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*OLD* Dysphagia: Swallowing Disorders

The word Dysphagia is from the Greek root “dys” meaning disorder and “phag” meaning food. People with dysphagia have difficulty swallowing and may even experience pain while swallowing (odynophagia). Some people may be completely unable to swallow or may have trouble safely swallowing liquids, foods, or saliva. When that happens, eating becomes a challenge. Often, dysphagia makes it difficult to take in enough calories and fluids to nourish the body and can lead to additional serious medical problems.

Course Objectives

Learn what dysphagia is and how it affects different populations

Learn how to treat dysphagia and minimize its effects

Understand dysphagia in the elderly, including those with dementia and Parkinson's disease

Understand dysphagia's connection to developmental disability

Learn techniques for handling youth dysphagia

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Person-Centered Planning

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Course Summary 

Person-centered planning is a process-oriented approach to empowering people with disability labels. It focuses on the people and their needs by putting them in charge of defining the direction for their lives, not on the systems that may or may not be available to serve them. This ultimately leads to greater inclusion as valued members of both community and society.

Person-centered planning involves the development of a "toolbox" of methods and resources that enable people with disability labels to choose their own pathways to success; the planners simply help them to figure out where they want to go and how best to get there.

Course Objectives:
Understand what it means to be person-centered

Learn what person-centered planning involves

Become familiar with methods of organization-wide implementation

Experience person-centered planning through personal stories dealing with family, childhood, education, employment, community living, and aging

Gender Inequality: Cultural Competency

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Course Summary 

This course meets the one time requirement to complete one hour of Cultural Competency after December of 2016.

If you took one hour or more of  approved training in Cultural Competency in either the ICTP Admin course or in any  CEU renewal term after December of 2016 you do not need to take this course. 

The requirement is not for a course in LGBT specifically.  The requirement is for training in cultural competency in issues related to the gay, bisexual and transgender community.

If you have further questions re the Title 22  requirement  please contract the ACS section

Quizzes
Following the lesson, there is a quiz.  You must achieve a score of 70%. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Course Description

While many steps have been taken along the road to gender equality, there remains a great deal of work still to be done. Gender inequality is a serious issue today, especially for transgender people and others in the LGBT community. This course will look at the various ways that inequality, prejudice, and violence regularly affect LGBT people. Troubling disparities in legal rights will be discussed. Revelatory statistics on work life and economics in the LGBT community will be offered. Social inequality both within and outside of the educational system will be illustrated with relevant examples and statistics. Finally, inequality in aspects of health be covered, with emphasis on violence against the LGBT community.

Course Objectives:

Learn about gender inequality and how if affects the LGBT population

Awareness of existing legal rights for LGBT people, and the lack of rights and protections

Illustration of work situations and the economic gap between LGBT and cisgendered people

Explanation of inequality in social life and education for transgender individuals

Exploration of inequality in both physical and mental health in the LGBT community

Study of examples and rates of violence commonly directed at LGBT people

Personal Rights in ARF: Laws and Reg Course

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Course Summary 

Geraldo Rivera’s expose of Willow Brook mental hospital in the 1960s gave the public an inside look at how the disabled and mentally ill were being abused. Despite decades of education and training violation of personal rights remains an ongoing problem in residential care facilities.  Students will learn how their communication style or behavior may unknowingly violate the personal rights of individuals under their charge.  Of all the personal rights treating people with dignity respect and the right to privacy are most easily taken for granted and violated.  Students will be exposed to scenarios that depict common situations in which personal rights are violated.

Course Objectives:
Awareness of basic human rights.
Comprehensive understanding of the rights of the developmentally disabled.
Familiarity with the provisions of the Lanterman Act.
Develop a  deeper knowledge of the right to be treated with dignity and respect and the right to privacy.
Familiarity with the advocacy and denial of rights process.

Medication Assistance Rights, Storage and PRN: Laws and Reg Course

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Course Summary 

Many clients require medication as part of their health care plan. There are many risks associated with medication such as harmful interactions, receiving the wrong medication or the wrong dosage, or taking medications at the wrong time or via the wrong route. Community Care licensing regulations are specific in how medications are stored and staff assist clients in taking their medication. Administrators are responsible for ensuring that staff under their charge are properly training in the self-administration, rights, and protocols associated with the medication.

Course Objectives:
Knowledge of rules regarding administration of medication; awareness of the right to refuse; ability to foster compliance and deter non-compliance
Understanding refills and dosage changes; avoidance of medication errors and adverse drug interactions
Familiarity with medication labels, packaging, and proper storage and disposal practices
Awareness of PRN and over-the-counter medication requirements
Have knowledge of record-keeping and communication
Comprehension of the “Seven Rights,” common ailments of the developmentally disabled, and chemical restraint restrictions

Initial Certification ARF

The Initial Certification Course for ARF is divided into 10 sections.
Each lesson contains the the outline and content for that subject matter.

Sexual Harassment

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Course Summary 
Course Summary

Sexual Harassment in the workplace is a sensitive issue that can marginalize employees and be costly to employers. The Me Too movement has ignited a sea change in cultural attitudes re what is acceptable behavior at the workplace. Many high-profile legal cases such as Harvey Weinstein and Bill Cosby have focused attention on how employers have used their power to harass and exploit mostly female employees. Students will learn what behaviors constitute harassment and the importance of developing policies and ongoing training to prevent it. Course content focuses on definitions, harassment policies, scenarios, legal consequences, and best practices for responding to complaints.

