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Centre for Policy on Ageing | |
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Coordination and Advocacy for Rural Elders (CARE)
— a model of rural case management with veterans | | Author(s) | Christine Ritchie, Darryl Wieland, Chris Tully |
| Journal title | The Gerontologist, vol 42, no 3, June 2002 |
| Pages | pp 399-405 |
| Keywords | Case work ; Advocacy ; Rural areas ; Management [care] ; Coordination ; Pilot ; United States of America. |
| Annotation | As a response to the US Veterans Health Administration's emphasis on community- and home-based services, the Coordination and Advocacy for Rural Elders (CARE) programme was begun in 1997. Veterans aged 75+ who scored at risk of repeated hospital admission on the PRA-Plus telephone questionnaire were targeted and visited by evaluators who administered a comprehensive health questionnaire prior to being assessed at home by CARE clinical teams. Nurse-social worker teams then performed in-home standardised assessments using the Minimum Data Set - Home Care (MDS-HC), developed patient-specific care plans, and mobilised family, community and VHA resources to implement plans. On average, 8 problems were identified for each patient, most commonly fall risk, social needs, pain, and needs related to IADL disability. As a result of the initial assessment, two-thirds of care participants received referral or linkage to formal services, more than half to medical providers. Through CARE, the VHA is learning more about unmet needs of older rural veterans. Further development and evaluation should guide the VHA toward providing efficient, effective community-based services to all frail older veterans. (RH). |
| Accession Number | CPA-020703211 A |
| Classmark | IGA: IQ: RL: QA: QAJ: 4UC: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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