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Community Aging in Place—Advancing Better Living for Elders (CAPABLE)

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In today’s health care environment, improving health largely falls outside of health care facilities. Home is where health is. People with functional limitations and chronic conditions are more than four times more likely than the general population to be among the five percent costliest users of health services. And yet, function is rarely addressed in medical visits.


CAPABLE addresses both function and cost. CAPABLE is a program offered through the Johns Hopkins School of Nursing for low-income seniors to safely age in place. The approach teams a nurse, an occupational therapist and a handy worker to address both the home environment and uses the strengths of the older adults themselves to improve safety and independence. For an example of the impact of this client-driven interdisciplinary approach, check out Mrs. R's "Beyond Grab Bars" Case Study.

CAPABLE Information


CAPABLE Improves Health Outcomes at Lowers Costs1

More Than 6X Return on Investment

Roughly $3,000 in program costs yielded more than $20,000 in savings in medical costs driven by reductions in both inpatient and outpatient expenditures.

Szanton, S.L., Alfonso, N., Leff, B.A. Guralnik, J., Wolff, J.L.,  Stockwell, I.,  Gitlin, L.N., Bishai, D. Medicaid cost savings of CAPABLE, a person-directed program for low-income older adults with disability In press at Journal of the American Geriatrics Society

Halved Difficulties in Function

Participants had difficulty with an average of 3.9 out of 8.0 Activities of Daily Living (ADLs) at baseline, compared to 2.0 after 5 months.

Reduced Symptoms of Depression

Symptoms of depression, as well as the ability to grocery shop and manage medications also improved.

Improved Motivation

The change in physical environment further motivates the participant. Addressing both the person’s stated challenges and the environment in which they live allows the person to thrive.

Testimonial - Mrs. B's Experience with CAPABLE

Implementing CAPABLE: First Steps


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