Work, Vol.I, 24th ed. (Silver Spring, Maryland: National Association of Social Workers, 1993), 111.
7 ustained supportive services, and ongoing medical and medically related treatment translates into long-term care (LTC). The federal Health Care Financing Administration defines LTC as:
r a sustained period of time to persons who have lost . . . some capacity for self-care. LTC mat be continuous or intermittent. It strives to provide care in the least restrictive environment.
Individuals afflicted with chronic ailments account for approximately 10 percent of the American population. This 10 percent of the population, however, accounts for approximately 30 percent of the total health care expenditures in the United States. Most of the 10 percent of the population requiring LTC for chronic ailments are elderly. Where only 10 percent of the total population requires LTC, 50 percent of those individuals aged 80 years or older require LTC. LTC is delivered in both institutional and non-institutional settings. Any chronic care which extends beyond 90 days is referred to as long-term long-term care (LTLTC).
The delivery of LTC to the elderly in their homes is provided for under Title XX of the Social Security Act, and under Title III of the Older Americans Act. Title XX of the Social Security Act provides LTC recipients with homemaking and handyman services. Title XX services are funded by the federal government. The services may be provided in a variety of ways: (1) directly by municipal employees; (2) contracted out to home health agencies; or (3) vouchers provided to LTC recipients, which may be used for direct payment to homemaker and handyman services delivers. the Older Americans Act are also funded by the federal government. The actual services are delivered by contract agencies. The primary services which were originally funded by Title III of the Older Americans Act are (1) congregate means, and (2) senior...