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Presentation
When a Little Goes a Long Way: Expanding Home Care Services to Adults with Disabilities
Innovation in Aging
  • Serena Hasworth, Portland State University
  • Jaclyn Winfree, Portland State University
  • Ozcan Tunalilar, Portland State University
  • Diana L. White, Portland State University
Document Type
Presentation
Publication Date
1-1-2019
Subjects
  • Long-Term Care Services -- Oregon
Disciplines
Abstract

Policy makers are increasingly interested in reducing public spending while maintaining quality of life. Since 1975, Oregon Project Independence (OPI) has supported community-based adults aged 60 and older to avoid or delay the need for residential long-term care services by increasing access to personal and home care services. The program also aims to prevent the need for Medicaid by optimizing personal resources and natural supports. In 2014, the OPI Expansion (OPI-E) pilot project began to serve adults aged 18-59 with disabilities in seven of Oregon’s seventeen Area Agencies on Aging (AAAs). This poster describes the evaluation of the expansion using three data sources: administrative data about consumer characteristics compiled by the AAAs and State of Oregon from 2015-2017 (N=3,824 traditional consumers, N= 581 OPI-E consumers), qualitative interviews conducted with AAA directors and OPI-E case managers (N=23), and a survey of current OPI-E consumers (N=126). Compared to traditional OPI consumers, OPI-E consumers were somewhat more likely to be men and people of color. Interviews with AAA staff highlighted the need for outreach, lack of service provider capacity, unique characteristics of younger consumers, and issues related to data management and rural access. Staff reported valuing the program, noting how “even low levels of service go a long way.” Qualitative and quantitative consumer responses showed consumers found OPI-E services invaluable. The majority stressed their appreciation for the program, with several describing it as “lifesaving.” These three sources informed recommendations for expanding the OPI-E program statewide.

Description

Presented at the GSA 2019 Annual Scientific Meeting.

Copyright (c) 2020 The Authors

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

DOI
10.1093/geroni/igz038.575
Persistent Identifier
https://archives.pdx.edu/ds/psu/33598
Citation Information
Hasworth, S., Winfree, J., Tunalilar, O., & White, D. (2019). WHEN A LITTLE GOES A LONG WAY: EXPANDING HOME CARE SERVICES TO ADULTS WITH DISABILITIES. Innovation in Aging, 3(Suppl 1), S160.