Home- and Community-Based Long-Term Care

doi:10.1017/9781108942751.050

Chapter 50 - Home- and Community-Based Long-Term Care

from Section IV - Principles of Care for the Elderly

Published online by Cambridge University Press: 30 June 2022

Rebecca Elon and

Fatima Sheikh

Edited by

Jan Busby-Whitehead ,

Mary H. Palmer and

Jan Busby-Whitehead: Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso: Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson: Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon: Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer: Affiliation:
University of North Carolina, Chapel Hill
William Reichel: Affiliation:
Georgetown University Medical Center

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Summary

As the population ages, the need for home and community-based care is expected to rise. This chapter discusses public and private funding sources to help older adults with dependencies in their activities of daily living stay in their homes or find alternate community residential options. It explains the basics of the Older Americans Act, Medicaid waivers, the limited Medicare support for care at home, care of special populations such as veterans, Native Americans, and Native Alaska Elders, older adults with dementia, and those with mental health challenges. Residential housing options, assisted living communities, continuing care communities, and newer models for residential support including villages and naturally occurring retirement communities are discussed. Workforce challenges in providing care to the aging population are presented as a key factor in creating successful service programs.

Keywords

home care community-based care chronic care funding Older Americans Act Medicaid waivers residential care activities of daily living support retirement communities aging work force challenges

Information

Type: Chapter
Information: Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 620 - 630

DOI: https://doi.org/10.1017/9781108942751.050 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

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