CADER
Research Initiatives
Current Research
Engage, Educate, & Empower for Equity: E4, The Rush Center of Excellence in Behavioral Health Disparities in Aging
2020 – 2025
Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
Bronwyn Keefe and the Center for Aging & Disability Education & Research (CADER) at Boston University School of Social Work are partnering with Rush University Medical Center in a 5-year, $3.5 million grant funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) to create a new research center called Engage, Educate, Empower for Equity: E4, The Rush Center of Excellence for Behavioral Health Disparities in Aging. The E4 Center’s mission is to expand workforce capacity through innovative training of practitioners. The Center will target the healthcare workforce to reduce behavioral health disparities in older adults in four strategic priority areas: 1) depression and suicide; 2) substance use disorders; 3) serious mental illness; and 4) socioeconomically disadvantaged and underserved ethnic and racial minority groups. Currently, CADER’s research focuses on training faith leaders to identify and respond to mental health concerns in older adults in their faith communities.
For more background information, please refer to see the NCOA Age in Action 2024 conference presentation as well as this Evaluation Report.
Strengthening Age-Friendly Communities by Addressing Behavioral Health Concerns among Older Adults
2024
Sponsor: City of Salem, Salem for All Ages
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
The Center for Aging and Disability Education and Research (CADER) and the City of Salem are implementing a three-component outreach and educational program in Salem, MA focused on behavioral health in aging. The program provides education and training to older adults, working professionals, and the Salem community. The first program component is a community-wide anti-stigma media campaign in multiple languages, with the goal of raising awareness of behavioral health in aging and decreasing stigma. The second component consists of four interactive workshops for older adults on behavioral health topics, specifically mental wellness, social isolation, substance use, and coping with loss and change. These workshops will equip older adults with skills they can use to manage their own behavioral health concerns and to look out for others. For the third component, professionals throughout Salem are completing CADER’s five-course Behavioral Health in Aging certificate so that they will be better able to identify and respond to behavioral health concerns in the older adults they work with.
Tri-Valley Case Management Accelerated Training (CMAT)
2023 – 2024
Sponsor: Massachusetts Executive Office of Health and Human Services
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
Tri-Valley, Inc. developed the Case Management Accelerated Training (CMAT) program, an 11-week case management professional development program. The goal of the program is to increase the accessibility of case management training and reduce shortages in the case management workforce. The CMAT curriculum consists of in-person classes, assignments, and field experiences. Tri-Valley partnered with CADER to offer CADER’s Person-Centered Case Management (PCCM) Certificate as part of the CMAT program to provide participants with in-depth knowledge and skills related to case management. Three cohorts will complete the program, and so far, two out of these three sessions have been completed. Results so far are promising, with 11% of participants reporting feeling extremely or very prepared to work as a case manager before completing the PCCM certificate compared to 74% of participants feeling extremely or very prepared to work as a case manager after completing the PCCM certificate.
For more information, please refer to the Session 1 and Session 2 evaluation reports.
Recently Completed Research
Geriatric Academic Career Award: Enhancing Behavioral Health Competencies through Interprofessional Training
2019 – 2023
Sponsor: Health Resources and Services Administration (HRSA)
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
Bronwyn Keefe received the Geriatrics Academic Career Award (GACA) from the Health Resources and Services Administration (HRSA), one of two inaugural social work awardees among twenty-six recipients nationwide.
The GACA is a four-year grant awarded to support the career development of junior faculty members providing interprofessional clinical training in aging. Keefe’s research focused on three primary goals while fulfilling her career award:
- Develop interprofessional training related to mental health and substance use with an emphasis on person-centered care;
- Create and disseminate curricula for students and interprofessional teams that will improve health outcomes for older adults;
- Increase involvement with regional and national geriatric and social work organizations to educate the interprofessional geriatric workforce on mental health, substance use, and value-based care.
