title: Decreasing role strain for caregivers of veterans with dependence in performing activities of daily living.
abstract: In response to the implementation of new Patient Aligned Care Teams (PACT) within the Veterans Administration health care system, the interdisciplinary nature of social work in health care settings is expanding to address emerging needs of veterans and their caregivers. One such area of expansion is the receipt of extended care services in the veteran's home environment. Social workers within PACT, also known as the patient-centered medical home, are tasked with movement of health care resources and care coordination centered around veterans in their residences. This presents social workers in the health care setting with new challenges for dealing with high burden and role strain for caregivers of veterans in noninstitutional settings who are dependent in performing activities of daily living. The current article establishes an approach, grounded in community science, for interventions within the Veterans Health Administration aimed at alleviating caregivers' role strain when caring for veterans with functional disabilities while optimizing implementation of home care and care coordination.
authors.forename: Colleen L
authors.initials: CL
authors.lastname: Campbell
authors.forename: Sean
authors.initials: S
authors.lastname: McCoy
authors.forename: Nannette
authors.initials: N
authors.lastname: Hoffman
authors.forename: Patricia
authors.initials: P
authors.lastname: Oneil
mesh_terms: D000203:Activities of Daily Living; D017028:Caregivers / Q000523:psychology*; D006699:Home Care Services / Q000592:standards* / Q000639:trends; D006801:Humans; D008960:Models, Psychological; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards / Q000639:trends; D011788:Quality of Life / Q000523:psychology*; D012947:Social Work / Q000379:methods / Q000592:standards / Q000639:trends; D013315:Stress, Psychological / Q000150:complications / Q000209:etiology / Q000523:psychology*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration / Q000592:standards / Q000639:trends; D058014:Veterans Health; D000078329:Workforce