Abstract
Over the last two decades, scientists from the Indiana Center for Aging Research (IUCAR) have led or participated in two randomized clinical trials testing comprehensive care models for older adults suffering from dementia and depression. Both studies were conducted in a primary care practice within Eskenazi Health (Eskenazi) [formerly Wishard Health Services], an urban safety net hospital system primarily serving a racially and ethnically diverse population of vulnerable adults. The findings from these two trials provided the justification and the foundation for the Indiana Aging Brain Care Project.
The IMPACT study demonstrated the effectiveness of the collaborative care model in reducing symptoms of depression and improving physical function and health-related quality of life. The key component of the intervention was a care coordinator who worked with the patient’s primary care provider to deliver an individualized care plan including antidepressant medications and problem-solving therapy within the primary care setting. Building on the success of the IMPACT intervention, IUCAR scientists designed the PREVENT intervention to improve the treatment of dementia in primary care. Similar to the IMPACT model, a care coordinator assumed a central role in the PREVENT intervention, serving as a liaison connecting the patient and caregiver to the primary care provider, a panel of geriatric and psychiatric expert consultants, and resources in the community. Results of the PREVENT study demonstrated the effectiveness of the model in reducing the behavioral and psychological symptoms of dementia for both the patient and the informal caregiver.
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Acknowledgments
The project described was supported by Grant Number 1C1CMS331000-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the US Department of Health and Human Services or any of its agencies. MG Austrom is also supported in part by the Indiana Alzheimer’s Disease Center funded by NIA P30AG10133.
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Alder, C.A., LaMantia, M.A., Austrom, M.G., Boustani, M.A. (2015). The Indiana Aging Brain Care Project. In: Malone, M., Capezuti, E., Palmer, R. (eds) Geriatrics Models of Care. Springer, Cham. https://doi.org/10.1007/978-3-319-16068-9_21
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DOI: https://doi.org/10.1007/978-3-319-16068-9_21
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