The Long Term Care System

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The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers distribute a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, subacute care, assisted living, residential care, elderly housing options and community based adult services (CBAS) (Pratt, 2010). CBAS is broken down into subdivisions, which include: home health care, hospice care, adult day care and adult day health care (ADHC). ADHC’s falls under the category of non-institutional care, allowing individuals to be independent, stay within their community, live at home, and age in place, while being of high quality and low cost. The ultimate goal of ADHC’s is to keep individuals out of hospitals and nursing homes (institutional care), and allow them to live their life comfortably, independently and in their households with their loved ones (Alteras, 2007). ADHC’s are known as a health/medical model of care (Pratt, 2010). This type of long-term care service provides care for low income, frail senior citizens and other young adults with disabling chronic conditions, which prevent them from being fully independent in their homes. The individuals that attend these facilities need help with their activities of daily living (ADL’s); however, they do not need 24-hour care within an institutionalized setting
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