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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

By
Rebecca Elon  and
Fatima Sheikh
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
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 carecommunity-based carechronic care fundingOlder Americans ActMedicaid waiversresidential careactivities of daily living supportretirement communitiesaging work force challenges
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 620 - 630
Publisher: Cambridge University Press
Print publication year: 2022

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References

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