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Session Title: Evaluating Programs for Older Adults: Exploring Challenges and Lessons Learned in this New Frontier
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Panel Session 313 to be held in Mineral Hall Section B on Thursday, Nov 6, 1:40 PM to 3:10 PM
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Sponsored by the Human Services Evaluation TIG
and the Alcohol, Drug Abuse, and Mental Health TIG
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| Chair(s): |
| Kathryn Bowen,
Centerstone Community Mental Health Centers,
kathryn.bowen@centerstone.org
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| Abstract:
With the aging of the baby boom generation, there is increasing emphasis on programs and policies to meet the needs of this burgeoning population. This session presents evaluations of a variety of programs for older adults in the areas of mental health, health promotion and disease prevention, and home and community-based care. The panelists will present particular challenges in evaluating programs targeted to older adults, and discuss lessons learned in their respective evaluations.
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The Integration of Mental and Physical Health: An Evaluation of Older Adults with Depression Treated in a Primary Care Setting
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| Jules Marquart,
Centerstone Community Mental Health Centers,
jules.marquart@centerstone.org
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| Ajanta Roy,
Centerstone Community Mental Health Centers,
ajanta.roy@centerstone.org
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| Catherine Sewall,
Centerstone Community Mental Health Centers,
catherine.sewall@centerstone.org
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This paper describes the evaluation of an evidence-based model for treating older adults in a primary care practice. The presenter will describe the treatment model, evaluation design and methods, and preliminary findings. The presenter will discuss ways in which the evaluation findings were presented to and utilized by a variety of stakeholder groups, including program clients, and particular challenges in reaching older adults for both treatment and the evaluation data collection.
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Evaluation of Older Adult Treatment Services for Co-Occurring Disorders in a Community Mental Health Center
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| Ajanta Roy,
Centerstone Community Mental Health Centers,
ajanta.roy@centerstone.org
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| Catherine Sewall,
Centerstone Community Mental Health Centers,
catherine.sewall@centerstone.org
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| Jules Marquart,
Centerstone Community Mental Health Centers,
jules.marquart@centerstone.org
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Substance abuse and misuse of prescription drugs is an area of concern in the older adult population and expansion of services in this area is of great need. This paper describes the evaluation of an evidence-based model for treating older adults with co-occurring disorders (substance abuse and mental health disorders). The approach uses the cognitive-behavioral and self-management intervention (CB/SM) in a counselor-led group treatment setting to help older adults overcome substance use disorders. The presenter will describe the treatment model, evaluation design, and findings from the evaluation. Assessment tool results will show the effectiveness of the program in reducing substance use and mental health symptoms at follow-up periods. The presenter will also present the challenges in engaging older adults in treatment and recommendations for outreach.
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Evaluation of a Health Promotion and Disease Prevention Program Among Older Adults in Hawaii
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| Kathryn Braun,
University of Hawaii,
kbraun@hawaii.edu
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| Michiyo Tomioka,
University of Hawaii,
mtomioka@hawaii.edu
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| Noemi Pendleton,
University of Hawaii,
npendleton@hawaii.edu
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Older Americans are disproportionately affected by chronic diseases and conditions, such as arthritis, diabetes and heart disease, as well as by disabilities that result from injuries such as falls. With funding from the US Administration on Aging (AoA), Hawaii is replicating Enhance Fitness (EF) from Seattle and the Chronic Disease Self Management Program (CDSMP) from Stanford to reduce older people's risk of disease, disability and injury. The evaluation measured four areas: 1) if local service providers trained in the curricula master training objectives; 2) if providers replicate the curricula with fidelity; 3) if the seniors improve their strength or self-management skills; and 4) if the service providers increase their capacity to effectively replicate evidence-based programs. Instruments and findings on training, fidelity, client outcomes, and capacity-building outcomes will be presented.
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Balancing Policy, Planning and Program Quality: Using the Balanced Scorecard in the Utilization of Data from a Survey of Consumers of Community-Based Long Term Care
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| Melanie Hwalek,
SPEC Associates,
mhwalek@specassociates.org
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| Kathy Kueppers,
Area Agency on Aging 1-B,
kkueppers@aaa1b.com
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| Victoria Straub,
SPEC Associates,
vstraub@specassociates.org
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This paper shows how a balanced scorecard approach was used to synthesize results from Area Agency on Aging 1-B's 2007 telephone survey of 411 participants of its Community Care Management and MI Choice Medicaid Waiver programs. In both programs, Care Managers provide comprehensive assessments, develop care plans, and monitor community services brokered on behalf of enrolled participants and purchased from a pool of vendors. Survey items were based on tools from the Administration on Aging's Performance Outcome Measurement Project (POMP) and from recommendations of a Consumer Advisory Group. A technique based on the balanced scorecard was used to roll-up individual item ratings into five dimensions of quality for care management, and also for the direct care worker. The evaluation results then drill down to the specific items for each quality dimension providing data for use at the policy level, as well as care manager-specific and vendor-specific results for performance monitoring.
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