scholarly journals Expanding Arizona’s Dementia Capable System

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 384-385
Author(s):  
David Coon

Abstract Currently, 5.8 million US adults live with Alzheimer’s disease (ADRD); the number is expected to double by 2050. Arizona will experience the greatest percent increase in ADRD by 2025. This project targeted three underserved groups in order to expand Arizona’s dementia capable system: people living alone with ADRD; people with Down Syndrome or another intellectual/developmental disability (DS/IDD) aging with ADRD and their family caregivers; and people with ADRD and their caregivers in the Latino community. This presentation describes the development and delivery of the project’s educational workshops, case management services, and evidence-based programs. Over 2,220 participants have participated in workshops to date with the largest percentage being case managers, care coordinators, and discharge planners. Evaluations have been extremely positive with 86.1% being “very likely” to recommend the project to others. The presentation concludes with findings and lessons learned regarding the delivery of the project’s evidence-based programs and case management services.

Author(s):  
Maria Roberts-DeGennaro

A generic set of case management functions are performed in most practice settings. To improve outcomes within a complex service delivery system, case managers need to collaboratively work with clients and care providers. By incorporating the paradigm of evidence-based practice, case managers can improve decision making through integrating their practice expertise with the best available evidence, and by considering the characteristics, circumstances, values, preferences, and expectations of clients, as well as their involvement in the decision making.


2020 ◽  
Vol 24 (S2) ◽  
pp. 200-206 ◽  
Author(s):  
Nichole Kang ◽  
Morgan Patrick ◽  
Frances Williams ◽  
Katharine Hemady ◽  
Mara Aussendorf ◽  
...  

Abstract Introduction The Support. Empower. Learn. Parenting Health Initiative (SELPHI) provides expectant and parenting youth ages 16–24 in Philadelphia with supports to improve educational, social, and economic outcomes to shape their health and the health of their children. Phone, text, video-based, and social media communication technology is built in to SELPHI’s program design to facilitate case management and connect clients to a broad referral network. Given the novelty of using information and communication technology (ICT) in case management, the reported lessons learned seek to give providers a specific and nuanced picture of ICT in case management. Methods In its initial 6-month implementation period, SELPHI’s five case managers, called Navigators, served 59 clients. Data from feedback surveys and case records were collected from clients and Navigators. Data included client demographic characteristics, needs assessment, and contact records to inform continuous quality improvement (CQI). Results ICT’s benefits included having multiple ways to connect to difficult-to-reach clients, the ability to be more responsive to clients, and the flexibility to address scheduling and transportation barriers. ICT’s challenges are related to Navigators’ boundary setting, limitations on rapport building, and data security considerations. CQI data are presented to illustrate the lessons learned. Text messages were the most prevalent ICT; phone calls were most successful in engaging clients. Clients’ ICT preferences differed by purpose of communication. Discussion Findings suggest that programs should understand the nuances of client contact preferences. To maximize the benefits of ICT, programs must develop or adapt protocols based on preference and purpose of communication.


1994 ◽  
Vol 22 (2) ◽  
pp. 245-261 ◽  
Author(s):  
Jeffrey Draine ◽  
Phyllis Solomon

Sixty-five homeless mentally ill clients leaving jail were followed into the community for six months after being assigned an intensive case manager upon leaving jail. With demographic and clinical controls, service intensity variables were entered into an event history analysis to predict jail recidivism by service month. Less satisfaction with quality of life, fewer case management services provided in clients' homes, more service time face to face with case managers, and more services involving interaction with other providers were associated with return to jail within six months. Special attention needs to be paid to the appropriate intensity of services and the overreliance of public mental health service providers on monitoring, as opposed to treatment for forensic clients with mental illness, who are especially vulnerable to the stresses of poverty, addiction, homelessness and arrest.


2020 ◽  
Vol 24 (S2) ◽  
pp. 183-190 ◽  
Author(s):  
Sara McGirr ◽  
Jennifer Torres ◽  
Julia Heany ◽  
Hillary Brandon ◽  
Carrie Tarry ◽  
...  

Abstract Introduction Research shows that mainstream parenting and repeat pregnancy prevention programs generally do not effectively engage with fathers and that young men’s levels of participation in such services are low. To support practitioners in overcoming the barriers to recruiting and retaining young fathers, the current study aimed to gather lessons learned from one program’s state administrators, case managers, and young fathers about the most effective strategies for engaging this population in intensive case management. Methods Three focus groups were conducted. One focus group was held with the creators and managers of the Michigan Adolescent Pregnancy and Parenting Program MI-APPP at the state Department of Health and Human Services (n = 3). The other two groups were designed to jointly engage young fathers currently involved in intensive case management (n = 11) and their case managers (n = 5). A qualitative analysis of the focus group transcripts was conducted using a coding scheme developed from emerging themes in the transcripts and related literature. Results The findings highlight a selection of those strategies that focus group participants perceived to be most successful in improving male recruitment and retention in intensive ongoing case management. Among these strategies were centralizing feedback from young fathers in program decision making, offering opportunities for young fathers to connect, and challenging staff’s negative stereotypes about young fathers. Discussion Despite the small sample size, the results of this study nevertheless contribute to debates in the field regarding appropriate strategies for engaging young fathers by informing professional practice.


2015 ◽  
Vol 19 (2) ◽  
pp. 108-116 ◽  
Author(s):  
Jane Powers ◽  
Mary Maley ◽  
Amanda Purington ◽  
Karen Schantz ◽  
Jutta Dotterweich

2006 ◽  
Vol 7 (4) ◽  
pp. 179-190 ◽  
Author(s):  
Todd Kopelman ◽  
Diane L. Huber ◽  
Robin Kopelman ◽  
Mary Vaughan Sarrazin ◽  
James A. Hall

Although many substance abuse organizations offer case management services, little is known about clients’ satisfaction as consumers of case management services. The purpose of this study was to evaluate consumer preferences regarding the delivery of case management services in a rural substance abuse treatment program. For this study, 120 clients (30 in each of four research conditions) were interviewed about their experiences in the Iowa Case Management Project (ICMP), a field-based clinical trial evaluating a strengths-based model of case management for rural clients in drug abuse treatment. A mixed-method approach evaluated clients’ responses from a semistructured interview. Most clients preferred meeting with their case manager in their own home. Clients also stated that they preferred specific characteristics of case management services—namely, convenience, privacy, comfort, and accessibility. Finally, clients wanted more time with their case managers over time. Although clients in drug treatment are not often considered as consumers, we found that client satisfaction with case management services could be studied and that clients appreciated being asked about their experiences. By targeting perceived and actual barriers to meeting with case managers (e.g., availability of transportation), service utilization by clients may be increased along with overall satisfaction.


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