Tag Archives for brown University

Slater Mill Showcases Classic Rock ‘n’ Roll Flick  

Published in the Woonsocket Call on October 11, 2015

When planning the 2nd Annual S.A.M. Fest, in conjunction with this years Pawtucket Arts Festival, Slater Mill’s Executive Director, Lori Urso scheduled a showing of Jim Wolpaw’s “Complex World.” Urso, also a professional musician, knew featuring the film at her event in August was a great way to both promote a local Providence filmmaker and give homage to The Young Adults, a popular rock band playing at the nonprofit’s weekend festival, too.

Rediscovering a Classic Film at S.A.M. Fest

On Aug. 30, more than 80 people gathered early evening at Hodgson Rotary Park to watch on a big outdoor screen the 81-minute offbeat cult rock ‘n’ roll comedy filmed at Providence’s Lupo’s Heartbreak Hotel. While the film attracted the curious, many adoring and loyal fans of The Young Adults came to check out the flick, too, says Urso.

The Complex World captures one night at Lupo’s Heartbreak Hotel, with its zany plot involving terrorists, political conspiracy, 100 pounds of explosives in the bar’s basement and drugs, with music from iconic Providence bands such as the Young Adults, NRBQ and Roomful of Blues. The film had a brief two-month run in a Boston and one week in New York City, and it garnered good reviews. However, a distribution deal with Hemdale, a major film distributor that released “The Terminator” and the “Last Emperor,” fell through, ending up in a lawsuit. Even though Wolpaw won his case and a small settlement, the legal battle sealed the film’s fate. Over the years, the filmmaker’s DVDs have been sold on a website, and the last public showing was in 2010, for two days at the Providence-based Cable Car to raise money for a local charity.

Urso, 51, remembers being an extra during the 1987 film shoot, “a biker chick hanging out in the bar’s parking lot” at 79 Washington St.  “Quite a few people that I knew showed up to be extras that night. I’m glad I was able to be part of it,” she said.

Rudy Cheeks one of the founders of Young Adults and co-writer of the Phillip & Jorge column published in “Motiff Magazine,” was in attendance during the S.A.M. Fest screening, and he observed people of all ages in attendance, many of whom watched the film for the first time.

Even though the film was produced about 25 years ago, “it’s held up pretty well over the years,” says Cheeks. “The strongest part of the film was its ‘mise en scène,’ the capturing of the inside atmosphere of the bar.”

Adds, Rick Bellaire, Chair and Archive Director of Pawtucket-based Rhode Island Music Hall of Fame, the Wolpaw’s Indie film produced outside of the major film studio system, is a great Rock and Roll documentary.  “It was a snap shot of what was happening in the Rhode Island music scene at the time the film was shot,” he says.

The Making of a Classic Film

While it took about two-and-a-half months to shoot the film in 1987, it took more than two years to bring “Complex World” to the screen of the Cable Car Theatre in 1990, says Wolpaw, noting that it ran for a record four months. The veteran filmmaker, who was nominated for an Academy Award for a 1985 documentary, was brought into this film project by Rich Lupo, the owner of Lupo’s Heartbreak Hotel, who just happened to be his roommate at Brown University and later a bartender and manager at the Providence bar.

In 1970, when both young men graduated from Brown University they shared their dreams. Lupo planned to open up a bar with music while Wolpaw wanted to become a filmmaker.  Wolpaw agreed to use Lupo’s bar in film if he opened on up.  “I never would have believed at that time we would both end up at that place,” says Lupo.

According to Wolpaw, the efforts to create and fund a film began a year before the bar was going to be torn down to make way for condos. The film was to use Lupo’s as a basis for the movie to “explain the spirit of the bar,” he said, noting that it would be shot like a documentary film.

Lupo invested the most to produce the film, but with increased costs, other friends chipped in, said Wolpaw. The unique film stood out among films that were produced in Hollywood, he said, “noting it was not the typical movie.”

