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Types of Long-Term Care

Long-term care services ranging from simple (light housekeeping) to complex (nursing care or physical therapy) may be needed over months or years in order to improve or maintain an individual's functions or health. Such services are provided in your home, other community-based settings and nursing homes, and may be paid for through private health insurance, a managed care agency, Medicaid or Medicare–or privately. The links below will take you to other web sites for more detailed information about the following services and programs:

Long-Term Care Services

Adult Day Health Care
Medically supervised services for individuals with physical or mental impairment, including nursing evaluation and treatment, transportation, leisure activities, physical therapy, speech pathology, nutrition assessment, occupational therapy, medical social services, psychological assessment, rehabilitation and socialization, coordination of referrals for outpatient health, and dental services.
Social Adult Day Services
Social adult day services are structured, comprehensive programs that provide older people with personal care, nutrition, socialization, supervision and monitoring in a protective setting during part of a day, but for less than a 24-hour period. For more information on adult day care programs available in your community, call your local office for the aging.
Respite Services
Respite services provide infrequent and temporary substitute care or supervision of frail or disabled adults. This provides relief for the caregiver from the stresses or responsibilities of caregiving. This can enable the caregiver to maintain their relative or friend at home for as long as possible. Contact your local office for the aging for respite care available in your area.
Certified Home Health Agencies (CHHA)
Part-time, intermittent health care and support services, long-term nursing, home health aide and other services including physical/occupational/speech therapy, medical supplies and equipment, social worker and nutrition services.
Coordinated and supportive program for terminally ill persons and their families, providing the core services of nursing and physician services, medical, social services, nutrition counseling and spiritual and bereavement counseling.

Other services such as home health aide and homemaker services, medical supplies and appliances, physical/occupational/speech therapy and short-term inpatient care.
Licensed Home Care Services Agencies (LHCSA)
Hourly nursing, homemaker, housekeeper, personal care attendant and other health and social services.
Private Duty Nursing
Nursing services provided at home from Registered or Licensed Practical Nurses in accordance with physician's orders.
Nursing Homes
Places to live where care is available for people who need 24-hour nursing care and supervision outside of a hospital. Although all nursing homes must provide certain basic services, some homes provide special care for certain types of clients. For example, some homes provide services for the head injured, some for those who are ventilator-dependent, some for people with AIDS and some specialize in the care of children.

Long-Term Care Programs

Long-Term Home Health Care Program
Coordinated plan of medical, nursing, and rehabilitative care provided at home as an alternative to institutionalization in a nursing home.
Managed Long-Term Care Program (MLTC)
Provides health and long-term care services to adults with chronic illness or disabilities to better address their needs and to prevent or delay nursing home placement. Services include, but are not limited to, nursing; physical, occupational and speech therapy; medical equipment and supplies, podiatry, dentistry, optometry, respiratory therapy, transportation and social day care.
Expanded In-home Services for the Elderly (EISEP)
Non-medical in-home services such as housekeeping, personal care, respite, case management, and related services (such as emergency response systems) designed to support and supplement the care primarily provided by informal caregivers.

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