Address correspondence to Patricia M. San Antonio, Ph.D., CSR, Incorporated, 2107 Wilson Blvd, Suite 1000, Arlington, VA 22201. Lori Simon-Rusinowitz, Ph.D., and Dawn Loughlin, Ph.D., are with the Department of Health Services Administration, and Center on Aging, College Park, MD. J. Kevin Eckert, Ph.D., is with the Erickson School of Aging Studies, University of Maryland Baltimore County, Baltimore, MD. Kevin J. Mahoney, Ph.D., is with the Graduate School of Social Work, Boston College, Chestnut Hill, MA.
Case Histories of Six Consumers and Their Families in Cash and Counseling
Article first published online: 3 JAN 2007
Health Services Research
Volume 42, Issue 1p2, pages 533–549, February 2007
How to Cite
San Antonio, P. M., Simon-Rusinowitz, L., Loughlin, D., Eckert, J. K. and Mahoney, K. J. (2007), Case Histories of Six Consumers and Their Families in Cash and Counseling. Health Services Research, 42: 533–549. doi: 10.1111/j.1475-6773.2006.00674.x
- Issue published online: 3 JAN 2007
- Article first published online: 3 JAN 2007
- Cash and Counseling;
- cash option;
- case history;
- qualitative case studies
Objective. To examine how the lives of consumers and their caregivers were affected by making choices and controlling their own resources with the cash option, this paper focuses on six case studies from the Cash and Counseling Demonstration Program.
Data Sources. Twenty-one consumers, caregivers, and state consultants were interviewed about their experiences in the program.
Study Design. The data come from a larger study of over 200 interviews conducted from June 2000 to August 2004. Interview data were analyzed for themes about caregiving and program satisfaction.
Principal Findings. Cash and Counseling benefited consumers and caregivers by allowing consumers increased continuity and reliability of care, increased ability to set hours of care, more satisfaction with how caregiving is offered and more satisfaction with the quality of care.
Conclusions. The cash option allowed consumers to create, schedule, and manage their own model of care. Some consumers faced challenges in the program with paperwork, accounting, worries about receiving care, and some ineffective state consultants who could have been more helpful.