When a case management program closes: Impact as perceived by frail elders and their family caregivers

Geriatric case management programs benefit elders and their caregivers by providing technical and emotional support and linkages to services and financial assistance. This study used qualitative and quantitative data to document the perceived impact felt by clients and their families when this assistance is withdrawn. Attempts were made to contact all 205 former clients of a case management program in Honolulu 6 months after program closure. Of these, 118 were still living at home. 20 had entered nursing homes. 28 had died, and 39 were lost to follow-up. Compared to a previous 6-month period, the percentage who entered nursing homes was similar whereas the percentage that died was higher Half of responding caregivers reported a deterioration of their own health and increased emotional fatigue. Data suggest that the program was perceived by elders and their caregivers to be a critical component in providing support and maintaining the safety of frail elders in home settings.