CINCO is part of the Community Services Department at Glendale Adventist Medical Center which offers the community health education, Heart Disease and Diabetes Screening programs, Bereavement Services and Training. Below is a list of programs and contact information.

CARDIOVASCULAR COMMUNITY HEALTH SCREENING
Heart Disease Risk Assessment

The American Heart Association and the Centers for Disease Control and Prevention (CDC) recommend that those at moderate risk for heart disease be tested for CRP (C-Reactive Protein) in addition to cholesterol. CRP has recently been discovered as a new indicator for heart disease. One out of four people who have normal cholesterol levels may still have high CRP levels, and therefore may be at risk for heart disease. In 2003, the Heart and Vascular Institute at GAMC was awarded a $615,000 grant from the UniHealth Foundation to screen members of the community for CRP.

OUR GOAL
To pre-screen 20,000 community residents over the next two years, identify those at risk for
heart disease, and refer them to treatment to mitigate that risk.

HEALTH SCREENING COMPONENTS

ALL OF THE FOLLOWING IS FREE:

PRESCREENING
Includes a brief, self-scoring Heart Health Survey. If participants score 8 or greater on the survey, participants fill in their contact information on the back of the survey and a representative will contact them within a week to schedule a clinical screening appointment.

CLINICAL SCREENING
Includes symptoms assessment, blood pressure check, blood draw for cholesterol and CRP, and health counseling by a health care professional. Lab results will be mailed to participants. Participants with abnormal lab results will be contacted for further case management.

CASE MANAGEMENT
Includes referral to participant’s primary care physician (PCP) for further treatment. If participant does not have a PCP, a list of physicians will be provided which the participant can choose from.
Insurance enrollment is also provided for those with no health insurance. Participants will also be invited to attend free health education classes in heart disease prevention.

To participate or for more information, please call:

English - (818)409-8547, shawsf@ah.org
Spanish - (818)409-8549, burtlb@ah.org
Armenian - (818)409-8538, karapea1@ah.org

DIABETES RISK ASSESSMENT SCREENING PROGRAM

OUR GOAL

To pre-screen as many community residents of Glendale and Northeast Los Angeles while funding exists in order to identify those who are diabetic and are unaware of it, as well as those who are at risk for type II diabetes. Ultimately, we would like to refer these diagnosed patients to treatment and education in order to make lifestyle changes in order to live longer, healthier, happy lives and to prevent complications.

HEALTH SCREENING COMPONENTS

ALL OF THE FOLLOWING IS FREE:
PRESCREENING
Includes a brief, self-scoring Diabetes Risk Assessment Survey (assistance is available). If participants score 10 points or more on the survey, a representative will contact them within two weeks to schedule a clinical screening appointment.

CLINICAL SCREENING
Includes symptoms assessment, a 2-hour glucose tolerance test (not provided at most doctor’s offices), and health counseling and education by a health care professional (either a Certified Diabetes Educator and/or Medical Director/Endocrinologist). A copy of the lab results will be mailed to all participants. Participants with abnormal lab results will be contacted for further case management.

CASE MANAGEMENT
Includes a referral to the participant’s primary care physician (PCP) for further treatment. If participant does not have a PCP or health insurance coverage, a list of medical care clinics will be provided which the participant can choose from. A referral will accompany the patient to the clinic of their choice. The list of medical care clinics always consists of Federally Qualified Health Centers (FQHC), which provides no-cost medical care, or low-cost community based clinics, which offer discounts. Insurance enrollment is also provided for those with no health insurance.

Please visit the following link for Diabetes Education information:

http://www.diabetes.org/education/eduprogram.asp

To participate or for more information, please call:

English or Spanish - Gina Kwan (818) 409-8548, kwang2@ah.org
Armenian - Anna Karapetyan (818) 409-8538, karapea1@ah.org



HEARTS N' HEALTH PROGRAM
The Hearts N’ Health Program is a free community health service, offered by Glendale Adventist Medical Center, Community Services and currently funded by Unihealth Foundation. The Hearts N’ Health Program offers health activities that will reduce heart disease and improve the health for the members of the Armenian Community. Community members do not have to have medical insurance to qualify for this service.

PROGRAM GOALS

· Improve cardiac health
· Decrease heart disease
· Lower cholesterol levels
· Increase Armenian Community participation in health promotion activities

HISTORY

This Promatoras Comunitarias-based program has trained more than two-dozen local Armenian-speaking women to conduct outreach regarding the prevention of cardiovascular disease and other related health issues. These community health educators have conducted more than 1000 home presentations with between 6000 – 8000 participants.

PROCESS

Presenters/Community Health Educators - A group of women go out into the Glendale community, in this case the Armenian Community, where they educate the community about heart disease, nutrition, and physical activity. We currently have six presenters, who are also members of the Armenian community, that provide this community health service. The presenters follow the standards and the material covered in their Hearts ‘N Health manuals. The material is presented in Armenian. Prior to going out into the community, the presenters are trained by the outreach coordinator.

