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1j <br /> Awwwwwwerwile <br /> { <br /> provide a subsidy to families who care for functionally impaired <br /> relatives in their homes. <br /> BEORIU f AIIMILEO _ UEBQYIN_ AM:IEBb_C6BE_4EIUS5 <br /> We recommend that alternatives to institutional care be made <br /> available in all North Carolina communities. To this end, we recommend <br /> the following specific actions: <br /> Recommendation 1 : Strengthen home health agencies with the <br /> goal of a minimum of four of the federally specified services <br /> and extension to 24 hour. seven—day a week care wherever <br /> possible. <br /> Recommendation 2: Require all counties to assure adequate <br /> provision of basic in—home services (chores <br /> homemaker/home—health aides transportations meals. and adult <br /> day car* if feasible) financed by the Title XX program as <br /> well as other available resources. <br /> Recommendation 3: Use the same financial criteria for providing <br /> in—homi care from public funds as is used for institutional <br /> placement. <br /> Recommendation 4: Change the eligibility criteria of <br /> various programs for older adults to integrate health and <br /> socialsupport services around patient needs. <br /> Recommendation 5: <br /> Provide, through the Secretary of the <br /> Department of Human Resources, an entity at the state level <br /> whose responsibility is to design and implement a long—term <br /> care system and monitor the quality of performance of <br /> mutually agreed upon objectives for the full array of <br /> long—tiro care services for the elderly. <br /> Recommendation 6: Assure adequate funding for essential <br /> transportation for older adults. <br /> Recommendation 7: Enforce standards for quality programs, <br /> service's. facilities, and training. <br /> Recommendation 8: Advocate that the Legislative Study Commission <br /> on Aging develop family caregiver financial supports. such <br /> as: <br /> a. Tax reduction for care of dependent elderly. <br /> b. Taw reduction for home modification and special <br /> equipment. <br /> 10 <br />