speaks at 2016 AGM

The Dementia Guide launched The Virtual ForestTM now available

| AUTUMN 2017 ISSUE#124 Winter 2015 MEMORY MATTERS 1 Alzheimer’s Vic Learning Services WELCOME 155 Oak Street, Parkville Vic 3052 FROM OUR CEO Family Services 98-104 Riversdale Road, Hawthorn Vic 3122 Regional Offices Albury, Bairnsdale, , Bendigo, Welcome to the to our first Memory Matters for 2017. You will Cowes, Drouin, Geelong, Mildura, find stories on much of our activity since November throughout Shepparton, Warrnambool this issue. ABN 14 671 840 186 Postal Address This magazine is just one way you can stay in contact with Alzheimer’s Australia Vic Locked Bag 3001, Hawthorn 3122 Alzheimer’s Australia Vic. I do encourage you to sign up for our monthly eNews, Tel 03 9815 7800 visit our Facebook page or explore our website for news and to find out the many Fax 03 9815 7801 ways we can support you, your friends and family. There are many options for getting involved with our activities be it fundraising, joining our consumer advisory About us network or volunteering to whatever level you are comfortable. Even sharing Alzheimer’s Australia Vic is the peak a webpage link or engaging on Facebook is helping us to raise awareness and body and charity for people, of all ages, living with all forms of dementia. We making sure others know we are here for them. provide support, information, education and advocate to empower and enable I wish to extend my congratulations to Maree McCabe who has served as CEO people living with dementia, their families and carers. Alzheimer’s Australia Vic is a of Alzheimer's Australia Vic since October 2010. It is with great delight we share member of the Federation of Alzheimer’s the news with you that Maree has been appointed as the new National CEO Australia. Alzheimer’s Australia. Over the coming months, Maree will oversee the transition Our vision is for a society committed of the Federation of Alzheimer’s Australia to one united organisation. to the prevention of dementia, while valuing and supporting people living with dementia. Over the last twelve months the member states and territories of the Federation have been working through this process. An update about this was shared at our Alzheimer’s Australia Vic Board Annual General Meeting in November by, the then, Interim National CEO, Maree Executive Chair Neil Samuel McCabe. The minutes of this meeting are available to all Victorian members Vice Chair Ian Knight on request. Change management consultants, KPMG are advising a national Treasurer Piera Murone integration working group and in the next few months there will be further Secretary Frauke Tyrrell correspondence with our members to keep them informed of the process. Chief Medical Advisor Assoc Prof Michael Woodward AM This is an exciting time in the life of our organisation. As we evolve and Jerome Fahrer nationalise there is a unwavering commitment to ensuring our service continues, Ross Oakley OAM Sabine Phillips uninterrupted so that the people most important to us, people living with Prof Graeme Samuel AC dementia, families and carers continue to be well supported throughout the Helen Sykes transition phase. Patron The Honourable Linda Dessau AM, I am happy to discuss this with any members and can be contacted through my Governor of office on 9816 5737 or by email to my assistant, [email protected]. Ambassadors I have been honoured to be Acting CEO of Alzheimer's Australia Vic since Lyn Allison David Astle August 2016. I have relished the challenge and I also look forward to changes Terence Donovan ahead in 2017 as I am sure we will evolve into a more streamlined and efficient Colleen Hartland MP advocacy body better placed to serve our members, consumers and stakeholders. Amy Jackson Emma Kealy MP Ultimately we are unified in our goal to provide better, and always improving, Sam Mitchell outcomes, lifestyle, care and support for people living with dementia, their families Fiona Patten MP and carers. Anne Phelan AM Prof Graeme Samuel AC Finally, I would like to take this opportunity to thank and acknowledge several Mark Seymour members of our team celebrating milestone anniversaries. OAM Gabrielle Williams MP Antonietta Twomey, Counsellor and Lynda Moore, Family Clinician are each Assoc Prof Michael Woodward AM marking five years with the organisation. Yvonne Shaw-Truex, Gateway Counsellor is celebrating ten years, while Maureen Hurley, Counsellor is marking an incredible Contacts 15 years of service. My congratulations to you all, and thank you for your Editorial [email protected] dedication and the invaluable contribution you have made to Alzheimer’s Australia [email protected] Vic and countless people across the state impacted by dementia. Tel 03 9816 5745

Disclaimer Articles in this publication provide a general summary only of the subject matter covered. Any person with dementia should seek professional advice about their specific case. Leanne Wenig Alzheimer’s Australia Vic is not liable for any error or omission in this publication. Permission Acting CEO should be sought from the Editor before reproducing articles or images. Once permission is given the source must be acknowledged. Alzheimer’s Australia Vic does not endorse any Cover: Denise Drysdale with Alzheimer's Australia Vic Board Chair Neil Samuel products, opinions or services of any description. Photo: Darren James (also photos pages 3-5)

2 | ISSUE#124 This issue is online at fightdementia.org.au/vic

Annual Reports now available online NEWS FEATURE As part of Alzheimer’s Australia Vic’s commitment to transparency, guests attending the 2016 Alzheimer’s Australia Vic AGM were 4 Annual General Meeting presented with the latest Annual Reports from both Alzheimer’s Australia Vic and the Alzheimer’s Australia Dementia Research 5 The Dementia Guide Foundation−Victoria. Each report provided a snapshot of the 6 The Virtual ForestTM organisation’s activities and achievements during the 2015-2016 financial year. NEWS IN BRIEF The Alzheimer’s Australia Vic Annual Report focuses on programs 7 Nicola Stevens new and services that ensure people impacted by dementia are not alone ambassador in managing the challenges the disease can bring. The Alzheimer’s Australia Dementia Research Foundation−Victoria report focuses on 8 ExxonMobil supports the important role research plays in driving new or improved support festive campaign and care mechanisms for people impacted by dementia, meaning they are less likely to feel alone or isolated by their condition. 9 Blokes in the caring role Both reports can be found online at bit.ly/vicannrep1516  ABOUT YOU 12 Bruce Ratcliffe 12 Q&A: How can I adapt my kitchen to make it more dementia-friendly? REGIONAL ROUNDUP 13 Bigger Hearts Ballarat RESEARCH FOCUS 14 The ‘new’ role of tau in Alzheimer’s disease progression CONSUMER FOCUS 15 Consumer advocacy update DEMENTIA LEARNING 16 Sessions coming soon LIBRARY 17 Top 10 loans in 2016 FUNDRAISING Sign up for our monthly electronic newsletter at IN THE COMMUNITY http://bit.ly/VicENewsSignUp 18 A High Tea To Remember with AO OBE Connect with us … facebook.com/alzheimersaustraliavic twitter.com/alzheimersvic youtube.com/alzheimersvic instagram/alzheimersaustraliavic

