Supporting Aging in Place Through IWISH: Lessons from the Supportive Services Demonstration
2024

Supporting Aging in Place Through IWISH

Sample size: 2927 publication Evidence: moderate

Author Information

Author(s): Melissa Vandawalker, Elizabeth Giardino, Meghan Hendricksen, Ian Breunig

Primary Institution: Abt Global

Hypothesis

Can the IWISH model help older adults remain in HUD-assisted housing longer and delay transitions to long-term care?

Conclusion

The IWISH model showed little evidence of affecting residents' tenure or healthcare utilization, but there are optimistic lessons learned for future implementation.

Supporting Evidence

  • Residents and staff reported numerous benefits from IWISH.
  • IWISH staff helped residents avoid unnecessary emergency care.
  • The program provided transitional care after hospital stays.
  • Residents felt safe and secure with onsite medical professionals.

Takeaway

The IWISH program helps older people stay in their homes longer, but it didn't work as well as hoped in this study.

Methodology

The study analyzed enrollment and services data for IWISH participants, conducted focus groups with residents, and interviewed property management and wellness staff.

Limitations

Challenges included hiring and retaining staff, developing healthcare partnerships, and addressing privacy concerns.

Participant Demographics

Adults aged 62 and older living in HUD-assisted housing developments.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2959

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