The Gerontologist, Vol 33, Issue 6 730-740, Copyright © 1993 by The Gerontological Society of America

ARTICLES

An intervention that delays institutionalization of Alzheimer's disease patients: treatment of spouse-caregivers

MS Mittelman, SH Ferris, G Steinberg, E Shulman, JA Mackell, A Ambinder and J Cohen
Aging and Dementia Research Center, New York University Medical Center (THN 314), NY 10016.

Spouse-caregivers of Alzheimer's disease patients were randomly assigned to either a treatment group (individual and family counseling, support group participation, and ad hoc consultation) or a control group (only routine support). In the first year after intake, the treatment group had less than half as many nursing home placements as the control group. This suggests that a comprehensive counseling program can reduce the socioeconomic impact of Alzheimer's disease. Nursing home placement also was affected by the patient's need for assistance with activities of daily living, patient income, and the age of the patients and caregivers.

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