Skip to main content
Journal cover image

A Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement.

Publication ,  Journal Article
Stevens, AB; Hochhalter, AK; Basu, R; Smith, ER; Thorud, JL; Jo, C; McGhee, R
Published in: J Am Geriatr Soc
December 2015

Transitioning an older adult into a nursing facility is a major life event for older adults (care recipients, CRs) and their family caregivers (CGs). This article describes the implementation of a community living program and presents findings on important health and well-being indicators. One hundred ninety-one participants aged 60 and older not eligible for or currently enrolled in Medicaid and meeting four risk domains (functional, health, cognitive/emotional, informal support system) were enrolled for the 10-month program. Two evidence-based interventions were blended into a comprehensive community-based approach to long-term care that included $750 per month for home care services. Measures were conducted at baseline and 6 and 12 months. Nine (6%) participants did not complete the program because of nursing facility admission. CRs had fewer physician visits (4.1 vs 7.3, P < .001), emergency department visits (0.3 vs 1.4, P < .001), hospital stays (0.4 vs 0.9, P < .001), and total nights in the hospital (0.8 vs 5.1, P < .001) at 12 months than at baseline. Center for Epidemiologic Studies Depression Scale (CES-D) scores also improved significantly (6.8 vs 9.4, P < .001). CGs had improvements in CES-D scores (5.9 vs 3.9, P < .001) and CG burden (14.7 s 12.6, P = .01) from baseline to 12 months. This multicomponent program improved the physical and mental health of CGs and CRs at risk of nursing facility placement. Future studies are needed to compare the overall placement rate to determine the success of diverting nursing facility placement in this population of older adults.

Duke Scholars

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

December 2015

Volume

63

Issue

12

Start / End Page

2601 / 2609

Location

United States

Related Subject Headings

  • Geriatrics
  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Stevens, A. B., Hochhalter, A. K., Basu, R., Smith, E. R., Thorud, J. L., Jo, C., & McGhee, R. (2015). A Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement. J Am Geriatr Soc, 63(12), 2601–2609. https://doi.org/10.1111/jgs.13831
Stevens, Alan B., Angela K. Hochhalter, Rashmita Basu, Emily R. Smith, Jennifer L. Thorud, Chanhee Jo, and Richard McGhee. “A Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement.J Am Geriatr Soc 63, no. 12 (December 2015): 2601–9. https://doi.org/10.1111/jgs.13831.
Stevens AB, Hochhalter AK, Basu R, Smith ER, Thorud JL, Jo C, et al. A Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement. J Am Geriatr Soc. 2015 Dec;63(12):2601–9.
Stevens, Alan B., et al. “A Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement.J Am Geriatr Soc, vol. 63, no. 12, Dec. 2015, pp. 2601–09. Pubmed, doi:10.1111/jgs.13831.
Stevens AB, Hochhalter AK, Basu R, Smith ER, Thorud JL, Jo C, McGhee R. A Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement. J Am Geriatr Soc. 2015 Dec;63(12):2601–2609.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

December 2015

Volume

63

Issue

12

Start / End Page

2601 / 2609

Location

United States

Related Subject Headings

  • Geriatrics
  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences