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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
Session: Balancing Long-term Care: Impacts of the New Freedom Initiative on Access to Home and Community-based Services
3105.0: Monday, December 12, 2005: 10:30 AM-12:00 PM
Oral
Balancing Long-term Care: Impacts of the New Freedom Initiative on Access to Home and Community-based Services
In February 2001, President Bush released the New Freedom Initiative, a comprehensive plan to tear down the barriers facing people with disabilities and preventing them from participating fully in community life. As part of that initiative, the President issued Executive Order 13217 “Community Based Alternatives for Individuals with Disabilities”. The order called upon the federal government to assist states and localities to swiftly implement the decision of the United States Supreme Court in Olmstead v. L.C. In that case, the court affirmed the right of people with disabilities to live in the most integrated setting appropriate to their needs and that unjustified institutionalization of a person with a disability was a violation of their civil rights. Collectively these federal efforts have resulted in increasing the flexibility of Medicaid, the largest public payer of long term care, to support self directed services, and the transitioning of institutionalized people into the community. The Centers for Medicare and Medicaid Services also established the Real Choice Systems Change Grant Program encompassing several grant and demonstration programs to improve state long term care delivery systems to enable people with disabilities of all ages to have more control over their lives. This symposium will discuss innovative strategies/programs utilized by federal and state decision makers to rebalance long term care service systems including; the Aging and Disability Resource Center Initiative, the Family Support 360 Initiative, alternative housing options, governmental restructuring, self determination models, money following the individual, supports for caregivers and expansion of the direct care community workforce.
Learning Objectives: Participants will be able to: 1) Explain the history and purpose of the New Freedom Initiative 2) Identify major federal and state strategies that have been successful in reforming long term care service delivery to support consumer choice, new service options and the integration of home and community based supports. 3) Describe best practice models and programs that are fulfilling the promise of “community living for all.”
Moderator(s):Allan Barry Goldman, MPH
10:30 AMIntroduction: Allan Goldman
10:40 AMNew freedom initiative: A national perspective
Susan Hill, MBA
11:00 AMSupporting community living and independence for individuals with developmental disabilities
Patricia Morrissey, PhD
11:20 AMImplementing the new freedom initiative: State level approaches and options for removing barriers to home and community based services
Susan Reinhard, PhD
11:40 AMAging and disability resource centers: Making systems change for older adults and long term care populations
Greg Case, MA
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Gerontological Health
Endorsed by:Community Health Planning and Policy Development

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA