The Case for Integrating Behavior Change, Client-Centered Practice and Other Evidence-Based Models into Geriatric Care Management

This paper describes the complexities of engaging a frail, elderly population in the process of behavior change to improve daily functioning. Implementation of a brief Purchase of Services (POS) benefit supplementing usual geriatric care management in an integrated, not-for-profit HMO environment is...

Full description

Saved in:
Bibliographic Details
Published in:Social work in health care 2004-01, Vol.38 (3), p.1-19
Main Authors: Hackstaff, Lynn, Davis, Carol, Katz, Lynne
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
autonomy
behavior change theory
Behavior Modification
Behavior Therapy
Behaviour modification
Care management
Case Management
Client centred practice
client-centered
Data Collection
Elderly
Elderly people
engagement
Evidence based
Evidence-Based Medicine
Female
frailty
Geriatrics
Health Maintenance Organizations
Health Services for the Aged - organization & administration
Humans
Integration
Intervention
Los Angeles, California
Male
Models, Organizational
Nonprofit making organizations
Patient-Centered Care
Philadelphia
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This paper describes the complexities of engaging a frail, elderly population in the process of behavior change to improve daily functioning. Implementation of a brief Purchase of Services (POS) benefit supplementing usual geriatric care management in an integrated, not-for-profit HMO environment is used to illustrate these complexities. Findings from the first two years of the four-year study of the intervention showed that one-third of the group of 541 study participants who were randomized as eligible to participate refused these free, enhanced services. The reasons for these refusals are examined, and a case is made for incorporating behavior change theory into traditional geriatric care management practice for cognitively intact clients in order to facilitate acceptance of needed services and increased patient autonomy.
ISSN:0098-1389
1541-034X
DOI:10.1300/J010v38n03_01