An evaluation of two respite models for older people and their informal caregivers.

AIM: To evaluate two case-management models of respite relief care at Waitemata District Health Board. METHOD: The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland, New Zealand. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals. RESULTS: Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models. CONCLUSIONS: The respite models are flexible and provide control in decision-making for informal caregivers leading to an increase in choice for home-based respite. Case-managers need to form strong partnerships with caregivers to ensure that the needs of both the informal caregiver and older person are met. Short-term placement in residential respite facilities for respite care may be linked to worsening functional ability of the older person.