New York University Caregiver Intervention

Categories

Categories associated with best practice:

  • Individual
  • Organization
  • PP-icon1
  • Adult (ages 25-64) icon
  • Seniors (ages 65+) icon
  • Mental Health Icon 2
  • Personal health practices and coping skills

Determinants of Health: Personal health practices and coping skills

Overview

The New York University Caregiver Intervention (NYUCI) aims to support caregivers of PwD by providing a four-fold treatment consisting of:

  • Two individual counseling sessions tailored to each caregiver’s specific situation
  • Four family counseling sessions with the primary caregiver and family members selected by that caregiver
  • Participation in a weekly support group

And “Ad-hoc counseling”, meaning the continuous availability, by telephone, of counselors to caregivers and families to help them deal with crises and the changing nature of the PwD’s symptoms over the course of the disease.

Primary Source Document

Mittelman MS, Haley WE, Clay OJ, Roth DL., Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease Neurology:67(9); 1592-1599

Contact information of developer(s) and/or implementer(s)

(212)-263-7560, or email mary.mittelman@nyumc.org

Intervention Focus

Intervention Goal / ObjectiveLevel(s) TargetedEquity Focus
Avoid or defer the need for institutionalization of the family member with dementia.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
Improve the ability of the caregiver to withstand the difficulties of caregiving.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.

Health Issue(s) that is/are addressed by the Intervention

Health Promotion

  • Mental Health

Risk Reduction

    Specific Activities of the Intervention

    • Counselling sessions to those who are at high risk for a chronic disease
    • Information sessions offered about a risk factor or condition

    Priority/Target Population for Intervention Delivery

    Life Stage

    • Adults (age 25-64 years)
    • Seniors (age 65+ years)

    Settings

    Educational Settings

      Community Setting

      • Health care setting

      Outcomes

      Outcomes and Impact Chart
      Level of ImpactDescription of OutcomeEquity Focus
      Individual LevelPatients with spouses that received the intervention had a 28% reduction in the rate of nursing home placement compared with usual care controlsReported outcomes do not distinguish findings specific to people living in conditions of disadvantage.
      Individual Level Intervention group had improvements in caregivers satisfaction with social support (and last five years), and symptoms of depression (and lasts for at least 3 years)Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.

      Adaptability

      Implementation History

      • Multiple implementations - Different settings/populations/providers - The intervention showed significant adaptability as it has been implemented in different settings or with different populations or by different provider(s). This can include multiple implementations during the same time period. Each implementation of the intervention must have been substantially the same and must have demonstrated positive results for the primary objectives of the intervention.

      Expertise Required for Implementation within the Context of the Intervention

      • Requires specialized skills that are easily available within the context - The intervention requires the participation of personnel with advanced skills (e.g. medical doctors, epidemiologists, social workers) but that are easily available within the intervention context.

      Are there supports available for implementation

      Yes. Implementation manual is available by contacting developer (M. Mittleman). Additional implementation guidance can be found at the Rosaylnn Carter Institute for Caregiving Website reference: http://www.rosalynncarter.org/caregiver_intervention_database/dimentia/nyu_caregiver_counseling_and_support_intervention

      Are there resources and/or products associated with the interventions

      Yes. Counseling the Alzheimer's Caregiver: A Resource for Health Care Professionals; A Guide to Implementing the NYU Caregiver Intervention and The Minnesota Experience; Multiphase training process and continued telephone consultation (includes initial training, follow-up training, regular case conferences with the developer, and ongoing support as needed); Caregiver assessment form, counselor session summary form, ad hoc counseling calls form, and caregiver feedback form