Public Policy Issues Affecting the Homeless in America

1989 ◽  
Vol 11 (1) ◽  
pp. 4-21
Author(s):  
Margaret Boone ◽  
Thomas Weaver

The issue of homelessness symbolizes and incorporates some of the most urgent public concerns in the United States today, and for the next several decades. Homelessness represents an intersection of five major public policy areas: first, the issue of growing poverty in the face of industrial prosperity, a widening income gap between rich and poor, and the disparity between educational preparation and occupational requirements; second, the issues raised by lifestyle-related health epidemics such as drug addiction and multi-substance abuse; third, the issue of mental health, which stubbornly remains one of America's major unrecognized health problems, with literally millions of organic, cognitive, personality, and affective disorders left untreated; fourth, the issue of housing, and whether and how the provision of dwellings is central to American requirements for "a human community" and a basic right to "the pursuit of happiness"; and fifth, the multiple issues raised by aging and long-term care, because as the nation's population ages, more and more of the elderly will be at risk for becoming homeless and will exert enormous pressure on government to provide long-term care.

Author(s):  
Luis López-Lago Ortiz ◽  
Sara Arroyo Chacón ◽  
Carmen Cipriano Crespo ◽  
Jerónimo Luengo Polo ◽  
Beatriz Muñoz González

1986 ◽  
Vol 15 (2) ◽  
pp. 306
Author(s):  
Nancy N. Eustis ◽  
Charlene Harrington ◽  
Robert J. Newcomer ◽  
Carroll L. Estes

1997 ◽  
Vol 27 (3) ◽  
pp. 427-442 ◽  
Author(s):  
Carroll L. Estes ◽  
Karen W. Linkins

For two decades, New Federalism, devolution, and other challenges to the federal role in domestic health and human services policy have fundamentally shaped the structure and delivery of long-term care in the United States. Devolution evokes crucial questions concerning the future of universal entitlement programs such as Social Security and Medicare and, with them, the future of aging and long-term care policy. This article examines the implications of the “devolution revolution” for long-term care in the context of the sociodemographics of aging and the managed care movement. Central issues are the extent to which state-level discretionary policy options (1) alter priorities, services, and benefits for the elderly and disabled; (2) foster a race to the bottom in long-term care; (3) promote generational, gender, racial and ethnic, and social class trade-offs; and (4) fundamentally alter the role and capacity of nonprofit sector services that comprise a significant part of the long-term care continuum.


1986 ◽  
Vol 7 (4) ◽  
pp. 554
Author(s):  
Harry T. Phillips ◽  
Charlene Harrington ◽  
Robert J. Newcomer ◽  
Carroll L. Estes

1999 ◽  
Vol 11 (3) ◽  
pp. 223-233 ◽  
Author(s):  
David K. Conn ◽  
Ian Ferguson ◽  
Krystyna Mandelman ◽  
Carol Ward

Objective: Despite considerable data from a number of countries regarding psychotropic utilization in long-term-care facilities for the elderly, there has been a lack of similar data from Canada. The purpose of this study was to gather prescription data from a series of institutions in Ontario and to compare the results to those of other international studies. Method: Single-day surveys were carried out in six homes for the aged, four nursing homes, two retirement homes, and a veterans' center. The results were compared to those of recent studies from other countries. Results: The data revealed considerable differences in rates of prescription between different classes of institutions and between similarly classified institutions. The prescription rate of neuroleptics ranged from 11.8% (of patients) in retirement homes to 29.8% in nursing homes. Antidepressant use ranged from 12.2% in nursing homes to 24.6% in homes for the aged, and benzodiazepine use ranged from 22.5% in nursing homes to 36.4% in retirement homes. Conclusions: The overall rate of prescription for psychotropic medications was somewhat lower than in most international studies. The rate of prescription of neuroleptics in nursing homes fell in the midrange of studies, somewhat higher than in recent studies from the United States and an earlier Italian study, but lower than in recent reports from Sweden, Austria, and Australia. The rate of neuroleptic use in homes for the aged was comparable to the rate in the U.S. studies. The overall rate of prescription of antidepressants and benzodiazepines appears to be comparable to that in recent studies from other countries.


2004 ◽  
Vol 5 (1) ◽  
pp. 53-60 ◽  
Author(s):  
John W. Traphagan

A central feature of Japan’s approach to community-based care of the elderly, including long-term home health care, is the emphasis on providing bath facilities. For mobile elders, senior centers typically provide a public bathing facility in which people can enjoy a relaxing soak along with friends who also visit the centers. In terms of in-home long-term care, visiting bath services are provided to assist family care providers with the difficult task of bathing a frail or disabled elder—a task made more problematic as a result of the Japanese style of bathing. I argue that the bath, as social service, is a culturally shaped solution to a specific problem of elder care that arises in the Japanese context as a result of the importance of the bath in everyday life for Japanese. While the services may be considered specific to Japan, some aspects of bathing services, particularly the mobile bath service, may also have applicability in the United States.


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