By LANCE CRANMER firstname.lastname@example.org
COLUMBUS – Working in the mental health field and specializing in providing care for aging adults, Matthew Fullen began to notice a recurring theme.
“A lot of health care is focused on dealing with physical concerns that older adults express,” he said. “Other psychological, emotional and spiritual concerns are made into second-class citizens.”
A doctoral student at the Ohio State University College of Education and Human Ecology, Fullen was awarded with an Albert Schweitzer Fellowship, and used his sponsorship to create a study on resilience that he brought to National Church Residences.
“I reached out to Dan Fagan (Vice President of Home and Community Services) and Terri Allton (Senior Vice President of Home and Community Services) and they were both supportive,” Fullen said. “The three of us identified the Adult Day Center on Livingston Avenue as a great place to pilot some of these new ideas.”
The project had two prongs: first, to focus on acknowledging the staff at the facility and finding their individual strengths, and second, to work with the clients and talk to them about what it means to be resilient.
“Sometimes we don’t recognize that in older adults,” Fullen said. “We don’t give them a chance to notice the ways they’ve been resilient.”
Thirty clients at National Church Residences Livingston Avenue Center for Senior Health in Columbus, Ohio, participated in the nine-week program with Fullen and Sean Gorby, a fellow Ph. D student at OSU and the co-facilitator and co-researcher.
“We allowed clients to talk about ways they’ve been resilient and to hear stories from other clients there who have also demonstrated resilience,” Fullen said. “The way we implemented it was by framing our discussion through different areas of wellness. What about physical wellness? Next week, how have you been resilient through relationships? We cycled through several categories that allowed people to think about resilience in a way that was holistic. They were able to think about ways they’ve been resilient in their lives and it broadened their picture of resilience.”
The more the clients began to participate, the more excited they became for each weekly session.
“We had some really lively discussions,” Fullen said. “At the start of every Friday there was a palpable energy in the room. People were excited to talk about their lives, the challenges they’ve been facing and the ways they’ve been resilient.”
“It has really helped me because you know your situation but you find that others … we’re different but we’re all alike,” said an 83-year old Livingston client who participated in the study. “I’ve learned a whole lot, and it’s just a blessing being together and everybody sharing what’s happened to them or what is happening to them and to know that you’re not alone.”
The participants in the study ranged from 59 to 94 years old with the average age being 78. Eighty percent were African-American and more than half were both Medicare and Medicaid eligible.
After the nine week study concluded, 96 percent of participants reported enjoying the class and feeling a higher level of wellness and 92 percent said they felt generally happier than they previously had.
“Many individuals said they had no idea what some of the other folks in the room had been through and that allowed them to really appreciate their own resilience,” Fullen said.
In working with the staff, Fullen organized a “SPA Day” with SPA meaning “Strengthening Pride in Aging.”
“It was a way of giving the staff a chance to be celebrated,” he said. “We had massage therapists, a catered luncheon, and they learned about each other’s strength inventories. And in some follow-up surveys, 100 percent said it was helpful … and it made them feel proud of their work at Livingston and that they would recommend the strengths assessments to their friends.”
Fullen’s decision to bring his research proposals to a National Church Residences facility did not happen by chance. A decade before, he had been employed by the organization in a much different role that allowed him to work directly with aging adults in a time of need.
“It really started in 2005 when I worked for National Church Residences. That started me down this path that, now, 10 years later I am very committed to. I see it as a calling,” said Fullen, who worked as a Relocation Coordinator, helping residents transition into temporary homes during periods where National Church Residences facilities are being renovated. “It was a brilliant way to put a human touch on the whole relocation process. It gave me a lot of opportunities to interact with older adults in a time of somewhat crisis for them. That was a lot of built-in practice in helping even think about overcoming adversity. When you’re in your 70s and thinking you’re never going to move again, that requires some convincing.”
After a few years with the organization, Fullen chose to go back to school.
“I got my Master’s Degree in clinical counseling and another in Divinity. Really my professional focus has been thinking about how to help older adults maximize satisfaction with the feelings that come with aging,” he said. “I help them think about again and see it as an opportunity to grow and continue to be involved in their families and their communities.”
Later, when Fullen had the chance to study his ideas through the Schweitzer Fellowship, the 32-year old Hilliard, Ohio-native, knew National Church Residences would be the perfect partner.
“It’s been a privilege to work alongside National Church Residences,” he said. “National Church Residences is a leader in thinking innovatively about how to navigate the aging process.”
The results of the research will eventually be compiled into a manuscript and will be published.
“We hope this will lead to other opportunities to replicate this study at other sites,” Fullen said. “Currently I’m in some conversations with National Church Residences about how to expand this program and how to continue the positive momentum that’s taken place at Livingston.”
Fullen said that focusing his education through the years on not only health care but also religion has been a blessing.
“That fit so well with this resilience idea,” he said. “You look at how people’s bodies are changing and it’s easy to be discouraged. But you look at a whole person, their spiritual vitalogy, and you see aging as something not to be afraid of. It can be very hopeful. You think about again in new ways that can be very important to all of us. We’re all going to go through it at some point.”