Long-Term Services & Supports (LTSS)

This booklet, developed by the U.S. Department of Health and Human Services (HHS) is about informal caregiving — unpaid care given voluntarily to ill or disabled persons by their families and friends. Informal caregiving by families and friends is the backbone of America's long-term care system.

State Assisted Living Policy: 1998 Executive Summary

U.S. Department of Health and Human Services

In Chapter 14 (United States), the long development of long-term care policy is described, giving particular emphasis to the functioning of the main programs introduced in the 1960s, and their progressive modification up to the 1990s. Finally, an outline is given of the main reform debates of the late 1980s and 1990s. [38 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Subacute Care: Policy Synthesis and Market Area Analysis Proponents of subacute care claim that subacute care is a cost-effective alternative to acute care services, that is, it can be provided in lower cost settings with no diminution of quality.

After discusion about the possible approaches for conducting the international analysis, the International Collaborative Effort on Age research team concluded that the initial step in analysis should be to establish the 'context' of the research on outcomes of nursing home care.

This report examines the issues involved in seeking to address the long-term care service needs of persons with severe mental illness (SMI) in a generic long-term care financing and service delivery system, as was proposed in the home and community-based services provisions of the Health Security Act.