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Author: United States Government Accountability Office Publisher: Createspace Independent Publishing Platform ISBN: 9781719091183 Category : Languages : en Pages : 34
Book Description
OLDER AMERICANS ACT: Preliminary Observations on Services Requested by Seniors and Challenges in Providing Assistance
Author: United States Government Accountability Office Publisher: Createspace Independent Publishing Platform ISBN: 9781719091183 Category : Languages : en Pages : 34
Book Description
OLDER AMERICANS ACT: Preliminary Observations on Services Requested by Seniors and Challenges in Providing Assistance
Author: Kay E. Brown Publisher: DIANE Publishing ISBN: 1437939155 Category : Law Languages : en Pages : 20
Book Description
Administered by the Admin. on Aging (AoA), Title III of the Older Americans Act (OAA) is intended to assist individuals age 60 and older by providing supportive services. Title III, Medicaid and Medicare, state, and other sources of funding provide for several types of services, including congregate and home-delivered meals, transportation, and support for caregivers. This testimony reports on ongoing work by the auditor in preparation for the reauthorization of the OAA. This report describes: (1) Title III services most requested by seniors and how state and local agencies reach those most in need; and (2) how agencies have coped with increasing requests in the current economic environment. Charts and tables.
Author: U S Government Accountability Office (G Publisher: BiblioGov ISBN: 9781289244330 Category : Languages : en Pages : 24
Book Description
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed to a 15-year term by the U.S. President. The GAO wants to support Congress, while at the same time doing right by the citizens of the United States. They audit, investigate, perform analyses, issue legal decisions and report anything that the government is doing. This is one of their reports.
Author: Kay E. Brown Publisher: ISBN: Category : Languages : en Pages : 16
Book Description
Administered by the Administration on Aging (AoA) in the Department of Health and Human Services (HHS), Title III of the Older Americans Act (OAA) is intended to assist individuals age 60 and older by providing supportive services. Title III, Medicaid and Medicare, state, and other sources of funding provide for several types of services, including congregate and home-delivered meals, transportation, and support for caregivers. This testimony reports on ongoing GAO work in preparation for the reauthorization of the OAA and a full report to be issued by GAO in 2011. Based on preliminary findings, GAO describes (1) Title III services most requested by seniors and how state and local agencies reach those most in need, and (2) how agencies have coped with increasing requests in the current economic environment. To do this, GAO reviewed aging plans from the 50 states and District of Columbia; conducted site visits to 4 states; interviewed national, state, and local officials; and analyzed preliminary responses to a Web-based survey of 125 Local Area Agencies on Aging for fiscal year 2009. The survey data used in this document reflect a 54 percent response rate as of July 30, 2010. The survey is still in progress and our results are not generalizable at this time. GAO shared its findings with AoA and incorporated their comments as appropriate. Seniors frequently requested home-delivered meals and transportation services, and based on preliminary responses to GAO's survey and information from site visits, demand for some Title III services may be increasing. Some agencies said they were unable to meet all requests for services in fiscal year 2009. For example, 13 of 67 survey respondents said they were generally or very unable to serve all seniors who requested home-delivered meals, and 15 of 63 said they were generally or very unable to serve all who requested transportation assistance. Local officials cite seniors' desire to remain in their homes as they age, and the economic downturn as possible reasons for increased requests. Given this demand, providers must make decisions about which applicants will receive services. OAA requires providers to target those with the greatest economic and social need, --low-income, minority, lacking proficiency in English, and rural residents--and local officials said they advertise, conduct outreach, and coordinate with other local organizations to identify and serve these groups. Additionally, most local agencies reported screening potential clients to assess level of need, for example, to determine those most at risk of hospitalization due to poor nutrition. In addition to these known service needs, an unknown number of other seniors may need services but not know to contact OAA providers, some officials told GAO. Local agencies who responded to GAO's survey reported using the flexibility afforded by the OAA to transfer funds among Title III programs to meet increased requests for specific services. Twenty-eight of 61 local agencies said they transferred funds in fiscal year 2009, most often removing funds from congregate meals to home-delivered meals or other services. Although the American Recovery and Reinvestment Act (Recovery Act) provided an additional $97 million specifically for meal programs, Title III programs are heavily reliant on state funds, and 44 of 64 local agencies responding to our survey said their state funding was reduced for fiscal year 2010. To cope with funding reductions, some reported cutting services to seniors. Twenty-seven of 65 local agencies said they cut administrative expenses in fiscal year 2010; others relocated offices or left agency positions vacant. Some state and local officials said they provided less service to individuals so that more could get some amount of assistance. Some agencies said they used Recovery Act funds to replace lost state and local funding or created new programs, but the funding was restricted to meal services and was a relatively small percentage of total OAA allocations. The proportion of Americans age 60 and over will continue to grow over the coming decades, and demand for Title III services also will likely grow. Therefore it will be increasingly important for service providers to focus services on those most in need.