Two years of editing and reshoots would later result in the final film, says Wolpaw, noting that over the years and even at the Slater Mill screening he “had trouble watching it.” Shooting the film like a documentary just did not work for the plot, he said, but it captured an early era of the Providence music scene.

Even after more than two decades since being released, orders for “Complex World” keep trickling in, says Wolpaw, who has worked as an adjunct film professor at Emerson College in Boston, the University of Rhode Island and the Rhode Island School of Design. He is pleasantly surprised that orders come in from such faraway places as British Columbia and France.

A Prolific Filmmaker  

Besides his Classic “Complex World,” Wolpaw is known for innovative approaches in considering artists and issues in the arts, and he has an impressive number of films under his belt:  “Cobra Snake for a Necktie” (Showtime 1980), a portrait of rock ‘n’ roll legend Bo Diddley; “Loaded Gun: Life, and Death, and Dickinson” (PBS 2003, INPUT 2004), a quirky look at poet Emily Dickinson that was chosen by “The Library Journal” for its list of Best Poetry Films; and “First Face: The Buck Starts Here” (PBS 2011), an accounting of the dollar bill portrait of George Washington.

Even at 67, Wolpaw, who has won awards at more than a dozen film festivals worldwide, has not slowed down. He is still working on three projects, a film about Cleveland poet and activist Daniel Thomson, one detailing the history of Rhode Island’s Ladd Center and a fictional narrative film about poet Dickinson. Hopefully, they will have a long shelf life and audience like “Complex World.”

“Complex Word” can capture viewers who wish to relive their experiences at Lupo’s, and purchases of the DVD benefit the Gloria Gemma Foundation and Advocates in Action. For details, go to www.complexworldthemovie.com.

 

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Palliative Care Can Provide Comfort to Dying Residents

Published in Woonsocket Call on May 10, 2015

           A recently published study, by Brown University researchers, takes a look at end-of-life care in America’s nursing facilities, seeking to answer the question, is knowledge and access to information on palliative associated with a reduced likelihood of aggressive end-of-life treatment?

Brown researchers say when a nursing facility resident is dying, oftentimes aggressive interventions like inserting a feeding tube or sending the patient to the emergency room can futilely worsen, rather than relieve, their distress. While palliative care can pull resources together in a facility to provide comfort at the end of a resident’s life, the knowledge of it varies among nursing directors.  A new large national study found that the more nursing directors knew about palliative care, the lower the likelihood that their patients would experience aggressive end-of-life care.

Susan C. Miller, professor (research) of health services, policy and practice in the Brown University School of Public Health and lead author of the study in the Journal of Palliative Medicine, published March 16, 2015, worked with colleagues to survey nursing directors at more than 1,900 nursing facilities across the nation between July 2009 and June 2010.  The researchers hoped to learn more about their knowledge of palliative care and their facility’s implementation of key palliative care practices.

Knowledge Is Power

According to the findings of the Brown study, the first nationally representative sample of palliative care familiarity at nursing homes, more than one in five of the surveyed directors had little or no basic palliative care knowledge, although 43 percent were fully versed.

“While the Institute of Medicine has called for greater access to skilled palliative care across settings, the fact that one in five U.S. nursing home directors of nursing had very limited palliative care knowledge demonstrates the magnitude of the challenge in many nursing homes,” Miller said. “Improvement is needed as are efforts to facilitate this improvement, including increased Medicare/Medicaid surveyor oversight of nursing home palliative care and quality indicators reflecting provision of high-quality palliative care,” she said, noting that besides quizzing the directors the researchers also analyzed Medicare data on the 58,876 residents who died during the period to identify the type of treatments they experienced when they were dying.

When researchers analyzed palliative care knowledge together with treatment at end of life, they found that the more directors knew about basic palliative care, the lower likelihood that nursing facility residents would experience feeding tube insertion, injections, restraints, suctioning, and emergency room or other hospital trips. Meanwhile, residents in higher-knowledge facilities also had a higher likelihood of having a documented six-month prognosis.

