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Shifting the paradigm in geriatric care management: moving from the medical model to patient-centered care
- Authors:
- ENGUIDANOS Susan M., DAVIS Carol, KATZ Lynne
- Journal article citation:
- Social Work in Health Care, 41(1), 2005, pp.1-16.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Studies of Geriatric Care Management Programs have had mixed results at best. Little evidence exists to attest to the effectiveness of these programs in improving patient outcomes and decreasing avoidable acute care service use. In response to these data, Kaiser Permanente's Geriatric Care Management program initiated a randomized trial to test an integrated, multifaceted depression treatment model within the care management framework and it's ability to detect and treat moderately and severely depressed older adults. This paper presents case studies of the geriatric care managers' practice changes associated with this intervention as well as case studies of two depressed clients, their experiences and outcomes associated with this study. Implications of this model are discussed.
Is assessment working? - policy and practice in care management
- Author:
- BALDWIN Mark
- Journal article citation:
- Practice: Social Work in Action, 8(4), 1996, pp.53-59.
- Publisher:
- Taylor and Francis
Draws upon research carried out by the author during 1994/5, including interviews with care managers and their managers in two contrasting Social Services Departments. The author notes that, if care managers want advice on how to practice, there is a wealth of literature to inform them, from a range of sources. It then asks to what extent care managers are following this advice, particularly that "borrowed" by their Local Authorities to assist in the compiling of care management handbooks. Argues that, with notable exceptions, much of the good practice intended by the introduction of care management is being undermined by the resistance of care managers who dislike the managerialist approach of the changes and instead cling to a more traditional medical model of professional practice.