Reports

Person-centered outcomes underpin all aspects of desired assisted living practices and care. Service planning and operational process focused on person-centeredness is able to deliver core promises of assisted living that maximize privacy, autonomy, and choice; fostering meaningful life, engagement, quality of care, and meaningful access to the surrounding community.

Adult day services (ADS) centers are a key provider of long-term care services. As well as providing direct service, they benefit family caregivers by enabling them to remain in the workforce or receive needed respite. Data was collected and analyzed from a representative sample of centers, focusing on the characteristics of services, profile of participants, and the range of services offered. The study provides a picture of current adult day services and offers a look to the future.

This report provides data on Medicaid's role in financing long-term care, including serving as the primary payer for an estimated 63.6% of all nursing home residents. Congress recently offered an array of proposals that would significantly cut the Medicaid program. These proposals include converting the program into a block grant with straightforward cuts and global caps on spending. The latest proposal enables the states to significantly reduce Medicaid eligibility and enrollment.

This report explains the Jobs to Careers program, a model of training and education designed to advance the skills of direct-care workers. It describes how the program has been implemented in Hartford, Connecticut, and Portland, Oregon. The report also presents a list of next steps and recommended goals to improve state and federal policies relating to direct-care worker training. Jobs to Careers is managed by the national nonprofit Jobs for the Future.

To improve beneficiary care and reduce unnecessary expenditures, a number of states have developed programs and initiatives aimed at improving the coordination and management of care for dual eligibles—beneficiaries enrolled in both Medicaid and Medicare for their health care services. This report reviews the experiences in nine states to determine the lessons that can be learned from experience.

Third Annual Report builds on findings from the first two Annual Reports and focuses on the progress grantees made during the 2008-2009 grant period, representing slightly different stages of implementation for the FY05 grantees (Year 4) and the FY06 grantees (Year 3). Across grantees, data on outcomes during 2008-2009 grant period remained limited and changes in system infrastructure continue to be difficult to assess at this time.

The impact of disability is wide ranging, influencing nearly every aspect of affected individuals’ lives, including how they seek and receive health care, how they process information, and what level of independence and community participation they enjoy. Evidence-based care has potential to improve the lives of American adults with disabilities. This brief presents methodological and design issues for researchers to consider.

A national survey of over 10,000 local governments follows up on a 2005 survey of aging communities across the nation. This report highlights 11 distinct transportation options important to older adults in local communities and underscores the importance of further outreach efforts to involve older adults in the planning process as only 30% of the communities surveyed had the direct involvement of older adults.

This resource guide highlights the importance of mobility options for American Indian elders and support the efforts of Title VI aging services and Tribal transit programs to provide transportation to elders living on reservations and Indian lands. Order the resource in hard copy from the NCST library or download the electronic version.

This report describes a national survey developed in conjunction with PACER Center's Family Advocacy and Support Training Project (FAST) to increase understanding of the key information needs, unmet service needs, and service quality for youth and young adults with disabilities in transition from school to adulthood. Review results of a 2010 Internet survey of 2,416 parents or relatives of children and youth ages 11 years to 39 years with disabilities from 54 U.S. states and territories.