Aging/Older Adults

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A Balancing Act: State Long-Term Care Reform

This paper examines the extent to which states have balanced the delivery of Medicaid-funded LTC services and supports to people in their homes and in institutions. What is unique about this report is its primary focus on older people and adults with physical disabilities separate from other LTC populations, such as people with developmental disabilities. Explore what has been accomplished under current Medicaid law and review how federal policies impact the ability to balance service delivery.

Short URL: http://www.advancingstates.org/node/51640

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Alzheimer’s Disease Demonstration Grants to States (ADDGS) Projects – AoA Demonstration Grants

AoA announced the availability of $10,900,000 for two ADDGS Program Announcements: "Innovation Grants to Better Serve People with ADRD" and "Evidence-Based Intervention Translation Grants to Serve People with People with ADRD and their Caregivers." The goal is demonstrate how the Aging Services Network can effectively implement evidence-based service interventions that help people with ADRD to remain at home and in the community. Closing dates for applications are August 11th, 2008.

Short URL: http://www.advancingstates.org/node/51638

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Nursing Home Diversion Modernization Grant including a Special Funding Opportunity to Serve Veterans: Grant Announcement

AoA announced $13 million to support state efforts to help individuals with long-term care needs to avoid unnecessary nursing home placement. This includes $10 Million for an AoA Nursing Home Diversion Modernization Grants Program and a special $3 Million funding opportunity made available by the Veterans Health Administration. Only State Units on Aging are eligible to apply, but must involve AAAs and community-based organizations in projects. The application deadline is August 14, 2008.

Short URL: http://www.advancingstates.org/node/51629

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EPA Aging Initiative Environmental Health Fact Sheets

These short documents provide information on common health concerns for elderly people that can be caused or exacerbated by environmental factors. Elderly people, caretakers, and educators can use these resources to identify and prevent potential health threats. The fact sheets are available here in English and Spanish. They are available in 13 additional languages as well as large print and easy to read formats on the EPA website provided.

Short URL: http://www.advancingstates.org/node/51626

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Knowledge and Skills Needed for Dementia Care: A Guide for Direct Care Workers in Everyday Language

This guide identifies special skills needed specifically in the care for patients with dementia. The document is organized by competency areas, allowing direct care workers or trainers to focus on areas of improvement. Additional resources are also listed by competency areas as well as in alphabetical order and are complemented by a glossary and notes for trainers and supervisors.

Short URL: http://www.advancingstates.org/node/51622

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Accounting for Sources of Projected Growth in Federal Spending on Medicare and Medicaid

This budget analysis compares the degree to which the aging of the population and rising health care costs, as well as the interaction of the two factors, will contribute to an overall increase in the federal spending on Medicare and Medicaid as a portion of the GDP. Using four different scenarios, it finds that a significantly larger portion of this increase will come from rising health care costs rather than aging.

Short URL: http://www.advancingstates.org/node/51616

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The Aging Services Network: Accomplishments and Challenges in Serving a Growing Elderly Population

This issue brief and background paper outline the ongoing history, services, and expenditures associated with the Older Americans Act (OAA). The report also summarizes services that are funded through the OAA and other federal and state funds and are provided by the state and local agencies that comprise the Aging Services Network. Finally, key challenges to meeting the needs of the changing population are identified, especially with regards to service improvement and funding.

Short URL: http://www.advancingstates.org/node/51614

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Does Mental Illness Affect Consumer Direction of Community-Based Care? Lessons From the Arkansas Cash and Counseling Program - Research Abstract

The authors examined whether consumer direction is effective for elderly people with mental illness. The treatment group, those that participated in Cash and Counseling, fared better than elderly people that have a mental illness but did not participate in C&C. They also fared as well as elderly people without mental illness that were in the program. Variables studied included measures of consumer satisfaction as well as objective measures such as health, among others.

Short URL: http://www.advancingstates.org/node/51612

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Assuring Healthy Caregivers, A Public Health Approach to Translating Research into Practice: The RE-AIM Framework

RE-AIM, a framework for program developers, planners, and evaluators to use to translate research into practices and policies that maintain the health and quality of life of caregivers. This monograph argues that this issue should be a public health policy priority, summarizes RE-AIM, provides policy and program scenarios for using the framework, and list resources and tools. The report is available in six parts here or as one document from the website.

Short URL: http://www.advancingstates.org/node/51611

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Assistive Technology in Medicaid Home- and Community-Based Waiver Programs

The authors identified trends regarding the use of 1915(c) waivers to buy assistive technology (AT). They examined participation and expenditures as well as differences in provision between elderly people and individuals with developmental disabilities. Results showed that the use of waivers to fund AT is growing, but more slowly than the overall waiver program. Also, there are significant differences in provision between people with disabilities and older adults as well as between states.

Short URL: http://www.advancingstates.org/node/51605

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