Commission On Long Term Care Report To The Congress September 30 2013

The Commission on Long-Term Care was established under Section 643 of American Taxpayer Relief Act of 2012 (P.L. 112-240), signed into law January 2, 2013. The Commission was established with 15 members. Three members each were appointed by the President of the United States, the majority leader of the Senate, the minority leader of the Senate, the Speaker of the House of Representatives, and the minority leader of the House of Representatives. The Commission elected Dr. Bruce Chernof as its Chair and Dr. Mark Warshawsky as its Vice-Chair. The statute directed the Commission to: ..".develop a plan for the establishment, implementation, and financing of a comprehensive, coordinated, and high-quality system that ensures the availability of long-term services and supports for individuals in need of such services and supports, including elderly individuals, individuals with substantial cognitive or functional limitations, other individuals who require assistance to perform activities of daily living, and individuals desiring to plan for future long-term care needs." The statute further directed the Commission within 6 months of the appointment of Commissioners (by September 12, 2013) to: ..".vote on a comprehensive and detailed report based on the long-term care plan... [described above]... that contains any recommendations or proposals for legislative or administrative action as the Commission deems appropriate, including proposed legislative language to carry out the recommendations or proposals."

Considers problems of supplying long-term medical care to elderly in nursing homes and hospitals including, shortage of skilled personnel, Federal care quality standards, facility construction design and location, and need for additional Federal-state funding.

Considers problems of supplying long-term medical care to elderly in nursing homes and hospitals including, shortage of skilled personnel, Federal care quality standards, facility construction design and location, and need for additional Federal-state funding.

Family Caregiving in the New Normal discusses how the drastic economic changes that have occurred over the past few years have precipitated a new conversation on how family care for older adults will evolve in the future. This text summarizes the challenges and potential solutions scientists, policy makers, and clinical providers must address as they grapple with these changes, with a primary focus given to the elements that may impact how family caregiving is organized and addressed in subsequent decades, including sociodemographic trends like divorce, increased participation of women in the workforce, geographic mobility, fewer children in post-baby boom families, chronic illness trends, economic stressors, and the current policy environment. A section on the support of caregivers includes technology-based solutions that examine existing models, personal health records, and mobile applications, big data issues, decision-making support, person-centered approaches, crowd-sourced caregiving such as blogs and personal websites that have galvanized caregivers, and new methods to combine paid and unpaid forms of care. Provides a concise "roadmap" of the demographic, economic, health trends, and policy challenges facing family caregivers Presents potential solutions to caregiving so that scientists, policymakers, and clinical providers can best meet the needs of families and communities in the upcoming decades Includes in-depth, diverse stories of caregivers of persons with different diseases who share perspectives Covers person-centered care approaches to family caregiving that summarize effective community-based services of psychosocial intervention models Examines how existing efficacious models can more effectively reach and serve individual families

Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.

This is a comprehensive graduate textbook focusing on the full spectrum of long-term care settings ranging from family and community-based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. Prominent scholars from history, environmental design, family caregiving, social service delivery, clinical care, health service delivery, public policy, finance, law, and ethics explore such themes as: Relationships among independence, dependence, and interdependence Ethical considerations woven into the provision of long-term care Decision-making in long-term care Fluidity in long-term care The lived experience of long-term care A micro-macro perspective ranging from the individual to societal institutions The book examines future directions for long-term care, considering such factors as the interface of technology and long-term care, cultural diversity, and relationships between voluntary and paid services. Each chapter includes case examples, study questions, and exercises, additional resources, and website links. An extensive glossary of terms is also provided, as well as instructor’s resources are also available. Key Features: Focuses on the full array of long-term care options Integrates theory and practice Incorporates the perspectives of diverse fields including history, environmental design, family caregiving, social services, public policy, etc. Includes numerous case examples, study questions, exercises, and additional resources Considers new approaches to long-term care, incorporating technology and considering cultural diversity and voluntary vs. paid services About the Authors: Graham D. Rowles, PhD, is Founding Director of the Graduate Center for Gerontology and Chair of the Department of Gerontology, University of Kentucky. He is also Professor of Gerontology with joint appointments in Nursing, Behavioral Science, Geography and Health Behavior. An environmental gerontologist, his research focuses on the lived experience of aging. A central theme of this work is exploration, employing qualitative methodologies of the changing relationship between older adults and their environments with advancing age, and the implications of this relationship for health, wellbeing and environmental design. He has conducted in-depth ethnographic research with elderly populations in urban (inner city), rural (Appalachian), and nursing facility environments. Recent research includes leadership of the Kentucky Elder Readiness Initiative (KERI), a statewide project to explore the implications for communities of the aging of the Baby Boom cohort. His publications include Prisoners of Space? and six co-edited volumes, in addition to more than 60 book chapters and articles. He is a Fellow of the Gerontological Society of America and the Association for Gerontology in Higher Education and currently serves on the editorial boards of the Journal of Applied Gerontology and Journal of Housing for the Elderly. Dr. Rowles is Past National President of Sigma Phi Omega, Past President of the Southern Gerontological Society, Past President of the Association for Gerontology in Higher Education, and is currently Chair of the Commonwealth of Kentucky Institute on Aging. Pamela B. Teaster, PhD, is Associate Director for Research, Center for Gerontology, and Professor, Department of Human Development, Virginia Tech University. She established the Kentucky Justice Center for Elders and Vulnerable Adults and is the first President of the Kentucky Guardianship Association. Dr. Teaster is Secretary General of the International Network for the Prevention of Elder Abuse. She served as Director and Chairperson of the Graduate Center for Gerontology/Department of Gerontology as well as the Director of Doctoral Studies and Associate Dean for Research for College of Public Health at the University of Kentucky. Dr. Teaster serves on the Editorial Board of the Journal of Elder Abuse and Neglect. She is a Fellow of the Gerontological Society of America and the Association for Gerontology in Higher Education, a recipient of the Rosalie Wolf Award for Research on Elder Abuse, the Outstanding Affiliate Member Award (Kentucky Guardianship Association), and the Distinguished Educator Award (Kentucky Association for Gerontology). She has received funding from The Retirement Research Foundation, Administration on Aging, National Institute on Aging, Kentucky Cabinet for Families and Children, National Institute of Justice, Centers for Disease Control, National Institute of Occupational Safety and Health, Health Resources and Services Administration, and the Office of Victims of Crime. She is the author of over 100 peer-reviewed articles, reports, books, and book chapters.