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Title:ARCH/E-ARCH & RACCP-AFH Integration
Authors:Arzaga, Noemi
Contributors:Daub, Katharyn (instructor)
Keywords:Kinship care
Older people
Alternative Care
Adult Residential Care Home
Adult Foster Home
Date Issued:27 Dec 2016
Abstract:Assuming the role of caregiving is never an easy task whether it is done out of love, devotion or simply being responsible for honoring the familial obligation. Decisions to care may occur suddenly due to emergent reasons, or it may be planned, but whatever the reason may be, long-term care decisions should be seamless and not cumbersome. The better equipped the individual is in knowing the available resources, the less anxiety and burdensome it will be for the patient and their family.
As life expectancy improves along with the unprecedented rate of baby boomers reaching retirement age, there is a great need for workers or caregivers to care for the elderly. Trends have shown that long-term care services that the elderly tend to utilize are those less restrictive than nursing homes. Thus, a rapid growth and demand in supply for alternative services such as those provided in a residential care setting in an Adult Residential Care Home (ARCH) or Adult Foster Home (AFH) are seen.
The historical separation of ARCH & AFH for the State of Hawaii, however, has long created overwhelming inefficiencies to care and management that are burdening the consumers, providers, and the state alike. A need of a polished integrated system that improves residents’ quality of care, lowers operating cost, improves coordination of care, and helps caregivers and providers with the most vulnerable fragile persons, the elderly in the community, is greatly needed. All and all, policy engagement through education, evaluation, examination, and the development of new process methodologies with adaptation of new concepts for integration are key initiatives to taking a stand and making a difference. Community-based care services that fit the needs of the consumers without a major overhaul in their livelihoods and budgets are vital today and in the future.
Appears in Collections: DNP Practice Inquiry Projects

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