Autumn 2017 MEMORY MATTERS | 3 NEWS FEATURE

TV star Denise Drysdale addresses guests at 2016 AGM Television legend Denise Drysdale delighted guests by speaking at the 33rd Alzheimer’s Australia Vic Annual General Meeting (AGM) on 30 November 2016. The event combined the Alzheimer’s Australia Vic AGM along with the Alzheimer’s Australia Dementia Research Foundation – Victoria AGM and the Board Chairs of each, Neil Samuel and Associate Professor Michael Woodward AM respectively, presented reports on the work of each organisation in 2016-2017, along with Treasurers Peira Murone and Daniel Byrne who presented on each organisation’s financial performance for the year. Attendees at the event, which was held at Zoo, listened as Denise recounted her experience with dear friend , who is living with dementia, and his wife Glenys. "We still have a great laugh and reminisce about all sorts of fun times", she said. Above: Denise Drysdale brings smiles to the audience speaking at the AGM. Ms Drysdale spoke of feelings of loss and confusion about knowing how to help. "It's a great comfort to know that there is support available for Ernie and Glenys from Alzheimer's Australia," she said. Denise was joined by Delia Bradshaw, who cared for her husband Bill who died from dementia. Delia shared the couple’s story and welcomed guests on behalf of all consumers. Honorary membership At the AGM, the appointment of Jack Sach, Mandy Lovell, Garry Lovell, Anne Tudor and Edie Mayhew as Honorary Members was moved and accepted by members of Alzheimer’s Australia Vic. These new Honorary Members were all acknowledged for their special contribution to Alzheimer’s Australia Vic. Congratulations and thank you for Above: New Honorary Members Edie Mayhew, who is living with all that you do to improve the lives of people impacted by dementia and carers Mandy Lovell and Anne Tudor. dementia, Jack, Mandy, Garry, Anne and Edie.

Above: Alzheimer’s Australia Vic Acting CEO, Leanne Wenig, Above: Former Alzheimer’s Australia Vic employee Jack Sach Denise Drysdale, Alzheimer’s Australia (then) Acting National accepting his Honorary Membership. CEO, Maree McCabe and Alzheimer’s Australia Vic co-founder and Honorary Member, Barbara Potter AM.

4 | NEWS FEATURE

Above: (left to right) Carer Delia Bradshaw, Alzheimer’s Australia Vic Acting CEO Leanne Wenig, Chief Medical Advisor Assoc Prof Michael Woodward AM launching The Dementia Guide. The Dementia Guide, a friend The Dementia Guide is based on a similar resource produced by the Alzheimer’s Society in the UK, which to support people impacted by has distributed more than 200,000 copies. Alzheimer’s dementia Australia Vic has 20,000 copies to be distributed throughout Victoria to key health professionals, to offer to Alzheimer’s Australia Vic’s 2016 AGM provided the their patients when discussing a dementia diagnosis. perfect opportunity to launch The Dementia Guide − a comprehensive, free handbook and online guide that will Associate Professor Michael Woodward AM, Chief offer invaluable information and support options for anyone Medical Advisor Alzheimer’s Australia Vic, says The who has been impacted by dementia. Dementia Guide is an important and useful tool in assisting those who may be coming to terms with a diagnosis, “When my husband Bill was diagnosed with dementia, and highly recommends the resource to other health having a friend like this Guide that I could carry in my professionals. handbag or have as a conversation starter with family and friends, would have been helpful,” said family carer Delia “As a doctor talking to patients every day about dementia, Bradshaw. it is comforting to know that I can provide them with The Dementia Guide that will offer support beyond the “Hearing a doctor diagnose a loved one with dementia consulting room,” Professor Woodward said. is overwhelming. You only take away a small part of the information provided. A resource like The Dementia Guide The project was funded by the Commonwealth and State will help you understand what you are going through in Government Home and Community Care program. your own time, as well as making you aware you can reach The Dementia Guide is available as a hard copy from out for support through the many available services. Alzheimer’s Australia Vic by calling 03 9815 7800 or “The Dementia Guide is a resource you can keep for the emailing [email protected], as an online resource and whole journey. It will empower people with the information available for download at bit.ly/dementiaguideaus  to talk about dementia, assist in decision-making as the disease progresses, contributing to better health outcomes and quality of life for the person living with dementia, their families and carers,” Ms Bradshaw said.

Autumn 2017 MEMORY MATTERS | 5 NEWS FEATURE

The Virtual Forest™ – video game technology putting people with dementia in control A new screen-projected game will bring joy to the lives of people living with dementia, through the use of cutting- edge video game and sensor technology. Alzheimer’s Australia Vic’s recently launched The Virtual Forest™ projects a beautiful landscape onto a big screen that takes a person with dementia into a virtual environment where they can experience joy through interaction. The game uses Microsoft Kinect technology to detect movement, meaning a person can easily instigate changes Above Lifeview Residential Care residents and staff played a in the scenery such as butterflies fluttering through critical role in testing and refining The Virtual Forest in the lead up flowers, a rowing boat floating around a pond, or a family to the launch. of ducks splashing about in the water. No headsets or hand-control devices are needed. Residents and staff of major sponsor Lifeview Residential Care (Lifeview) have played a critical role in testing and “We are constantly looking out for game-changing refining the product over the past two years with the innovations that will improve the quality of life of people thoughts, reactions and moods of residents forming living with dementia,” Leanne Wenig, Acting CEO valuable feedback. Alzheimer’s Australia Vic said. Lifeview Chief Executive Officer Madeline Gall said the “The Virtual Forest™ is empowering for a person with change in the demeanour of residents who are exposed to dementia. It gives them an element of control at a time in The Virtual Forest™ is truly amazing. their life when so many choices are beyond their control. Simply by waving their arms in the air or clapping their hands, the user is enchanted by the imagery and engaged “To see this technology in action through the stimulating interactivity,” Ms Wenig said. is extremely heart-warming. The game can be installed as an interactive art installation, used for one-on-one engagement, in group interaction or “Watching the faces of residents living with dementia light a shared, family experience. The project was launched up as they realise they are in control only reinforces through a Pozible campaign in March 2014, which Lifeview’s decision to assist in bringing attracted $24,000 in pledges to support its development, this technology to life,” Ms Gall said. piquing the interest of international technology media, who got firmly behind the concept of putting smiles back on the Ms Wenig said it has been wonderful to see Lifeview faces of people living with dementia. leading the way and acknowledging what a great experience The Virtual Forest™ provides for their residents and staff. Below Lifeview Residential Care CEO, Madeline Gall with Alzheimer’s Australia National CEO, Maree McCabe during “I wish to acknowledge the original Pozible donors who formalities at the launch. Photos: Chris Hopkins kick-started the development, the major donors and major sponsor, Lifeview Residential Care and their CEO, Madeline Gall, who had the vision to commit to this world- first project and make our virtual forest a reality,” Ms Wenig said. The Virtual Forest™ was developed in partnership with Opaque Media Group, an award-winning Melbourne innovation and technology design studio, and is available for purchase and use in aged care homes, hospitals and healthcare centres. As an interactive art installation it is available for purchase and use in corporate, government and local government buildings, art galleries and other public spaces. For hardware and software specifications, and pricing packages visit bit.ly/vicforestproject or call the National Dementia Helpline 1800 100 500. 

