Kulinski Kristie, DiCocco Casey, Skowronski Shannon, Sprowls Phantane
Administration for Community Living , Washington, DC , USA.
Front Public Health. 2017 Feb 3;5:4. doi: 10.3389/fpubh.2017.00004. eCollection 2017.
The mission of the Administration for Community Living (ACL) is to maximize the independence, well-being, and health of older adults, people with disabilities across the lifespan, and their families and caregivers. In direct alignment with this mission is ACL's support of evidence-based falls prevention programs in communities throughout the United States. Since 2014, the Administration on Aging (AoA), part of ACL, has invested nearly $14 million in entities such as state agencies, nonprofits, and universities to expand access to proven community-based falls prevention programs. The initiatives supported by ACL/AoA bring to bear two primary goals-(1) to significantly increase the number of older adults and older adults with disabilities at risk for falls who participate in evidence-based community programs to reduce falls and falls risks; and (2) to implement innovative funding arrangements, including contracts, partnerships, and collaborations with one or more sustainability partners to support these programs during and beyond the grant period. Support from ACL/AoA has significantly increased the availability of evidence-based falls prevention programs in funded communities, as well as enhanced the network's sustainable delivery infrastructure to promote continued access to these critical programs beyond the scope of grant funding. This article highlights the successful rollout of ACL/AoA's falls prevention initiative.
社区生活管理局(ACL)的使命是最大限度地提高老年人、全年龄段的残疾人士及其家庭和照顾者的独立性、福祉和健康水平。ACL对美国各地社区基于证据的跌倒预防项目的支持与这一使命直接契合。自2014年以来,ACL下属的老年事务管理局(AoA)已向州机构、非营利组织和大学等实体投入了近1400万美元,以扩大对经过验证的基于社区的跌倒预防项目的获取。ACL/AoA支持的这些举措有两个主要目标——(1)显著增加参与基于证据的社区项目以减少跌倒和跌倒风险的有跌倒风险的老年人和残疾老年人的数量;(2)实施创新的资金安排,包括与一个或多个可持续发展伙伴签订合同、建立伙伴关系和开展合作,以在拨款期内及之后支持这些项目。ACL/AoA的支持显著增加了受资助社区中基于证据的跌倒预防项目的可及性,同时加强了该网络的可持续交付基础设施,以促进在拨款资金范围之外继续获取这些关键项目。本文重点介绍了ACL/AoA跌倒预防倡议的成功推出。