Home-Based Care Coordination for Elders with Memory Disorders: the Maximizing Independence at Home (MIND) Trial (American Journal of Geriatric Psychiatry)


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.

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).


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).

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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