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The potential of case management for people with dementia: a commentary.

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Title: The potential of case management for people with dementia: a commentary.
Authors: Koch, T., Iliffe, S., Manthorpe, J., Stephens, B., Fox, C., Robinson, L., Livingston, G., Coulton, S., Knapp, M., Chew-Graham, C., Katona, C.
Source: International Journal of Geriatric Psychiatry. Dec2012, Vol. 27 Issue 12, p1305-1314. 10p. 3 Charts.
Subjects: Hospital case management services, Care of dementia patients, Medical case management, Neurobehavioral disorders, Treatment of dementia, Functional loss in older people, Management
Abstract: Background A recent review of studies of case management in dementia argues that lack of evidence of cost-effectiveness should discourage the use of this approach to care. We argue that that this is too conservative a stance, given the urgent need throughout the world to improve the quality of care for people with dementia and their caregivers. We propose a research agenda on case management for people with dementia. Method A critical comparison was made of the studies identified in two systematic reviews of trials of case management for dementia, with selective inclusion of non-trial studies and economic evaluations. Results Our interpretation of the literature leads us to four provisional conclusions. First, studies with long follow-up periods tend to show delayed relocation of people with dementia to care homes. Second, the quality of life of people with dementia and their caregivers may also influence the likelihood of relocation. Third, different understandings of what constitutes case management make interpretation of studies difficult. Fourth, we agree that the population most likely to benefit from case management needs to be characterised. Earlier intervention may be more beneficial than intervening when the condition has progressed and the individual's situation is highly complex. However, this runs counter to some definitions of case management as an administrative, professional, and systemic focus on people with high needs and where expensive support is accessed or in prospect. Conclusions More work needs to be carried out in a more focused way in order to establish the value of case management for people with dementia. Since care home residence is such a sizeable contributor to the costs of dementia care, studies need to be long enough to capture possible postponed relocation. However, case management studies with shorter follow-up periods can still contribute to our understanding, since they can demonstrate improved quality of life. Future research should be built around a common, agreed definition of types of case management. Copyright © 2012 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The potential of case management for people with dementia: a commentary.
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  Data: <searchLink fieldCode="AR" term="%22Koch%2C+T%2E%22">Koch, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Iliffe%2C+S%2E%22">Iliffe, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Manthorpe%2C+J%2E%22">Manthorpe, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Stephens%2C+B%2E%22">Stephens, B.</searchLink><br /><searchLink fieldCode="AR" term="%22Fox%2C+C%2E%22">Fox, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Robinson%2C+L%2E%22">Robinson, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Livingston%2C+G%2E%22">Livingston, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Coulton%2C+S%2E%22">Coulton, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Knapp%2C+M%2E%22">Knapp, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Chew-Graham%2C+C%2E%22">Chew-Graham, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Katona%2C+C%2E%22">Katona, C.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Geriatric+Psychiatry%22">International Journal of Geriatric Psychiatry</searchLink>. Dec2012, Vol. 27 Issue 12, p1305-1314. 10p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Hospital+case+management+services%22">Hospital case management services</searchLink><br /><searchLink fieldCode="DE" term="%22Care+of+dementia+patients%22">Care of dementia patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+case+management%22">Medical case management</searchLink><br /><searchLink fieldCode="DE" term="%22Neurobehavioral+disorders%22">Neurobehavioral disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+dementia%22">Treatment of dementia</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+loss+in+older+people%22">Functional loss in older people</searchLink><br /><searchLink fieldCode="DE" term="%22Management%22">Management</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background A recent review of studies of case management in dementia argues that lack of evidence of cost-effectiveness should discourage the use of this approach to care. We argue that that this is too conservative a stance, given the urgent need throughout the world to improve the quality of care for people with dementia and their caregivers. We propose a research agenda on case management for people with dementia. Method A critical comparison was made of the studies identified in two systematic reviews of trials of case management for dementia, with selective inclusion of non-trial studies and economic evaluations. Results Our interpretation of the literature leads us to four provisional conclusions. First, studies with long follow-up periods tend to show delayed relocation of people with dementia to care homes. Second, the quality of life of people with dementia and their caregivers may also influence the likelihood of relocation. Third, different understandings of what constitutes case management make interpretation of studies difficult. Fourth, we agree that the population most likely to benefit from case management needs to be characterised. Earlier intervention may be more beneficial than intervening when the condition has progressed and the individual's situation is highly complex. However, this runs counter to some definitions of case management as an administrative, professional, and systemic focus on people with high needs and where expensive support is accessed or in prospect. Conclusions More work needs to be carried out in a more focused way in order to establish the value of case management for people with dementia. Since care home residence is such a sizeable contributor to the costs of dementia care, studies need to be long enough to capture possible postponed relocation. However, case management studies with shorter follow-up periods can still contribute to our understanding, since they can demonstrate improved quality of life. Future research should be built around a common, agreed definition of types of case management. Copyright © 2012 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=83186008
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        Value: 10.1002/gps.3783
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      – SubjectFull: Management
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              Text: Dec2012
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