Centre for Policy on Ageing



Consumer-directed home and community services programs in eight states — policy issues for older people and government
Author(s)	Jane Tilly, Joshua M Wiener
Journal title	Journal of Aging & Social Policy, vol 12, no 4, 2001
Pages	pp 1-26
Source	http://www.tandfonline.com
Keywords	Domiciliary services ; Community care ; Consumer demand ; Social policy ; United States of America.
Annotation	The consumer-directed home and community services programmes assessed in this study give beneficiaries, rather than agencies, the power to hire, train, supervise and fire workers. Most of the stakeholders interviewed indicate that many older beneficiaries want to and can manage their services, although significant issues arise for people with cognitive impairments. Research results suggest better, or, at least no worse, quality of life for beneficiaries when they direct their services, although quality of services remains a contentious issue. For workers, consumer-directed care has some disadvantages, including fewer fringe benefits. With exceptions, state agencies have not provided extensive consumer or worker support or aggressively regulated quality of care. (KJ/RH).
Accession Number	CPA-020222202 A
Classmark	N: PA: WYD: TM2: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.