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Building Adult Foster Care: What States Can Do

This PPI report examines the role of adult foster care (AFC) within the array of long-term services and supports. It explores the trends and issues facing adult foster care providers, discusses the role of the Nurse Practice Act on the scope of services available in adult foster care and offer recommendations as to how states can support the development and growth of AFC services.
States are currently facing major budget shortfalls given the current economic environment and are looking for viable options to provide services and supports to older adults and people with disabilities. Adult foster care may be a cost-effective alternative to institutional care. From the perspective of consumers, AFC can enhance their ability, regardless of age and income, to participate as fully as possible in all aspects of community living. It provides residents with a homelike and family like environment. Because AFCs are integrated into local communities, individuals can engage in social interactions as they get help with personal care, medications and health-related activities, money management, housekeeping and transportation to appointments.
This report is the only comprehensive national review of adult foster care regulations, trends, and issues facing providers. It offers an update to PPI’s 1996 review of AFC regulations and highlights innovative approaches to developing and funding AFC.

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