Mental Health Needs in Nursing Facilities (2010)
The Longitudinal Study of Customers Diverted Through the CARE Program (2003)
The Longitudinal Study of Customers Diverted Through the CARE Program*, or Diversion Study, tracked four cohorts of older adults who had applied for nursing facility admission and were living in a community setting thirty days later. The purpose was to measure how long these diverted older adults were able to maintain community tenure, to explore the level at which they use community-based services, and to identify the differences and similarities between diverted and non-diverted older adults. CRADO has continued to track the original cohort of diverted customers for five years (Report forthcoming). Continued tracking allows the CRADO to establish a complete and accurate measure of the average length of community tenure.
The Examination of the Relationship of the Use of Medicare Home Health Services and Informal Caregiving to Successful Community Tenure project built on the analysis of factors related to long-term community tenure. The purpose of this study was to examine the relationship of the use of Medicare home health services and informal caregiving to community tenure of older adults who were diverted from nursing facility placement.
The Expanded Examination of Factors Related to Diversion and Successful Community Tenure for Medicaid Customers: The Role of Diagnoses and Prescription Drug Use* project also builds on the Diversion Study by examining the affect of different diagnoses and medication use on the likelihood of being diverted and on the length of community tenure. This study will also provide a cost-benefit analysis of HCBS/FE compared to nursing facility care (Report forthcoming). These projects were funded in part through a contract with KDOA and SRS. (PDF)Reports Available:
Macmillan, K., Chapin, R., Rachlin, R., Zimmerman, M., Baca, B. (2005, November). Community Tenure of Older Adults 36 Months After NF Diversion: Challenging Assumptions with Facts. Gerontological Society of America, Orlando, FL.
Macmillan, K., Chapin, R., Rachlin, R., Zimmerman, M. (January 2005). Length of community tenure following application for nursing facility placement: A prospective study. Paper presented at the annual meeting of the Society for Social Work and Research, Miami, FL.
Chapin, R., Baca, B., Macmillan, K., Rachlin, R., Zimmerman, M. (in press). Residential outcomes for nursing facility applicants who have been diverted: Where are they five years later? The Gerontologist.
Older Adult Client Outcome Indicators (2002)