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Updated: Jun 20, 2026
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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
Senior reach outcomes in comparison with the Spokane Gatekeeper program.
David A Bartsch1, Vicki K Rodgers
1TriWest Group, Boulder, CO 80303, USA. dbartsch@triwestgroup.net
Summary
The Senior Reach program effectively reduced social isolation and improved functioning in older adults using a gatekeeper model. This community-based approach successfully identified and supported at-risk seniors, leading to positive life impacts.
Area of Science:
- Gerontology
- Public Health
- Mental Health Services
Background:
- Community-based programs are crucial for addressing the needs of older adults.
- Gatekeeper models can effectively identify and engage at-risk seniors.
- Care management and mental health services are vital for senior well-being.
Purpose of the Study:
- To evaluate the outcomes of the Senior Reach program for older adults.
- To compare the Senior Reach program with the Spokane Gatekeeper model.
- To assess the effectiveness of a gatekeeper approach in delivering services to seniors.
Main Methods:
- Comparative analysis of two gatekeeper programs (Senior Reach and Spokane Gatekeeper).
- Examination of service variables and outcome ratings for isolation, depression, and functioning.
- Inclusion of seniors referred by community gatekeepers (nontraditional sources).
Main Results:
- Senior Reach program participants showed significant reductions in social isolation.
- Improvements were observed in functioning, optimism, positive social activities, and emotional well-being.
- Positive changes were noted on the Geriatric Depression Scale.
Conclusions:
- The gatekeeper approach, through training community partners, is effective in identifying and serving at-risk seniors.
- The Senior Reach program demonstrates positive impacts on the lives of older adults.
- Community gatekeeper referrals are a significant pathway for program engagement.
