New York University Caregiver Intervention (NYUCI)
This approach aims to reduce burden and distress in dementia caregivers and to improve quality of care for care recipients
The strategy combines 6 sessions of individual and family counseling, support group participation, and additional on-call telephone consultations in a flexible counseling approach that is tailored to each caregiving family.
Studies show the intervention benefits the caregiver’s mental and physical health and delays institutional placement of the care recipient into a nursing home. Caregivers report increased support from members of their networks and increased satisfaction with that support.
Outcome Research References
Mittelman, M. S., Haley, W. E., Clay, O. J., & Roth, D. L. (2006). Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology, 67, 1592-1599.
Mittelman, M. S., Roth, D. L., Coon, D. W., & Haley, W. E. (2004). Sustained benefit of supportive intervention for depressive symptoms in Alzheimer’s caregivers. American Journal of Psychiatry, 161, 850-856.
Mittelman, M. S., Roth, D. L., Haley, W. E and Zarit, S. H. (2004). Effects of a caregiver intervention on negative caregiver appraisals of behavior problems in patients with Alzheimer’s disease: Results of a randomized trial. Journals of Gerontology, Psychological Sciences, 59B, 27–34.
Mittelman, M. S., Roth, D. L., Clay, O. J. and Haley, W. E. (2007). Preserving health of Alzheimer’s caregivers: impact of a spouse caregiver intervention. American Journal of Geriatric Psychiatry, 15, 780–789.
Clinical Approach References
Mittelman, M. S., Epstein, C. and Pierzchala, A. (2003). Counseling the Alzheimer’s Caregiver: A Resource for Health Care Professionals. Chicago: AMA Press.