作者: Nancy S. Wellman , Barbara Kamp
DOI:
关键词: Gerontology 、 Social work 、 Medicaid 、 Older Americans Act 、 Medicine 、 Government 、 Poverty 、 Human services 、 Population 、 Disadvantaged
摘要: As more Americans live to older ages, demands are increasing on federal food and nutrition assistance programs that help combat hunger, or "food insecurity," poor diets among this population. The government appropriates only about $1 billion annually for all adults, die largest number being funded through the Older Act (OAA). OAA reach 6 percent 7 of people who need diem (Wellman, Rosenzweig, Lloyd, 2002). In contrast, government's Special Supplemental Nutrition Program Women, Infants, Children (WIC) alone is at almost $5 now reaches 50 eligible women, infants, children. Both wie began in early 1970s, but latter has received significant increases funding, whereas former have not. This situation several likely causes, including an emphasis WTC outcomes showing taxpayer savings generally greater compassion younger ages. addition, elders do not emphasize apparendy assume diat five midday meals weekly sufficient adults. While focus social service aspects, with insufficient input from professionals, medically oriented a strong component. Some goveminent use higher poverty standard determine eligibility tend serve children, adolescents, may even exclude equivalent services Most under auspices either Department Heakh Human Services Agriculture. These described below summarized Appendix. DEPARTMENT OF HEALTH AND HUMAN SERVICES PROGRAMS U.S. Health jurisdiction over three main eldernutrition providers, Administration Aging (AoA), Indian Service (IHS), Centers Medicare Medicaid (CMS). AoA programs. national aging network includes 4,400 local part by Title gC Act. 250 million congregate home-delivered 3 adults annually. targets those greatest economic need, particular attention low-income minorities rural individuals. Although ones means-tested, 84 homebound 65 congregate-meals participants near poor. Aside 3C, six core used many states support Supportive (Title 3B) can cover community such as adult daycare information assistance. 4, Training, Research, Discretionary Projects Programs, supports National Resource Center Nutrition, Physical Activity Florida International University. center sole university-based source technical assistance, dissemination, applied research directed assist Native Americans, Tide 6, funds supportive unique cultural traditions tribal native organizations. American most disadvantaged groups our country. Only two-thirds employ nutritionist their State Unit Aging. Some, all, Area Agencies full-time consultant staff, some larger program providers. Overall, expertise quite limited throughout network, despite fact half annual budget …