Purpose: Few studies have addressed the effects of caregiver interventions on the costs of care for the care recipient. This study evaluated the effects of a caregiver education and support group delivered via the telephone on care recipient health care utilization and cost. Design and Methods: The Telehealth Education Program (TEP) is a…

Purpose: This article provides a detailed description of a telephone-based care coordination intervention, Partners in Dementia Care (PDC), for veterans with dementia and their family caregivers. Essential features of PDC included (a) formal partnerships between Veterans Affairs (VA) medical centers and Alzheimer's Association Chapters; (b) a…

Purpose: Institutionalized veterans in Taiwan are a high-risk group for completing suicide due to their institutionalization and social minority status. The purpose of this study was to understand the suicide experiences, especially the triggers of suicide in this group. Design and Methods Data: about suicide experiences were collected from 19…

Purpose: The Veterans Affairs or VA health care system is in the process of significantly expanding home health care (HOC) nationwide. We describe VA HHC use in 2003 for all VA HHC users from 2002; we examine whether VA utilization across a broad spectrum of services differed for a sample of VA HHC users and their propensity-score-matched…

Purpose: The purpose of this article is to describe the projected use for long-term-care services through 2012. Design and Methods: We constructed a static-component projection model using age, function, and other covariates. We obtained enrollee projections from the Veterans Health Administration (VHA) and combined these with nursing home and…

Purpose: There is a growing consensus that quality of care for frail elders should include family and be evaluated in terms of patient-centered, family-focused care (PCFFC). Family caregivers are in a unique and sometimes sole position to evaluate such care. In the context of caring for physically frail elders, this study examined the extent to…

Purpose: We examined the adjustment to societal change following the fall of communism in a group of Soviet war veterans from Russia and the Ukraine. The focus of the study was on the dynamics of identity development, and especially generativity, in a period of intense social upheaval. Design and Methods: We administered measures of self-esteem,…

Describes the development and evaluation of an eight-hour educational program designed to prepare staff nurses to perform in a new role, the unit-based acute confusion Resource Nurse (ACRN). Tests showed that knowledge and confidence significantly increased for participants as a result of their participation in the educational program. (Author/GCP)

Purpose: The U.S. Department of Veterans Affairs has adopted two functional assessment systems that guide care planning: one for nursing home residents (the Resident Assessment Instrument [RAI]) and a compatible one for home care clients (RAI-HC). The purpose of this article is to describe the RAI-HC (often referred to as the Minimum Data Set-Home…

Describes Respite Program which provided 4 weeks inpatient care over one year to frail older veterans who lived with unpaid caregiver. Program personnel taught 850 families health care delivery skills needed to maintain a disabled person at home and how to build community support systems. Program prevented inappropriate placement by providing…

Used secondary data sources to examine relative importance of geographic mobility as factor affecting use of Veterans Administration (VA) health services by older veterans. Found that variation in state VA health service admission rates was better explained primarily by characteristics of resident nonmobile veteran population and characteristics…

Presents a model of outpatient interdisciplinary geriatric care provided at a veteran's hospital. Compares characteristics of patients served in this program with those in community-based geriatrics outpatient clinics described in the literature. (Author/ABB)

Investigated the relationships of age, length of institutional residence, psychiatric diagnosis, alcoholism, and disability to self-concept in 255 domiciliary patients. Negative self-concept was associated with having a psychiatric diagnosis, alcoholism, and two disability indices. Positive self-concept was associated with both increasing age and…

The Assessment of Living Skills and Resources (ALSAR) systematically evaluates accomplishment of 11 tasks by separately rating patient skill and resource levels for each task and combining levels to determine risk. Administered ALSAR to 75 elderly veterans. Found ALSAR predicted change to more supportive living arrangements and more structured…

Examines feasibility and effectiveness of implementing a directive education program called "Let Me Decide" to veterans living in Ontario. Discusses two methods used to evaluate implementation of the program. Reports that 97% of the veterans found the education process beneficial whether or not they completed the directives. (Author/JDM)