Maximizing Independence at Home (MIND at HomeTM) is a comprehensive, home-based care coordination intervention for people with Alzheimer disease or related dementias who live in the community and for their family caregivers. MIND at Home is designed to systematically assess and help address unmet needs that may be barriers to persons with dementia remaining in their home, while maintaining their health and wellbeing and that of their caregiver. Developed by researchers and clinicians at Johns Hopkins University, a substantial amount of research has been done and published that shows positive patient and caregiver outcomes related to MIND at Home intervention. Research studies have been funded by an innovation grant from the Centers for Medicare and Medicaid Innovation (CMMI), the National Institutes of Health, and by multiple private foundations.
MIND at Home is delivered by a Memory Care Coordinator (non clinical community worker) and an interdisciplinary team (Geriatric psychiatrist, Registered Nurse, OT) who conduct comprehensive in-home dementia-related needs assessments and provide individualized care planning and implementation based upon standardized protocols. The team uses six basic care strategies as well as on-going monitoring, assessment and planning for emergent needs.
1. Resource Referrals
2. Attention to environmental safety
3. Dementia care education
4. Behavior management skills training
5. Informal counseling
Each component of the intervention is based on best practice recommendations and evidence from prior research, and is combined for maximum impact. The MIND at Home model of care coordination links people with dementia and their caregivers to community-based agencies, medical and mental health care providers, and community resources.
Funding for MIND at Home comes from public research grants, private foundations and philanthropic contributions.