Home-based multidisciplinary diagnosis and treatment of inner-city elders with dementia

Dorothy F. Edwards; Carolyn M. Baum; Marie Meisel; Marilyn Depke; James Williams; Teresa Braford; Nancy Morrow-Howell; John C. Morris

doi:10.1093/geront/39.4.483

Home-based multidisciplinary diagnosis and treatment of inner-city elders with dementia

Dorothy F. Edwards, Carolyn M. Baum, Marie Meisel, Marilyn Depke, James Williams, Teresa Braford, Nancy Morrow-Howell, John C. Morris

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

The Memory and Aging Project Satellite (MAPS) of the Washington University Alzheimer's Disease Research Center was developed to meet the medical, social, and housing needs of minority and medically underserved elders with cognitive impairments. MAPS is located in the offices of the St. Louis Area Agency on Aging (AAA). This program provides multidisciplinary outreach, as well as home-based diagnosis, treatment, and case management. It differs from most other satellite programs in that it seeks to provide service to individuals who do not voluntarily seek help for dementia. Cognitively impaired clients had numerous, unmanaged medical conditions and social problems. Few clients were adequately served by health and social service systems. Despite recent contact, only 10% of clients received a formal diagnosis of dementia from a physician. Treatment was hampered by the absence or limitations of caregivers. Despite the complexities of these cases, the MAPS staff have been generally successful in addressing client problems.

Original language	English
Pages (from-to)	483-488
Number of pages	6
Journal	Gerontologist
Volume	39
Issue number	4
DOIs	https://doi.org/10.1093/geront/39.4.483
State	Published - 1999

Keywords

Alzheimer's disease
Case management
Minorities
Multidisciplinary team

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10.1093/geront/39.4.483

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title = "Home-based multidisciplinary diagnosis and treatment of inner-city elders with dementia",

abstract = "The Memory and Aging Project Satellite (MAPS) of the Washington University Alzheimer's Disease Research Center was developed to meet the medical, social, and housing needs of minority and medically underserved elders with cognitive impairments. MAPS is located in the offices of the St. Louis Area Agency on Aging (AAA). This program provides multidisciplinary outreach, as well as home-based diagnosis, treatment, and case management. It differs from most other satellite programs in that it seeks to provide service to individuals who do not voluntarily seek help for dementia. Cognitively impaired clients had numerous, unmanaged medical conditions and social problems. Few clients were adequately served by health and social service systems. Despite recent contact, only 10% of clients received a formal diagnosis of dementia from a physician. Treatment was hampered by the absence or limitations of caregivers. Despite the complexities of these cases, the MAPS staff have been generally successful in addressing client problems.",

keywords = "Alzheimer's disease, Case management, Minorities, Multidisciplinary team",

author = "Edwards, {Dorothy F.} and Baum, {Carolyn M.} and Marie Meisel and Marilyn Depke and James Williams and Teresa Braford and Nancy Morrow-Howell and Morris, {John C.}",

note = "Funding Information: This work was supported by a Grant AC 05681 awarded by the National Institute on Aging, U.S. Public Health Service. The authors would like to acknowledge the support of Ms. Barbara Selders, Acting Director of the City of St. Louis Department of Human Services and Mr. David Sykora, Director of the St. Louis Area Agency on Aging.",

year = "1999",

doi = "10.1093/geront/39.4.483",

language = "English",

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AU - Edwards, Dorothy F.

AU - Baum, Carolyn M.

AU - Meisel, Marie

AU - Depke, Marilyn

AU - Williams, James

AU - Braford, Teresa

AU - Morrow-Howell, Nancy

AU - Morris, John C.

N1 - Funding Information: This work was supported by a Grant AC 05681 awarded by the National Institute on Aging, U.S. Public Health Service. The authors would like to acknowledge the support of Ms. Barbara Selders, Acting Director of the City of St. Louis Department of Human Services and Mr. David Sykora, Director of the St. Louis Area Agency on Aging.

PY - 1999

Y1 - 1999

N2 - The Memory and Aging Project Satellite (MAPS) of the Washington University Alzheimer's Disease Research Center was developed to meet the medical, social, and housing needs of minority and medically underserved elders with cognitive impairments. MAPS is located in the offices of the St. Louis Area Agency on Aging (AAA). This program provides multidisciplinary outreach, as well as home-based diagnosis, treatment, and case management. It differs from most other satellite programs in that it seeks to provide service to individuals who do not voluntarily seek help for dementia. Cognitively impaired clients had numerous, unmanaged medical conditions and social problems. Few clients were adequately served by health and social service systems. Despite recent contact, only 10% of clients received a formal diagnosis of dementia from a physician. Treatment was hampered by the absence or limitations of caregivers. Despite the complexities of these cases, the MAPS staff have been generally successful in addressing client problems.

AB - The Memory and Aging Project Satellite (MAPS) of the Washington University Alzheimer's Disease Research Center was developed to meet the medical, social, and housing needs of minority and medically underserved elders with cognitive impairments. MAPS is located in the offices of the St. Louis Area Agency on Aging (AAA). This program provides multidisciplinary outreach, as well as home-based diagnosis, treatment, and case management. It differs from most other satellite programs in that it seeks to provide service to individuals who do not voluntarily seek help for dementia. Cognitively impaired clients had numerous, unmanaged medical conditions and social problems. Few clients were adequately served by health and social service systems. Despite recent contact, only 10% of clients received a formal diagnosis of dementia from a physician. Treatment was hampered by the absence or limitations of caregivers. Despite the complexities of these cases, the MAPS staff have been generally successful in addressing client problems.

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KW - Case management

KW - Minorities

KW - Multidisciplinary team

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DO - 10.1093/geront/39.4.483

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VL - 39

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JO - Gerontologist

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IS - 4

ER -

Home-based multidisciplinary diagnosis and treatment of inner-city elders with dementia

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Keywords

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