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Learn about the exciting possibilities for maintaining elderly residents in their own homes by marshalling available resources to pay for needed support services. Experienced practitioners provide examples of successful community-based long-term care service programs for the elderly, programs that are supported by a mix of public funds and private resources. They explore the role of service providers in developing successful models of community-based long-term care services--housing, home care services, comprehensive senior centers, and day care, among others--and discuss not only the successes of the particular programs but the obstacles and barriers that had to be overcome as well. Chapters focus on policies for the development of effective models, from the perspectives of municipal, county, state, and federal governments involved in community service provision, and the role of colleges and universities in training personnel to develop and implement community-based long term care services. Taken together, this state-of-the-art tutorial, taught by practitioners who offer wisdom and insight based on their hands-on experience, is indeed a unique contribution to the field of long-term care.
Table of Contents
Successful Models of Community-Based Long Term Care: Implications for Graduate Training Programs
Part I: Service Providers’ Role in Developing Successful Models of Community Care: Introduction to Part I
Comprehensive Senior Centers
New York City Home Attendant Program
Home Care Services: Non-Professional Home Attendants
Day Care and the Continuum of Care
Nursing Home-Based Community Care
The Role of Community-Based Coalitions
Filling the Housing and Service Gap
Part II: The Role of Colleges and Universities in Training Personnel to Develop Community-Based Long Term Care Services: Introduction to Part II
The MPH Program in Long Term Care Administration at the Columbia University School of Public Health
The Practicum Experience
The Relationship Between Field Placement Agencies and the University
Training for Community Programs
Outpatient Programs From the Training Point of View: Geriatric Dentistry Training at Columbia University
Outpatient Programs From the Training Point of View: Geriatric Medical Training at Columbia University
The Continuum of Long Term Care: An Educational Guide for Faculty in the Health Sciences
Part III: Policies for Development of Successful Models: Past, Present, and Future: Introduction to Part III
The Municipal Level: The Case of the City of Yonkers
New York State’s Long Term Care Policy and Program Directions
The Legislative Process With Specific Reference to the County Level
Teaching About U.S. Long Term Care Policies
Part IV: Conclusions
Concluding Remarks and Suggested Issues for Further Discussion
Reference Notes Included
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