This study explored the use of case-managed services for dementia patients and their families.
Forty-six primary caregivers, recruited from five case-managed programs and from independent
sources, participated in a structured interview. The findings suggest ways in which case-managed services might be structured more effectively for caregivers to dementia patients.
Specifically, families seek greater flexibility and increased family input into the service package.
Further, caregivers emphasize the need for more information about service eligibility and
availability, and the importance of finding a sympathetic person within the system.
Get full access to this article
View all access options for this article.
References
1.
Anthony-Bergstone, C.R., Zarit, S.H., & Gatz, M. (1988). Symptoms of psychological distress among caregivers of dementia patientsPsychology and Aging , 3, 245-248.
2.
Applebaum, R., Seidl, F.W., & Austin, C.D. (1980). The Wisconsin community care organization : Preliminary findings from the Milwaukee experimentGerontologist , 20, 350-355.
3.
Birnbaum, H., Burke, R., Swearingen, C., & Dunlop, B. (1984). Implementing community-based long-term care: Experience of New York's long-term home health care programGerontologist, 24, 380-386.
4.
Brown, K.B., & Drake, A.M. (1980). Comparative approaches to the provision of case coordination services.Olympia, WA: Department of Social and Health Services, Analysis and Information Services Division.
5.
Capitman, J.A., Haskins, B., & Bernstein, J. (1986). Case management approaches in coordinated community-oriented long term care demonstrationsGerontologist , 26, 398-404.
6.
Caserta, M.S., Lund, D.A., Wright, S.D., & Redburn, D.E. (1987). Caregivers to dementia patients: The utilization of community servicesGerontologist, 27, 209-214.
7.
Gottesman, L., Ishizaki, B., & MacBride, S.M. (1979). Service management: Plan and concept in PennsylvaniaGerontologist , 19, 379-385.
8.
Green, G. (1984). Case management: State of the art In R. Bennett, S. Frisch, B. J. Gurland, & D. Wilder (Eds.), Coordinated service delivery systems for the elderly: New approaches for care and referral in New York state (pp. 123-138). New York: Haworth.
9.
Hicks, B., Raisz, H., Segal, J., & Doherty, N. (1981). The triage experiment in coordinated care for the elderlyAmerican Journal of Public Health , 71, 999-1003.
10.
Lawton, M.P., Brody, E.M., & Saperstein, A.R. (1989). A controlled study of respite service for caregivers of Alzheimer's patientsGerontologist , 29, 8-16.
11.
Morycz, R.K. (1985). Caregiving strain and the desire to institutionalize family members with Alzheimer's disease: Possible predictors and model developmentResearch on Aging, 1, 329-361.
12.
Seltzer, M.M., Ivry, J., & Litchfield, L.C. (1987). Family members as case managers: Partnership between the formal and informal support networksGerontologist, 27, 722-728.
13.
Seltzer, M.M., Simmons, K., Ivry, J., & Litchfield, L. (1984). Agency-family partnerships: Case management of services for the elderlyJournal of Gerontological Social Work, 7, 57-71.
Smyer, M.A. (1980). The differential usage of services by impaired elderlyJournal of Gerontology, 35, 249-255.
16.
White, M. (1987). Case management In G. L. Maddox, R. C. Atchley, L. W. Poon, G. S. Roth, I. C. Seigler, & R. M. Steinberg (Eds.), The encyclopedia of aging (pp. 92-96). New York: Springer.
