Weighing the success of a national Alzheimer's disease service demonstration.
As the need for long-term care services within the United States has grown dramatically, Congress has consistently deflected the primary responsibility for such care to state governments, local organizations, and, ultimately, the family. This paper examines the impact of the Alzheimer's Disease Demonstration Grants to States (ADDGS) program, a small federally funded initiative within the context of this trend. Although the demonstration can be deemed a huge success relative to the goals of creating new services for an underserved target population, questions are raised about the merits of the program relative to the exploding need for an effective network of long-term care services.
Montgomery
Rhonda J V
RJ
Gerontology Center, University of Kansas, Dole Human Development Center, Lawrence 66045-7555, USA. rmontgomery@ukans.edu
Karner
Tracy X
TX
Kosloski
Karl
K
D000544:Alzheimer Disease; D003256:Community Participation; D035082:Federal Government; D005380:Financing, Government; D006291:Health Policy; D006299:Health Services for the Aged / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000191:economics / Q000458:organization & administration*; D012737:Sex Factors; D013219:State Government; D014481:United States