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Agitation and Dementia-Related Problem Behaviors and Case Management in Long-Term Care

Published online by Cambridge University Press:  10 January 2005

Sadhna Diwan  and
Victoria L. Phillips
Sadhna Diwan
Affiliation:
Department of Social Work, Georgia State University, Atlanta, Georgia, USA
Victoria L. Phillips
Affiliation:
Dearptment of Health Policy and Management, Rollins School of Public Health of Emory University, Atlanta, Georgia, USA.
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Abstract

Existing data on case management (CM) time were analyzed to investigate the impact of agitation and dementia-related behavior problems on the use of CM time by older clients (N = 242) in a Medicaid waiver-funded home and community-based services program. Among clients with dementia (n = 73), regression analysis revealed that having problem behaviors resulted in increased use of CM time. Among clients with behavior problems, those with greater functional ability consumed greater CM time. Content analysis revealed that most CM activity focused on service coordination rather than on direct attempts to manage problem behaviors. Implications for CM programs include the need to consider case mix when allocating caseload size and provision of specific training on interventions to address behavior problems.

Type
Articles
Information
International Psychogeriatrics , Volume 13 , Issue 1 , March 2001 , pp. 5 - 21
Copyright
© 2001 International Psychogeriatric Association

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