A study led by center faculty Chanee Fabius and co-authors Noreen Shugrue and Julie Robison in the Journal of Gerontological Social Work examined relationships between home and community-based services, reinstitutionalization, and choice and control in daily activities for older adults in Connecticut. The researchers found that relative to receiving traditional services, having hourly or live-in personal care attendant services was associated with having lower odds of both reinstitutionalization and choice and control. Findings can help strengthen home and community-based services delivery for older adults living in the community. Read more. 

Home- and community-based services (HCBS) are Medicaid-funded long-term services and supports (LTSS) that are designed to provide nursing home alternatives to people who need help with daily living activities. HCBS can include personal care, housekeeping, home-delivered meals, and services like transportation and are provided in community-based settings, serving people in their homes; community settings, such as adult day centers; and group living arrangements such as congregate housing, foster care, and assisted living. Services are designed to align with the preferences and needs of individuals—older Americans expect to receive LTSS in their homes or communities—as well as to enhance the quality of life....Read More