Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities

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Packaging supportive services with housing—a pressing issue for older adults

The population of older adults is expected to explode in the coming years. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities examines a crucial, complex, and often overlooked issue for policymakers and the public at large: older adults’ increasing needs for housing and supportive long-term care services. As baby boomers strive to help their parents make difficult decisions about their options, pressure mounts for policymakers to develop appropriate housing and services. This book brings together respected experts to discuss the answers to difficult questions about meeting the housing and support service needs of aging adults.

Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities explores in-depth the tough issues pertaining to which populations are presently being served, what their needs are, and who is being left out. You’ll learn exactly what types of services are available, who is providing them, and how are they packaged. From residential care to assisted living to institutional care, this book addresses all facets of the complicated problems of providing availability to fulfill need. This important source presents insightful analysis of the total range of issues and the challenges to progress as well as offering specific recommendations to effectively offer housing and vital long-term care supportive services to older adults.

Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities discusses in detail:

  • the argument for increased development of supportive housing for older adults—and the barriers preventing it
  • the issues related to providing a variety of housing and service options to the Medicaid population
  • two case studies that illustrate how policies aimed at linking housing and services play out at the state and local level—and the need for strong leadership and the ability to develop key partnerships as vital aspects for success
  • the interrelationship of factors regarding nursing home admission, the availability of subsidized housing, and Medicaid eligibility
  • the need for care management to be holistic—including environmental care assessment, repair, and renovation management in addition to current long-term care settings
  • creating affordable assisted living facilities for older persons receiving Medicaid services
  • the successful components of the national Coming Home Program
  • four case studies emphasizing different finance and regulatory approaches—providing lessons learned for developers, state agencies, and advocates of affordable assisted living
This vital educational resource is also an essential reference for local, state, and national policymakers, housing officials, and long-term care providers.
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Editorial Reviews

Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is a multiauthored series of papers reprinted from Journal of Housing for the Elderly on linking housing and services for older persons.
Purpose: Its purpose is to review the complex nexus that exists between housing and services for older persons, including state policies and financing mechanisms. This is a rapidly growing area that will continue to be of importance in the future.
Audience: The audience is gerontologists, social planners, urban planners, designers, social workers, policy makers for the states and those who consider financing care for older persons. The authors are all experts in the field.
Features: The book contains chapters on policy issues, the nexus of housing and services for older persons and descriptions of particular state programs. The chapter on the Coming Home Program — an initiative to help states organize supportive housing for poor and rural older persons — is the final chapter in the book and nicely integrates and caps the presentations preceding it.
Assessment: We can write prescriptions for pills, wheelchairs, even institutionalization, but not for a roof over an older person's head. Do you know why that is? This book provides the answer in a very good way. It goes on to explain how care (supportive services) can be provided in this housing and nicely contrasts home care from care provided in assisted living. The guidance for states in making the best policy decisions about funding and organizing supportive housing are lasting contributions of this very worthwhile book.

3 Stars from Doody
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Product Details

Table of Contents

  • About the Contributors
  • Introduction
  • Homes of Choice: Towards More Effective Linkages Between Housing and Services (Jon Pynoos, Phoebe Liebig, Dawn Alley, and Christy M. Nishita)
  • Public Funding for Long-Term Care Services for Older People in Residential Care Settings (Janet O’Keeffe and Joshua Wiener)
  • Public Policy Initiatives Addressing Supportive Housing: The Experience of Connecticut (Nancy W. Sheehan and Claudia E. Oakes)
  • Supportive Housing Initiatives in Arkansas (Debra Tillery)
  • Targeting Services to Those Most at Risk: Characteristics of Residents in Federally Subsidized Housing (Donald L. Redfoot and Andrew Kochera)
  • Assisted Living for Lower-Income and Frail Older Persons from the Housing and Built Environment Perspective (Leonard F. Heumann)
  • The Coming Home Program: Creating a State Road Map for Affordable Assisted Living Policy, Programs, and Demonstrations (Robert Jenkens, Paula C. Carder, and Lindsay Maher)
  • Index
  • Reference Notes Included
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