Health AGEnda

SIF Grant Helps Strengthen ‘Butte-tiful’ Community

Beautiful vistas surround "The Richest Hill on Earth."

Beautiful vistas surround “The Richest Hill on Earth.”

Editor’s Note: The Southwest Montana Community Health Center  in Butte, Montana, is one of eight primary care community clinics receiving funding through the federal Social Innovation Fund (SIF) initiative to spread the IMPACT program, also known as Collaborative Care, in the rural Northwest.

The John A. Hartford Foundation was one of just four new awardees chosen in 2012 to serve as an intermediary between SIF and subgrantees implementing innovative care models. As a result, a $3 million federal grant has been matched by $3 million from the John A. Hartford Foundation, with additional matching grants from the subgrantees, to spread the IMPACT/Collaborative Care model of depression treatment in Washington, Wyoming, Alaska, Montana, and Idaho.

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Hartford Change AGEnts Action Awardees: A Super Team Bound to Bowl You Over

While most people will be watching the Super Bowl Sunday, Rachael Watman is rooting for another team: the latest Hartford Change AGEnts Action Awards winners.

While most people will be watching the Super Bowl Sunday, Rachael Watman is rooting for another team: the latest Hartford Change AGEnts Action Awards winners.

I am not going to win many fans here: I don’t watch the Super Bowl nor do I really like football.

My husband just confirmed my suspicion that the Seattle team and somebody from New England are playing Sunday; he then schooled me on the details regarding “Deflategate.”

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Celebrating a New Cohort of SIF Subgrantees, Reflecting on Our IMPACT in the Rural Northwest

The stark beauty of the landscape near Hardin, Mont.

The stark beauty of the landscape near Hardin, Mont.

National Mental Health Month, which comes in May each year, has meant more to me since launching our initiative to spread the IMPACT model of depression treatment in the five-state WWAMI region (Washington, Wyoming, Alaska, Montana, and Idaho) under the federal banner of the Social Innovation Fund (SIF).

Today, we are celebrating the selection of our second batch of SIF subgrantees. We are proud to announce awards to the following organizations: Continue reading

Making an IMPACT in the Rural Northwest, Round 2: Building On Our Progress

06PortOrchardWaTotem300As noted in a recent Los Angeles Times article, JAMA Psychiatry recently published a study showing that men are equally likely to be depressed as women. That doesn’t sound very revolutionary until you consider the long-held belief that women are 70 percent more likely to have major depression than men.

As intuitive as it may be that many of the causes of depression are common to humanity in addition to life experiences such as childbirth or military service that might skew to one gender or the other, it has taken time for us to appreciate that depression—an outcome of stresses that can take many forms—can look very different in men and women.

If we include symptoms such as rage, risk-taking, substance abuse, and workaholism, according to the study, we find that major depression may be even more common in men than in women, though we are still adapting to see the signs that way.

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Behind the Scenes at the North By Northwest SIF Tour 2013


A beautiful sunset in Twin Falls, Idaho.

Updated Wednesday, April 24, 2013, with photos from Alaska.

Our intrepid John A. Hartford Foundation staff are starring in their own version of North By Northwest this week, conducting site visits to clinics in Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI, for short) in the final stage of the process to award grants to improve care for depression.

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Why We Are Surveying Older People about Their Experiences with the Health Care System

Editor’s Note: This article was originally written for the Health Affairs Grant Watch Blog.

TS_96227088_Survey300For more than twenty years, the John A. Hartford Foundation has worked to improve the health of older Americans. And over that time, institutionally, we have shifted from deep skepticism about publicity and communications to what we hope is a balanced sense of how communicating to, and hearing from, the public can improve our work. In 2012, we extended our efforts to educate the public through two national public polls, through which we asked people older than age sixty-five about their experiences with, and views about, health care.

Given our size (endowment of $500 million) and average grant of almost $1 million over three years, the total cash cost of these polls feels reasonable ($20,000 to $30,000) and is comparable to some of the other “non-grant” ways we have tried to advance our mission (for example, publishing reports, convening grantees and policy audiences, and providing training in capacity building). Of course, it also requires an enormous effort from foundation staff and our outsourced communications colleagues from Strategic Communications and Planning.

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Mental Health and Older Adults: Video Series Shares Tales of Courage, Hope

Elizabeth’s inspiring story of how she overcame years of depression triggered by the murder of her daughter and subsequent death of her husband is featured in our 2011 annual report video series.

The release earlier this month of our second national poll, “Silver and Blue: The Unfinished Business of Mental Health and Older Americans,” capped a year in which the John A. Hartford Foundation has focused a spotlight on mental health issues.

We made mental health and older adults the focus of our award-winning 2011 annual report, and we brought the stories of real people we told in the pages of the report to life in a series of captivating videos that ran throughout the fall.

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Ten Years After: Poll Shows Depression Care Still Lacking

Ten years ago this month, the initial results of a $10 million depression treatment project funded by the Hartford Foundation (with co-funding from the California HealthCare, Hogg, and Robert Johnson Foundations) were published in the Journal of the American Medical Association.

In what remains the largest multi-site randomized trial of its kind, the project—called IMPACT—showed that it is possible to double the benefits of the usual treatment of older adults for depression in primary care practices. And it demonstrated what changes are needed in the process of depression care to ensure that more patients get better.

So how much progress has our nation made in providing better mental health care for older adults, a decade later? To find out, we commissioned our second national poll, with help from Strategic Communications and Planning, called “Silver and Blue: The Unfinished Business of Mental Health Care for Older Adults.”

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Wanted: Applicants interested in making an IMPACT on depression treatment in the Northwest

We’re delighted to announce the start of our initiative to implement the IMPACT (Improving Mood – Promoting Access to Collaborative Care) model of depression treatment in community health clinics serving patients from rural areas in the Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) region.

As a first step, the Hartford Foundation is seeking applications for grant funding from primary care clinics in the region. And we’re asking for your help in getting the word out on this funding announcement .

As many of our readers know, this funding opportunity is made possible through the Social Innovation Fund (SIF) grant we received from the Corporation for National and Community Service (CNCS), along with our additional support for technical assistance, training, and evaluation. With the combined funds, the Hartford Foundation will award a total of $3 million over the first two years of the initiative, and another $1.5 million in the third year, contingent on programmatic requirements and the availability of federal funding.

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Slow Down and Listen: The 2011 Annual Report Video Series

Recently, you heard from the creative team—our writer, photographers, and videographers—for our award-winning 2011 annual report focused on mental health and older adults. In that blog post, Don Battershall reported that in order to capture the stories of the older adults, caregivers, and health care professionals featured in the annual report, he needed to “really slow down and just listen, let the person talk.”

Today, we are delighted to give you the opportunity to “slow down and listen,” just as Don did, through the first of our collection of 2011 annual report videos.

The first video features Elizabeth, an inspiring older adult who overcame years of depression triggered by the murder of her daughter and subsequent death of her husband. Elizabeth, together with her Depression Care Manager Rita Haverkamp, RN, MNS, CNS, participated in Project IMPACT—a successful, Hartford-funded model to assess and treat depression in a primary care setting.

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