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Assessing need for intensive case management in long-term care.

S Diwan¹, C Ivy, D Merino

¹School of Social Work, Georgia State University, Atlanta 30303, USA. sdiwan@gsu.edu

The Gerontologist

|September 28, 2001

Summary

A new screening tool helps case managers identify home- and community-based services (HCBS) clients needing intensive social work case management (CM). It identifies issues like dementia behaviors and caregiver stress to predict intensive case management needs.

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Area of Science:

Gerontology
Social Work
Healthcare Management

Background:

Home- and community-based services (HCBS) are crucial for individuals needing long-term support.
Effective case management (CM) is essential for optimizing HCBS client outcomes.
Identifying clients requiring intensive CM ensures appropriate resource allocation.

Observation:

A study analyzed data from 242 participants in a case management time study.
Content analysis of 70 cases within a Medicaid waiver-funded HCBS program was conducted.
Key issues predicting intensive CM needs were identified.

Findings:

Dementia-related behavioral problems are significant indicators for intensive CM.
Client noncompliance with treatment plans necessitates closer case management.

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Informal caregiver health, mental health, and client-caregiver relationship dynamics predict CM intensity needs.

Implications:

The developed screening tool offers a reliable and valid method for identifying clients needing intensive social work case management.
This tool facilitates better allocation of case management resources, aligning case manager time and expertise with client needs.
Improved resource allocation can lead to more effective and efficient delivery of HCBS.