Aging in Place and Home and Community-Based Services
Supporting aging in place requires a range of home and community-based services (HCBS) that address functional needs, caregiver support, and social connection. Alongside family caregivers and other informal supports, these services help individuals maintain independence, reduce preventable institutional placement, and remain connected to their community.
HCBS in Indian Country
What are Home and Community-Based Services?
A combination of medical and non-medical supports and services designed to allow individuals who are Elders experiencing changes associated with aging and people with disabilities or chronic conditions to live in their homes or other community settings, rather than in institutional care facilities, like nursing homes.
How Do We Provide HCBS Now?
Every community is providing support to Native Elders in some way whether it is giving rides to ceremony or to the store, building a wheelchair ramp, and delivering a meal. Title VI programs or other elderly assistance that help people continue to live independently is part of these services.
Key Features and Purposes of HCBS
- Improved Quality of Life
- Cost-Effectiveness
- Increased Independence and Dignity
- Community Integration
- Transitional Care
HCBS Range of Services
Home and community-based services vary by state and waiver program and may include, but are not limited to:
- Personal care services
Assistance with activities of daily living like bathing, dressing, and eating - Home healthcare
Medical care provided in the home - Home-delivered meals
Providing meals to individuals in their homes - Respite care
Temporary relief for caregivers in the home or through adult day services - Case management
Coordinating services and support - Chore and homemaker services
Services for light housekeeping and outside jobs such as lawn mowing or snow removal