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

2010年《护理人员和退伍军人综合卫生服务法》（公法：111-163）颁布了立法 通过两个具有里程碑意义的项目，确保为有需要的退伍军人护理人员提供培训、服务和援助， 家庭照料者综合援助方案和一般照料者方案 支助服务加强了对家庭照顾者的支助和服务，包括培训和教育。与 2010年的《护理人员和退伍军人综合健康服务法》超过了过去的护理人员， 在少数几个州，支持仅限于适度税收抵免的政策，1现在提供非正规护理人员， 前所未有的支持。综合方案提供了一个支持方案， 退伍军人和家庭照顾者以及家庭照顾者的一系列福利，如每月津贴， 获得医疗保健（如果医疗保险计划尚未覆盖）、教育和培训、旅行， 住宿和生计、临时护理和照顾者心理健康服务。它旨在减少压力， 通过向那些照顾严重受伤的OEF/OIF/OND退伍军人的人提供财政津贴， 需要日常生活活动（ADL）的帮助或监督或保护，因为剩余的 他们受伤的影响。一般方案提供培训，以支持照顾所有时代的退伍军人， 提供更多服务的转介、现场和电话咨询以及危机应对。当VHA 响应和满足立法的要求非常迅速，综合方案已 远远超出预期，有26 000名申请者，支出超过3亿美元。结果导致 该计划的投资回报是直接利益的照顾者支持计划和国会。 具体而言，目前尚不清楚这些方案提供的援助，包括护理人员培训， 津贴或其他服务影响了照顾者的经济或情感压力。也不知道是怎么回事。 该计划影响了退伍军人的健康和经济成果。我们的中心，VA-CARES评估 中心将评估综合方案和一般方案对退伍军人的影响， 照顾者该评估将使用多种混合方法和丰富的数据源， 全面评估VA CSP的短期影响。我们将使用VA医疗记录数据来描述 综合方案影响了退伍军人的医疗保健利用。我们还将调查和CSP数据， 描述护理人员在综合计划，以及如何培训，津贴，和其他福利， 影响了照顾者及其家人的经济和情感压力。使用混合定性 运用定量分析的方法，确定综合性项目和一般性项目的经验 照顾者，并获得重要的上下文理解他们的观点对有益的 计划、挑战和/或未满足的需求。最后，我们将通过详细说明所提供的服务来补充数据， CSP的全部交付成本--人员、方案编制（如津贴、保险）和支助成本。

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.