Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults Proceedings of a Workshop (2017) / Chapter Skim
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6 Reactors Panel on Policy Implications and Research Needs
6 Reactors Panel on Policy Implications and Research Needs
Pages 67-76
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From page 67... ...
REACTOR COMMENTS Dara Baldwin Senior Public Policy Analyst National Disability Rights Network Dara Baldwin of NDRN began by explaining that NDRN is the national organization for the Protection & Advocacy Network (P&A N etwork) , which provides legal representation and advocacy for people 67
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From page 68... ...
. 4 Intersectionality, a concept developed by Columbia University law professor Kimberlé Williams Crenshaw and originally articulated on behalf of African American women, is a term used to refer to overlapping social identities (e.g., race, gender, sexual orientation, religion, age, disability, etc.)
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From page 69... ...
, which contains 30 recommendations to bring the housing and health care sectors closer together in order to improve health outcomes and reduce preventable health care costs for American older adults. The task force directed its recommendations to the executive and legislative branches of the federal government with the goal of expanding the supply of affordable housing, facilitating home and community-based modifications, and accelerating health care and housing integration in order to improve outcomes and reduce cost.
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From page 70... ...
This program has provided intensive technical assistance to eight states and less intensive technical assistance to some 30 other states to help them focus and strengthen their housing and health partnerships. As a result of this effort, Rosenoff said, approximately 10 states have applied or will soon apply for Medicaid waivers to provide supportive housing services as part of Medicaid benefits.
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From page 71... ...
This workshop, she said, brought together all of these aspects of housing and focused not just on moving toward the goal of the Triple Aim of health care but also on enabling people to live as independently as possible in the community. Stone applauded the recent report from Harvard's Joint Center for Housing Studies (Joint Center for Housing Studies, 2016)
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From page 72... ...
Stone also expressed optimism that the move to value-based payments in health care will not go away, given that it has bipartisan support, and that the housing and health model will be shown to provide some of the best opportunities for value-based payments to have a positive impact on health outcomes and on improving delivery of services to high risk older adults and younger adults with disabilities. Uchenna S
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A combination of these factors increases the likelihood of health disparities for veterans. The VA is a good model of where health care and social determinants such as housing intersect, Uchendu said.
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From page 74... ...
Uchendu also noted the importance of incorporating social determinants of health -- e.g., housing, education, and economic stability -- into electronic health records. While she said that she is not expecting health care providers to conduct home assessments, she said that there should be ways of outsourcing that type of information gathering.
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From page 75... ...
"I think we are going to have to look more at private sector models with public sector investment." Lisa Sloane added that her organization has a report on how state housing agencies in Illinois, North Carolina, and Pennsylvania have pioneered new approaches to funding expansions of permanent supportive housing for extremely low-income households (O'Hara and Yates, 2015)
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From page 76... ...
She added that the concern she has heard about most from people who have moved out of institutions and into the community is that of loneliness once they leave the social environment of an institution. Teresa Lee, providing the final comments of the day, said that she thinks that the new administration's interest in reducing regulations may provide an opportunity to break down the silos between health care and housing, both of which are heavily regulated.
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