Ethics, Law, and Aging Review, Volume 11: Deinstitutionalizing Long Term Care: Making Legal Strides, Avoiding Policy Errors (Ethics, Law and Aging)

We are now engaged in a movement that de-emphasizes the reliance on institutional forms of long-term care for disabled persons needing ongoing daily living assistance and converges on the use of non-institutional service providers abnd residential settings. In this latest edition of Ethics, Law and Aging Review, Kapp and ten expert contributors help us examine the forces and potential for changeing the long-term care industry (both positively and negatively) and address this paradigm shift from the inpersonal, public psychiatric institutions of the 1960s and 1970s to the present-day assisted living environments that have been fueled by economic, social, polictical, and legal forces. Most important ly, this volume identifies obstaclesto change and enlighten service providers, advocates, and key policy makers to the pitfalls that can largely interfere with positive outcomes as a result of long-term care deinstitutionalization.: Topics explored include: .; Community-based alternatives for older adults with serious mental illness.; Failing consumer-directed alternatives to nursing homes.; Ethics of Medicare privatization

We are now engaged in a movement that de-emphasizes the reliance on institutional forms of long-term care for disabled persons needing ongoing daily living assistance and converges on the use of non-institutional service providers abnd residential settings.

In this latest edition of Ethics, Law and Aging Review , Kapp and ten expert contributors help us examine the forces and potential for changeing the long-term care industry (both positively and negatively) and address this paradigm shift from the inpersonal, public psychiatric institutions of the 1960s and 1970s to the present-day assisted living environments that have been fueled by economic, social, polictical, and legal forces.

Most important ly, this volume identifies obstaclesto change and enlighten service providers, advocates, and key policy makers to the pitfalls that can largely interfere with positive outcomes as a result of long-term care deinstitutionalization.

Topics explored include:

1. Community-based alternatives for older adults with serious mental illness
2. Failing consumer-directed alternatives to nursing homes
3. Ethics of Medicare privatization

Community-based alternatives for older adults with serious mental illness ; the Olmstead decision and deinstitutionalization of nursing homes / Setphen J. Bartels and Aricca D. Van Citters Rebalancing state long-term care systems / Robert L. Mollica and Susan C. Reinhard The realpolitik of deinstitutionalizing long-term care : Olmstead meets reality / Roland Hornbostel Guilty of mental illness : what the ADA says about the use of prisons as long-term-care facilities for people with psychiatric disabilities / Pamela S. Cohen When consumer-directed alternatives to nursing homes fail : assigning legal and ethical responsibility in worst-case situations / Marshall B. Kapp The ethics of Medicare privatization / Larry Polivka Cross-cultural aspects of geriatric decision-making capacity / Fred A. Kobylarz, John Heath, and Jeffrey Spike We are now engaged in a movement that de-emphasizes the reliance on institutional forms of long-term care for disabled persons needing ongoing daily living assistance and converges on the use of non-institutional service providers and residential settings. In this latest edition of Ethics, Law and Aging Review , Kapp and ten expert contributors help us examine the forces and potential for changing the long-term care industry (both positively and negatively) and address this paradigm shift from the in personal, public psychiatric institutions of the 1960's and 1970's to the present-day assisted Examines the forces and potential for changing the long-term care industry (both positively and negatively), and addresses this paradigm shift from the inpersonal, public psychiatric institutions of the 1960s and 1970s to the present-day assisted living environments that have been fuelled by economic, social, polictical, and legal forces. There are currently more than 34 million persons aged 65 years and older who reside in the United Stales (U.S. Census Bureau, 2000).