VA Caregiver Support Evaluation Center (VA-CARES Evaluation Center)

VA 看护者支持评估中心（VA-CARES 评估中心）

• 批准号: 9075408
• 负责人: Courtney Harold Van Houtven
• 金额: --
• 依托单位: DURHAM VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-10-01 至 2027-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9075408
• 关键词: Activities of Daily Living; Affect; Caregiver support; Caregiver well-being; Caregivers; Caring; Collaborations; Complement; Congresses; Counseling; Data; Data Sources; Educational Curriculum; Emotional; Ensure; Evaluation; Family; Family Caregiver; Family health status; Freedom; Guidelines; Health; Health Insurance; Health Services; Healthcare; Heterogeneity; Human Resources; Individual; Injury; Insurance; Interview; Investments; Laws; Learning; Medical Records; Medical center; Mental Health Services; Methods; Mission; Pattern; Personal Satisfaction; Policies; Residual state; Series; Services; Site; Statutes and Laws; Supervision; Surveys; Taxes; Telephone; Training; Training and Education; Travel; Veterans; care costs; caregiver education; caregiver strain; cost; economic outcome; expectation; experience; health care availability; health care service utilization; improved; informal caregiver; interest; operation; programs; respite care; response; service programs; severe injury; uptake

The Caregivers and Veterans Omnibus Health Services Act of 2010 (Public Law:111-163) enacted legislation to ensure training, services, and assistance for Veteran's caregivers in need through two landmark programs, the Program of Comprehensive Assistance for Family Caregivers and the Program of General Caregiver Support Services enhances support and services for family caregivers, including training and education. With these programs, the Caregivers and Veterans Omnibus Health Services Act of 2010 exceeded past caregiver support policies that were limited to modest tax credits in a few states,1 and now provides informal caregivers an unprecedented level of support. The Comprehensive Program provides a program of support for both the Veteran and the Family Caregiver and a series of benefits for the Family Caregiver such as a monthly stipend, access to health care if not already covered under a health insurance plan, education and training, travel, lodging and subsistence, respite care and caregiver mental health services. It aims to reduce strain for caregivers by providing financial stipends to those who care for severely injured OEF/OIF/OND Veterans who need assistance with Activities of Daily Living (ADLs) or supervision or protection because of the residual effects of their injuries. The General Program offers training to support to caregivers of Veterans of all eras, providing referrals to more services, on-site and phone counseling, and crisis-response. While The VHA responded to and met the requirements of the legislation extremely rapidly, The Comprehensive Program has far surpassed expectations, with 26,000 applicants and outlays of more than $300 million. As a result, the program's return on investment is of immediate interest to the Caregiver Support Program and Congress. Specifically, it is not yet known how the assistance provided by these programs, including caregiver training, stipends, or other services has affected caregivers' financial or emotional strain. It is also unknown how the program has affected Veterans' health and economic outcomes. Our center, The VA-CARES Evaluation Center will evaluate the impacts of The Comprehensive Program and The General Program on Veterans and caregivers. This evaluation will use a multiple and mixed methods approach and rich data sources to provide a full evaluation of VA CSP short-term impacts. We will use VA medical records data to describe how The Comprehensive Program has affected Veteran health care utilization. We will also survey and CSP data to describe caregivers in The Comprehensive Program and how training, the stipend, and other benefits have affected the perceived financial and emotional strain of caregivers and their families. Using mixed qualitative and quantitative methods, we will ascertain the experiences of Comprehensive Program and General Program caregivers and gain important contextual understanding of their perspectives on the helpfulness of the programs, challenges, and/or unmet needs. Finally, we will complement data on services offered by detailing the full delivery costs of the CSP-personnel, programming (e.g. stipend, insurance), and supporting costs.

