CASE-MANAGEMENT STYLES FOR PEOPLE WITH AD - DO THE DIFFERENCES MAKE ADIFFERENCE

This two-part study examined the effectiveness of differing approaches to case management as implemented at eight Medicare Alzheimer's Disea se Demonstration project sites. Researchers followed case managers as they implemented their core (or central) tasks. Results from interview s with case managers (n=57) were used to construct a site-based typolo gy of case management. An analysis of 922 chart summaries was then con ducted. Factor analysis was used to construct six statistically distin ct ''types'' of case management. These factors were then used to predi ct community-based service use, healthcare utilization, and caregiver outcomes. Analysis indicated that styles of case management do make a difference in service use and caregiver outcome but have less effect o n health care utilization outcomes.