Site Visit

Long-Term Services and Supports (LTSS): Arlington County's Integrated Approach
April 13, 2012


Carol V. O'Shaughnessy, MA & Lisa Sprague, MBA


The National Health Policy Forum sponsored a local site visit looking at community-based aging programs and long-term services and supports (LTSS) in Arlington County, Virginia. Arlington County human services are integrated under an umbrella agency in the Department of Human Services (DHS) which administers multiple programs for the elderly and people with disabilities. These include the Older Americans Act services, Medicaid LTSS, transportation services, a nursing case management program, and mental health services for those living in nursing homes and assisted living facilities. Arlington County integrates its aging and disability programs under the auspices of an Administration on Aging-funded Aging and Disability Resource Center (ADRC) and emphasizes the "no wrong door" approach for client entry into service programs. The site visit focused on learning about the integration of community aging programs and home- and community-based LTSS, how the programs are administered and coordinated, and how services are delivered. Tours were arranged for site visit participants, who were also able to talk to administrators of an adult day care program, assisted living facilities, and an Older Americans Act congregate nutrition site, as well as the director of DHS and the area agency on aging, staff of the nursing case management program and the mental health support team, and consumers of services. A report on participants' impressions was published on June 8, 2012.

Related Materials

For details on participants' impressions, see the Site Visit Report, published June 8, 2012.

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