Prevention and Identification of Behavioral Health Issues in Older Adults: Skill Development Among Clergy Members
2018 – 2022
Sponsor: Massachusetts Department of Public Health Suicide Prevention Program
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
This program will focus on understanding and addressing the behavioral health needs of older adults by developing a blended training program (online and in-person) for diverse clergy in Massachusetts. This grant-funded program will include a pilot program during the first year, where a small group of selected clergy and faith leaders will review and provide suggestions on ways to revise existing CADER online courses in Behavioral Health and Aging. In the second year, CADER will deliver this revised training to a wider audience of faith leaders across Massachusetts. At the end of the program, clergy will be able to demonstrate significant increases in competencies related to their ability to: recognize the signs and symptoms of the common cognitive, substance use, and mental health conditions including suicidality in older adults; address the impact of stigma when working with older adults; understand how and where to make referrals for assistance; and identify the strengths and resources in immigrant and refugee communities that build resilience.
Building Dementia-Capable Services and Supports Through Alzheimer’s And Dementia Training
2016 – 2021
Sponsor: Commonwealth of Massachusetts Executive Office of Elder Affairs
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
This grant focused on improving the capacity of Massachusetts’ home and community-based service system to provide dementia-capable services and supports by providing advanced training to help home care staff identify individuals with dementia and provide services that promote independence and well-being, mitigate conflict and alleviate stress for families coping with dementia. Ultimately the training provided through this grant had an impact on quality of life for thousands living with Alzheimer’s disease across the Commonwealth.
Prevention and Identification of Behavioral Health Issues in Older Adults: Enhancing Competencies for Workers in Senior Centers
2018 – 2020
Sponsor: The Retirement Research Foundation (RRF)
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
Two-year grant from The Retirement Research Foundation (RRF) focused on behavioral health training for senior center staff in Florida, Illinois, and Wisconsin. Across the U.S., there are nearly 10,000 senior centers. Known in many towns and municipalities as the go-to place for assistance, senior centers are often the community front door and focal point for social and support services to older adults, families and caregivers. They also provide a touchpoint for identifying older adults at risk for behavior health concerns. This work is a collaboration between the Center for Aging and Disability Education and Research (CADER) at Boston University School of Social Work and the National Council on Aging (NCOA).
Building Dementia-Capable Services and Supports Through Alzheimer’s And Dementia Training
2016 – 2021
Sponsor: Commonwealth of Massachusetts Executive Office of Elder Affairs
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
This grant focused on improving the capacity of Massachusetts’ home and community-based service system to provide dementia-capable services and supports by providing advanced training to help home care staff identify individuals with dementia and provide services that promote independence and well-being, mitigate conflict and alleviate stress for families coping with dementia. Ultimately the training provided through this grant had an impact on quality of life for thousands living with Alzheimer’s disease across the Commonwealth.
Strengthening an Age Friendly Community through Capacity Building and Partnerships that Address Behavioral Health Concerns in Older Adults
2017 – 2019
Sponsor: Tufts Foundation
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
This project is focused on field/capacity building in the area of behavioral health through a partnership with Age Friendly New Bedford, in particular between the New Bedford Council on Aging and the Center for Aging and Disability Education and Research at Boston University School of Social Work. In keeping with Tuft’s goals of developing communities that are responsive to the needs of older adults, promote healthy living, and focus on the most vulnerable older adults, this program will build on the collaboration among organizations in New Bedford that led to its designation as an Age Friendly city. In order for older adults to be fully engaged in community life, behavioral health concerns need to be addressed with a focus on social isolation, depression, and substance use. Many Age Friendly efforts don’t address these issues even though significant numbers of older adults are impacted. This grant will focus on capacity building in behavioral health through the diverse partnerships that make up the Age Friendly New Bedford coalition
Acute Community Care to Avoid Unnecessary Emergency Department Visits
2016 – 2019
Sponsor: Patient-Centered Outcomes Research Institute (PCORI)
PI: Lisa I. Iezzoni, MD, MSc, Massachusetts General Hospital
This grant is to examine a new Massachusetts acute community care program — a collaboration between the EasCare ambulance service provider and Commonwealth Care Alliance, which serves adults who have both Medicare and Medicaid coverage. This acute community care program is mobile paramedic outreach program that responds to 911 calls to diagnosis and treat low income older adults and persons with disabilities in order to prevent unnecessary emergency department use. Working with an outstanding team of researchers from MGH, Harvard, University of Massachusetts, and BU School of Public Health (BUSPH), CADER’s responsibility focuses on developing measures of competency assessment for paramedics, interviewing patients, family members, paramedics and providers to collect patient-reported experiences and reactions.
