Presentation on theme: "Department of Veterans Affairs Caregiver Support Program Update"— Presentation transcript:
1Department of Veterans Affairs Caregiver Support Program Update Michael Kilmer, LCSWChief Consultant , Care Management and Social Work ServicesPatient Care ServicesDepartment of Veterans AffairsJune 24, 2014
2Caregiver Support Program Mission Statement: To promote the health and well-being of family Caregivers who care for our nation’s Veterans, through education, resources, support, and services.Allow Veterans to remain at home in the communityAddress specific needs of Family Caregivers with a menu of programs and servicesPromote Veteran & Caregiver health and well-beingProvide one location to obtain needed informationProvide training & information on common conditionsReduce isolation with professional & peer supportProvide options to give Caregivers respiteSensitize health care providers to the Caregivers’ role
3Menu of VA Services to Support Family Caregivers In-Home Care Skilled Nursing Home Health Aide Home Based Primary Care Veteran Directed Home & Community Based Care Services to Address Mobility Issues Equipment Home Modification Automobile Modification Education and Training Core Curriculum Self-Care Courses Financial Support Aid and Attendance Caregiver Stipend (Post 9-11) Information and Referral Caregiver Web site: Caregiver Support Line:Caregiver SupportSupport GroupsCaregiver Support CoordinatorsPeer Support Mentoring ProgramBuilding Better CaregiversTMRespite Care
4Caregiver Support Coordinators At all VA Medical CentersClinical experts on Caregiver issuesKnowledgeable about VA and non-VA resourcesAssist with application for new benefitsOrganize Caregiver focused activities and servicesEnsure Caregiver sensitivity is integrated into all programsProvide National Caregiver Support Line follow-upEstablish programming for National Family Caregiver Month in NovemberCaregiver Support Coordinators, located at each VA medical center, serve as the program champions, shepherding Veterans and Caregivers through the application process for the new services, and providing support and resources to Caregivers of Veterans of all eras.As of October 2013, there are a total of 225 CSC’s in the field 180 of these CSC are SW’s and the rest are RN’s. We do not have and Psychologists at this time.
5Caregiver Education, Training, and Support Expanding Evidence-Based Interventions & Best Practices Resources to Enhance All Caregivers Health VA (REACH VA)Designed to provide education support, and teach problem-solving for Caregivers of Veterans with Alzheimer’s Disease/dementiaCurrently being expanded to Spinal Cord Injury /Disease, Multiple Sclerosis, and Mental HealthSpouse /Caregiver Telephone SupportGroups of Post 9/11 spouses meet with a VA clinician to learn problem solving skills, resiliency training, and to receive supportCurrently being expanding to broader audienceBuilding Better CaregiversTMAn interactive, web based workshop developed by Stanford University and provided in partnership with the National Council on Aging (NCoA)Peer Support Mentoring ProgramNew Caregivers are matched to more experienced CaregiversThese are programs available to Caregivers of Veterans from all erasREACH= Resources for Enhancing All Caregiver’s Health – staff trained at more than 125 VA facilitiesSpouse Telephone Support groups – staff trained in 100 VA facilities – currently being expanding to include content for other era VeteransBuilding Better Caregivers – more than 2,000 Caregivers have been referred and more than 200 caregivers are participating in an active on-line communityPeer Support Mentoring – close to 150 Caregivers have participated – exploring new ways to provide peer support such as a one-time interaction and a speaker’s bureau of caregivers
6www.caregiver.va.gov Caregiver Outreach Caregiver Support Line More than 130,000 calls receivedAveraging ~ 200 calls per dayCaregiver WebsiteList serve members = 38,000+Average visits per day = 830Pages viewed per visits = 3
7Program of Comprehensive Assistance for Family Caregivers - Eligibility Criteria Overview Veteran or Servicemember undergoing medical discharge incurred or aggravateda serious injury in the line of duty on or after September 11, 2001 (includesTraumatic Brain Injury, psychological trauma or other mental disorders).andVeteran or Servicemember requires on-going assistance from a Caregiver fora minimum of 6 months to:Assist with the management of personal care functions required in everyday living;Significantly enhance the Veteran’s or Servicemember’s ability to live at home safely; andSupport the Veteran or Servicemember’s potential progress in rehab.
8Program of Comprehensive Assistance for Family Caregivers - Eligibility Criteria Overview (contd.) andThe serious injury requires another person (a Caregiver) to assist the Veteran with the management of personal care functions required in everyday living because of one or both of the following:An inability to perform one or more Activities of Daily Living including dressing and undressing, personal hygiene, grooming, toileting, feeding oneself, mobility, or a frequent need of adjustment of a prosthetic or orthopedic applianceA need for supervision, protection, or assistance based on symptoms or other impairments or injury including seizures, difficulty with planning and organizing, safety risks, difficulty with sleep regulation, delusions or hallucinations, difficulty with recent memory, or difficulty with self-regulation**Note: there are additional criteria beyond what is listed here.
9Primary Family Caregiver Supports and Services StipendDirect payment to primary Family CaregiverCentrally funded and managedBased on wages of a home health aide in the geographic area wherethe Veteran residesTiered based on amount and degree of personal care servicesprovidedHealth InsuranceCivilian Health and Medical Program VA (CHAMPVA)Travel and LodgingIntegrate into existing programsMental Health ServicesIndividual/Group psychotherapy and counselingVA or by contract9
10Program of Comprehensive Assistance for Family Caregivers Update* Applications filed: 31,130Approved Applications: 15,900Tier 3 – 6,121 (national average $2,320 per month)Tier 2 – 6,078 (national average $1,470 per month)Tier 1 – 3,701 (national average $610 per month)New Healthcare Coverage enrollees: 4,115Veteran Demographics:26% are Service Connected for TBI70% are Service Connected for PTSD*Data from May 9, 2011 to June 9, 2014
11Program of Comprehensive Assistance for Family Caregivers Caregiver Education and Training Standardized Core CurriculumDeveloped in collaboration with Easter SealsIn-person, workbook/DVD, or web-basedIncludes modules on:Caregiver Self-CareHome SafetyBasic Caregiver Skills (vital signs, etc)Providing Personal CareManaging Challenging BehaviorsResources (legal, financial, VA, community, advocacy)Training Data Update:More than 20,000 Family Caregivers have completed training to dateFuture training will focus on web-based courses & workbook /DVD training.