246229 Rebalancing Institutional Care to Grassroots Aging in Place Models

Tuesday, November 1, 2011

Melissa Lang, MPH, MPA, MA, DrPH(c) , Department of Health Sciences and Practice, New York Medical College, Valhalla, NY
Nearly 10 million Americans are in need of long term services and supports (LTSS), a number expected to increase to 15 million by 2020. The majority of adults will need some type of long term care and many lack any insurance protection against the cost of LTSS. In the US, there are approximately 55 established neighborhood “villages,” and 120 in various stages of development, that help seniors lead safe and healthy lives in their own homes by creating aging-friendly communities that work in conjunction with community services. Participants are referred to and given help with a variety of services, including groceries, transportation, geriatric care management, caregiver information and home care, as well as volunteers who help with a range of services. With moderate levels of support and formalized coordinated efforts that could help seniors avoid or delay nursing homes admission, these aging in place communities may well be the models of the future. Maintaining independence is important for seniors and overcoming the barriers of decreasing functioning capacity is critical to this goal. Programs that provide respite and other supplemental supports for seniors and their families are generally under-funded. Understanding the components that make successful models may help rebalance institutional care with home based settings. Since diversion from institutional care will decrease the impact on state budgets, policymakers should take note how these village models operate and support policies that strengthen these community-based supports.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Describe the components of successful aging in place Village models Analyze how Village models may help rebalance institutional care with home based settings Discuss the importance and impact of educating policymakers about community based supports

Keywords: Aging, Long-Term Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a candidate for a DrPH, Health Policy and Management, long term care and issues related to aging are my areas of interest and expertise. I have 15 years of senior level professional experience in the not-for profit sector with health and human service agencies.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.