6 | NEWS IN BRIEF

Portsea Memory Magpies’ number one draft pick Walk & Jog a named latest Alzheimer’s Australia great success Vic ambassador The hugely popular Memory Collingwood Football Club’s round one women’s league Walk & Jog series got off to draft pick Nicola Stevens has joined Alzheimer’s Australia a flying start in 2017 with a Vic’s ambassador program. She certainly hit the ground successful event being held running with her first official engagement participating in on 22 January at Portsea on the Mornington Peninsula. the Portsea Memory Walk & Jog event! The fun-filled day saw a fantastic turn out, with attendees Nicola has joined the organisation’s ambassador program enjoying the opportunity to come together, get fit and raise in honour of her mum Ann, who is 59 and living with funds to help fight dementia. younger onset dementia. Alzheimer’s Australia Vic wishes to thank Opal Aged Care On her new role, Ms Stevens said, "I’m doing this for for their ongoing national sponsorship of these colourful my Mum and for every person living with dementia who family events!  deserves to live their life with dignity and respect. I am passionate about sharing my personal experience to help Below Crossing the finish line at Portsea Memory Walk & Jog. others realise they are not alone. “Since my Mum was diagnosed in her early 50s, it’s important for people to know that dementia doesn’t only affect the elderly. It can also impact on people in their 30s, 40s and 50s. Mum was diagnosed when I was doing my VCE and I’ve been totally there for her as she has been for me all my life,” Ms Stevens said. The Acting CEO of Alzheimer’s Australia Vic, Leanne Wenig said, “Nicola’s support is invaluable in helping Alzheimer’s Australia Vic to raise awareness about dementia in the community. Especially at such an exciting time when the first ever AFL Women’s League season is underway. We thank her for her commitment to helping raise awareness and understanding of dementia in the community." The Collingwood FC women’s team certainly rallied behind Ms Stevens at the Memory Walk & Jog, with five teammates joining her at the starting line including Amelia Barden, Christina Bernardi, , and Ruby Schleicher.  Melbourne Memory Walk & Jog – registrations now open! After a successful first year, Alzheimer’s Australia Vic is delighted to announce registration for the 2017 Melbourne Memory Walk & Jog event is now open! This year the event will be held at Westerfolds Park, Templestowe on Sunday 23 April for a day filled with fun for all the family. And the great news is you don’t need to be a fitness fanatic to enjoy a Memory Walk & Jog – it has something for everyone. You can run, walk, skip or even dress up and dance your way through the day. Register for the 5km walk, 5km run or 10km run, and help raise vital funds to support people living with dementia. What's more, the first 500 people to register will receive a free Memory Walk & Jog T-shirt! For more information, visit bit.ly/vicmwjmelb  Above Nicola Stevens at Portsea Memory Walk & Jog. Photos: Gary Sissons

Autumn 2017 MEMORY MATTERS | 7 NEWS IN BRIEF

ExxonMobil helps create urgency around dementia with festive campaign Despite the high prevalence of dementia, it is one of Australia’s least understood conditions, with over 70 per cent of Australians admitting they know very little about the disease. What’s more, almost half the population do not realise dementia is fatal. In fact, a quarter of us believe that it is just a normal part of ageing. Late last year, ExxonMobil Australia generously supported Be The Change – National Alzheimer’s Australia Vic in an important public health advertising campaign for those impacted by dementia, Conference 2017 particularly around the festive season. There’s still plenty of time to get involved with the The campaign, titled Be Merry, but Mindful of Dementia, forthcoming Alzheimer’s Australia’s National Conference was designed to encourage people to look out for changes this October. The call for abstract submissions closes on in their loved ones over the festive period, including 18 April, while early bird registrations for the conference memory loss, confusion about time and place, difficulties close on 18 July. performing familiar tasks, problems with language, This year, delegates are being called upon to ‘be the misplacing things or changes in personality. change’ that improves quality of life and support for all As part of the campaign, advertisements appeared in people living with dementia, their families and carers. The Age, Herald Sun and selected regional and suburban Maree McCabe, National CEO Alzheimer’s Australia said publications. These were supported online by Facebook the conference, which is expected to attract more than and Google Adwords campaigns. 1,000 participants, will provide a unique opportunity to The advertisements played a crucial role in helping to raise explore the leading approaches to supporting people living awareness about the services and resources provided with dementia to live engaging and rewarding lives. by Alzheimer’s Australia Vic and the National Dementia “I am looking forward to seeing how our Australian and Helpline, and people were encouraged to call and seek international guests embrace the theme ‘be the change’ assistance if they had any memory related concerns. and inspire the sector and the community, through the The campaign gave particular focus to Alzheimer’s challenge of making a meaningful difference to the lives of Australia Vic’s new resource, The Dementia Guide, more people living with dementia,” Ms McCabe said. information on which can be found on page five of this The conference will bring together both national and edition. international leaders in innovative dementia research To view the campaign, visit vic.fightdementia.org.au/ and practice, and provide an opportunity for health exxonmobil professionals, people living with dementia, families and  carers to explore how they can ‘be the change’ they see Dementia and homelessness as critical to improving the lives of people living with dementia. Alzheimer’s Australia is urging the homelessness, dementia, health and aged care sectors to work more Master of Ceremonies will be Dr Alan Duffy, a Research closely with one another to share knowledge, training Fellow at Swinburne University who is known for and services. The organisation believes cross-sector explaining the latest scientific discoveries in his regular collaboration will help ensure people who are homeless media segments on ABC Breakfast News, Ten’s The and living with dementia receive the most appropriate Project, ABC 774 and Triple J. Meanwhile, consumer support. advocate Christine Bryden has been named as a keynote speaker. Ms Bryden, who was just 46 when she was A new discussion paper titled Homelessness and diagnosed with dementia in 1995, will provide the insider’s Dementia aims to address sector knowledge gaps and perspective on the disease. provide information to improve services and outcomes for people living with dementia and who are homeless. The event will take place at the Melbourne Convention and The paper is based on extensive consultations with Exhibition Centre. Information about registrations, the call professionals working closely with homeless communities for abstracts and prospectus for sponsors and exhibitors in South Australia, and also draws upon the findings of a can be found at dementia2017.org. broad review of relevant literature. All enquiries can be emailed to [email protected] For more information, visit bit.ly/vichomelessness  or call 03 9682 0500. 

