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J Aging Soc Policy. 2012;24(3):251-70. doi: 10.1080/08959420.2012.676315.

Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults.

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Center on Aging, University of Connecticut Health Center, Farmington, Connecticut 06030, USA.


A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.

[Indexed for MEDLINE]

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