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An evaluation of two respite models for older people and their informal caregivers.

AIM
To evaluate two case-management models of respite relief care at Waitemata District Health Board.


METHOD
The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland, New Zealand. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals.


RESULTS
Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models.


CONCLUSIONS
The respite models are flexible and provide control in decision-making for informal caregivers leading to an increase in choice for home-based respite. Case-managers need to form strong partnerships with caregivers to ensure that the needs of both the informal caregiver and older person are met. Short-term placement in residential respite facilities for respite care may be linked to worsening functional ability of the older person.