8 | NEWS IN BRIEF

New DVD resource for carers Blokes and the caring role Developed for carers of people living The distinct issues relating to male carers were the focus with dementia, a new DVD resource of two recent ‘Blokes in the caring role’ programs. titled 'How dementia affects the brain Figures show that men only make up 20 to 25 per cent and the person', aims to increase of counselling clients at Alzheimer’s Australia Vic, with understanding about dementia, how it statistics suggesting this should be much higher. For progresses, some of its most common that reason, counselling and support services tend to forms, how the brain works and how be oriented towards women’s preferences. However, if dementia changes the brain. services aren’t adapted to better suit men’s needs, then 'How dementia affects the brain and men will continue to stay away. the person', is a remake of the highly “Attitudes are such that men don’t like to ask for help,” successful Understanding Brain and Behaviour DVD that explained Bernard Silva, Counsellor, Alzheimer's Australia Vic. was first produced in 2004 by Alzheimer's Australia NSW. “We definitely notice a lack of male carers at our regular This important educational resource has been re-produced sessions. When male carers don’t ask for help their ability and updated thanks to funding from the newly established to cope and health suffers, and their effectiveness as Dementia Training Australia, of which Alzheimer’s Australia carers diminishes. After experiencing this program, the is a consortium partner, and from the Wood Family overwhelming consensus from participants has been that Foundation. they wished they’d done it sooner. It’s provided them with Copies can be ordered by calling 03 9816 5709 or mailing a new level of understanding. They know they are dealing [email protected]  with a disease and not just a change in behaviour.” The program includes information about dementia, Volunteer Christmas Party changes and communication. It also incorporates As 2016 drew to a close, Alzheimer’s Australia Vic hosted discussion about the loss and grief associated with a celebration at the organisation’s Hawthorn site to becoming a carer, how to create an environment to thank its fabulous volunteers for everything their support facilitate the caring role, and the support services available. throughout the year. Volunteers form an integral part of the organisation. Some More of these programs, designed for men, have joined after caring for a loved one with dementia, by men, are planned throughout 2017. while others want to contribute to the community and give All male carers who want to reflect on their new back, or want to offer support after working in the field. role and relationship with their family member Volunteers assist in a number of different ways, living with dementia are encouraged to attend. including community speaking, support at events, role play simulations, supporting people with dementia to participate in person-centred activities, packing resources 'Blokes and the caring role' is one of many family carer and assisting with mail outs. programs run by Alzheimer’s Australia Vic. Family Information and Support Sessions can provide valuable To find out more about the organisation’s volunteering information and connections with people in similar program and how you can get involved, visit bit.ly/ situations. There are a variety of topics, and session times vicvolunteers  vary from short one-off sessions to multi-week programs. To find out about programs running near you, visit bit.ly/vicfiss or call 03 9815 7822. Below Volunteers at the 2016 end of year celebration. 

Autumn 2017 MEMORY MATTERS | 9 NEWS IN BRIEF

Maureen Hurley 15 years Respected Alzheimer’s Australia Vic Counsellor Maureen Hurley is celebrating a remarkable 15 years with the organisation. A qualified social worker, Maureen has spent the last one and a half decades with Alzheimer’s Australia Vic working in the role of Counsellor, initially in Support Services and more recently as part of the Dementia Consultation Services Team. Five years ago, she moved from servicing Melbourne’s inner south to the city’s inner north, where she quickly developed strong relationships and became a valued and well-connected figure within the local dementia network. Robyn Rose, Program Manager of the Alzheimer’s Australia Vic Dementia Consultation Services Team in the Metropolitan area said, “Maureen has a vast wealth of dementia-related knowledge. She is also incredibly generous with her time, sharing that knowledge easily with other members of the team. Often colleagues seek her out specifically to pick her brains. “Maureen is equally as generous with her clients, sharing valuable information and advice with them. She is often involved in our award-winning Virtual Dementia Experience™, acting the role of the person living with dementia, and talking knowledgably to participants about what it’s really like to live with the disease. She is a calm Photo: Darren James and steadying influence, and can easily allay people’s concerns, particularly those of carers. Memory Lane Cafés 2017 “We are incredibly grateful for everything Maureen has done for the organisation over the past 15 years, and we Fancy an enjoyable outing, the chance to meet other thank her for the invaluable difference she has made to the people impacted by dementia, share experiences and offer lives of people living with dementia,” Ms Rose said. support to each other in a friendly, relaxed environment with scrumptious refreshments? Maureen’s colleague Bernard Silva, Counsellor Alzheimer’s Australia Vic said, “What can I say about ‘Marvellous The Alzheimer’s Australia Vic program of Memory Lane Maureen?’ Avid bushwalker, unfailingly supportive, very Cafés will again be hosted across metropolitan Melbourne knowledgeable and an exemplar of self-care in action. and regional Victoria throughout 2017. The program Maureen brings to us a grounded-ness, compassion and includes a re-vamped café at Doncaster, which will now understanding that we all deeply value. incorporate a different cultural theme each month, with food and entertainment provided specific to each theme. “Whether it’s working with her in a group or talking A selection of countries will be focused on including Italy, through issues with her, Maureen’s calm and unflustered Poland, Vietnam, China and the United Kingdom. approach helps us work through complex and challenging issues towards a satisfactory outcome. Ever willing to Café events are held regularly at Wheelers Hill, Preston, have a go and to help out the team, Maureen is indeed Frankston, Geelong and Wonthaggi, with multicultural marvellous,” Mr Silva said. cafés at Doncaster, Albion and Geelong, with Alzheimer’s  Australia Vic counselling staff and trained volunteers also in attendance. The Memory Lane Café program is available for people with dementia and their family members, and is supported by funding from the Commonwealth and Victorian Governments under the HACC Program. To enquire about whether this event is suitable for you, please call the National Dementia Helpline on 1800 100 500 or for more information, visit bit.ly/vicmlc 

