This article reports the results of a pilot trial in the United States to assess whether a dementia care coordination intervention for community-living elders with memory disorders had the potential to delay the transition from living at home into care. The 18-month care coordination intervention involved (a) systematically identifying and addressing dementia-related care needs through individualised care planning, (b) referral and liaison with linked services, (c) the provision of dementia education and skill-building and (d) care monitoring by an interdisciplinary team.
While there was no significant evidence for an overall reduction in unmet needs after 18 months, the intervention group had a significantly reduced proportion of unmet needs in the areas of safety and legal / advance care. The intervention group also showed a significant improvement in self-reported quality of life (QoL). The authors conclude that the home-based dementia care coordination intervention, delivered by non-clinical community workers trained and overseen by geriatric clinicians, was able to delay the transition from home into care, reduce patients’ unmet needs and improve self-reported QoL.
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Samus, QM. Johnston, D. [and] Black, BS. [et al] (2014). A multidimensional home-based care coordination intervention for elders with memory disorders: the Maximizing Independence at Home (MIND) pilot randomized trial. American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, January 4th 2014. [Epub ahead of print]. (Click here to view the PubMed abstract).