¶ … 1965, the Older Americans Act (OAA) established precedence for senior care in the United States. The OAA freed federal funding for not only seniors but also their caregivers, providing for such services as transportation and meals support. Since 1965, several adjustments and amendments have been made to the OAA. The most significant of the changes made to the OAA has been the National Family Caregiver Support Program, also known as Title IIIE of the OAA (NAC, 2012). The National Family Caregiver Support Program (NFCSP) was added as an addendum to the OAA in 2000. Of all the amendments to the OAA, the NFCSP is the one that has had the most direct and immediate impact on caregivers of elders -- the family members who care for their aging relatives. Unlike other provisions of the OAA, the NFCSP distinguishes itself by focusing on the caregivers and their needs, thereby initiating a revolution in geriatric care and the philosophy of geriatric care. The NFCSP provides federal grant money to the States, in proportion to their population of elderly persons. As such, the NFCSP allows the States to determine how to allocate funding and oversee the programs for elder care. Mainly because of the diversity of state interests, the NFCSP has been somewhat disjointed and fragmented, as well as underfunded. To promote funding for the NFCSP, the program needs to be revised in significant and meaningful ways.
The NFCSP provides grants to the states, which can in turn provide funding to caregivers directly as well as to state-run programs designed to alleviate the burden of elder care. A primary goal of the NFCSP is to enable family members to realistically care for their aging parents, grandparents, or other relatives rather than outsource caring to nursing homes or other assisted living facilities. Not only does the NFCSP help save taxpayer money by diverting funds to familial caregivers; the NFCSP also promotes responsible and humanitarian elder care. A large number of caregivers would gladly assume responsibility for their aging parents if they had the wherewithal to do so; the NFCSP allows home care to become more financially and pragmatically feasible. While the NFCSP offers the opportunity of home care to many families, the program has flaws that are continually being worked out year by year. The primary flaws identified in the literature evaluating the relative success of the NFCSP include the following.
First, the NFCSP is fragmented and irregular because it allows too much leeway for the states to decide how to allocate funding and how to determine eligibility for the program. Standardization of the NFCSP would help reduce the problems associated with program fragmentation. Second, the NFCSP lacks sufficient funds and has no accountable method of funding allocation. Third, the OAA does not hold any party responsible for program assessment. This means that NFCSP-funded programs are not monitored, and the funds could be wasted on programs and services that do not work. Fourth, the NFCSP is designed specifically to help caregivers, not the actual elders receiving the care. The NFCSP does not yet provide...
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