10 | NEWS IN BRIEF

Performing Dementia: The Book of Alzheimer’s Australia Vic Revelations supporting the community An extraordinary new performance about the experience Alzheimer’s Australia Vic is committed to supporting the of dementia will be presented by Black Hole Theatre in broader community in a number of ways. One way we do July 2017, with support from Alzheimer's Australia Vic and this is by using the YMCA’s The Bridge Program, a social Cultural Infusion Inc. enterprise that provides facility maintenance services, employing young people who have been involved in, or The Book of Revelations is an immersive performance who are at risk of being involved in, the criminal justice installation written and performed by Alison Richards. The system. Alzheimer’s Australia Vic’s Chief Financial Officer production will include bold transformations of space, Graeme Wickenden said “The program gives these sound and perspective. Wearing headphones and moving young people opportunities to turn their lives around. We at will through the space, the audience will be invited to were reviewing a number of our facilities management share the strange and sometimes disturbing experiences services and I thought this program would be a terrific of one woman, Ada. way for Alzheimer’s Australia Vic to support another good While Ada is a fictional character and the performance is cause in the community.” Members of the program now very much a creative 'way in' to the experience of people visit Alzheimer’s Australia Vic metropolitan offices to living with dementia, Alison and the team from Black Hole do gardening work along with a skilled and experienced Theatre have drawn on recent research about dementia supervisor. and perception, as well as Alison’s personal experiences The organisation’s annual Christmas lunch for staff was with close family members and friends. another example of this commitment, with the modest The Book of Revelations will take place between 17 and 30 celebration taking place in December 2016 at CERES July at fortyfivedownstairs, 45 Flinders Lane, Melbourne. Community Environment Park in Brunswick, which is a For enquiries call Black Hole Theatre on 03 9696 0652 or not-for-profit, sustainability centre and urban farm. Catering fortyfivedownstairs on 9662 9966.  was provided by Tamil Feasts, a social enterprise program located within the park which supports recently settled asylum seekers through the celebration of food and Entertainment books culture. Enjoy great discounts at top restaurants, attractions, hotels As a community organisation, Alzheimer’s Australia and shops while simultaneously supporting Alzheimer’s Vic continuously strives to support other community Australia Vic, with a fabulous Entertainment Book. organisations, and looks forward to continuing this work For more information, or to order visit bit.ly/viceb16  throughout 2017. 

Autumn 2017 MEMORY MATTERS | 11 ABOUT YOU Right Bruce Ratcliffe BRUCE RATCLIFFE

Bruce Ratcliffe, Associate Director of CHT Architects and positive signatures into specialises in the design of residential aged care homes all our residential aged care and seniors living accommodation across Australia. projects. “I first attended the Virtual Dementia Experience™ “When it comes to the workshop in 2014. Even though I have attended dementia professional development of training workshops in the past this experience gave me a our staff we support the work that Alzheimer’s Australia far greater empathy towards someone struggling with this is doing with the Virtual Dementia Experience™ by asking condition. everyone working in seniors living to attend this important training. “Designing homes for people who lose the ability to communicate their confusion or fears would not be “What is exciting is that with ‘Enabling EDIE’ the virtual possible without an understanding of how their senses reality sessions are no longer limited to the Parkville facility have been altered. so we have shared it with our Malaysian office as well,” Mr Ratcliffe said. “The Virtual Dementia Experience™ is an excellent way to experience this very confusing state and consequently to To read more about some of the CHT Architects projects consider how the built environment might be enhanced to visit chtarchitects.com.au. For further reading about allow a higher quality of life for someone with dementia. the Dementia Enabling Environments Project visit enablingenvironments.com.au/about.html and to book “Designing enabling environments for aged care residents your place in a Virtual Dementia Experience™ or Enabling is the focus of our approach at CHT Architects and we do EDIE session please call 1800 100 500. this by incorporating way finding strategies, fall prevention 

ABOUT YOU Q&A If you have a question email it to [email protected] My partner is living with dementia and I care for him at home. How can I adapt my kitchen to make it more dementia-friendly?

Research has found that the environment can • When is the best time of day to discuss making these have a positive or negative effect on a person with changes in the home? dementia, and can help them ‘hold on to their • What aids, cues or prompts such as clocks, signs or a world by maintaining ties with familiar and comfortable message board may help the person manage daily surroundings.’ A dementia-friendly environment is one that tasks? promotes independence and supports wellbeing. It also: For the kitchen specifically, these are some of the changes • Draws on familiar surroundings that can help facilitate a dementia-friendly environment: • Allows for easy access and orientation within the • Ensure there is sufficient room and lighting (overhead person’s home environment lighting and under cupboard lighting) to perform tasks in • Provides support for doing things the person enjoys the kitchen • Provides support for participation in daily activities • Place regularly used items in line of sight and group common items together • Provides aids to support safety, security and independence • Use labels and clear canisters to help locate items Before discussing making changes in the home with the • If necessary, use labels on cupboards or replace some person, think about some of these things: solid doors with see-through ones to easily view items • What physical or thinking changes is the person • Replace appliances that are not working with ones experiencing? For example, difficulty finding familiar similar of design to support familiarity items around the home. For more information on adapting your home to create a • How can I help the person continue to feel comfortable dementia-friendly environment, see our Help Sheet at bit. and relaxed at home? ly/vicenvironment or check out the Department of Heath and Human Services dementia-friendly environment guide • How can I help the person continue doing things they at bit.ly/vicdhhsdfe enjoy at home? For more information or advice on any of the above, • What can I do to help the person continue to feel valued call the National Dementia Helpline on 1800 100 500 and included in daily life? 

