Advisory Council April 2015 Meeting Presentation: Long-Term Services and Supports

04/28/2015

ADVISORY COUNCIL ON ALZHEIMER'S RESEARCH, CARE, AND SERVICES

Tuesday, April 28, 2015

 

Long-Term Services and Supports: An Overview

Helen Lamont, Ph.D.
Office of Disability, Aging, and Long-Term Care Policy
Office of the Assistant Secretary for Planning and Evaluation

Long-Term Services and Supports

  • WHCOA Issue Brief released last week
  • Advisory Council presentation October 2014
  • Major issues:
    • Family caregivers
    • Direct care workers
    • Quality
    • Financing
    • Planning for LTC

Likelihood of needing LTSS

Bar Chart: None (over 30%); 1 Year or Less (over 15%); 1-2 Years (over 10%); 2-5 Years (20%); 5+ Years (20%).
SOURCE: Kemper, Komisar and Alecxih (2005)

Value of out-of-pocket LTC expenditures at age 65

Bar Chart: $0 (50%); Less than $10,000 (25%); $10,000-$25,000 (7%); $25,000-$100,000 (12%); $100,000 or more (6%).
SOURCE: Kemper, Komisar and Alecxih (2005)

 

LTSS and people with dementia: Findings from the National Health and Aging Trends Study

LTSS need

Bar Chart: 65+--No Dementia (16); Probable Dementia (76). 65-74--No Dementia (12); Probable Dementia (59). 75-84--No Dementia (19); Probable Dementia (73). 85+--No Dementia (38); Probable Dementia (89).
NOTE: Estimates for the total 65+ population may differ from other published sources due to differences in frame population adjustment and rounding methods.
SOURCE: 2011 National Health and Aging Trends Study.

Level of LTSS need

Bar Chart: Total--Household Activities Only (22); 1-2 Self-Care or Mobility Activities (30); 3+ Self-Care or Mobility Activities (48). Men--Household Activities Only (26); 1-2 Self-Care or Mobility Activities (28); 3+ Self-Care or Mobility Activities (47). Women--Household Activities Only (20); 1-2 Self-Care or Mobility Activities (31); 3+ Self-Care or Mobility Activities (49).
NOTE: People receiving help with self-care or mobility activities may also be receiving help with household activities.
SOURCE: 2011 National Health and Aging Trends Study.

Average hours of LTSS

Bar Chart: No dementia--Mean Unpaid Hours (105); Mean Paid Hours (18); Total (123). Probable dementia--Mean Unpaid Hours (221); Mean Paid Hours (46); Total (267).
NOTE: According to NHATS definitions, staff hours of persons in supportive care settings are not included in paid hours.
SOURCE: 2011 National Health and Aging Trends Study.

Number of caregivers

Bar Chart: No dementia--1 Caregiver (38); 2 Caregivers (32); 3+ Caregivers (30). Probably dementia--1 Caregiver (28); 2 Caregivers (34); 3+ Caregivers (39).
SOURCE: 2011 National Health and Aging Trends Study.

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