Supporting Veterans with dementia to remain in the community: strategies used in 12 Veterans Health Administration programs.

Publisher: Routledge Country of Publication: England NLM ID: 8000128 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-0856 (Electronic) Linking ISSN: 01621424 NLM ISO Abbreviation: Home Health Care Serv Q

Publication: 2009- : London : Routledge
Original Publication: [New York] Haworth Press.

Dementia*/therapy ; Veterans*; Humans ; Retrospective Studies ; United States ; United States Department of Veterans Affairs ; Veterans Health

The Veterans Health Administration (VA) provides services to growing numbers of Veterans with dementIa, individuals at heightened risk for hospitalizations and nursing home placement. Beginning in 2010, the VA funded 12 innovative pilot programs to improve dementia care and help Veterans remain at home. We conducted a retrospective qualitative analysis of program materials and interviews with physicians, nurses, social workers, and other personnel (n = 33) to understand the strategies these programs adopted. Interviews were conducted every 6 months between 2010-2013 (4-5 interviews per program) and focused on factors affecting program design and implementation, challenges, and strategies to reduce hospitalizations and nursing home placements. Programs varied considerably yet shared three overarching strategies to improve dementia care: involving and supporting family caregivers; engaging interdisciplinary teams; and improving coordination with other healthcare providers. Our results highlight the importance of adapting common dementia care strategies based on the local context and needs of individuals served.

J Am Pharm Assoc (2003). 2019 Jul - Aug;59(4S):S6-S11.e1. (PMID: 31101441)
BMC Geriatr. 2020 Jun 19;20(1):216. (PMID: 32560701)
Am J Geriatr Psychiatry. 2006 Aug;14(8):650-8. (PMID: 16861369)
Health Care Manage Rev. 2018 Jul/Sep;43(3):193-205. (PMID: 28125459)
Geriatrics (Basel). 2018 Sep;3(3):. (PMID: 30364554)
Health Qual Life Outcomes. 2015 Jul 29;13:109. (PMID: 26216099)
J Am Geriatr Soc. 2019 May;67(S2):S400-S408. (PMID: 31074849)
Psychol Aging. 2011 Mar;26(1):1-14. (PMID: 21417538)
J Aging Soc Policy. 2018 Mar-Apr;30(2):93-108. (PMID: 29308990)
Neurology. 2006 Nov 14;67(9):1592-9. (PMID: 17101889)
J Am Geriatr Soc. 2018 Jan;66(1):22-24. (PMID: 28876455)
J Gen Intern Med. 2020 May;35(5):1584-1585. (PMID: 31654354)
Alzheimers Dement. 2020 Mar 10;:. (PMID: 32157811)
J Am Med Dir Assoc. 2021 Jul;22(7):1363-1365. (PMID: 34274067)
Psychol Aging. 2020 Feb;35(1):55-77. (PMID: 31985249)
Fed Pract. 2019 Oct;36(10):464-470. (PMID: 31768097)
J Am Board Fam Med. 2018 May-Jun;31(3):456-465. (PMID: 29743228)
Gerontologist. 2013 Dec;53(6):985-97. (PMID: 23339050)
Int Psychogeriatr. 2017 Feb;29(2):195-208. (PMID: 27806743)
Arch Clin Neuropsychol. 2018 May 1;33(3):280-289. (PMID: 29718079)
J Am Geriatr Soc. 2018 Apr;66(4):812-817. (PMID: 29473945)
J Gen Intern Med. 2020 Jul;35(7):2118-2129. (PMID: 31898134)
Ann Intern Med. 2013 Feb 5;158(3):169-78. (PMID: 24779044)
J Am Geriatr Soc. 2006 May;54(5):849-52. (PMID: 16696754)
J Am Geriatr Soc. 2014 Oct;62(10):1954-61. (PMID: 25333529)
Med Care. 2009 Feb;47(2):191-8. (PMID: 19169120)
JAMA Intern Med. 2014 Aug;174(8):1350-8. (PMID: 25055197)
J Am Geriatr Soc. 2016 Feb;64(2):409-16. (PMID: 26804896)
J Econ Perspect. 2008 Fall;22(4):93-113. (PMID: 19791306)

VA999999 United States ImVA Intramural VA

Keywords: Veterans; dementia; home care; home- and community-based services

Date Created: 20220124 Date Completed: 20220419 Latest Revision: 20221208

20240105

PMC9729013

10.1080/01621424.2022.2027315

35068371