FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W790051435> ?p ?o ?g. }

• W790051435 startingPage "74" @default.
• W790051435 abstract "System change is underway and will be challenging and disruptive. The key question is, How well will the adapt?he Older Americans Act (OAA) has done a remarkable job of guiding the through half a century of development and progress. From the earliest days of planning grants and Area-wide Model Projects, the now has become a nationwide system of state units on (SUA), area agencies on (AAA), more than 200 agencies serving Native Americans on tribal lands, and more than 30,000 service providers of all kinds.The Basic Design of the Aging NetworkThe differences in the way states have organized networks of AAAs and local agency partners have always been substantial. Thus, there has always been a debate over how accurately the term described this system. But for the first forty years or so, the guiding principles embraced in the original architecture of the OAA seemed appropriate and durable: federal author- ity and policy direction; state administration and operational policymaking; local services man- agement; and development of local solutions.The idea was that the aging network would do (and does) many things in common across the country, but would do them in ways that reflected the extraordinary diversity of states and communities. Information, Referral and Assistance (IR&A) (and the latter-day long-term services and supports [LTSS] special- ized version, Aging and Disability Resource Centers, or ADRC), congregate meals and home-delivered meals, senior centers, trans- portation programs, the Ombudsman Program, area-wide planning, and advocacy are now widely known, albeit often by different names.This architecture was thought to be critically important because the OAA never was intended to be an entitlement program. It was known early on that there were going to be too many older people for an entitlement approach to be feasible, and that responding to the diverse needs of our nation's older adults needed to be a shared responsibility among national, state, and local governments, and voluntary agencies.When the OAA was forged and the began to form, it was recognized by all that some older people would need many types of supports while others needed little to no assistance. Many older people could meet their own needs with the help of families or friends and preferred to do so, as a matter of dignity and to maintain the maximum sense of independence. For others, the only assistance needed was help accessing information or advice from someone with expertise and knowledge of the resources available in almost every American community.The perception was that at any point in time, the vast majority of older adults did not need help from anyone. But when something changed-and changed quickly, as often hap- pens-older people and their families would need access to reliable assistance immediately. It was the network's job to let consumers know where to turn when in need, and to work with communities, including healthcare systems, to help people to delay that tipping point, and prepare for its arrival.The Challenges and Impacts of Integrating Healthcare and LTSSThe emergence of Medicaid-funded LTSS pro- grams began to differentiate states that were heavily engaged in developing these service systems through their networks and those that were not. By the mid-nineties, the paradigm had clearly shifted to the point where SUAs and the AAAs in their states were distinctly different, and similarities across the were reduced. All states shared responsibilities for developing broadly available community-based services, like nutrition programs, IR&A, and the like. But at the national level, the development of LTSS service systems and the related elements of infrastruc- ture became the main areas of empha- sis for both the government and for advocates from states, which were more advanced with regard to home- and com- munity-based care, now known as LTSS. …" @default.
• W790051435 created "2016-06-24" @default.
• W790051435 creator A5077214933 @default.
• W790051435 date "2014-07-01" @default.
• W790051435 modified "2023-09-23" @default.
• W790051435 title "The (Uncertain) Future of the Aging Network: May You Live (and Work) in Interesting Times!" @default.
• W790051435 hasPublicationYear "2014" @default.
• W790051435 type Work @default.
• W790051435 sameAs 790051435 @default.
• W790051435 citedByCount "0" @default.
• W790051435 crossrefType "journal-article" @default.
• W790051435 hasAuthorship W790051435A5077214933 @default.
• W790051435 hasConcept C108170787 @default.
• W790051435 hasConcept C11413529 @default.
• W790051435 hasConcept C116537 @default.
• W790051435 hasConcept C127413603 @default.
• W790051435 hasConcept C144024400 @default.
• W790051435 hasConcept C144133560 @default.
• W790051435 hasConcept C162853370 @default.
• W790051435 hasConcept C17744445 @default.
• W790051435 hasConcept C18762648 @default.
• W790051435 hasConcept C199539241 @default.
• W790051435 hasConcept C206345919 @default.
• W790051435 hasConcept C2780378061 @default.
• W790051435 hasConcept C2781316041 @default.
• W790051435 hasConcept C3116431 @default.
• W790051435 hasConcept C31258907 @default.
• W790051435 hasConcept C36289849 @default.
• W790051435 hasConcept C39549134 @default.
• W790051435 hasConcept C41008148 @default.
• W790051435 hasConcept C48103436 @default.
• W790051435 hasConcept C78519656 @default.
• W790051435 hasConceptScore W790051435C108170787 @default.
• W790051435 hasConceptScore W790051435C11413529 @default.
• W790051435 hasConceptScore W790051435C116537 @default.
• W790051435 hasConceptScore W790051435C127413603 @default.
• W790051435 hasConceptScore W790051435C144024400 @default.
• W790051435 hasConceptScore W790051435C144133560 @default.
• W790051435 hasConceptScore W790051435C162853370 @default.
• W790051435 hasConceptScore W790051435C17744445 @default.
• W790051435 hasConceptScore W790051435C18762648 @default.
• W790051435 hasConceptScore W790051435C199539241 @default.
• W790051435 hasConceptScore W790051435C206345919 @default.
• W790051435 hasConceptScore W790051435C2780378061 @default.
• W790051435 hasConceptScore W790051435C2781316041 @default.
• W790051435 hasConceptScore W790051435C3116431 @default.
• W790051435 hasConceptScore W790051435C31258907 @default.
• W790051435 hasConceptScore W790051435C36289849 @default.
• W790051435 hasConceptScore W790051435C39549134 @default.
• W790051435 hasConceptScore W790051435C41008148 @default.
• W790051435 hasConceptScore W790051435C48103436 @default.
• W790051435 hasConceptScore W790051435C78519656 @default.
• W790051435 hasIssue "2" @default.
• W790051435 hasLocation W7900514351 @default.
• W790051435 hasOpenAccess W790051435 @default.
• W790051435 hasPrimaryLocation W7900514351 @default.
• W790051435 hasRelatedWork W1465824800 @default.
• W790051435 hasRelatedWork W1964690547 @default.
• W790051435 hasRelatedWork W1967746808 @default.
• W790051435 hasRelatedWork W2008344008 @default.
• W790051435 hasRelatedWork W2023217224 @default.
• W790051435 hasRelatedWork W2044784860 @default.
• W790051435 hasRelatedWork W2047319981 @default.
• W790051435 hasRelatedWork W2054378516 @default.
• W790051435 hasRelatedWork W2310574591 @default.
• W790051435 hasRelatedWork W2416506658 @default.
• W790051435 hasRelatedWork W2564513293 @default.
• W790051435 hasRelatedWork W2741075990 @default.
• W790051435 hasRelatedWork W27983956 @default.
• W790051435 hasRelatedWork W3153073809 @default.
• W790051435 hasRelatedWork W326703626 @default.
• W790051435 hasRelatedWork W332264647 @default.
• W790051435 hasRelatedWork W384697304 @default.
• W790051435 hasRelatedWork W831386056 @default.
• W790051435 hasRelatedWork W847225481 @default.
• W790051435 hasRelatedWork W166657603 @default.
• W790051435 hasVolume "38" @default.
• W790051435 isParatext "false" @default.
• W790051435 isRetracted "false" @default.
• W790051435 magId "790051435" @default.
• W790051435 workType "article" @default.