The study shows only an association between palliative care knowledge and less aggressive end-of-life care, the authors say, noting that knowledge leads to improved care, but it could also be that at nursing facilities with better care in general, there is also greater knowledge.  But if there is a causal relationship, then it could benefit thousands of nursing facilities residents every year for their nursing home caregivers to learn more about palliative care, the authors conclude.

Progress in Providing End-of-Life Care

Virginia M. Burke, J.D. President and CEO of the non-profit Rhode Island Health Care Association, said, “We were gratified that the authors found that most of the nursing directors who responded to their survey gave correct answers on all (43% of respondents) or most (36%of respondents) of the “knowledge” questions on palliative care.  We were also gratified to see that the number of hospitalizations during the last thirty days of life has declined significantly over the past ten years, as has the number of individuals who receive tube feedings during their last thirty days.  The need for continued progress is clear.”

Burke, representing three-quarters of Rhode Island’s skilled nursing and rehabilitation centers, adds, “It is not at all surprising that greater understanding of palliative care leads to better application of palliative care.”

The states’s nursing facilities are committed to providing person-centered end of life care, says Burke, noting that according to the National Palliative Care Research Center, Rhode Island’s hospitals are among the top performers for palliative care.  “We suspect that our state’s nursing facilities are as well.  We would be very interested in state specific results in order to see any areas where we can improve.”

Says spokesperson Director Michael Raia, of Rhode Island’s Health & Human Services Agency, “We need to provide the right care in the right place at the right time for all patients.”

When it comes to nursing facilities, Raia calls for reversing the payment incentives so that facilities are rewarded for providing better quality care and having better patient outcomes.  He notes that the Reinventing Medicaid Act of 2015 reinvests nursing home reimbursement rate savings into newly created incentive pools for nursing homes and long-term care providers that reward facilities for providing better quality care, including higher quality palliative care.

Bringing Resources to Families

With caregiving one of AARP’s most important issues, it’s no surprise that the organization provides a great deal of guidance on palliative care, stressing that “it involves organizations and professionals coming together to meet a person’s needs both in terms of pain management, along with emotional and spiritual perspectives,” said AARP State Director Kathleen Connell.

Connell says that “It’s is truly a team effort in which nursing home staff become key players. The resources are important to patient with chronic and terminal issues. Their families need help, too. So it is important any time we learn more about ways we can address this very important healthcare need.”

Adds Connell, “In Rhode Island, I’m confident that we have nursing homes that are dedicated to easing the difficulty of this particularly stressful stage of life. They give patients and their families enormous comfort. We certainly applaud their compassion and hope the report is helpful anywhere it identifies a need for improvement,” adds Connell.

AARP’s Caregiving Resource Center (http://www.aarp.org/home-family/caregiving/) includes an End of Life section. Check out a specific palliative care resource at  http://assets.aarp.org/external_sites/caregiving/multimedia/EG_PalliativeCare.html

To read the Brown Palliative Care Study go to http://online.liebertpub.com/doi/abs/10.1089/jpm.2014.0393.

Herb Weiss, LRI ’12 is a Pawtucket writer covering aging, health care and medical issues.  He can be reached at hweissri@aol.com.

Study Shows Meal Deliveries Positively Benefit Seniors

Published in Woonsocket Call on March 22, 2015

In 2013, Dr. Kali Thomas, an assistant professor at Brown University’s Center for Gerontology and Healthcare Research, published a study that found home delivered meals can keep persons age 60 and older at home, allowing them to age in place.  The study’s data also indicated that some states would experience cost savings if they expanded meals on wheels because that could delay a Medicaid recipient’s entry into costly nursing home care.

The “More Than a Meal” pilot research study, conducted by Thomas, was released on March 2, 2015 the Alexandria, Virginia-based Meals on Wheels America, the oldest and largest national group representing over 5,000 community-based senior nutrition programs. The gerontologist found benefits far beyond basic nutrition identified by her earlier 2013 study — health and psychological benefits, too, particularly for those seniors who live alone.

