IMPLEMENTING CAPABLE (COMMUNITY AGING IN PLACE FOR BETTER ELDERLY LIVING) AS MICAPABLE IN A WAIVER

• Published in: Innovation in aging 2017-07, Vol.1 (suppl_1), p.1392-1392
• Main Authors: Spoelstra, S., Kohler, M., Roth, J., Evelyn-Gustave, A., Schueller, M., Szanton, S.L.
• Format: Article
• Language: English
• Subjects: Abstracts
• ISSN: 2399-5300; 2399-5300
• DOI: 10.1093/geroni/igx004.5126

Normalization Process Theory was used to adapt CAPABLE to MiCAPABLE for a Medicaid Waiver adding social workers (SWs) to address psychosocial needs, and modifying the electronic health record to monitor fidelity. The Home and Community Based Medicaid Waiver serves low-income, nursing home eligible adults in the community to delay institutionalization. Kotter Change model guided implementation of MiCAPABLE for 55 participants at 3 Waiver sites. Mean age was 66.8 years (standard deviation 11.64, range 42—96), 83.64% ( n =46) female, and 71.15% ( n =37) Caucasian, 25.00% ( n =13) African American. Mean occupational therapist (4.26 [SD 1.65]), RN (3.13 [SD 1.12]), SW (1.79 [SD 1.53]) visits; 2.83 (SD 0.89) interdisciplinary coordination events. Enrollment/data collection is ongoing. Reductions in falls, depression, pain, institutionalization, and cost will be reported. We will also present lessons learned in adding a new component to an established model. Testing implementation of adapted interventions is recommended prior to scaling-up to improve sustainability.