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Community Aging in Place, Advancing Better Health for Elders (CAPABLE)

Multistate

 

CAPABLE is a model of care designed to help seniors live more comfortably and safely in their homes. It is a five-month program that teams an occupational therapist, a nurse and a handyman to address the home environment and uses the strengths of the older adults themselves to improve safety and independence. Originally a research study out of the Johns Hopkins School of Nursing, the CAPABLE model has been expanded with multiple types of payers. It is now active in 21 cities in 12 states - California, Colorado, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, North Carolina, Pennsylvania, Tennessee and Vermont. Care sites include Accountable Care organizations, home health organizations and partnerships between Housing Authorities and health care organizations.  

Partner Organizations

  • Johns Hopkins School of Nursing
  • AARP

Target Population

Medicare beneficiaries/ the frail elderly who have multiple chronic conditions

Care Team

Registered nurse, occupational therapist, handyman

Timeframe

2011 - present

Results/ Studies

  • 79% of participants improved their self-care over the course of five months
  • On average, the number of self-care tasks that participants had difficulty with were halved
  • Participants experienced a decrease in depressive symptoms similar to that of anti-depressant medication
  • CMS evaluators found that CAPABLE was associated with 2 years of saving to Medicare after receiving the program ($20,000 in two years per person; cost of the program is <$3,000).

Medicaid Cost Savings of a Preventive Home Visit Program for
Disabled Older Adults (Journal of the American Geriatrics Society, November 2017)

Funding

Federal grants, private grants and private organizations 

Resources

Program website

Targeting Function at Home in Older Adults: How to Promote and Disseminate Promising Models of Care? (Journal of the American Geriatrics Society, November 2017)

News coverage