Putnam Michelle
1 School of Social Work, Simmons College, Boston, MA, USA.
Res Aging. 2017 Jul;39(6):799-820. doi: 10.1177/0164027516681052.
This article discusses the need for Older Americans Act (OAA) programs to evaluate and develop where needed the capacity to serve persons aging with long-term disabilities such as intellectual and/or developmental disabilities and physical disabilities including polio, spinal cord injury, and multiple sclerosis. The rationale for this work is the universal access to OAA programs for all adults over 60, regardless of the disability type, age of onset, or severity, acknowledging that other needs-based criteria often need to be met to receive services. Recommendations for increasing OAA and aging network capacity include addressing long-standing divisions between the fields of aging and disability, a comprehensive review of all Administration for Community Living programs and policies, engaging in program adaptation to build capacity, advancing knowledge and skills of the professional workforce, creating new knowledge to support delivery of evidence-based interventions to all older adults including those with lifelong and early and midlife onset of disability.
本文讨论了《美国老年人法案》(OAA)项目有必要评估并在必要时发展为患有智力和/或发育障碍、身体残疾(包括小儿麻痹症、脊髓损伤和多发性硬化症)等长期残疾的老年人提供服务的能力。开展这项工作的理由是,60岁以上的所有成年人都能普遍获得OAA项目,无论残疾类型、发病年龄或严重程度如何,同时承认接受服务通常还需要满足其他基于需求的标准。提高OAA和老年服务网络能力的建议包括消除老龄化和残疾领域之间长期存在的分歧,全面审查社区生活管理局的所有项目和政策,通过项目调整来建设能力,提升专业工作人员的知识和技能,创造新知识以支持向所有老年人(包括那些终身残疾以及在早年和中年发病的残疾人)提供循证干预措施。