Archive for the ‘caregiving’ Category

Access to Unemployment Insurance Benefits for Family Caregivers: An Analysis of State Rules and Practices

April 10, 2015 Comments off

2015 AARP National Caregiving Survey of Registered Voters Age 40 and Older

March 18, 2015 Comments off

2015 AARP National Caregiving Survey of Registered Voters Age 40 and Older
Source: AARP

More than 42 million family caregivers each year provide unpaid care for aging parents, spouses, aunts, uncles, friends, or other loved ones so they can live independently at home, where they want to be (87%). These family caregivers assist with daily tasks—such as eating, dressing, bathing and transportation as well as medical/nursing tasks. The value of this unpaid care is about $450 billion dollars annually. In addition, about 3.9 million family caregivers provide care to a child under 18 because of a medical, behavioral or other condition or disability. The average family caregiver is a 49 year old female taking care of a 78 year old woman and provides 20 hours a week of assistance to their loved one.

Categories: AARP, caregiving

UK — Prime Minister’s challenge on dementia 2020

February 24, 2015 Comments off

Prime Minister’s challenge on dementia 2020
Source: Department of Health, Cabinet Office and Prime Minister’s Office

It sets out what this government wants to see in place by 2020 in order for England to be:

+ the best country in the world for dementia care and support and for people with dementia, their carers and families to live; and
+ the best place in the world to undertake research into dementia and other neurodegenerative diseases

It also highlights the progress to date on improving dementia care, support and research.

New Evidence on the Risk of Requiring Long-Term Care

February 23, 2015 Comments off

New Evidence on the Risk of Requiring Long-Term Care
Source: Center for Retirement Research at Boston College

Long-term care is one of the major expenses faced by many older Americans. Yet, we have only limited information about the risk of needing long-term care and the expected duration of care. The expectations of needing to receive home health care, live in an assisted living facility or live in a nursing home are essential inputs into models of optimal post-retirement saving and long-term care insurance purchase. Previous research has used the Robinson (1996) transition matrix, based on National Long Term Care Survey (NLTCS) data for 1982-89. The Robinson model predicts that men and women aged 65 have a 27 and 44 percent chance, respectively, of ever needing nursing home care. Recent evidence suggests that those earlier estimates may be extremely misleading in important dimensions. Using Health and Retirement Study (HRS) data from 1992-2010, Hurd, Michaud, and Rohwedder (2013) estimate that men and women aged 50 have a 50 and 65 percent chance, respectively, of ever needing care. But, they also estimate shorter average durations of care, resulting, as we show, from a greater chance of returning to the community, conditional on admission. If nursing home care is a high-probability but relatively low-cost occurrence, models that treat it as a lower-probability, high-cost occurrence may overstate the value of insurance.

We update and modify the Robinson model using more recent data from both the NLTCS and the HRS. We show that the low lifetime utilization rates and high conditional mean durations of stay in the Robinson model are artifacts of specific features of the statistical model that was fitted to the data. We also show that impairment and most use of care by age has declined and that the 2004 NLTCS and the 1996-2010 HRS yield similar cross-sectional patterns of care use. We revise and update the care transition model, and we show that use of the new transition matrix substantially reduces simulated values of willingness-to-pay in an optimal long-term care insurance model.

New From the GAO

December 19, 2014 Comments off

New GAO Reports
Source: Government Accountability Office

1. Fair Labor Standards Act: Extending Protections to Home Care Workers. GAO-15-12, December 17.
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2. Federal Emergency Management Agency: Opportunities Exist to Strengthen Oversight of Administrative Costs for Major Disasters. GAO-15-65, December 17.
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3. Department of Homeland Security: Continued Action Needed to Strengthen Management of Administratively Uncontrollable Overtime. GAO-15-95, December 17.
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4. Tax-Exempt Organizations: Better Compliance Indicators and Data, and More Collaboration with State Regulators Would Strengthen Oversight of Charitable Organizations. GAO-15-164, December 17.
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5.   State and Local Governments’ Fiscal Outlook: 2014 Update. GAO-15-224SP, December 17.

