Aging Parents and Adult Children Together (A/PACT)
SELECTING A GERIATRIC
CARE MANAGER
(Eighth in a 10-part series)
Your elderly aunt is widowed and lives alone. Youre the only family
member she has to care for her. Her long-time health problems have become debilitating.
You know she needs help but, because you live far away, you dont know exactly what
she needs or where to look for help. Someone suggests that you contact a geriatric care
manager. What is a care manager and how can you find a good one?
A geriatric care manager (GCM) is a professional who specializes in helping
older people and their families with long-term care arrangements. GCMs often have training
in gerontology, social work, nursing or counseling. They also have extensive knowledge
about the cost, quality and availability of services in an older persons community.
As a result, GCMs can help:
- Conduct care-planning assessments to identify problems and determine eligibility for
assistance and the need for services;
- Screen, arrange and monitor in-home help or other services;
- Review financial, legal or medical issues and offer referrals to geriatric specialists
to avoid future problems and conserve assets;
- Provide crisis intervention;
- Act as a liaison to families living away from the parent, making sure things are going
well and alerting families to problems;
- Help move an older person to or from a retirement complex, care home or nursing home;
- Provide consumer education and advocacy; and,
- Offer counseling and support.
Choose a GCM carefully. The field of geriatric care management is relatively
unregulated and many people without specialized training identify themselves as care
managers, care coordinators or care advisors. Therefore, its wise to screen
candidates to ensure that youre working with a person qualified in this new
profession.
- Ask about candidates training, education and background in care management
and geriatrics. Ask how long theyve been a GCM and whether they belong to
the National Association of Professional Geriatric Care Managers or any other professional
associations.
- A care managers ability to be responsive is important. Ask
candidates what their average response time is to return calls from clients and their
families. Have them describe their communication system: Do they use pagers, portable
phones, an answering service or voice mail? Learn about their agencys size, hours
and staff composition. How are after-hours emergencies handled? What are the back-up
systems for covering vacations and days off? Will you and your parent work with one GCM or
several?
- Determine the scope of the GCMs practice. Some GCMs or agencies
specialize in assessments and care consultation but typically dont follow people on
an ongoing basis. An assessment is a thorough review of the clients physical,
medical and mental status, and financial resources. It serves as the basis for a
comprehensive plan for the client. Other GCMs offer psychotherapy, money management, or
home care. They also can act as conservators, appointed by a court to manage the financial
and/or personal affairs of someone unable to manage his or her own affairs. Its
important that the GCMs practice setting and specialties meet your needs and your
parents.
- Investigate the GCMs track record and reputation. Ask for letters
of reference or names of previous clients you may contact. Is the GCM active in
professional associations? Does the GCM perform volunteer work?
While there are no licensing requirements for GCMs, there are certification programs.
Ask each candidate you interview if he or she is certified, and by whom.
Confusion about fees and billing can be a problem. Be sure you understand the
GCMs billing rates and how charges are calculated. Fees vary depending on the
GCMs work setting private practice, public agency or private non-profit
agency. Get a written service agreement that outlines the fee structure and practices.
Finally, ask GCM candidates if they subscribe to a code of ethics or are guided by
professional standards of practice. Get a copy of the standards. They should deal with the
right to privacy, fiduciary responsibilities, full disclosure, fostering
self-determination, fees, continuing education and professional relationships. Ask how
complaints are handled.
For More Information
You can find GCMs through:
- The Area Agency on Aging in your parents community
- Hospitals, senior centers, geriatric assessment centers and charitable organizations,
such as the Alzheimers Association
- The National Association of Professional Geriatric Care Managers at (520) 881-8008
- The Eldercare Locator Service at (800) 677-1116
Private non-profit organizations that promote standards for geriatric care managers
include:
National Association of Professional Geriatric Care Managers
1604 North Country Club Road
Tucson, AZ 85716-3102
(520) 881-8008; Fax: (520) 325-7925
National Council on Aging
409 Third Street, SW
Suite 200
Washington, DC 20024
(202) 479-1200; fax: (202) 479-0735
Case Management Society of America
8201 Cantrell Road, Suite 230
Little Rock, AR 72227
(501) 225-2229; fax: (501) 221-9068
Prepared by the National Association of Professional Geriatric Care
Managers
To order the complete A/PACT series, contact: Consumer Response Center,
Federal Trade Commission, Washington, DC 20580, 202-FTC-HELP (382-4357), TDD:
1-866-653-4261. |
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