Model for Improving Care Delivery and Health Outcomes in a Medicaid Community-Based Program
PI - Victoria Phillips
Emory University
The purpose of this project is to establish a sustainable, culturally appropriate, skills-based, training program to equip community-based caregivers, aides, social workers, and families, with evidenced-based strategies to deal with dementia-related problem behaviors (DRPB). The intervention setting is the Community Care Services Program (CCSP), Georgia's Medicaid home care program. CCSP clients are generally poor, elderly, severely functionally impaired, minority and female. Caregivers, formal and informal, are also predominantly minority and female. The proposed intervention uses a multi-level approach to address the complex, health-related problem of dementia caregiving. The specific aims of the proposal are: 1) to create the evidence-based, Advanced Problem Behavior Protocol for use by CCSP caregivers; 2) to integrate the Advanced Problem Behavior Protocol into current CCSP assessment practices; and 3) to train care managers and supervisors to train family members and aides in how to implement protocol-guided responses to DRPB. The protocol will be evaluated through a randomized, controlled trial of caregivers and clients. Outcomes to be monitored included: level of reported burden among all caregivers, levels of depression among informal caregivers, rates of turnover among aides, rates of institutionalization among clients and the overall cost effectiveness of the intervention.
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Page last modified: September 28, 2006
Content source: Office of the Chief Science Officer (OCSO)