6.   Dodd-Frank Regulations: Regulators’ Analytical and Coordination Efforts. GAO-15-81, December 18.
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7.   Electronic Submissions in Federal Procurement: Implementation by the Army Corps of Engineers and Department of the Interior’s Bureau of Reclamation. GAO-15-253R, December 18.

8.   Federal Food Safety Oversight: Additional Actions Needed to Improve Planning and Collaboration. GAO-15-180, December 18.
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Reforms to Help Meet the Growing Demand for Long-Term Care Services

December 18, 2014 Comments off

Reforms to Help Meet the Growing Demand for Long-Term Care Services
Source: Center for American Progress

Long-term care is a growing challenge in many countries, but this issue brief focuses specifically on Germany and the United States.

About 12 million elderly or disabled Americans rely on long-term care to help them with tasks ranging from eating and bathing to housekeeping and cooking.

The need for long-term care can arise at any age—about 40 percent of people who need this care are under age 65—but the doubling of the elderly population over the coming decades means a substantial increase in the number of people who will need long-term care. The first of the Baby Boom generation reached the traditional retirement age of 65 three years ago, and each day for the next 18 years, about 8,000 more Americans will reach that milestone. As dramatic as these numbers may seem, the U.S. population is aging at a slower pace than other industrialized nations: By 2050, 1 in 5 American residents will be ages 65 and older, as opposed to fewer than 1 in 7 today. Germany, on the other hand, is a particularly fast-aging society: Today, 1 in 5 German residents are already ages 65 and older, and almost 1 in 3 will be those ages by 2050. At the same time, the German workforce is shrinking, and its overall population is projected to decline by 13 percent by 2050.

And thanks to public health improvements and medical breakthroughs, millions of seniors in industrialized nations—including in the United States and Germany—are, on average, living longer and are healthier and more active during their retirement years. But the increased longevity of the senior population also means that millions more people are likely to need long-term care, especially as more seniors age into their 80s and beyond, when the rates of dementia and other cognitive and physical conditions increase. In addition, these conditions require more comprehensive, costly care. For instance, the rate of dementia is less than 1 percent for people under 65 years old, but it rapidly increases to more than 40 percent for those over 85 years old. By 2050, the annual number of new cases of Alzheimer’s is projected to more than double.

Together, these demographic changes have placed enormous pressure on the United States’ inadequate mechanisms for financing long-term supports and services. Policymakers should consider comprehensive changes that will enhance how we pay for these services, balancing public and private insurance with family and friend caregiving. Germany—with its even greater demographic challenges—has taken precisely this approach and therefore provides an illustrative example for the United States.

Men as caregivers of the elderly: support for the contributions of sons

December 10, 2014 Comments off

Men as caregivers of the elderly: support for the contributions of sons
Source: Journal of Multidisciplinary Healthcare

Emerging practice research on filial sources of health care support has indicated that there is a growing trend for sons to assume some responsibility for the health care needs of their aging parents. The purpose of this work is to propose that outcomes observed through a secondary analysis of data from a previous mixed methods research project, conducted with a sample of 60 elderly women residing in independent living centers, supports this concept in elder care. The present study is a retrospective interpretation utilizing the original database to examine the new question, “What specific roles do sons play in caregiving of their elderly mothers?” While daughters presently continue to emerge in existing health care studies as the primary care provider, there is a significant pattern in these data for older patients to depend upon sons for a variety of instrumental activities of daily living. As the baby-boomers age, there is more of cohort trend for their families to be smaller, adult daughters to be employed, and for adult children to be more geographically mobile. These factors may combine to make health care support networks more limited for the current aging population, challenging the elderly and their health care providers to revisit the cultural gender norms that are used to identify caregivers.


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