Devolution And Aging Policy

Explore significant—but often-overlooked—aspects of aging policy! This unique addition to the literature on aging policy will help you understand devolution—the decentralizing of service provision—and the roles that state/local government and private organizations now play in addressing the needs of our aging population. It will show you how to initiate innovations and make positive changes in aging policy through state and local initiatives, collaborations between the federal government and other government agencies, public/private collaboration, and strictly private initiatives. From the editors: “Around the world, the ground rules are being questioned about the role of national governments in addressing domestic needs. During the twentieth century in countries throughout the world, central governments assumed major responsibilities for a wide variety of human needs. Whether the concern was income security, health, housing, or education, interventions were premised upon convictions that a strong public sector role was essential and that major involvement of national governments was needed. More recently, a significant pattern [devolution] has emerged in many countries wherein these responsibilities have shifted away from national governments to regional and local governments as well as from the public to the private sector.” Thoughtfully divided into five sections that illustrate distinctly different forms of devolution, this book first provides an essential overview of devolution and then examines its implications for vital aspects of service provision to the elderly. In the United States in recent years, the single greatest focus for devolution has been the transformation of income security protections for poor families. The federal Aid to Families With Dependent Children program has been replaced by the Temporary Assistance to Needy Families program. Devolution and Aging Policy examines that change and other important facets of the current climate of devolution, including: Medicaid-financed long-term care state sponsorship of services in retirement communities the implications of the Workforce Investment Act for the access of older workers to training at a state level to upgrade their work skills public/private sector collaboration in long-term care insurance long-term care ombudsman programs what state governments can do to help elders make use of information technology property tax credits for seniors that are given in exchange for volunteering on the municipal level how an HMO can encourage and stimulate service coordination and more!

With new devolved administrations in Scotland, Wales and Northern Ireland, this book provides a study of developments in the major areas of social policy and a full comparison between the four UK nations.

Learn how public policies can help families provide the care their elderly relatives need Family and Aging Policy examines how public initiatives to assist the elderly in the United States, Canada, Singapore, Denmark, and Sweden can impact families who provide them with long-term care. For the majority of older people, the aging experience involves their families directly and indirectly, affecting income security, housing, and health care. This unique book addresses the aging issues that matter most to families struggling to deal with the demands of care giving and provides answers on how the public sector can help. As the traditional nuclear family becomes a memory and the notion of extended family disappears, the need for public interventions to help the elderly increases. A significant number of people grow old without families they can depend on. Others have families who want to help, but lack the financial means or the housing needed to provide care. Family and Aging Policy offers options on how families and formal services can share responsibilities, including how families can juggle jobs and care giving, the effects of the Family and Medical Leave Act, consumer-directed service options, community-based care programs, accessory dwelling units and zoning ordinances, and provisions for caregiver support in each of the 50 United States and the District of Columbia. Family and Aging Policy examines: extensive welfare programs in Sweden publicly funded home care programs in Denmark family-oriented social policies in Singapore shared responsibilities of families and formal services in Canada the Administration on Aging’s National Family Caregiver Support program in the United States California Caregiver Resource Centers and much more! Family and Aging Policy is an invaluable tool for researchers and policy analysts working in family policy issues and as an essential supplemental text for course work in gerontology, sociology, family relations, and social work.

Rich in case study insights, this book provides an overview of city-region building and considers how governance restructuring shapes political, economic, social and cultural landscapes. Reviewing city regions in Britain, the authors address the tensions and opportunities for local elites and civil society actors.

Now that responsibility for welfare policy has devolved from Washington to the states, Pamela Winston examines how the welfare policymaking process has changed. Under the welfare reform act of 1996, welfare was the first and most basic safety net program to be sent back to state control. Will the shift help or further diminish programs for low-income people, especially the millions of children who comprise the majority of the poor in the United States? In this book, Winston probes the nature of state welfare politics under devolution and contrasts it with welfare politics on the national level. Starting with James Madison's argument that the range of perspectives and interests found in state policymaking will be considerably narrower than in Washington, she analyzes the influence of interest groups and other key actors in the legislative process at both the state and national levels. She compares the legislative process during the 104th Congress (1995-96) with that in three states — Maryland, Texas, and North Dakota — and finds that the debates in the states saw a more limited range of participants, with fewer of them representing poor people, and fewer competing ideas. The welfare reform bill of 1996 comes up for renewal in 2002. At stake in the U.S. experiment in welfare reform are principles of equal opportunity, fairness, and self-determination as well as long-term concerns for political and social stability. This investigation of the implications of the changing pattern of welfare politics will interest scholars and teachers of social policy, federalism, state politics, and public policy generally, and general readers interested in social policy, state politics, social justice, and American politics.

Enduring Questions in Gerontology provides a comprehensive perspective on the abiding issues in gerontology. Both current and future gerontologists will find this book useful in examining emerging dilemmas and creating a context for further progress in the field of aging. The most creative thinkers contributing to the gerontological literature reflect on their disciplines, consider how key questions have emerged, review how they have changed in the decades since gerontology entered the fray, and speculate what may lie ahead. The resulting collection of essays offers a comprehensive perspective on the enduring questions in gerontology and how they have shaped our understanding of differences in the experience of old age. Key contributors to this volume include: George L. Maddox Christine L. Fry Steven Austad Kenneth Brummel-Smith Manfred Diehl Martha Holstein W. Andrew Achenbaum James E. Birren As an emerging or seasoned scholar, you will find insights into the ways in which each disciplinary focus grapples with societal transitions, identifies emerging issues, and lays out strategies and salient perspectives for what should come next.

The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.