In turn, the SNAAP training helps to process this feedback and work toward organizational change.

For questions and to arrange for on-site training of the Supervisor Neglect and Abuse of Adults Prevention Training program by one of the many AANP Specialist Traininers across the state, please contact

Catherine Macomber, MSW, LLMSW
AANP Quality Assurance Manager
macombe2@charter.net
989-295-1894 (phone)
989-607-5181 (fax)

•Supervisor Neglect and Abuse of Adults Prevention Training Agenda 

•Eight-Hour Adult Abuse and Neglect Prevention Training Program
The eight-hour Adult Abuse and Neglect Prevention training addresses three broad domains: identification, reporting, and prevention of vulnerable adult abuse. Based on the philosophy of person-centered care, the training program promotes relationship building at all levels of the care environment. The training focuses on employee empowerment and includes practical techniques for stress management that can reduce a caregiver's likelihood of being an abuser as well as suggestions for assisting co-workers who are encountering abuse triggers. Both individual and organizational changes are addressed as means to reduce the stressors that can lead to abusive situations. This training is designed for groups from the same organization in an effort to address those organizational causes of stress as well as develop team approaches that can be implemented to affect positive change.

•Eight-Hour Training Agenda 

•Four-hour Preventing Adult Abuse and Neglect Training Program
Emphasizing the tools and techniques necessary to address the identification, reporting, and prevention of abuse and neglect of vulnerable adult clients in various care settings, this four-hour interactive, adult learning-focused training program provides tools and resources to assist individual caregivers. Based on the AANP eight-hour training, the four-hour training emphasizes an individual (rather than organizational) response to abuse and neglect prevention. This training is greared toward organizations with limited resources and emphasizes idividuals' behaviors within the framework of the care team to reduce stressors that could lead to abusive situations.

•Four-Hour Training Agenda 

•Presentations and Handouts for all Modules are Contained in Compressed Zip Files
Presentations and Handouts for all modules are contained in compressed zip files and may require one of many utilities for unzipping files such as PKZip, Stuffit, PowerArchiver or WinZip. Microsoft Office Online offers more information on zipping and unzipping files.

•One-hour Facilitator Instructional Modules (FIMS)
Twelve modules, each 60 minutes long, deliver individual aspects of the Adult Abuse and Neglect Prevention training program. These modules are adult learning-based provided in an in-service, easy-to-use format for educators in a wide variety of long-term care settings. These modules are built as stand alone trainings but are ideally taught consecutively. A facilitator manual is provided to assist educators in presenting this information to all levels of direct access staff.

•How to Use Training Materials 
A Facilitator Instructional Module, or FIM, is a guide for those individuals interested in educating long term care staff. The FIM provides an educator with a step format to teach various aspects of adult abuse and neglect prevention. Each FIM contains detailed instructions for the educator on how to teach the content, supplies, and time needed, as well as a power point presentation and all necessary handout materials. The goal of the FIMs is to provide abuse and neglect prevention resources to healthcare organizations caring for vulnerable adults. FIMs are intended as an educator resource for an interactive session with a group of learners.

•Module 1
Person-Centered Care
This module provides an overview of the principles of person-centered care to provide a foundation for abuse prevention and quality care for clients.

•Module 2
Identifying Potential Signs of Abuse & Neglect
This module focuses on the identification of abuse and neglect by exploring the physical signs, emotional responses, and verbal comments an abused person might display.

•Module 3
Abuse and Neglect-Defining & Reporting
This module discusses the importance of reporting suspected abuse, neglect, or misappropriation.

•Module 4
Stress Triggers and Trigger Busters-Life Influences
This module assists in identifying the everyday stressors of life that, if not managed appropriately, can lead a caregiver to abuse or neglect.

•Module 5
Stress Triggers and Trigger Busters-Job Challenges
This module provides a forum for identifying work-related stressors that can lead a caregiver to abuse or neglect.

•Module 6
Stress Triggers and Trigger Busters-Client Behaviors
This module explores challenging client behaviors and the impact these behaviors have on caregiver stress.

•Module 7
Stress Trigger Signals
This module identifies the physical, mental, and social stress trigger signals.

•Module 8
Active Listening
This module teaches the skill of active listening as a means of promoting person-centered care and creating an abuse-free environment.

•Module 9
De-escalation - Conflict Resolution
This module empowers direct access staff with practical means of identifying the factors often contributing to conflict.

•Module 10
De-escalation - Client Behaviors
This module provides the direct access staff with an understanding of how clients with cognitive loss communicate.

•Module 11
When Abuse Happens
This module addresses the responsibilities of direct access staff when abuse does occur.

•Module 12
Active Communication - Learning Circle
This module identifies the benefits of incorporating learning circles into an organization.