Details of Groundbreaking Research Study

Thomas, contracted by Meals on Wheels America with funding provided by AARP Foundation, designed and executed the 15-week pilot study, involving over 600 older participants, in eight sites around the country, including the Ocean State.  Study participants either received personally delivered fresh meals daily, or weekly bulk deliveries of frozen meals, or just simply remained on a waiting list.

The Brown University researcher found those living alone who received meals showed statistically significant reductions in feelings of isolation, an effect that was greater if they received meals daily rather than weekly.  They also felt significantly less lonely, were less worried about staying in their homes, and said they felt safer. Those also receiving meals experienced fewer falls and hospitalizations.

Thomas said that based on her personal experience as a driver for Meals on Wheels of Rhode Island and as the family member of a meals recipient (her 98-year old grandmother), she was not at all surprised to see the positive benefits she observed anecdotally emerge as significant in a rigorous research study.

Elle Hollander, President and CEO on Wheels America, notes that her members have “faced tough choices forced by limited funding, rising costs, unprecedented demand and need, and increasingly for-profit competition.”  Hollander says, “We now have the research-backed evidence that confirms what we’ve all know for decades anecdotally through personal experience: that Meals on Wheels does in fact deliver so much more than just a meal.”

AARP State Director Kathleen Connell agrees.  “It really has been no secret that home-delivered meals are a critical for the older population, as well as the disabled. With  Kali Thomas’s earlier Brown data released in 2012 in our award-winning senior hunger documentary Hungry in the West End, the newest research reinforces what Thomas said in film: the nutritional benefits and relief from food preparation allows people to live in their homes longer and to stay healthier. And so, there are long term healthcare benefits as well as savings to the state if the investment in home-delivered meals delays someone’s transition from independence or home-based care into a Medicaid-supported nursing facility.”

A Call for More State Funding

Heather Amaral, Executive Director of Meals on Wheels of Rhode Island agrees with the benefits of visiting volunteers to the recipients, but stressing that the volunteer benefits, too, from the bond that develops. “There are many studies that show volunteering is good for your health and spirit, she says.

Amaral expresses pride that Rhode Island was selected as one of eight pilot sites in the study.  “This study proves what we’ve observed through the years—Meals on Wheels deliveries keeps people out of nursing homes and in their own homes longer,” she says.

According to Amaral, in 2014 Meals on Wheels of Rhode Island’s Home Delivered Meals program provided 316,524 meals to 2,298 individuals.  Over the years she has seen federal funding remain stagnant, while state funding has declined.  Last year’s budget allocated $200,000 to Meals on Wheels, down from $530,000 that was allocated by the General Assembly in 2006.   But, Governor Raimondo’s submitted budget does reinstate $ 330,000 more in funding, if approved by the Rhode Island General Assembly, she says.

Clearly, Governor Gina Raimondo recognizes the importance of Meals on Wheels as she begins to reshape Rhode Island’s long-term care continuum.  The Governor states, “Programs like Meals on Wheels are important investments. These programs are one of the strategies in our toolbox to keep people healthy and in their own homes. Particularly as we work to reinvent Medicaid to support better health outcomes and provide better value to taxpayers, we will continue to support programs like Meals on Wheels that help our most vulnerable seniors stay in their homes and in the community.”

The Rhode Island General Assembly must not be penny-wise and pound foolish.  Support the Governor’s budget to ratchet up funding for Meals on Wheels.  It is a sound policy move to put the breaks to spiraling Medicaid costs, by making the system more efficient and rooting out fraud and waste.   We must balance the State’s limited budget funds to keep older Rhode Islanders at home as long as possible.  But, if nursing home care is need, the Rhode Island General Assembly must allocate the necessary Medicaid funding to provide efficiently delivered quality of care.

Herb Weiss, LRI ’12 is a Pawtucket-based writer who covers aging, health care and medical issues.  He can be reached at hweissri@aol.com.