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As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Florida has the largest proportion of elderly in the nation- 2.8 million persons are over age 65, representing 17.6% of its total population. The dramatic rise in the number of persons age 65 and over in Florida over the next 20 years-estimated to total 26.3% of total population-will further stretch the already limited resources of the state. Aware of the pressing demand for long-term care services well into the 21 * century, policymakers in Florida have begun seriously to review options for improving financing and delivery of long-term care for the frail elderly and persons with disabilities. Federal and state Medicaid spending in Florida was $2.6 billion in FY2001, and 30.5% of Medicaid spending was for long-term care. In FY2001, 75.3% of total Medicaid spending was for institutional care. Slightly less than 25% of Medicaid spending was channeled towards home and community-based services. Although institutional care dominated Medicaid spending, there has been slow but steady expansion of home and community-based services funding, both through the use of Medicaid's waiver programs as well as significant support through state sources. Among the major issues facing long-term care in Florida are: the fragmentation of long-term care services among state and local agencies, an imbalance in financing that favors institutional care rather than home and community based care, shortage of health care workers and well-trained staff throughout the long-term care , and disparities in availability of services across the state.
Victimology, Eighth Edition, shows how to transform the current criminal’s justice system into a victim’s justice system. Doerner and Lab, both well-regarded scholars, write compellingly about the true scope of crime victims’ suffering in the United States. They lay out the sources of evidence available to victimology researchers. In later chapters, theory is woven together with the description of each topic and illustrated with specific examples. The second part of the book addresses the full impact of victimization. Part III, Types of Victimization, details specific problems ranging from violent crimes, child and elder abuse, and property crime to crime in the workplace. The authors emphasize their concern with the extent of criminal victimization, explain how obstacles hinder the pursuit of justice, and introduce the idea that reforms have rendered the system much more victim-friendly. Appropriate for undergraduate as well as early graduate students in Victimology courses in Criminology, Criminal Justice, and Sociology programs, as well as Justice Studies, this book offers an instructor’s manual with a test bank, as well as PowerPoint lecture slides and a companion site with student resources.