Independence at Risk: Older Californians with Disabilities Struggle to Remain at Home as Public Supports Shrink

This policy brief from the UCLA Center for Health Policy Research, produced with support from The SCAN Foundation, presents findings from a year-long study that followed a small but typical set of older Californians with disabilities who depend on paid public programs and unpaid help to live safely and independently at home.

Dual Eligibles, CA State Budget and Policy

Aging safely and independently at home is a strongly held desire among most Americans, and the U.S. Supreme Court’s Olmstead decision requires public programs to honor these desires when feasible. This policy brief reports on in-depth interviews conducted over a period of one year concerning 33 older adults who receive noninstitutional long-term care services and supports (LTSS).This policy brief documents the challenges experienced by this typical group of California seniors, who have been struggling with cuts to the state services they receive. Understanding the impact of LTSS on older people is particularly important given looming “trigger cuts” in these programs, which may occur if state revenues fall short of projections.

All of those people who were surveyed share a common desire to maintain their independence at almost any cost.