Aim: To undertake a concept analysis of transitioning to long-term care for older adults with intellectual disabilities. Background: Individuals with an intellectual disability are experiencing increased longevity which is associated with an increase in transitions in later life to long-term care. Their experience of later life transitions is…

This book demonstrates how to address practical and ethical challenges when evaluating capacities of older adults with neurocognitive disorders, like dementia. The contributors are expert clinicians who draw upon real-life experiences conducting clinical capacity assessments in civil matters, illustrating best practices from the ABA/APA's…

Purpose: Little is known about mental health disorders (MHDs) and their associated health care expenditures for the dual eligible elders across long-term care (LTC) settings. We estimated the 12-month diagnosed prevalence of MHDs among dual eligible older adults in LTC and non-LTC settings and calculated the average incremental effect of MHDs on…

We examine the effect of gaining prescription drug insurance, as a result of Medicare Part D, on use of prescription drugs and other medical services for a nationally representative sample of Medicare beneficiaries. Given the heightened importance of prescription drugs for those with chronic illness, we provide separate estimates for elderly in…

As rural communities undergo substantial demographic and economic changes, understanding the migration intentions and their antecedents of rural elderly persons becomes increasingly important. Using data drawn from a survey of adults from 24 rural Utah communities conducted in 2008, we examine whether rural residents 60 years of age or older plan…

Purpose: To demonstrate the feasibility of the BRIGHTEN Program (Bridging Resources of an Interdisciplinary Geriatric Health Team via Electronic Networking), an interdisciplinary team intervention for assessing and treating older adults for depression in outpatient primary and specialty medical clinics. The BRIGHTEN team collaborates "virtually"…

Purpose: With the rapid growth in the older inmate population and the economic impact of end-of-life treatments within the cash-strapped prison system, consideration should be given to inmate treatment preferences. We examined end-of-life treatment preferences and days of desired life for several health scenarios among male inmates incarcerated…

Clinicians are often asked to evaluate older individuals for their capacity to make decisions regarding their medical care, often referred to as "medical decision-making capacity" (MDMC). However, the degree to which clinicians have the necessary knowledge to properly evaluate MDMC is uncertain. To assess the level of training and knowledge that…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

A Senate hearing reviewing health care services available for people with Alzheimer's disease and related dementia and reviewing proposals related to the treatment of Alzheimer's disease is presented in this document. Statements are given by Senators Charles E. Grassley, Albert Gore, Paula Hawkins, Howard M. Metzenbaum, Larry Pressler, and Paul…

Notes that health maintenance organizations (HMOs) provide large volume of health care services to older Americans. Contends that HMOs must reexamine general practice of equating utilization of services with health care need and collect better population-based information, including measures of health status. Discusses data elements widely…

Discusses the roles of Lebanese health care systems and the American University of Beirut. Notes that morbidity burdens of geriatric populations can overwhelm health infrastructures already unable to meet prevention and treatment needs of a younger population with relatively low-cost, easy-to-prevent, easy-to-treat illnesses. Expresses Lebanon's…

Findings indicated that the elderly were quite reluctant to seek or accept help. Assistance or services perceived as earned or available to all elderly were the most acceptable, while those that required a public declaration of poverty were unacceptable. (Author/AM)

Reports that the elderly appear most influenced in health attitudes and behaviors by various factors within the setting so those who identify a major source of care tend to be higher utilizers, do less "shopping-around," and exhibit less negative behaviors such as needing care without seeking it. Discussion of the article follows. (Author)

A document to assist persons who work in the field of aging is given. It is a current list covering the books, periodical articles, and pamphlets published in the years 1968 inclusive. It is divided into six main subject areas: Aging, Process of Aging, Economic Aspects of Aging, OASDHIand Related Programs, Health and Medical Care, and Social and…