A Toolkit for Community-Based, Medicaid-Funded Case Managers to Introduce Advance Care Planning to Frail, Older Adults: A Pilot Study

J Palliat Med, 2020

The ACP-Toolkit resulted in higher case manager confidence in facilitating ACP and client readiness to engage in ACP, and usability was high. A brief ACP-Toolkit may be a feasible solution to increase ACP engagement among frail, older adults receiving in-home care.

Supporting In-Home Caregivers in Symptom Assessment of Frail Older Adults With Serious Illness: A Pilot Study

J Palliat Med, 2020

The PREPARE Symptom Assessment (SA)-Toolkit resulted in decreased symptom burden among diverse older adults and higher caregiver self-efficacy in SA. The SA-Toolkit is acceptable and may help reduce suffering in frail, older patients.

Leveraging In-Home Supportive Services Programs to Engage People in Advance Care Planning: Input From Staff, Providers, and Client Stakeholders

J Palliat Med, 2019

This qualitative study showed that an ACP program is important and feasible for Medicaid-eligible, frail older adults being cared for by in-home supportive services (IHSS). Implementation suggestions by IHSS stakeholders include focusing on case managers rather than in-home caregivers to prevent conflict of interest; tailoring programs to clients' needs; creating educational programs for IHSS staff, clients, and community; and standardizing easy-to-use guides and procedures into IHSS workflows.

Symptom Assessment Solutions for In-Home Supportive Services and Diverse Older Adults: A Roadmap for Change

J Palliat Med, 2018

A symptom assessment program for Medicaid-funded, in-home support services (IHSS) programs is desired, needed, and feasible and can leverage the established IHSS infrastructure and relationships to assess symptoms in the home. Acknowledging consumer choice, developing appropriate tools and trainings for IHSS staff, and effective messaging of program goals can contribute to success.