Independence at risk: older Californians with disabilities struggle to remain at home as public supports shrink.
This policy brief presents findings from a yearlong study that closely followed a small but typical set of older Californians with disabilities who depend on fragile arrangements of paid public programs and unpaid help to live safely and independently at home. Many of these older adults have physical and mental health needs that can rise or fall with little warning; most are struggling with increasing disability as they age. In spite of these challenges, most display resilience and fortitude, and all share a common determination to maintain their independence at almost any cost. Declines in health status and other personal circumstances among aging Californians have been exacerbated by recent reductions in public support, and will be made even worse by significant additional cuts that are pending. Policy recommendations include consolidating long-term care programs and enhancing support for caregivers.
Kathryn G
KG
Kietzman
Eva M
EM
Durazo
Jacqueline M
JM
Torres
Anne Soon
AS
Choi
Steven P
SP
Wallace
D000368:Aged; D002140:California; D017028:Caregivers / Q000191:economics; D019058:Community Networks / Q000191:economics* / Q000639:trends; D019033:Delivery of Health Care, Integrated / Q000191:economics* / Q000639:trends; D006233:Persons with Disabilities; D004608:Eligibility Determination; D005380:Financing, Government / Q000191:economics* / Q000639:trends; D005544:Forecasting; D016330:Frail Elderly; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged / Q000191:economics* / Q000639:trends; D006801:Humans; D057187:Independent Living / Q000191:economics* / Q000639:trends; D008134:Long-Term Care / Q000191:economics* / Q000639:trends; D012944:Social Support