Toward a Community Support System For the Elderly
David Frydman, J.D., Director
Maria Dalterio, J.D., MSW, Senior Policy Analyst
Mitchell Simon, J.D., Senior Scholar
Contributors to this study include: Jan Nisbet, Ph.D. Director, Institute on Disabilities, University of New Hampshire, Raelene Shippe-Rice, R.N. Ph.D. Associate Dean, School of Health and Human Services, University of New Hampshire, Dr. John Wasson, Dartmouth Medical School, Michelle Winchester, J.D., Dana Evans, Candidate for J.D. and Brenda Sansom, MSW.
This study was supported by a grant from the State of New Hampshire Health Care
Transition Fund
June, 1998
Table of Contents
Chapter 1:
Introduction
Chapter 2:
Executive Summary
Chapter 3:
National Best Practices Survey of Home and Community-Based Long Term Care Programs
Chapter 4:
Innovations in Community-Based Long Term Care for Elders: Selected Proceedings from a Conference of Experts, October 16, 1997, Concord, NH
Chapter 5:
Creating the Capacity for Change: Lessons From The Evolution of the New Hampshire Developmental Service System
Chapter 6:
An Analysis of the Transferability of New Hampshire's Community Care System for the Developmentally Disabled to the State's Elder Population
Chapter 7A:
Community Alternatives for New Hampshire Elders At-Risk of Nursing Home Placement: Case Studies
Chapter 7B:
Community Alternatives for New Hampshire Elders At-Risk of Nursing Home Placement: Case Studies
Chapter 8:
Recommendations for New Hampshire
Appendices:
Appendix I:
Model Legislation for the Creation of a Comprehensive Network of Community Support Agencies
Appendix II:
Nurse Delegation and the Nurse Practice Act
Appendix III:
Compensation of Family Members for the Provision of Home Care Services
Appendix IV:
Fiscal Models for Consumer Directed Personal Care Services
Appendix V:
Consumer and Provider Identified Barriers to Enhanced Community-Based Long Term Care for Elders in New Hampshire
Acknowledgments
The study has been a collaborative effort between the Institute for Health Law and Ethics at the Franklin Pierce Law Center, the Institute on Disabilities and the Center for Health Promotion and Research both of the University of New Hampshire, and Dartmouth Medical School.
This report is the product of many individuals' efforts. Each chapter notes the primary authors and contributors to that section of the project. In addition, there are a number of individuals whose general work on the project as a whole are worth noting: Mitchell Simon, J.D., Professor of Law, Franklin Pierce Law Center, Jan Nisbet, Ph.D. Director, Institute on Disabilities, University of New Hampshire, Raelene Shippe-Rice, R.N. Ph.D. Associate Dean, School of Health and Human Services, University of New Hampshire, Dr. John Wasson, Dartmouth Medical School, David Frydman, J.D., Director, Institute for Health Law and Ethics, Franklin Pierce Law Center, Maria Dalterio, J.D. MSW, Senior Policy Analyst, Institute for Health Law and Ethics, Franklin Pierce Law Center, Michelle Winchester, J.D., Dana Evans, Candidate for J.D., and Brenda Sansom, MSW.
This study has been supported by a grant from the State of New Hampshire Health Care Transition Fund.
We would like to thank our grant supervisor, John Keegan, of the Office of Planning and Research at the State of New Hampshire Department of Health and Human Services who has been an invaluable resource to this project. We would also like to thank Jennifer Patterson for her efforts in editing sections of this report.
Finally, we would like to express our appreciation to the hundreds of people - elders, family caregivers, service providers, state policy makers, advocates, academic researchers, and students - who have contributed their time, energy and insights to this project.
Last modified April 7, 1999.
