health benefits of village membership september 30, 2014 andrew e. scharlach, phd carrie graham,...

HEALTH BENEFITS OF VILLAGE MEMBERSHIPSEPTEMBER 30, 2014

Andrew E. Scharlach, PhDCarrie Graham, PhD, MGSCenter for the Advanced Studies of Aging ServicesSchool of Social WelfareUniversity of California, Berkeley

UC Berkeley Villages Project

Village organizational development Village characteristics and types Factors associated with growth and

sustainability Cost-effectiveness Challenges and best practices

Evaluation of Village program impacts Service use Member satisfaction Physical and social well-being Ability to age in place

California Villages Study

Outcomes evaluation

Surveys of current Village members (n = 445)

Pre-post study of new Village members (n < 337)

Process evaluation

Village programs and services

Growth and sustainability

Challenges and best practices

Funded by the Archstone Foundation

Oct 2011 – Sept 2014

Potential Impacts of the Village Model

Service Access Needs met Ability to access needed services Service affordability

Community-Building Social engagement Social support

Capacity-Building Individual functioning

Physical and psychosocial well-being Reduced likelihood of relocation

Service delivery system Availability, accessibility, affordability,

appropriateness

Logic ModelVillage Social Engagement

•Social Activities•Educational Activities•Transportation

Assistance and Support

•Companionship•Housekeeping•Home maintenance•Safety modification

Wellness/Advocacy•Care coordination/advocacy•Care management•Medical transport

Civic Engagement•Volunteering •Participating in governance

Healthy Aging

Access to services

•Awareness of services•Use of services•Getting the care you need when you need it

Health/Well-being•Quality of life•Well being•Health

Self efficacy•Confidence with self care•Confidence with home care•Confidence aging in place

Social engagement•Increased social connections•Increased participation •Civic engagement•Reduced isolation

Types of Direct Outcomes

Personal care needs met

Homemaker needs met

Household chore needs met

Environmental hazards removed

Social support

Social activity/interaction/engagement

Mobility (ability to get where one

wants/needs to go)

Types of Secondary Health Outcomes Health

Disease management Falls

More appropriate/effective use of health services

Hospital use ER visits, Inpatient days

Psychological well-being/Quality of life

Safety and security Decreased use of residential care

Impact on Access to Care/Services

80.8% say they are more likely to know how to get assistance when they need it

75.9% say they know more about community services

40.5% say they use community services more

Positive correlation between number of services used and improved access to care (r=.394, p=.000)

Impact on Health and Well-Being

39.3% feel healthier than they used to

34.4% feel happier than they used to

28% are more likely to get the medical care they need, when they need it

Some Examples of Health Programs

Health and physical fitness classes

“Brain fitness” classes

Falls prevention/ hazard assessment

programs

Personal health info flashdrive (keychain)

Personal care plans

Health fairs

Care transition programs

Health Care Partnerships: Challenges and Opportunities

CMMS Innovation Opportunities

ACOs (social care + medical care = health

care)

Joint programs (e.g., health fairs)

Care transition programs

Referrals

LTC insurance benefits

Corporate social responsibility

Andrew Scharlach, PhDCenter for the Advanced Study of Aging Services

UC Berkeleyscharlach@berkeley.edu

For further information, contact: