Opening Minds through Art (OMA) CMP Application 2021 - 2023

Leading Age Virginia and Art for the Journey present Opening Minds through Art (OMA)

LeadingAge Virginia has been awarded a three-year grant by DMAS and the Civil Monetary Reinvestment program to expand the best-practice program, Opening Minds through Art (OMA), carried out by Art for the Journey.

OMA is an award-winning, evidence-based, intergenerational art-making program for people with Alzheimer's disease and other forms of neurocognitive disorders. Its failure-free program provides opportunities for creative self-expression and social engagement for people with dementia.

Up to 102 Virginia long-term care communities with SNF units can receive startup funding and certification training to adopt the program. Selected communities will receive two scholarships for staff members to attend the OMA Facilitator Training program (valued at $1500) and $2000 to purchase art supplies upon completion of the training.

Thank you for your interest in OMA. We look forward to reviewing your application submission!

Question Title

* 1. Community Name

Question Title

* 2. Your Contact Information

First Name *

Last Name

Title

Email Address *

Phone Number *

Question Title

* 3. Community/Organization Address

Street Address

City

State

Zip Code

County

Question Title

* 4. Parent Company Name (if applicable)

Question Title

* 5. Are you the administrator of your facility?

Yes

Question Title

* 6. Administrator's Contact Information

First Name *

Last Name *

Emal

Phone Number

Question Title

* 7. Eligibility
Check all that apply:

We are located in Virginia

We are Skilled Nursing Facility (SNF)

We are Medicaid/MedicAid Certified

We are not eligible for this grant, but would like to pursue training independently

Question Title

* 8. Resident Information:

Number of Residents

Question Title

* 9. Implementation Questions:

Please describe visual art and other artistic capabilities and qualifications within your team (a "team" may consist of staff members and other collaborators planning to adopt the OMA program.) (100 words)

Please state the approximate dollar amount of your annual activity/programming budget and the number of residents served with this budget. It is helpful to have a sense of the level of this kind of activity already in place in your community.

Question Title

* 10. Two people from your community are required to complete the OMA Facilitator Training certification course. This includes a four-week online academic course and a 1.5 day in-person practicum, worth a total of 21 CEUs. These two must be trained within 6 months of each other to receive supply funding.

Please assure us that you have two people in mind to receive this training. Provide as much information as possible, knowing this is subject to change.

Trainee #1 Contact Information

First Name

Last Name

Title

Email Address

Phone Number

Question Title

* 11. Trainee #2 Contact Information

First Name

Last Name

Title

Email Address

Phone Number

Question Title

* 12. Are there staff members at your facility who have previously completed OMA Facilitator Training? If yes, please list names, contact information, and dates of training.

Question Title

* 13. Please enter your community's Medicare/MedicAid number.

Question Title

* 14. The OMA Facilitator Training certification course offered in Virginia has a hybrid design: four weeks of online learning is followed by a 1.5 day practicum, scheduled on weekdays. How far are you able to travel to attend the 1.5 day practicum?

3-4 hours

1-2 hours

Under 30 minutes

Any of the above

Undetermined at this time

Question Title

* 15. Is your community interested in hosting a 1.5 day practicum in 2023 or 2024 in exchange for two more training scholarships? Indicate here and, if yes, go ahead and fill out this survey to begin the conversation (copy+paste into your browser): https://www.surveymonkey.com/r/FR3RGGD

Yes - please send more information

No - this would not be possible

Question Title

* 16. Support Letter:

Use of volunteers is a key aspect of OMA. Having a relationship with a university, high school or other community group for volunteers is most helpful. If you have such a relationship, please upload a letter of support from this organization as a steady source of volunteers. Only pdf files are supported.

PDF file types only.

Choose File

Thank you for your application! If accepted, you will receive an email within two weeks of submission date from Stephanie Shanks (stephanie@artforthejourney.org)

Opening Minds through Art (OMA) CMP Application 2021 - 2023

Leading Age Virginia and Art for the Journey present Opening Minds through Art (OMA)

Question Title

* 1. Community Name

Question Title

* 2. Your Contact Information

Question Title

* 3. Community/Organization Address

Question Title

* 4. Parent Company Name (if applicable)

Question Title

* 5. Are you the administrator of your facility?

Question Title

* 6. Administrator's Contact Information

Question Title

* 7. EligibilityCheck all that apply:

Question Title

* 8. Resident Information:

Question Title

* 9. Implementation Questions:

Question Title

Question Title

* 11. Trainee #2 Contact Information

Question Title

* 12. Are there staff members at your facility who have previously completed OMA Facilitator Training? If yes, please list names, contact information, and dates of training.

Question Title

* 13. Please enter your community's Medicare/MedicAid number.

Question Title

* 14. The OMA Facilitator Training certification course offered in Virginia has a hybrid design: four weeks of online learning is followed by a 1.5 day practicum, scheduled on weekdays. How far are you able to travel to attend the 1.5 day practicum?

Question Title

* 15. Is your community interested in hosting a 1.5 day practicum in 2023 or 2024 in exchange for two more training scholarships? Indicate here and, if yes, go ahead and fill out this survey to begin the conversation (copy+paste into your browser): https://www.surveymonkey.com/r/FR3RGGD

Question Title

* 16. Support Letter:

* 7. Eligibility
Check all that apply: