| Description |
1 online resource (v, 99 pages) : illustrations. |
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text txt rdacontent |
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computer c rdamedia |
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online resource cr rdacarrier |
| Series |
Evidence synthesis program |
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Evidence-based synthesis program (Series)
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| Note |
"May 2019." |
| Bibliography |
Includes bibliographical references (pages 36-54). |
| Summary |
In fiscal year 2020, the Department of Veterans Affairs (VA) is projected to spend $9.8 billion on long-term care services for eligible Veterans. Recent legislation have created and expanded VA programs to support informal caregivers (ie, family or friends who provide unpaid care for Veterans with substantial impairments). A substantial proportion of Veterans with impairments served after September 11, 2001; there is a higher prevalence of mental health conditions for this younger group, and their caregivers are more likely to lack social support networks. In 2017, the VA Secretary launched the Choose Home Initiative to enhance VA policies and practices for supporting Veterans and their informal caregivers, and to improve collaboration with non-VA community groups. To help VA policymakers understand the effects of VA-provided or -funded home and community-based services (HCBS), particularly with regard to avoiding long-term nursing home placement (NHP), the VA Evidence Synthesis Program (VA ESP) was asked to examine evidence on modifiable risk factors for long-term NHP and interventions that aimed to delay long-term NHP for community-dwelling adults with physical and/or cognitive impairments. We sought evidence for both adults with existing disabilities (or at high risk for developing impairments) and individuals with posttraumatic stress disorder (PTSD) and/or traumatic brain injury (TBI). To address the broad scope of questions for these diverse populations and to provide specific recommendations for VA policies, we undertook an umbrella review of systematic reviews. We present qualitative summaries of results from the highest quality and most recent reviews covering the largest range of risk factors and interventions. We also describe policy implications and evidence gaps. |
| Funding |
Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence Synthesis Program (ESP) Center, Minneapolis VA Health Care System, Minneapolis, MN, Timothy J. Wilt, MD, MPH, MS, Director |
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VA ESP 09-009 |
| Note |
Description based on online resource; title from PDF title page (viewed May 29, 2020). |
| Subject |
People with mental disabilities -- Institutional care -- United States.
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People with mental disabilities -- Home care -- United States.
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Long-term care facilities -- United States.
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Nursing homes -- United States.
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Veterans -- Medical care -- United States.
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Medical care -- Needs assessment.
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Hospitals, Convalescent.
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Nursing homes.
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Risk assessment.
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Long-Term Care -- methods |
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Health Services Needs and Demand |
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Nursing Homes |
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Risk Assessment |
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United States |
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Personnes ayant une déficience intellectuelle -- Soins à domicile -- États-Unis.
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Établissements de soins, de cure, etc. -- États-Unis.
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Anciens combattants -- Soins médicaux -- États-Unis.
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Soins médicaux -- Analyse des besoins.
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Établissements de soins, de cure, etc.
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Évaluation du risque.
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nursing homes.
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risk assessment.
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Risk assessment. (OCoLC)fst01098146
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Medical care -- Needs assessment.
(OCoLC)fst01013826
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Hospitals, Convalescent. (OCoLC)fst00961585
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Long-term care facilities. (OCoLC)fst01002279
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Nursing homes. (OCoLC)fst01041949
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People with mental disabilities -- Home care.
(OCoLC)fst01057401
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People with mental disabilities -- Institutional care.
(OCoLC)fst01057403
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Veterans -- Medical care.
(OCoLC)fst01165761
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United States. (OCoLC)fst01204155 https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq
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| Genre/Form |
Systematic Review |
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Revues systématiques.
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| Added Author |
United States. Department of Veterans Affairs. Health Services Research and Development Service, sponsoring body.
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Minneapolis VA Health Care System (U.S.). VA Evidence Synthesis Program, issuing body.
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| Note |
Risk factors and interventions to prevent or delay long-term nursing home placement for adults with impairments |
| Running Title |
Interventions to delay nursing home entry |
| Standard No. |
NLM 101764720 |
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AU@ 000075697697 |
| Gpo Item No. |
0985-A-12 (online) |
| Sudoc No. |
VA 1.107/3:N 93 |
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