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P2‐321: Factors that influence nursing home placement in an Alzheimer's disease cohort
Author(s) -
Rountree Susan,
Chan Wenyaw,
Pavlik Valory,
Doody Rachelle
Publication year - 2012
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2012.05.1030
Subject(s) - medicine , hazard ratio , proportional hazards model , activities of daily living , cohort , longitudinal study , disease , covariate , antipsychotic , parkinsonism , dementia , cohort study , prospective cohort study , clinical dementia rating , gerontology , physical therapy , confidence interval , psychiatry , schizophrenia (object oriented programming) , statistics , mathematics , pathology
Medical Center, in the San Francisco Bay Area. Methods: The CNT sees every patient and offers social work services, case management, on-site Alzheimer’s Association assistance and individual, family, and group psychotherapy. During the first visit CNT staff provides an explanation of services and conducts a brief assessment. Within the following two weeks CNT staff contacts the patient/family to continue the assessment process and to address any issues concerning MP recommendations. A care plan is then initiated that continually supports the patient in navigating the health care system throughout the treatment process. The CNT provides guidance to MP regarding psychological reactions to diagnoses and the impact on family dynamics. Additionally, the CNT addresses psychosocial crises, Adult Protective Services reporting and capacity issues. Psychotherapy services are billed appropriately. Results: By offering individualized, coordinated care to every patient, this unique, systematic and comprehensive model allows providers to focus on the continued improvement of medical care. Furthermore, the model ensures enhanced service provision, medical compliance, as well as increased safety and perceived quality of life for patients and their loved ones.Conclusions: This model creates enhanced communication between MP, CNT and the patients/families served. This allows for the medical treatment and psychosocial support to be continuously adjusted in order to optimally meet the changing needs of each individual/family in this at-risk population. Billing appropriately for psychotherapy services allows the CNT services to be partially self-supported. This model can be replicated at other centers.