Generations

Articles from Vol. 38, No. 2, Summer

A Brief History of Aging Services in the United States
America retains a patchwork quilt of services for elders, as our society has always expected families to shoulder most of their care.he foundations of aging services in the United States go back many centuries. The Elizabethan Poor Law, enacted in England...
A Foot in Both Worlds: A Case Manager's Story
A melding of community agency expertise with medical, analytical, and payment strategies of managed care organizations may work to serve elders best.Over the past two decades, the landscape of senior services has transformed in response to the evolving...
Delivering Aging Services: Stability and Change in Policies and Programs
Although many great programs exist, funding remains a top concern in preserving available resources to help elders age at home and in their communities.Aplethora of services and programs has been established to enable older adults to main- tain their...
Managing Aging Services in a Different World: Lessons of Change
Although change is constant, all is not dire in the service delivery sector-as long as management bends with the winds.The Older Americans Act (OAA) is about to qualify for an AARP membership card. Such a milestone demands reflection. Whether reviewing...
Managing Aging Services in an Unmanaged World
Missoula Aging Services is learning to overcome the challenges of moving from a grant-based funding model to an outcomes-based model-in a frontier environment.As the fourth largest state in the country, Montana covers 147,047 square miles. Only recently...
Nine Strategies to Transform Community Service Organizations That Assist Older Adults
The needs and opportunities of America's rapidly aging society are driving a moral imperative for transformational change in community service organizations nationwide.Since 1950, the National Council on Aging (NCOA) has been collaborating with com-...
Surviving and Thriving in the New World of Aging Services
How one nonprofit transitioned from being a traditional area agency on aging to becoming a competitor in the health and long-term-care marketplaces.t is a challenging time to be an area agency on aging (AAA). On the upside, AAAs continue to be well-connected...
The Aging Network and Long-Term Services and Supports: Synergy or Subordination?
A national aging network is critical to providing consumers access to affordable long-term-care options.he last quarter century or so has seen a remarkable transformation in the world of policy and services regarding aging. Demograph- ically, the older...
The Aging Services Network: Has Its Time Come-Or Gone?
The aging services network enhances the lives of millions of older adults in America. What does the future hold for the network and OAA reauthorization?Symbolic milestones to celebrate in the year 2015 include the fiftieth anniversaries of the ctment...
The Aging Services System-When It's 64
A researcher's vision of the aging services network by the year 2030 encompasses a more person- and family-centered, coordinated, and integrated service system that offers quality care outcomes.The aging services network was developed almost half a century...
The Evolution, Innovation, and Future of Area Agencies on Aging
Area agencies on aging face a brave new world as their mission endures to provide local, responsive, and coordinated services in the community for elders.ore than 600 area agencies on aging (AAA) provide locally responsive, coordinated services for older...
The Future of Aging Services in a Neoliberal Political Economy
We need to get back to the basic priorities of economic and health security, as well as food, housing, and functional security for all elders.ublic policy has created an "aging enterprise," which assures that the needs of older adults will be processed...
The Future of Long-Term Care and the Aging Network
Before concluding that proprietary organizations should provide LTC services, we should analyze the effectiveness of the existing community-based LTC system.Our long-term-care (LTC) system should be an asset in our efforts to build strong local and regional...
The Future of Participant Direction in Aging Services
There are many challenges to consumer direction, but there is reason for hope-embodied in California-based programming and in social workers embracing this self-direction concept.early two decades of research have clearly established the value of participant...
The Future of the Aging Network
If those in the healthcare sector want to bring services in under one roof, how does the aging services sector ensure it's not left out of the action?he health and social service systems for older persons are undergoing radical changes, stimulated by...
The (Uncertain) Future of the Aging Network: May You Live (and Work) in Interesting Times!
System change is underway and will be challenging and disruptive. The key question is, "How well will the aging network adapt?"he Older Americans Act (OAA) has done a remarkable job of guiding the aging network through half a century of development and...
What the Paradox of Change Means for the Future of Aging Services
Lest it go the way of Blockbuster, the aging services sector must foster and embrace change, evolving to meet the demands of our modern world.As a researcher studying aging services and long-term care for the past thirty-five years, I continue to be...
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