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VA Boston Healthcare System:
Supportive Programs for
Veterans and their Caregivers
Olga Quinlan, LICSW
Dementia Care Coordinator
VA Boston Healthcare System
February 4, 2014
VA Boston Healthcare System
Jamaica Plain Division
150 S. Huntington Avenue
Boston, MA 02130
617-232-9500 | 800-865-3384
West Roxbury Division
1400 VFW Parkway
West Roxbury, MA 02132
617-323-7700 | 800-865-3384
Brockton Division
940 Belmont Street
Brockton, MA 02301
508-583-4500 | 800-865-3384
Community Based Outpatient Clinics
(CBOCs).
Causeway Street (Boston) CBOC
251 Causeway St.
Boston, MA 02114
Phone: 617-248-1000 Or 617-2481000
Plymouth CBOC
116 Long Pond Road
Plymouth, MA 02360
Phone: 774-826-3733
Framingham CBOC
61 Lincoln Street, Suite 112
Framingham, MA 01702
Phone: 508-628-0205
Quincy CBOC
Quincy Medical Center, 2nd
floor114 Whitwell St
Quincy, MA 02169
Phone: 617-376-2010
Lowell CBOC
130 Marshall Road
Lowell, MA 01852
Phone: 978-671-9000
http://www.boston.va.gov/
VA Health Benefits
• Veterans Health Benefits Guide and Health Care Benefits Overview
http://www.va.gov/healthbenefits/resources/epublications.asp
• The VA Boston Healthcare System Enrollment Office
• VHA Health Benefits Website http://www.va.gov/healthbenefits/
• MyHealtheVet https://www.myhealth.va.gov/index.html
• VA toll-free 1-877-222-VETS (8387) between 8:00 AM and 8:00 PM ET,
Monday-Friday
VA Shared Care Policy
• VA believes best care is coordinated by a single primary care provider, as this
provides the highest degree of coordination and safety to patients, which is
why VA requests that patients get all primary care from a VA primary care
provider.
• However, some patients choose to be followed by a non-VA primary care
provider and “share” their care (or out of geographic need).
• If you choose to be followed by a non-VA primary care provider, your VA
primary care provider is under NO obligation to re-write medication
prescriptions or to follow instructions given by that provider.
• Veterans seeking care, medications or supplies from the VA MUST be enrolled
in AND have a minimum of one visit ANNUALLY, that may include lab and
other testing, with a VA Provider (VHA Directive 2002-074).
• The Veteran is responsible for informing non-VA provider(s) that they are
being cared for in the VA and for giving their VA primary care provider the
name and address of all other provider(s) the Veteran is seeing.
http://www.boston.va.gov/questions.asp
VA Primary Care
Patient Aligned Care Team (PACT)
• Primary Care Teams consist of:
 Primary Care Provider - MD, Nurse
Practitioner (NP)
 RN – Nurse Case Manager
 MSW- Social Worker
Process/ Access to Care- Primary Care
Provider Referrals/Consults
• Medical and Supportive Services
• Inpatient and Outpatient referrals
• Specialty care (Oncology, Dermatology, Cardiology, Neurology,
Psychology/Psychiatry, Podiatry, Urology, Radiology)
• Social Work and Mental Health Programs
VA Programs with Social Work Involvement (A-G)
• Adult Day Health Care – VHA and Contract (ADHC and CADHC)
• Blind Rehabilitation/Low Vision (VIST- Visually Impaired Systems
Teams)
• Care Coordination – Home Telehealth (CCHT)
• Caregiver Support (Various Programs)
• Caregiver Support Coordination (CSC)
• Community Based Outpatient Clinics (CBOCs)
• Community Living Center (CLC)
• Contract Nursing Home – Contract (CNH)
• Community Residential Care (CRC)
• Dialysis (at Jamaica Plain)
• Domiciliary (DOM)
• Fisher House (West Roxbury)
• Geriatric, Research, Education, Clinical Center (GRECC)
VA Programs with Social Work Involvement (H-M)
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Health Care for Homeless Veterans (HCHV)
Home Based Primary Care (HBPC)
Hoptel (Huntington House at Jamaica Plain)
Housing and Urban Development- Veterans Administration Supportive
Housing Program (HUD-VASH)
Infection Control (HIV Program)
Intern Program- Social Work (various locations)
Medical- Inpatient (West Roxbury and Transitional Care Unit Brockton)
Mental Health- Inpatient (Brockton)
Mental Health- Outpatient (General and Geriatric MH – GMH/Gero MH)
Mental Health Intensive Case Management (MHICM)
Military Sexual Trauma (MST)
MOVE Program
VA Programs with Social Work Involvement (N-R)
• Neurology/Neuro Memory Disorders Clinic
• Oncology
• Operation Enduring Freedom/Operation Iraqi Freedom
Care Management (OEF/OIF/OND)
• Organ Donation (Primary Care screenings/Renal clinic JP)
• Palliative Care/Hospice Program (Inpatient and Outpatient)
• Polytrauma (TBI Program)
• Post Traumatic Stress Disorder (PTSD)
• POW Program
• Primary Care Clinic
• Psychosocial Recovery and Rehabilitation Center (PRRC)
• Rehabilitation – Medical
• Respite Care Program
VA Programs with Social Work Involvement (S-W)
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Serious Mental Illness section (SMI).