Building Healthier Communities: An Evaluation of the Kiosks for Living Well Program
2017 – 2018
Sponsor: Blue Cross/Blue Shield through Greater Lynn Senior Services
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
Greater Lynn Senior Services, Inc. (GLSS) received funding from BCBSMA Foundation to fund the development and implementation of a robust evaluation framework for their Kiosk for Living Well program. The Kiosks are vibrant, mobile spaces embedded in community pulse-points that inspire consumers to participate in activities designed to promote healthier living routines, ranging from engaging self-assessments, educational and fun activities to health monitoring by appropriately and clinically trained staff around hypertension, stroke reduction, stress management, falls prevention, and depression. Consumers can connect with nurses, mobility counselors, social workers, community health workers, and advisors trained in problem solving supports to address the full range of health concerns and their social determinants. GLSS has subcontracted with BU to conduct this evaluation work.
Behavioral Health in Aging: Building the Capacity of Providers in Massachusetts
2017 – 2018
Sponsor: Commonwealth of Massachusetts Executive Office of Elder Affairs (supplement to grant listed above)
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
With the growth of the aging population and its increasing diversity, it is imperative to examine what we can do to build healthy communities and address the relationship of mental wellness to overall health and well- being. It is estimated that one in four older adults will have a behavioral health concern. This program will enrich participants understanding of the major mental health conditions and substance use concerns facing older adults as well as the importance of promoting mental wellness and resilience. Attention will be paid to the importance of screening, assessment and evidence based interventions. This is a statewide capacity building program recommended for the following direct service positions: adult protective services; case managers; social workers; nurses and supervisors; council on aging staff and directors; options counselors; and housing staff.
Strengthening Interdisciplinary Patient-Centered Care
2014 – 2016
Sponsor: Commonwealth Corporation
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
CADER and the Commonwealth Care Alliance of Massachusetts (CCA) came together in 2014 to design and implement competency-based, standardized training for CCA’s rapidly expanding interdisciplinary workforce. CADER conducted an assessment of workers’ skills and then developed a set of courses tailored to strengthen the clinical staff’s capacity for providing person-centered care as part of an interdisciplinary healthcare team. The approximately 200 workers who completed the program over the two-year period showed significant gains in targeted skills. In addition, CCA experienced fewer grievances regarding care-management practices, and patient buy-in to care plans increased significantly for those sites trained. All course competencies, increases in mean scores for course participants from pre-test to post-test for each course completed, were statistically significant. Participants expressed appreciation for the CADER online courses and reported that they were highly applicable to their jobs and should be required for new staff and future team leaders. CCA staff have observed improvements in team interaction and communication. Workers have expressed feeling more empowered when advocating for clients.
Aging and Disability State Offices: Assessing the Feasibility on the Creation of a New York State Office of Community Living
2015
Sponsor: The New York State Office for the Aging
PI: Bronwyn Keefe, MSW, MPH, Ph.D., Director, Boston University School of Social Work’s Center for Aging and Disability Education (CADER), Boston, MA
A project to work with The New York State Office for the Aging (NYSOFA) to conduct a feasibility study about the possibility of creating a state Office of Community Living. The purpose of this project was to seek public input about the creation of an Office of Community Living with the goal of providing improvements in service delivery and improved program outcomes that would result from the expansion of community living integration services for older adults and persons of all ages with disabilities.
If you are interested in evaluation and research support for your project, please contact us at cader@bu.edu for more information on our research initiatives and how we can work together.