12 | REGIONAL ROUND UP

Alzheimer’s Australia Vic’s regional offices and staff are located in Albury, Bairnsdale, Ballarat, Bendigo, Cowes, Drouin, Geelong, Mildura, Shepparton and Warrnambool. Our staff within these regional areas welcome your contact on 1800 100 500.

Shepparton exercise program ‘Bigger Hearts’ film calls for locals Join Primary Care Connect and Alzheimer’s Australia Vic to get behind a dementia-friendly at Shepparton to participate in modified strength training, Ballarat specifically for people with a diagnosis of dementia. The program will include cardiovascular, strengthening, As part of the Bigger Hearts project launched in September flexibility and stretching exercises that are safe and in Ballarat, a film has been released capturing moving, effective for people unable to attend mainstream exercise warm and sometimes funny moments at a gathering classes, with a view to improving the physical and between people living with dementia and the community. emotional health of participants. Local campaigners and Bigger Hearts Project Directors Sessions will run every Friday from 1pm at Primary Care Edie Mayhew and Anne Tudor launched the Bigger Hearts Connect, 399 Wyndham Street, Shepparton at a cost of $2. Project to encourage the community to start thinking about For more information, call Julie on 03 5823 3221. how they can make their environment dementia-friendly and more welcoming for people living with a cognitive Upcoming events in regional Victoria impairment. The film explores the interaction between seven people Introduction to dementia and services living with dementia who shared their stories and dementia Thursday 23 March 1-3pm | Ballan experiences with seven community members they called the ‘Story Catchers’. The conversations were filmed to An information session for people diagnosed with demonstrate to community members the importance dementia and family members or friends who are caring of valuing people living with dementia as well as the for someone with dementia. importance of human connection. Edie and Anne are hoping the Bigger Hearts film will help Considering residential care by breaking down the stigma, recognising the expertise Tuesday 11 April 1-3.30pm | Geelong and experiences of people living with dementia and by showing Story Catchers reflecting on how they enjoyed An information session for family members or friends the conversations. The film is available as an educational caring for someone with dementia who are at the point of resource for families, communities and service providers considering residential care options. to demonstrate the importance of listening to people living with dementia. Effective Communication The Bigger Hearts film can be viewed at bit.ly/ Thursday 4 May 1-3.30pm | Bacchus Marsh BiggerHeartsFilm. You can get involved in helping to An information session for family carers with some basic create a dementia-friendly Ballarat by emailing knowledge of dementia and those who need some help [email protected], calling 0429 582 237 or to understand and manage changes in communication visiting celebrateageing.com/bigger-hearts  caused by dementia.

Introduction to dementia and services Tuesday 20 June 1-3pm | Corio An information session for people diagnosed with dementia and family members or friends who are caring for someone with dementia.

For more information and to register visit bit.ly/ vicregionalevents 

Autumn 2017 MEMORY MATTERS | 13 RESEARCH FOCUS

The ‘new’ role of tau in Results released from Alzheimer’s Alzheimer’s disease progression disease human clinical trial The role a toxic protein known as tau plays in the The results from a large phase three human clinical trial led progression of Alzheimer’s disease has been challenged by pharmaceutical company Eli Lilly have been released, by Sydney-based researchers at Neuroscience Research but unfortunately the results weren’t as positive as the Australia (NeuRA), who have shed new light on its process. research team were hoping. The trial, called EXPEDITION3, During their study, details of which have been published involved more than 2,100 people diagnosed with mild in the journal Science, the researchers discovered that a dementia due to Alzheimer's disease, who were testing crucial step that leads to Alzheimer’s disease pathology, the efficacy of a drug called solanezumab. known as tau tangles, may have been misunderstood. Solanezumab has been studied for many years and is It has previously been noted that amyloid-beta proteins an experimental antibody therapy which targets clumps cause a modification (known as phosphorylation) to the tau of amyloid beta proteins in the brain, rendering them protein resulting in cell death and, ultimately, Alzheimer’s non-functioning. The aim of the therapy is to reduce disease symptoms. Increased phosphorylation of tau and remove amyloid toxicity, thus avoiding neuronal cell eventually leads to its accumulation as tangles. However, damage. During EXPEDITION3, participants received the results from this new study suggest the phosphorylation therapy for more than 18 months, with their results then of tau initially has a protective effect on neurons, and that compared to those who received a placebo treatment. amyloid-beta assaults this protective functionality until it is "The results of the solanezumab EXPEDITION3 trial were progressively lost. not what we had hoped for, and we are disappointed “This study has completely changed our understanding for the millions of people waiting for a potential disease of what happens in the brain during the development of modifying treatment for Alzheimer's disease," said Dr John Alzheimer’s disease,” said study leader, Professor Lars Lechleiter, Chairman, President and CEO of Lilly Ittner. Unfortunately, the specifics of the trial were not made Professor Ittner and his research team specifically available online, but what we do know is that participants identified a protein kinase, called p38γ, which mediated who were given the solanezumab therapy failed to show (or lessened) tau phosphorylation. They noted that when enough improvements in cognition for the therapy to be it was depleted it exacerbated neuronal activities and considered successful. As such, Eli Lilly has decided not cognitive deficits in mice, however when it was increased continue to trial this therapy in people with Alzheimer’s these deficits were not seen. disease. Professor Ittner also stated the team used human brain While results like this are disappointing, all is not lost. tissue (donated through the Sydney Brain Bank) to identify All experimental results add to the medical research the protein in question, which led them to conduct further realm, and with them can come improvements to future studies in mice to confirm their discovery. treatments and important outcomes for other scientists and companies who may be working on alternative “This is a completely new mindset, that the reason tau treatments. It is also worth noting that some other clinical becomes modified is actually to protect from damage. trials are still in progress which are trialling solanezumab as We found that p38 , which initially offers protection, γ a preventative treatment rather than a disease modifying fades away early in the brains of people with Alzheimer’s therapy – so watch this space! disease, suggesting a loss of protection. In addition, other large scale human trials testing other “Part of our study involved reintroducing p38 and γ amyloid beta antibody therapies are still in progress, and increasing its activity. We saw that, in mice, it could there is still hope that results from these trials will provide prevent memory deficits from happening, so it has true positive outcomes. therapeutic potential. If we can stimulate that activity,  we may be able to delay or even halt the progression of Alzheimer’s disease,” said Professor Ittner. What next? This is one of the first studies to challenge the role of tau in Alzheimer’s disease by suggesting it may not be completely responsible for neuronal damage and, in fact, quite the opposite. While this new discovery needs validation, it could potentially lead towards the development of new treatments and therapies for humans with Alzheimer’s disease. The researchers plan on progressing their findings through further studies and we will update you with any significant developments.

