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Research Article  |   July 1991
Addressing the Needs of the Cognitively Impaired Elderly From a Family Policy Perspective
Author Affiliations
  • Carolyn Manville Baum, MA, OTR, FAOTA, is Elias Michael Director and Assistant Professor of Occupational Therapy and Neurology and Director of Occupational Therapy Clinical Service, Irene Walter Johnson Institute of Rehabilitation, Washington University School of Medicine, Box 8066, 4567 Scott Avenue, St. Louis, Missouri 63110
Article Information
Geriatrics/Productive Aging / Practice
Research Article   |   July 1991
Addressing the Needs of the Cognitively Impaired Elderly From a Family Policy Perspective
American Journal of Occupational Therapy, July 1991, Vol. 45, 594-606. doi:10.5014/ajot.45.7.594
American Journal of Occupational Therapy, July 1991, Vol. 45, 594-606. doi:10.5014/ajot.45.7.594
Abstract

Management of the cognitively impaired elderly person in the community is presumed to be cost-efficient and the American way. Although this is what should be done, most would agree that paying for the services that make it possible to do so is not currently within the means of the median income of the family ($25,986) or of the female head of household ($15,350) in this country. This paper reviews the changes in the family, current family policies, and practices of our businesses and government and proposes the services that could be used to support both the impaired person and the family in the management of this evolving societal issue. Strategies for development of payment mechanisms for the proposed services are presented.