179008 3. Expanding Community-Based Fall Prevention Activities: Lessons Learned from the California Senior Fall Prevention Projects

Tuesday, October 28, 2008: 3:15 PM

Jon Pynoos, PhD , Fall Prevention Center of Excellence, University of Southern California, Los Angeles, CA
Emily Basner Nabors, MSG candidate , Andrus School of Gerontology, University of Southern California, Los Angeles, CA
Most of what is known about fall prevention activities emanates from randomized controlled trials. However, community organizations often have difficulty with translating these rigorous findings into existing service structures or their local area. This presentation will describe activities, outcomes, and lessons learned for two types of local capacity-building projects funded by the Archstone Foundation's Senior Fall Prevention Initiative. First, 10 Coalition Development projects are developing sustainable networks of organizations from health, social service, housing, and emergency services along with consumers to improve coordination, advocacy, program development, and education about fall prevention as a key public health priority. Coalition achievements include establishing community information and referral systems, organizing community events, strengthening partnerships, securing additional funds to promote sustainability, and developing policy activities to advocate for fall prevention on the local and state levels. In addition, 6 agencies are implementing Program Expansion projects, which are designed to enhance existing fall prevention services by incorporating an additional multifactorial component (physical activity, medical management, and home modifications). Programs located in various health and social service settings are targeting those most in need, using risk screening tools and integrating multiple fall prevention components for individual participants. The most successful projects are those with strong, stable leadership, a solid multifactorial component already in place, existing linkages with partner agencies, and a readily-available participant pool with a perceived need for fall prevention. Challenges include staff turnover, difficulty collaborating with external organizations, and program evaluation activities.

Learning Objectives:
Understand the successes and challenges among community based organizations that are adopting multifactorial approaches to fall prevention.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Pynoos is a co-director at The Fall Prevention Center of Excellence, Director of the National Resource Center on Supportive Housing and Home Modification, and professor at the University of Southern California. He has spent his career researching, writing, and advising the government and private sector concerning how to improve housing and long term care policies and programs for the elderly. He has conducted a large number of applied research projects based on surveys and case studies of housing, aging in place and long-term care. He has written and edited six books on housing and the elderly including Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities; Housing the Aged: Design Directives and Policy Considerations; and Housing Frail Elders: International Policies, Perspectives and Prospects.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.