TCARE Appendices - Improving Options for Persons with Alzheimer’s Disease and Their Caregivers in the State of Georgia

Sep 25, 2026

Uploaded by Theodore

Appendices to the TCARE Replication Manual summarize project activities and findings for the Georgia Alzheimer’s Disease Supportive Services Program, a demonstration funded through grants from the Administration on Aging. The material describes grant periods spanning July 1, 2007 to March 31, 2010, including the expansion in January 2009 to integrate the Tailored Caregiver Assessment and Referral (TCARE®) protocol into Georgia’s Nursing Home Diversion project. The report outlines goals and background for the TCARE® protocol, a manualized six-step assessment and care planning approach that targets services to caregivers’ needs, strengths, and sources of stress.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages106

Reading Time4 h 27 min

AccessFree to download

Executive Summary

Introduction

Background

Goals

TCARE® Protocol Description

TCARE® Evaluation

Refining and Testing TCARE®

TCARE® Training & Expansion

Summary

References

List of Tables

List of Figures

Appendices to the TCARE Replication Manual Improving Options for Persons with Alzheimer’s Disease and Their Caregivers in the State of Georgia Tailored Caregiver Assessment and Referral® Project July 1, 2007 – March 31, 2010 Prepared By: Rhonda J.V. Montgomery, PhD Jung Kwak, MSW, PhD Jeannine M. Rowe, MSW Jessica Jacobs, MSW Josh Lang, MA Katharine O’Connell Valuch, MA Maggie Wallendal, MSW University of Wisconsin-Milwaukee Helen Bader School of Social Welfare Office of Applied Gerontology May 31, 2010 TABLE OF CONTENTS Executive Summary ……………………………………………………………. iv I. Introduction …………………………………………………………………... 1 A. Goals ……………………………………….…………………………… 1 II. Background ………………………………………………………………….. 2 III. TCARE® Protocol Description…………………………………………….... 3 IV. TCARE® Evaluation ……………………………………………………….. 5 A. Study Overview ………………………………………………………... 5 B. Implementation and Monitoring ofthe TCARE® Protocol ……………. 7 C. Study Methods …………………………………………………………. 9 D. Results ………………………………………………………………….. 21 E. Discussion..……………………………………………………………… 39 V. Refining and Testing TCARE®e……………………………………………. 43 VI. TCARE® Training & Expansion…………………………………………… 45 VII. Summary …………………………………………………………………. 46 References ………………………………………………………………………. 47 LIST OF TABLES Table 1. Care Manager Compliance Scores ……………………………… 8 Table 2. Caregivers Screened and Enrolled into the Study……………….. 10 Table 3. Characteristics of Caregivers Screened …………………………. 10 Table 4. Caregiver Scores on Key Outcome Measures in TCARE® Screen 11 Table 5. Caregiver Interviews Completed by Time………………………. 13 Table 6. Caregiver Interviews Completed by Time and Relationship…… 13 Table 7. Caregiver Dropout Reasons …………........................................ 14 Table 8. Characteristics of Caregivers Enrolled …………………………. 14 Table 9. Characteristics of Care Receivers ………...……………………. 16 Table 10. Number of Services Recommened by Care Managers ………….. 22 Table 11. Types of Services Recommended by Group and Care Plan..…... 23 Table 12. Service Recommendation, Compliance, and Use by Group for 26 Initial Care Plan Period…..……………………………………… Table 13. Service Recommendation, Compliance, and Use by Group for 27 Follow-Up Care Plan Period…..………………………………… Table 14. Caregiver Scores on Outcome Measures at Baseline …………… 32 Caregiver Scores on Outcome Measures at Three Follow-up Table 15. 34 Time Points……………………………………………………… Table 16. Random Intercept Regression Models for Measures …………… 36 Table 17. Random Effects Regression Growth Curve Models for Stress 36 Burden and Depression …………………………………………. Table 18. Care Manager Satisfaction and Burnout Scores………………… 38 LIST OF FIGURES Figure 1. Six-Step TCARE Process………………………………………… 4 Figure 2. Guiding Model for TCARE® Intervention Study ……………….. 6 Figure 3. Caregiver Enrollment and Attrition ……………………………... 12 Figure 4. Changes in Identity Discrepancy Scores by Group……………… 36 Figure 5. Changes in Stress Burden Scores by Group …………………….. 36 Figure 6. Changes in Depression Scores by Group ……………………….. 36 Figure 7. Changes in Uplifts Scores by Group ……………………………. 37 Figure 8. Changes in Intention to Place Scores by Group………………… 37 EXECUTIVE SUMMARY | INTRODUCTION | | --- | | This report covers the project activities and findings related to the Georgia Alzheimer's Disease Supportive Services Program, a demonstration project funded by two grants from the Administration on Aging. The report covers grant periods from July 1, 2007 to December 31, 2008 and January 1, 2009 to March 31, 2010. Initial funds were awarded by the AOA to implement and evaluate the impact of the Tailored Caregiver Assessment and Referral®(TCARE®) protocol. In January 2009, the scope of the project was expanded to integrate the Tailored Caregiver Assessment and Referral® (TCARE®) protocol into the State of Georgia’s Nursing Home Diversion project and improve the state’s long-term care op

FAQs

What is the purpose of the TCARE® appendices in this manual?

The appendices document project activities and findings related to improving supportive services for persons with Alzheimer’s disease and their caregivers through the TCARE® protocol.

What core goals guided the project described in the appendices?

Key objectives included extending the demonstration for longitudinal data, linking TCARE® service taxonomy with Georgia’s Enhanced Service Program, testing the web-based TCARE®e version, and expanding caregiver assessment training across the state.

How does the TCARE® protocol support caregivers according to the background section?

The protocol guides care managers through assessment and care planning to identify caregiver stress sources and tailor recommended services to caregivers’ needs and strengths.

Sep 25, 2026

Uploaded by Theodore