Author: Robbyn R. Wacker Publisher: SAGE Publications ISBN: 1483321053 Category : Education Languages : en Pages : 537
Book Description
Community Resources for Older Adults: Programs and Services in an Era of Change, Fourth Edition, by Robbyn Wacker and Karen Roberto, provides an in-depth review of policy and programs for the "aging network," answering such key questions as "How have programs for older adults evolved?" "Who uses these resources?" "How are they delivered?" and "What challenges do service providers face in meeting the needs of the aging baby-boom generation?" To give students the foundational knowledge they need to meet the needs of their older clients, the authors provide a theoretical framework for understanding the forces that shape older adults' likelihood to seek assistance, include in-depth reviews of the current body of empirical literature in each program area, and discuss the challenges programs and services will face in the future.
Author: Cornelia M. Ashby Publisher: DIANE Publishing ISBN: 1437944752 Category : Social Science Languages : en Pages : 83
Book Description
This report, one in a series on the uses of and accountability for Recovery Act (RA) funds in selected states and localities, comments on recipients' reports of the jobs created and retained. The RA provided $2.1 billion for Head Start and Early Head Start, primarily to expand services. This report addressed four questions: (1) How have Head Start and Early Head Start grantees used RA funds, including for expanding enrollment? (2) What challenges have grantees encountered in spending RA funds? (3) How has the Office of Head Start monitored the use of RA funds? (4) How has the quality of jobs data reported by RA recipients, particularly Head Start grantees, changed over time? Charts and tables. This is a print on demand publication.
Author: Angela Napili Publisher: Createspace Independent Pub ISBN: 9781482762464 Category : Political Science Languages : en Pages : 46
Book Description
The Older Americans Act (OAA) is the major federal vehicle for the delivery of social and nutrition services for older persons. These include supportive services, congregate nutrition services (meals served at group sites such as senior centers, schools, churches, or senior housing complexes), home-delivered nutrition services, family caregiver support, community service employment, the long-term care ombudsman program, and services to prevent the abuse, neglect, and exploitation of older persons. The OAA also supports grants to older Native Americans and research, training, and demonstration activities. The Administration on Aging (AOA) in the newly established Administration for Community Living (ACL), within the U.S. Department of Health and Human Services (HHS) administers most OAA programs. The exception is the Community Service Employment for Older Americans (CSEOA) program, which is administered by the U.S. Department of Labor (DOL). The ACL also administers several aging services programs authorized under the Public Health Service Act, such as the Alzheimer's Disease Supportive Services Program and the Lifespan Respite Care Program. Funding for OAA programs and other aging services is provided through appropriations legislation for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Labor-HHS-Education). FY2012 funding for OAA programs totals $1.913 billion, 1% less than in FY2011. The President's FY2013 budget request proposes $1.907 billion for OAA programs, 0.3% less than the FY2012 level. The President's budget proposal would eliminate $6.5 million in discretionary OAA funding for Aging and Disability Resource Centers (ADRCs) also funded by the Patient Protection and Affordable Care Act (P.L. 111-148, as amended). The Continuing Appropriations Resolution, 2013 (CR; P.L. 112-175) became law on September 28, 2012. For most discretionary programs, including OAA programs, the CR continues funding at close to FY2012 levels. The CR provides funding for October 1, 2012, through March 27, 2013, although amounts may change depending on whether certain actions, such as sequestration, are taken pursuant to the Budget Control Act (P.L. 112-25) and the American Taxpayer Relief Act of 2012 (ATRA, P.L. 112-240). Since the enactment of OAA, Congress has reauthorized and amended the act numerous times. In the past, OAA reauthorization has included extending the act's authorization of appropriations for a five-year period. The last OAA reauthorization occurred in 2006, when Congress enacted the Older Americans Act Amendments of 2006 (P.L. 109-365), which extended the act's authorization of appropriations for FY2007 through FY2011. The authorization of appropriations for most OAA programs expired at the end of FY2011. However, Congress has continued to appropriate funding for OAA authorized activities. In the 112th Congress, comprehensive OAA reauthorization legislation was introduced which would extend the authorization of appropriations for most OAA programs through FY2017 and would make various amendments to existing OAA authorities. This report provides details of FY2011, FY2012, and FY2013 funding for OAA authorized activities, as well as for other aging services programs administered by ACL under other statutory authorities.
