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A model gatekeeper program to find the at-risk elderly

E R Florio1, T H Rockwood, M S Hendryx

  • 1Washington Institute for Mental Illness Research & Training, Washington State University, Spokane, USA.

Journal of Case Management
|October 1, 1996
PubMed
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A unique community gatekeeper model identified socially isolated, economically disadvantaged older adults needing more services. This approach effectively reaches seniors missed by traditional referral sources.

Area of Science:

  • Gerontology
  • Public Health
  • Mental Health Services Research

Background:

  • Community-dwelling older adults often have complex needs, including aging and mental health services.
  • Traditional referral pathways may not effectively identify all seniors in need, particularly those who are socially isolated or economically disadvantaged.

Purpose of the Study:

  • To describe the characteristics and service needs of older adults identified through a novel community gatekeeper case-finding model.
  • To evaluate the effectiveness of community gatekeepers in reaching a distinct population of older adults.

Main Methods:

  • A unique case-finding model trained community business employees as gatekeepers to identify and refer older adults.
  • Data were collected on 777 individuals aged 60+ referred over 18 months to a mental health and aging services program.

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  • Client characteristics, service needs, and referral sources were analyzed.

    • Main Results:

    • Community gatekeepers identified 40% of referred clients, representing a distinct population.
    • Gatekeeper-referred clients were more socially isolated, economically disadvantaged, younger, and more likely to be women.
    • These clients received fewer services at referral and required more services at intake.

    Conclusions:

    • Community gatekeeper models can effectively identify and engage vulnerable older adults who are not reached by traditional methods.
    • Integrating this gatekeeper model into comprehensive clinical case management is crucial for addressing the needs of this population.
    • This approach highlights the importance of community partnerships in aging and mental health service delivery.