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520923 JAGXXX10.1177/0733464814520923Journal of Applied GerontologyGaugler research-article2014 Editor’s Introduction Journal of Applied Gerontology 2014, Vol. 33(2) 127 –129 The Evolution of © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav Community-Based DOI: 10.1177/0733464814520923 jag.sagepub.com Long-Term Care Community-based long-term care (also referred to as home and community- based supports [HCBS]) is defined as “assistance with daily activities that gen- erally helps older adults and people with disabilities to remain in their homes” (Kassner, 2011). As noted by the American Association of Retired Persons, 5.2 million community-residing individuals over the age of 65 required long- term services and supports in 2009; 38% of those over the age of 85 needed some type of long-term care support (Johnson & Park, 2011; Kassner, 2011). Among the most commonly studied types of community-based long-term care services are in-home health services and adult day programs, although HCBS are diverse in terms of their content, structure, and financing across the United States. As suggested in the definition provided above, a principal goal of community-based long-term services is to delay nursing home admission for at-risk older persons, and federally financed programs such as Medicaid and the Older Americans Act provide at least partial funding for states to offer HCBS.
Journal of Applied Gerontology – SAGE
Published: Mar 1, 2014
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