Terms of Care | Part Two
February 18, 2020
The below list is an ongoing collection of definitions of terms and services relevant to this months theme. These are colloquial definitions created with and by medical professionals. Part one can be found here.
Long Term Care Services
Facility-based long-term care services include: residential facilities, assisted living facilities, nursing homes, and continuing care retirement communities.
*Board and care homes, also called residential care facilities or group homes, are small private facilities, usually with 20 or fewer residents. Rooms may be private or shared. Residents receive personal care and meals and have staff available around the clock. Nursing and medical care usually are not provided on site.
**Assisted living is for people who need help with daily care, but not as much help as a nursing home provides. Assisted living facilities range in size from as few as 25 residents to 120 or more. Typically, a few "levels of care" are offered, with residents paying more for higher levels of care.
Assisted living residents usually live in their own apartments or rooms and share common areas. They have access to many services, including up to three meals a day; assistance with personal care; help with medications, housekeeping, and laundry; 24-hour supervision, security, and on-site staff; and social and recreational activities. Exact arrangements vary from state to state.
***Nursing homes, also called skilled nursing facilities, provide a wide range of health and personal care services. Their services focus on medical care more than most assisted living facilities. These services typically include nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities. Rehabilitation services, such as physical, occupational, and speech therapy, are also available.
Community Based Services
Community-based services are designed to support individuals living in their own community and include a broad array of outpatient services, medication management, case management, crisis services, and intensive evidence-based services as well as a variety of other services provided on a lessthan-24-hour basis.
SAMHSA (Substance Abuse and Mental Health Services Adminstration: lead agency in HHS)
Funds community mental health centers, childrens mental health services, projects for homelessness transition, protection and advocacy for individuals with mental illness.
HRSA (Health Resources and Services Admin)
Health care for rural, HIV, mothers/families and a lot of public health programs like national loan forgiveness.
CMS (Center for Medicaid and Medicare)
*Medicare: older americans, end stage renal disease, anyone getting disability insurance.
*Medicaid: low income individuals.