HHS Strategic Goals and Objectives - FY 2001 . Objective 2.6 - Increase Independence and Quality of Life of Persons with Long-Term-Care Needs


How We Will Accomplish Our Objective

We will promote policies that empower individuals needing long-term-care services Disabled athletesto be involved in the planning and directing of their services.

To prevent institutionalization, we will help communities develop and finance integrated, comprehensive community services for persons with long-term-care needs. Our priorities will be on:

  • continuing our financing of community-based long-term-care services through Medicaid and the aging network.

  • developing innovative policies, programs, and protection and advocacy systems for persons with developmental disabilities in each state.

  • funding technical assistance centers and consumer and family network development grants to help persons with mental illness and their families develop and access comprehensive, community-based treatment services.

  • implementing a program of support for family caregivers who delay or prevent the need for institutionalization of family members.

We will facilitate employment for persons with disabilities, including those with more severe disabilities. Our strategy will include:

2.6 Implementation Strategies
  • Empowering Disabled Individuals
  • Community-Based Services
  • Employment
  • Enforcing Non-Discrimination Statutes
  • Improving Nursing Home Quality
  • Research
  • advocacy and financial assistance for the development of programs that contribute to the employment of persons with developmental disabilities.

  • development of better rehabilitation and employment models for recovering adults with mental illness, including those with serious mental illness and/or substance abuse problems.

  • reduced health and long-term-care coverage barriers for employment, through promotion of state buy-in to Medicaid for certain people with disabilities under the Ticket to Work and Work Incentives Improvement Act of 1999.

We will enforce nondiscrimination laws to ensure access to services. Our focus will be on:

  • civil rights reviews, investigations, and outreach activities directed at home health and other community providers of long-term-care services to protect against discrimination on the basis of race, gender, national origin, disability, and age.

  • enforcement of the Olmstead decision and Americans with Disabilities Act to ensure that states have comprehensive effective working plans for providing services to all qualified individuals with disabilities in the most integrated setting and moving people off waiting lists at a reasonable pace.

We will foster improved quality of care in nursing homes and other long-term-care facilities. We will:

  • implement policies to prevent, identify, and stop physical or verbal abuse, neglect, and misappropriation of resident belongings.

  • implement policies to minimize the incidence of pressure sores.

  • enhance policies to encourage optimum nutrition and hydration standards of care for nursing home residents.

  • develop and disseminate financing and service delivery models that improve the coordination and integration of home health, rehabilitation, and nursing facility services.

We will carry out research and demonstrations to improve the effectiveness of long-term-care services. On-going priorities will include:

  • examining the effectiveness of consumer-operated, self-help programs for persons with mental illness as an alternative to traditional programs or institutionalization.

  • demonstrating effective ways to support families who need assistance in caring for family members with Alzheimer's disease, focusing on minority, low-income and rural families.

  • examining the effectiveness of models that address unique needs of children and families who need home and community-based long-term-care resources.

HHS Agencies contributing to this objective:


  • conducting demonstrations and research related to models that enable consumer direction of personal assistance services.

  • developing a network to assist states in expanding community-based services.

  • developing best practices and models of community service networks for persons with developmental disabilities.

  • conducting demonstrations of effective ways to integrate acute and long-term-care services.