CONTEXT | MECHANISM | OUTCOMES | |
RESOURCES | REASONING | ||
Having neither ADL nor cognitive impairments | Care coordination provided by a coordination centre | The focus is on facilitation of the access to the care and support needed. “If any crisis situation appears I am, or my informal caregiver is, able to call for adequate help.” | |
Feeling capable to remain at home | |||
Having only a low impairment in ADL (lowADLonly), | Care coordination provided by a coordination centre | In this situation also, the focus is on facilitation, especially through adequate utilisation of information by the frail older person and his informal caregiver | |
Uncertainty about feeling capable to remain at home or not | |||
Having a high level of ADL impairment (highADLonly) | Social case management | Exacerbations and worsening of the situation are anticipated and prevented. | |
Not feeling capable to remain |