1. Long-term Care and Mental Health H Edu 5100

2. LTC Definition Diversity Growing population Functional disabilities “long-term”

3. Continuum of Care Extended Acute Ambulatory Home care Outreach Wellness Housing

4. Development Social security Medicare OBRA Private insurance

5. Clients Chronic Impairment Disability Short-term long-term care vs long-term long-term care

6. Informal Care

7. Nursing Homes Facts Staffing Licensing

8. Residential Care/Assisted Living Personal, not skilled Numbers Licensure

9. Home Care Short or long-term Fastest growing Licensing

10. Hospice Care for terminally ill Numbers Licensing

11. Other Adult day care/respite Future

12. Mental Health

13. History History is grim 1930s 1940s 1950s 1960s and 70s 1980s and 90s

14. Recipients Childhood disorders Delirium, dementia, amnestic… General medical condition Substance-related Schizophrenia Mood disorders

15. Recipients Anxiety disorders Somatoform disorders Factitious disorders Dissociative disorders Sexual and gender identity Eating disorders

16. Recipients Sleep disorders Impulse control Adjustment disorders Personality disorders Other

17. Organization Specialty General medical Human services Voluntary support

18. Misdistribution Political decisions Myths Non-parity “Bottomless hole” Worried well”

19. Managed care Carve outs Shift risk Shift incentives Case management

20. Future