This online course satisfies the California law that employees and supervisors receive sexual harassment training.
California employers with five or more employees must provide harassment prevention training to all employees by the end of 2020. Two hours of training is required for supervisors and one hour for non-supervisory employees. Training must take place within six months of hire or promotion and every two years thereafter (SB 1343).

Course Objectives:

Know what constitutes sexual harassment and abusive conduct

Understand the legal definition of sexual harassment

Become familiar with laws regarding sexual harassment

Study sample harassment and abuse policies and scenarios

Know how to safely and effectively report sexual harassment and abusive conduct

Learn techniques for preventing sexual harassment and abusive conduct

Gain an understanding of current events involving sexual harassment

Quizzes
Following each lesson, there is a quiz. You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Measles Outbreak

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Course Summary 

Measles is a serious disease that can lead to devastating medical complications and suffering. Measles Outbreak covers the course and symptoms of measles and how medical science successfully eradicated the disease in 2002.  Within the last decade measles has come back due to declining vaccinations rates.  California legislation has eliminated personal exemptions and instituted  increased oversight of medical exemptions. Administrators should be familiar with measles and ensure that all clients and staff are vaccinated.

Course Objectives:
Become familiar with the course symptoms, cause, and treatment of measles.

Understand how measles is transmitted.

Learn the history of measles and the public health effort to eradicate the disease.
Become familiar with recent outbreaks across the country in the last five years and in particular 2019.

Gain knowledge of  the science behind the development of the measles vaccine and the importance of maintaining high rates in all communities.

Gain knowledge of why infants must wait until one year prior to being vaccinated.

Gain a deeper understanding of the success of the  anti-vaccination movement  in convincing parents to not vaccinate their children.

Get up to date on California’s vaccination laws.

Complaints Deficiencies and Corrections: Laws and Reg Course

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Course Summary 

Title 22 regulations from water temperature, TB tests, and personal rights are in place to protect the health and safety of clients.  The last thing an administrator wants to contend with is an inspection by a Licensed Progam Analyst.   By studying real-life inspections drawn from the   CCL website, the administrator will learn just how facilities are evaluated and the consequences that follow.  Each lesson details actual facility reports organized by the allegation, deficiency, along with the correction pan, and how to maintain compliance.  By viewing deficiencies and complaints across both Adult Residential and Elderly facilities the administrator is in a better position to catch and remedy deficiencies quickly before an LPA does.

Course Objectives:

Understand how the LPA evaluates a facility.

Use facility reports identifying areas of concern in their own facility.

Ensure their own facility is ready for any unannounced or complaint inspection.

Develop a more hands-on working knowledge of how the regulations are enforced.

Students are encouraged to use the Self Assessment Guides below as course companions.

Assessment Guides
Students may want to use the Assessment Tools published by Community Care Licensing to evaluate their own facility.

Adult Residential Self Assessment Guide

RCFE Self Assessment Guide

ARF Key Indicator Tool

ARF Key Indicator Tool 2

Abuse Reporting: Regulation Course

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Course Summary 

This course is not approved for ARF, GH, or STRTP.

Quizzes
Following each lesson, there is a quiz. You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

The objectives of the course are:
Learn who is a mandated reporter.
Learn what are your legal responsibilities as a mandated reporter.
Learn what are the reporting exemptions.
Learn to identify the different types of abuse:
Physical
Financial
Psychological
Learn how reports of abuse are investigated.
Learn how to report and 2013 guidelines for physical abuse.
Learn the penalties for not reporting and protections for reporters.

Source Material
“Article 3. Mandatory and Nonmandatory Reports of Abuse [15630 - 15632].” California Legislative Information, 1 Jan. 1995,
leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=WIC&division=9.&title=&part=3.&chapter=11.&article=3

“Regional Center Contract Language Fiscal Year 2022-2023.” State of California Department of Development Services, Dec. 2022,
www.dds.ca.gov/wp-content/uploads/2022/12/Standard_RC_Contract_FY_22_23.pdf.

“Your Legal Duty: Reporting Elder and Adult Dependent Abuse.” California Attorney General’s Crime Office  and State of California Department of Justice-Office of the Attorney General, 2024,
oag.ca.gov/sites/all/files/agweb/pdfs/bmfea/yld_text.pdf

Sex and Dementia

Quizzes
Following each lesson, there is a quiz.  You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Sex and Dementia
This course focuses on dementia and sexuality, intimacy, and sexual behavior in care homes—a subject which remains one of the last taboos of long-term care. The onset of old age or a cognitive impairment does not erase the need for affection, intimacy, and/or relationships, and yet this aspect of aging has often been ignored and sidelined in policy and practice.

While the issues involved can be complex, controversial, and sensitive, and may challenge our own beliefs and value system, it is essential that we understand more about them to foster a more person-centered approach to dementia care. Care home residents with dementia often have complex care needs and trying to understand and respond to the more intimate and sexual aspects of a resident’s personality can be challenging.
This course will also aim to challenge negative attitudes and misconceptions about older people with dementia and their sexuality.

There is a common belief that older people do not engage in or enjoy sexual activity. This belief ignores the fact that all human beings have the capacity and need to express their sexuality no matter their age or disability. Sexual expression is more than a physical sex act; it is the essence of what makes us male and female. The course objective is to provide care providers with the knowledge to enable sexual expression in people suffering from dementia in a meaningful way without loss of dignity or self-esteem.

How do we provide care to individuals with dementia that encompasses the need for sexual expression without putting our own values, feelings, and constraints on the person? Care providers are often in a difficult position of having to judge what is acceptable behavior. These decisions may cause distress to either the person with dementia or their families. It is hoped that this course will shed light on this difficult topic by a deeper look at the meaning and expression of sexuality in dementia.