2010年《照顾者和退伍军人综合保健服务法》(公法：111-163)颁布立法 通过两个里程碑式的计划，确保为有需要的退伍军人照顾者提供培训、服务和援助， 家庭照顾者综合援助计划和一般照顾者计划 支持服务加强对家庭照顾者的支持和服务，包括培训和教育。使用 这些计划，2010年《照顾者和退伍军人综合卫生服务法》超过了过去的照顾者 在几个州仅限于适度税收抵免的支持政策，1现在为非正式照顾者提供 前所未有的支持率。综合计划为以下两个项目提供支持 退伍军人和家庭照顾者以及为家庭照顾者提供的一系列福利，如每月津贴， 如果健康保险计划尚未涵盖医疗保健、教育和培训、旅行、 住宿和生存、暂缓护理和照顾者心理健康服务。它的目的是减少对 照顾者通过向那些照顾严重受伤的OEF/OIF/OND退伍军人的人提供经济津贴 由于残留物，需要日常生活活动(ADL)或监督或保护方面的帮助 他们受伤的影响。一般方案为所有时代的退伍军人照顾者提供支持培训， 提供更多的转介服务，现场和电话咨询，以及危机应对。而VHA 综合方案以极快的速度响应和满足了立法的要求 远远超出预期，有2.6万名申请者，支出超过3亿美元。因此， 该计划的投资回报直接关系到护理者支持计划和国会的利益。 具体地说，目前尚不清楚这些方案提供的援助，包括护理员培训， 津贴或其他服务影响了照顾者的经济或情感压力。同样不清楚的是， 该计划已经影响了退伍军人的健康和经济结果。我们的中心，退伍军人事务部评估 中心将评估综合方案和一般方案对退伍军人和 照顾者。本次评估将使用多种方法和混合方法以及丰富的数据源，以提供 对退伍军人事务部CSP的短期影响进行全面评估。我们将使用退伍军人病历数据来描述 综合计划影响了退伍军人的医疗保健利用。我们还将调查和CSP数据以 描述综合计划中的照顾者以及培训、津贴和其他福利如何 影响到照顾者及其家人所感受到的经济和情感压力。使用混合定性 和定量的方法，确定综合规划和一般规划的经验 并获得重要的背景理解，了解他们对 计划、挑战和/或未得到满足的需求。最后，我们将通过详细说明来补充有关提供的服务的数据 CSP的全部交付费用--人员、方案编制(如津贴、保险)和支助费用。

项目成果

Family Caregivers of Veterans Experience High Levels of Burden, Distress, and Financial Strain.

• DOI: 10.1111/jgs.16767
• 发表时间: 2020-11
• 期刊: JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
• 影响因子: 6.3
• 作者: Shepherd-Banigan, Megan;Sherman, Sophia R.;Lindquist, Jennifer H.;Miller, Katherine E. M.;Tucker, Matthew;Smith, Valerie A.;Van Houtven, Courtney Harold
• 通讯作者: Van Houtven, Courtney Harold

Short-term effects of comprehensive caregiver supports on caregiver outcomes.

综合护理人员支持对护理人员结果的短期影响。

• DOI: 10.1111/1475-6773.14038
• 发表时间: 2023
• 期刊: Health services research
• 影响因子: 3.4
• 作者: Miller,KatherineEM;VanHoutven,CourtneyH;Kent,ErinE;Gilleskie,Donna;Holmes,GMark;Smith,ValerieA;Stearns,SallyC
• 通讯作者: Stearns,SallyC

Experiences of VA vocational and education training and assistance services: Facilitators and barriers reported by veterans with disabilities.

• DOI: 10.1037/prj0000437
• 发表时间: 2021-06
• 期刊: PSYCHIATRIC REHABILITATION JOURNAL
• 影响因子: 1.9
• 作者: Shepherd-Banigan, Megan;Pogoda, Terri K.;McKenna, Kevin;Sperber, Nina;Van Houtven, Courtney H.
• 通讯作者: Van Houtven, Courtney H.

Engaging, Supporting, and Sustaining the Invisible Partners in Care: Young Caregivers of Veterans From the Post-9/11 Era.

吸引、支持和维持护理中的隐形伙伴：9/11 后时代退伍军人的年轻护理人员。

• DOI: 10.18043/ncm.76.5.320
• 发表时间: 2015
• 期刊: North Carolina medical journal
• 作者: Miller,KatherineM;Kabat,Margaret;Henius,Jennifer;Harold,Courtney;VanHoutven,Harold
• 通讯作者: VanHoutven,Harold