Generations

Articles from Vol. 24, No. 3, Fall

A Consumer-Directed Homecare Program That Works for the Cognitively Impaired
Support for families. In 1997, the New York City Chapter of the Alzheimer's Association received a three-year grant from the Robert Wood Johnson Foundation to investigate areas of concern and issues facing those caring for an individual with cognitive...
A Review of State Initiatives in Consumer-Directed Long-Term Care
Attitude is the most common barrier to consumer direction in aging services. Starting with the independent living movement of the seventies, consumer direction has gained momentum among consumers, providers, state administrators, and policy makers. The...
Comparing Consumer- and Agency-Directed Models: California's In-Home Supportive Services Program
Findings to inform the debate about expanding consumer direction to older people and others. Until recently, there has been little research to inform the debate about expanding consumer direction to the elderly and other populations with supportive services...
Consumer-Directed Home- and Communtiy-Based Services Programs in Five Countries: Policy Issues for Older People and Government
A major innovation in long-term care for older people in the United States and Europe is the development of consumer-directed homecare programs. With government funds, these programs give consumers, rather than homecare agencies, control over who provides...
Consumer-Directed Long-Term-Care Services: Evolving Perspectives and Alliances
Young adults with physical disabilities, people of all ages with cognitive impairments, and older people with functional impairments share many of the same needs for services and adaptations. However, the professionals and advocates that have traditionally...
Consumer Direction in Long-Term Care
Introduction Over the past decade, researchers and policy makers have begun to pay increasing attention to consumer direction in long-term care. A number of factors, including aggressive advocacy on the part of younger people with disabilities, a growing...
Consumer Direction in Long-Term Care: A Taxonomy of Legal Issues
The activities of home health agencies are highly regulated, primarily for the purposes of assuring that the quality of services the agencies provide meets defined minimum levels and protects the rights and interests of service consumers and agency employees...
Culturally Appropriate Consumer-Directed Care: The American Indian Choices Project
In healthcare and longterm care, AmericanIndian elders may be among the most neglected and underserved populations in the United States. They face the same healthrelated problems as the general population, but for them these problems are often magnified...
Early Lessons from the Cash and Counseling Demonstration and Evaluation
Today, in most states, whether you are an elderly individual or a younger person with disabilities, ifyou are covered by Medicaid and need assistance to perform major activities of daily living like bathing, dressing, using the toilet, transferring from...
Fiscal Intermediaries: Reducing the Burden of Consumer-Directed Support
With increased control come increased reponsibilities. Consumer-directed modes of financing and delivering home- and community-based support services permit consumers-as opposed to medical or social work professionals-to exercise greater control over...
Implementation Issues for Consumer-Directed Programs: A Survey of Policy Experts
The concerns of consumers, providers, payers, and policy makers. The aging community's approach to homecare services has been changing during the past decade. While many long-term services for older people remain traditional in nature (i.e., arranged...
Letters to Generations
EYE-OPENING Great job on the splendid edition of Generations, "Abuse and Neglect of Older People" (Summer 2000). Working directly with caregivers of Alzheimer's disease for over the past 5 years, I have always been surprised that in midst of extraordinary...
Our Guest Editor
Consumer direction in long-term care encompasses the most pressing issues in the field of aging today, spanning concerns ranging from service provision, housing, and quality of life to the nature of the individual's relationship to his or her own care....
People First: The Consumers in Consumer Direction
Much of the discussion of consumer direction and self-determination focuses on issues, models, and policies. Consumer direction as a philosophy emphasizes consumers' capacity to "assess their own needs, determine how and by whom these needs should be...
Promoting Consumer Direction for Family Caregiver Support: An Agency-Driven Model
You probably know someone like Judy Smith. She is 53, married, has two teenage children at home, and has a career as an architect. A year ago, her widowed mother moved into her home after being diagnosed with Parkinson's disease and dementia. At that...
Rapid Response: Development of a Homecare Worker Replacement Service
Reliable backup care. Mrs. Y is a 72-year-old woman who lives alone and has limited vision because of her diabetes. One morning Mrs. Y's regularly scheduled homecare worker does not arrive. Mrs. Y becomes concerned because she requires meals and snacks...
The Federal Role in the Move toward Consumer Direction
Since the early 1990s, the Office of Disability, Aging, and Long-Term Care Policy (DALTCP), a division of the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services (DHHS), has made consumer...
The Quality of Consumer-Directed Long-Term Care
With most of the purchases that people make or the activities they choose to engage in, we do not worry about the quality of those products or services-that's their own business. We leave it to them to decide whether the car that they drive is safe enough,...
Toward a Stable and Experienced Caregiving Workforce
Mediating the interests of workers and consumers. Recently, my mother received an early morning phone call from her friend, Elaine, who suffers from multiple sclerosis. On this particular morning, Elaine was desperate to find someone to help her get...
Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.