title: The provision of high levels of personal assistance services in the U.S.
abstract: State programs which provide personal assistance services (PAS) were surveyed to determine how many offer 24-hours of PAS per day if necessary. A total of 103 programs in 44 states were contacted and of these 23 (22.3%) in 7 states said that they offered 24-hour PAS in at least some circumstances. Persons with significant levels of disability who do not have extensive informal supports and live in states which do not offer 24-hour PAS may be placed in nursing homes or other institutions. The research highlights problems in defining 24-hour PAS and determining who needs this level of service. The economic and policy implications of 24-hour PAS are discussed and specific research is recommended on the cost of different models of service provision.
authors.affiliation: University of California, San Francisco, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Kennedy
mesh_terms: D000203:Activities of Daily Living; D003284:Contract Services / Q000191:economics / Q000706:statistics & numerical data; D003625:Data Collection; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence*; D004608:Eligibility Determination; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006704:Homemaker Services / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006801:Humans; D011632:Public Assistance / Q000331:legislation & jurisprudence*; D011640:Public Policy; D013219:State Government; D014481:United States