This project's goal is to identify older adults who may be at risk of moving from their own home to a nursing home or assisted living facility. Project ROSE partners will integrate into their existing practice a service that utilizes an evidenced based rapid screen to identify community living older adults who may be at high or moderate risk. Services will be offered to assist individuals and families in managing risks in order to prolong their ability to remain living at home. The rapid screen addresses 7 factors that are indicators of nursing home placement, including Chronic Conditions, Injurious Falls, No Caregiver, Stressed Caregiver, Considering a Move to Institutional Living, Living Alone, and Memory Changes. Partners will discuss the implications of the identified risks with caregivers/families and the older adult. Persons identified at moderate or high risk will receive on-going Diversion Support Services that include risk management interventions tailored to the personís individual needs based on the identified risks; assistance in developing and implementing a risk action plan; access to specialized information and on-going risk management interventions, and caregiver and memory care support in order to stabilize and mitigate risks and strengthen the caregiver's family and community support networks. Participants and their families will be informed about Consumer Choice Options and receive assistance in implementing this option if they are interested.
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