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Related Experiment Videos

Title III services: variation in use within a state.

J W Meyer1, R A Lusky, A Wright

  • 1University of Connecticut.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
|May 9, 1991
PubMed
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Title III services reach most Connecticut towns, with 9% of elderly users, especially the oldest old. Nutrition and home care services are most popular, with rural areas showing higher usage.

Area of Science:

  • Gerontology
  • Public Health Policy
  • Social Services Research

Background:

  • Title III of the Older Americans Act funds crucial services for the elderly.
  • Understanding service accessibility and utilization is vital for effective elder care planning.
  • Previous research has not fully detailed the reach and patterns of Title III service utilization across diverse geographic and demographic contexts.

Purpose of the Study:

  • To assess the reach and utilization patterns of Title III funded services in Connecticut.
  • To identify which elderly populations and geographic areas are best served by these programs.
  • To explore factors correlating with higher service utilization.

Main Methods:

  • Analysis of Connecticut's Title III management information system data.

Related Experiment Videos

  • Examination of service utilization rates across all towns and demographic groups.
  • Statistical correlation analysis between town characteristics, Area Agency on Aging (AAA) structure, and service use.
  • Main Results:

    • Title III services reach at least one person in every Connecticut town, indicating a foundational gateway function.
    • Approximately 9% of Connecticut's elderly population utilize Title III services, with 20% of those aged 85+ accessing them.
    • Nutrition services demonstrated the widest reach numerically and geographically; home care services were most utilized by the oldest old (85+).
    • Higher service use was observed in small cities and rural towns, independent of elderly, poor, or minority elderly population percentages.
    • The presence of nutrition sites and service provision by specific Area Agencies on Aging (AAAs) correlated with increased service use.

    Conclusions:

    • Title III services provide a baseline reach across Connecticut, particularly benefiting rural areas and the oldest old.
    • Service delivery models, such as localized nutrition sites and efficient AAA structures, significantly influence utilization.
    • Targeting formulas for Title III funds may need refinement to ensure equitable access and address diverse elderly needs effectively.