Hostesses - Hostesses, usually women, open their houses to guests and the presenters for the Hearts N’ Health presentations. Presenters educate guests about heart disease, nutrition and physical activity. Using the hostesses’ homes provides a friendly, comfortable setting for guests, where they are willing to open up and share their questions.

Manuals - Created by a Registered Dietician. The manual is translated in Armenian, and is detailed that can easily be understood by the Armenian Speaking Community. The manual consists of easy to read tables and charts explaining a different cholesterol levels, showing a persons cholesterol test results and risk factors for heart attacks. The graphics in the manual are very detailed showing the heart, blockage on the heart, and different kinds of food to eat and are great for visual purposes.

Topics being covered - prevention of heart disease, bad cholesterol vs. good cholesterol, nutrition, proper eating habits, physical activity and how to live a healthier lifestyle.

If you would like to become a presenter or a hostess and you live in the Glendale area, please contact Anna Karapetyan (Outreach Coordinator) by calling (818)409-8538 at Glendale Adventist Medical Center (Community Services), or via email at karapea1@ah.org.



CONSORTIUM OF SAFETY NET PROVIDERS
The Consortium of Safety Net Providers (CSNP) was established in response to major reductions in the provision of health care in many Los Angeles County facilities. These facilities traditionally serve the indigent and underinsured populations of Northeast Los Angeles and Glendale. The CSNP
membership consists of an array of public and private medical providers, including the Los Angeles county Department of Health Services, and local community based organizations in Glendale and Northeast Los Angeles.

The CSNP initiated a strategic planning process to develop and strengthen integrated health systems that coordinate health services for the uninsured and underinsured. The overarching goal of the strategic planning process was to identify, coordinate and expand existing community resources to develop comprehensive and integrated health services delivery system for the underserved. This intensive process occurred over a six-month period, throughout which, the CSNP created a comprehensive plan and procured federal Healthy Communities Access Program (HCAP) funding from the Health Resources and Services Administration (HRSA).

The ultimate goal of the CSNP for HCAP is to design the infrastructure necessary to develop integrated health systems that will increase access and improve the quality of health care. It will combine the collaboration between the CSNP through coordinated referral services and improvements in chronic disease management, and expanded enrollment in public health insurance programs. This will be accomplished though the implementation of an electronic medical record (EMR) and expanded health promotion, screenings, and education.

The CSNP is welcomes new members on an on-going basis.

For more information contact AnneMarie Leos-Gomez at (818)409-8548 or via email at gomezah@ah.org



BEYOND LOSS
A Bereavement Ministry In partnership with Glendale Adventist Medical Center Chaplains’ Department Rev. Alice Parsons Zulli- Certified Clinical Thanatologist andDirector of Bereavement Support & Services

SUPPORT GROUP LISTING

Adult Grief Support Monday 6:00 – 7:00 PM
Susan Hansen CBF
Elvia Sanz, CBF, MFT
Rehab Conference Room - Main Floor

Surviving Suicide of Family/Friend Monday 7:30 – 9:00 PM
Tamar Igoyan CBF
Kathy Sanborn, CBF
Rev. Alice Parsons Zulli, CT CBF
Pre-registration requested Grief Counseling Room - Main Floor Down the hall from the Chaplains’ Office

Widow/Widowers Support Group Tuesday 7:00 – 8:30 PM
Susan Hansen CBF
Elvia Sanz, CBF, MFT
Rev. Alice Parsons Zulli, CT CBF
Rehab Conference Room

Mothers Losing Children to Suicide 1st & 3rd Wednesday 7:00 – 8:30 PM
Kathy Sanborn, CBF
Chaplains’ Dept. Main Floor

Adult Grief Support Group Thursday 10:00 – 11:00 AM
Susan Hansen CBF
Elvia Sanz, CBF, MFT
Grief Counseling Room - Main Floor Down the hall from the Chaplains’ Office

For additional information, please contact the Chaplains’ Department at (818)409-8008.
Unless otherwise specified, there is a one-time charge of $25.00 for group membership.

Additional Information: Monday 6:00 – 7:00 PM
Children in Grief No Charge
For information, call The Center for Grief & Loss for Children (818) 245-1151 or (818) 248-4441
37 North Holliston, Main Floor Pasadena, CA Behind Holliston Methodist Church

CERTIFIED BEREAVEMENT FACILITATOR PROGRAM
This training includes:

Terminology, issues facilitators may face, and the roles of facilitators concerning interventions with the bereaved.

The art of communication, loss and the family system, cultural diversity, spirituality, understanding and working with bereaved through different types of loss such as child loss, sudden and traumatic loss, suicide, homicide, AIDS, and much, much more.

How to set up and run support groups, and most importantly, caring for the caregivers.

Benefits of attending: Learn about the most recent developments in the bereavement field, receive
practical, hands-on application of these skills, and earn 21 continuing education units.

Who should attend: Psychologists, Counselors, Nurses, Social Workers, Physicians, Clergy, and Lay Persons.

For more information contact Alice Zulli at (818) 409-8008.