{"title":"Improving the quality of care for older adults with mental disorders: the outcomes-based treatment planning system of the NH-Dartmouth Psychiatric Research Center.","authors":"Stephen J Bartels, Keith M Miles, Aricca R Dums","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This research brief provides information about an initiative, supported by the Robert Wood Johnson Foundation, to provide clinicians with an integrated system for assessing client needs, planning effective treatment, and measuring treatment outcomes for the growing population of older adults with mental disorders. The initiative, called the Outcomes-Based Treatment Planning (OBTP) System, aims to provide clinicians and policy makers with important information about the outcomes and effectiveness of treatment. The study investigated whether clinicians' ability to recognize and treat mental illness in older adults could be improved. Further, it investigated whether the consistent use of tools specifically designed for this population could both inform treatment and give policymakers important data, more specific treatments, and better chart documentation of both initial severity and client progress over time.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 9","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24423675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New York State's Medicaid-only managed long-term care program.","authors":"P Nadash","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This policy brief describes an innovative model of managed long-term care (MLTC) in New York State (NYS) that serves Medicaid eligible adults at a nursing home level of impairment, most of whom are also eligible for Medicare. The ten MLTC plans discussed here are capitated to provide all Medicaid funded long-term care (LTC) benefits. Plans are also responsible for coordinating primary and acute care services covered by Medicare. This MLTC model is currently offered by ten diverse organizations throughout the state and serves over 4,500 voluntary participants. It is the newest of the four MLTC models operating in NYS.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 8","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24423679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving communication between researchers and policy makers in long-term care or \"researchers are from Mars; policy makers are from Venus\".","authors":"P. Feldman, P. Nadash, M. Gursen","doi":"10.1093/GERONT/41.3.312","DOIUrl":"https://doi.org/10.1093/GERONT/41.3.312","url":null,"abstract":"This policy brief reports the results of a study that examined how policy makers acquire information about long-term care (LTC) and why research findings in the field often don't filter through to them. It describes the \"brokers\" that provide LTC research information to policy makers and outlines what can be done to make certain such information reaches policy makers and is suited to their needs. It concludes by recommending that more effort be put into disseminating LTC research information, both to communicate more effectively within the resource constraints that currently exist and to encourage increased investment in research brokering activities for the future.","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":"96 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72636419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Canes, crutches and home care services: the interplay of human and technological assistance.","authors":"S M Allen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This brief reports the results of a study investigating the efficacy of canes, crutches, walkers, and wheelchairs for people who need assistance with everyday activities and asks the question, does low assistive technology replace human help for people with disabilities? Study results show that canes and crutches are low cost, versatile aids that can partially substitute for human assistance by reducing the overall number of hours of care required. They can also reduce out-of-pocket expenses for supportive services. Walkers and wheelchairs, on the other hand, appear to supplement, rather than substitute for, human assistance. The brief concludes by recommending that greater use of canes and crutches be actively encouraged to increase the independence of people who need help with daily activities.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 4","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24422621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"More for less in long-term home care services: titrating payment to risk, value and effectiveness.","authors":"W Weissert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This brief describes a new budgeting approach for allocating home care services for frail elderly people developed by William Weissert, a grantee of the Home Care Research Initiative (HCRI). The services discussed are personal care, nursing and other services delivered in the home to chronically ill, frail, elderly individuals who are likely to receive many more unskilled than skilled services and are not typically in need of rehabilitative, restorative or other post-acute care.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 7","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24423674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving communication between researchers and policy makers in long-term care or \"researchers are from Mars; policy makers are from Venus\".","authors":"P H Feldman, P Nadash, M Gursen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This policy brief reports the results of a study that examined how policy makers acquire information about long-term care (LTC) and why research findings in the field often don't filter through to them. It describes the \"brokers\" that provide LTC research information to policy makers and outlines what can be done to make certain such information reaches policy makers and is suited to their needs. It concludes by recommending that more effort be put into disseminating LTC research information, both to communicate more effectively within the resource constraints that currently exist and to encourage increased investment in research brokering activities for the future.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 5","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24423672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extending the effectiveness of home care for elders through low-cost assistive equipment.","authors":"A S Gottlieb, F G Caro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A recent demonstration project in Massachusetts suggests that low-technology, low-cost assistive equipment has the potential to make traditional publicly-funded home care programs for elders more effective. The demonstration also identified implementation problems that must be addressed if public home care programs are to be a vehicle for making assistive equipment available to functionally disabled elders living in the community. The demonstration was carried out by the Gerontology Institute at the University of Massachusetts Boston in cooperation with the Massachusetts Executive Office of Elder Affairs, and was funded by the Robert Wood Johnson Foundation through its Home Care Research Initiative.</p>","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 6","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24423673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D G Stevenson, C M Murtaugh, P H Feldman, M Oberlink
{"title":"Expanding publicly financed managed long-term care programs to provide greater access to home and community-based care.","authors":"D G Stevenson, C M Murtaugh, P H Feldman, M Oberlink","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24421022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D G Stevenson, C M Murtaugh, P H Feldman, M R Oberlink
{"title":"Expanding publicly financed assisted living and other residential alternatives for disabled older persons: issues and options.","authors":"D G Stevenson, C M Murtaugh, P H Feldman, M R Oberlink","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87131,"journal":{"name":"Policy brief (Center for Home Care Policy and Research (U.S.))","volume":" 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24421025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}