Explore significantbut often-overlookedaspects of aging policy!
This unique addition to the literature on aging policy will help you understand devolutionthe decentralizing of service provisionand the roles that state/local government and private organizations now play in addressing the needs of our aging population. It will show you how to initiate innovations and make positive changes in aging policy through state and local initiatives, collaborations between the federal government and other government agencies, public/private collaboration, and strictly private initiatives.
From the editors: Around the world, the ground rules are being questioned about the role of national governments in addressing domestic needs. During the twentieth century in countries throughout the world, central governments assumed major responsibilities for a wide variety of human needs. Whether the concern was income security, health, housing, or education, interventions were premised upon convictions that a strong public sector role was essential and that major involvement of national governments was needed. More recently, a significant pattern [devolution] has emerged in many countries wherein these responsibilities have shifted away from national governments to regional and local governments as well as from the public to the private sector.
Thoughtfully divided into five sections that illustrate distinctly different forms of devolution, this book first provides an essential overview of devolution and then examines its implications for vital aspects of service provision to the elderly. In the United States in recent years, the single greatest focus for devolution has been the transformation of income security protections for poor families. The federal Aid to Families With Dependent Children program has been replaced by the Temporary Assistance to Needy Families program. Devolution and Aging Policy examines that change and other important facets of the current climate of devolution, including:
- Medicaid-financed long-term care
- state sponsorship of services in retirement communities
- the implications of the Workforce Investment Act for the access of older workers to training at a state level to upgrade their work skills
- public/private sector collaboration in long-term care insurance
- long-term care ombudsman programs
- what state governments can do to help elders make use of information technology
- property tax credits for seniors that are given in exchange for volunteering on the municipal level
- how an HMO can encourage and stimulate service coordination
- and more!
Table of Contents
- Devolution and Aging Policy
- IMPLEMENTATION OF ESTABLISHED FEDERAL-STATE PROGRAMS
- State Discretion and Medicaid Program Variation in Long-Term Care: When Is Enough, Enough?
- Devolution of Employment and Training Policy: The Case of Older Workers
- Volunteerism and Social Capital in Policy Implementation: Evidence from the Long-Term Care Ombudsman Program
- INNOVATION WITHIN ESTABLISHED FEDERAL-STATE PROGRAMS
- Partnership Insurance: An Innovation to Meet Long-Term Care Financing Needs in an Era of Federal Minimalism
- Implementation Issues for Consumer-Directed Programs: Comparing Views of Policy Experts, Consumers, and Representatives
- A FEDERAL DEMONSTRATION TO STIMULATE SERVICE DEVELOPMENT WITHIN STATES
- Weighing the Success of a National Alzheimer’s Disease Service Demonstration
- PUBLIC SECTOR, STATE, AND LOCAL INITIATIVES
- Strengthening Senior Tax Credit Programs in Massachusetts
- Assessing State Efforts to Meet Baby Boomers’ Long-Term Care Needs: A Case Study in Compensatory Federalism
- Naturally Occurring Retirement Community-Supportive Service Program: An Example of Devolution
- Information Technology Issues in an Era of Greater State Responsibilities: Policy Concerns for Seniors
- PRIVATE SECTOR INITIATIVES
- A Consumer Cooperative Association Specializing in Services for the Elderly
- Kaiser Permanente’s Manifesto 2005 Demonstration: The Promises and Limits of Devolution
- Age Concerns: Innovation Through Care Management
- Reference Notes Included