April 2012 | American Society on Aging

Developing leadership, knowledge, and skills to address the challenges and opportunities of a diverse aging society

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April 2012

Monthly Archive (Generations)

Disparities in Assisted Living: Does It Meet the HCBS Test?

04.25.2012

As assisted living evolves, there are many challenges—from equitable access to remaining true to original design principles. By Mauro Hernandez Since the late 1980s, states have considered assisted living (AL) a key home- and community-based service (HCBS)... Read More

Money Follows the Person: Un-burning Bridges and Facilitating a Return to the Community

04.19.2012

What lessons have been learned from this long-running demonstration program? By Susan C. Reinhard Almost fifty years ago, the United States created a new program known as Medicaid to support healthcare for people with very low incomes and assets. Because this healthcare ... Read More

Medically Oriented HCBS: House Calls Make a Comeback

04.16.2012

Several unique house-call models prevent hospital admissions and save money when treating the chronically ill. By Jennifer Hayashi and Bruce Leff As the number of older Americans living with chronic illness and disability grows over the coming decades, the need for focused,... Read More

Improving Long-Term-Care Supports Means Advocating Inside and Out

04.12.2012

A first-person peek at state-level advocacy, from someone wedged between lobbyists and legislators. By Herb Sanderson Pushing a boulder uphill: that’s what it often feels like when advocating for improvements to long-term-care services and supports in the community at the... Read More

Reflections of a Disability Activist: A Conversation with Bob Kafka

04.12.2012

Bob Kafka is a disability activist and organizer for ADAPT, an advocacy organization for and by people of all ages and disability types. Long a person with quadriplegia, he is also older than sixty-five. Generations Guest Editor Rosalie Kane recently spoke with Kafka about his work and... Read More

Spring 2012 Generations: Thirty Years of HCBS

04.11.2012

Thirty Years of HCBS: Moving Care Closer to Home Rosalie Kane, Guest Editor It’s hard to believe Home- and Community-Based Services (HCBS) have been around for thirty years. Our Spring issue of Generations celebrates that milestone with an in-depth perspective, and is dedicated to Dick... Read More

Channeling: What We Learned, What We Didn’t—and What It All Means Twenty-Five Years Later

04.11.2012

Channeling points to a basic question about care: What is the best way to provide long-term services and supports for an aging America? By Robert Applebaum Despite long-standing concerns about quality, by the early 1970s, nursing homes had become the dominant mode of publicly funded... Read More

Thirty Years of Home- and Community-Based Services: Getting Closer and Closer to Home

04.11.2012

By Rosalie A. Kane We are progressing to where the norm for long-term services and supports is that they are based at home and in the community—with nursing homes being the rare-choice alternative. In 1982, the first Medicaid Home- and Community-Based Services (HCBS)... Read More