Determining the Needs of the Elderly and the Chronically Disabled

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Abstract
The Department has been engaged in a concerted effort during the past few years to deinstitutionalize patients who occupy facilities designed to provide more intensive services than they medically require. The process of discharge from hospitals or other facilities is complicated because community or home-based support services are too often insufficient. The choice between either being in an institution with unneeded services and being on one's own without needed services is really no choice at all. Planning the correct mix of community and home-based support services is no easy task, as recent attempts to formulate state plans for new Title . . .

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