In recent years, participants in some publicly funded home care programs for people with disabilities in the United States and several European countries (among them, Germany, Austria, France and the Netherlands) have been allowed to direct their own services and hire and manage the workers who provide them. Researchers report a high level of interest in the Consumer Direction (CD) concept among older persons, and considerable satisfaction among older participants with the autonomy, control, and choice that these programs allow. In this AARP Public Policy Institute Issue Brief, Barbara Coleman reviews surveys of older persons' preferences for CD services, and reports on the opinions of administrators about this issue. The paper also covers a study of a California program that includes many older participants, and the early results from demonstration programs in Arkansas and New Jersey. (16 pages) Cancel You are leaving AARP.org and going to the website of our trusted provider. The provider’s terms, conditions and policies apply. Please return to AARP.org to learn more about other benefits. Your email address is now confirmed. You'll start receiving the latest news, benefits, events, and programs related to AARP's mission to empower people to choose how they live as they age. You can also by updating your account at anytime. You will be asked to register or log in. Cancel Offer Details Disclosures
Close In the next 24 hours, you will receive an email to confirm your subscription to receive emails related to AARP volunteering. Once you confirm that subscription, you will regularly receive communications related to AARP volunteering. In the meantime, please feel free to search for ways to make a difference in your community at Javascript must be enabled to use this site. Please enable Javascript in your browser and try again.