Design of a Demonstration of Coordinated Housing, Health and Long-Term Care Services and Supports for Low-Income Older Adults. II. Purpose


The HHS Office of the Assistant Secretary for Planning and Evaluation’s Office of Disability, Aging and Long-Term Care Policy, in partnership with HUD and the Administration on Aging, engaged the Lewin Group and its sub-contractors, Leading Age Center for Applied Research, The Moran Company, and Mary Harahan, to develop design options for a demonstration of targeted, coordinated housing, health and long-term care services and supports for low-income older adults. This paper presents the conceptual framework for the demonstration design, developed to guide the project by:

  • Outlining the policy problem the demonstration would address.

  • Describing the demonstration goals and expected outcomes.

  • Describing the broad parameters of the demonstration.

  • Introducing two alternative approaches to targeting demonstration interventions and their advantages and disadvantages.

  • Describing current practices and anticipated components the demonstration may rely upon.

  • Specifying the research and practice questions the demonstration would seek to answer.

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