Aging/Older Adults

Help preserve an individual's right to make decisions about their life. Find the least restrictive ways to provide them with care, supervision and support they need. This resource is both a course and a reference guide to help people learn about guardianship and its alternatives to help make informed decisions. While geared towards friends and family, care coordinators, support staff, case managers and attorneys may find the information useful as a review and reference for their clients.

Family caregiving has long been the most common source of long-term care for older people with disabilities in the U.S. Explore this report looking at recent trends in the types of assistance that older people with disabilities receive and sources of payment for this assistance. It presents major findings on the growing number of older people with disabilities in the community and their care arrangements, summarized by seven trends.

A conference was held to inform potential solutions to improve the cost and quality of care across the health care continuum for older Americans. Synthesizing the conference, this report addresses many of the challenges facing individuals with chronic conditions and functional impairments, and identifies new opportunities for the integration of medical services and social supports tailored to older Americans and supported by new payment designs.

Older lesbian, gay, bisexual and transgender (LGBT) individuals face a number of obstacles as they age and develop the need for supports and services. This national technical assistance resource center was created to address the barriers that prevent LGBT elders from receiving the services they need. The center provide will provide training, technical assistance and educational resources to aging providers, LGBT organizations and LGBT older adults.

Older workers are a valuable resource for the workforce. SCSEP’s mission is to enhance employment opportunities for unemployed older Americans and promote them as a solution for businesses seeking trained, qualified, and reliable employees. They are committed to providing high-quality job training and employment assistance to participants, and have an extensive network of service providers. View their website and three related presentations delivered at the 2010 HCBS conference.

The mission of this network is to promote and foster culture change "to improve the quality of life for older Georgians and those closest to them in all settings where aging services are delivered”. The Network was founded in 2008 and includes a clearinghouse for organizations and providers working on person-centered, long-term care in multiple care settings. Numerous resources can be found on their site, along with information on special projects, supporting organizations and more.

Presentations from NASHP's 23rd annual conference held October 4-6 in New Orleans are available online. Included are remarks from CMS Administrator Donald Berwick , and presentations such as Health Care Reform: New Options for Rebalancing Long Term Services and Supports, Integrating Care for Dual Eligibles, Reforming State Long Term Services and Supports Programs through Participant Direction, and numerous others. Review the presentations about vital issues in state health policy.

Disability rates among older Americans have declined, and the ways in which community-dwelling older people with disabilities managed their conditions have substantially changed over the 20 years covered by this survey. Among those receiving human assistance, the vast majority were helped by family caregivers, who are increasingly taking full responsibility for providing care. Find detailed analyses of the data in two research reports that provide insight into the factors driving these changes.

State-authorized health plans whose members are qualified to receive both Medicare and Medicaid benefits face administrative challenges. This study examines care management practices in four health plans that serve persons who are dually eligible. The authors describe how health plans operationalize their integrated care management approaches and identify a common framework for integrating care.

Statistics show a significant percentage increase in older persons able to receive LTSS outside of nursing homes, however unnecessary institutionalization is still a routine problem. This report clearly delineates the limitations on progress, including differences in Medicaid structure around nursing home vs. HCBS waiver coverage. The authors recommend specific steps that federal and state governments should take to reduce unnecessary institutionalization.