Older Adults Post-Incarceration: Restructuring Long-term Services and Supports in the Time of COVID-19.
Older Adults Post-Incarceration: Restructuring Long-term Services and Supports in the Time of COVID-19.
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DOI：
10.1016/j.jamda.2020.09.030
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发表时间：
2021-03
影响因子：
7.6
通讯作者：
Dawson WD
中科院分区：
文献类型：
--
作者：
Boucher NA;Van Houtven CH;Dawson WD
描述美国的长期护理服务和支持（LTSS），注意它们在为监禁后的老年人服务方面的局限性，并提供潜在的解决方案，特别考虑2019年冠状病毒病大流行。叙述审查。为被监禁后的老年人提供LTSS。文献回顾与政策分析。熟练的护理机构、养老院、辅助生活、成人寄养家庭以及来自家人和朋友的非正式照顾构成了老年人的长期生活保障服务，但它们的使用受到获取和支付复杂性的影响，特别是对监禁后的老年人。公私伙伴关系、利用保健专业受训人员以及对非正式照顾者提供支持的独特方法（包括对照顾者的直接补偿）相结合，可以帮助老年人出狱后重新进入我们的社区。冠状病毒（严重急性呼吸综合征冠状病毒2）大流行揭示了美国长期存在的LTSS缺口。从监狱进入我们社区的老年人尤其脆弱，需要独特的老年护理解决方案，因为他们面临着一般人群通常不会遇到的耻辱和获得挑战。我们的回顾和讨论为系统、从业者和政策制定者提供了如何改善监禁后老年人护理的指导。
To describe long-term care services and supports (LTSS) in the United States, note their limitations in serving older adults post-incarceration, and offer potential solutions, with special consideration for the Coronavirus Disease 2019 pandemic. Narrative review. LTSS for older adults post-incarceration. Literature review and policy analysis. Skilled nursing facilities, nursing homes, assisted living, adult foster homes, and informal care from family and friends compose LTSS for older adults, but their utilization suffers from access and payment complexities, especially for older adults post-incarceration. A combination of public-private partnerships, utilization of health professional trainees, and unique approaches to informal caregiver support, including direct compensation to caregivers, could help older adults reentering our communities following prison. Long-standing gaps in US LTSS are revealed by the coronavirus (severe acute respiratory syndrome coronavirus 2) pandemic. Older adults entering our communities from prison are particularly vulnerable and need unique solutions to aging care as they face stigma and access challenges not typically encountered by the general population. Our review and discussion offer guidance to systems, practitioners, and policy makers on how to improve the care of older adults after incarceration.
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影响因子：
2.4
作者：
Ergh, TC;Rapport, LJ;Hanks, RA
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