Author: Charles A. Jeszeck Publisher: ISBN: 9781457869235 Category : Languages : en Pages : 35
Book Description
The Older Americans Act of 1965 (OAA) was enacted to, among other things, help older adults remain in their homes and communities. Programs authorized and funded by OAA Title III grants provide assistance to older adults, including congregate and home-delivered meals, home-based care, and transportation services. All people age 60 and older are eligible for services. In FY 2014, approx. $1.156 billion was provided in grants to states for home and community-based services. As Congress considers reauthorization of the OAA, if current trends continue, the number of adults who need these services may continue to increase with the retirement of the baby boom generation. This report examines what is known about older Americans' reported need for home and community-based services like those funded by the OAA and the potential unmet need for these services. Tables. This is a print on demand report.
Author: Nancy Folbre Publisher: Russell Sage Foundation ISBN: 1610447905 Category : Family & Relationships Languages : en Pages : 299
Book Description
As women moved into the formal labor force in large numbers over the last forty years, care work – traditionally provided primarily by women – has increasingly shifted from the family arena to the market. Child care, elder care, care for the disabled, and home care now account for a growing segment of low-wage work in the United States, and demand for such work will only increase as the baby boom generation ages. But the expanding market provision of care has created new economic anxieties and raised pointed questions: Why do women continue to do most care work, both paid and unpaid? Why does care work remain low paid when the quality of care is so highly valued? How effective and equitable are public policies toward dependents in the United States? In For Love and Money, an interdisciplinary team of experts explores the theoretical dilemmas of care provision and provides an unprecedented empirical overview of the looming problems for the care sector in the United States. Drawing on diverse disciplines and areas of expertise, For Love and Money develops an innovative framework to analyze existing care policies and suggest potential directions for care policy and future research. Contributors Paula England, Nancy Folbre, and Carrie Leana explore the range of motivations for caregiving, such as familial responsibility or limited job prospects, and why both love and money can be efficient motivators. They also examine why women tend to specialize in the provision of care, citing factors like job discrimination, social pressure, or the personal motivation to provide care reported by many women. Suzanne Bianchi, Nancy Folbre, and Douglas Wolf estimate how much unpaid care is being provided in the United States and show that low-income families rely more on unpaid family members for their child and for elder care than do affluent families. With low wages and little savings, these families often find it difficult to provide care and earn enough money to stay afloat. Candace Howes, Carrie Leana and Kristin Smith investigate the dynamics within the paid care sector and find problematic wages and working conditions, including high turnover, inadequate training and a “pay penalty” for workers who enter care jobs. These conditions have consequences: poor job quality in child care and adult care also leads to poor care quality. In their chapters, Janet Gornick, Candace Howes and Laura Braslow provide a systematic inventory of public policies that directly shape the provision of care for children or for adults who need personal assistance, such as family leave, child care tax credits and Medicaid-funded long-term care. They conclude that income and variations in states’ policies are the greatest factors determining how well, and for whom, the current system works. Despite the demand for care work, very little public policy attention has been devoted to it. Only three states, for example, have enacted paid family leave programs. Paid or unpaid, care costs those who provide it. At the heart of For Love and Money is the understanding that the quality of care work in the United States matters not only for those who receive care but also for society at large, which benefits from the nurturance and maintenance of human capabilities. As care work gravitates from the family to the formal economy, this volume clarifies the pressing need for America to fundamentally rethink its care policies and increase public investment in this increasingly crucial sector.
Author: United States Government Accountability Office
Author: United States Government Accountability Office
Author: Kay E. Brown
Author: Kay E. Brown
Author: U S Government Accountability Office (G
Author: Kay E. Brown
Author: Robbyn R. Wacker
Author: Cornelia M. Ashby
Author: Angela Napili
Author: Charles A. Jeszeck
Author: Nancy Folbre