health benefits of village membership september 30, 2014 andrew e. scharlach, phd carrie graham,...
TRANSCRIPT
![Page 1: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/1.jpg)
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
![Page 2: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/2.jpg)
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
![Page 3: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/3.jpg)
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
![Page 4: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/4.jpg)
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
![Page 5: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/5.jpg)
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
![Page 6: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/6.jpg)
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)
![Page 7: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/7.jpg)
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
![Page 8: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/8.jpg)
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)
![Page 9: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/9.jpg)
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
![Page 10: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/10.jpg)
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
![Page 11: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/11.jpg)
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
![Page 12: HEALTH BENEFITS OF VILLAGE MEMBERSHIP SEPTEMBER 30, 2014 Andrew E. Scharlach, PhD Carrie Graham, PhD, MGS Center for the Advanced Studies of Aging Services](https://reader036.vdocument.in/reader036/viewer/2022062305/56649cb65503460f9497c06b/html5/thumbnails/12.jpg)
Andrew Scharlach, PhDCenter for the Advanced Study of Aging Services
For further information, contact: