Supportive services that make community living possible
Many older adults and people with disabilities need help with the daily tasks of life. For some people this is physical help such as help with dressing and eating. For others, it is help with making decisions and planning. Still others require a blend of supports. Each person is unique, and the help they may need is unique, as well. The services they receive, therefore, also should be unique -- they should be planned in accordance with the preferences and priorities of the person receiving them, and provided in a way that fits that person's life.
Supportive services provide assistance with everyday activities and help make it possible for many people with disabilities and older adults to live in their chosen housing environments and participate in their communities. Meals, transportation, personal care assistance, housekeeping, case management, wellness checks, tenancy support, and care coordination some examples of services that help people thrive in their communities.
Access to needed services is a key component of making a person's home, and their community, accessible, so there is clear benefit to improving coordination and collaboration between the housing, aging and disability, home and community-based services, homelessness services, and health sectors. Such partnerships can bring community living and health services to rental properties, remove barriers so services are easier to obtain, make homes more accessible, fill vacancies with renters who have housing vouchers, and more.
- Emerging Partnerships and Opportunities
The links below provide information about some new or recently modified programs available that support community living with access to voluntary services. By learning about these programs, you can begin to identify opportunities to collaborate with other sectors to help people access services that support housing stability, health, and independence.
- ADvancing States Analysis of State American Rescue Plan Act (ARPA) Plans: analysis of state plans for using the increased Federal Medial Assistance Percentage (FMAP) for Medicaid home and community-based services
- Community Mental Health Services Block Grants (MHBG): website about this program, for community-based mental health services to assist adults with serious mental illness and children with serious emotional disturbance
- COVID-19 Resources for the Aging and Disability Networks: website with programs, promising practices, guidance, and funding for the aging and disability networks related to services offered as part of the COVID-19 response
- COVID-19 Stimulates New Housing and Services Partnerships for People with Disabilities and Older Adults: brief with an overview of housing-related challenges during the pandemic, new opportunities with federal resources, and partnerships that are making a difference
- Implementation of American Rescue Plan Act of 2021 Section 9817: Additional Support for Medicaid Home and Community-Based Services during the COVID-19 Emergency: letter to state Medicaid directors with guidance on how states can receive enhanced funding to increase access to home and community-based services (HCBS) for Medicaid beneficiaries
- Money Follows the Person: website about this program in which, states can provide Medicaid beneficiaries who choose to move from nursing homes to housing in the community with the services they need for independent living
- Opportunities in Medicaid and CHIP to Address Social Determinants of Health: letter to state health officials on opportunities under Medicaid to better address social determinants of health in programs design, benefits, and services
- Substance Abuse Prevention and Treatment Block Grants (SABG): website about this program to support and expand the full continuum of substance use disorder services, including prevention, treatment, and recovery
- Summary of Key Provisions of the Home and Community-Based Services (HCBS) Settings Final Rule: fact sheet with summary of regulatory requirements that HCBS settings must meet for reimbursement so that individuals in HCBS programs have access to the benefits of community living and receive services in the most integrated setting
The Transitions Out of Institutions section has related information on housing choice vouchers, recent changes to the Money Follows the Person (MFP) program, and the enhanced federal funding available to states under the American Rescue Plan Act.
- Solutions for Access to Services that Support Community Living
The links below provide information about evidence-based programs and practices to enhance access to voluntary services that support community living and health. You can use this information to identify opportunities to collaborate with other sectors to help people stay in or return to housing in the community.
ADvancing Equity for Older Adults Resource Guide: curated list of resources to address equity and systemic discrimination for older adults for for older adults and with examples of state and local-level resources
- Age-Friendly Inclusive Services: A Practical Guide to Creating Welcoming LGBTQ Organizations: profile of LGBTQ challenges for older adults and best practices for including LGTB older adults in programing
- Best Practices in the HCBS Settings Rule: Bringing HCBS to the 21st Century: webinar recording with an overview of the HCBS settings Rule promising practices and outcomes-focused tools
- Chronic Disease Self-Management Education Programs: website about evidence-based programs that provide people with disabilities and older adults with education and tools to help them manage chronic conditions
- Comparing New Flexibilities in Medicare Advantage with Medicaid Long-Term Services and Support: Final Report: report with an overview of early implementation of the expanded supplemental benefits
- Evidence-Based Practices Resource Center: website with information and tools for communities, clinicians, policymakers, and others to incorporate evidence-based practices for prevention, treatment, and recovery support services for mental and substance use disorders in community or clinical settings
- Evidence-Based Programs: searchable database to promote health and prevent disease among older adults that are approved for funding through Older Americans Act Title III-D
- Falls Prevention: website about evidence-based community programs and services to reduce falls
- Healthy Aging with a Disability: website about healthy aging with a disability
- Innovations from the Field: Area Agencies on Aging (AAA) Housing and Homelessness Programs: report with case studies of AAAs and their partnerships to address housing stability
- Report to Congress Innovative State Initiatives and Strategies for Providing Housing-Related Services and Supports under a State Medicaid Program to Individuals with Substance Use Disorder (SUD) Who are Experiencing or at Risk of Experiencing Homelessness: report on the impact of SUD on Medicaid beneficiaries and the relationship between SUD and homelessness, along with profiles of five state Medicaid program and highlights of several local programs
- Strategic Framework for Action: State Opportunities to Integrate Services and Improve Outcomes for Older Adults and People with Disabilities: report to support state efforts to 1) address the holistic needs of older adults and people with disabilities through program coordination and integration with health care financing and service delivery; and 2) support partnerships across health care and social service organizations to improve health care outcomes and lower costs by effectively addressing social determinants of health
- 30 Year of Community Living for Individuals with Intellectual and/or Developmental Disabilities (ID/DD): digital book and video on the evolution of integration and inclusion of people ID/DD in American society from 1987-2017, including supportive services that enable them to live in the community
- Core Knowledge
The links below can build core knowledge about this topic or help you find networks of service providers who may be potential partners. To support action on enhancing access to services, also visit our collections of tools and model practices and partnerships.
- Behavioral Health Treatment Services Locator: online services locator offering confidential and anonymous source of information for persons seeking treatment facilities for substance use/addiction and/or mental health problems
- Community Health Workers: website on these frontline public health workers who help link health and social services to the community and improve the quality and cultural competence of service delivery
- Aging and Disability Networks: website on local, state, and national organizations and committed advocates that support older adults and people with disabilities in living independently in the community
- Housing and Transportation: website with publications and training on housing and transportation services
- In-Home and Residential Long Term Supports and Services for Persons with Intellectual or Developmental Disabilities (ID/DD) Status and Trends for 2017: report on residential service setting types, setting sizes, funding authorities, and expenditures for persons with ID/DD
- Medicaid Housing-Related Services and Partnerships: website for technical assistance, information, and a toolkit from the Medicaid Innovation Accelerator Program
- Minority Aging: Statistical Profiles: set of reports with critical statistics on people aged 65 years and older: African Americans, American Indians and Alaska Natives, Asian Americans, and Hispanic Americans; reports include information about disability, household, income, residence, and participation in Older Americans Act programs
- National Aging and Disability Transportation Center: national technical assistance program that promotes the availability and accessibility of transportation service options for older adults, people with disabilities and caregivers
- Overview of Older Americans Act Title III Programs: 2018 Summary of Highlights and Accomplishments: report with information and insight on Older Americans Act (OAA) services, milestones, and impact
- Resources on Personal Assistance Services: website with links to guidebooks, toolkits, publications, and websites related to personal assistance services
- Service Coordinator Program: program information on social service staff that support HUD assisted housing as a platform for financial security, physical security, social connections, and the delivery of long-term community based supportive services