Document Detail


Assessing need for intensive case management in long-term care.
MedLine Citation:
PMID:  11574713     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article presents a brief screening tool to help case managers identify clients in a home- and community-based services (HCBS) program who need more intensive social work case management (CM). Using existing data from a case management time study (N = 242) and a content analysis of 70 cases in a Medicaid waiver-funded HCBS program, this study highlights a number of issues, such as dementia-related behavior problems, noncompliance with treatment, poor informal caregiver health and mental health, and a conflicted or problematic relationship between client and caregiver, which are useful in predicting need for intensive case management. Kappas for interrater reliability and t tests for discriminant validity show these items to be reliable and valid. This tool will allow for better allocation of CM resources in terms of case manager time and type of expertise needed to address these issues.
Authors:
S Diwan; C Ivy; D Merino; T Brower
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  The Gerontologist     Volume:  41     ISSN:  0016-9013     ISO Abbreviation:  Gerontologist     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-09-27     Completed Date:  2001-12-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0375327     Medline TA:  Gerontologist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  680-6     Citation Subset:  IM    
Affiliation:
School of Social Work, Georgia State University, Atlanta 30303, USA. sdiwan@gsu.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Caregivers / psychology
Case Management / organization & administration*
Female
Frail Elderly
Humans
Long-Term Care / organization & administration*
Mental Disorders / psychology
Needs Assessment*
Personality
Professional-Family Relations
Reproducibility of Results
Social Work / methods*
Stress, Psychological / etiology
Grant Support
ID/Acronym/Agency:
T32-AG0017/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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