Simmons College, School of Social Work, 300 The Fenway, Boston, MA 02115, USA.
Disabil Health J. 2014 Jan;7(1 Suppl):S51-9. doi: 10.1016/j.dhjo.2013.08.002. Epub 2013 Oct 4.
Federal and state efforts to rebalance long-term services and supports (LTSS) in favor of home and community based over institutional settings has helped create structural bridges between the historically separated aging and disability LTSS networks by integrating and/or linking aging and disability systems. These changes present new opportunities to study bridging mechanisms and program related outcomes at national and local levels through federally sponsored LTSS initiatives termed Rebalancing programs. Rebalancing programs also offer opportunities to explore and understand the capacity of LTSS networks (age integrated or linked aging and disability systems) to serve aging with disability populations, persons who live with long-term chronic conditions or impairments such as multiple sclerosis, spinal cord injury, intellectual or developmental disabilities. To date, there is limited evidence based LTSS program and practice knowledge about this heterogeneous population such as met and unmet needs or interventions to support healthy aging. Efforts that center on bridging the larger fields of aging and disability in order to build new knowledge and engage in knowledge translation and translational research are critical for building capacity to support persons aging with disability in LTSS. Generating the investment in bridging aging and disability research across stakeholder group, including researchers and funders, is vital for these efforts.
联邦和州政府努力重新平衡长期服务和支持(LTSS),以支持家庭和社区为基础的服务,而不是机构设置,这有助于通过整合和/或连接老龄化和残疾 LTSS 系统,在历史上分离的老龄化和残疾 LTSS 网络之间建立结构性桥梁。这些变化为通过联邦赞助的 LTSS 倡议(称为重新平衡计划)在国家和地方各级研究桥梁机制和项目相关结果提供了新的机会。重新平衡计划还提供了探索和理解 LTSS 网络(综合老龄化或连接老龄化和残疾系统)为残疾老龄化人口、患有长期慢性疾病或残疾的人(如多发性硬化症、脊髓损伤、智力或发育障碍)提供服务的能力的机会。迄今为止,关于这个异质人群的基于证据的 LTSS 计划和实践知识有限,例如满足和未满足的需求或支持健康老龄化的干预措施。以老龄化和残疾这两个更大领域为中心的努力,以建立新知识并参与知识转化和转化研究,对于建立支持残疾老龄化人群的 LTSS 的能力至关重要。在包括研究人员和资助者在内的利益相关者群体中投入资金,跨越老龄化和残疾研究领域,对于这些努力至关重要。