consequent difficulty living independently, living in the community requires not only medical and support services, but also housing. All too often, however, housing sponsors and long-term care providers operate in isolation, leading at best to frustration on the part of individuals, who must piece together workable housing and service arrangements, and at worst to otherwise avoidable instituti...

Evolving family structure and economic conditions may affect individuals' ability and willingness to plan for future long-term care (LTC) needs. We applied life course constructs to analyze focus group data from a study of family decision making about LTC insurance. Participants described how past exposure to caregiving motivated them to engage in LTC planning; in contrast, child rearing discou...

Since 2007, the federal Money Follows the Person (MFP) demonstration has funded states’ efforts to help Medicaid beneficiaries who are elderly or have disabilities leave long-term care institutions, if they wish to do so, and return to the community. In this report, we examine the characteristics of and post-transition outcomes for MFP participants in 25 states who transitioned to the community...

There is increasing international research into health and social care services for older people in need of long-term care (LTC), but problems remain with respect to acquiring robust comparative information to enable judgements to be made regarding the most beneficial and cost-effective approaches. The project 'INTERLINKS' ('Health systems and LTC for older people in Europe') funded by the EU 7...

Introduction P roviding accessible, affordable, and high-quality long-term care services to an aging population presents a growing challenge to long-term care providers. As the oldest members of the baby boom generation approach retirement, federal and state policymakers are exploring policies to care for the increasing number of elderly and to finance expanding long-term care needs. Other conc...

Long-term care represents a significant burden to the approximately 7 million elderly in need, their families, and the Medicaid program. Concerns exist about access, quality, cost, and the distribution of the burden of care. In this article each area is discussed, highlighting the principal issues, identifying the unique aspects that pertain to long-term care, and exploring the implications for...

PURPOSE This paper is to distribute first results of the EU Fifth Framework Project 'Providing integrated health and social care for older persons-issues, problems and solutions' (PROCARE-http://www.euro.centre.org/procare/). The project's first phase was to identify different approaches to integration as well as structural, organisational, economic and social-cultural factors and actors that c...

This book contains a series of chapters by various authors, which describe the challenges associated with integrating community care services across professional boundaries and potential methods of addressing those challenges. The book also addresses to a limited degree integration across the health and long-term care sectors. The evidence the authors tap for their observations comes from a lar...