14 | CONSUMER FOCUS

Government responds to Let’s Talk About Sex conference consumer calls for a dementia- wins award for inclusion friendly nation In 2015, Alzheimer’s Australia Vic hosted the Let’s Talk About Sex: Relationships and Intimacy as We Age Alzheimer’s Australia has been awarded $3.9 million to conference in Melbourne. The two-day program featured build greater understanding, awareness and acceptance of presentations by several consumers who spoke beautifully dementia in the community. and candidly about their own relationships. The funding, to be committed over three years, has been The organisation was excited when its communications provided by the Commonwealth Government to develop campaign around the conference was bestowed with an a dementia-friendly community resource hub and an Honouree Award at the PR News Diversity and Inclusion Australian dementia friends program. Awards in New York. The dementia-friendly community resource hub will make As part of this campaign, the lead up to the event saw information, resources, and best-practice guides available various presenters share their stories with media. A to people Australia-wide who are looking to make their highlight for many was watching ABC’s 7.30 program, communities more inclusive. It will draw on the good work featuring consumers Edie Mayhew and Anne Tudor at their in this area already achieved in towns like Kiama and make home in regional Victoria. Anne Fairhall, who spoke at the it accessible for communities everywhere. conference about her husband Geoff, was interviewed by Dementia friends is an initiative of Alzheimer’s Society ABC 774 ABC, while Tony Walsh spoke to The Age about UK that raises awareness and understanding of dementia his experience of trying to find a residential care facility for through community champions and training. There are his partner, Paul. currently one million dementia friends across England and Alzheimer’s Australia Vic is grateful to consumer advocates Wales. who support its work in the community and share their Both initiatives are in response to consumer consultation personal stories.  that occurred in March 2016, when Alzheimer’s Australia brought consumers together from across the country to discuss a number of issues relating to dementia. At the completion of the two-day event, a list of recommendations and priorities was presented to the Parliamentary Friends of Dementia in the form of a communique which identified these two projects as a means of reducing the stigma experienced by people living with dementia. Consumer participation will continue to be integral to the success of these programs. A consumer representative sits on the project steering group, and an online survey is currently looking for people with dementia and their carers to share their thoughts and ideas on ways to make their local community better for them. If you would like to contribute to this survey, visit Above Carer Tony Walsh speaking at the conference. Photo: Darren James bit.ly/vicdfp  Your story matters If you have ever thought about becoming a dementia advocate, Alzheimer’s Australia Vic would like to hear from you. Email the Consumer Engagement Officer on [email protected] or call 03 9815 7800. MEMBERSHIP It’s a good time to start thinking about renewing your Alzheimer’s Australia Vic membership. You can do so at bit.ly/vicmembers call 03 9815 7800 or email [email protected]

Autumn 2017 MEMORY MATTERS | 15 DEMENTIA LEARNING

FREE COMMUNITY SEMINARS DEMENTIA – IS IT DEMENTIA OR BREAKING DOWN OLD AGE? THE MYTHS 16 June 2017 | Ringwood 23 May 2017 | Bacchus Marsh Alzheimer's disease and other forms of dementia are not a part of normal ageing. Almost 40 per cent of people Join us to find out what dementia is and what it is not. over the age of 65 experience some form of memory This seminar will explain, in simple terms, what dementia loss. Brain disease like Alzheimer's disease and other is including main causes, especially Alzheimer's disease, forms of dementia are different. Age-associated memory key signs and symptoms and risk factors. It will also impairment and dementia can be told apart in a number explain why changes to behaviour occur. Common myths of ways. and misconceptions about dementia will be addressed as well as concerns you might have. In addition, the seminar In this session you will learn: will explain the importance of seeking a diagnosis if • What are the early signs of dementia noticing changes, treatments and interventions available • How does dementia start? and how you can access further information as well as • What is normal and what is a sign of dementia appropriate support and services if and when needed. • The importance of getting a diagnosis Suitable for: This seminar is suitable for the general • Services available community which may also include health professionals, family carers and people with dementia. Suitable for: This seminar is suitable for the general community which may also include health professionals, For more information and to register visit: family carers and people with dementia. register.eventarc.com/37318 For more information and to register visit: register.eventarc.com/37319

EDIE Educational Dementia Immersive Experience Enabling EDIE Interactive workshop Using Samsung VR Gear this high quality virtual reality experience will NEW enable participants to see the world through the eyes of a person living PROGRAM with dementia. The workshop will enhance your knowledge of dementia whilst exploring a supportive approach that enables Edie and his wife to live more confidently with dementia. To register your interest or for more information on this workshop please call 03 9816 5708 or visit our website at vic.fightdementia.org.au/edie

Bookings: vic.fightdementia.org.au/education | [email protected] | 03 9816 5708

16 | LIBRARY Our libraries are located at 100 Riversdale Road, Hawthorn and 155 Oak Street, Parkville. Open Monday to Friday, 9:00am to 5:00pm. Call 03 9815 7800 or email OUR SEASON [email protected] PICKS

Alzheimer’s Australia libraries combined have a Undoubtedly, this is a great resource available to the collection of over 14,000 resources relating to community… but where do you begin? When visiting dementia. In 2016, there were more than 9,500 the local bookshop, we all welcome the influence of an loans from the organisation’s collections. The award sticker or a book that proudly boasts itself a staff libraries only loan items that are well written recommended read. Taking inspiration from this and and produced, receive consistently good feedback to assist users in navigating the collection, Alzheimer’s from borrowers, garner positive reviews from specialist Australia Vic has developed a ‘staff recommend’ sticker. clinicians, and are highly regarded amongst Alzheimer’s Keep an eye out when next browsing, or get in touch if any Australia staff. of the following items are of interest to you.

