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## Replication Model A

### *Maryland Department of Aging: Addressing Malnutrition in Community Living Adults, A Toolkit for Area Agencies on Aging*

**Replication Toolkit**:** **Model A

**Model Project Summary: **To transform their senior nutrition program, the Maryland Department of Aging used the epidemic of older adult malnutrition as the catalyst to introduce evidence-based practices, cost-cutting measures, innovative meal products, and efficient service delivery methods to forge new health care linkages and expand service to older adults in the community.
                  - Supplemental Resources - Model A
                  -                      - AAA Malnutrition Pathway Presentation  (presentation slides)
                    - AAA Malnutrition Pathway Site Visit Agenda  (sample schedule for Malnutrition Pathway site visit)
                    - AAA Malnutrition Pathway Survey  (survey for AAAs to provide feedback on their understanding of malnutrition and the malnutrition toolkit)
                    - Addressing Malnutrition in Community Living Older Adults, Maryland Department of Aging
                    - Summary Brief: Maryland Department of Aging  (snapshot of project and findings)
                    - 2022 ACL Replication Grantee Open House: Model A  (YouTube video from the open house highlighting Replication Grant opportunities) 

## Replication Model B

### *Iowa Department on Aging: Encore Café*

**Replication Toolkit: **Model B

**Model Project Summary: **To develop an innovative, replicable service delivery model for congregate meals, the Iowa Department on Aging partnered with Heritage Area Agency on Aging to create the “Encore Café.” This café concept was designed to encourage older adults to participate in congregate meal programs. In particular, the project aimed to attract the younger sub-population of older adults called “Baby Boomers” who had a smaller percentage of participation in recent years.
                  - Supplemental Resources - Model B
                  -                      - Innovation in Nutrition Grant Model B (Encore Cafe) Replication Call with Original Grant Recipient (YouTube)  (Original grant recipient provides an overview of the project and guidance)
                    - Summary Brief  (snapshot of project and findings)
                    - Iowa Congregate Meal Program Preference Assessment Report  (focus group study aimed at better understanding motivators and barriers for attending congregate meal programs)
                    - Encore Café Volunteer Orientation  (overview of the program for volunteers including roles and responsibilities)
                    - Request for Quote  (quote request to identify food vendors for café sites)
                    - Memorandum of Understanding  (agreement outlining responsibilities and terms between the program and café sites)
                    - Senior Dining Site Policies and Procedures  (outline of expectations, procedures, and resources for operation of café sites)
                    - Nutritional Risk Survey  (survey to measure impact of the program on nutrition risk behaviors)
                    - Satisfaction Survey  (survey to measure program participant satisfaction)
                    - 2022 ACL Replication Grantee Open House: Model B  (YouTube video from the open house highlighting Replication Grant opportunities)
                    - Congregate Meal Site Satisfaction Survey  (The specific questions asked in the original model. Questions were asked in a focus group-style.)                       - Congregate Meal Site Satisfaction Survey Key 

## Replication Model C

### *Georgia State University: Senior Nutrition Program Evidence-Based Suicide Intervention Training*

**Replication Toolkit: **Model C

**Model Project Summary: **To enhance identification and support of older adults with elevated suicide risk or in mental health distress (ESR/MHD), the Atlanta Regional Commission (Atlanta Area Agency on Aging), in partnership with affiliate nutrition service providers and Georgia State University researchers, developed a standardized and manualized suicide intervention to be delivered by nutrition services volunteers. Through a series of related studies, they found that nutrition services volunteers and providers can develop suicide intervention skills, and when they do, use those skills as part of their job role and provide life assisting suicide interventions to the older adults they serve.
                  - Supplemental Resources - Model C
                  -                      - ASIST (Applied Suicide Intervention Skills Training)
                    - Suicide Intervention Response Inventory (SIRI 2) with Scoring  (tool for assessing a volunteer's ability to recognize appropriate responses to suicidal clients)
                    - Caring for Wellbeing of Older Adults during COVID-19  (tips for ways to connect with seniors while social distancing)
                    - Enhancing Socialization through Making Meaningful Volunteer Connections during COVID-19  (tips on building and strengthening connections with seniors)
                    - More than a Meal: Facts, Stress, & Coping Information for HDM Volunteers during COVID-19  (guidance on how to identify signs of stress and mental health trouble or suicide risk in seniors receiving HDMs)
                    - 2022 ACL Replication Grantee Open House: Model C  (YouTube video from the open house highlighting Replication Grant opportunities) 

## Replication Model D 

*Note: Model D funding opportunity was only available in FY22.*

### *Erie County (New York) Department of Senior Services: Modernizing the Congregate Dining Program*

**Replication Toolkit: **Model D

**Model Project Summary: **To modernize its congregate dining program, the Albany County Department for Aging and the Erie County Department of Senior Services partnered with local restaurants to give participants more flexibility in how and where they dine. Adults 60 or older could eat at any participating restaurant at a time of their choice. The study had a number of positive outcomes, including decreasing feelings of social isolation in older adults. The study also demonstrated the need for more progressive, self-driven services for older adults.
                  - Supplemental Resources - Model D
                  -                      - Vendor Contract Sample  (sample contract between grantee and partner restaurant)
                    - Vendor Contract Terms and Conditions Sample  (sample statement of services for partner restaurant)
                    - General Meal Requirements  (nutritional requirements restaurants must follow)
                    - Go and Dine Customer Satisfaction Survey  (survey on the impact of the program)
                    - Isolation Survey  (survey evaluating participant feelings of isolation)
                    - Participant Registration  (form for collecting participant demographics and calculating nutritional score)
                    - Focus Group Questions  (survey of participant experiences)
                    - Diners Guide  (guidelines, participating restaurants, and menus)
                    - Guide to Working with Restaurants and Grocery Stores for Meals
                    - UCLA Loneliness Scale (Version 3): Reliability, Validity, and Factor Structure  (published article on the UCLA Loneliness Scale)
                    - 2022 ACL Replication Grantee Open House: Model D  (YouTube video from the open house highlighting Replication Grant opportunities) 

## *Explore more*

                  - Innovations in Nutrition Programs and Services
                  - Innovative Models

*Last modified on 09/26/2023*

## Related Links

Innovative Models

Innovations in Nutrition Programs and Services

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