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Cost-effectiveness of social work services in aging: an updated systematic review
- Authors:
- RIZZO Victoria M., ROWE Jeannine M.
- Journal article citation:
- Research on Social Work Practice, 26(6), 2016, pp.653-667.
- Publisher:
- Sage
Objectives: This study examines the impact of social work interventions in ageing on quality of life (QOL) and cost outcomes in four categories (health, mental health, geriatric evaluation and management, and caregiving). Methods: Systematic review methods are employed. Databases were searched for articles published in English between 2004 and 2012 that report outcomes of social work interventions for ageing individuals (age ≥ 50) and/or their caregivers/families. Of the 464 identified articles, 45 representing 42 studies met inclusion criteria. Results: Seventy-one percent of the studies report significant QOL outcomes. Twenty-one studies include cost outcomes, with 15 (71.4%) documenting significant cost savings. Twelve (80%) of the studies reporting significant cost outcomes examine social work interventions in health, including care coordination and end-of-life/palliative care. Conclusion: The findings suggest that social work interventions in ageing have a positive and significant impact on QOL and cost outcomes. Applications for social work practice and research are discussed. (Edited publisher abstract)
A systematic evaluation of a multidisciplinary social work-lawyer elder mistreatment intervention model
- Authors:
- RIZZO Victoria M., BURNE David, CHALFY Amy
- Journal article citation:
- Journal of Elder Abuse and Neglect, 27(1), 2015, pp.1-18.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study introduces a conceptually based, systematic evaluation process employing multivariate techniques to evaluate a multidisciplinary social work-lawyer intervention model (JASA-LEAP). Logistic regression analyses were used with a random sample of case records (n = 250) from three intervention sites. Client retention, programme fidelity, and exposure to multidisciplinary services were significantly related to reduction in mistreatment risk at case closure. Female gender, married status, and living with perpetrator significantly predicted unfavourable outcomes. This study extends the elder mistreatment programme evaluation literature beyond descriptive/bivariate evaluation strategies. Findings suggest that a multidisciplinary social work-lawyer elder mistreatment intervention model is a successful approach. (Edited publisher abstract)
Studies of the cost-effectiveness of social work services in aging: a review of the literature
- Authors:
- RIZZO Victoria M., ROWE Jeannine M.
- Journal article citation:
- Research on Social Work Practice, 16(1), January 2006, pp.67-73.
- Publisher:
- Sage
The American population aged 65 years and older is growing rapidly, creating an increased demand for social workers. Reimbursement structures of Medicare and Medicaid present significant barriers for aging individuals seeking social work services as well as social workers wanting to provide services to the elderly. To build a case for the modification of these reimbursement structures, a review of studies of social work services in aging was conducted to (a) make explicit the current knowledge of the efficacy and cost-effectiveness of these services, (b) identify current gaps in knowledge, (c) promote a research agenda to address the gaps, and (e) assure that the knowledge identified addresses payers ‘needs to understand the value of social work services in aging. The results indicate that social work interventions can have a positive impact on the health care costs, the use of health care services, and the quality of life of older Americans.