Top 10 loans in 2016

Alive inside: A story of music & memory / A film by M Rossato-Bennett (2014)

Green vanilla tea / Marie Williams (2013)

Loving someone who has dementia: how to find hope while coping with stress and grief / Pauline Boss (2011)

Glen Campbell...I'll Be Me / DVD (2014)

Still Alice / Lisa Genova (2009)

Caring for a loved one with dementia: a mindfulness- Educational Dementia Immersive Experience based guide for reducing stress and making the best of your journey together / Marguerite Manteau-Rao (2016)

Relate, motivate, appreciate: A Montessori approach: promoting positive interaction with people with dementia / Dr Eva van der Ploeg (2013)

Before I Forget: How I Survived a Diagnosis of Younger-Onset Dementia at 46 / Christine Bryden (2015)

What the Hell Happened to My Brain?: Living Beyond Dementia / Kate Swaffer (2016)

The 36-hour day: a family guide to caring for people with Alzheimer disease, other dementias, and memory loss in later life / Nancy L. Mace, Peter V. Rabins (2011)

Autumn 2017 MEMORY MATTERS | 17 FUNDRAISING IN THE COMMUNITY

Thank you Madgwicks Lawyers! We are delighted to be the chosen charity of Madgwicks Lawyers in 2017. Their year of fundraising for us kicked off with a charity AFL footy lunch on 3 March, at which Maree McCabe spoke about dementia and the work of Alzheimer’s Australia. The lunch also included an AFL panel discussion moderated by Channel Ten news anchor Stephen Quartermain with footy legends Billy Brownless and Shane Crawford as well as outgoing Chairman of the AFL Commission Mike Fitzpatrick. The event sold out and was enjoyed by all those who attended. We look forward to the continued support of Madgwicks Lawyers this year.  Below Leanne Wenig Acting CEO Alzheimer's Australia Vic, Shane Crawford, Stephen Quartermain, Billy Brownless, David Galbally, A High Tea to Remember with Ita Mike Fitzpatrick and Maree McCabe, National CEO Alzheimer's Australian icon and Alzheimer’s Australia National Australia. Ambassador Ita Buttrose AO OBE returned to The Hotel Windsor for two High Tea To Remember events on The return of A Trek to Remember Saturday 4 March 2017, following two popular events in 2016. Hot on the heels of Nepal, Vietnam and Tanzania, Alzheimer’s Australia Vic’s popular and life-changing Trek The legendary media editor, business woman, TV to Remember series of fundraising events continues in personality and best-selling author regaled the crowd October 2017 with a special trip to Kokoda. Get involved, with anecdotes about her diverse and interesting life have the adventure of a lifetime and raise funds to help experience, both professional and personal. Guests also fight dementia! enjoyed exquisite pastries, traditional scones and ribbon sandwiches, presented on three-tiered stands in the For more information, email splendid, heritage-listed Grand Ballroom. [email protected]  The Hotel Windor also hosted a display of creative tea cosies, hand-made by the Royal Melbourne Show’s talented Tea Cosy Collective. The tea cosies were auctioned to raise additional funds to support research and the delivery of services for people living with dementia. Noritake sponsored the tea cosy auction, kindly donating a free teapot valued at $172 for each successful bidder. Guests at the two High Tea To Remember events were excited to receive a free gift bag on the day containing items from Crabtree & Evelyn, Madame Flavour, Kez’s Kitchen, Bon Maman, Australian Women’s Weekly, Lizzy’s Chocolates and Sanpellegrino. Our thanks to all of these companies for donating, as well as event sponsors TLC Healthcare and The Hotel Windsor. 

Above Alzheimer's Australia National Ambassador Ita Buttrose AO OBE. Photos: Chris Hopkins Left Guests enjoyed the opportunity to meet Ita and get a photo.

18 | PLANNING AHEAD

What is a bequest? A bequest is a completed gift of personal property such as cash and other assets, to a specific person listed in your will. Many people feel that by making a bequest to a charity they are giving back to the community and will be helping someone in need, after they die. The person behind a bequest always has a story worth sharing, no matter how large or how small the bequest. The Life of Madelene Crump 4 November 1908 – 5 July 2001 Above Madelene Crump, pictured far right, at the Kindergarten Madelene Crump was the only child of Amy Madeline Training College in 1976. Crump (Brownell) of Tasmania and Arthur Rainsford Crump of New Zealand, who taught at the Clarendon Ladies Madelene Crump’s Will included a bequest to Alzheimer’s College, Ballarat. Australia which commenced annually in 2002. This bequest continues and the total amount bequeathed to date is She attended the school for one year, aged seven, and $209,759.87. This annual income continues to fund the also attended Fintona Girls’ School and the Geelong Madelene Crump and Madeline Williams Trust Scholarship Church of England Girls’ Grammar School, The Hermitage. for the Alzheimer’s Australia accredited Certificate IV in Here, she received the Maggie Cunningham prize, Dementia Practice. traditionally awarded “to the girl, exclusive of the head prefect, who gave her best to the school in work, sport For bequest information, please contact Jo Fairbairn, and leadership.” Bequest Officer Alzheimer’s Australia Vic on 03 9816 5776 or [email protected]  Madelene trained at the Kindergarten Training College in 1929, after which she was one of the first five to train as nursery school teachers. Make your legacy a The conditions of families in 1929 left a lasting impression on Madelene. In her own words, “a lot of children were future without dementia. wrapped in newspaper in the night because the mothers had pawned their clothes, pawned blankets, pawned everything … there was no unemployment benefit … the fathers had no work at all.” These impressions led to a life- long commitment to social justice. By 1938, Madelene was studying at Columbia University, New York, where she obtained a Bachelor of Science degree in education. On her return to Australia, Madelene was appointed vice- principal of Brisbane Kindergarten Training College, before being promoted to principal in 1942. The war in the Pacific led to her return to the Kindergarten Training College in Melbourne where she became vice-principal in 1943 and principal from 1944 to 1951.

Madelene later enrolled in the mental health course at the Please send me a FREE copy of the By leaving a London School of Economics to train as a psychiatric social Alzheimer’s Australia Vic Will Kit gift in your Will worker. you can make Name After working for a short time at Royal Park hospital, a difference. Madeline commenced work at Willsmere Psycho-geriatric Address Please send to: Bequests, Hospital, where she was highly respected and remained Alzheimer’s Australia Vic, Locked Bag 3001, until retirement in 1973. Hawthorn 3122 She cared for her friend Madeline Williams who had For a confidential discussion State Postcode call 03 9816 5776 or email Alzheimer’s disease. Madelene herself dies peacefully at [email protected] the age of 92. Email This is an edited version of a published obituary by Telephone Frances Nall, cousin of Madelene Crump.

Autumn 2017 MEMORY MATTERS | 19 #bethechange2017 MAJOR SUPPORTER STATE SUPPORTER

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