Department of Veterans Affairs Caregiver Support Program Overview

Transcription

1 Department of Veterans Affairs Caregiver Support Program Overview Meg Kabat, LCSW- C, CCM Ac1ng Na1onal Director, Caregiver Support Program Care Management and Social Work Services Department of Veterans Affairs October 24, 2014

2 Caregiver Support Program Mission Statement: To promote the health and well- being of family Caregivers who care for our na:on s Veterans, through educa:on, resources, support, and services. Allow the most vulnerable Veterans to remain at home in the community Address specific needs of Family Caregivers with a menu of programs and services Promote Veteran & Caregiver health and well- being Reduce isola1on with professional & peer support Sensi1ze health care providers to the role of the family Caregiver 2

3 Menu of VA Services In- Home Care Caregiver Support Skilled Nursing Caregiver Support Coordinators Home Health Aide Peer Mentoring Program Home Based Primary Care Building BePer Caregivers TM Veteran Directed Home & Spouse Telephone Support Community Based Care REACH VA Respite Care Support Groups Services to Address Mobility Issues Equipment Home Modifica1on Automobile Modifica1on EducaEon and Training Financial Support Aid and APendance Caregiver S1pend (Post 9-11) InformaEon and Referral Caregiver Web site: Caregiver Support Line:

4 Caregiver Outreach Caregiver Support Line More than 150,000 calls received Averaging 200 calls per day Caregiver Web site List serve members = 41,000+ Average visits per day = 900 Pages viewed per visits = 3 4

5 Caregiver Education, Training, and Support Expanding Evidence-Based Interventions & Best Practices REACH VA Designed to provide educa1on support, and teach problem- solving for Caregivers of Veterans with Alzheimer s Disease/demen1a Currently being expanded to MS, Mental Health, and SCI/D Spouse /Caregiver Telephone Support Groups of Post 9/11 spouses meet with a VA clinician to learn problem solving skills, resiliency training, and to receive support Currently being expanding to broader audience Building BeWer Caregivers TM An interac1ve, web based workshop developed by Stanford University and provided in partnership with the Na1onal Council on Aging (NCoA) 5

6 Caregiver Education, Training, and Support (Contd.) Peer Support Mentoring Program New Caregivers are matched to more experienced Caregivers Self- Care Courses 4 Face to Face Classes in Spanish and English: Stress Management Taking Care of Yourself Problem Solving and Effec1ve Communica1on U1lizing Technology More than 1,200 Caregivers have par1cipated at more than 50 sites 6

7 Program of Comprehensive Assistance for Family Caregivers Program Overview Clinical Program, providing the following addi1onal services directly to Family Caregivers of eligible Veterans injured in the line of duty on or afer September 11, 2001: S1pend Enrollment in CHAMPVA Mental Health Beneficiary Travel Educa1on and Training Addi1onal respite Program par1cipa1on must: Be in the clinical best interest of the Veteran Support the Veteran s progress in treatment 7

8 Program of Comprehensive Assistance for Family Caregivers - Eligibility Criteria Veteran or Servicemember undergoing medical discharge incurred or aggravated a serious injury in the line of duty on or afer September 11, 2001 (includes Trauma1c Brain Injury, psychological trauma or other mental disorders). and Veteran or Servicemember requires on- going assistance from a Caregiver for a minimum of 6 months to: 1. Assist with the management of personal care func1ons required in everyday living; 2. Significantly enhance the Veteran s or Servicemember s ability to live at home safely; 3. Support the Veteran or Servicemember s poten1al progress in rehab. **Note: there are addi1onal criteria beyond what is listed here. 8

9 Program of Comprehensive Assistance for Family Caregivers Current Data* Applica1ons filed: 36,700 Par1cipa1ng Caregivers/Veterans: 17,800 Tier 3 6,700 (s1pend na1onal average $2,330 per month) Tier 2 6,700 (s1pend na1onal average $1,510 per month) Tier 1 4,400 (s1pend na1onal average $630 per month) New Healthcare Coverage enrollees: 4,600 Caregiver Demographics: Gender: 91% women Rela1onship: spouses (77%), parents (12%) Age: yrs old (53%), years old (35%) *Data current as of September 30,

10 Program of Comprehensive Assistance for Family Caregivers Caregiver Education and Training Standardized Core Curriculum Developed in collabora1on with Easter Seals In- person, workbook/dvd, or web- based Includes modules on: Caregiver Self- Care Home Safety Basic Caregiver Skills (vital signs, etc) Providing Personal Care Managing Challenging Behaviors Resources (legal, financial, VA, community, advocacy) Training Data Update: More than 22,600 Family Caregivers have completed training to date 10

11 Program Evaluation VA s Office of the Actuary reviewed the healthcare u1liza1on of a cohort of nearly 9,000 Veterans par1cipa1ng in the Program of Comprehensive Assistance for Family Caregivers was reviewed during the six months before par1cipa1ng and during the first six months of par1cipa1on. Preliminary findings demonstrate: An average decrease of 30% in inpa1ent admissions A 2.5- day average reduc1on in the number of days spent in the hospital if the eligible Veteran was hospitalized A 5% average decrease in the number of outpa1ent visits per month for eligible Veterans 11

12 Launch of CSP s Caregiver Partnered Evaluation Center Program Launch: June 1, 2014 Aim 1: Assess the impact of the Comprehensive Program on the health and well- being of Veterans by examining health care encounters expected to be sensi1ve to Caregiver support (poten1ally avoidable u1liza1on). Aim 2: Assess the impacts of the Comprehensive Program on the health and well- being of Primary Family Caregivers. Aim 3: Understand how Caregivers use and value components of the Comprehensive Program and the General Program. Aim 4: Generate a detailed profile of the costs and services provided under the Comprehensive Program and the General Program.

13 Questions? Meg Kabat, LCSW- C, CCM Ac1ng Na1onal Director, Caregiver Support Program Department of Veterans Affairs