Dementia Care, Coordination & Transitions
An interesting pilot study to determine the usefulness of Telehealth and Telemental health within a Home Based Primary Care program. It served a rural community where access to health care was difficult. The aspect of the pilot study that I found pertinent to our topic is the Telemental health component. Six veterans participated with diagnosis including dementia, depression, PTSD, and anxiety. MMSE ranged from 18 to 30. In 6 months, case studies on these 6 participants revealed improvements in strength as assess by OT, social functioning and care giver burden as assed by Zarit CareGiver Burden Index and improved compliance. The authors admit there were many technological kinks to be worked on but ultimately it is considered a useful method(Sorocco, Bratkovich, Wingo, Qureshi, & Mason, 2013)s of delivering care to the underserved population. Hopefully, there will be more studies on this topic.
Sorocco, K. H., Bratkovich, K. L., Wingo, R., Qureshi, S. M., & Mason, P. J. (2013). Integrating care coordination home telehealth and home based primary care in rural Oklahoma: A pilot study. Psychological Services, 10(3), 350-352. doi: 10.1037/a0032785