Smoking Cessation
Social Work Administration
Social Work Veterans Integrated Service Network (VISN) Lead
Spinal Cord Injury (SCI)- Inpatient/Outpatient
Substance Abuse/Addictions Treatment Program (ADTP)
Suicide Prevention Coordination Program (SPC)
Surgery (Surgical units West Roxbury)
Transplant
Traumatic Brain Injury (TBI)
Veterans Justice Outreach (VJO)
VIST Coordinator (see Blind Rehab)
Vocational Rehab
Women’s Veteran’s Program
• http://vaww1.va.gov/vhapublications/
VA Caregiver Support Program
• Public Law 111-163: Caregivers and Veterans
Health Service Act of 2010
• Mandatory Caregiver Support
• Signed into Law May 5, 2010
• National roll-out of Caregiver benefit on
May 9, 2011
VA Caregiver Support Program Components
• Family Caregiver Program
• General Caregiver Program
• Caregiver Support Line
1- Family Caregiver Support Program
Eligibility Criteria
• Administrative:
▫ Post September 11, 2001/Line of Duty Injury- enrolled in VA care or
member of Armed Services (DoD process)
▫ Injury was in fact incurred or aggravated in the line of duty
• Clinical:
▫ Based on functional limitations - need for assistance- Inability to
perform one or more activities of daily living
▫ Need for supervision or protection - Focus on safety and need for
supervision as well as assistance with personal care services.
Family Caregiver Support Program:
Application and Assessment
•Joint application for Veteran & Family caregiver
VA Form10-10CG (Caregiver)
Unrelated caregiver must live with the veteran
Assessment of veteran by Primary Treatment Team
Assessment of proposed caregiver by CSC
Caregiver training by Easter Seals
On-line
Workbook
Initial Home Visit- Subsequent visits
Family Caregiver Support Program:
Benefits
• Stipend
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Direct payment to family caregiver
Centrally funded and managed
Based on wages of a home health aide
Tier based on Veteran’s specific needs for care
• Health Insurance
• Expanded Respite Care
• Travel and Lodging
• Mental Health Services
2- General Caregiver Support Program
Eligibility Criteria
• Any era Veteran/Caregiver
• In need of Personal Care Services because of:
▫ an inability to perform one or more ADLs
- OR ▫ a need for supervision or protection based on
symptoms or residuals of neurological or other
impairment or injury
3- Caregiver Support Line
www.caregiver.va.gov
VA Caregiver Support Coordination Program
VA Boston CSC Coordinators:
Renee Gallagher, MSW, LICSW: 617-248-1159
Julia Lehmann, MSW, LICSW: 857-364-3722
Dementia Care Coordination (DCC)
Program
• DCC is relatively new program (implemented January
2010)- designed to provide proactive and supportive
interventions to veterans diagnosed with Alzheimer's
disease, and/or other Dementia diagnoses AND their
informal/family caregivers.
• Interventions range depending on severity of condition
and disease process from "early stages" throughout
"later stages" of dementia in the following domains:
DCC Program Scope of Services
• Dementia Clinical Case Management
o Clinical Assessment of veteran’s needs
o Clinical Assessment of caregiver(s) needs
• Caregiver Support/Education -Individual (face to face), telephone
outreach, caregiver support group (BR).
• Coordination of care – VA and assistance with Non-VA transitions of care,
partnerships with Elder Services and Alzheimer’s Association.
• Caregiver support and education- Ongoing assessment/monitoringCollaboration with VA treatment teams.
• Staff education/consultations
• Administrative oversight
Dementia Care Coordinators
Olga Quinlan, MSW, LICSW- Brockton Division
940 Belmont Street
Brockton, MA 02301
Tel: 774-826-2096
Gayle Clark, MSW, LCSW- Jamaica Plain Division
150 S. Huntington Avenue
Boston, MA 02130
Tel: 774-826-2834
Mondays 8:00AM- 12:00PM
VA Supportive Programs
•In-Home Care
▫Homemaker Home Health Services (H/HHA)
▫Skilled Home Care (VNA)
▫Home Based Primary Care (HBPC)
▫Telehealth (Care Coordination/ Tele-health)
•Respite Care
▫In-Home
▫Adult Day Health Care
▫In-Patient
•Additional Benefits
▫Financial Benefits – (i.e. Aid & Attendance, Vet Directed Program)
▫Support Groups
▫Prosthetics
Veteran’s National Crisis Line
1-800-273-TALK (8255)
** Press 1 for Veterans
References - VA Websites
MyHealtheVet https://www.myhealth.va.gov/index.html
Prosthetics and Sensory Aids http://www.prosthetics.va.gov/HISA2.asp
VA Social Work Programs http://vaww1.va.gov/vhapublications/
VA Boston Healthcare System http://www.boston.va.gov/
VA Shared Care Policy http://www.boston.va.gov/questions.asp
VHA Social Work Program Guide http://vaww1.va.gov/vhapublications/
Thank you!!
Questions?